UK Biobank WES of whole blood–derived DNA was performed using Illumina NovaSeq 6000 platform at the Regeneron Sequencing Center (Tarrytown, NY) as described previously (30 (link)). TOPMed WGS to an average depth of 38× was performed using whole blood–derived DNA, PCR-free library construction, and Illumina HiSeq X technology as described elsewhere (29 (link)).
CHIP mutations were called previously in TOPMed (28 (link)) and UK Biobank (26 (link)). CHIP mutations were reevaluated after the error-corrected release of WES in UK Biobank in June 2020. Briefly, CHIP mutations were detected with GATK MuTect2 software (49 (link)) with parameters as previously described (28 (link)). Samples were annotated as having CHIP if Mutect2 identifies one or more of a prespecified list of pathogenic somatic variants (23 (link), 24 (link)). Common germline variants and sequencing artifacts were excluded as before. Each study includes both the presence of (i) any CHIP and (ii) CHIP with VAF > 0.1, as larger CHIP clones above this threshold have previously been more strongly associated with adverse clinical outcomes (24 (link), 26 (link)).