2019
DOI: 10.1186/s13059-019-1824-y
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DNA methylation aging clocks: challenges and recommendations

Abstract: Epigenetic clocks comprise a set of CpG sites whose DNA methylation levels measure subject age. These clocks are acknowledged as a highly accurate molecular correlate of chronological age in humans and other vertebrates. Also, extensive research is aimed at their potential to quantify biological aging rates and test longevity or rejuvenating interventions. Here, we discuss key challenges to understand clock mechanisms and biomarker utility. This requires dissecting the drivers and regulators of age-related cha… Show more

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Cited by 590 publications
(479 citation statements)
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References 214 publications
(284 reference statements)
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“…However, a limitation is that individuals born in different years have grown up under different historical conditions (Schaie, 1967). For example, people born 70 years ago experienced more exposure to childhood diseases, tobacco smoke, airborne lead, and less exposure to antibiotics and other medications, and lower quality nutrition, all of which leave signatures on DNA methylation (Bell et al, 2019). As a result, the clocks confound methylation patterns arising from early-life exposures to methylation-altering factors with methylation patterns related to biological aging during adulthood.…”
Section: Introductionmentioning
confidence: 99%
“…However, a limitation is that individuals born in different years have grown up under different historical conditions (Schaie, 1967). For example, people born 70 years ago experienced more exposure to childhood diseases, tobacco smoke, airborne lead, and less exposure to antibiotics and other medications, and lower quality nutrition, all of which leave signatures on DNA methylation (Bell et al, 2019). As a result, the clocks confound methylation patterns arising from early-life exposures to methylation-altering factors with methylation patterns related to biological aging during adulthood.…”
Section: Introductionmentioning
confidence: 99%
“…Briefly, we examine DNA methylation-based measures of (a) accelerated chronological age, (b) accelerated phenotypic health age, (c) accelerated mortality risk age, and (d) telomere length. We do not examine the full range of possible DNA methylation-based aging measures which have continued to expand (see Bell et al, 2019 for a review) [34], but rather examine the most widely used exemplars. Likewise, we do not examine the full set of DNA methylation-based indices of smoking, which have also expanded substantially, choosing instead to focus on an early simple, single locus index (cg05575921) and a more recent complex index that is widely available (PACKYRS).…”
Section: Introductionmentioning
confidence: 99%
“…16 The heterogeneity in these findings reflect the current uncertainty in the field of epigenetic ageing overall. 22 Studies that followed a candidate gene approach focused primarily on SERT (n=13), followed by OXT/R (n=8), FKBP5 (n=7), NR3C1 (n=4), and BDNF (n=4). Findings related to the three most commonly investigated genes (SERT, FKBP5, OXTR) were generally inconsistent.…”
Section: Approachmentioning
confidence: 99%