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The prevalence and clinical significance of clonal monocytosis - PubMed

4 days ago
  • #clonal monocytosis
  • #myeloid neoplasia
  • #machine learning
  • The study introduces terms CMUS and CCMUS for clonal hematopoiesis with monocytosis not meeting CMML criteria.
  • Analyzed 431,531 UK Biobank participants to assess prevalence and outcomes of CMUS/CCMUS.
  • Found CMUS and CCMUS are high-risk, linked to myeloid neoplasia, cardiovascular, and renal diseases.
  • Proposed sex-specific monocyte thresholds and excluding isolated DNMT3A mutations to strengthen MN association.
  • Developed MoSAIC, a machine learning tool to predict SRSF2 mutations in monocytosis cases using blood counts.
  • Validated findings in a Danish cohort of 625,328 primary care patients.
  • Concluded CMUS and CCMUS are high-risk states needing refined diagnostic criteria.