Unraveling the causal genes and transcriptomic determinants of human telomere length

Telomere length (TL) shortening is a pivotal indicator of biological aging and is associated with many human diseases. The genetic determinates of human TL have been widely investigated, however, most existing studies were conducted based on adult tissues which are heavily influenced by lifetime exposure. Based on the analyses of terminal restriction fragment (TRF) length of telomere, individual genotypes, and gene expressions on 166 healthy placental tissues, we systematically interrogated TL-modulated genes and their potential functions. We found that placental TL is relatively longer across human tissues and which maintenance is mostly connected to genes responsible for alternative lengthening of telomeres. Trans-ancestral TL genome-wide association studies (GWASs) on 644,553 individuals identified 20 novel genetic associations and provided increased polygenic determination of human TL. Next, we integrated the powerful TL GWAS with placental expression quantitative trait locus (eQTL) mapping to prioritize 31 likely causal genes, among which 4 were functionally validated, including MMUT, RRM1, KIAA1429, and YWHAZ. Finally, modeling transcriptomic signatures and TRF-based TL improved the prediction performance of human TL. This study deepened our understanding of causal genes and transcriptomic determinants of human TL, promoting the mechanistic research on fine-grained TL regulation.