Evidence map›Paper›PMID 37489738›Full record

ReviewJournal of the American Heart Association2023

Clonal Hematopoiesis of Indeterminate Potential From a Heart Failure Specialist's Point of View.

Maurits A Sikking, Sophie L V M Stroeks, Olivia J Waring, Michiel T H M Henkens, Niels P Riksen, Alexander Hoischen, Stephane R B Heymans, Job A J Verdonschot

Open access · goldAbstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
9.0field-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

17 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Macrophages and the Survival of Cardiomyocytes After Myocardial Infarction.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  3. Association BetweenGenes · 2026
    Review
  4. Review
  5. Review
  6. Review
  7. Observational
  8. Review
  9. Article
  10. Revolutionising Cardio-Oncology Care with Precision Genomics.International journal of molecular sciences · 2025
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
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

8 authors at 3 institutions in 2 countries.

Maurits A SikkingDepartment of Cardiology Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC) Maastricht the Netherlands.ORCID 0000-0001-8165-6631
Sophie L V M StroeksDepartment of Cardiology Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC) Maastricht the Netherlands.ORCID 0000-0003-0965-6359
Olivia J WaringDepartment of Pathology Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC) Maastricht the Netherlands.
Michiel T H M HenkensDepartment of Pathology Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC) Maastricht the Netherlands.ORCID 0000-0001-6222-071X
Niels P RiksenDepartment of Internal Medicine Radboud University Medical Center Nijmegen the Netherlands.ORCID 0000-0001-9197-8124
Alexander HoischenDepartment of Human Genetics Radboud University Medical Center Nijmegen the Netherlands.
Stephane R B HeymansDepartment of Cardiology Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC) Maastricht the Netherlands.ORCID 0000-0001-9477-7803
Job A J VerdonschotDepartment of Cardiology Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center (MUMC) Maastricht the Netherlands.ORCID 0000-0001-5549-1298
Maastricht University · NLMaastricht University Medical Centre · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clonal hematopoiesis of indeterminate potential (CHIP) is a common bone marrow abnormality induced by age-related DNA mutations, which give rise to proinflammatory immune cells. These immune cells exacerbate atherosclerotic cardiovascular disease and may induce or accelerate heart failure. The mechanisms involved are complex but point toward a central role for proinflammatory macrophages and an inflammasome-dependent immune response (IL-1 [interleukin-1] and IL-6 [interleukin-6]) in the atherosclerotic plaque or directly in the myocardium. Intracardiac inflammation may decrease cardiac function and induce cardiac fibrosis, even in the absence of atherosclerotic cardiovascular disease. The pathophysiology and consequences of CHIP may differ among implicated genes as well as subgroups of patients with heart failure, based on cause (ischemic versus nonischemic) and ejection fraction (reduced ejection fraction versus preserved ejection fraction). Evidence is accumulating that CHIP is associated with cardiovascular mortality in ischemic and nonischemic heart failure with reduced ejection fraction and involved in the development of heart failure with preserved ejection fraction. CHIP and corresponding inflammatory pathways provide a highly potent therapeutic target. Randomized controlled trials in patients with well-phenotyped heart failure, where readily available anti-inflammatory therapies are used to intervene with clonal hematopoiesis, may pave the way for a new area of heart failure treatment. The first clinical trials that target CHIP are already registered.

Indexed as

AtherosclerosisCardiovascular DiseasesHeart FailureClonal HematopoiesisHematopoiesisHumansMutationatherosclerotic cardiovascular diseaseclonal hematopoiesisheart failureinflammation

Identifiers

PMID37489738
PMCPMC10492961
OpenAlexW4385231031

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.