Is chronic asthma associated with shorter leukocyte telomere length at midlife?

Abstract

RATIONALE: Asthma is prospectively associated with age-related chronic diseases and mortality, suggesting the hypothesis that asthma may relate to a general, multisystem phenotype of accelerated aging. OBJECTIVES: To test whether chronic asthma is associated with a proposed biomarker of accelerated aging, leukocyte telomere length. METHODS: Asthma was ascertained prospectively in the Dunedin Multidisciplinary Health and Development Study cohort (n = 1,037) at nine in-person assessments spanning ages 9-38 years. Leukocyte telomere length was measured at ages 26 and 38 years. Asthma was classified as life-course-persistent, childhood-onset not meeting criteria for persistence, and adolescent/adult-onset. We tested associations between asthma and leukocyte telomere length using regression models. We tested for confounding of asthma-leukocyte telomere length associations using covariate adjustment. We tested serum C-reactive protein and white blood cell counts as potential mediators of asthma-leukocyte telomere length associations. MEASUREMENTS AND MAIN RESULTS: Study members with life-course-persistent asthma had shorter leukocyte telomere length as compared with sex- and age-matched peers with no reported asthma. In contrast, leukocyte telomere length in study members with childhood-onset and adolescent/adult-onset asthma was not different from leukocyte telomere length in peers with no reported asthma. Adjustment for life histories of obesity and smoking did not change results. Study members with life-course-persistent asthma had elevated blood eosinophil counts. Blood eosinophil count mediated 29% of the life-course-persistent asthma-leukocyte telomere length association. CONCLUSIONS: Life-course-persistent asthma is related to a proposed biomarker of accelerated aging, possibly via systemic eosinophilic inflammation. Life histories of asthma can inform studies of aging.

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Published Version (Please cite this version)

10.1164/rccm.201402-0370OC

Publication Info

Belsky, Daniel W, Idan Shalev, Malcolm R Sears, Robert J Hancox, Hona Lee Harrington, Renate Houts, Terrie E Moffitt, Karen Sugden, et al. (2014). Is chronic asthma associated with shorter leukocyte telomere length at midlife?. Am J Respir Crit Care Med, 190(4). pp. 384–391. 10.1164/rccm.201402-0370OC Retrieved from https://hdl.handle.net/10161/9380.

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Moffitt

Terrie E. Moffitt

Nannerl O. Keohane University Distinguished Professor

Terrie E. Moffitt, Ph.D., is the Nannerl O. Keohane University Professor of Psychology at Duke University, and Professor of Social Development at King’s College London. Her expertise is in the areas of longitudinal methods, developmental theory, mental disorders and antisocial behaviors, neuropsychology, and genomics in behavioral science. She is currently uncovering the consequences of a lifetime of mental and behavioral disorder on processes of aging. She is the Associate Director of the Dunedin Longitudinal Study, which follows a 1972 birth cohort in New Zealand. She also co-founded the Environmental Risk Longitudinal Twin Study (E-Risk), which follows a 1994 birth cohort in the UK. Dr. Moffitt also is a licensed clinical psychologist, with specialization in neuropsychological assessment. She collaborates with criminologists, economists, geneticists, epidemiologists, sociologists, demographers, gerontologists, statisticians, neuroscientists, medical scientists, opthalmologists, and dentists. Dr. Moffitt is a fellow of the National Academy of Medicine and  the American Academy of Arts and Sciences , as well as the British Academy, Academy of Medical Sciences (UK), Academia Europa, Association of Psychological Science, and the American Society of Criminology. She holds honorary doctorates from the Katholieke Universiteit Leuven, Belgium, and Universitat Basel, Switzerland. For her research, Dr. Moffitt has received both the American Psychological Association's Early Career Contribution Award and Distinguished Career Award. Dr. Moffitt was also awarded a Royal Society-Wolfson Merit Award, the Klaus-Grawe Prize, and was a recipient of the Stockholm Prize in Criminology, NARSAD Ruane Prize, the Klaus J. Jacobs Research Prize, and in 2022 the Grawemeyer Prize. Her service includes serving as chair of the Board on Behavioral, Cognitive, and Sensory Science at NASEM, Chair of the NIA Data Monitoring Committee for the Health and Retirement Study, and Chair of the Jury for the Klaus J. Jacobs Prize in Switzerland. Dr. Moffitt attended the University of North Carolina at Chapel Hill for her undergraduate degree in psychology. She continued her training in psychology at the University of Southern California, receiving an M.A. in experimental animal behavior, and a Ph.D. in clinical psychology. She also completed postdoctoral training in geriatrics and neuropsychology at the University of California Los Angeles Neuropsychiatric Institute. In her spare time, she works on her poison-ivy farm in North Carolina.

Sugden

Karen Sugden

Research Project Manager

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