Related Experiment Video
Updated: Feb 23, 2026

Author Spotlight: Exploring the Impact of Trauma on Cellular Aging
Published on: March 22, 2024
The impact of pathogen burden on leukocyte telomere length in the Multi-Ethnic Study of Atherosclerosis
A E Aiello1, B Jayabalasingham2, A M Simanek3
1Department of Epidemiology,Gillings School of Global Public Health, and the Carolina Population Center, The University of North Carolina at Chapel Hill,Chapel Hill, NC,USA.
Abstract:
Several infections have been linked to telomere shortening and in some cases these associations have varied by sex. We assessed the association between seropositivity to four persistent pathogens (cytomegalovirus (CMV), herpes simplex virus-1, Helicobacter pylori, Chlamydia pneumoniae), and total pathogen burden on leukocyte telomere length in a diverse US sample. Data came from the Multi-Ethnic Study of Atherosclerosis, a population-based cohort study. We utilized cross-sectional survey data, and biological samples from participants tested for pathogens and telomere length (N = 163). Linear regression was used to examine the association between seropositivity for individual pathogens as well as total pathogen burden and telomere length, adjusting for various confounders. CMV seropositivity and increased total pathogen burden level were significantly associated with shorter telomere length among females (β = -0·1204 (standard error (s.e.) 0·06), P = 0·044) and (β = -0·1057 (s.e. = 0·05), P = 0·033), respectively. There was no statistically significant association among males. Our findings suggest that prevention or treatment of persistent pathogens, in particular CMV, may play an important role in reducing telomere shortening over the life course among women. Future research is needed to confirm these novel findings in larger longitudinal samples.
Insights
Persistent infections, particularly cytomegalovirus (CMV), are linked to shorter telomere length in women. This association was not observed in men, suggesting potential sex-specific health implications for pathogen burden and cellular aging.
Area of Science:
- Infectious Diseases
- Genetics
- Epidemiology
Background:
- Telomere shortening is associated with aging and disease.
- Sex-specific differences in infection-related health outcomes are increasingly recognized.
- Persistent infections may influence cellular aging processes like telomere attrition.
Purpose of the Study:
- To investigate the association between seropositivity to common persistent pathogens and leukocyte telomere length.
- To examine potential sex differences in these associations.
- To assess the impact of total pathogen burden on telomere length.
Main Methods:
- Cross-sectional analysis of data from the Multi-Ethnic Study of Atherosclerosis (N = 163).
- Assessed seropositivity for cytomegalovirus (CMV), herpes simplex virus-1, Helicobacter pylori, and Chlamydia pneumoniae.
- Linear regression models were used to evaluate associations between pathogen burden and telomere length, adjusting for confounders.
Main Results:
- Cytomegalovirus (CMV) seropositivity was significantly associated with shorter telomere length in females (β = -0·1204, P = 0·044).
- Increased total pathogen burden was also linked to shorter telomeres in females (β = -0·1057, P = 0·033).
- No statistically significant associations were found among males.
Conclusions:
- Persistent infections, especially CMV, may contribute to telomere shortening in women.
- Pathogen burden could be a modifiable factor influencing cellular aging in females.
- Further longitudinal research is warranted to confirm these sex-specific findings.
Related Concept Videos
Disorders of Leukocytes
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Replicative Cell Senescence
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Atherosclerosis I: Introduction

