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端粒长度与认知障碍的关联。

Association of Telomere Length with Cognitive Impairment.

机构信息

State Institution "D. F. Chebotarev Institute of Gerontology NAMS Ukraine, Kiev, Ukraine.

Educational and Scientific Institute of High Technologies, Taras Shevchenko National University of Kyiv, Kiev, Ukraine.

出版信息

J Mol Neurosci. 2023 Jun;73(6):448-455. doi: 10.1007/s12031-023-02130-1. Epub 2023 Jun 6.

DOI:10.1007/s12031-023-02130-1
PMID:37278929
Abstract

Telomere attrition is attributed to Alzheimer's disease (AD), major depressive disorder, stress levels, physical inactivity, short sleep duration, and reduced educational abilities. In this article, we tried to assess the association between the telomere length in peripheral blood leukocytes and level of cognitive impairment and its dependence on age and sex. Healthy subjects and patients with amnestic mild cognitive impairment (aMCI) and different AD stages were recruited in the study. All patients were assessed by the same standard diagnostic procedure, including neurological examination-Mini-Mental State Examination (MMSE). Blood samples from 66 subjects (18 men and 48 women, mean age 71.2 ± 0.56 years) were collected for DNA extraction from peripheral mononuclear cells (PBMC). Relative telomere length (RTL) was measured by monochrome multiplex polymerase chain reaction. The data obtained in the study indicate that RTL in PBMCs has a statistically significant association with MMSE score (p < 0.02). Moreover, the sex-specific difference was observed for the association between telomere length and various parameters of MMSE. Also, it has been found that a decrease in RTL by one unit is associated with an increase in the odds to get AD at a ratio of 2.54 (95% CI, 1.25 to 5.17). The results obtained in this research are in coherence with other studies that telomere length may be a valuable biomarker of cognitive decline. However, the potential need for longitudinal studies of telomere length, in order to estimate the influence of hereditary and environmental factors, remains.

摘要

端粒损耗归因于阿尔茨海默病(AD)、重度抑郁症、压力水平、身体活动不足、睡眠持续时间短和受教育程度降低。在本文中,我们试图评估外周血白细胞端粒长度与认知障碍程度的相关性及其对年龄和性别的依赖性。研究中招募了健康受试者和有遗忘型轻度认知障碍(aMCI)和不同 AD 阶段的患者。所有患者均通过相同的标准诊断程序进行评估,包括神经系统检查-简易精神状态检查(MMSE)。从 66 名受试者(18 名男性和 48 名女性,平均年龄 71.2 ± 0.56 岁)的血液样本中提取外周单核细胞(PBMC)的 DNA。通过单色多重聚合酶链反应测量相对端粒长度(RTL)。研究中获得的数据表明,PBMC 中的 RTL 与 MMSE 评分有统计学显著相关性(p < 0.02)。此外,还观察到端粒长度与 MMSE 各种参数之间的关联存在性别特异性差异。此外,还发现 RTL 减少一个单位与 AD 的发病几率增加 2.54 倍(95%CI,1.25 至 5.17)相关。该研究结果与其他研究一致,即端粒长度可能是认知能力下降的有价值的生物标志物。然而,为了估计遗传和环境因素的影响,仍然需要对端粒长度进行纵向研究。

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引用本文的文献

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Telomere length in early childhood and its association with attention: a study in 4-6 year old children.幼儿期端粒长度及其与注意力的关联:一项针对4至6岁儿童的研究。
Front Pediatr. 2024 Jun 11;12:1358272. doi: 10.3389/fped.2024.1358272. eCollection 2024.

本文引用的文献

1
Telomere Attrition in Neurodegenerative Disorders.神经退行性疾病中的端粒损耗
Front Cell Neurosci. 2020 Jul 15;14:219. doi: 10.3389/fncel.2020.00219. eCollection 2020.
2
Telomere shortening reflecting physical aging is associated with cognitive decline and dementia conversion in mild cognitive impairment due to Alzheimer's disease.端粒缩短反映身体衰老与阿尔茨海默病导致的轻度认知障碍的认知能力下降和痴呆转化有关。
Aging (Albany NY). 2020 Mar 3;12(5):4407-4423. doi: 10.18632/aging.102893.
3
Telomeres Increasingly Develop Aberrant Structures in Aging Humans.
端粒在衰老人类中越来越多地出现异常结构。
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Cognitive Change during the Life Course and Leukocyte Telomere Length in Late Middle-Aged Men.中年后期男性生命历程中的认知变化与白细胞端粒长度
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Human telomere biology: A contributory and interactive factor in aging, disease risks, and protection.人类端粒生物学:衰老、疾病风险和保护中的一个促成和交互作用的因素。
Science. 2015 Dec 4;350(6265):1193-8. doi: 10.1126/science.aab3389.
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The role of telomerase protein TERT in Alzheimer's disease and in tau-related pathology in vitro.端粒酶蛋白TERT在阿尔茨海默病及体外tau相关病理学中的作用。
J Neurosci. 2015 Jan 28;35(4):1659-74. doi: 10.1523/JNEUROSCI.2925-14.2015.
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An integrative review of factors associated with telomere length and implications for biobehavioral research.端粒长度相关因素的综合述评及其对生物行为研究的意义。
Nurs Res. 2014 Jan-Feb;63(1):36-50. doi: 10.1097/NNR.0000000000000009.
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IPAF inflammasome is involved in interleukin-1β production from astrocytes, induced by palmitate; implications for Alzheimer's Disease.IPAF炎性小体参与由棕榈酸酯诱导的星形胶质细胞产生白细胞介素-1β;对阿尔茨海默病的影响。
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Telomere length behaves as biomarker of somatic redundancy rather than biological age.端粒长度表现为体细胞冗余的生物标志物,而不是生物年龄。
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A systematic review of leukocyte telomere length and age in adults.白细胞端粒长度与成人年龄的系统评价
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