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Updated: Jun 30, 2026

In Vitro Assessment of Cardiac Function Using Skinned Cardiomyocytes
Published on: June 22, 2020
Telomere biology in heart failure
Liza S M Wong1, Rudolf A de Boer, Nilesh J Samani
1Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands.
Insights
Aging increases cardiovascular disease risk. Telomere shortening, a marker of biological aging, is linked to heart failure, highlighting its role in disease development.
Area of Science:
- Cardiovascular Biology
- Aging Research
- Genetics
Background:
- Cardiovascular disease (CVD) prevalence rises with age, posing significant health and economic challenges.
- Both genetic and environmental factors contribute to CVD development and progression.
- Telomere shortening is an emerging mechanism linking aging, environmental factors, and age-associated diseases.
Purpose of the Study:
- To review the role of telomere biology in the pathophysiology of heart failure.
- To explore telomeres as indicators of biological age and their connection to age-related diseases.
Main Methods:
- Review of existing literature on telomere biology and heart failure.
- Analysis of the relationship between telomere length and cardiovascular aging.
- Discussion of telomere shortening as a factor in heart failure development.
Main Results:
- Telomere length is significantly reduced in patients with heart failure.
- Telomere shortening serves as a biological age indicator.
- Telomere dynamics are influenced by genetic and environmental factors.
Conclusions:
- Telomere biology plays a crucial role in the pathophysiology of heart failure.
- Understanding telomere shortening may offer insights into preventing and treating age-associated cardiovascular diseases.
- Telomere length is a potential biomarker for biological aging and heart failure risk.
Abstract:
The incidence and prevalence of cardiovascular disease increases progressively with advancing age. Cardiovascular disease is a major cause of morbidity and mortality in Western Countries. In the near future, as the population ages, it is expected that the population prevalence of cardiovascular disease will increase dramatically, imposing a major social and economical burden on society. Not only is age closely related to the development and progression of cardiovascular disease, but genetic and environmental factors also play an important role. Recently, a chromosomal mechanism, telomere shortening, has been considered a driving force by which genetic and environmental factors jointly affect biological aging, and possibly the risk for developing age-associated diseases. Telomeres are the extreme ends of chromosomes and shorten progressively during every cell cycle and therefore can be considered an indicator of biological age. In heart failure, telomere length is severely reduced. In the current review, we will discuss the emerging role of telomere biology in the pathophysiology of heart failure.
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