A prevalent biological condition in middle-aged and older
people is clonal hematopoiesis (CH), which is defined as an excessive
contribution to the formation of circulating blood cells by a single
genetically modified hematopoietic clone in the absence of diagnostic evidence
of a hematologic malignancy. Clonal haematopoesis is often caused by a
hematopoietic stem or progenitor cell acquiring one or more somatic mutation
repertoires. CH is quite frequent as people age, and it raises the chance of
developing overt hematologic cancer as well as all-cause mortality and
concomitant conditions, including diabetes and cardiovascular disease. Genetic
and concurrent non-genetic risk factors (such as high blood pressure or smoking
cigarettes) determine the level of risk. Since it is currently unknown how to
reduce these risks, the prospect of future clinical repercussions may add to
anxiety and uncertainty, even though the chance of clonal advancement or
concomitant events in a single patient with clonal hematopoiesis may be
minimal. Given this context, the goal of the current review is to examine the
body of recent research in the field. Background information on somatic
mosaicism, haematological disorders, and CH is included in the review to
provide background literature. In-depth discussions of CH nosology, detection,
and CH involvement in haematological and lymphoid disorders are described,
emphasising novel findings with research and clinical medicine implications.
The role of driver genes and non-involvement in somatic events raises a few
questions. Using the lens of genetics and genomics, the fitness, selection and
multiplication of clones are discussed. Finally, prevalent methods for
intervention and knowledge gaps are discussed, thus covering a spectrum of topics.
Author(s) Details
Mahalakshmi B.R
Department of Zoology, Government Science College, Nrupathunga University,
Nrupathunga Road, Bangalore, 560001,
India.
Priya M.D
Department of Zoology, Government Science College, Nrupathunga University,
Nrupathunga Road, Bangalore, 560001, India.
Rajesha S
Department of Genetics and Zoology, Government Science College, Nrupathunga
University, Nrupathunga Road, Bangalore, 560001, India.
Latha K
Maharanis Science College for Women, Autonomous JLB Road, Mysore, Affiliated
to University of Mysore, Karnataka, India.
Ranjini
Department of Biotechnology, Sir MV Government Science College Bhadravathi,
Karnataka, India.
Shailasree Sekhar
Department of Biochemistry, School of Life Sciences, JSS Academy of Higher
Education and Research, Mysore, India.
Shreya K.R
Department of Plant Biotechnology, University of Agricultural Sciences,
GKVK, Bangalore, India.
Ramachandra Kini
Department of Studies in Biotechnology, University of Mysore, Mysuru,
India.
Kiran Kumar H.B.
NCBS, Affiliated to Nrupathunga University, India.
Please see the book here :- https://doi.org/10.9734/bpi/aodhr/v5/6178
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