A team from Southern Medical University employs Mendelian randomization and PBMC transcriptomics to demonstrate that higher BMI, body fat percentage, and waist circumference causally shorten leukocyte telomeres and drive immune senescence, while bariatric surgery restores youthful gene expression.
Key points
- Mendelian randomization reveals BMI (B=–0.04), BFP (B=–0.06), and WC (B=–0.04) causally shorten leukocyte telomere length.
- Subgroup MR and 2SLS show severe obesity (BMI>40 kg/m²) explains over 50% of telomere length variance.
- PBMC transcriptomics identify upregulated senescence genes (ID2, LMNA, TENT4B) in obesity, which normalize after bariatric surgery.
Why it matters: Identifying obesity as an independent driver of telomere attrition and immune aging underscores weight management as a potential strategy for delaying age-related decline.
Q&A
- What are telomeres?
- How does Mendelian randomization work?
- Why analyze PBMC transcriptomics?
- Which senescence genes were involved?
- What role does inflammation play?