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IJE Advance Access originally published online on August 7, 2009
International Journal of Epidemiology 2009 38(6):1725-1734; doi:10.1093/ije/dyp273
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2009; all rights reserved.

Influences on the reduction of relative telomere length over 10 years in the population-based Bruneck Study: introduction of a well-controlled high-throughput assay

Silvia Ehrlenbach1, Peter Willeit2, Stefan Kiechl2, Johann Willeit2, Markus Reindl2, Kathrin Schanda2, Florian Kronenberg1 and Anita Brandstätter1,*

1 Division of Genetic Epidemiology, Department of Medical Genetics, Molecular and Clinical Pharmacology, Innsbruck Medical University, Innsbruck, Austria.
2 Department of Neurology, Innsbruck Medical University, Innsbruck, Austria.

* Corresponding author. Division of Genetic Epidemiology, Department of Medical Genetics, Molecular and Clinical Pharmacology, Innsbruck Medical University, Schöpfstrasse 41, A-6020 Innsbruck, Austria. E-mail: anita.brandstaetter{at}i-med.ac.at


   Abstract

Background Telomeres play a key role in the maintenance of chromosome integrity. Short telomeres are linked to age-associated diseases and cancer. Our aim was to determine the decrease rate of relative telomere length (RTL) over 10 years and whether this rate was influenced by age, sex and smoking behaviour.

Methods We compared RTL in 510 sample pairs from the longitudinal population-based Bruneck Study, which were collected in 1995 and recollected in 2005, and additionally determined RTL from 159 participants who died during follow-up. RTL were determined by a high-throughput real-time PCR assay and by applying a mathematical model.

Results The telomeres shortened, on average, by 455 bp over 10 years. The RTL shortening rate was highly correlated with baseline RTL (r = 0.674, P < 0.001). Participants who died within the observed period had considerably shorter telomeres than those who survived (median RTL of 0.98 vs 1.49; P < 0.001). In contrast to previous studies, smoking behaviour had no influence on RTL and on telomere shortening.

Conclusion This is the first comprehensive longitudinal study of individuals who were, on average, 60 at baseline, and who were re-evaluated 10 years later. Our methodology proved to be a reliable tool for a rapid, accurate and cost-efficient determination of RTL with a low amount of DNA.


Keywords Relative telomere length, absolute telomere length, longitudinal study, mortality, telomere attrition rate, smoking, real-time PCR

Accepted 9 July 2009


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