@article {489,
	title = {Insights into clonal haematopoiesis from 8,342 mosaic chromosomal alterations.},
	journal = {Nature},
	volume = {559},
	year = {2018},
	month = {2018 07},
	pages = {350-355},
	abstract = {<p>The selective pressures that shape clonal evolution in healthy individuals are largely unknown. Here we investigate 8,342 mosaic chromosomal alterations, from 50~kb to 249~Mb long, that we uncovered in blood-derived DNA from 151,202 UK Biobank participants using phase-based computational techniques (estimated false discovery rate, 6-9\%). We found six loci at which inherited variants associated strongly with the acquisition of deletions or loss of heterozygosity in cis. At three such loci (MPL, TM2D3-TARSL2, and FRA10B), we identified a likely causal variant that acted with high penetrance (5-50\%). Inherited alleles at one locus appeared to affect the probability of somatic mutation, and at three other loci to be objects of positive or negative clonal selection. Several specific mosaic chromosomal alterations were strongly associated with future haematological malignancies. Our results reveal a multitude of paths towards clonal expansions with a wide range of effects on human health.</p>},
	keywords = {Adult, Aged, Alleles, Biological Specimen Banks, Chromosome Aberrations, Chromosome Breakage, Chromosome Fragile Sites, Chromosomes, Human, Pair 10, Clone Cells, Female, Health, Hematologic Neoplasms, Hematopoiesis, Humans, Male, Middle Aged, Mosaicism, Penetrance, United Kingdom},
	issn = {1476-4687},
	doi = {10.1038/s41586-018-0321-x},
	author = {Loh, Po-Ru and Genovese, Giulio and Handsaker, Robert E and Finucane, Hilary K and Reshef, Yakir A and Palamara, Pier Francesco and Birmann, Brenda M and Talkowski, Michael E and Bakhoum, Samuel F and McCarroll, Steven A and Price, Alkes L}
}
