在克罗恩氏病和性结肠炎中具有不确定潜力的克隆性血液形成
Myvizhi Esai Selvan1, Daniel I Nathan2, Daniela Guisado3
1Department of Genetics and Genomics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
medRxiv : the preprint server for health sciences
|August 16, 2024
概括
不确定潜力的克隆性血液形成 (CHIP) 在炎症性肠病 (IBD) 患者中更为常见,特别是老年性结肠炎和年轻的克罗恩氏病患者.
科学领域:
- 血液学和免疫学 血液学和免疫学
- 胃肠病学 胃肠病学
- 遗传学 遗传学 是一个
背景情况:
- 不确定潜力的克隆性血液形成 (CHIP) 涉及血液细胞的体质突变,没有血液恶性瘤.
- 炎症是CHIP进展到恶性瘤的可疑驱动因素;CHIP患者经常有炎症状况.
- 炎症性肠病 (IBD) 包括消化道的慢性炎症状况.
研究的目的:
- 确定IBD患者中CHIP的患病率和特征.
- 研究CHIP与IBD患者的临床结果之间的关联.
- 探索IBD,CHIP和炎症通路之间的关系.
主要方法:
- 分析了来自587名克罗恩氏病 (CD) 患者,441名性结肠炎 (UC) 患者和293名非IBD对照者的整体外基因组测序数据.
- 用于评估CHIP流行率和与临床结果的关联的后勤回归.
- 进行途径丰富分析以识别重叠的基因和途径.
主要成果:
- 在老年UC患者 (年龄>45) 与年轻患者 (p=0.01) 之间观察到骨髓细胞-CHIP突变的增加.
- 淋巴状CHIP在老年IBD患者中更为普遍 (p=0.007).
- 年轻的CD患者表现出高风险的骨髓体-CHIP特征;IBD患者具有独特的CHIP突变特征. 类固醇使用与CHIP增加相关 (p=0.05),而抗TNF治疗与骨髓CHIP降低相关 (p=0.03).
结论:
- 在IBD病理生理学和CHIP之间存在显著的联系.
- 患有CHIP的IBD患者具有不同的风险概况,特别是老年UC和年轻CD患者.
- 这些发现表明IBD中CHIP独特的进化途径,需要对管理恶性瘤和心血管疾病等相关风险的意识.
相关概念视频
Multipotency of Hematopoietic Stem Cells
3.0K
The hematopoietic stem cells or HSCs are multipotent, meaning they can differentiate and give rise to all blood and immune cells. HSCs are maintained in the quiescent stage until an external stimulus initiates their differentiation. The multipotent HSCs exist as two heterogeneous populations, long-term repopulating cells (LTRC) and short-term repopulating cells (STRC). The two HSC populations have different surface markers or receptors and are classified based on quiescence and long-term...
3.0K
Inflammatory Bowel Disease II: Crohn's Disease
206
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
206
Lineage Commitment
3.0K
Commitment is the process whereby stem cells:
3.0K
Regulation of Hematopoietic Stem Cells
3.2K
All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
3.2K
Hematopoiesis
5.2K
The process of blood cell formation is called hematopoiesis. Hematopoiesis starts early during development, on the seventh day of embryogenesis. This phase of hematopoiesis is called the primitive wave, wherein the extraembryonic yolk sac allows the production of erythroid cells and endothelial cells from a common precursor called hemangioblast. The erythroid cells provide oxygen to support the growth of the rapidly dividing embryo. Hemangioblasts later develop into hematopoietic stem cells or...
5.2K
Production of Formed Elements
1.3K
Hemangioblasts are multipotent stem cells originating from the mesoderm. They give rise to hematopoietic stem cells (HSCs), which undergo hematopoiesis to produce all the formed elements of blood. This process is regulated by a complex network of hematopoietic growth factors, including transcription factors, growth factors, and cytokines. These factors stimulate the HSCs to divide and differentiate, though some HSCs remain undifferentiated to maintain a self-renewing pool.
Most HSCs commit to...
Most HSCs commit to...
1.3K


