Further to our
FOXO3
findings last year, we asked whether other longevity gene variants work by mitigating mortality risk from aging-related diseases. In a longitudinal study, 3,584 American men of Japanese ancestry from the Kuakini Honolulu Heart Program were followed from baseline (Exam 4, 1991-93) until Dec 31, 2019 (1% of men) or death (99%). At baseline, 2,512 subjects had either diabetes (n=1,010), hypertension (n=1,919) or coronary heart disease (CHD; n=738), and 1,072 lacked any cardiometabolic diseases (CMD). DNA samples for genotyping were obtained at baseline. Genotype frequencies of SNPs in
MAP3K5
,
PIK3R1
,
GHR, CTGF
,
EGFR
,
FLT1
,
SIRT5
and
SIRT7
were compared between subjects with and without ageing-related diseases
.
In subjects with CMD,
MAP3K5
rs2076260
longevity-associated genotypes
CC
and
CC
+
TT
were associated with longer lifespan (covariate-adjusted hazard ratio [HR] 1.23 [95% CI: 1.12-1.35,
p=
2.5x10
-5
] in a major allele homozygote model, and 1.22 [95% CI: 1.11-1.33,
p=
1.10x10
-5
] in a heterozygote disadvantage model) compared with
CT
. For diabetes, hypertension and CHD, HR
p
-values were 0.019, 0.00048, 0.093, and 0.0024, 0.00040, 0.0014, in each respective genetic model. For
PIK3R1
, subjects with cardiovascular disease (CVD) having the longevity-associated genotypes
TT
/
CC
of SNP
rs7709243
had survival curves similar to those of subjects without a CVD (HR 1.26 [95% CI, 1.14-1.39;
p
=0.0000043]). In contrast, survival curves of subjects with the
CT
genotype were significantly lower compared with survival curves of subjects without a CVD (
p
=0.0000012 compared with
TT
/
CC
, and
p
=0.0000028 compared with
CT
). For
GHR
SNP
rs4130113
, in a heterozygote disadvantage model
GG
vs longevity-associated
AG
genotype was associated with reduced mortality risk from hypertension (HR 1.23 [95% CI, 0.94-1.41;
p
=0.0041]). Men without CVD showed no association of longevity-associated genotype with lifespan. For each gene, men without the disease outlived men with disease (
p
< 10
-6
), but genotype had no effect on lifespan. In conclusion, for
MAP3K5
,
PIK3R1
and
GHR
, but not other longevity genes, longevity genotype increases lifespan only in individuals who have CMD, CVD or hypertension, likely by protection against disease-related cellular stress.