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Volume 35, No 12, Dec 2025
ISSN: 1001-0602
EISSN: 1748-7838 2018
impact factor 17.848*
(Clarivate Analytics, 2019)
Volume 35 Issue 12, December 2025: 926-927
Gut microbiota fuels clonal hematopoiesis
Francisco Caiado , Markus G. Manz*
Department of Medical Oncology and Hematology, University and University Hospital Zürich, Zürich, SwitzerlandClonal hematopoiesis of indeterminate potential (CHIP) is a frequent health-debilitating condition resulting from progressive, age-dependent expansion of mutant hematopoietic stem and progenitor cells. In a recent Nature paper, Agarwal et al. show that aging associates with increased gut permeability and consequent higher circulating levels of a microbiota-derived metabolite, ADP-heptose, which upon engaging its receptor ALPK1, favors the clonal expansion of CHIP-mutant hematopoietic stem cells.
https://doi.org/10.1038/s41422-025-01137-0