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ResearchIn-Press PreviewHematologyInflammation Open Access | 10.1172/JCI184285

Mutant p53 promotes clonal hematopoiesis through generating a chronic inflammatory microenvironment

Sisi Chen,1 Sergio Barajas,2 Sasidhar Vemula,3 Yuxia Yang,3 Ed Simpson,4 Hongyu Gao,4 Rudong Li,4 Farzaneh Behzadnia,4 Sarah C. Nabinger,3 David A. Schmitz,3 Hongxia Chen,2 Wenjie Cai,2 Shiyu Xiao,2 Ruyue Luo,2 Mohammed Abdullahel Amin,2 Maegan L. Capitano,5 James P. Ropa,5 Aidan Fahey,3 Shuyi Zhou,1 Tiffany M. Mays,2 Magdalena Sotelo,2 Hao Pan,2 Sophie K. Hu,2 Sophia Veranga,2 Moiez Ali,2 Maria Shumilina,2 Reuben Kapur,3 Kehan Ren,6 Yuzhi Jia,7 Huiping Liu,7 Irum Khan,2 Yasmin Abaza,2 Jessica K. Altman,2 Elizabeth A. Eklund,2 Lucy A. Godley,2 Christine R. Zhang,6 Peng Ji,6 Seth L. Masters,8 Ben A. Croker,9 H. Scott Boswell,10 George E. Sandusky,11 Zhonghua Gao,12 Lindsey D. Mayo,3 Sharon A. Savage,13 Stephanie Halene,14 Yali Dou,15 Leonidas C. Platanias,2 Madina Sukhanova,6 Yunlong Liu,4 Omar Abdel-Wahab,16 and Yan Liu2

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Chen, S. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Barajas, S. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Vemula, S. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Yang, Y. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Simpson, E. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Gao, H. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Li, R. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Behzadnia, F. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Nabinger, S. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Schmitz, D. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Chen, H. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Cai, W. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Xiao, S. in: PubMed | Google Scholar |

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Luo, R. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Amin, M. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Capitano, M. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Ropa, J. in: PubMed | Google Scholar |

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Ren, K. in: PubMed | Google Scholar |

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Jia, Y. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Liu, H. in: PubMed | Google Scholar |

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Altman, J. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Eklund, E. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Godley, L. in: PubMed | Google Scholar |

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Zhang, C. in: PubMed | Google Scholar

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

Find articles by Ji, P. in: PubMed | Google Scholar |

1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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1Precision Research Center for Refractory Diseases, Department of Hematology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

2Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, United States of America

3Department of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, United States of America

4Department of Medical Genetics, Indiana University School of Medicine, Indianapolis, United States of America

5Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, United States of America

6Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

7Department of Pharmacology, Northwestern University Feinberg School of Medicine, Chicago, United States of America

8The Walter and Eliza Hall Institute of Medical Research, Parkville, Australia

9Department of Pediatrics, University of California San Diego, La Jolla, United States of America

10Department of Medicine, Indiana University School of Medicine, Indianapolis, United States of America

11Department of Pathology and Laboratory Medicine, Indiana University School of Medicine,, Indianapolis, United States of America

12Department of Biochemistry and Molecular Biology, College of Medicine, Pennsylvania State University, Hershey, United States of America

13Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, United States of America

14Department of Internal Medicine and Yale Cancer Cente, Yale University School of Medicine, New Haven, United States of America

15Department of Medicine, University of Southern California, Los Angeles, United States of America

16Molecular Pharmacology Program, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, United States of America

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Published December 30, 2025 - More info

J Clin Invest. https://doi.org/10.1172/JCI184285.
Copyright © 2025, Chen et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published December 30, 2025 - Version history
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Abstract

Aged individuals with somatic TP53 mutations manifest clonal hematopoiesis (CH) and are at high risk of developing myeloid neoplasms. However, the underlying mechanisms are not fully understood. Here we show that inflammatory stress confers a competitive advantage to p53 mutant hematopoietic stem and progenitor cells (HSPCs) by activating the NLRP1 inflammasome and increasing the secretion of pro-inflammatory cytokines such as IL-1β, inhibiting wild type (WT) HSPC fitness in a paracrine fashion. During aging, mutant p53 dysregulates pre-mRNA splicing in HSPCs, leading to enhanced NF-κB activation and increased secretion of IL-1β and IL-6, thereby generating a chronic inflammatory bone marrow microenvironment. Furthermore, blocking IL-1β with IL-1β neutralizing antibody or inhibiting IL-1β secretion using gasdermin D (GSDMD) inhibitor decreases the fitness of p53 mutant HSPCs. Thus, our findings uncover an important role for mutant p53 in regulating inflammatory signaling in CH and suggest that curbing inflammation may prevent the progression of TP53-mutant clonal hematopoiesis to myeloid neoplasms.

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