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Leukocyte telomere length and the father's age enigma: implications for population health and for life course.
[achondroplasia]
What
are
the
implications
for
population
health
of
the
demographic
trend
toward
increasing
paternal
age
at
conception
(
PAC
)
in
modern
societies
?
We
propose
that
the
effects
of
older
PAC
are
likely
to
be
broad
and
harmful
in
some
domains
of
health
but
beneficial
in
others
.
Harmful
effects
of
older
PAC
have
received
the
most
attention
.
Thus
,
for
example
,
older
PAC
is
associated
with
an
increased
risk
of
offspring
having
rare
conditions
such
as
achondroplasia
and
Marfan
syndrome
,
as
well
as
with
neurodevelopmental
disorders
such
as
autism
.
However
,
newly
emerging
evidence
in
the
telomere
field
suggests
potentially
beneficial
effects
,
since
older
PAC
is
associated
with
a
longer
leukocyte
telomere
length
(
LTL
)
in
offspring
,
and
a
longer
LTL
is
associated
with
a
reduced
risk
of
atherosclerosis
and
with
increased
survival
in
the
elderly
.
Thus
,
older
PAC
may
cumulatively
increase
resistance
to
atherosclerosis
and
lengthen
lifespan
in
successive
generations
of
modern
humans
.
In
this
paper
we
:
(
i
)
introduce
these
novel
findings
;
(
ii
)
discuss
potential
explanations
for
the
effect
of
older
PAC
on
offspring
LTL
;
(
iii
)
draw
implications
for
population
health
and
for
life
course
;
(
iv
)
put
forth
an
evolutionary
perspective
as
a
context
for
the
multigenerational
effects
of
PAC
;
and
(
v
)
call
for
broad
and
intensive
research
to
understand
the
mechanisms
underlying
the
effects
of
PAC
.
We
draw
together
work
across
a
range
of
disciplines
to
offer
an
integrated
perspective
of
this
issue
.
Diseases
Validation
Diseases presenting
"atherosclerosis"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alexander disease
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cushing syndrome
erdheim-chester disease
familial mediterranean fever
harlequin ichthyosis
hereditary cerebral hemorrhage with amyloidosis
inclusion body myositis
sneddon syndrome
werner syndrome
zellweger syndrome
This symptom has already been validated