Clonal hematopoiesis of indeterminate potential is a possible and not yet known cause of stroke


Authors: M. Haršány 1,2;  B. Kalousová 3,4;  R. Slavkovský 3,4;  V. Kunešová 1;  J. Drábek 3,4;  J. Stránská 3,4,5;  M. Hajdúch 3,4;  R. Mikulík 1,2
Authors‘ workplace: Meziná rodní centrum klinické ho, vý zkumu, FN u sv. Anny v Brně 1;  I. neurologická klinika, LF MU a FN u sv. Anny v Brně 2;  Ústav molekulární a translační medicíny, LF UP, Olomouc 3;  Laboratoř experimentální medicíny, FN Olomouc 4;  Neurologická klinika FN Olomouc 5
Published in: Cesk Slov Neurol N 2023; 86(4): 239-243
Category: Review Article
doi: https://doi.org/10.48095/cccsnn2023239

Overview

Clonal hematopoiesis of indeterminate potential (CHIP) occurs during human aging through the progressive accumulation of somatic and potentially preleukemic mutations in hematopoietic stem cells. These mutations occur in genes that, among other things, play an important role in the regulation of inflammation. The risk of hematological malignancy in carriers of CHIP mutations is relatively low. However, these patients have a 40% risk of all-cause mortality due to a higher incidence of myocardial infarction and stroke. Although there is recent evidence of a relationship between CHIP, inflammation and cardiovascular diseases, the relationship between CHIP and stroke has not yet been fully elucidated. The aim of this review is to highlight a timely and potentially clinically relevant issue that is undoubtedly a starting point for further research.

Keywords:

stroke – clonal hematopoiesis of indeterminate potential – CHIP


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Paediatric neurology Neurosurgery Neurology
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