Telomere length and cognitive function in community-dwelling elders: Findings from the Health ABC Study

被引:125
作者
Yaffe, Kristine [1 ,2 ,3 ,5 ]
Lindquist, Karla [4 ]
Kluse, Molly [1 ]
Cawthon, Richard [6 ]
Harris, Tamara [7 ]
Hsueh, Wen-Chi [4 ]
Simonsick, Eleanor M.
Kuller, Lewis [8 ]
Li, Rongling [9 ]
Ayonayon, Hilsa N. [3 ]
Rubin, Susan M. [3 ]
Cummings, Steven R. [10 ]
机构
[1] Univ Calif San Francisco, Sch Med, Dept Psychiat, San Francisco, CA 94121 USA
[2] Univ Calif San Francisco, Sch Med, Dept Neurol, San Francisco, CA 94121 USA
[3] Univ Calif San Francisco, Sch Med, Dept Epidemiol & Biostat, San Francisco, CA 94121 USA
[4] Univ Calif San Francisco, Sch Med, Dept Med, San Francisco, CA 94121 USA
[5] San Francisco VA Med Ctr KY, San Francisco, CA 94121 USA
[6] Univ Utah, Dept Human Genet, Salt Lake City, UT 84132 USA
[7] NIA, Lab Epidemiol Demog & Biometty, Intramural Res Program, Bethesda, MD 20892 USA
[8] Univ Pittsburgh, Sch Med, Grad Sch Publ Hlth, Dept Epidemiol, Pittsburgh, PA 15261 USA
[9] Univ Tennessee, Hlth Sci Ctr, Dept Prevent Med, Memphis, TN 38163 USA
[10] Calif Pacific Med Ctr, San Francisco, CA 94115 USA
关键词
Cognitive decline; Biomarker; Genetics; Telomeres; Epidemiology; MORTALITY; DISEASE; RISK; ASSOCIATION; LEUKOCYTES; DEMENTIA; SHORTER;
D O I
10.1016/j.neurobiolaging.2009.12.006
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Telomere shortening is a marker of cellular aging and has been associated with risk of Alzheimer's disease. Few studies have determined if telomere length is associated with cognitive decline in non-demented elders. We prospectively studied 2734 non-demented elders (mean age: 74 years). We measured cognition with the Modified Mini-Mental State Exam (3MS) and Digit Symbol Substitution Test (DSST) repeatedly over 7 years. Baseline telomere length was measured in blood leukocytes and classified by tertile as "short", "medium", or "long". At baseline, longer telomere length was associated with better DSST score (36.4, 34.9 and 34.4 points for long, medium and short, p < 0.01) but not for change in score. However, 7-year 3MS change scores were less among those with longer telomere length (-1.7 points vs. -2.5 and -2.9, p = 0.01). Findings were similar after multivariable adjustment for age, gender, race, education, assay batch, and baseline score. There was a borderline statistically significant interaction for telomere length and APOE e4 on 3MS change score (p = 0.06). Thus, telomere length may serve as a biomarker for cognitive aging. Published by Elsevier Inc.
引用
收藏
页码:2055 / 2060
页数:6
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