Klotho KL-VS haplotype does not improve cognition in a population-based sample of adults age 55–87 years

GND
1222317893
ORCID
0000-0002-9573-1417
Affiliation
Department of Psychology, University of Wuppertal, Wuppertal, Germany
Müller, Bernhard W.;
GND
172682622
ORCID
0000-0001-5659-0706
LSF
49588
Affiliation
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Duisburg-Essen, University Hospital Essen, Essen, Germany
Hinney, Anke;
GND
1050415485
ORCID
0000-0003-1759-6990
LSF
13643
Affiliation
Department of Addictive Behavior and Addiction Medicine, LVR-Hospital, University of Duisburg-Essen, University Hospital Essen, Essen, Germany
Scherbaum, Norbert;
GND
1096174391
LSF
14671
Affiliation
Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, Essen, Germany
Weimar, Christian;
GND
123343909
ORCID
0000-0002-1650-8875
LSF
58465
Affiliation
Department of Neurology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
Kleinschnitz, Christoph;
GND
12180433X
ORCID
0000-0002-7341-2802
Affiliation
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Duisburg-Essen, University Hospital Essen, Essen, Germany
Peters, Triinu;
GND
1204444501
ORCID
0000-0002-2808-0693
Affiliation
Institute of Human Genetics, University Hospital of Bonn, Bonn, Germany
Hochfeld, Lara;
GND
133930653
ORCID
0000-0002-6181-7044
LSF
50554
Affiliation
Institute for Asthma and Allergy Prevention, Helmholtz Zentrum München, German Research Centre for Environmental Health, Munich, Germany
Pechlivanis, Sonali;
GND
1164456237
ORCID
0000-0001-6363-9061
LSF
57546
Affiliation
Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, Essen, Germany
Stang, Andreas;
GND
1019495979
ORCID
0000-0002-1027-8167
Affiliation
Department of Neurology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
Jokisch, Martha;
GND
1047694190
ORCID
0000-0003-4163-1696
LSF
57547
Affiliation
Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, Essen, Germany
Kowall, Bernd
The heterozygous human Klotho KL-VS haplotype has been associated with improved cognitive performance but results are inconsistent. Here we assessed Klotho KL-VS haplotype and cognition using data from the third examination of the population-based Heinz Nixdorf Recall Study. We analyzed cognition tests (immediate and delayed word list, Trail-Making Test [TMT] part A and B, Maze test, interference condition of the Stroop color-word test, verbal fluency) and their associations with Klotho KL-VS haplotype. The Klotho KL-VS haplotype is classified by the V-allele at SNP rs9536314 (F352V) and the S-allele at SNP rs9527025 (C370S). Heterozygotes for the KL-VS haplotype were compared with non-carriers. Analyses were performed in 1812 subjects (55–87 years). We found consistent but only slightly lower performance in heterozygous carriers of the KL-VS haplotype in all tasks with Z-scores ranging between Z = − 0.042 (verbal fluency) and − 0.17 (TMT part A). Differences between carriers and non-carriers were similar for men and women for all tests but TMT part B (interaction contrast = 8.4 s (95% CI − 2.3; 19.1)). While cognition declined with age, we found an effect modification by age (55–65 years, 66–75 years, > 75 years). In the 66–75 years KL-VS heterozygous age group, lower performance was seen in memory, visual attention and motor speed. Contrary to our hypothesis, heterozygous carriers of the KL-VS haplotype did not show enhanced performance in cognitive tests in our study.

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