Amy Lin, MD, PhD
Assistant Professor
Cardiology
CLINICAL INTERESTS
My clinical interests are in cardiology and cardio-oncology, which the care of cancer patients and preventing and managing cardiovascular issues that can arise from cancer therapies. My special interests include survivorship, including breast and prostate cancer, and clonal hematopoiesis of indeterminate potential or CHIP (mutations in stem cells of the blood) leading to cardiovascular disease. At UCSF, I am part of the Cardio-Oncology and Immunology Program.
RESEARCH INTERESTS
My research interests are in cardio-oncology, with focus on inflammation in cardiovascular disease and how CHIP can increase a patient’s risks for heart disease, heart failure and arrhythmias. Clonal hematopoiesis of indeterminate potential, or CHIP is an age-associated process, where mutations in a certain subset of genes, drives the selection and survival of clonal blood cell populations. CHIP is common, occurring in more than 10% of individuals over the age of 70 years, and as expected, is associated with the increased risk of blood cancers, including MDS, and leukemia. Emerging research has highlighted the association of CHIP and precursor disorders with an increased risk of cardiovascular disease. Individuals with CHIP have a 2-4-fold increased risk of cardiovascular disease, myocardial infarction and ischemic stroke, independent of traditional CVD risk factors, similar to the degree of risk conferred by smoking, hypertension, or elevated cholesterol. The genetic mutations underlying clonal hematopoiesis may contribute to an increase in inflammation and other processes that affect the health of heart tissue and blood vessels. My recent research work demonstrated individuals with CHIP are at increased risk of incident atrial fibrillation, associated with increased inflammasome activation.