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One interesting area for future research into the genetics of longevity
will involve the study of the genes associated with blood lipids (cholesterol
and its components) in the oldest old. Some of the oldest old have been
found to have higher than average levels of HDL (the so-called "good"
cholesterol that helps protect against heart disease). Researchers are
now looking at their children, who are typically in their 70s, to see
if their HDL levels are even higher than average and if they inherit similar
versions of apoE and other genes thought to be related to lipid levels.
Population studies are underway that will look at relatively genetically
isolated groups of people, to determine what factors contribute to their
longevity. Scientists are looking for the genes that confer protection
against the common causes of death at younger ages as well as the genes
that confer increased survival.
One population that has remained isolated, at least genetically, is Ashkenazi
Jews. Dr. Nir Barzilai of the Albert Einstein College of Medicine in New
York is conducting studies of this group. Ashkenazi Jews are known to
carry the genes for Tay-Sachs disease, a deadly disease of children, and
the BRCA genes, associated with an extremely high risk of breast and ovarian
cancer. But some members of this ethnic group are very long-lived. Dr
Barzilai has identified a population of Ashkenazi Jews over the age of
95, and is comparing them to their children (in their 70s, for the most
part), who have presumably inherited at least some of the longevity genes
from their almost centenarian parents, and to those children's spouses,
who will serve as controls. He has enrolled nearly 100 families thus far,
and is performing extensive blood studies and in-depth surveys, to try
to ascertain what genetic and lifestyle factors play a role in longevity.33
Dr. Alan Shuldiner at the University of Maryland is studying the Old
Order Amish of Lancaster, PA. The Amish are an isolated population, with
few marrying outside their circle, and consequently, genes that govern
longevity or conversely, genes that govern premature deaths, should be
amplified due to relative inbreeding. While they have not uncovered any
longevity genes as yet, they have linked a particular set of genes within
the Amish population that is associated with high blood pressure.34
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