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August 26, 2026Vascular MedicineOpen Access

Clonal hematopoiesis of indeterminate potential (CHIP), vascular somatic mutation, and cardiovascular disease: A narrative review

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Authors

NPNicole PowellRCRichard M CubbonMBMarc A Bailey

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Overview

Narrative review reveals links between clonal hematopoiesis, vascular somatic mutations, and cardiovascular disease, highlighting pro-inflammatory mechanisms that accelerate atherosclerosis.

Key Points

  • To synthesize current evidence on the role of somatic mutations in blood and cardiovascular tissues, focusing on clonal hematopoiesis of indeterminate potential (CHIP) and its contribution to atherosclerosis.
  • Narrative review synthesizing genomic studies on next-generation sequencing in non-cancer tissues, hematopoietic stem cells, and vascular structures.
  • Evaluated mechanistic and observational data linking somatic clonal expansion to systemic inflammation, atherogenesis, and cardiovascular disease progression.
  • Somatic mutations in hematopoietic stem cells conferring survival advantages (CHIP) associate with elevated cardiovascular disease risk by promoting pro-inflammatory pathways that accelerate atherosclerosis.
  • Both CHIP and non-CHIP somatic mutations localize within atherosclerotic plaques, directly contributing to vascular remodeling and local atherogenesis.
  • Evidence demonstrates a bidirectional relationship where systemic inflammatory environments may also promote the emergence and expansion of CHIP clones.

Cite This Study

Powell et al. (2026) studied this question.

synapsesocial.com/papers/6a8e9b58451774b83f3b4145https://doi.org/10.1177/1358863x261437058
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