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Common promoter polymorphisms of inflammation and thrombosis genes and longevity in older adults: The cardiovascular health study

  • Alexander P. Reiner
  • , Paula Diehr
  • , Warren S. Browner
  • , Stephen E. Humphries
  • , Nancy S. Jenny
  • , Mary Cushman
  • , Russell P. Tracy
  • , Jeremy Walston
  • , Thomas Lumley
  • , Anne B. Newman
  • , Lewis H. Kuller
  • , Bruce M. Psaty

Research output: Contribution to journal › Article › peer-review

Abstract

Inflammatory response genes may influence life span or quality at advanced ages. Using data from the population-based cardiovascular health study (CHS) cohort, we examined the associations between promoter polymorphisms of several inflammation and thrombosis genes with longevity. We ascertained genotypes for interleukin (IL)-6 -174 G/C, β-fibrinogen -455 G/A, plasminogen activator inhibitor (PAI)-1 -675 4G/5G, and thrombin-activatable fibrinolysis inhibitor (TAFI) -438 G/A in 2224 men and women ≥65 years old at baseline. During 10 years of follow-up, men with the TAFI -438 A/A genotype had decreased mortality due to all causes, and lived, on average, 0.9 more years of life, or 1.1 more years of healthy life, than men with the -438 G allele. The effects of TAFI -438 G/A in women were smaller and not statistically significant. PAI-1 4G/4G genotype appeared to be associated with lower non-cardiovascular mortality in men, but with greater cardiovascular mortality in women. In exploratory analyses, we observed a possible interaction among anti-inflammatory drugs, interleukin-6 -174 C/C genotype, and longevity. These findings suggest that modulators of fibrinolytic activity may have a generalized influence on aging, and merit further investigation in studies of genetic determinants of human longevity.

Original languageEnglish (US)
Pages (from-to)175-183
Number of pages9
JournalAtherosclerosis
Volume181
Issue number1
DOIs
StatePublished - Jul 2005

Keywords

  • Fibrinolysis
  • Inflammation
  • Longevity
  • Promoter polymorphism
  • Thrombin-activatable fibrinolysis inhibitor

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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