No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial Stiffness

Background Adverse childhood experiences (ACEs) have been linked to increased cardiovascular disease (CVD) risk. Previous reports have suggested that accelerated biological aging—indexed by telomere length (TL) and mitochondrial DNA copy number (mtDNAcn)—may contribute to associations between ACEs a...

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Main Authors: Nathaniel J. Iannarelli, Terrance J. Wade, Kylie S. Dempster, Jessy Moore, Adam J. MacNeil, Deborah D. O'Leary
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.122.026619
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author Nathaniel J. Iannarelli
Terrance J. Wade
Kylie S. Dempster
Jessy Moore
Adam J. MacNeil
Deborah D. O'Leary
author_facet Nathaniel J. Iannarelli
Terrance J. Wade
Kylie S. Dempster
Jessy Moore
Adam J. MacNeil
Deborah D. O'Leary
author_sort Nathaniel J. Iannarelli
collection DOAJ
description Background Adverse childhood experiences (ACEs) have been linked to increased cardiovascular disease (CVD) risk. Previous reports have suggested that accelerated biological aging—indexed by telomere length (TL) and mitochondrial DNA copy number (mtDNAcn)—may contribute to associations between ACEs and cardiovascular health outcomes. Here, we examine the potential mediating effects of TL and mtDNAcn on the association between ACEs and central arterial stiffness—an intermediate cardiovascular health outcome—as a novel pathway linking ACEs to CVD risk among young adults. Methods and Results One hundred and eighty‐five (n=102 women; mean age, 22.5±1.5 years) individuals provided information on ACEs. TL (kb per diploid cell) and mtDNAcn (copies per diploid cell) were quantified using quantitative polymerase chain reaction techniques. Central arterial stiffness was measured as carotid‐femoral pulse wave velocity (cfPWV; m/s). Multiple linear regression analyses were used to examine the associations between ACEs, TL, mtDNAcn, and cfPWV. ACEs were positively associated with cfPWV (β=0.147, P=0.035). TL (β=−0.170, P=0.011) and mtDNAcn (β=−0.159, P=0.019) were inversely associated with cfPWV. Neither TL (β=−0.027, P=0.726) nor mtDNAcn (β=0.038, P=0.620) was associated with ACEs. Neither marker mediated the association between ACEs and cfPWV. Conclusions An increasing number of ACEs were associated with a faster cfPWV and thus, a greater degree of central arterial stiffness. ACEs were not associated with either TL or mtDNAcn, suggesting that these markers do not represent a mediating pathway linking ACEs to central arterial stiffness.
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spelling doaj.art-cf54d53053f44890a80f4fdaca1a1a972023-02-07T16:02:54ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802022-11-01112110.1161/JAHA.122.026619No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial StiffnessNathaniel J. Iannarelli0Terrance J. Wade1Kylie S. Dempster2Jessy Moore3Adam J. MacNeil4Deborah D. O'Leary5Department of Health Sciences Faculty of Applied Health Sciences Brock University St. Catharines Ontario CanadaDepartment of Health Sciences Faculty of Applied Health Sciences Brock University St. Catharines Ontario CanadaDepartment of Health Sciences Faculty of Applied Health Sciences Brock University St. Catharines Ontario CanadaDepartment of Health Sciences Faculty of Applied Health Sciences Brock University St. Catharines Ontario CanadaDepartment of Health Sciences Faculty of Applied Health Sciences Brock University St. Catharines Ontario CanadaDepartment of Health Sciences Faculty of Applied Health Sciences Brock University St. Catharines Ontario CanadaBackground Adverse childhood experiences (ACEs) have been linked to increased cardiovascular disease (CVD) risk. Previous reports have suggested that accelerated biological aging—indexed by telomere length (TL) and mitochondrial DNA copy number (mtDNAcn)—may contribute to associations between ACEs and cardiovascular health outcomes. Here, we examine the potential mediating effects of TL and mtDNAcn on the association between ACEs and central arterial stiffness—an intermediate cardiovascular health outcome—as a novel pathway linking ACEs to CVD risk among young adults. Methods and Results One hundred and eighty‐five (n=102 women; mean age, 22.5±1.5 years) individuals provided information on ACEs. TL (kb per diploid cell) and mtDNAcn (copies per diploid cell) were quantified using quantitative polymerase chain reaction techniques. Central arterial stiffness was measured as carotid‐femoral pulse wave velocity (cfPWV; m/s). Multiple linear regression analyses were used to examine the associations between ACEs, TL, mtDNAcn, and cfPWV. ACEs were positively associated with cfPWV (β=0.147, P=0.035). TL (β=−0.170, P=0.011) and mtDNAcn (β=−0.159, P=0.019) were inversely associated with cfPWV. Neither TL (β=−0.027, P=0.726) nor mtDNAcn (β=0.038, P=0.620) was associated with ACEs. Neither marker mediated the association between ACEs and cfPWV. Conclusions An increasing number of ACEs were associated with a faster cfPWV and thus, a greater degree of central arterial stiffness. ACEs were not associated with either TL or mtDNAcn, suggesting that these markers do not represent a mediating pathway linking ACEs to central arterial stiffness.https://www.ahajournals.org/doi/10.1161/JAHA.122.026619adverse childhood experiencesbiological agingcentral arterial stiffnessmitochondrial DNA copy numbertelomere lengthvascular aging
spellingShingle Nathaniel J. Iannarelli
Terrance J. Wade
Kylie S. Dempster
Jessy Moore
Adam J. MacNeil
Deborah D. O'Leary
No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial Stiffness
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
adverse childhood experiences
biological aging
central arterial stiffness
mitochondrial DNA copy number
telomere length
vascular aging
title No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial Stiffness
title_full No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial Stiffness
title_fullStr No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial Stiffness
title_full_unstemmed No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial Stiffness
title_short No Mediation Effect of Telomere Length or Mitochondrial DNA Copy Number on the Association Between Adverse Childhood Experiences (ACEs) and Central Arterial Stiffness
title_sort no mediation effect of telomere length or mitochondrial dna copy number on the association between adverse childhood experiences aces and central arterial stiffness
topic adverse childhood experiences
biological aging
central arterial stiffness
mitochondrial DNA copy number
telomere length
vascular aging
url https://www.ahajournals.org/doi/10.1161/JAHA.122.026619
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