Clonal hematopoiesis of indeterminate potential: the root cause of, and fertile ground for, hematological malignancies.

IF 12.8 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Trends in molecular medicine Pub Date : 2024-10-25 DOI:10.1016/j.molmed.2024.10.005
Qiqi Zhuang, Shengjie Jin, Wei Wang, Yan Wang, Hongyan Tong, Zuyun Liu, Jie Sun
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Abstract

Clonal hematopoiesis (CH) of indeterminate potential (CHIP), characterized by propagation of blood cell clones carrying somatic mutations in specific driver genes, is increasingly recognized as a critical factor in the development of hematological malignancies. This phenomenon, which often emerges with age, underscores the complex interplay between genetic predisposition and environmental influences in cancer initiation and progression. Recent years have witnessed significant advances in our understanding of the link between CHIP and hematological diseases. In this review, we provide a comprehensive overview of the features of CHIP and explore its role in promoting tumorigenesis and influencing treatment outcomes for blood cancers. Finally, we summarize current available tools for risk stratification and discuss management strategies for patients with CHIP.

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具有不确定潜能的克隆造血:血液恶性肿瘤的根源和沃土。
具有不确定潜能的克隆性造血(CH)(CHIP)的特征是携带特定驱动基因体细胞突变的血细胞克隆的繁殖,这种现象越来越被认为是血液恶性肿瘤发展的一个关键因素。这种现象往往随着年龄的增长而出现,它凸显了癌症发生和发展过程中遗传易感性和环境影响之间复杂的相互作用。近年来,我们对 CHIP 与血液病之间联系的认识取得了重大进展。在这篇综述中,我们全面概述了 CHIP 的特征,并探讨了它在促进肿瘤发生和影响血癌治疗效果方面的作用。最后,我们总结了目前可用的风险分层工具,并讨论了 CHIP 患者的管理策略。
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来源期刊
Trends in molecular medicine
Trends in molecular medicine 医学-生化与分子生物学
CiteScore
24.60
自引率
0.00%
发文量
142
审稿时长
6-12 weeks
期刊介绍: Trends in Molecular Medicine (TMM) aims to offer concise and contextualized perspectives on the latest research advancing biomedical science toward better diagnosis, treatment, and prevention of human diseases. It focuses on research at the intersection of basic biology and clinical research, covering new concepts in human biology and pathology with clear implications for diagnostics and therapy. TMM reviews bridge the gap between bench and bedside, discussing research from preclinical studies to patient-enrolled trials. The major themes include disease mechanisms, tools and technologies, diagnostics, and therapeutics, with a preference for articles relevant to multiple themes. TMM serves as a platform for discussion, pushing traditional boundaries and fostering collaboration between scientists and clinicians. The journal seeks to publish provocative and authoritative articles that are also accessible to a broad audience, inspiring new directions in molecular medicine to enhance human health.
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