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Clonal Hematopoiesis of Indeterminate Potential Is Associated with Current Smoking Status and History of Exacerbation
Jung-Kyu Lee1, Hongyul An2, Youngil Koh2,3
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea.
Clonal hematopoiesis of indeterminate potential (CHIP) is linked to smoking and acute exacerbations in COPD patients. CHIP shows promise as a biomarker for chronic obstructive pulmonary disease.
Area of Science:
- Hematology
- Pulmonology
- Genetics
Background:
- Limited data exists on clonal hematopoiesis of indeterminate potential (CHIP) in chronic obstructive pulmonary disease (COPD) patients.
- The clinical significance of CHIP as a potential biomarker in COPD requires further investigation.
Purpose of the Study:
- To evaluate the clinical significance of CHIP in patients with COPD.
- To assess CHIP as a potential biomarker for COPD, considering smoking status and airflow obstruction severity.
Main Methods:
- Retrospective analysis of 125 COPD patients from the Seoul National University Hospital Airway Registry (2013-2019).
- Next-generation sequencing was used to detect CHIP.
- CHIP score evaluation based on smoking status and airflow obstruction severity.
Main Results:
- Higher CHIP prevalence in current smokers, particularly involving DNMT3A, TET2, and PPM1D genes.
- CHIP in DNMT3A and DTP genes significantly associated with current smoking.
- CHIP in ASXL1 genes significantly associated with acute exacerbations in COPD patients.
Conclusions:
- CHIP in specific genes is significantly associated with current smoking status in COPD.
- CHIP is a potential candidate biomarker for identifying risks and outcomes in COPD patients.
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