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Alexander Kulminski

Research Professor in the Social Science Research Institute
Social Science Research Institute
Box 90420, Durham, NC 27708-0408
2024 W. Main St., Box 90420, Durham, NC 27708-0420

Selected Publications


Complex genetic interactions affect susceptibility to Alzheimer's disease risk in the BIN1 and MS4A6A loci.

Journal Article GeroScience · June 2025 Genetics is the second strongest risk factor for Alzheimer's disease (AD) after age. More than 70 loci have been implicated in AD susceptibility so far, and the genetic architecture of AD entails both additive and nonadditive contributions from these loci. ... Full text Cite

Methods for joint modeling of longitudinal omics data and time-to-event outcomes: applications to lysophosphatidylcholines in connection to aging and mortality in the Long Life Family Study.

Journal Article Aging · May 2025 Studying the relationships between longitudinal changes in omics variables and event risks requires specific methodologies for joint analyses of longitudinal and time-to-event outcomes. We applied two such approaches (joint models [JM], stochastic process ... Full text Cite

Association of APOE alleles and polygenic profiles comprising APOE-TOMM40-APOC1 variants with Alzheimer's disease neuroimaging markers.

Journal Article Alzheimer's & dementia : the journal of the Alzheimer's Association · February 2025 IntroductionTOMM40 and APOC1 variants can modulate the APOE-ε4-related Alzheimer's disease (AD) risk by up to fourfold. We aim to investigate whether the genetic modulation of ε4-related AD risk is reflected in brain morphology.MethodsWe ... Full text Cite

Basic Science and Pathogenesis

Journal Article Alzheimer's & dementia : the journal of the Alzheimer's Association · December 1, 2024 BACKGROUND: The Alzheimer's Association reports that more than two-thirds of the approximately 5 million Alzheimer's disease (AD) cases in the USA are women. With studies suggesting a high genetic heritability for AD, gaining a better understanding of the ... Full text Cite

Pleiotropic Associations with Alzheimer's Disease and Physical Activity: Sex Differences and the Effects of Environment.

Journal Article International journal of molecular sciences · November 2024 Physical activity (PA) is a modifiable factor in mitigating/preventing Alzheimer's disease (AD). It is crucial to identify the conditions under which PA's effects on AD risk would be beneficial. This study aims to gain insights into pleiotropic predisposit ... Full text Cite

Discovery of genomic and transcriptomic pleiotropy between kidney function and soluble receptor for advanced glycation end products using correlated meta-analyses: The Long Life Family Study.

Journal Article Aging cell · October 2024 Patients with chronic kidney disease (CKD) have increased oxidative stress and chronic inflammation, which may escalate the production of advanced glycation end-products (AGEs). High soluble receptor for AGE (sRAGE) and low estimated glomerular filtration ... Full text Cite

Resistance and resilience to tau pathology in Alzheimer's disease: Effects of age, sex, and APOE alleles.

Journal Article Alzheimer's & dementia (Amsterdam, Netherlands) · October 2024 IntroductionNeurofibrillary tangles (NFTs), a hallmark of tau pathology in Alzheimer's disease (AD), accumulate in the aging brain. However, some individuals remain cognitively intact despite high Braak (III-VI) stages, which characterize NFTs' ac ... Full text Cite

An autoimmune transcriptional circuit drives FOXP3<sup>+</sup> regulatory T cell dysfunction.

Journal Article Science translational medicine · August 2024 Autoimmune diseases, among the most common disorders of young adults, are mediated by genetic and environmental factors. Although CD4+FOXP3+ regulatory T cells (Tregs) play a central role in preventing autoimmunity, the mol ... Full text Cite

<i>TOMM40</i> and <i>APOC1</i> variants differentiate the impacts of the <i>APOE ε</i>4 allele on Alzheimer's disease risk across sexes, ages, and ancestries.

Journal Article Alzheimer's & dementia (Amsterdam, Netherlands) · April 2024 IntroductionThe variability in apolipoprotein E (APOE) ε4-attributed susceptibility to Alzheimer's disease (AD) across ancestries, sexes, and ages may stem from the modulating effects of other genetic variants.MethodsWe exam ... Full text Cite

The association between frailty and perceived physical and mental fatigability: The Long Life Family Study.

Conference Journal of the American Geriatrics Society · January 2024 BackgroundHigher levels of frailty, quantified by a frailty index (FI), may be linked to fatigue severity as tasks become more physically and mentally demanding. Fatigue, a component of frailty research, has been ambiguous and inconsistent in its ... Full text Cite

Patterns of Aging Changes in Bodyweight May Predict Alzheimer's Disease.

Journal Article J Alzheimers Dis · 2024 Relationships between patterns of aging-changes in bodyweight and AD are not fully understood. We compared mean age-trajectories of weight between those who did and did not develop late-onset-AD, and evaluated impact of age at maximum weight (AgeMax), and ... Full text Link to item Cite

How are APOE4, changes in body weight, and longevity related? Insights from a causal mediation analysis.

Journal Article Frontiers in aging · January 2024 The ε4 allele of the APOE gene (APOE4) is known for its negative association with human longevity; however, the mechanism is unclear. APOE4 is also linked to changes in body weight, and the latter changes were associated with survival in some ... Full text Cite

Exome-Wide Association Study Identified Clusters of Pleiotropic Genetic Associations with Alzheimer's Disease and Thirteen Cardiovascular Traits.

Journal Article Genes · September 2023 Alzheimer's disease (AD) and cardiovascular traits might share underlying causes. We sought to identify clusters of cardiovascular traits that share genetic factors with AD. We conducted a univariate exome-wide association study and pair-wise pleiotropic a ... Full text Cite

Interaction Analysis Reveals Complex Genetic Associations with Alzheimer's Disease in the CLU and ABCA7 Gene Regions.

Journal Article Genes · August 2023 Sporadic Alzheimer's disease (AD) is a polygenic neurodegenerative disorder. Single-nucleotide polymorphisms (SNPs) in multiple genes (e.g., CLU and ABCA7) have been associated with AD. However, none of them were characterized as causal varia ... Full text Cite

A robust and fast two-sample test of equal correlations with an application to differential co-expression.

Journal Article Statistics in medicine · July 2023 A robust and fast two-sample test for equal Pearson correlation coefficients (PCCs) is important in solving many biological problems, including, for example, analysis of differential co-expression. However, few existing methods for this test can achieve ro ... Full text Cite

Exogenous exposures shape genetic predisposition to lipids, Alzheimer's, and coronary heart disease in the MLXIPL gene locus.

Journal Article Aging · April 2023 Associations of single nucleotide polymorphisms (SNPs) of the MLXIPL lipid gene with Alzheimer's (AD) and coronary heart disease (CHD) and potentially causal mediation effects of their risk factors, high-density lipoprotein cholesterol (HDL-C) and t ... Full text Cite

Inter- and intra-chromosomal modulators of the APOE ɛ2 and ɛ4 effects on the Alzheimer's disease risk.

Journal Article GeroScience · February 2023 The mechanisms of incomplete penetrance of risk-modifying impacts of apolipoprotein E (APOE) ε2 and ε4 alleles on Alzheimer's disease (AD) have not been fully understood. We performed genome-wide analysis of differences in linkage disequilibrium (LD) patte ... Full text Cite

Prevailing Antagonistic Risks in Pleiotropic Associations with Alzheimer's Disease and Diabetes.

Journal Article Journal of Alzheimer's disease : JAD · January 2023 BackgroundThe lack of efficient preventive interventions against Alzheimer's disease (AD) calls for identifying efficient modifiable risk factors for AD. As diabetes shares many pathological processes with AD, including accumulation of amyloid pla ... Full text Cite

Interactions between genes involved in physiological dysregulation and axon guidance: role in Alzheimer's disease.

Journal Article Front Genet · 2023 Dysregulation of physiological processes may contribute to Alzheimer's disease (AD) development. We previously found that an increase in the level of physiological dysregulation (PD) in the aging body is associated with declining resilience and robustness ... Full text Link to item Cite

APOE ɛ4 allele and TOMM40-APOC1 variants jointly contribute to survival to older ages.

Journal Article Aging cell · December 2022 Age-related diseases characteristic of post-reproductive life, aging, and life span are the examples of polygenic non-Mendelian traits with intricate genetic architectures. Polygenicity of these traits implies that multiple variants can impact their risks ... Full text Cite

Genome-wide analysis identified abundant genetic modulators of contributions of the apolipoprotein E alleles to Alzheimer's disease risk.

Journal Article Alzheimer's & dementia : the journal of the Alzheimer's Association · November 2022 IntroductionThe apolipoprotein E (APOE) ε2 and ε4 alleles have beneficial and adverse impacts on Alzheimer's disease (AD), respectively, with incomplete penetrance, which may be modulated by other genetic variants.MethodsWe examined wheth ... Full text Cite

Associations of the APOE ε2 and ε4 alleles and polygenic profiles comprising APOE-TOMM40-APOC1 variants with Alzheimer's disease biomarkers.

Journal Article Aging · November 2022 Capturing the genetic architecture of Alzheimer's disease (AD) is challenging because of the complex interplay of genetic and non-genetic factors in its etiology. It has been suggested that AD biomarkers may improve the characterization of AD pathology and ... Full text Cite

Genome-wide analysis of genetic predisposition to common polygenic cancers.

Journal Article Journal of applied genetics · May 2022 Lung, breast, prostate, and colorectal cancers are among the most common and fatal malignancies worldwide. They are mainly caused by multifactorial mechanisms and are genetically heterogeneous. We investigated the genetic architecture of these cancers thro ... Full text Cite

Mediation of the APOE associations with Alzheimer's and coronary heart diseases through body mass index and lipids.

Journal Article GeroScience · April 2022 The APOE ε2/ε3/ε4 polymorphism is associated with multiple non-Mendelian traits, including high- (HDL-C) and low- (LDL-C) density lipoprotein cholesterol, triglycerides, body mass index (BMI), coronary heart disease (CHD), and Alzheimer's disease (AD). Lip ... Full text Cite

NIA Long Life Family Study: Objectives, Design, and Heritability of Cross-Sectional and Longitudinal Phenotypes.

Journal Article The journals of gerontology. Series A, Biological sciences and medical sciences · April 2022 The NIA Long Life Family Study (LLFS) is a longitudinal, multicenter, multinational, population-based multigenerational family study of the genetic and nongenetic determinants of exceptional longevity and healthy aging. The Visit 1 in-person evaluation (20 ... Full text Cite

Allele-specific analysis reveals exon- and cell-type-specific regulatory effects of Alzheimer's disease-associated genetic variants.

Journal Article Translational psychiatry · April 2022 Elucidating regulatory effects of Alzheimer's disease (AD)-associated genetic variants is critical for unraveling their causal pathways and understanding the pathology. However, their cell-type-specific regulatory mechanisms in the brain remain largely unc ... Full text Cite

Definitive roles of TOMM40-APOE-APOC1 variants in the Alzheimer's risk.

Journal Article Neurobiology of aging · February 2022 Despite advances, the roles of genetic variants from the APOE-harboring 19q13.32 region in Alzheimer's disease (AD) remain controversial. We leverage a comprehensive approach to gain insights into a more homogeneous genetic architecture of AD in this regio ... Full text Cite

Pleiotropic predisposition to Alzheimer's disease and educational attainment: insights from the summary statistics analysis.

Journal Article GeroScience · February 2022 Epidemiological studies report beneficial associations of higher educational attainment (EDU) with Alzheimer's disease (AD). Prior genome-wide association studies (GWAS) also reported variants associated with AD and EDU separately. The analysis of pleiotro ... Full text Cite

<i>APOE</i> alleles modulate associations of plasma metabolites with variants from multiple genes on chromosome 19q13.3.

Journal Article Frontiers in aging neuroscience · January 2022 The APOE ε2, ε3, and ε4 alleles differentially impact various complex diseases and traits. We examined whether these alleles modulated associations of 94 single-nucleotide polymorphisms (SNPs) harbored by 26 genes in 19q13.3 region with 217 plasma m ... Full text Cite

The ε4-bearing TOMM40-APOE-APOC1 haplotype but not the ε4 allele confers an exceptionally high risk of Alzheimer's disease

Journal Article Alzheimer's & dementia : the journal of the Alzheimer's Association · December 1, 2021 BACKGROUND: The APOE gene harboring the ε2 and ε4 alleles encoded by minor alleles of rs7412 and rs429358 single nucleotide polymorphisms (SNPs), respectively, is one of the most studied genes in humans. Despite that, the problem of whether the association ... Full text Cite

Protective association of the ε2/ε3 heterozygote with Alzheimer's disease is strengthened by TOMM40-APOE variants in men.

Journal Article Alzheimer's & dementia : the journal of the Alzheimer's Association · November 2021 IntroductionDespite advances, understanding the protective role of the apolipoprotein E (APOE) ε2 allele in Alzheimer's disease (AD) remains elusive.MethodsWe examined associations of variants comprised of the TOMM40 rs8106922 and APOE rs ... Full text Cite

Heterogeneity of the Predictive Polygenic Risk Scores for Coronary Heart Disease Age-at-Onset in Three Different Coronary Heart Disease Family-Based Ascertainments.

Journal Article Circulation. Genomic and precision medicine · June 2021 BackgroundPolygenic risk scores (PRS) for coronary heart disease (CHD) may contribute to assess the overall risk of CHD. We evaluated how PRS may influence CHD risk when the distribution of age-at-onset, sex, and family health history differ signi ... Full text Cite

NEBULA is a fast negative binomial mixed model for differential or co-expression analysis of large-scale multi-subject single-cell data.

Journal Article Communications biology · May 2021 The increasing availability of single-cell data revolutionizes the understanding of biological mechanisms at cellular resolution. For differential expression analysis in multi-subject single-cell data, negative binomial mixed models account for both subjec ... Full text Cite

Genome-Wide Analysis of Sex Disparities in the Genetic Architecture of Lung and Colorectal Cancers.

Journal Article Genes · May 2021 Almost all complex disorders have manifested epidemiological and clinical sex disparities which might partially arise from sex-specific genetic mechanisms. Addressing such differences can be important from a precision medicine perspective which aims to mak ... Full text Cite

Decline in biological resilience as key manifestation of aging: Potential mechanisms and role in health and longevity.

Journal Article Mechanisms of ageing and development · March 2021 Decline in biological resilience (ability to recover) is a key manifestation of aging that contributes to increase in vulnerability to death with age eventually limiting longevity even in people without major chronic diseases. Understanding the mechanisms ... Full text Cite

Exome-wide age-of-onset analysis reveals exonic variants in ERN1 and SPPL2C associated with Alzheimer's disease.

Journal Article Translational psychiatry · February 2021 Despite recent discoveries in genome-wide association studies (GWAS) of genomic variants associated with Alzheimer's disease (AD), its underlying biological mechanisms are still elusive. The discovery of novel AD-associated genetic variants, particularly i ... Full text Cite

The ApoE Locus and COVID-19: Are We Going Where We Have Been?

Journal Article The journals of gerontology. Series A, Biological sciences and medical sciences · January 2021 Full text Cite

Interactions Between Genes From Aging Pathways May Influence Human Lifespan and Improve Animal to Human Translation.

Journal Article Frontiers in cell and developmental biology · January 2021 A major goal of aging research is identifying genetic targets that could be used to slow or reverse aging - changes in the body and extend limits of human lifespan. However, majority of genes that showed the anti-aging and pro-survival effects in animal mo ... Full text Cite

Polygenic risk scores: pleiotropy and the effect of environment.

Journal Article GeroScience · December 2020 Polygenic risk scores (PRSs) discriminate trait risks better than single genetic markers because they aggregate the effects of risk alleles from multiple genetic loci. Constructing pleiotropic PRSs and understanding heterogeneity, and the replication of PR ... Full text Cite

Quantitative and Qualitative Role of Antagonistic Heterogeneity in Genetics of Blood Lipids.

Journal Article The journals of gerontology. Series A, Biological sciences and medical sciences · September 2020 Prevailing strategies in genome-wide association studies (GWAS) mostly rely on principles of medical genetics emphasizing one gene, one function, one phenotype concept. Here, we performed GWAS of blood lipids leveraging a new systemic concept emphasizing c ... Full text Cite

Fast Algorithms for Conducting Large-Scale GWAS of Age-at-Onset Traits Using Cox Mixed-Effects Models.

Journal Article Genetics · May 2020 Age-at-onset is one of the critical traits in cohort studies of age-related diseases. Large-scale genome-wide association studies (GWAS) of age-at-onset traits can provide more insights into genetic effects on disease progression and transitions between st ... Full text Cite

Summary-Based Methylome-Wide Association Analyses Suggest Potential Genetically Driven Epigenetic Heterogeneity of Alzheimer's Disease.

Journal Article Journal of clinical medicine · May 2020 Alzheimer's disease (AD) is a progressive neurodegenerative disorder with no curative treatment available. Exploring the genetic and non-genetic contributors to AD pathogenesis is essential to better understand its underlying biological mechanisms, and to ... Full text Cite

Genetics of physiological dysregulation: findings from the long life family study using joint models.

Journal Article Aging · April 2020 Recently, Mahalanobis distance (DM) was suggested as a statistical measure of physiological dysregulation in aging individuals. We constructed DM variants using sets of biomarkers collected at the two visits of the Long Life Family St ... Full text Cite

APOE region molecular signatures of Alzheimer's disease across races/ethnicities.

Journal Article Neurobiology of aging · March 2020 The role of even the strongest genetic risk factor for Alzheimer's disease (AD), the apolipoprotein E (APOE) ε4 allele, in its etiology remains poorly understood. We examined molecular signatures of AD defined as differences in linkage disequilibrium patte ... Full text Cite

The impact of disregarding family structure on genome-wide association analysis of complex diseases in cohorts with simple pedigrees.

Journal Article Journal of applied genetics · February 2020 The generalized linear mixed models (GLMMs) methodology is the standard framework for genome-wide association studies (GWAS) of complex diseases in family-based cohorts. Fitting GLMMs in very large cohorts, however, can be computationally demanding. Also, ... Full text Cite

Genetic and regulatory architecture of Alzheimer's disease in the APOE region.

Journal Article Alzheimer's & dementia (Amsterdam, Netherlands) · January 2020 IntroductionApolipoprotein E (APOE) ε2 and ε4 alleles encoded by rs7412 and rs429358 polymorphisms, respectively, are landmark contra and pro "risk" factors for Alzheimer's disease (AD).MethodsWe examined differences in linkage dis ... Full text Cite

Composite Measure of Physiological Dysregulation as a Predictor of Mortality: The Long Life Family Study.

Journal Article Frontiers in public health · January 2020 Biological aging results in changes in an organism that accumulate over age in a complex fashion across different regulatory systems, and their cumulative effect manifests in increased physiological dysregulation (PD) and declining robustness and resilienc ... Full text Cite

Haplotype architecture of the Alzheimer's risk in the APOE region via co-skewness.

Journal Article Alzheimer's & dementia (Amsterdam, Netherlands) · January 2020 IntroductionAs a multifactorial polygenic disorder, Alzheimer's disease (AD) can be associated with complex haplotypes or compound genotypes.MethodsWe examined associations of 4960 single nucleotide polymorphism (SNP) triples, comprising ... Full text Cite

Genome-wide linkage analysis of carotid artery traits in exceptionally long-lived families.

Journal Article Atherosclerosis · December 2019 Background and aimsAtherosclerosis develops with age and is partially controlled by genetics. Research to date has identified common variants with small effects on atherosclerosis related traits. We aimed to use family-based genome-wide linkage an ... Full text Cite

Polygenic risk score for disability and insights into disability-related molecular mechanisms.

Journal Article GeroScience · December 2019 Late life disability is a highly devastating condition affecting 20% or more of persons aged 65 years and older in the USA; it is an important determinant of acute medical and long-term care costs which represent a growing burden on national economies. Dis ... Full text Cite

The Alzheimer's Disease Exposome.

Journal Article Alzheimer's & dementia : the journal of the Alzheimer's Association · September 2019 IntroductionEnvironmental factors are poorly understood in the etiology of Alzheimer's disease (AD) and related dementias. The importance of environmental factors in gene environment interactions (GxE) is suggested by wide individual differences i ... Full text Cite

Genetic heterogeneity of Alzheimer's disease in subjects with and without hypertension.

Journal Article GeroScience · April 2019 Alzheimer's disease (AD) is a progressive neurodegenerative disorder caused by the interplay of multiple genetic and non-genetic factors. Hypertension is one of the AD risk factors that has been linked to underlying pathological changes like senile plaques ... Full text Cite

"Physiological Dysregulation" as a Promising Measure of Robustness and Resilience in Studies of Aging and a New Indicator of Preclinical Disease.

Journal Article The journals of gerontology. Series A, Biological sciences and medical sciences · March 2019 Recently suggested novel implementation of the statistical distance measure (DM) for evaluating "physiological dysregulation" (PD) in aging individuals (based on measuring deviations of multiple biomarkers from baseline or normal physiological states) allo ... Full text Cite

Independent associations of TOMM40 and APOE variants with body mass index.

Journal Article Aging cell · February 2019 The TOMM40-APOE variants are known for their strong, antagonistic associations with Alzheimer's disease and body weight. While a stronger role of the APOE than TOMM40 variants in Alzheimer's disease was suggested, comparative contribution of the TOMM40-APO ... Full text Cite

Genome-wide analysis of genetic predisposition to Alzheimer's disease and related sex disparities.

Journal Article Alzheimer's research & therapy · January 2019 BackgroundAlzheimer's disease (AD) is the most common cause of dementia in the elderly and the sixth leading cause of death in the United States. AD is mainly considered a complex disorder with polygenic inheritance. Despite discovering many susce ... Full text Cite

Pleiotropic Meta-Analysis of Age-Related Phenotypes Addressing Evolutionary Uncertainty in Their Molecular Mechanisms.

Journal Article Frontiers in genetics · January 2019 Age-related phenotypes are characterized by genetic heterogeneity attributed to an uncertain role of evolution in establishing their molecular mechanisms. Here, we performed univariate and pleiotropic meta-analyses of 24 age-related phenotypes dealing with ... Full text Cite

The impact of APOE genotype on survival: Results of 38,537 participants from six population-based cohorts (E2-CHARGE).

Journal Article PloS one · January 2019 BackgroundApolipoprotein E is a glycoprotein best known as a mediator and regulator of lipid transport and uptake. The APOE-ε4 allele has long been associated with increased risks of Alzheimer's disease and mortality, but the effect of the less pr ... Full text Cite

Evaluation of the Genetic Variance of Alzheimer's Disease Explained by the Disease-Associated Chromosomal Regions.

Journal Article Journal of Alzheimer's disease : JAD · January 2019 Heritability analysis of complex traits/diseases is commonly performed to obtain illustrative information about the potential contribution of the genetic factors to their phenotypic variances. In this study, we investigated the narrow-sense heritability (h ... Full text Cite

Genetics of Human Longevity From Incomplete Data: New Findings From the Long Life Family Study.

Journal Article The journals of gerontology. Series A, Biological sciences and medical sciences · October 2018 The special design of the Long Life Family Study provides a unique opportunity to investigate the genetics of human longevity by analyzing data on exceptional lifespans in families. In this article, we performed two series of genome wide association studie ... Full text Cite

Apolipoprotein E region molecular signatures of Alzheimer's disease.

Journal Article Aging cell · August 2018 Although the APOE region is the strongest genetic risk factor for Alzheimer's diseases (ADs), its pathogenic role remains poorly understood. Elucidating genetic predisposition to ADs, a subset of age-related diseases characteristic for postreproductive per ... Full text Cite

Causal effects of cardiovascular risk factors on onset of major age-related diseases: A time-to-event Mendelian randomization study.

Journal Article Experimental gerontology · July 2018 BackgroundsElucidating the causal effects of common intermediate risk factors on the onset of age-related diseases is indispensable for developing prevention and intervention procedures.MethodsWe conducted two-stage time-to-event Mendelia ... Full text Cite

Hidden heterogeneity in Alzheimer's disease: Insights from genetic association studies and other analyses.

Journal Article Experimental gerontology · July 2018 Despite evident success in clarifying many important features of Alzheimer's disease (AD) the efficient methods of its prevention and treatment are not yet available. The reasons are likely to be the fact that AD is a multifactorial and heterogeneous healt ... Full text Cite

Strong impact of natural-selection-free heterogeneity in genetics of age-related phenotypes.

Journal Article Aging · March 2018 A conceptual difficulty in genetics of age-related phenotypes that make individuals vulnerable to disease in post-reproductive life is genetic heterogeneity attributed to an undefined role of evolution in establishing their molecular mechanisms. Here, we p ... Full text Cite

How Well Does the Family Longevity Selection Score Work: A Validation Test Using the Utah Population Database.

Journal Article Frontiers in public health · January 2018 The Family Longevity Selection Score (FLoSS) was used to select families for the Long Life Family Study (LLFS) but has never been validated in other populations. The goal of this paper is to validate how well the FLoSS-based selection procedure works in an ... Full text Cite

The APOE ε4 allele is associated with a reduction in FEV1/FVC in women: A cross-sectional analysis of the Long Life Family Study.

Journal Article PloS one · January 2018 IntroductionMurine studies have shown that apolipoprotein E modulates pulmonary function during development, aging, and allergen-induced airway disease. It is not known whether the polymorphic human APOE gene influences pulmonary function.Obje ... Full text Cite

A genetic stochastic process model for genome-wide joint analysis of biomarker dynamics and disease susceptibility with longitudinal data.

Journal Article Genetic epidemiology · November 2017 Unraveling the underlying biological mechanisms or pathways behind the effects of genetic variations on complex diseases remains one of the major challenges in the post-GWAS (where GWAS is genome-wide association study) era. To further explore the relation ... Full text Cite

Identification of polymorphisms in cancer patients that differentially affect survival with age.

Journal Article Aging · October 2017 The World Health Organization predicts that the proportion of the world's population over 60 will almost double from 12% to 22% between 2015 and 2050. Ageing is the biggest risk factor for cancer, which is a leading cause of deaths worldwide. Unfortunately ... Full text Cite

Uncoupling associations of risk alleles with endophenotypes and phenotypes: insights from the ApoB locus and heart-related traits.

Journal Article Aging cell · February 2017 Traditionally, genomewide association studies (GWAS) have emphasized the benefits of large samples in the analyses of age-related traits rather than their specific properties. We adopted a realistic concept of genetic susceptibility to inherently heterogen ... Full text Open Access Cite

Corrigendum: Pleiotropic Meta-Analyses of Longitudinal Studies Discover Novel Genetic Variants Associated with Age-Related Diseases.

Journal Article Frontiers in genetics · January 2017 [This corrects the article on p. 179 in vol. 7, PMID: 27790247.]. ... Full text Cite

Protective role of the apolipoprotein E2 allele in age-related disease traits and survival: evidence from the Long Life Family Study.

Journal Article Biogerontology · November 2016 The apolipoprotein E (apoE) is a classic example of a gene exhibiting pleiotropism. We examine potential pleiotropic associations of the apoE2 allele in three biodemographic cohorts of long-living individuals, offspring, and spouses from the Long Life Fami ... Full text Open Access Cite

Pleiotropic Associations of Allelic Variants in a 2q22 Region with Risks of Major Human Diseases and Mortality.

Journal Article PLoS genetics · November 2016 Gaining insights into genetic predisposition to age-related diseases and lifespan is a challenging task complicated by the elusive role of evolution in these phenotypes. To gain more insights, we combined methods of genome-wide and candidate-gene studies. ... Full text Cite

Explicating heterogeneity of complex traits has strong potential for improving GWAS efficiency.

Journal Article Scientific reports · October 2016 Common strategy of genome-wide association studies (GWAS) relying on large samples faces difficulties, which raise concerns that GWAS have exhausted their potential, particularly for complex traits. Here, we examine the efficiency of the traditional sample ... Full text Open Access Cite

Resistance to stresses and reliability of biological systems: Insights for genetic studies of human aging, health, and longevity

Conference Proceedings 2nd International Symposium on Stochastic Models in Reliability Engineering Life Science and Operations Management Smrlo 2016 · March 11, 2016 Connection between stress resistance and longevity in biological organisms is widely discussed and confirmed experimentally. Much less is known about the roles of genetic and non-genetic factors in regulation of such connection. Earlier studies emphasized ... Full text Open Access Cite

Puzzling role of genetic risk factors in human longevity: "risk alleles" as pro-longevity variants.

Journal Article Biogerontology · February 2016 Complex diseases are major contributors to human mortality in old age. Paradoxically, many genetic variants that have been associated with increased risks of such diseases are found in genomes of long-lived people, and do not seem to compromise longevity. ... Full text Open Access Cite

How the effects of aging and stresses of life are integrated in mortality rates: insights for genetic studies of human health and longevity.

Journal Article Biogerontology · February 2016 Increasing proportions of elderly individuals in developed countries combined with substantial increases in related medical expenditures make the improvement of the health of the elderly a high priority today. If the process of aging by individuals is a ma ... Full text Open Access Cite

Optimal Versus Realized Trajectories of Physiological Dysregulation in Aging and Their Relation to Sex-Specific Mortality Risk.

Journal Article Frontiers in public health · January 2016 While longitudinal changes in biomarker levels and their impact on health have been characterized for individual markers, little is known about how overall marker profiles may change during aging and affect mortality risk. We implemented the recently devel ... Full text Open Access Cite

How Genes Modulate Patterns of Aging-Related Changes on the Way to 100: Biodemographic Models and Methods in Genetic Analyses of Longitudinal Data.

Journal Article North American actuarial journal : NAAJ · January 2016 Background and objectiveTo clarify mechanisms of genetic regulation of human aging and longevity traits, a number of genome-wide association studies (GWAS) of these traits have been performed. However, the results of these analyses did not meet ex ... Full text Open Access Cite

Pleiotropic Meta-Analyses of Longitudinal Studies Discover Novel Genetic Variants Associated with Age-Related Diseases.

Journal Article Frontiers in genetics · January 2016 Age-related diseases may result from shared biological mechanisms in intrinsic processes of aging. Genetic effects on age-related diseases are often modulated by environmental factors due to their little contribution to fitness or are mediated through cert ... Full text Open Access Cite

Pure and Confounded Effects of Causal SNPs on Longevity: Insights for Proper Interpretation of Research Findings in GWAS of Populations with Different Genetic Structures.

Journal Article Frontiers in genetics · January 2016 This paper shows that the effects of causal SNPs on lifespan, estimated through GWAS, may be confounded and the genetic structure of the study population may be responsible for this effect. Simulation experiments show that levels of linkage disequilibrium ... Full text Open Access Cite

Conclusions Regarding Empirical Patterns of Aging, Health, and Longevity

Chapter · January 1, 2016 Age is a major risk factor for phenotypes characterizing human health, well-being, and survival in late life. The risks of these phenotypes expressed in forms of pathological dysregulation of physiological functions, incidence or prevalence of diseases, ca ... Full text Cite

Conclusions Regarding Statistical Modeling of Aging, Health, and Longevity

Chapter · January 1, 2016 The analyses conducted in Part I did not exhaust all factors affecting age patterns of age-related changes in health and mortality. They actually provided a strong rationale for conducting more detailed analyses which require advanced methods of mathematic ... Full text Cite

Approaches to Statistical Analysis of Longitudinal Data on Aging, Health, and Longevity: Biodemographic Perspectives

Chapter · January 1, 2016 Longitudinal data play a pivotal role in discovering different aspects of knowledge related to aging, health, and longevity. There are many statistical methods for the analysis of longitudinal data, which is one of the most prolific areas of statistical sc ... Full text Cite

Continuing the Search for Determinants of Healthy Life Span and Longevity

Chapter · January 1, 2016 Life expectancy in humans worldwide has been experiencing dramatic increases for the past two centuries (Oeppen and Vaupel 2002). In most countries, the extension of lifespan is associated with a transition from a long historical period of high fertility a ... Full text Cite

Dynamic Characteristics of Aging-Related Changes as Predictors of Longevity and Healthy Lifespan

Chapter · January 1, 2016 It is well known from epidemiological research that values of indices describing physiological states at a given age may influence human morbidity and mortality risks. Studies of the connections between aging and life span suggest that the dynamic properti ... Full text Cite

The Complex Role of Genes in Diseases and Traits in Late Life: An Example of the Apolipoprotein E Polymorphism

Chapter · January 1, 2016 Decades of studies of candidate genes show that they are not linked to aging-related traits in a straightforward manner. Recent genome-wide association studies (GWAS) have reached fundamentally the same conclusion by showing that traits in late life are li ... Full text Cite

Stochastic Process Models of Mortality and Aging

Chapter · January 1, 2016 A better understanding of relationships among human aging, health, and longevity requires integrative statistical methods capable of taking into account relevant knowledge accumulated in the field when extracting useful information from the data. In this c ... Full text Cite

Indices of Cumulative Deficits

Chapter · January 1, 2016 Despite broad interest in the mechanisms responsible for human aging and numerous efforts to identify factors contributing to morbidity, biological senescence, and longevity, these processes still remain elusive. This makes the systemic description of agin ... Full text Cite

Evidence for Dependence Among Diseases

Chapter · January 1, 2016 Demographic calculations evaluating the role of chronic diseases in life expectancy use the assumption that diseases are independent. Disease independence was a plausible hypothesis in the era of infectious diseases. However, the health problems of modern ... Full text Cite

Age Trajectories of Physiological Indices: Which Factors Influence Them?

Chapter · January 1, 2016 Longitudinal data on aging, health, and longevity provide researchers with a unique opportunity to observe aging-related changes in biomarkers that describe the functioning of individual organisms during people’s life courses. In this chapter, empirical es ... Full text Cite

Integrative Mortality Models for the Study of Aging, Health, and Longevity: Benefits of Combining Data

Chapter · January 1, 2016 In a number of longitudinal studies, individual health and physiological/biological variables are repeatedly measured for a relatively large number of study subjects. Such data have good potential for evaluating properties of dynamic mechanisms involved in ... Full text Cite

Integrative Mortality Models with Parameters That Have Biological Interpretations

Chapter · January 1, 2016 Mortality rates are important characteristics of life span distributions that integrate the influences of many external and internal factors affecting individuals in the population during their life course. These include the ontogenetic program, individual ... Full text Cite

Factors That May Increase Vulnerability to Cancer and Longevity in Modern Human Populations

Chapter · January 1, 2016 Cancer incidence rates for all disease sites combined and life expectancy have increased over time in many countries around the world. These increases were concurrent with economic progress and the spread of the Western lifestyle. Overall cancer risk and l ... Full text Cite

Trade-offs in the effects of the apolipoprotein E polymorphism on risks of diseases of the heart, cancer, and neurodegenerative disorders: insights on mechanisms from the Long Life Family Study.

Journal Article Rejuvenation research · April 2015 The lack of evolutionary established mechanisms linking genes to age-related traits makes the problem of genetic susceptibility to health span inherently complex. One complicating factor is genetic trade-off. Here we focused on long-living participants of ... Full text Open Access Cite

Genetics of aging, health, and survival: dynamic regulation of human longevity related traits.

Journal Article Frontiers in genetics · January 2015 BackgroundThe roles of genetic factors in human longevity would be better understood if one can use more efficient methods in genetic analyses and investigate pleiotropic effects of genetic variants on aging and health related traits.Data and ... Full text Open Access Cite

Birth Cohort, Age, and Sex Strongly Modulate Effects of Lipid Risk Alleles Identified in Genome-Wide Association Studies.

Journal Article PloS one · January 2015 Insights into genetic origin of diseases and related traits could substantially impact strategies for improving human health. The results of genome-wide association studies (GWAS) are often positioned as discoveries of unconditional risk alleles of complex ... Full text Open Access Cite

Age, Gender, and Cancer but Not Neurodegenerative and Cardiovascular Diseases Strongly Modulate Systemic Effect of the Apolipoprotein E4 Allele on Lifespan

Journal Article Plos Genetics · January 1, 2014 Enduring interest in the Apolipoprotein E (ApoE) polymorphism is ensured by its evolutionary-driven uniqueness in humans and its prominent role in geriatrics and gerontology. We use large samples of longitudinally followed populations from the Framingham H ... Full text Cite

Joint Analyses of Longitudinal and Time-to-Event Data in Research on Aging: Implications for Predicting Health and Survival.

Journal Article Frontiers in public health · January 2014 Longitudinal data on aging, health, and longevity provide a wealth of information to investigate different aspects of the processes of aging and development of diseases leading to death. Statistical methods aimed at analyses of time-to-event data jointly w ... Full text Open Access Cite

Morbidity risks among older adults with pre-existing age-related diseases.

Journal Article Exp Gerontol · December 2013 Multi-morbidity is common among older adults; however, for many aging-related diseases there is no information for U.S. elderly population on how earlier-manifested disease affects the risk of another disease manifested later during patient's lifetime. Qua ... Full text Open Access Link to item Cite

Unraveling genetic origin of aging-related traits: evolving concepts.

Journal Article Rejuvenation research · August 2013 Discovering the genetic origin of aging-related traits could greatly advance strategies aiming to extend health span. The results of genome-wide association studies (GWAS) addressing this problem are controversial, and new genetic concepts have been foster ... Full text Cite

Biogenetic mechanisms predisposing to complex phenotypes in parents may function differently in their children.

Journal Article J Gerontol A Biol Sci Med Sci · July 2013 This study focuses on the participants of the Long Life Family Study to elucidate whether biogenetic mechanisms underlying relationships among heritable complex phenotypes in parents function in the same way for the same phenotypes in their children. Our r ... Full text Open Access Link to item Cite

Genomics of human health and aging.

Journal Article Age (Dordrecht, Netherlands) · April 2013 Despite notable progress of the candidate-gene and genome-wide association studies (GWAS), understanding the role of genes contributing to human health and lifespan is still very limited. We use the Framingham Heart Study to elucidate if recognizing the ro ... Full text Cite

Inter-chromosomal level of genome organization and longevity-related phenotypes in humans.

Journal Article Age (Dordrecht, Netherlands) · April 2013 Studies focusing on unraveling the genetic origin of health span in humans assume that polygenic, aging-related phenotypes are inherited through Mendelian mechanisms of inheritance of individual genes. We use the Framingham Heart Study (FHS) data to examin ... Full text Open Access Cite

The role of lipid-related genes, aging-related processes, and environment in healthspan.

Journal Article Aging cell · April 2013 The inherent complexity of aging-related traits can temper progress in unraveling the genetic origins of healthspan. We focus on two generations in the Framingham Heart Study, the original (FHS) and offspring (FHSO) cohorts, to determine whether aging-rela ... Full text Open Access Cite

Trade-off in the effect of the APOE gene on the ages at onset of cardiocascular disease and cancer across ages, gender, and human generations.

Journal Article Rejuvenation research · February 2013 Decades of studies of candidate genes show their complex role in aging-related traits. We focus on apolipoprotein E e2/3/4 polymorphism and ages at onset of cardiovascular diseases (CVD) and cancer in the parental and offspring generations of the Framingha ... Full text Open Access Cite

Methodological aspects of studying human aging, health, and mortality

Chapter · January 1, 2013 Age trajectories of mortality rates in human populations characterize individuals’ inequality in the duration of life. Various models of mortality rates are used in the analyses of survival data in demographic and epidemiological applications aiming to ide ... Full text Cite

How lifespan associated genes modulate aging changes: lessons from analysis of longitudinal data.

Journal Article Frontiers in genetics · January 2013 Background and objectiveThe influence of genes on human lifespan is mediated by biological processes that characterize body's functioning. The age trajectories of these processes contain important information about mechanisms linking aging, health ... Full text Open Access Cite

Patterns of Aging-Related changes on the way to 100: An Approach to studying aging, mortality, and longevity from longitudinal data

Journal Article North American Actuarial Journal · December 1, 2012 The objective of this paper is to investigate dynamic properties of age trajectories of physiological indices and their effects on mortality risk and longevity using longitudinal data on more than 5,000 individuals collected in biennial examinations of the ... Full text Open Access Cite

The Role of Genes and Life Course in Late Life Diseases

Conference GENETIC EPIDEMIOLOGY · November 1, 2012 Link to item Cite

Modeling longitudinal data on health aging and life span

Journal Article Physics of Life Reviews · June 1, 2012 We address comments from the three discussants of our paper, paying particular attention to the properties of our model likely to be of interest in new applications to complex dynamic systems. © 2012 Elsevier B.V. ... Full text Open Access Cite

The quadratic hazard model for analyzing longitudinal data on aging, health, and the life span.

Journal Article Physics of life reviews · June 2012 A better understanding of processes and mechanisms linking human aging with changes in health status and survival requires methods capable of analyzing new data that take into account knowledge about these processes accumulated in the field. In this paper, ... Full text Open Access Cite

Complex phenotypes and phenomenon of genome-wide inter-chromosomal linkage disequilibrium in the human genome.

Journal Article Experimental gerontology · December 2011 Studies of non-human species show that loci on non-homologous chromosomes can be in linkage disequilibrium (LD). I focus on the Framingham Heart Study (FHS) participants to explore whether the phenomenon of inter-chromosomal LD can be caused by non-stochas ... Full text Cite

Joint analysis of health histories, physiological state, and survival

Journal Article Mathematical Population Studies · December 1, 2011 Data on individual health histories, age trajectories of physiological or biological variables, and mortality allow for the study of the joint evolution of health and physiological states and their effects on mortality. Individual health and physiological ... Full text Open Access Cite

Trade-off in the effects of the apolipoprotein E polymorphism on the ages at onset of CVD and cancer influences human lifespan.

Journal Article Aging cell · June 2011 Progress in unraveling the genetic origins of healthy aging is tempered, in part, by a lack of replication of effects, which is often considered a signature of false-positive findings. We convincingly demonstrate that the lack of genetic effects on an agin ... Full text Open Access Cite

Do gender, disability, and morbidity affect aging rate in the LLFS? Application of indices of cumulative deficits.

Journal Article Mechanisms of ageing and development · April 2011 We used an approach of cumulative deficits to evaluate the rate of aging in 4954 participants of the Long-Life Family Study (LLFS) recruited in the U.S. (Boston, New York, and Pittsburgh) and Denmark. We used an array of 85 health-related deficits covering ... Full text Open Access Cite

Evaluation of genotype-specific survival using joint analysis of genetic and non-genetic subsamples of longitudinal data.

Journal Article Biogerontology · April 2011 Small sample size of genetic data is often a limiting factor for desirable accuracy of estimated genetic effects on age-specific risks and survival. Longitudinal non-genetic data containing information on survival or disease onsets of study participants fo ... Full text Open Access Cite

Age trajectories of physiological indices in relation to healthy life course.

Journal Article Mechanisms of ageing and development · March 2011 We analysed relationship between the risk of onset of "unhealthy life" (defined as the onset of cancer, cardiovascular diseases, or diabetes) and longitudinal changes in body mass index, diastolic blood pressure, hematocrit, pulse pressure, pulse rate, and ... Full text Open Access Cite

Trade-offs between cancer and other diseases: do they exist and influence longevity?

Journal Article Rejuvenation research · August 2010 Relationships between aging, disease risks, and longevity are not yet well understood. For example, joint increases in cancer risk and total survival observed in many human populations and some experimental aging studies may be linked to a trade-off betwee ... Full text Open Access Cite

Exceptional survivors have lower age trajectories of blood glucose: lessons from longitudinal data.

Journal Article Biogerontology · June 2010 Exceptional survival results from complicated interplay between genetic and environmental factors. The effects of these factors on survival are mediated by the biological and physiological variables, which affect mortality risk. In this paper, we evaluated ... Full text Cite

Beta2-adrenergic receptor gene polymorphisms as systemic determinants of healthy aging in an evolutionary context.

Journal Article Mechanisms of ageing and development · May 2010 The Gln(27)Glu polymorphism but not the Arg(16)Gly polymorphism of the beta2-adrenergic receptor (ADRB2) gene appears to be associated with a broad range of aging-associated phenotypes, including cancers at different sites, myocardial infarction (MI), inte ... Full text Open Access Cite

"Predicting" parental longevity from offspring endophenotypes: data from the Long Life Family Study (LLFS).

Journal Article Mechanisms of ageing and development · March 2010 While there is evidence that longevity runs in families, the study of long-lived families is complicated by the fact that longevity-related information is available only for the oldest old, many of whom may be deceased and unavailable for testing, and info ... Full text Cite

Trends in survival and recovery from stroke: evidence from the National Long-Term Care Survey/Medicare data.

Journal Article Stroke · March 2010 Background and purposeImprovements in recovery rates may contribute to an increase in healthy life expectancy. It is unclear, however, whether such changes take place because health researchers traditionally deal with changes in incidence and surv ... Full text Cite

Polymorphisms in the ACE and ADRB2 genes and risks of aging-associated phenotypes: the case of myocardial infarction.

Journal Article Rejuvenation research · February 2010 Multiple functions of the beta2-adrenergic receptor (ADRB2) and angiotensin-converting enzyme (ACE) genes warrant studies of their associations with aging-related phenotypes. We focus on multimarker analyses and analyses of the effects of compound genotype ... Full text Open Access Cite

Dynamic determinants of longevity and exceptional health.

Journal Article Curr Gerontol Geriatr Res · 2010 It is well known from epidemiology that values of indices describing physiological state in a given age may influence human morbidity and mortality risks. Studies of connection between aging and life span suggest a possibility that dynamic properties of ag ... Full text Link to item Cite

Date of eclosion modulates longevity: insights across dietary-restriction gradients and female reproduction in the mexfly Anastrepha ludens.

Journal Article Experimental gerontology · November 2009 We use unique experimental data on daily reproduction and survival of individual fruit flies from eight cohorts eclosed at different dates in 2004 and 2005 who were treated with varying proportions of sugar and yeast and subject to different caloric restri ... Full text Cite

Maintaining physiological state for exceptional survival: What is the normal level of blood glucose and does it change with age?

Journal Article Mechanisms of ageing and development · September 2009 The levels of blood glucose (BG) in humans tend to increase with age deviating from the norm specified for the young adults. Such elevation is often considered as a factor contributing to an increase in risks of disease and death. The proper use of interve ... Full text Cite

Genetic model for longitudinal studies of aging, health, and longevity and its potential application to incomplete data.

Journal Article Journal of theoretical biology · May 2009 Many longitudinal studies of aging collect genetic information only for a sub-sample of participants of the study. These data also do not include recent findings, new ideas and methodological concepts developed by distinct groups of researchers. The formal ... Full text Cite

Studying health histories of cancer: a new model connecting cancer incidence and survival.

Journal Article Mathematical biosciences · April 2009 The results of recent experimental and epidemiological studies provide evidence on the connection between carcinogenesis, cancer progression, and aging. Existing models, however, are traditionally focused only on one of these aspects of health deterioratio ... Full text Cite

Health-related phenotypes and longevity in danish twins.

Journal Article The journals of gerontology. Series A, Biological sciences and medical sciences · January 2009 Aging studies can be facilitated by refocusing from longevity phenotypes to their proxies (intermediate phenotypes). Robust selection of the intermediate phenotypes requires data on such phenotypes and life span measured in the same individuals, which is n ... Full text Cite

Trade-off between cancer and aging: what role do other diseases play? Evidence from experimental and human population studies.

Journal Article Mechanisms of ageing and development · January 2009 The potential gain in life expectancy which could result from the complete elimination of mortality from cancer in the U.S. would not exceed 3 years if one were to consider cancer independently of other causes of death. In this paper, we review evidence of ... Full text Cite

Sex-specific health deterioration and mortality: the morbidity-mortality paradox over age and time.

Journal Article Experimental gerontology · December 2008 The traditional sex morbidity-mortality paradox that females have worse health but better survival than males is based on studies of major health traits. We applied a cumulative deficits approach to study this paradox, selecting 34 minor health deficits co ... Full text Cite

Cumulative deficits and physiological indices as predictors of mortality and long life.

Journal Article The journals of gerontology. Series A, Biological sciences and medical sciences · October 2008 We evaluated the predictive potential for long-term (24-year) survival and longevity (85+ years) of an index of cumulative deficits (DI) and six physiological indices (pulse pressure, diastolic blood pressure, pulse rate, serum cholesterol, blood glucose, ... Full text Cite

Changes in health status among participants of the Framingham Heart Study from the 1960s to the 1990s: application of an index of cumulative deficits.

Journal Article Annals of epidemiology · September 2008 PurposeHealth of the general population is improving along a number of major health dimensions. Using a cumulative deficits approach, we investigated whether such improvements were evident at the level of minor health traits.MethodsWe sel ... Full text Cite

Human mortality at extreme ages: Data from the NLTCS and linked medicare records

Journal Article Mathematical Population Studies · July 1, 2008 An analysis using the 1982-1999 National Long-term Care Survey (NLTCS) linked to Medicare vital statistics data 1982-2003 focused on deaths at ages 85+ where deviations from the Gompertz mortality function are often observed. To model the complex mortality ... Full text Cite

Cumulative deficits better characterize susceptibility to death in elderly people than phenotypic frailty: lessons from the Cardiovascular Health Study.

Journal Article Journal of the American Geriatrics Society · May 2008 ObjectivesTo compare how well frailty measures based on a phenotypic frailty approach proposed in the Cardiovascular Health Study (CHS) and a cumulative deficits approach predict mortality.DesignCohort study.SettingThe main cohor ... Full text Cite

Association between APOE epsilon 2/epsilon 3/epsilon 4 polymorphism and disability severity in a national long-term care survey sample.

Journal Article Age and ageing · May 2008 Backgroundearly studies reported controversial findings on association of apolipoprotein E (APOE) polymorphism with disability.Objectiveto analyse sex-specific associations of APOE genotypes with impairments in (instrumental) activities o ... Full text Cite

What age trajectories of cumulative deficits and medical costs tell us about individual aging and mortality risk: Findings from the NLTCS-Medicare data.

Journal Article Mechanisms of ageing and development · April 2008 An important feature of aging-related deterioration in human health is the decline in organisms' resistance to stresses, which contributes to an increase in morbidity and mortality risks. In human longitudinal studies of aging, such a decline is not measur ... Full text Cite

Health-protective and adverse effects of the apolipoprotein E epsilon2 allele in older men.

Journal Article Journal of the American Geriatrics Society · March 2008 OBJECTIVES: To reexamine a health-protective role of the common apolipoprotein E (APOE) polymorphism focusing on connections between the APOE epsilon2-containing genotypes and impairments in instrumental activities of daily living (IADLs) in older (> or = ... Cite

An inverse association between self-reported arthritis and mortality in the elderly: findings from the national long-term care survey.

Journal Article Rejuvenation research · February 2008 Major musculoskeletal conditions including arthritis represent an increasing burden on individuals and societies. We analyzed the association between self-reported arthritis and mortality in the U.S. elderly disabled and non-disabled individuals using uniq ... Full text Cite

Model of hidden heterogeneity in longitudinal data.

Journal Article Theoretical population biology · February 2008 Variables measured in longitudinal studies of aging and longevity do not exhaust the list of all factors affecting health and mortality transitions. Unobserved factors generate hidden variability in susceptibility to diseases and death in populations and i ... Full text Cite

Body mass index and nine-year mortality in disabled and nondisabled older U.S. individuals.

Journal Article Journal of the American Geriatrics Society · January 2008 ObjectivesTo investigate the relationship between body mass index (BMI) and 9-year mortality in older (> or = 65) Americans with and without disability.DesignCohort study.SettingThe unique disability-focused National Long Term Ca ... Full text Cite

Accelerated accumulation of health deficits as a characteristic of aging.

Journal Article Experimental gerontology · October 2007 Cross-sectional analyses show that an index of aging-associated health/well-being deficits, called the "frailty index", can characterize the aging process in humans. This study provides support for such characterization from a longitudinal analysis of the ... Full text Cite

The apolipoprotein E epsilon2 allele and aging-associated health deterioration in older males.

Journal Article Journal of the American Geriatrics Society · September 2007 Full text Cite

Stochastic model for analysis of longitudinal data on aging and mortality.

Journal Article Mathematical biosciences · August 2007 Aging-related changes in a human organism follow dynamic regularities, which contribute to the observed age patterns of incidence and mortality curves. An organism's 'optimal' (normal) physiological state changes with age, affecting the values of risks of ... Full text Cite

Cumulative index of health deficiencies as a characteristic of long life.

Journal Article Journal of the American Geriatrics Society · June 2007 ObjectivesTo describe the accumulation of aging-associated health disorders using a cumulative measure known as a frailty index (FI) and to evaluate its ability to differentiate long- and short-life phenotypes as well as the FI's connection to agi ... Full text Cite

Health decline, aging and mortality: how are they related?

Journal Article Biogerontology · June 2007 The deterioration of human health with age is manifested in changes of thousands of physiological and biological variables. The contribution of some of such changes to the mortality risk may be small and cannot be reliably detected by existing statistical ... Full text Cite

Cumulative index of health disorders as an indicator of aging-associated processes in the elderly: results from analyses of the National Long Term Care Survey.

Journal Article Mechanisms of ageing and development · March 2007 BackgroundWe employ an approach based on the elaborated frailty index (FI), which is capable of taking into account variables with mild effect on the aging, health and survival outcomes, and investigate the connections between the FI, chronologica ... Full text Cite

Cumulative index of elderly disorders and its dynamic contribution to mortality and longevity.

Journal Article Rejuvenation research · March 2007 The composite index constructed from longitudinal survey data as the level of deficits accumulated by an individual (frailty index) captures important systemic aspects of deterioration in a human organism, and is an attractive candidate for studying determ ... Full text Cite

Insights on aging and exceptional longevity from longitudinal data: novel findings from the Framingham Heart Study.

Journal Article Age (Dordrecht, Netherlands) · December 2006 Age trajectories of physiological indices contain important information about aging-related changes in the human organism and therefore may help us understand human longevity. The goal of this study is to investigate whether shapes of such trajectories ear ... Full text Cite

Accumulation of health disorders as a systemic measure of aging: Findings from the NLTCS data.

Journal Article Mechanisms of ageing and development · November 2006 BackgroundAn index of age-associated health/well-being disorders (deficits), called the "frailty index" (FI), appears to be a promising characteristic to capture dynamic variability in aging manifestations among age-peers. In this study we provide ... Full text Cite

Population models for the health effects of ionizing radiation.

Journal Article Radiats Biol Radioecol · 2006 In this paper we review recently-developed extension frailty, quadratic hazard, stochastic process, microsimulation, and linear latent structure models, which have the potential to describe the health effects of human populations exposed to ionizing radiat ... Link to item Cite

Modeling the effects of biologically incorporated radionuclides and chronic low-dose ionizing radiation exposure on both cancer and chronic non-cancer diseases.

Journal Article Radiats Biol Radioecol · 2006 Efforts to model the health effects of low-dose ionizing radiation (IR) have often focused on cancer. Meanwhile, significant evidence links IR and age-associated non-cancer diseases. Modeling of such complex processes, which are not currently well understo ... Link to item Cite

Life tables with covariates: Dynamic model for nonlinear analysis of longitudinal data

Journal Article Mathematical Population Studies · April 1, 2005 Life table models based on nonlinear dynamics of risk factors are developed using stochastic differential equations for individual changes and on the resulting Fokker-Planck equation to describe population changes. Central to the model is a microsimulation ... Full text Cite

The effect of the organisms' body size and energy reserves in models for population dynamics

Journal Article Journal of Biological Systems · December 1, 2004 We present two models suitable for describing dynamics of a population of unicellular organisms residing in chemostat. These models are based on biologically motivated Dynamic Energy Budget (DEB) theory and take into account the dynamics of mean energy res ... Full text Cite

ROS effects on neurodegeneration in Alzheimer's disease and related disorders: on environmental stresses of ionizing radiation.

Journal Article Current Alzheimer research · November 2004 Neurodegenerative processes associated with Alzheimer's disease are complex and involve many CNS tissue types, structures and biochemical processes. Factors believed involved in these processes are generation of Reactive Oxygen Species (ROS), associated in ... Full text Cite

Demographic analysis and modeling of human populations exposed to ionizing radiation.

Journal Article Frontiers in bioscience : a journal and virtual library · September 2004 The health effects of ionizing radiation on human populations are often analyzed using epidemiological statistical methods. Because of the complexity of the health consequences of ionizing radiation and the prolonged period during which the consequences em ... Full text Cite

Modeling nonlinear effects in longitudinal survival data: implications for the physiological dynamics of biological systems.

Journal Article Frontiers in bioscience : a journal and virtual library · January 2004 Despite the wealth of longitudinal data on the health dynamics of human populations, information on covariates (risk factors) changes in those studies has not been systematically and fully exploited. In this work we use the 46-year follow-up of the Framing ... Full text Cite