Cited by 285Telomeres, Telomerase, and SenescenceHealth disparities and outcomesChild Abuse and Trauma

Social disadvantage, genetic sensitivity, and children's telomere length

Open access
Mitchell, Colter, Hobcraft, John, McLanahan, Sara S., Siegel, Susan Rutherford, Berg, Arthur, Brooks-Gunn, Jeanne, Garfinkel, Irwin, Notterman, Daniel·2014·Proceedings of the National Academy of Sciences

Abstract

Significance: This paper makes two contributions to research on the link between the social environment and health. Using data from a birth cohort study, we show that, among African American boys, those who grow up in highly disadvantaged environments have shorter telomeres (at age 9) than boys who grow up in highly advantaged environments. We also find that the association between the social environment and telomere length (TL) is moderated by genetic variation within the serotonin and dopamine pathways. Boys with the highest genetic sensitivity scores had the shortest TL when exposed to disadvantaged environments and the longest TL when exposed to advantaged environments. To our knowledge, this report is the first to document a gene–social environment interaction for TL, a biomarker of stress exposure.

AI snapshot

Written from the paper’s full text.

TL;DR

In 40 nine-year-old African American boys from the Fragile Families and Child Wellbeing Study, exposure to disadvantaged social environments was associated with shorter telomere length (TL), and this association was moderated by genetic variants in serotonergic and dopaminergic pathways. Boys with the highest genetic sensitivity scores had the shortest TL in disadvantaged environments and the longest TL in advantaged environments, consistent with differential susceptibility.

Key findings

  • Living in a disadvantaged environment was associated with 19% shorter TL (P = 0.02).
  • A doubling of the family income/needs ratio was associated with a 5% increase in TL (P = 0.03); compared with mothers with less than high school education, having a mother with a high school degree was associated with a 32% increase in TL (P = 0.006), and at least some postsecondary education was associated with a 35% increase (P = 0.005). Multiple family structure changes were associated with a 40% decline in TL (P = 0.010), and a low parenting quality score was associated with a 3% decrease.
  • Serotonin sensitivity score interactions with the social environment were significant (M1: b = −0.22, P = 0.016; M2: b = −0.21, P = 0.049); dopamine interactions were less definitive (M3: b = −0.18, P = 0.098; M4: b = −0.07, P = 0.18).
  • Saliva and blood leukocyte TL were highly correlated (R = 0.72, P = 0.002), although saliva TL was greater than blood leukocyte TL [6.5 kb ± 1.8 SD vs. 4.2 kb ± 1.2 SD, P < 0.001].

Methods

  • Data came from the Fragile Families and Child Wellbeing Study; the analysis used 40 African American boys at age 9, selected from extreme environments: 20 from highly disadvantaged homes with maternal depression and 20 from advantaged homes without maternal depression.
  • TL was measured from saliva DNA using a quantitative real-time PCR assay for absolute TL in kilobases per chromosome; environmental measures included economic conditions, parenting quality, family structure/stability, and maternal depression across five waves.
  • Main analysis used robust ordinary least squares regression with Cook’s D and Huber weighting, plus gene-environment interaction models using serotonin and dopamine pathway genetic sensitivity scores.

Limitations

  • The paper states that due to sample size limitations, it could not examine the independent effect of each environmental measure; pairwise tests showed SES measures were the strongest predictors of TL, while other coefficients declined dramatically when poverty ratio and mother’s education were included.
  • Evident from the text: the sample is small (n = 40), restricted to African American boys, and selected for extreme environments, limiting power and generalizability.
  • Evident from the text: TL was measured only at age 9, so the design cannot establish within-child changes in TL or causal direction, and the genetic sensitivity scores combine multiple variants with limited prior guidance on coding.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1073/pnas.1404293111

Cites

45 of 45 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 25 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    Saliva DNA telomere length is highly and significantly correlated with blood leukocyte telomere length.

    “However, saliva and leukocyte DNA lengths were highly and significantly correlated (R = 0.72, P = 0.002) (Fig. S3).”
    • Also stated in: § Abstract · boosted
      “we use a saliva DNA source of TL, which we show to be highly correlated with blood leukocyte TL”
    Quote in the paperSubstantial claim
  • Findingown data

    Having a mother with at least some postsecondary education is associated with a 35% increase in telomere length compared with having a mother with less than a high school education.

    “and having a mother with at least some postsecondary education is associated with a 35% increase in TL (P = 0.005).”
    Quote in the paperSubstantial claim
  • Findingown data

    Exposure to disadvantaged environments is associated with reduced telomere length by age 9 in African American boys.

    “We report that exposure to disadvantaged environments is associated with reduced TL by age 9 y.”
    • Also stated in: § Results · plain
      “Model 1 (M1) of Table 2 shows that living in a disadvantaged environment was associated with a 19% shorter TL (P = 0.02).”
    • Also stated in: § Discussion · plain
      “Our analysis provides evidence that exposure to disadvantaged environments in childhood is associated with shorter TL.”
    Quote in the paperSubstantial claim
  • Findingown data

    SES measures were the strongest predictors of telomere length.

    “we tested the measured variables pairwise and found that the SES measures were the strongest predictors of TL.”
    Quote in the paperNot a substantial claim
  • Findingown data

    Being exposed to multiple changes in family structure is associated with a 40% decline in a boy's telomere length.

    “model 4 shows that being exposed to multiple changes in family structure was associated with a 40% decline in a boy's TL (P = 0.010).”
    Quote in the paperSubstantial claim
  • May combine two claims. 3
  • Classified as probably not a substantial claim. 14
  • May combine two claims.

    Findingown data

    The most sensitive group has longer telomere length in the advantaged environment and shorter telomere length in the disadvantaged environment.

    “the point estimates suggest that the most sensitive group has the longer TL in the advantaged environment and the shorter TL in the disadvantaged environment.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Robust ordinary least squares regression was used to address concerns of outliers and influential data points in a sample of 40.

    “Due to concerns of outliers and influential data points in a sample of 40, we use robust ordinary least squares (OLS) regression (using Cook's D and Huber weighting), which is 95% as efficient as traditional OLS (28).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [28]

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    Disadvantaged social environments are associated with adverse health outcomes.

    “Disadvantaged social environments are associated with adverse health outcomes.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [1] source

      Not checked in the free run.

    • cites [2] source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Body mass index did not differ between harsh and nourishing environments.

    “Body mass index (BMI) did not differ between harsh and nourishing environments.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductnone given

    Distribution of samples in the 96-well plates was randomized, and each plate contained at least 10 repeats from prior runs to detect and limit potential batch effects.

    “Distribution of samples in the 96-well plates was randomized, and each plate contains at least 10 repeats from prior runs to detect and limit potential batch effects.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    Reference DNA was included in each plate to mitigate batch effects.

    “To mitigate batch effects, reference DNA from a tel-cell line and the same line after stable integration of tel were included in each plate.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The S allele of 5-HTTLPR is associated with reduced transcription compared with the L allele.

    “Compared with the L allele, the S allele of the 5-HTTLPR polymorphism has been shown to be associated with reduced transcription (34).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [34] source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Samples were measured in triplicate and the results were averaged.

    “Samples are measured in triplicate and the results are averaged.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    The Met allele of COMT Val158Met decreases COMT activity.

    “the Met allele of the Val158 Met polymorphism (rs4680) is known to decrease COMT activity (43).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [43] source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    Telomere length was normalized by reference to assure plate-to-plate consistency.

    “Telomere length was normalized by this reference to assure plate-to-plate consistency.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Due to sample size limitations, the independent effect of each environmental measure could not be examined.

    “Due to sample size limitations, we were not able to examine the independent effect of each of these measures.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    The models controlled for age of the mother and age 9 standardized BMI.

    “The models in Table 3 present estimates of the main and interaction effects of dopamine and serotonin pathway genes and the environmental factor for a boy's TL, controlling for age of the mother and age 9 standardized BMI.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Boys may be more sensitive than girls to negative family conditions.

    “we focused on boys because prior research indicates that boys may be more sensitive than girls to negative family conditions (14).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [14] source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    Specific gene variants moderate the association between the social environment and children's health and well-being.

    “A growing body of research shows that specific gene variants moderate the association between the social environment and children's health and well-being (13-15).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [13] source

      Not checked in the free run.

    • cites [14] source

      Not checked in the free run.

    • cites [15] source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The coefficient of variation of a standard was 10% across approximately 100 96-well plates.

    “The coefficient of variation of a standard (DNA from a 40-y-old female) was 10% across ∼100, 96-well plates.”
    Quote in the paperNot a substantial claim
15 of 15

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Harsh parenting is called significant despite an unmarked estimate

    Major

    The paper claims a significant association for harsh parenting, but its Table 2 coefficient has no significance marker, unlike estimates meeting the table's stated P < 0.05 threshold.

  • Education P values conflict with Table 2 significance markers

    Minor

    The reported P values of 0.006 and 0.005 do not meet the P < 0.001 threshold assigned to both education estimates by the table's double-asterisk marker.

  • Education measure says four categories but lists three

    Minor

    The description announces four education categories but enumerates only three; Table 1 likewise displays three.

  • Dopamine 2+ group is called significant and borderline

    Minor

    The results call the environmental difference significant for boys with 2+ sensitizing dopamine genotypes, whereas the figure description calls that group's P = 0.08 result borderline.

4 of 4

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Authors
Mitchell, C., Hobcraft, J., McLanahan, S. S., Siegel, S. R., Berg, A., Brooks-Gunn, J., Garfinkel, I., & Notterman, D.
Affiliations
  • University of Michigan (US)
  • University of York (GB)
  • Princeton University (US)
  • Pennsylvania State University (US)
  • Teachers College and the College of Physicians and Surgeons, Columbia University, New York, NY 10027;
  • Columbia University (US)
Venue
Proceedings of the National Academy of Sciences
Published
2014-04-07
Volume
111
Issue
16
Pages
5944-5949
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2120746465
Cited by
281
References
45
Citations by year
2026: 3 · 2025: 27 · 2024: 7 · 2023: 17 · 2022: 15 · 2021: 12 · 2020: 22 · 2019: 36 · 2018: 23 · 2017: 38 · 2016: 37 · 2015: 30 · 2014: 12 · 2012: 1
FWCI
26.00
Type
journal article
Language
en
Open access
Locations
  • Proceedings of the National Academy of Sciences (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Pennsylvania
  • Pennsylvania State University
  • Penn State Clinical and Translational Science Institute
  • National Institutes of Health (UL1TR000127, TL1TR000125)
  • National Institute of Child Health and Human Development (R01 HD 36916, R01 HD 40421, R01HD39135)
  • National Center for Advancing Translational Sciences (TL1 TR00012503)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD40421, R01-HD36916, R01 HD39135, R24HD047879, R01HD039135, R01HD36916, R01HD39135, and R01HD40421, R01HD076592, R24HD058486, R01HD036916, R01HD040421)
Topics
  • Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
telomere length, social deprivation, chronic stress, differential susceptibility hypothesis, genetic susceptibility, African American children, low income, maternal education, family structure, harsh parenting, serotonergic pathways, dopaminergic pathways, stress biomarkers, Fragile Families and Child Wellbeing Study
MeSH terms
Adult, Child, Dopamine, Humans, Male, Regression Analysis, Serotonin, Social Environment, Signal Transduction, Vulnerable Populations, Telomere Homeostasis, Gene-Environment Interaction

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