Telomere length and mitochondrial DNA copy number in bipolar disorder: identification of a subgroup of young individuals with accelerated cellular aging

Abstract The 10–15-years decrease in life expectancy observed in individuals with bipolar disorder (BD) has been linked to the concept of accelerated cellular aging. Telomere length (TL) and mitochondrial DNA copy number (mtDNAcn) have been proposed as markers of cellular aging and comparisons betwe...

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Main Authors: L. Spano, B. Etain, M. Meyrel, V. Hennion, G. Gross, J-L. Laplanche, F. Bellivier, C. Marie-Claire
Format: Article
Language:English
Published: Nature Publishing Group 2022-04-01
Series:Translational Psychiatry
Online Access:https://doi.org/10.1038/s41398-022-01891-4
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author L. Spano
B. Etain
M. Meyrel
V. Hennion
G. Gross
J-L. Laplanche
F. Bellivier
C. Marie-Claire
author_facet L. Spano
B. Etain
M. Meyrel
V. Hennion
G. Gross
J-L. Laplanche
F. Bellivier
C. Marie-Claire
author_sort L. Spano
collection DOAJ
description Abstract The 10–15-years decrease in life expectancy observed in individuals with bipolar disorder (BD) has been linked to the concept of accelerated cellular aging. Telomere length (TL) and mitochondrial DNA copy number (mtDNAcn) have been proposed as markers of cellular aging and comparisons between individuals with BD and healthy controls (HC) sometimes led to conflicting results. Previous studies had moderate sample sizes and studies combining these two markers into a single analysis are scarce. Using quantitative polymerase chain reaction, we measured both TL and mtDNAcn in DNA (peripheral blood) in a sample of 130 individuals with BD and 78 HC. Regression analyses, receiver operating characteristic (ROC), and clustering analyses were performed. We observed significantly lower TL and mtDNAcn in individuals with BD as compared to HC (respective decrease of 26.5 and 35.8%). ROC analyses showed that TL and mtDNAcn highly discriminated groups (AUC = 0.904 for TL and AUC = 0.931 for mtDNAcn). In the whole population, clustering analyses identified a group of young individuals (age around 36 years), with accelerated cellular aging (both shorter TL and lower mtDNAcn), which consisted mostly of individuals with BD (85.5%). The subgroup of patients with young age but accelerated aging was not characterized by specific clinical variables related to the course of BD or childhood maltreatment. However, patients in this subgroup were more frequently treated with anticonvulsants. Further characterization of this subgroup is required to better understand the molecular mechanisms and the risk factors of accelerated cellular aging in BD.
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spelling doaj.art-5eb122f777f34131983fc9af1597f1a22022-12-21T19:05:36ZengNature Publishing GroupTranslational Psychiatry2158-31882022-04-011211710.1038/s41398-022-01891-4Telomere length and mitochondrial DNA copy number in bipolar disorder: identification of a subgroup of young individuals with accelerated cellular agingL. Spano0B. Etain1M. Meyrel2V. Hennion3G. Gross4J-L. Laplanche5F. Bellivier6C. Marie-Claire7Université de Paris, INSERM UMR-S 1144, Optimisation Thérapeutique en Neuropsychopharmacologie, OTeNUniversité de Paris, INSERM UMR-S 1144, Optimisation Thérapeutique en Neuropsychopharmacologie, OTeNDépartement de Psychiatrie et de Médecine Addictologique, Hôpitaux Lariboisière-Fernand Widal, GHU APHP.Nord – Université de ParisDépartement de Psychiatrie et de Médecine Addictologique, Hôpitaux Lariboisière-Fernand Widal, GHU APHP.Nord – Université de ParisPôle Hospitalo-Universitaire de Psychiatrie d’Adultes et d’Addictologie du Grand Nancy, Centre Psychothérapique de NancyUniversité de Paris, INSERM UMR-S 1144, Optimisation Thérapeutique en Neuropsychopharmacologie, OTeNUniversité de Paris, INSERM UMR-S 1144, Optimisation Thérapeutique en Neuropsychopharmacologie, OTeNUniversité de Paris, INSERM UMR-S 1144, Optimisation Thérapeutique en Neuropsychopharmacologie, OTeNAbstract The 10–15-years decrease in life expectancy observed in individuals with bipolar disorder (BD) has been linked to the concept of accelerated cellular aging. Telomere length (TL) and mitochondrial DNA copy number (mtDNAcn) have been proposed as markers of cellular aging and comparisons between individuals with BD and healthy controls (HC) sometimes led to conflicting results. Previous studies had moderate sample sizes and studies combining these two markers into a single analysis are scarce. Using quantitative polymerase chain reaction, we measured both TL and mtDNAcn in DNA (peripheral blood) in a sample of 130 individuals with BD and 78 HC. Regression analyses, receiver operating characteristic (ROC), and clustering analyses were performed. We observed significantly lower TL and mtDNAcn in individuals with BD as compared to HC (respective decrease of 26.5 and 35.8%). ROC analyses showed that TL and mtDNAcn highly discriminated groups (AUC = 0.904 for TL and AUC = 0.931 for mtDNAcn). In the whole population, clustering analyses identified a group of young individuals (age around 36 years), with accelerated cellular aging (both shorter TL and lower mtDNAcn), which consisted mostly of individuals with BD (85.5%). The subgroup of patients with young age but accelerated aging was not characterized by specific clinical variables related to the course of BD or childhood maltreatment. However, patients in this subgroup were more frequently treated with anticonvulsants. Further characterization of this subgroup is required to better understand the molecular mechanisms and the risk factors of accelerated cellular aging in BD.https://doi.org/10.1038/s41398-022-01891-4
spellingShingle L. Spano
B. Etain
M. Meyrel
V. Hennion
G. Gross
J-L. Laplanche
F. Bellivier
C. Marie-Claire
Telomere length and mitochondrial DNA copy number in bipolar disorder: identification of a subgroup of young individuals with accelerated cellular aging
Translational Psychiatry
title Telomere length and mitochondrial DNA copy number in bipolar disorder: identification of a subgroup of young individuals with accelerated cellular aging
title_full Telomere length and mitochondrial DNA copy number in bipolar disorder: identification of a subgroup of young individuals with accelerated cellular aging
title_fullStr Telomere length and mitochondrial DNA copy number in bipolar disorder: identification of a subgroup of young individuals with accelerated cellular aging
title_full_unstemmed Telomere length and mitochondrial DNA copy number in bipolar disorder: identification of a subgroup of young individuals with accelerated cellular aging
title_short Telomere length and mitochondrial DNA copy number in bipolar disorder: identification of a subgroup of young individuals with accelerated cellular aging
title_sort telomere length and mitochondrial dna copy number in bipolar disorder identification of a subgroup of young individuals with accelerated cellular aging
url https://doi.org/10.1038/s41398-022-01891-4
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