The evaluation of chromosome telomere length change as a criterion of life expectancy in bariatric practice
Abstract
In recent decades, the prevalence of obesity has been steadily increasing in most countries of the world. Overweight is a risk factor for a wide range of endocrine, cardiovascular, gastrointestinal, metabolic, neoplastic and musculoskeletal disorders and diseases. As you know, obesity is a state of chronic inflammation and severe oxidative stress, which will certainly affect the length of the chromosome telomeres. The dynamics of telomere length changes plays a decisive role in the regulation of cellular processes and cellular changes. Damage to telomeres, chromatin structures that help maintain the stability of the genome, leads to cell death or aging. However, information on how telomere length changes after weight loss through bariatric surgery remains limited to date. There are several types of bariatric surgery, each of which has its advantages and disadvantages. Based on this, it is possible that the restoration of the telomere length will differ depending on the technique used. This review describes the mechanisms for shortening leukocyte telomeres, and how bariatric surgery can affect this. The review also includes an analysis of evidence linking obesity and accelerated aging processes, as they are regulated by telomeres.
About the Authors
Farida K. BekmurzinovaRussian Federation
resident
Oral B. Ospanov
Kazakhstan
MD, PhD, Professor, Head of the Department of Laparoscopic and Bariatric Surgery
Ainur R. Akilzhanova
Kazakhstan
MD, PhD, Professor
Ulan A. Kozhamkulov
Kazakhstan
PhD, Leading Research Scientist Laboratory of Genomic and Personalized Medicine
Saule E. Rakhimova
Kazakhstan
MD, C.B.Sc., Leading researcher Laboratory of Genomic and Personalized Medicine
References
1. Metabolic mediators of the effects of body-mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1·8 million participants. Lancet. 2014;383(9921):970-983. DOI:10.1016/s0140-6736(13)61836-x
2. Tzanetakou IP, Katsilambros NL, Benetos A, et al. «Is obesity linked to aging?»: adipose tissue and the role of telomeres. Ageing Res Rev. 2012;11(2):220-229. DOI:10.1016/j.arr.2011.12.003
3. Paul L. Diet, nutrition and telomere length. J Nutr Biochem. 2011;22(10):895-901. DOI:10.1016/j.jnutbio.2010.12.001
4. Reddel RR. Telomere maintenance mechanisms in cancer: clinical implications. Curr Pharm Des. 2014;20(41):6361-6374. DOI:10.2174/1381612820666140630101047
5. Gadalla SM, Wang T, Haagenson M, et al. Association between donor leukocyte telomere length and survival after unrelated allogeneic hematopoietic cell transplantation for severe aplastic anemia. JAMA. 2015;313(6):594-602. DOI:10.1001/jama.2015.7
6. Fasching CL. Telomere length measurement as a clinical biomarker of aging and disease. Crit Rev Clin Lab Sci. 2018;55(7):443-465. DOI:10.1080/10408363.2018.1504274
7. Pickett HA, Cesare AJ, Johnston RL, et al. Control of telomere length by a trimming mechanism that involves generation of t-circles. EMBO J. 2009;28(7):799-809. DOI:10.1038/emboj.2009.42
8. Pickett HA, Henson JD, Au AY, et al. Normal mammalian cells negatively regulate telomere length by telomere trimming. Hum Mol Genet. 2011;20(23):4684-4692. DOI:10.1093/hmg/ddr402
9. Rivera T, Haggblom C, Cosconati S, Karlseder J. A balance between elongation and trimming regulates telomere stability in stem cells. Nat Struct Mol Biol. 2017;24(1):30-39. DOI:10.1038/nsmb.3335
10. Blackburn EH. Telomeres and telomerase: their mechanisms of action and the effects of altering their functions. FEBS Lett. 2005;579(4):859-862. DOI:10.1016/j.febslet.2004.11.036
11. Lopez-Otin C, Blasco MA, Partridge L, et al. The hallmarks of aging. Cell. 2013;153(6):1194-1217. DOI:10.1016/j.cell.2013.05.039
12. Armanios M, Blackburn EH. The telomere syndromes. Nat Rev Genet. 2012;13(10):693-704. DOI:10.1038/nrg3246
13. Blackburn EH, Epel ES, Lin J. Human telomere biology: A contributory and interactive factor in aging, disease risks, and protection. Science. 2015;350(6265):1193-1198. DOI:10.1126/science.aab3389
14. Bojesen SE, Pooley KA, Johnatty SE, et al. Multiple independent variants at the TERT locus are associated with telomere length and risks of breast and ovarian cancer. Nat Genet. 2013;45(4):371-384, 384e371-372. DOI:10.1038/ng.2566
15. Walsh KM, Codd V, Smirnov IV, et al. Variants near TERT and TERC influencing telomere length are associated with high-grade glioma risk. Nat Genet. 2014;46(7):731-735. DOI:10.1038/ng.3004
16. Aviv A, Chen W, Gardner JP, et al. Leukocyte telomere dynamics: longitudinal findings among young adults in the Bogalusa Heart Study. Am J Epidemiol. 2009;169(3):323-329. DOI:10.1093/aje/kwn338
17. Nelson ND, Bertuch AA. Dyskeratosis congenita as a disorder of telomere maintenance. Mutat Res. 2012;730(1-2):43-51. DOI:10.1016/j.mrfmmm.2011.06.008
18. Albizua I, Rambo-Martin BL, Allen EG, et al. Association between telomere length and chromosome 21 nondisjunction in the oocyte. Hum Genet. 2015;134(11-12):1263-1270. DOI:10.1007/s00439-015-1603-0
19. Lin J, Epel E, Blackburn E. Telomeres and lifestyle factors: roles in cellular aging. Mutat Res. 2012;730(1-2):85-89. DOI:10.1016/j.mrfmmm.2011.08.003
20. Valdes AM, Andrew T, Gardner JP, et al. Obesity, cigarette smoking, and telomere length in women. Lancet. 2005;366(9486):662-664. DOI:10.1016/s0140-6736(05)66630-5
21. Raschenberger J, Kollerits B, Hammerer-Lercher A, et al. The association of relative telomere length with symptomatic peripheral arterial disease: results from the CAVASIC study. Atherosclerosis. 2013;229(2):469-474. DOI:10.1016/j.atherosclerosis.2013.05.027
22. Mainous AG, 3rd, Codd V, Diaz VA, et al. Leukocyte telomere length and coronary artery calcification. Atherosclerosis. 2010;210(1):262-267. DOI:10.1016/j.atherosclerosis.2009.10.047
23. Cawthon RM, Smith KR, O’Brien E, et al. Association between telomere length in blood and mortality in people aged 60 years or older. Lancet. 2003;361(9355):393-395. DOI:10.1016/s0140-6736(03)12384-7
24. Zanet DL, Thorne A, Singer J, et al. Association Between Short Leukocyte Telomere Length and HIV Infection in a Cohort Study: No Evidence of a Relationship With Antiretroviral Therapy. Clin Infect Dis. 2014;58(9):1322-1332. DOI:10.1093/cid/ciu051
25. van de Berg PJ, Griffiths SJ, Yong SL, et al. Cytomegalovirus infection reduces telomere length of the circulating T cell pool. J Immunol. 2010;184(7):3417-3423. DOI:10.4049/jimmunol.0903442
26. Willeit P, Raschenberger J, Heydon EE, et al. Leucocyte telomere length and risk of type 2 diabetes mellitus: new prospective cohort study and literature-based meta-analysis. PLoS One. 2014;9(11):e112483. DOI:10.1371/journal.pone.0112483
27. Muezzinler A, Mons U, Dieffenbach AK, et al. Body mass index and leukocyte telomere length dynamics among older adults: Results from the ESTHER cohort. Exp Gerontol. 2016;74:1-8. DOI:10.1016/j.exger.2015.11.019
28. Angrisani L, Santonicola A, Iovino P, et al. Bariatric Surgery Worldwide 2013. Obes Surg. 2015;25(10):1822-1832. DOI:10.1007/s11695-015-1657-z
29. Khorgami Z, Andalib A, Corcelles R, et al. Recent National Trends In The Surgical Treatment of Obesity: Sleeve Gastrectomy Dominates. Surg Obes Relat Dis. 2015;11(6):S6-S8. DOI:10.1016/j.soard.2015.10.012
30. Nicoletti C, Cortes-Oliveira C, Pinhel M, Nonino C. Bariatric Surgery and Precision Nutrition. Nutrients. 2017;9(9):974. DOI:10.3390/nu9090974
31. Hohensinner PJ, Kaun C, Ebenbauer B, et al. Reduction of Premature Aging Markers After Gastric Bypass Surgery in Morbidly Obese Patients. Obes Surg. 2018;28(9):2804-2810. DOI:10.1007/s11695-018-3247-3
32. Queiroz C, Sallet JA, PG DEBES, et al. Application of BAROS’ questionnaire in obese patients undergoing bariatric surgery with 2 years of evolution. Arq Gastroenterol. 2017;54(1):60-64. DOI:10.1590/S0004-2803.2017v54n1-12
33. Sjostrom L. Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219-234. DOI:10.1111/joim.12012
34. Barazzoni R, Palmisano S, Gortan Cappellari G, et al. Gastric bypass-induced weight loss alters obesity-associated patterns of plasma pentraxin-3 and systemic inflammatory markers. Surg Obes Relat Dis. 2016;12(1):23-32. DOI:10.1016/j.soard.2015.04.013
35. Formichi C, Cantara S, Ciuoli C, et al. Weight loss associated with bariatric surgery does not restore short telomere length of severe obese patients after 1 year. Obes Surg. 2014;24(12):2089-2093. DOI:10.1007/s11695-014-1300-4
36. Laimer M, Melmer A, Lamina C, et al. Telomere length increase after weight loss induced by bariatric surgery: results from a 10 year prospective study. Int J Obes (Lond). 2016;40(5):773-778. DOI:10.1038/ijo.2015.238
37. Dershem R, Chu X, Wood GC, et al. Changes in telomere length 3-5 years after gastric bypass surgery. Int J Obes (Lond). 2017;41(11):1718-1720. DOI:10.1038/ijo.2017.156
38. Frikke-Schmidt H, O’Rourke RW, Lumeng CN, et al. Does bariatric surgery improve adipose tissue function? Obes Rev. 2016;17(9):795-809. DOI:10.1111/obr.12429
39. Ospanov O, Buchwald JN, Yeleuov G, Bekmurzinova F. Laparoscopic One-Anastomosis Gastric Bypass with Band-Separated Gastric Pouch (OAGB-BSGP): a Randomized Controlled Trial. Obes Surg. 2019;29(12):4131-4137. DOI:10.1007/s11695-019-04236-1
40. Ospanov OB. Surgical technique of laparoscopic mini-gastric bypass with obstructive stapleless pouch creation: A case series. Int J Surg. 2019;67:70-75. DOI:10.1016/j.ijsu.2019.05.011
41. Ospanov O, Yeleuov G, Kadyrova I, Bekmurzinova F. The life expectancy of patients with metabolic syndrome after weight loss: study protocol for a randomized clinical trial (LIFEXPE-RT). Trials. 2019;20(1):202. DOI:10.1186/s13063-019-3304-9
Supplementary files
Review
For citations:
Bekmurzinova F.K., Ospanov O.B., Akilzhanova A.R., Kozhamkulov U.A., Rakhimova S.E. The evaluation of chromosome telomere length change as a criterion of life expectancy in bariatric practice. Obesity and metabolism. 2020;17(2):125-129. (In Russ.)