The Effect of Telomere Length on Gray Matter Volume Change and Cortical Thickness

Abstract

AbstractBackgroundTelomeres are specific nucleotide repeats that play an important role in preventing DNA damage during cell division. Telomere length holds promise as a predictor for age‐related diseases. However, the relationship between leukocyte telomere length and structural changes in the brain is not well understood. The aim of this study is to evaluate the cross‐sectional and longitudinal relationship between telomere length, structural features of the brain, and to examine the interindividual differences in age‐related brain atrophy within the framework of biological age.MethodsA total of 202 individuals ≥50 years of age without any neurological complaints were included in the study. Telomere length measurements from the peripheral blood leukocytes and brain magnetic resonance imaging (MRI) were performed in all participants. Forty‐six of the individuals without any major health events during the follow‐up period were evaluated with a second structural brain MRI after an average of 4.7 years. The relationship between global gray matter volume change and telomere length was investigated with multivariate models. In addition, longitudinal surface‐based analysis was used to determine the relationship between telomere length and cortical thinning regionally.ResultsThe mean (standard deviation) age of the population was 65.9 (8.6) years; female gender constituted 60.9% of the cohort. The mean telomere length was 7.5 (2.0) kB. Telomere length was not significantly associated with brain volumes and cortical thickness. However, in the longitudinal phase of the study, we found a negative correlation between basal telomere length and the rate of total gray matter volume decrease over time (r = ‐0.370; p = 0.012). This significant relationship persisted after adjusting for age, gender, follow‐up time, and baseline total gray matter volume (Standardized β = ‐0.286, p = 0.05). Longitudinal surface‐based image analysis also revealed a negative association between telomere length and left superior parietal cortex thickness, which remained significant after cluster correction.ConclusionTelomere length might be a predictor of age‐dependent structural changes in the brain. The left superior parietal cortex, in particular, tended to possess a vulnerability in this interplay.