Biomarkers are cellular, biochemical or molecular alterations that can be easily and non-invasively measured in human tissues and are directly or indirectly in the pathway of disease. Over the last decade, scientific research has repeatedly shown that ambient air particulate pollution and lead exposures accelerate cognitive aging. The limited availability of biomarkers that reflect at-risk exposures and cognitive decline dramaticall limits opportunities for effective targeted prevention. To address this gap, our long-term goal is to identify novel mitochondriomic biomarkers that can reconstruct past environmental influences and predict the risk of future cognitive impairment. We will use state-of-art blood-based analyses of 1) mitochondrial DNA (mtDNA) damage and aging by means of a panel of complementary markers of oxidative damage, heteroplasmy and mtDNA abundance;and 2) methylation of nuclear DNA (nDNA) genes coding for mitochondrial proteins (for which we will have the unique opportunity to time- and cost-effectively abstract information from ready-to-use genome- wide DNA methylation data). These markers have properties that make them exceptionally well suited to biomarker development, as they: i) have been shown to be persistently altered in blood by environmental exposures;and ii) can mark the presence of aged, damaged blood mitochondria, a primary source of systemic oxidative stress to which the brain is particularly vulnerable. A major challenge for age-related biomarkers is that - precisely because they change over time - cross-sectional and case-control studies, which offer more potential to analyze relevant target/diseased tissue samples, cannot provide evidence of the temporality of associations. Altered biomarkers could merely reflect lifestyle changes or other influences that followed, rather than preceded cognitive deficits. In this proposal, we exploit the unique nature of the Normative Aging Study (NAS) cohort in which we have repeated collections of DNA samples, exposure and cognitive data every 3.5 years for 2 decades. Because of this, we can determine whether biomarker changes, measured longitudinally over two time points, both follow exposure and precede disease. This is a major methodological advantage over an approach that utilizes a case-control design. All findings will be independently validated in MOBILIZE, a cohort remarkably similar to the NAS for study design, exposure levels, and participants'characteristics. We will confirm DNA methylation findings by Pyrosequencing, and we will analyze mRNA expression to assess the function of the DNA methylation changes. We will use advanced statistical modeling to integrate a panel of biomarkers of systemic oxidative stress and inflammation in the paths linking exposure, blood mitochondriomics, and cognitive decline. As we can leverage a wealth of extant resources and data from the NAS and MOBILIZE cohorts, we will be able to cost-effectively recapitulate data from up to two decades of aging over the cycle of a 4-year grant.

Public Health Relevance

The impact of our investigation is in the identification of blood biomarkers that reflect the cumulative biological effects of adverse exposures and can be used to predict future cognitive deficits. As the age of the US population increases, mitochondriomic analyses that can be non-invasively conducted on blood samples have the potential to lead to the development of easy-to-measure biomarkers that may help to protect millions of individuals against impaired cognition and its sequelae. By studying the progression of cognitive decline over two decades in a large number of individuals, our research may provide new tools to develop targeted prevention when it is most effective, i.e. in early stages or even before any subclinical cognitive impairment is detected.

National Institute of Health (NIH)
National Institute of Environmental Health Sciences (NIEHS)
Research Project (R01)
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Neurological, Aging and Musculoskeletal Epidemiology (NAME)
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Shaughnessy, Daniel
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Harvard University
Public Health & Prev Medicine
Schools of Public Health
United States
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Nwanaji-Enwerem, Jamaji C; Colicino, Elena; Dai, Lingzhen et al. (2017) Impacts of the Mitochondrial Genome on the Relationship of Long-Term Ambient Fine Particle Exposure with Blood DNA Methylation Age. Environ Sci Technol 51:8185-8195
Zhong, Jia; Karlsson, Oskar; Wang, Guan et al. (2017) B vitamins attenuate the epigenetic effects of ambient fine particles in a pilot human intervention trial. Proc Natl Acad Sci U S A 114:3503-3508
Peng, Cheng; Cayir, Akin; Sanchez-Guerra, Marco et al. (2017) Associations of Annual Ambient Fine Particulate Matter Mass and Components with Mitochondrial DNA Abundance. Epidemiology 28:763-770
Nwanaji-Enwerem, Jamaji C; Dai, Lingzhen; Colicino, Elena et al. (2017) Associations between long-term exposure to PM2.5 component species and blood DNA methylation age in the elderly: The VA normative aging study. Environ Int 102:57-65
Colicino, Elena; Wilson, Ander; Frisardi, Maria Chiara et al. (2017) Telomere Length, Long-Term Black Carbon Exposure, and Cognitive Function in a Cohort of Older Men: The VA Normative Aging Study. Environ Health Perspect 125:76-81
Zhang, Haixiang; Zheng, Yinan; Yoon, Grace et al. (2017) Regularized estimation in sparse high-dimensional multivariate regression, with application to a DNA methylation study. Stat Appl Genet Mol Biol 16:159-171
Zhong, Jia; Speck, Mary; Urch, Bruce et al. (2017) Reply to Lucock et al.: Significance of interpretation and misinterpretation of a small mechanistic study. Proc Natl Acad Sci U S A 114:E3880-E3881
Quach, Austin; Levine, Morgan E; Tanaka, Toshiko et al. (2017) Epigenetic clock analysis of diet, exercise, education, and lifestyle factors. Aging (Albany NY) 9:419-446
Barfield, Richard; Shen, Jincheng; Just, Allan C et al. (2017) Testing for the indirect effect under the null for genome-wide mediation analyses. Genet Epidemiol 41:824-833
Janssen, Bram G; Byun, Hyang-Min; Roels, Harry A et al. (2017) Regulating role of fetal thyroid hormones on placental mitochondrial DNA methylation: epidemiological evidence from the ENVIRONAGE birth cohort study. Clin Epigenetics 9:66

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