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      Telomere shortening over 6 years is associated with increased subclinical carotid vascular damage and worse cardiovascular prognosis in the general population

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          Abstract

          Leucocyte telomere length (LTL) is an important determinant of telomere function and cellular replicative capacity. The aim of the present study was to examine prospectively the associations between telomere shortening (TS) and both the progression of atherosclerosis and the incidence of cardiovascular events (CVEs).

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          Extension of life-span by introduction of telomerase into normal human cells.

          Normal human cells undergo a finite number of cell divisions and ultimately enter a nondividing state called replicative senescence. It has been proposed that telomere shortening is the molecular clock that triggers senescence. To test this hypothesis, two telomerase-negative normal human cell types, retinal pigment epithelial cells and foreskin fibroblasts, were transfected with vectors encoding the human telomerase catalytic subunit. In contrast to telomerase-negative control clones, which exhibited telomere shortening and senescence, telomerase-expressing clones had elongated telomeres, divided vigorously, and showed reduced straining for beta-galactosidase, a biomarker for senescence. Notably, the telomerase-expressing clones have a normal karyotype and have already exceeded their normal life-span by at least 20 doublings, thus establishing a causal relationship between telomere shortening and in vitro cellular senescence. The ability to maintain normal human cells in a phenotypically youthful state could have important applications in research and medicine.
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            A method of comparing the areas under receiver operating characteristic curves derived from the same cases.

            Receiver operating characteristic (ROC) curves are used to describe and compare the performance of diagnostic technology and diagnostic algorithms. This paper refines the statistical comparison of the areas under two ROC curves derived from the same set of patients by taking into account the correlation between the areas that is induced by the paired nature of the data. The correspondence between the area under an ROC curve and the Wilcoxon statistic is used and underlying Gaussian distributions (binormal) are assumed to provide a table that converts the observed correlations in paired ratings of images into a correlation between the two ROC areas. This between-area correlation can be used to reduce the standard error (uncertainty) about the observed difference in areas. This correction for pairing, analogous to that used in the paired t-test, can produce a considerable increase in the statistical sensitivity (power) of the comparison. For studies involving multiple readers, this method provides a measure of a component of the sampling variation that is otherwise difficult to obtain.
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              Telomere measurement by quantitative PCR.

              R. Cawthon (2002)
              It has long been presumed impossible to measure telomeres in vertebrate DNA by PCR amplification with oligonucleotide primers designed to hybridize to the TTAGGG and CCCTAA repeats, because only primer dimer-derived products are expected. Here we present a primer pair that eliminates this problem, allowing simple and rapid measurement of telomeres in a closed tube, fluorescence-based assay. This assay will facilitate investigations of the biology of telomeres and the roles they play in the molecular pathophysiology of diseases and aging.
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                Author and article information

                Journal
                JOIM
                Journal of Internal Medicine
                J Intern Med
                Wiley
                09546820
                April 2015
                April 2015
                July 19 2014
                : 277
                : 4
                : 478-487
                Affiliations
                [1 ]Center for the Study of Atherosclerosis; Bassini Hospital; Cinisello Balsamo Milan Italy
                [2 ]Department of Pharmacological and Biomolecular Sciences; Università degli Studi di Milano; Milan Italy
                [3 ]Centre for Cardiovascular Genetics; Institute of Cardiovascular Science; University College London; London UK
                [4 ]Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS) - Multimedica Hospital; Milan Italy
                [5 ]The Blizard Institute; Barts and The London School of Medicine and Dentistry Queen's Mary University; London UK
                Article
                10.1111/joim.12282
                25040775
                2cb2b331-a2f0-446d-9be7-46911e081b18
                © 2014

                http://doi.wiley.com/10.1002/tdm_license_1.1

                http://onlinelibrary.wiley.com/termsAndConditions#vor

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