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高血压控制与老年人的端粒长度有关。

Hypertension Control Is Associated with Telomere Length in Older Adults.

作者信息

Rubio-Carrasco Kenneth, de la Torre Paola García, Martínez-Ezquerro José D, Sánchez-García Sergio, García-Vences Elisa, Camacho-Arroyo Ignacio, Rodríguez-Dorantes Mauricio, González-Covarrubias Vanessa

机构信息

Instituto Nacional de Medicina Genómica (INMEGEN), CDMX, México.

Doctorado en Ciencias de la Salud, Universidad Anáhuac México Campus Norte, Huixquilucan, Mexico.

出版信息

DNA Cell Biol. 2024 Dec;43(12):571-578. doi: 10.1089/dna.2024.0173. Epub 2024 Oct 21.

Abstract

Hypertension is the leading risk for cardiovascular disease and worldwide mortality. Uncontrolled blood pressure worsens with age and its control is part of public health strategies especially for older adults. Telomere length (TL) has been associated with hypertension, with age and sex as relevant confounding factors, but it is not clear whether hypertension control in older adults impacts on TL and if this relationship is consistently age and sex dependent. TL was assessed in leukocytes of 369 hypertensive patients. Individuals were >60 years male (169) and female (200) and have been diagnosed and treated for hypertension for at least four years. TL was measured by RT-PCR using a commercial probe. Regression models were developed considering systolic and diastolic blood pressure control as dependent variables and age, sex, glucose, and lipid levels as confounding factors. TL showed a mean of 7.5 ± 5.1 Kb, and no difference between males and females was observed. We identified a significant association between systolic blood pressure control and TL ( value = 0.039) and a trend for diastolic blood pressure ( value = 0.061). These observations confirm and expand previous reports showing that hypertension control can have an impact on TL and consequently on other factors of healthy aging.

摘要

高血压是心血管疾病和全球死亡率的主要风险因素。血压控制不佳会随着年龄增长而恶化,控制血压是公共卫生策略的一部分,尤其是对老年人而言。端粒长度(TL)与高血压有关,年龄和性别是相关的混杂因素,但尚不清楚老年人的高血压控制是否会影响端粒长度,以及这种关系是否始终依赖于年龄和性别。对369例高血压患者的白细胞进行了端粒长度评估。研究对象为年龄大于60岁的男性(169例)和女性(200例),均已被诊断为高血压并接受治疗至少四年。使用商业探针通过逆转录聚合酶链反应(RT-PCR)测量端粒长度。建立回归模型,将收缩压和舒张压控制作为因变量,年龄、性别、血糖和血脂水平作为混杂因素。端粒长度的平均值为7.5±5.1千碱基对(Kb),未观察到男性和女性之间存在差异。我们发现收缩压控制与端粒长度之间存在显著关联(P值=0.039),舒张压也有相关趋势(P值=0.061)。这些观察结果证实并扩展了先前的报告,表明高血压控制可能会影响端粒长度,进而影响健康衰老的其他因素。

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