Figure 5 |. Feed-forward loop connecting CHIP and inflammation.

The expansion of CHIP-mutant clones causally contributes to inflammatory diseases, whereas systemic inflammation associated with these disorders may accelerate somatic evolution and clonal hematopoiesis as a consequence of increased HSC proliferation35,38–41,44,45,50. The resulting increased generation of CHIP-mutant and hyper-inflammatory leukocytes can further exacerbate chronic disease9,19,53,54,130, thereby generating a feed-forward loop, in which CHIP and chronic disease are reciprocally reinforced.