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基于人群的研究表明,儿童时期逆境与成人白细胞端粒长度缩短有关。

Childhood adversities are associated with shorter leukocyte telomere length at adult age in a population-based study.

机构信息

Department of Genetics and Biomarkers, National Institute for Health and Welfare, Mannerheimintie 166, P.O. 30, 00271 Helsinki, Finland; Department of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Helsinki, Finland.

出版信息

Psychoneuroendocrinology. 2021 Aug;130:105276. doi: 10.1016/j.psyneuen.2021.105276. Epub 2021 May 21.

Abstract

Telomeres are repeat sequences and an associated protein complex located at the end of the chromosomes. They shorten with every cell division and are regarded markers for cellular aging. Shorter leukocyte telomere length (LTL) has been observed in many complex diseases, including psychiatric disorders. However, analyses focusing on psychiatric disorders are mainly based on clinical samples and the significance of shorter LTL on the population level remains uncertain. We addressed this question in a population-based sample from Finland (N = 7142). The survey was performed and the blood samples were collected in 2000-2001 to assess major public health problems and their determinants. DSM-IV diagnoses of major psychiatric illnesses were obtained by interview using the Composite International Diagnostic Interview. Information regarding their risk factors, including the number of self-reported childhood adversities, recent psychological distress, and sleep difficulties was collected by questionnaires. LTL was measured by qPCR. None of the studied psychiatric illnesses, sleep difficulties, or recent psychological distress associated with LTL. However, individuals with three or more childhood adversities had shorter LTL at adult age (β = -0.006, P = 0.005). Also, current occupational status was associated with LTL (β = -0.03, P = 0.04). These effects remained significant after adjusting for known LTL-associated lifestyle or sociodemographic factors. In conclusion, relatively common childhood adversities were associated with shorter LTL at adult age in a nationally representative population-based cohort, implying that childhood adversities may cause accelerated telomere shortening. Our finding has potentially important implications as it supports the view that childhood adversities have an impact on psychological and somatic well-being later in life.

摘要

端粒是位于染色体末端的重复序列和相关蛋白复合物。它们在每次细胞分裂时都会缩短,被认为是细胞衰老的标志物。许多复杂疾病,包括精神障碍,都观察到白细胞端粒长度(LTL)缩短。然而,专注于精神障碍的分析主要基于临床样本,人群中 LTL 缩短的意义仍不确定。我们在芬兰的一个基于人群的样本中解决了这个问题(N=7142)。该调查于 2000-2001 年进行,采集血液样本,以评估主要的公共卫生问题及其决定因素。使用复合国际诊断访谈,通过访谈获得 DSM-IV 诊断的主要精神疾病。通过问卷收集有关其危险因素的信息,包括自我报告的童年逆境次数、近期心理困扰和睡眠困难。通过 qPCR 测量 LTL。没有研究中的任何一种精神疾病、睡眠困难或近期心理困扰与 LTL 相关。然而,有三个或更多童年逆境的个体在成年时 LTL 较短(β=-0.006,P=0.005)。此外,当前的职业状况与 LTL 相关(β=-0.03,P=0.04)。在调整已知与 LTL 相关的生活方式或社会人口因素后,这些影响仍然显著。总之,在一个具有代表性的基于人群的队列中,相对常见的童年逆境与成年时较短的 LTL 相关,这表明童年逆境可能导致端粒缩短加速。我们的发现具有潜在的重要意义,因为它支持了童年逆境对以后生活中的心理和身体健康有影响的观点。

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