Clonal haematopoiesis of indeterminate potential and impaired kidney function—A Danish general population study with 11 years follow-up
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Clonal haematopoiesis of indeterminate potential and impaired kidney function—A Danish general population study with 11 years follow-up. / Larsen, Morten K.; Skov, Vibe; Kjær, Lasse; Møller-Palacino, Natascha A.; Pedersen, Rasmus K.; Andersen, Morten; Ottesen, Johnny T.; Cordua, Sabrina; Poulsen, Henrik E.; Dahl, Morten; Knudsen, Trine A.; Eickhardt-Dalbøge, Christina Schjellerup; Koschmieder, Steffen; Pedersen, Kasper M.; Çolak, Yunus; Bojesen, Stig E.; Nordestgaard, Børge G.; Stiehl, Thomas; Hasselbalch, Hans C.; Ellervik, Christina.
I: European Journal of Haematology, Bind 109, Nr. 5, 2022, s. 576-585.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Clonal haematopoiesis of indeterminate potential and impaired kidney function—A Danish general population study with 11 years follow-up
AU - Larsen, Morten K.
AU - Skov, Vibe
AU - Kjær, Lasse
AU - Møller-Palacino, Natascha A.
AU - Pedersen, Rasmus K.
AU - Andersen, Morten
AU - Ottesen, Johnny T.
AU - Cordua, Sabrina
AU - Poulsen, Henrik E.
AU - Dahl, Morten
AU - Knudsen, Trine A.
AU - Eickhardt-Dalbøge, Christina Schjellerup
AU - Koschmieder, Steffen
AU - Pedersen, Kasper M.
AU - Çolak, Yunus
AU - Bojesen, Stig E.
AU - Nordestgaard, Børge G.
AU - Stiehl, Thomas
AU - Hasselbalch, Hans C.
AU - Ellervik, Christina
N1 - Publisher Copyright: © 2022 The Authors. European Journal of Haematology published by John Wiley & Sons Ltd.
PY - 2022
Y1 - 2022
N2 - The myeloproliferative neoplasms are associated with chronic kidney disease but whether clonal haematopoiesis of indeterminate potential (CHIP) is associated with impaired kidney function is unknown. In the Danish General Suburban Population Study (N = 19 958) from 2010 to 2013, 645 individuals were positive for JAK2V617F (N = 613) or CALR (N = 32) mutations. Mutation-positive individuals without haematological malignancy were defined as having CHIP (N = 629). We used multiple and inverse probability weighted (IPW)-adjusted linear regression analysis to estimate adjusted mean (95% confidence interval) differences in estimated glomerular filtration rate (eGFR; ml/min/1.73 m2) by mutation status, variant allele frequency (VAF%), blood cell counts, and neutrophil-to-lymphocyte ratio (NLR). We performed 11-year longitudinal follow-up of eGFR in all individuals. Compared to CHIP-negative individuals, the mean differences in eGFR were −5.6 (−10.3, −0.8, p =.02) for CALR, −11.9 (−21.4, −2.4, p = 0.01) for CALR type 2, and −10.1 (−18.1, −2.2, p =.01) for CALR with VAF ≥ 1%. The IPW-adjusted linear regression analyses showed similar results. NLR was negatively associated with eGFR. Individuals with CALR type 2 had a worse 11-year longitudinal follow-up on eGFR compared to CHIP-negative individuals (p =.004). In conclusion, individuals with CALR mutations, especially CALR type 2, had impaired kidney function compared to CHIP-negative individuals as measured by a lower eGFR at baseline and during 11-year follow-up.
AB - The myeloproliferative neoplasms are associated with chronic kidney disease but whether clonal haematopoiesis of indeterminate potential (CHIP) is associated with impaired kidney function is unknown. In the Danish General Suburban Population Study (N = 19 958) from 2010 to 2013, 645 individuals were positive for JAK2V617F (N = 613) or CALR (N = 32) mutations. Mutation-positive individuals without haematological malignancy were defined as having CHIP (N = 629). We used multiple and inverse probability weighted (IPW)-adjusted linear regression analysis to estimate adjusted mean (95% confidence interval) differences in estimated glomerular filtration rate (eGFR; ml/min/1.73 m2) by mutation status, variant allele frequency (VAF%), blood cell counts, and neutrophil-to-lymphocyte ratio (NLR). We performed 11-year longitudinal follow-up of eGFR in all individuals. Compared to CHIP-negative individuals, the mean differences in eGFR were −5.6 (−10.3, −0.8, p =.02) for CALR, −11.9 (−21.4, −2.4, p = 0.01) for CALR type 2, and −10.1 (−18.1, −2.2, p =.01) for CALR with VAF ≥ 1%. The IPW-adjusted linear regression analyses showed similar results. NLR was negatively associated with eGFR. Individuals with CALR type 2 had a worse 11-year longitudinal follow-up on eGFR compared to CHIP-negative individuals (p =.004). In conclusion, individuals with CALR mutations, especially CALR type 2, had impaired kidney function compared to CHIP-negative individuals as measured by a lower eGFR at baseline and during 11-year follow-up.
KW - CALR
KW - CHIP
KW - clonal haematopoiesis of indeterminate potential
KW - eGFR
KW - epidemiology
KW - impaired kidney function
KW - JAK2V617F
KW - population studies
U2 - 10.1111/ejh.13845
DO - 10.1111/ejh.13845
M3 - Journal article
C2 - 36054308
AN - SCOPUS:85136518495
VL - 109
SP - 576
EP - 585
JO - Scandinavian Journal of Haematology
JF - Scandinavian Journal of Haematology
SN - 0902-4441
IS - 5
ER -
ID: 323846765