Evidence map›Paper›PMID 36789775›Full record

ArticleStroke2023

Prevalence and Therapeutic Implications of Clonal Hematopoiesis of Indeterminate Potential in Young Patients With Stroke.

Ernst Mayerhofer, Christoph Strecker, Heiko Becker, Marios K Georgakis, Md Mesbah Uddin, Michael M Hoffmann, Niroshan Nadarajah, Manja Meggendorfer, Torsten Haferlach, Jonathan Rosand and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
9.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Review
  3. Clonal hematopoiesis and thrombosis risk-what are research and clinical gaps?Research and practice in thrombosis and haemostasis · 2026
    Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Review
  14. Clonal Hematopoiesis and Thrombosis.American journal of hematology · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. What Causes Premature Coronary Artery Disease?Current atherosclerosis reports · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Ernst MayerhoferDepartment of Neurology and Neurophysiology (E.M., C.S., A.H.), Faculty of Medicine, University Medical Center Freiburg, University of Freiburg, Germany.ORCID 0000-0001-8902-4209
Christoph StreckerDepartment of Neurology and Neurophysiology (E.M., C.S., A.H.), Faculty of Medicine, University Medical Center Freiburg, University of Freiburg, Germany.ORCID 0000-0001-5383-9369
Heiko BeckerDepartment of Medicine I (H.B.), Faculty of Medicine, University Medical Center Freiburg, University of Freiburg, Germany.ORCID 0000-0002-6919-4048
Marios K GeorgakisCenter for Genomic Medicine (E.M., M.K.G., M.M.U., J.R., P.N.), Massachusetts General Hospital, Boston.ORCID 0000-0003-3507-3659
Md Mesbah UddinCenter for Genomic Medicine (E.M., M.K.G., M.M.U., J.R., P.N.), Massachusetts General Hospital, Boston.ORCID 0000-0003-1846-0411
Michael M HoffmannInstitute of Clinical Chemistry and Laboratory Medicine (M.M.H.), Faculty of Medicine, University Medical Center Freiburg, University of Freiburg, Germany.ORCID 0000-0001-8459-6080
Niroshan NadarajahMunich Leukemia Laboratory, Germany (N.N., M.M., T.H., G.H.).
Manja MeggendorferMunich Leukemia Laboratory, Germany (N.N., M.M., T.H., G.H.).
Torsten HaferlachMunich Leukemia Laboratory, Germany (N.N., M.M., T.H., G.H.).
Jonathan RosandCenter for Genomic Medicine (E.M., M.K.G., M.M.U., J.R., P.N.), Massachusetts General Hospital, Boston.ORCID 0000-0002-1014-9138
Pradeep NatarajanCenter for Genomic Medicine (E.M., M.K.G., M.M.U., J.R., P.N.), Massachusetts General Hospital, Boston.ORCID 0000-0001-8402-7435
Christopher D AndersonDepartment of Neurology, Brigham and Women's Hospital, Boston, MA (C.D.A.).ORCID 0000-0002-0053-2002
Andreas Harloff *Department of Neurology and Neurophysiology (E.M., C.S., A.H.), Faculty of Medicine, University Medical Center Freiburg, University of Freiburg, Germany.ORCID 0000-0002-3252-7910
Gregor Hoermann *Munich Leukemia Laboratory, Germany (N.N., M.M., T.H., G.H.).ORCID 0000-0002-7374-4380
Broad Institute · USUniversity of Freiburg · DEMunich Leukemia Laboratory (Germany) · DEBrigham and Women's Hospital · US

Funding

Ethnic/Racial Variation in Intracerebral Hemorrhage (ERICH)U01NS069763 · NINDS · UNIVERSITY OF CINCINNATI · PI ANDERSON, CHRISTOPHER DAVID, DEMEL, STACIE · 2010 to 2024
$34.2M
Clonal hematopoiesis in humans: determinants of development and progressionR01HL148050 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI BALLANTYNE, CHRISTIE MITCHELL, NATARAJAN, PRADEEP · 2019 to 2022
$5.9M
Sequencing Annotation and Functional Analysis in Risk of Intracerebral HemorrhageR01NS103924 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ANDERSON, CHRISTOPHER DAVID · 2018 to 2022
$3.4M
American Heart Association-American Stroke Association 18SFRN34250007NHLBI NIH HHS R01 HL148050NINDS NIH HHS R01 NS103924NINDS NIH HHS U01 NS069763
6 · The paper itself

Abstract

backgroundUndetermined stroke etiology hampers optimal secondary prevention in a large proportion of young patients. We explored whether genetic screening for clonal hematopoiesis of indetermined potential (CHIP), a novel risk factor for stroke, could identify patients with myeloid precursor lesions or covert myeloid neoplasm requiring specific treatment.

methodsWe performed targeted sequencing on 56 genes recurrently mutated in hematologic neoplasms in a prospective cohort of patients with acute brain ischemia between 18 and 60 years. CHIP prevalence was compared with age-matched healthy controls from the Nijmegen Biomedical Study (n=1604) and the UK Biobank (n=101 678). Patients with suspicion of high-risk CHIP or myeloid neoplasm were invited for further hematologic evaluation.

resultsWe included 248 consecutive patients (39% women) of whom 176 (71%) had cryptogenic stroke etiology. Fifty-one (21%) patients had CHIP, 3-fold more than in the general population (7.7% versus 2.6% for the Nijmegen Biomedical Study and 11.9% versus 4.1% for UK Biobank;

conclusionsUsing genetic screening for myeloid disorders in patients with stroke of predominantly undetermined etiology, we found a 3-fold higher CHIP prevalence than in the general population. We identified high-risk CHIP and previously covert myeloproliferative neoplasms as potential stroke etiologies in 4.4% and 1% of patients, respectively. Our findings demonstrate the diagnostic and therapeutic yield of genetic screening in young patients with stroke. Future studies should investigate the role of CHIP for stroke recurrence and optimal secondary prevention.

Indexed as

Hematologic NeoplasmsStrokeCarotid Intima-Media ThicknessClonal HematopoiesisFemaleHematopoiesisHumansMaleMutationPrevalenceProspective Studiesclonal hematopoiesishumansischemic strokemyeloproliferative disordersstroke

Identifiers

PMID36789775
PMCPMC10050122
OpenAlexW4320857871

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.