AHA Scientific Sessions 2026 Abstract

Chromosome changes linked to differing clot risks in people

Large non-sex chromosome changes were linked to higher clot risk than in noncarriers, with a hazard ratio (relative risk over time) of 1.29.

Paper by Spencer Flynn, Art Schuermans, Seyedeh Zekavat, +10 more authorsMichael C Honigberg · Medicine · Massachusetts General Hosp
A vein holds a dense clot beside cells with broken chromosome pieces, while a smaller open vein sits near cells with intact pairs.

Our read

Populations
Studied:
Cohort study of people without existing cancer or venous clots, against noncarriers
What changed:
Venous clot risk was higher with large autosomal chromosome alterations than in noncarriers (hazard ratio 1.29)
The catch:
Carriers were older with more heart and metabolic conditions, so residual confounding may remain
In the record:
One of 5 papers on autosomal mosaic chromosomal alterations on record: 4 with results in people.

Editor of record: Boris Djordjevic · AgingResearch.News

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UK Biobank participants (416,287 people; average age 56.2; 54.6% female) and Mass General Brigham Biobank participants (36,379; average age 50.9; 56.8% female) were included in an observational study. None had existing cancer or venous thromboembolism, meaning blood clots in veins. Median follow-up was 13.7 years and 3.5 years, respectively.

Researchers used genetic data to identify chromosome changes present in a subset of blood cells. They defined large changes as those present in at least 10% of cells. Large changes in non-sex chromosomes were associated with higher clot risk. Y-chromosome loss was associated with lower risk, including when it affected at least 10% of cells. X-chromosome loss showed no significant association. The pooled analysis adjusted for demographics, cardiovascular and clotting risk factors, and medications.

Why it matters

Age-related expansion of genetically altered blood cells has been linked to cancer and other adverse outcomes. The authors called for studies of the pathways linking specific chromosome changes to venous clot risk.

Caveats

Clots were identified through diagnosis codes, and carriers were older and had more heart and metabolic conditions; differences remaining after adjustment may have influenced the links. Reported in a conference abstract, the findings concern people without existing cancer or venous clots.

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