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http://dx.doi.org/10.1016/j.stem.2025.07.011DOI Listing

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Clonal hematopoiesis (CH) is associated with many age-related diseases, but its interaction with Alzheimer's disease (AD) remains unclear. Here, we show that TET2-mutant CH is associated with a 47% reduced risk of late-onset AD (LOAD) in the UK Biobank, whereas other drivers of CH do not confer protection. In a mouse model of AD, transplantation of Tet2-mutant bone marrow reduced cognitive decline and β-amyloid plaque formation, effects not observed with Dnmt3a-mutant marrow.

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Hematopoietic stem cells (HSCs) accumulate mutations with age, and some mutations give cells a competitive edge, leading to clonal hematopoiesis (CH)-a condition linked to blood cancers and other diseases like diabetes and cardiovascular disease. TET2, a gene highly expressed in HSCs, is frequently mutated in CH and several myeloid malignancies. TET2 mutations cause increased stem cell numbers and a shift toward myeloid differentiation, promoting malignancy.

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