Evidence map›Paper›PMID 40664769›Full record

ArticleNature genetics2025

Germline genetic variation impacts clonal hematopoiesis landscape and progression to malignancy.

Jie Liu, Duc Tran, Liying Xue, Brian J Wiley, Caitlyn Vlasschaert, Caroline J Watson, Hamish A J MacGregor, Xiaoyu Zong, Irenaeus C C Chan, Indraniel Das and 31 more

Abstract read
In one paragraph

Article in Nature genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Genetic influences on haematopoiesis.Nature reviews. Genetics · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Clinical relevance of mosaic variants detected by exome sequencing.The Journal of allergy and clinical immunology · 2026
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Demystifying the diagnosis and management of ICUS, CHIP, and CCUS.Hematology. American Society of Hematology. Education Program · 2025
    Review
  18. Article
  19. Article
  20. 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

41 authors.

Jie LiuCancer Biology Graduate Program, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-6365-1888
Duc TranDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-2918-8601
Liying XueProgram in Medical and Population Genetics and Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Brian J WileyDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Caitlyn VlasschaertDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Caroline J WatsonEarly Cancer Institute, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-8351-268X
Hamish A J MacGregorEarly Cancer Institute, University of Cambridge, Cambridge, UK.
Xiaoyu ZongDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Irenaeus C C ChanDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Indraniel DasDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Md Mesbah UddinProgram in Medical and Population Genetics and Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-1846-0411
Abhishek NiroulaProgram in Medical and Population Genetics and Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-5904-0635
Gabriel GriffinProgram in Medical and Population Genetics and Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-4042-6757
Benjamin L EbertProgram in Medical and Population Genetics and Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-0197-5451
Taralynn MackDivision of Genetic Medicine, Department of Medicine, Vanderbilt University, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-1043-2950
Yash PershadDivision of Genetic Medicine, Department of Medicine, Vanderbilt University, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-2282-1403
Brian SharberDivision of Genetic Medicine, Department of Medicine, Vanderbilt University, Nashville, TN, USA.ORCID http://orcid.org/0009-0005-9598-8211
Michael BergerMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-3882-5000
Ahmet ZehirMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-5406-4104
Ryan PtashkinMemorial Sloan-Kettering Cancer Center, New York, NY, USA.
Ross L LevineMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-7884-1905
Elli PapaemmanuilMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-1709-8983
Vijai JosephMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-7933-151X
Teng GaoMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-0196-689X
Yelena KemelMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-5042-5651
Diana MandelkerMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-4154-0567
Konrad H StopsackDepartment of Epidemiologic Methods and Etiologic Research, Leibniz Institute for Prevention Research and Epidemiology-BIPS and Faculty of Human and Health Sciences, University of Bremen, Bremen, Germany.ORCID http://orcid.org/0000-0002-0722-1311
Paul D P PharoahDepartment of Computational Biomedicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0001-8494-732X
Semanti MukherjeeMemorial Sloan-Kettering Cancer Center, New York, NY, USA.
Li DingDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-1517-2975
Yin CaoDivision of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-9835-7662
Matthew J WalterDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-7753-1091
Jamie R BlundellEarly Cancer Institute, University of Cambridge, Cambridge, UK.
Nilanjan ChatterjeeDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-9060-008X
Kenneth OffitMemorial Sloan-Kettering Cancer Center, New York, NY, USA.
Lucy A GodleyDivision of Hematology/Oncology, Department of Medicine, and the Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-1914-9158
Daniel C Link *Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-3170-7581
Zsofia K Stadler *Memorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-6985-2864
Alexander G Bick *Division of Genetic Medicine, Department of Medicine, Vanderbilt University, Nashville, TN, USA.
Pradeep Natarajan *Program in Medical and Population Genetics and Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Kelly L Bolton *Division of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA. bolton@wustl.edu.ORCID http://orcid.org/0000-0001-6584-3357

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI Daniel C Link · 2013 to 2026
$31.6M
Clonal Hematopoiesis Aging Resiliency MechanismsR01AG088657 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Alexander Bick, Siddhartha Jaiswal · 2024 to 2026
$6.6M
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
Establishing the dynamics of lymphoid clonal hematopoiesis and its aging-related disease consequencesR01AG083736 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul L. Auer, Alexander Bick · 2023 to 2026
$2.8M
Integrated omics analysis of clonal hematopoiesis and cardiovascular disease risk in TOPMedR01HL168894 · NHLBI · EMORY UNIVERSITY · PI Karen Conneely, Pradeep Natarajan · 2023 to 2026
$2.6M
Targeting Clonal Hematopoiesis of Indeterminate Potential Using Human GeneticsDP5OD029586 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BICK, ALEXANDER · 2020 to 2024
$2.3M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA171963NHLBI NIH HHS R01 HL148050NHLBI NIH HHS R01 HL168894NIA NIH HHS R01 AG083736NIA NIH HHS R01 AG088657NIH HHS DP5 OD029586
6 · The paper itself

Abstract

With age, clonal expansions occur pervasively across normal tissues yet only in rare instances lead to cancer, despite being driven by well-established cancer drivers. Characterization of the factors that influence clonal progression is needed to inform interventional approaches. Germline genetic variation influences cancer risk and shapes tumor mutational profile, but its influence on the mutational landscape of normal tissues is not well known. Here we studied the impact of germline genetic variation on clonal hematopoiesis (CH) in 731,835 individuals. We identified 22 new CH-predisposition genes, most of which predispose to CH driven by specific mutational events. CH-predisposition genes contribute to unique somatic landscapes, reflecting the influence of germline genetic backdrop on gene-specific CH fitness. Correspondingly, somatic-germline interactions influence the risk of CH progression to hematologic malignancies. These results demonstrate that germline genetic variation influences somatic evolution in the blood, findings that likely extend to other tissues.

Indexed as

Clonal HematopoiesisGenetic VariationGerm-Line MutationHematologic NeoplasmsNeoplasmsDisease ProgressionFemaleGenetic Predisposition to DiseaseHumansMale

Identifiers

PMID40664769
PMCPMC12339400

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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.