Related Experiment Video
Updated: Sep 5, 2025

Author Spotlight: Exploring the Impact of Trauma on Cellular Aging
Published on: March 22, 2024
Leukocyte telomere length and lipid parameters in patients with myocardial infarction with non-obstructive coronary
Nihal Inandiklioglu1, Vahit Demir2, Yunus Celik3
1Department of Medical Biology, Faculty of Medicine, Yozgat Bozok University, Yozgat, 66100, Turkey . nihal.inandiklioglu@yobu.edu.tr.
Insights
Myocardial infarction with non-obstructive coronary arteries (MINOCA) patients exhibit shorter leukocyte telomere length (LTL) and altered serum lipid profiles. This suggests LTL may be a biomarker for MINOCA, particularly in relation to cardiovascular health.
Area of Science:
- Cardiology
- Genetics
- Biomarkers
Background:
- Myocardial infarction with non-obstructive coronary arteries (MINOCA) presents a diagnostic challenge.
- Telomere length is recognized as a biomarker for biological aging and cardiovascular diseases.
Purpose of the Study:
- To investigate the relationship between circulating leukocyte telomere length (LTL) and serum lipid values in MINOCA patients.
- To explore LTL as a potential biomarker in the context of MINOCA.
Main Methods:
- Case-control study including 45 MINOCA patients and 45 healthy controls.
- Leukocyte telomere length (LTL) was quantified using the RT-PCR method.
- Serum lipid profiles (HDL-cholesterol, LDL-cholesterol, triglycerides, total cholesterol) were analyzed.
Main Results:
- MINOCA patients showed significantly higher LTL and serum lipid levels compared to controls.
- A negative correlation was observed between LTL and HDL-cholesterol in the MINOCA group.
- This study is the first in Turkey to assess telomere length in MINOCA patients.
Conclusions:
- Short telomere length is associated with MINOCA.
- Altered lipid profiles are prevalent in MINOCA patients.
- LTL may serve as a valuable biomarker in MINOCA, warranting further investigation.
Abstract:
Myocardial infarction with non-obstructive coronary arteries (MINOCA) is defined as stenosis of less than 50% or no stenosis on coronary angiography in a patient diagnosed with myocardial infarction. Telomere length is expressed by studies that it acts as a biomarker, especially for biological aging and cardiovascular diseases. In this study, we aimed to investigate whether there is a relationship between circulating leukocyte telomere length (LTL) and serum lipid values in MINOCA patients. Forty-five newly diagnosed patients with MINOCA were included in the study, along with 45 healthy controls who matched the patients in terms of age and gender. We determined the LTL value using the RT-PCR method. As a result of the study, we found LTL (p< 0.001) and serum lipid values (HDL-cholesterol (p< 0.001), LDL-cholesterol (p< 0.001), triglycerides (p< 0.05), and total cholesterol (p< 0.05)) to be significantly higher in the MINOCA group than in the control group. When the correlation relationship between LTL and lipid values in the MINOCA group was evaluated, a negative correlation was determined only between LTL and HDL (p=0.014, r=-0.362). This is the first study to evaluate telomere length in MINOCA patients in Turkey. Our results support the existence of short telomere length in MINOCA patients.
Related Concept Videos
Myocarditis I: Introduction
Blood Studies for Cardiovascular System I: Cardiac Biomarkers
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...

