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November 18, 2025Journal of Clinical InvestigationOpen Access

Clonal hematopoiesis activates procalcific pathways in macrophages and promotes aortic valve stenosis

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Authors

WAWesley AbplanalpMRMichael A. RaddatzBSBianca Schuhmacher

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Overview

Randomized trial finds clonal hematopoiesis increases aortic valve calcification risk, suggesting a potential therapeutic target.

Key Points

  • This research investigates the role of clonal hematopoiesis in the development of aortic valve stenosis.
  • Meta-analysis of patients from All of Us, BioVU, and UK Biobank
  • Single-cell RNA sequencing of immune cells from patients with AVS and TET2 mutations
  • In vitro calcium deposition assays using TET2-silenced macrophages and mesenchymal cells
  • Patients with clonal hematopoiesis had a higher risk of aortic valve stenosis, especially with TET2 or ASXL1 mutations
  • Increased expression of procalcific factors like oncostatin M in macrophages with TET2 mutations
  • Ldlr-/- mice with Tet2-/- bone marrow transplants showed greater calcium deposition in aortic valves

Cite This Study

Abplanalp et al. (2025) studied this question.

synapsesocial.com/papers/6a679381bcc5ff0b5e77cad1https://doi.org/10.1172/jci171634
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