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Associations between circadian misalignment and telomere length in BD: an actigraphy study
Luana Spano1, Vincent Hennion1,2,3, Cynthia Marie-Claire1
1INSERM UMR-S 1144, Optimisation Thérapeutique en Neurospsychopharmacologie, OTeN, Université de Paris, 75006, Paris, France.
Circadian misalignment, a mismatch in daily rhythms, is linked to shorter telomere length (TL) in bipolar disorder (BD). This finding suggests a potential mechanism for accelerated aging in individuals with BD.
Area of Science:
- Chronobiology
- Molecular Biology
- Psychiatry
Background:
- Bipolar disorder (BD) is associated with reduced life expectancy and accelerated cellular aging, potentially indicated by shorter telomere length (TL).
- The specific factors contributing to shorter TL in BD remain incompletely understood.
- This study investigates the relationship between circadian misalignment and TL in individuals with BD.
Purpose of the Study:
- To determine if circadian misalignment is associated with shorter telomere length (TL) in euthymic individuals with bipolar disorder (BD).
- To explore potential mechanisms underlying accelerated aging in BD.
Main Methods:
- 101 euthymic individuals with BD underwent 21 days of actigraphy and completed the Composite Scale of Morningness (CSM) to assess chronotype.
- Telomere length (TL) was measured using polymerase chain reaction.
- Cluster analysis identified circadian-aligned and misaligned subgroups based on preferred and actual activity timing.
Main Results:
- Three clusters were identified: Aligned Morning (n=31), Aligned Evening (n=37), and Misaligned (n=32).
- The Misaligned cluster exhibited an evening chronotype with an earlier objective onset of activity.
- After adjusting for confounders, shorter TL was significantly associated with circadian misalignment and older age.
Conclusions:
- Circadian misalignment may partially explain the reduced telomere length (TL) observed in bipolar disorder (BD).
- This misalignment could be a contributing factor to accelerated aging in individuals with BD.
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