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Reduction of leukocyte telomere length in radiographic hand osteoarthritis: a population based study
  1. Guangju Zhai (guangju.zhai{at}kcl.ac.uk)
  1. St Thomas' Hospital, United Kingdom
    1. Abraham Aviv
    1. Hypertension Research Centre, Department of Paediatrics, University of Medicine and Dentistry of New, United States
      1. David J Hunter
      1. Clinical Epidemiology Research & Training Unit, Boston University School of Medicine, United States
        1. Deborah J Hart
        1. Twin Research & Genetic Epidemiology Unit, St Thomas’ Hospital, London, United Kingdom
          1. Jeffrey P Gardner
          1. Hypertension Research Centre, Department of Paediatrics, University of Medicine and Dentistry of New, United States
            1. Masayuki Kimura
            1. Hypertension Research Centre, Department of Paediatrics, University of Medicine and Dentistry of New, United States
              1. Xiaobin Lu
              1. Hypertension Research Centre, Department of Paediatrics, University of Medicine and Dentistry of New, United States
                1. Ana M Valdes
                1. Twin Research & Genetic Epidemiology Unit, St Thomas’ Hospital, London, United Kingdom
                  1. Tim Spector (tim.spector{at}kcl.ac.uk)
                  1. St Thomas' Hospital, United Kingdom

                    Abstract

                    Background: Although age is the strongest predictor of osteoarthritis, the exact mechanism underlying this disorder remains elusive.

                    Objective: To examine the association between leucocyte telomere length (LTL), a bio-indicator of ageing, and radiographic hand osteoarthritis.

                    Methods: An unselected, predominantly female sample from the TwinsUK Adult Twin Registry (Twin Research and Genetic Epidemiology Unit, St Thomas Hospital, London, UK) was studied. Radiographs of both hands were obtained with a standard posteroanterior view and assessed for radiographic osteoarthritis according to the Kellgren/Lawrence (K/L) score. Individual radiographic features including osteophytes and joint space narrowing (JSN) were also assessed on a four-point scale using a standard atlas. Hand osteoarthritis was defined radiographically as having >3 osteoarthritis-affected joints of both hands (K/L score>2). Severity of hand osteoarthritis was indicated semiquantitatively by total K/L scores, osteophytes, JSN scores and proportion of joints affected. Mean LTL was measured by the terminal restriction fragment length using the Southern blot.

                    Results: A total of 1086 Caucasian subjects (mean (SD) age 55 (8.0) years) were studied. LTL was 6.95 (0.64) kb and was inversely correlated with age. After adjustment for age, sex, body mass index and smoking, LTL was significantly shorter by 178 bp in subjects with hand osteoarthritis (n = 160) than in those without (n = 926; p = 0.04). LTL was also significantly associated with semicontinuous measures of osteoarthritis (eg, total K/L score, JSN score, osteophyte score and proportion of joints affected) after adjustment (all p(0.02) in a dose–response fashion.

                    Conclusion: Shorter LTL equivalent to around 11 years of annual loss in normal people is associated with radiographic hand osteoarthritis and disease severity, suggesting potential shared mechanisms between osteoarthritis and ageing, and implicating oxidative stress and low-level chronic inflammation in both conditions.

                    • aging
                    • leukocytes
                    • osteoarthritis
                    • telomere

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