Prevention & lipids

Colchicine prevents accelerated atherosclerosis in TET2 -mutant clonal haematopoiesis

Eur Heart JPublished Mechanistic study

Authors' conclusion

These results highlight the potential value of colchicine to mitigate the higher cardiovascular risk of carriers of somatic TET2 mutations in blood cells.

Study context

Population
Ldlr-/- mice with ≈10% Tet2-/- haematopoietic cells on high-cholesterol diet; humans with whole-exome sequencing in 2 biobanks37,181 MGB + 437,236 UK Biobank
Comparison
Colchicine vs Placebo
Outcome
Accelerated atherosclerosis associated with TET2-mutant CH; modification by colchicine of the CH–MI association in humans
Methodological detailsmouse model (bone marrow transplantation in Ldlr-/- mice), human biobank analysis (Mass General Brigham Biobank, UK Biobank)
  • Mouse model (bone marrow transplantation in Ldlr-/- mice)
  • Human biobank analysis (Mass General Brigham Biobank, UK Biobank)

Main finding

As reported in the abstract

  • Colchicine prevented accelerated atherosclerosis in the mouse model of TET2-mutant clonal haematopoiesis (CH), with suppression of interleukin-1β overproduction
  • Humans prescribed colchicine had attenuated associations between TET2 mutations and MI
  • Interaction not observed for other mutated genes

Original publication

Colchicine prevents accelerated atherosclerosis in TET2 -mutant clonal haematopoiesis. Eur Heart J. Published 30 August 2024. doi:10.1093/eurheartj/ehae546

Summarised from the published abstract; every number is checked against it

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