Evidence map›Paper›PMID 38744975›Full record

ArticleNature genetics2024

Analysis of somatic mutations in whole blood from 200,618 individuals identifies pervasive positive selection and novel drivers of clonal hematopoiesis.

Nicholas Bernstein, Michael Spencer Chapman, Kudzai Nyamondo, Zhenghao Chen, Nicholas Williams, Emily Mitchell, Peter J Campbell, Robert L Cohen, Jyoti Nangalia

Abstract read
In one paragraph

Article in Nature genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

64 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Origins and timing of somatic variants in the brain.Current opinion in genetics & development · 2026
    Review
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  18. Integrating 730,947 exome sequences with clinical literature improves gene discovery.medRxiv : the preprint server for health sciences · 2026
    Article
  19. Article
  20. Review

4 more citing papers are in PubMed but not listed here.

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

9 authors.

Nicholas Bernstein *Calico Life Sciences LLC, South San Francisco, CA, USA.
Michael Spencer Chapman *Wellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-5320-8193
Kudzai NyamondoWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0009-0008-3312-732X
Zhenghao ChenCalico Life Sciences LLC, South San Francisco, CA, USA.
Nicholas WilliamsWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-3989-9167
Emily MitchellWellcome Sanger Institute, Hinxton, UK.
Peter J CampbellWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-3921-0510
Robert L CohenCalico Life Sciences LLC, South San Francisco, CA, USA. rlc@calicolabs.com.ORCID http://orcid.org/0009-0002-2355-1705
Jyoti NangaliaWellcome Sanger Institute, Hinxton, UK. jn5@sanger.ac.uk.ORCID http://orcid.org/0000-0001-7122-4608

Funding

Medical Research Council MC_PC_17230Wellcome Trust
6 · The paper itself

Abstract

Human aging is marked by the emergence of a tapestry of clonal expansions in dividing tissues, particularly evident in blood as clonal hematopoiesis (CH). CH, linked to cancer risk and aging-related phenotypes, often stems from somatic mutations in a set of established genes. However, the majority of clones lack known drivers. Here we infer gene-level positive selection in whole blood exomes from 200,618 individuals in UK Biobank. We identify 17 additional genes, ZBTB33, ZNF318, ZNF234, SPRED2, SH2B3, SRCAP, SIK3, SRSF1, CHEK2, CCDC115, CCL22, BAX, YLPM1, MYD88, MTA2, MAGEC3 and IGLL5, under positive selection at a population level, and validate this selection pattern in 10,837 whole genomes from single-cell-derived hematopoietic colonies. Clones with mutations in these genes grow in frequency and size with age, comparable to classical CH drivers. They correlate with heightened risk of infection, death and hematological malignancy, highlighting the significance of these additional genes in the aging process.

Indexed as

Clonal HematopoiesisMutationAdultAgedAgingExomeFemaleHumansMaleMiddle AgedSelection, Genetic

Identifiers

PMID38744975
PMCPMC11176083

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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.