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Updated: Aug 29, 2026

Telomere Length and Telomerase Activity; A Yin and Yang of Cell Senescence
Published on: May 22, 2013
Short telomeres are associated with increased carotid atherosclerosis in hypertensive subjects
Athanase Benetos1, Jeffrey P Gardner, Mahmoud Zureik
1Centre d'Investigations Préventives et Cliniques, 6/14 rue la Pérouse, 75116 Paris, France. benetos@ipc.asso.fr
Insights
Shorter telomeres in white blood cells are linked to carotid artery plaques in hypertensive men. This suggests telomere length may predict atherosclerosis risk in individuals with high blood pressure.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Hypertension Research
Background:
- Shorter telomeres are associated with increased cardiovascular disease mortality and arterial lesions.
- Hypertension is a significant risk factor for cardiovascular diseases, but susceptibility to atherosclerotic lesions varies among patients.
Purpose of the Study:
- To investigate the association between white blood cell telomere length and the presence of carotid artery atherosclerotic plaques in hypertensive males.
Main Methods:
- Analysis of data from 163 treated hypertensive men.
- Assessment of extracranial carotid plaques using B-mode ultrasound.
- Measurement of telomere length from DNA extracted from white blood cells.
Main Results:
- Hypertensive men with carotid artery plaques had significantly shorter telomere lengths (8.17+/-0.07 kb) compared to those without plaques (8.46+/-0.07 kb).
- Multivariate analysis identified telomere length as a significant predictor of carotid artery plaque presence, independent of age.
Conclusions:
- In hypertensive males, shorter white blood cell telomere length is associated with a higher likelihood of developing carotid artery atherosclerosis.
- Telomere length may serve as a biomarker for predicting atherosclerosis risk in the context of hypertension.
Abstract:
Recent studies have shown that individuals with shorter telomeres present a higher prevalence of arterial lesions and higher risk of cardiovascular disease mortality. As a group, patients with high blood pressure are at an increased risk for cardiovascular diseases. However, some hypertensive patients are more prone than others to atherosclerotic lesions. The main objective of this study was to examine the relationship between telomere length, as expressed in white blood cells, and carotid artery atherosclerotic plaques in hypertensive males. Data from 163 treated hypertensive men who were volunteers for a free medical examination were analyzed. Extracranial carotid plaques were assessed with B-mode ultrasound. Telomere length was measured from DNA samples extracted from white blood cells. The results of this study show that telomere length was shorter in hypertensive men with carotid artery plaques versus hypertensive men without plaques (8.17+/-0.07 kb versus 8.46+/-0.07 kb; P<0.01). Multivariate analysis showed that in addition to age, telomere length was a significant predictor of the presence of carotid artery plaques. The findings from this study suggest that in the presence of chronic hypertension, which is a major risk factor for atherosclerotic lesions, shorter telomere length in white blood cells is associated with an increased predilection to carotid artery atherosclerosis.
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