Ageing Genes Back in the News
There's an interesting report in yesterday's (26 December) issue of Neurology: researchers in the US have identified a gene which is reponsible both for longevity and for the retention of mental sharpness. "Wow!", thinks I, "my work has been done for me, we can all go home." So I downloaded the paper[1]. Now, I think this is a very nice piece of work, and has some intriguing implications. I have issues, not with the paper itself, but with the way it's being reported.
Looking on Google News[2] yields the following headlines:
"Longevity Gene Also Keeps the Mind Sharp"
"Gene Tied to Longevity Also Preserves Ability to Think Clearly"
"Longevity Gene Also Protects Memory, Cognitive Function"
"'Supergene' Gives Long Life, Clear Mind (I love this one! Does it also enable you to leap tall buildings at a single bound?)
"Study: Gene Tied to Long Life Wards Off Dementia"
...and on, and on.
The most moderate is probably "Gene Tied to Longevity May Protect Brain", but who can really resist "Gene Aids the Elderly"? Or even "Single Gene Could Lead to Longer Life, Better Mental Function"?[3]
OK, so what did they really find?
The study took 158 people aged 99, and looked for the presence of a gene variant previously associated with longevity (CETP VV, a gene whose protein is involved in lipoprotein metabolism). They also gave their subjects a test known as the Mini-Mental State Examination (MMSE), and looked for correlations between MMSE scores and the presence of CETP VV. They did, indeed, find a statistically significant association between the presence of the allele and high test scores; hence the media hysteria. But, of course, the picture is not that simple.
The authors state that "Subjects with good cognitive function had a higher frequency of the CETP VV genotype than those with poor cognitive function (29% vs 14%, p = 0.02)". Further, "those with the CETP VV genotype were twice as likely (61% vs 30%, p = 0.02) to have good cognitive function than those witht the II genotype." OK, those numbers look reasonably interesting, but when you consider that only 43.5% of the group had "good" cognitive function, and only 24% had the "good" allele, it's clear that the gene is not the only factor at work here, by a long shot. In fact, if you translate the percentages into absolute numbers, there were 20 people with good cognition and the good allele, compared with 12 with poor cognition and the good allele. If the traits are independant, you would expect 16 (24% of 43.5% of 158 people) people to have both the good varieties, just by chance. It may be a significant difference, but it's a hardly a "supergene".
In addition, the mechanism of action of the good allele isn't known. The researchers suggest that it may be related to the previously-identified link between CETP VV and low incidences of heart disease, or it may be a completely new pathway. If it's something as simple as increasing blood flow to the brain, then maybe its beneficial effects can be achieved by something as simple as increased aerobic exercise, rather than tinkering with the mode of action of a crucial metabolic pathway.
So, to summarize:
It's a nice paper, and the results are interesting and may direct research into useful areas.
But:
1. It's a small study (158 people)[4];
2. The results are only just statistically significant;
3. Other factors (other genes, environment, nutrition, exercise...) appear to be more important in influencing the phenotype than the gene itself;
4. "Cognitive function" was measured with a single test.
Neither the general public, nor the researchers, nor science itself is done any good by hyping results such as these into news of supergenes which are going to turn us all into centenarian geniuses. It's never that simple.
[1]Barzilai, N., Atzmon, G., Derby, C. A., Baumann, J. M. & Lipton, R. B. (2006). A genotype of exceptional longevity is associated with preservation of cognitive function. Neurology 67: 2170 - 2175.
[2] http://news.google.com/news?hl=en&ned=us&ie=UTF-8&ncl=1112251435
[3] Scientific American, how could you?
[4] The results were validated with a larger sample, but it's still a small, preliminary study.
Looking on Google News[2] yields the following headlines:
"Longevity Gene Also Keeps the Mind Sharp"
"Gene Tied to Longevity Also Preserves Ability to Think Clearly"
"Longevity Gene Also Protects Memory, Cognitive Function"
"'Supergene' Gives Long Life, Clear Mind (I love this one! Does it also enable you to leap tall buildings at a single bound?)
"Study: Gene Tied to Long Life Wards Off Dementia"
...and on, and on.
The most moderate is probably "Gene Tied to Longevity May Protect Brain", but who can really resist "Gene Aids the Elderly"? Or even "Single Gene Could Lead to Longer Life, Better Mental Function"?[3]
OK, so what did they really find?
The study took 158 people aged 99, and looked for the presence of a gene variant previously associated with longevity (CETP VV, a gene whose protein is involved in lipoprotein metabolism). They also gave their subjects a test known as the Mini-Mental State Examination (MMSE), and looked for correlations between MMSE scores and the presence of CETP VV. They did, indeed, find a statistically significant association between the presence of the allele and high test scores; hence the media hysteria. But, of course, the picture is not that simple.
The authors state that "Subjects with good cognitive function had a higher frequency of the CETP VV genotype than those with poor cognitive function (29% vs 14%, p = 0.02)". Further, "those with the CETP VV genotype were twice as likely (61% vs 30%, p = 0.02) to have good cognitive function than those witht the II genotype." OK, those numbers look reasonably interesting, but when you consider that only 43.5% of the group had "good" cognitive function, and only 24% had the "good" allele, it's clear that the gene is not the only factor at work here, by a long shot. In fact, if you translate the percentages into absolute numbers, there were 20 people with good cognition and the good allele, compared with 12 with poor cognition and the good allele. If the traits are independant, you would expect 16 (24% of 43.5% of 158 people) people to have both the good varieties, just by chance. It may be a significant difference, but it's a hardly a "supergene".
In addition, the mechanism of action of the good allele isn't known. The researchers suggest that it may be related to the previously-identified link between CETP VV and low incidences of heart disease, or it may be a completely new pathway. If it's something as simple as increasing blood flow to the brain, then maybe its beneficial effects can be achieved by something as simple as increased aerobic exercise, rather than tinkering with the mode of action of a crucial metabolic pathway.
So, to summarize:
It's a nice paper, and the results are interesting and may direct research into useful areas.
But:
1. It's a small study (158 people)[4];
2. The results are only just statistically significant;
3. Other factors (other genes, environment, nutrition, exercise...) appear to be more important in influencing the phenotype than the gene itself;
4. "Cognitive function" was measured with a single test.
Neither the general public, nor the researchers, nor science itself is done any good by hyping results such as these into news of supergenes which are going to turn us all into centenarian geniuses. It's never that simple.
[1]Barzilai, N., Atzmon, G., Derby, C. A., Baumann, J. M. & Lipton, R. B. (2006). A genotype of exceptional longevity is associated with preservation of cognitive function. Neurology 67: 2170 - 2175.
[2] http://news.google.com/news?hl=en&ned=us&ie=UTF-8&ncl=1112251435
[3] Scientific American, how could you?
[4] The results were validated with a larger sample, but it's still a small, preliminary study.