Klotho KL-VS haplotype does not improve cognition in a population-based sample of adults age 55-87 years

Sci Rep. 2021 Jul 5;11(1):13852. doi: 10.1038/s41598-021-93211-x.

Abstract

The heterozygous human Klotho KL-VS haplotype has been associated with improved cognitive performance but results are inconsistent. Here we assessed Klotho KL-VS haplotype and cognition using data from the third examination of the population-based Heinz Nixdorf Recall Study. We analyzed cognition tests (immediate and delayed word list, Trail-Making Test [TMT] part A and B, Maze test, interference condition of the Stroop color-word test, verbal fluency) and their associations with Klotho KL-VS haplotype. The Klotho KL-VS haplotype is classified by the V-allele at SNP rs9536314 (F352V) and the S-allele at SNP rs9527025 (C370S). Heterozygotes for the KL-VS haplotype were compared with non-carriers. Analyses were performed in 1812 subjects (55-87 years). We found consistent but only slightly lower performance in heterozygous carriers of the KL-VS haplotype in all tasks with Z-scores ranging between Z = - 0.042 (verbal fluency) and - 0.17 (TMT part A). Differences between carriers and non-carriers were similar for men and women for all tests but TMT part B (interaction contrast = 8.4 s (95% CI - 2.3; 19.1)). While cognition declined with age, we found an effect modification by age (55-65 years, 66-75 years, > 75 years). In the 66-75 years KL-VS heterozygous age group, lower performance was seen in memory, visual attention and motor speed. Contrary to our hypothesis, heterozygous carriers of the KL-VS haplotype did not show enhanced performance in cognitive tests in our study.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Alleles
  • Cognition*
  • Cognitive Dysfunction / epidemiology
  • Cognitive Dysfunction / genetics*
  • Cognitive Dysfunction / pathology
  • Female
  • Genotype
  • Geriatrics
  • Glucuronidase / genetics*
  • Haplotypes / genetics*
  • Heterozygote
  • Humans
  • Klotho Proteins
  • Male
  • Middle Aged
  • Neuropsychological Tests

Substances

  • Glucuronidase
  • Klotho Proteins