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Published on: January 7, 2015
Leukocyte Telomere Length and All-Cause Mortality: A Between-Within Twin Study With Time-Dependent Effects Using
Yiqiang Zhan1, Xing-Rong Liu1, Chandra A Reynolds2
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Shorter leukocyte telomere length (LTL) is linked to increased mortality risk, even when accounting for shared familial factors. This association weakens over time, indicating a complex relationship between LTL and longevity.
Area of Science:
- Genetics and Aging Research
- Biomarkers of Aging
- Epidemiology of Mortality
Background:
- Leukocyte telomere length (LTL) is a biomarker associated with aging and mortality.
- Previous studies may be limited by unmeasured familial confounders.
Purpose of the Study:
- To investigate the association between LTL and all-cause mortality.
- To control for familial factors using a twin study design.
- To explore time-dependent effects of LTL on mortality.
Main Methods:
- Utilized a Swedish twin registry sample (N=366).
- Assessed LTL via Southern blot.
- Employed a between-within shared frailty model for survival analysis.
- Linked mortality data through the Swedish Population Registry.
Main Results:
- Shorter LTL was significantly associated with higher all-cause mortality rates.
- Familial factors were controlled for in the analysis.
- Significant time-dependent effects were observed, with attenuated mortality risk ratios over time.
Conclusions:
- Shorter LTL is a predictor of mortality, independent of familial factors.
- The impact of LTL on mortality risk changes with age.
- This study highlights the importance of accounting for familial effects and time-dependent associations in aging research.
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