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Association of Clonal Hematopoiesis with Incident, Late-Onset, Seropositive Rheumatoid Arthritis - PubMed

5 hours ago
  • #Complement Pathway
  • #Rheumatoid Arthritis
  • #Clonal Hematopoiesis
  • Clonal hematopoiesis (CH) is linked to inflammatory diseases of aging, including rheumatoid arthritis (RA).
  • CHIP and mCA subtypes, particularly DNMT3A-mutated CHIP, autosomal mCA, and mLOY, increase the risk of seropositive RA (SPRA) but not seronegative RA (SNRA).
  • Higher genetically predicted levels of complement proteins C1r and C1s reduce the association between CHIP and SPRA.
  • The study involved 612,989 participants, identifying 30,840 with CHIP and 1,535 with incident SPRA.
  • Findings suggest a genotype- and serostatus-specific connection between somatic mutations and RA, with the classical complement pathway as a potential modifier.