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. Author manuscript; available in PMC: 2023 Jul 1.
Published in final edited form as: Heart Fail Clin. 2022 Jul;18(3):349–359. doi: 10.1016/j.hfc.2022.02.010

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