Why mutated blood stem cells expand with age

Molecular mechanism underlying clonal expansion of hematopoietic stem cells

NIH-funded research Northwestern University · NIH-11378301

Researchers are looking at how infections and chronic inflammation help p53-mutated blood stem cells grow in older people with clonal hematopoiesis.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionNorthwestern University NIH-funded
Lab location1 site (Chicago, United States)
Project IDNIH-11378301 on NIH RePORTER

What this research studies

This project explores how aging, infections, and chronic inflammation allow p53-mutated hematopoietic stem cells to outcompete normal blood stem cells and lead to clonal hematopoiesis and sometimes myelodysplastic syndromes (MDS). The team uses lab models, including mice carrying TP53 mutations, and molecular tools such as ATAC-seq and epigenetic profiling to study chromatin and gene regulation in affected stem cells. They measure inflammasome activation and proinflammatory cytokines to see how infection-driven inflammation gives mutant cells a competitive edge. The researchers will test interventions that block the NLRP1 inflammasome or modify EZH2-related epigenetic marks to see if these approaches prevent mutant cell expansion.

Who could benefit from this research

Good fit: People with age-related clonal hematopoiesis, especially those with TP53 mutations detected in blood tests, would be most relevant for this research.

Not a fit: People without clonal hematopoiesis or whose blood shows different non-TP53 mutations may not benefit from the specific findings.

Why it matters

Potential benefit: Could identify ways to stop or slow mutant blood stem cells from progressing to MDS or other blood cancers.

How similar studies have performed: Previous lab and animal studies have shown mutant p53 and inflammation can drive clonal expansion, but translating those findings into clinical prevention strategies remains largely untested.

Where this research is happening

Chicago, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.