Table 1 Clinical characteristics of CH-ITP patients (VAF ≥ 2%) and patients with low-burden mutations (1% < VAF < 2%).

From: Clonal hematopoiesis in primary immune thrombocytopenia

Patient ID

Age

Sex

Smoking history

Platelet count (×109/L)

Disease duration (months)

Gene

VAF

Malignant transformation

Previous/present treatments

Initial response to corticosteroid

Refractory ITP

Bleeding symptoms

Bleeding score

ITP1

71

M

Yes

7

6

DNMT3A

0.0466

No

Dex, Pred, Rit, TPO-RA

NR

Yes

EP EC

S1M1

ITP2

72

F

No

11

1.5

ASXL1

0.0539

No

Dex, rhTPO,Rit, TPO-RA

NR

Yes

EC GH

S1M1

ITP3

31

F

No

1

72

DNMT3A

0.0454

No

Dex. IVIg, Rit, TPO-RA, Tacrolimus

NR

Yes

EC GI GYN ICH

S1O2 (intracranial3)

ITP4

62

F

No

13

8

DNMT3A

0.0692

No

Dex

R

No

PT

S1

ITP5

45

F

No

7

1

TP53

0.0739

No

Dex, Chinese medicine

CR

No

EC

S1

ITP6

84

M

No

19

24

SRSF2

0.0588

No

Pred, Dex

R

No

EC

S1

ITP7

84

M

Yes

26

0.5

ASXL1

0.0945

No

Pred, rhTPO

NR

No

No

0

ITP8

50

M

Yes

5

48

DNMT3A

0.0290

No

IVIg

-

No

EC GI

S1O2

ITP9

69

M

Yes

4

2.5

TET2

0.0625

No

Pred, TPO-RA

R

No

GH

M1

ITP10

56

F

No

14

12

DNMT3A

0.0313

No

Dex, IVIG, rhTPO, Rit

NR

Yes

GH EP

M2

ITP11

67

F

No

1

0.1

DNMT3A TET2

0.0540 0.0580

No

Pred

CR

No

GH EP GUH

M3

ITP12

54

M

No

6

348

CEBPA

0.0125

No

Pred, rhTPO, Spl

NR

Yes

EC GH

S1M1

ITP13

67

M

No

8

132

DNMT3A

0.0171

No

Dex, Pred

CR

No

No

0

ITP14

50

M

Yes

3

180

SF3B1

0.0129

No

Pred, CsA, IL-11, rhTPO, TPO-RA, Rit

R

Yes

GUH GH EP

M2O2

  1. M male, F female, PT petechiae, EC ecchymoses, EP epistaxis, GUH genitourinary hemorrhage, GH gingival hemorrhage, GI gastrointestinal hemorrhage, GYN gynecologic hemorrhage, ICH intracranial hemorrhage, HP hemoptysis, Dex dexamethasone, IVIg intravenous gamma globulin, Pred prednisone, Spl splenectomy, TPO thrombopoietin, TPO-RA thrombopoietin receptor agonist, Rit rituximab, CsA cyclosporin A, CR complete response (platelet count ≥ 100 × 109/L and absence of bleeding), R response (platelet count ≥ 30 × 109/L and at least twofold increase of the baseline count without bleeding), NR no response (platelet count <30 × 109/L or less than twofold increase of the baseline platelet count or bleeding).
  2. Bleeding manifestations were grouped into three major domains according to ITP-specific Bleeding Assessment Tool: skin (S), visible mucosae (M), and organs (O), with a gradation of severity (SMOG). Severe bleeding was regarded as grade 3 for skin, and/or grade 2 or higher for mucosal domains, and/or higher than grade 1 for organ domain (S ≥ 3 and/or M ≥ 2 and/or O > 1).