Clonal hematopoiesis in cardiovascular aging: Insights from the verona heart study.

Aging Clonal hematopoiesis Coronary artery disease  Somatic mutations

Journal

GeroScience
ISSN: 2509-2723
Titre abrégé: Geroscience
Pays: Switzerland
ID NLM: 101686284

Informations de publication

Date de publication:
26 Oct 2024
Historique:
received: 04 06 2024
accepted: 25 09 2024
medline: 26 10 2024
pubmed: 26 10 2024
entrez: 26 10 2024
Statut: aheadofprint

Résumé

Clonal hematopoiesis of indeterminate potential (CHIP), marked by the accumulation of somatic mutations in hematopoietic stem cells, significantly elevates the risk of all-cause mortality, mainly due to cardiovascular events. Therefore, investigating this pathophysiological phenomenon is crucial for understanding cardiovascular aging and enhancing both health span and lifespan. In the present study, we examined samples of subjects enrolled within the angiographically controlled Verona Heart Study (VHS), which provides a robust model for cardiovascular aging, particularly regarding coronary artery disease (CAD). We analyzed 44 older subjects diagnosed with coronary artery disease (CAD) and 42 healthy, sex- and age-matched controls (CAD-FREE). Employing deep sequencing and an amplicon-based approach, we focused on 11 key genetic regions in ASXL1, DNMT3A, IDH1, IDH2, JAK2, PPM1D, SF3B1, SRSF2, TET2, TP53, and U2AF1 genes to investigate clonal hematopoiesis. Subjects in the CAD group exhibited a significantly higher variant burden than those in the CAD-FREE group, both in terms of the total number of somatic variants and disruptive variants affecting protein function. This increased mutational load was notably influenced by six specific genetic regions: ASXL1, DNMT3A, IDH2, JAK2, TET2, and U2AF1, which displayed elevated variant rates in the CAD subjects. Moreover, ASXL1, DNMT3A, IDH2, JAK2, SF3B1, TET2, and TP53 exhibited substantially higher levels of disruptive variants in the CAD group. In summary, our findings highlight a correlation between clonal hematopoiesis and the accumulation of disruptive variants in specific genomic regions in the VHS cohort, thereby shedding light on their potential role in cardiovascular aging.

Identifiants

pubmed: 39460851
doi: 10.1007/s11357-024-01367-x
pii: 10.1007/s11357-024-01367-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to American Aging Association.

Références

Miles B, Tadi P. Genetics, Somatic mutation [Internet]. [Updated 2023 Apr 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.; Available from: https://www.ncbi.nlm.nih.gov/books/NBK557896/
Garagnani P, Marquis J, Delledonne M, Pirazzini C, Marasco E, Kwiatkowska KM, et al. Whole-genome sequencing analysis of semi-supercentenarians. eLife. 2021;4:10:e57849
Genovese G, Kähler AK, Handsaker RE, Lindberg J, Rose SA, Bakhoum SF, et al. Clonal hematopoiesis and blood-cancer risk inferred from blood DNA sequence. N Engl J Med. 2014;371(26):2477–87.
doi: 10.1056/NEJMoa1409405 pubmed: 25426838 pmcid: 4290021
Jaiswal S, Fontanillas P, Flannick J, Manning A, Grauman PV, Mar BG, et al. Age-related clonal hematopoiesis associated with adverse outcomes. N Engl J Med. 2014;371(26):2488–98.
doi: 10.1056/NEJMoa1408617 pubmed: 25426837 pmcid: 4306669
Zink F, Stacey SN, Norddahl GL, Frigge ML, Magnusson OT, Jonsdottir I, et al. Clonal hematopoiesis, with and without candidate driver mutations, is common in the elderly. Blood. 2017;130(6):742–52.
doi: 10.1182/blood-2017-02-769869 pubmed: 28483762 pmcid: 5553576
Jaiswal S, Natarajan P, Silver AJ, Gibson CJ, Bick AG, Shvartz E, et al. Clonal hematopoiesis and risk of atherosclerotic cardiovascular disease. N Engl J Med. 2017;377(2):111–21.
doi: 10.1056/NEJMoa1701719 pubmed: 28636844 pmcid: 6717509
Marnell CS, Bick A, Natarajan P. Clonal hematopoiesis of indeterminate potential (CHIP): linking somatic mutations, hematopoiesis, chronic inflammation and cardiovascular disease. J Mol Cell Cardiol. 2021;161:98–105.
doi: 10.1016/j.yjmcc.2021.07.004 pubmed: 34298011 pmcid: 8629838
Nakao T, Natarajan P. Clonal hematopoiesis, multi-omics and coronary artery disease. Nat Cardiovasc Res. 2022;1(11):965–7.
doi: 10.1038/s44161-022-00154-1 pubmed: 36339018 pmcid: 9628526
Haring B, Wissel S, Manson JE. Somatic mutations and clonal hematopoiesis as drivers of age-related cardiovascular risk. Curr Cardiol Rep. 2022;24(8):1049–58.
doi: 10.1007/s11886-022-01724-2 pubmed: 35657494 pmcid: 9329391
Abdellatif M, Rainer PP, Sedej S, Kroemer G. Hallmarks of cardiovascular ageing. Nat Rev Cardiol. 2023;20(11):754–77.
doi: 10.1038/s41569-023-00881-3 pubmed: 37193857
Martinelli N, Girelli D, Lunghi B, Pinotti M, Marchetti G, Malerba G, et al. Polymorphisms at LDLR locus may be associated with coronary artery disease through modulation of coagulation factor VIII activity and independently from lipid profile. Blood. 2010;116(25):5688–97.
doi: 10.1182/blood-2010-03-277079 pubmed: 20810930
Martinelli N, Girelli D, Baroni M, Guarini P, Sandri M, Lunghi B, et al. Activated factor VII–antithrombin complex predicts mortality in patients with stable coronary artery disease: a cohort study. J Thromb Haemost. 2016;14(4):655–66.
doi: 10.1111/jth.13274 pubmed: 27061056
Forbes SA, Bindal N, Bamford S, Cole C, Kok CY, Beare D, et al. COSMIC: mining complete cancer genomes in the Catalogue of Somatic Mutations in Cancer. Nucleic Acids Res. 2011 Jan 1;39(Database):D945–50.
Chakravarty D, Gao J, Phillips S, Kundra R, Zhang H, Wang J, et al. OncoKB: A Precision Oncology Knowledge Base. JCO Precis Oncol. 2017;1:1–16.
doi: 10.1200/PO.17.00011
Cerami E, Gao J, Dogrusoz U, Gross BE, Sumer SO, Aksoy BA, et al. The cBio cancer genomics portal: an open platform for exploring multidimensional cancer genomics data. Cancer Discov. 2012;2(5):401–4.
doi: 10.1158/2159-8290.CD-12-0095 pubmed: 22588877
Landrum MJ, Lee JM, Benson M, Brown G, Chao C, Chitipiralla S, et al. ClinVar: public archive of interpretations of clinically relevant variants. Nucleic Acids Res. 2016;44(D1):D862–8.
doi: 10.1093/nar/gkv1222 pubmed: 26582918
Lever J, Jones MR, Danos AM, Krysiak K, Bonakdar M, Grewal JK, et al. Text-mining clinically relevant cancer biomarkers for curation into the CIViC database. Genome Med. 2019;11(1):78.
doi: 10.1186/s13073-019-0686-y pubmed: 31796060 pmcid: 6891984
Pagel KA, Kim R, Moad K, Busby B, Zheng L, Tokheim C, et al. Integrated informatics analysis of cancer-related variants. JCO Clin Cancer Inform. 2020;4:310–7.
doi: 10.1200/CCI.19.00132 pubmed: 32228266
Tokheim C, Karchin R. CHASMplus reveals the scope of somatic missense mutations driving human cancers. Cell Syst. 2019;9(1):9-23.e8.
doi: 10.1016/j.cels.2019.05.005 pubmed: 31202631 pmcid: 6857794
Rogers MF, Shihab HA, Gaunt TR, Campbell C. CScape: a tool for predicting oncogenic single-point mutations in the cancer genome. Sci Rep. 2017;7(1):11597.
doi: 10.1038/s41598-017-11746-4 pubmed: 28912487 pmcid: 5599557
National Comprehensive Cancer Network. Myelodysplastic syndromes (Version 3.2024) [Internet]. 2024 [cited 2024 Sep 7]. Available from: https://www.nccn.org/professionals/physician_gls/pdf/mds.pdf
Khoury JD, Solary E, Abla O, Akkari Y, Alaggio R, Apperley JF, et al. The 5th edition of the World Health Organization classification of haematolymphoid tumours: myeloid and histiocytic/dendritic neoplasms. Leukemia. 2022 Jul;36(7):1703–19.
Higgins-Chen AT, Thrush KL, Wang Y, Minteer CJ, Kuo PL, Wang M, et al. A computational solution for bolstering reliability of epigenetic clocks: implications for clinical trials and longitudinal tracking. Nat Aging. 2022;2(7):644–61.
doi: 10.1038/s43587-022-00248-2 pubmed: 36277076 pmcid: 9586209
Izzo F, Lee SC, Poran A, Chaligne R, Gaiti F, Gross B, et al. DNA methylation disruption reshapes the hematopoietic differentiation landscape. Nat Genet. 2020;52(4):378–87.
doi: 10.1038/s41588-020-0595-4 pubmed: 32203468 pmcid: 7216752
Nachun D, Lu AT, Bick AG, Natarajan P, Weinstock J, Szeto MD, et al. Clonal hematopoiesis associated with epigenetic aging and clinical outcomes. Aging Cell. 2021;20(6):e13366.
doi: 10.1111/acel.13366 pubmed: 34050697 pmcid: 8208788
Jiang R, Hauser ER, Kwee LC, Shah SH, Regan JA, Huebner JL, et al. The association of accelerated epigenetic age with all-cause mortality in cardiac catheterization patients as mediated by vascular and cardiometabolic outcomes. Clin Epigenetics. 2022;14(1):165.
doi: 10.1186/s13148-022-01380-x pubmed: 36461124 pmcid: 9719253
Salameh Y, Bejaoui Y, El Hajj N. DNA methylation biomarkers in aging and age-related diseases. Front Genet. 2020;11:171.
doi: 10.3389/fgene.2020.00171 pubmed: 32211026 pmcid: 7076122
Assmus B, Cremer S, Kirschbaum K, Culmann D, Kiefer K, Dorsheimer L, et al. Clonal haematopoiesis in chronic ischaemic heart failure: prognostic role of clone size for DNMT3A- and TET2-driver gene mutations. Eur Heart J. 2021;42(3):257–65.
doi: 10.1093/eurheartj/ehaa845 pubmed: 33241418
Mas-Peiro S, Hoffmann J, Fichtlscherer S, Dorsheimer L, Rieger MA, Dimmeler S, et al. Clonal haematopoiesis in patients with degenerative aortic valve stenosis undergoing transcatheter aortic valve implantation. Eur Heart J. 2020;41(8):933–9.
doi: 10.1093/eurheartj/ehz591 pubmed: 31504400
Dregoesc MI, Tercan H, Țigu AB, Bekkering S, Joosten LA, Netea MG, et al. Clonal hematopoiesis is associated with cardiovascular events in patients with stable coronary artery disease. iScience. 2024;27(4):109472.
doi: 10.1016/j.isci.2024.109472 pubmed: 38558938 pmcid: 10981089
Kessler MD, Damask A, O’Keeffe S, Van Meter M, Banerjee N, Semrau S, et al. Exome sequencing of 628,388 individuals identifies common and rare variant associations with clonal hematopoiesis phenotypes. medRxiv. 2022 Jan 1;2021.12.29.21268342.

Auteurs

Katarzyna Malgorzata Kwiatkowska (KM)

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40126, Bologna, Italy. katarzyn.kwiatkowsk2@unibo.it.

Nicola Martinelli (N)

Department of Medicine, Section of Internal Medicine, University of Verona, 37129, Verona, Italy.

Luca Bertamini (L)

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40126, Bologna, Italy.
Department of Medicine, Section of Internal Medicine, University of Verona, 37129, Verona, Italy.
Azienda Ospedaliera Universitaria Integrata of Verona, 37126, Verona, Italy.

Sara De Fanti (S)

IRCCS Istituto Delle Scienze Neurologiche Di Bologna, 40139, Bologna, Italy.

Oliviero Olivieri (O)

Department of Medicine, Section of Internal Medicine, University of Verona, 37129, Verona, Italy.

Claudia Sala (C)

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40126, Bologna, Italy.

Gastone Castellani (G)

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40126, Bologna, Italy.
IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40138, Bologna, Italy.

Luciano Xumerle (L)

Personal Genomics S.R.L, 37134, Verona, Italy.

Elisa Zago (E)

Personal Genomics S.R.L, 37134, Verona, Italy.

Fabiana Busti (F)

Department of Medicine, Section of Internal Medicine, University of Verona, 37129, Verona, Italy.
Azienda Ospedaliera Universitaria Integrata of Verona, 37126, Verona, Italy.

Cristina Giuliani (C)

Laboratory of Molecular Anthropology and Centre for Genome Biology, Department of Biological, Geological and Environmental Sciences (BIGEA), University of Bologna, 40126, Bologna, Italy. cristina.giuliani2@unibo.it.

Paolo Garagnani (P)

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40126, Bologna, Italy.
IRCCS Azienda Ospedaliero-Universitaria Di Bologna, 40138, Bologna, Italy.

Domenico Girelli (D)

Department of Medicine, Section of Internal Medicine, University of Verona, 37129, Verona, Italy.
Azienda Ospedaliera Universitaria Integrata of Verona, 37126, Verona, Italy.

Classifications MeSH