Table 2.
Summary of the studies examining clonal hematopoiesis in cancer patients
Source | Population | Seq method | Findings |
---|---|---|---|
Coombs et al 2017 | 8,810 individuals with non-hematologic cancers | Whole exome sequence Paired (Blood and cancer) |
25% of patients had CH. 4.5% of patients had CH-PD. CH was associated with increased age, prior radiation therapy, and tobacco use. CH-PD was associated with diminished patient survival. |
Gibson et al, 2017 | 12 NHL patients before ASCT 401 NHL patients after ASCT |
Whole exome sequence Targeted-NGS for 86 genes |
29.9% of patients have CHIP. CHIP was associated with inferior survival from tMN and CVD. |
Kahn et al, 2018 | 401 NHL patients 28,418 individuals unselected for cancer |
Whole exome sequence Targeted-NGS |
PPM1D mutations were 60 times more prevalent in chemotherapy-exposed NHL patients. |
Bolton et al, 2020 | 24,146 cancer patients (56 types of primary tumor) | Deep targeted amplicon sequence | 30% of patients had CH. Cancer treatment was associated with CH with enrichments in DDR genes (PPM1D, TP53, CHK2). |
Miller et al, 2021 | 154 NHL or MM patients receiving CAR T-cells | NGS of the driver genes | 48% of patients had CHIP. CHIP was associated with increased CR rate and CRS severity. |
CH-PD: clonal hematopoiesis of putative driver genes, NHL: non-Hodgkin lymphoma, ASCT: autologous stem-cell transplantation, NGS: next-generation sequencing, tMN: therapy-related myeloid neoplasms, CVD: cardiovascular disease, MM: multiple myeloma, CR: complete response, CRS: cytokine release syndrome