Evidence map›Paper›PMID 41948817›Full record

ArticleStroke2026

Clonal Hematopoiesis and Risk of Stroke: Evidence From Over 800 000 Individuals Across 3 Cohorts.

Kun Zhao, Yash Pershad, Liying Xue, Caitlyn Vlasschaert, Robert W Corty, J Brett Heimlich, Charles Kooperberg, Alexander P Reiner, Alexander G Bick

Abstract read
In one paragraph

Article in Stroke, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Reply.Arthritis & rheumatology (Hoboken, N.J.) · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kun Zhao *Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (K.Z., Y.P., L.X., R.W.C., J.B.H., A.G.B.).ORCID 0009-0007-7497-1773
Yash Pershad *Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (K.Z., Y.P., L.X., R.W.C., J.B.H., A.G.B.).
Liying XueDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN (K.Z., Y.P., L.X., R.W.C., J.B.H., A.G.B.).ORCID 0009-0006-9281-4598
Caitlyn VlasschaertDepartment of Medicine, Queen's University, Kingston, Ontario, Canada (C.V.).ORCID 0009-0003-8466-7602
Robert W CortyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN (K.Z., Y.P., L.X., R.W.C., J.B.H., A.G.B.).ORCID 0000-0002-6787-9051
J Brett HeimlichDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN (K.Z., Y.P., L.X., R.W.C., J.B.H., A.G.B.).ORCID 0000-0003-2812-5326
Charles KooperbergDivision of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA (C.K., A.P.R.).ORCID 0000-0002-7986-8560
Alexander P ReinerDivision of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, WA (C.K., A.P.R.).ORCID 0000-0002-1427-4470
Alexander G BickDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN (K.Z., Y.P., L.X., R.W.C., J.B.H., A.G.B.).ORCID 0000-0001-5824-9595

Funding

Clonal Hematopoiesis Aging Resiliency MechanismsR01AG088657 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Alexander Bick, Siddhartha Jaiswal · 2024 to 2026
$6.6M
Establishing the dynamics of lymphoid clonal hematopoiesis and its aging-related disease consequencesR01AG083736 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul L. Auer, Alexander Bick · 2023 to 2026
$2.8M
Targeting Clonal Hematopoiesis of Indeterminate Potential Using Human GeneticsDP5OD029586 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BICK, ALEXANDER · 2020 to 2024
$2.3M
Single Cell Foundation Model enabled drug discovery for clonal hematopoiesisUG3AG097155 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BICK, ALEXANDER, MADDURI, RAVI KIRAN · 2025 to 2025
$1.0M
Defining the cellular and molecular consequences in TET2 CHIPK08HL171833 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMLICH, JONATHAN BRETT · 2025 to 2025
$159k
NHLBI NIH HHS K08 HL171833NIA NIH HHS R01 AG083736NIA NIH HHS R01 AG088657NIA NIH HHS UG3 AG097155NIH HHS DP5 OD029586
6 · The paper itself

Abstract

backgroundClonal hematopoiesis of indeterminate potential (CHIP) is a common age-related condition that increases risk for cardiovascular disease. However, its relationship with stroke remains uncertain.

methodsTo resolve these conflicting findings, we analyzed genomic and clinical data from 800 160 participants with genetic sequencing and medical records across 3 large-scale cohorts: the Vanderbilt BioVU biobank (United States; enrollment 2007-2022), the National Institutes of Health All of Us Research Program (United States; enrollment 2018-2023), and the UK Biobank (United Kingdom; enrollment 2006-2010). The median follow-up time was 4.4 years (interquartile range, 1.8-10.2) in BioVU, 1.9 years (interquartile range, 0.4-3.9) in All of Us, and 12.4 years (interquartile range, 11.7-13.1) in UK Biobank. Stroke events were identified and classified as ischemic or hemorrhagic using

resultsCHIP was associated with increased risk of incident stroke in the meta-analysis (hazard ratio [HR], 1.20 [95% CI, 1.14-1.27];

conclusionsOur large-scale, multicohort study establishes CHIP as a determinant of incident stroke risk and IL (interleukin)-1-mediated inflammation as a targetable pathway to reduce this risk.

Indexed as

Clonal HematopoiesisStrokeAgedCohort StudiesCytokinesDioxygenasesDNA-Binding ProteinsDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3AFemaleHumansIschemic StrokeJanus Kinase 2MaleMiddle AgedRisk FactorsCytokinesDioxygenasesDNA-Binding ProteinsDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3ADNMT3A protein, humanJAK2 protein, humanJanus Kinase 2TET2 protein, humanclonal hematopoiesisinterleukin-1riskstrokeUK Biobank

Identifiers

PMID41948817
PMCPMC13124249

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.