Hematovascular Biology Center, Robert M. Berne Cardiovascular Research Center, University of Virginia School of Medicine.
Circ J. 2018 Dec 25;83(1):2-11. doi: 10.1253/circj.CJ-18-0871. Epub 2018 Sep 4.
A number of recent epidemiological studies have associated the clonal expansion of hematopoietic cells, a process referred to as clonal hematopoiesis, with increased mortality. Clonal hematopoiesis increases the risk of hematological cancer, but this overall risk cannot account for the increase in mortality in the general population. Surprisingly, these mutations have also been associated with higher rates of cardiovascular disease, suggesting a previously unrecognized link between somatic mutations in hematopoietic cells and chronic disease. Here, we review recent epidemiological and experimental studies on clonal hematopoiesis that relate to cardiovascular disease.
最近的一些流行病学研究表明,造血细胞的克隆性扩张,即所谓的克隆性造血,与死亡率的增加有关。克隆性造血增加了患血液病的风险,但这种总体风险并不能解释普通人群死亡率的增加。令人惊讶的是,这些突变也与心血管疾病的发生率增加有关,这表明造血细胞中的体细胞突变与慢性疾病之间存在以前未被认识到的联系。在这里,我们回顾了最近关于与心血管疾病相关的克隆性造血的流行病学和实验研究。