Department of Pathology and Molecular Medicine, Queen's University, Kingston, ON, Canada.
JCO Precis Oncol. 2023 Jun;7:e2300132. doi: 10.1200/PO.23.00132.
Recent larger-scale studies of patients with cancer and longitudinal population cohorts have revealed how age-related expansions of mutant hematopoietic cells (clonal hematopoiesis [CH]) have differential associations with incident and prevalent cancers and their outcomes. Increasing recognition and deeper understanding of genetic subtypes of CH are yielding insights into the tumor-immune interface that may help to explain the heterogeneous impact of CH on tumorigenesis and treatment. Herein, we update the expanding influence of CH in precision oncology and propose important research and clinical questions to address to effectively manage and harness CH in oncology patients.
最近对癌症患者和纵向人群队列的更大规模研究揭示了与年龄相关的突变造血细胞(克隆性造血 [CH])扩张如何与新发和现患癌症及其结果具有不同的关联。对 CH 的遗传亚型的日益认识和更深入的理解正在产生对肿瘤-免疫界面的深入了解,这可能有助于解释 CH 对肿瘤发生和治疗的异质性影响。在此,我们更新了 CH 在精准肿瘤学中的扩展影响,并提出了重要的研究和临床问题,以有效地管理和利用肿瘤患者的 CH。