Language

English

Publication Date

3-1-2025

Journal

Nature Genetics

DOI

10.1038/s41588-025-02085-6

PMID

39948438

PMCID

PMC11906367

PubMedCentral® Posted Date

2-13-2025

PubMedCentral® Full Text Version

Post-print

Abstract

The impact of genetic ancestry on the development of clonal hematopoiesis (CH) remains largely unexplored. Here, we compared CH in 136,401 participants from the Mexico City Prospective Study (MCPS) to 416,118 individuals from the UK Biobank (UKB) and observed CH to be significantly less common in MCPS compared to UKB (adjusted odds ratio = 0.59, 95% confidence interval (CI) = [0.57, 0.61], P = 7.31 × 10−185). Among MCPS participants, CH frequency was positively correlated with the percentage of European ancestry (adjusted beta = 0.84, 95% CI = [0.66, 1.03], P = 7.35 × 10−19). Genome-wide and exome-wide association analyses in MCPS identified ancestry-specific variants in the TCL1B locus with opposing effects on DNMT3A-CH versus non-DNMT3A-CH. Meta-analysis of MCPS and UKB identified five novel loci associated with CH, including polymorphisms at PARP11/CCND2, MEIS1 and MYCN. Our CH study, the largest in a non-European population to date, demonstrates the power of cross-ancestry comparisons to derive novel insights into CH pathogenesis.

Keywords

Humans, Prospective Studies, Mexico, Clonal Hematopoiesis, United Kingdom, Genome-Wide Association Study, Female, Biological Specimen Banks, Male, Middle Aged, Polymorphism, Single Nucleotide, DNA Methyltransferase 3A, White People, Aged, DNA (Cytosine-5-)-Methyltransferases, UK Biobank, Population genetics, Haematological cancer, Disease prevention

Published Open-Access

yes

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