Chatzikalil Elena, Asvestas Dimitris, Tzeis Stylianos, Solomou Elena E
First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, 11527 Athens, Greece.
"Aghia Sofia" Children's Hospital ERN-PeadCan Center, 11527 Athens, Greece.
Diagnostics (Basel). 2025 Jul 30;15(15):1915. doi: 10.3390/diagnostics15151915.
Clonal hematopoiesis of intermediate potential (CHIP) is the presence of a clonally expanded hematopoietic stem cell because of a mutation in individuals without evidence of hematologic malignancy, dysplasia, or cytopenia. Interestingly, CHIP is associated with a two-fold increase in cardiovascular risk, independently of traditional risk factors. Recent studies using deep-targeted sequencing have revealed that CHIP mutations, primarily and , present a higher incidence in patients with AF compared to healthy controls. Moreover, the presence of the aforementioned mutations is positively correlated with the progression and the severity of the AF clinical course. Regarding the predisposition of AF, it has been proven that and mutations, and not mutation, are associated with higher interleukin-6 (IL-6) levels. IL-6 levels, being indices of cardiac remodeling, predispose to an elevated risk for AF in healthy subjects. Currently conducted research has focused on elaborating the mechanisms driving the association between AF and CHIP and on the evaluation of potential interventions to reduce the risk of AF development. The aims of our review are (i) to summarize published evidence regarding the presence of CHIP mutations as a contributor to AF severity and predisposition, and (ii) to highlight the potential benefits of investigating the correlations between CHIP and AF for AF-diagnosed patients.
中等潜能克隆性造血(CHIP)是指在没有血液系统恶性肿瘤、发育异常或血细胞减少证据的个体中,由于突变而出现的克隆性扩增造血干细胞。有趣的是,CHIP与心血管疾病风险增加两倍相关,且独立于传统风险因素。最近使用深度靶向测序的研究表明,与健康对照相比,CHIP突变(主要是 和 )在房颤患者中的发生率更高。此外,上述突变的存在与房颤临床病程的进展和严重程度呈正相关。关于房颤的易感性,已证实 和 突变而非 突变与较高的白细胞介素-6(IL-6)水平相关。IL-6水平作为心脏重塑的指标,使健康受试者患房颤的风险升高。目前进行的研究集中在阐述驱动房颤与CHIP之间关联的机制以及评估降低房颤发生风险的潜在干预措施。我们综述的目的是:(i)总结已发表的关于CHIP突变作为房颤严重程度和易感性因素的证据;(ii)强调研究CHIP与房颤之间的相关性对房颤诊断患者的潜在益处。
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