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Mutation-specific impairment of TET2 and DNMT3A enzymatic activity predicts clonal hematopoiesis disease risk - PubMed

3 hours ago
  • #Clonal Hematopoiesis
  • #Risk Prediction
  • #DNA Methylation
  • The study analyzed over 1 million individuals to show that enzymatically disruptive mutations in TET2 and DNMT3A, particularly TET2 loss-of-function and DNMT3A R882, drive most clonal hematopoiesis (CHIP) disease risk.
  • Methylation-based activity scores for TET2 and DNMT3A were developed as biomarkers to quantify enzymatic dysfunction, capturing functional heterogeneity across mutation subtypes.
  • These scores predict disease risk comparably to existing clinical models and, when integrated, significantly improve prediction of cytopenia, myeloid neoplasm, and cardiovascular events.