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PMID: 29149257 Published · ppublish English Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Eleven Telomere, Epigenetic Clock, and Biomarker-Composite Quantifications of Biological Aging: Do They Measure the Same Thing?

American journal of epidemiology ·Vol. 187 ·No. 6 ·2018-00-01 ·Pages 1220-1230

Belsky DW, Moffitt TE, Cohen AA, Corcoran DL, Levine ME, Prinz JA, Schaefer J, Sugden K, Williams B, Poulton R, Caspi A

Abstract

The geroscience hypothesis posits that therapies to slow biological processes of aging can prevent disease and extend healthy years of life. To test such "geroprotective" therapies in humans, outcome measures are needed that can assess extension of disease-free life span. This need has spurred development of different methods to quantify biological aging. But different methods have not been systematically compared in the same humans. We implemented 7 methods to quantify biological aging using repeated-measures physiological and genomic data in 964 middle-aged humans in the Dunedin Study (New Zealand; persons born 1972-1973). We studied 11 measures in total: telomere-length and erosion, 3 epigenetic-clocks and their ticking rates, and 3 biomarker-composites. Contrary to expectation, we found low agreement between different measures of biological aging. We next compared associations between biological aging measures and outcomes that geroprotective therapies seek to modify: physical functioning, cognitive decline, and subjective signs of aging, including aged facial appearance. The 71-cytosine-phosphate-guanine epigenetic clock and biomarker composites were consistently related to these aging-related outcomes. However, effect sizes were modest. Results suggested that various proposed approaches to quantifying biological aging may not measure the same aspects of the aging process. Further systematic evaluation and refinement of measures of biological aging is needed to furnish outcomes for geroprotector trials.

MeSH Terms
Aging/physiology Biological Clocks Biomarkers Cohort Studies Female Humans Male Middle Aged Telomere Homeostasis
Chemicals
Biomarkers
Authors & Affiliations
11 authors, click to expand affiliations / ORCID
Belsky Daniel W
Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina. | Department of Medicine, Division of Geriatrics, Duke University School of Medicine, Durham, North Carolina. | Social Science Research Institute, Duke University, Durham, North Carolina. | Center for the Study of Aging and Human Development, Duke University, Durham, North Carolina.
Moffitt Terrie E
Department of Psychology and Neuroscience, Duke University, Durham, North Carolina. | Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina. | Center for Genomic and Computational Biology, Duke University, Durham, North Carolina. | MRC Social, Genetic, and Developmental Psychiatry Center, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom.
Cohen Alan A
Department of Family Medicine, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Canada.
Corcoran David L
Center for Genomic and Computational Biology, Duke University, Durham, North Carolina.
Levine Morgan E
Department of Pathology, Yale University School of Medicine, New Haven, Connecticut.
Prinz Joseph A
Center for Genomic and Computational Biology, Duke University, Durham, North Carolina.
Schaefer Jonathan
Department of Psychology and Neuroscience, Duke University, Durham, North Carolina.
Sugden Karen
Department of Psychology and Neuroscience, Duke University, Durham, North Carolina.
Williams Benjamin
Department of Psychology and Neuroscience, Duke University, Durham, North Carolina.
Poulton Richie
Dunedin Multidisciplinary Health and Development Research Unit, Department of Psychology, University of Otago, Dunedin, New Zealand.
Caspi Avshalom
Department of Psychology and Neuroscience, Duke University, Durham, North Carolina. | Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina. | Center for Genomic and Computational Biology, Duke University, Durham, North Carolina. | MRC Social, Genetic, and Developmental Psychiatry Center, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, United Kingdom.
References (58)
58 references, click to expand
  1. A comparison of methods for assessing mortality risk.
    Am J Hum Biol. 2014 Nov-Dec;26(6):768-76 PMID: 25088793
  2. The epigenetic clock is correlated with physical and cognitive fitness in the Lothian Birth Cohort 1936.
    Int J Epidemiol. 2015 Aug;44(4):1388-96 PMID: 25617346
  3. Internalizing disorders and leukocyte telomere erosion: a prospective study of depression, generalized anxiety disorder and post-traumatic stress disorder.
    Mol Psychiatry. 2014 Nov;19(11):1163-70 PMID: 24419039
  4. Frailty in older adults: evidence for a phenotype.
    J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56 PMID: 11253156
  5. Genome-wide methylation profiles reveal quantitative views of human aging rates.
    Mol Cell. 2013 Jan 24;49(2):359-367 PMID: 23177740
  6. The frailty index outperforms DNA methylation age and its derivatives as an indicator of biological age.
    Geroscience. 2017 Feb;39(1):83-92 PMID: 28299637
  7. Decrease in timed balance test scores with aging.
    Phys Ther. 1984 Jul;64(7):1067-70 PMID: 6739548
  8. Clinical assessment of balance: normative data, and gender and age effects.
    Int J Audiol. 2008 Feb;47(2):67-75 PMID: 18236239
  9. Exposure to violence during childhood is associated with telomere erosion from 5 to 10 years of age: a longitudinal study.
    Mol Psychiatry. 2013 May;18(5):576-81 PMID: 22525489
  10. DNA methylation age of human tissues and cell types.
    Genome Biol. 2013;14(10):R115 PMID: 24138928
  11. Quantification of biological aging in young adults.
    Proc Natl Acad Sci U S A. 2015 Jul 28;112(30):E4104-10 PMID: 26150497
  12. Leukocyte telomere length associates with prospective mortality independent of immune-related parameters and known genetic markers.
    Int J Epidemiol. 2014 Jun;43(3):878-86 PMID: 24425829
  13. Homeostatic dysregulation proceeds in parallel in multiple physiological systems.
    Aging Cell. 2015 Dec;14(6):1103-12 PMID: 26416593
  14. Prenatal and early life influences on epigenetic age in children: a study of mother-offspring pairs from two cohort studies.
    Hum Mol Genet. 2016 Jan 1;25(1):191-201 PMID: 26546615
  15. Translating the Science of Aging into Therapeutic Interventions.
    Cold Spring Harb Perspect Med. 2016 Mar 01;6(3):a025908 PMID: 26931808
  16. DNA methylation-based measures of biological age: meta-analysis predicting time to death.
    Aging (Albany NY). 2016 Sep 28;8(9):1844-1865 PMID: 27690265
  17. Interventions to Slow Aging in Humans: Are We Ready?
    Aging Cell. 2015 Aug;14(4):497-510 PMID: 25902704
  18. Epigenetic age acceleration predicts cancer, cardiovascular, and all-cause mortality in a German case cohort.
    Clin Epigenetics. 2016 Jun 03;8:64 PMID: 27274774
  19. Substantial health and economic returns from delayed aging may warrant a new focus for medical research.
    Health Aff (Millwood). 2013 Oct;32(10):1698-705 PMID: 24101058
  20. Perceived age as clinically useful biomarker of ageing: cohort study.
    BMJ. 2009 Dec 10;339:b5262 PMID: 20008378
  21. The Dunedin Multidisciplinary Health and Development Study: overview of the first 40 years, with an eye to the future.
    Soc Psychiatry Psychiatr Epidemiol. 2015 May;50(5):679-93 PMID: 25835958
  22. Beyond Self-Reports: Changes in Biomarkers as Predictors of Mortality.
    Popul Dev Rev. 2014 Jun 1;40(2):331-360 PMID: 25089065
  23. Human telomere biology: A contributory and interactive factor in aging, disease risks, and protection.
    Science. 2015 Dec 4;350(6265):1193-8 PMID: 26785477
  24. Midlife hand grip strength as a predictor of old age disability.
    JAMA. 1999 Feb 10;281(6):558-60 PMID: 10022113
  25. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
    Med Care. 1992 Jun;30(6):473-83 PMID: 1593914
  26. Medical research: treat ageing.
    Nature. 2014 Jul 24;511(7510):405-7 PMID: 25056047
  27. A new approach to the concept and computation of biological age.
    Mech Ageing Dev. 2006 Mar;127(3):240-8 PMID: 16318865
  28. Developing criteria for evaluation of geroprotectors as a key stage toward translation to the clinic.
    Aging Cell. 2016 Jun;15(3):407-15 PMID: 26970234
  29. Impact of early personal-history characteristics on the Pace of Aging: implications for clinical trials of therapies to slow aging and extend healthspan.
    Aging Cell. 2017 Aug;16(4):644-651 PMID: 28401731
  30. The hallmarks of aging.
    Cell. 2013 Jun 6;153(6):1194-217 PMID: 23746838
  31. Biomarker signatures of aging.
    Aging Cell. 2017 Apr;16(2):329-338 PMID: 28058805
  32. Epigenetic Aging Signatures Are Coherently Modified in Cancer.
    PLoS Genet. 2015 Jun 25;11(6):e1005334 PMID: 26110659
  33. The Longitudinal Study of Aging in Human Young Adults: Knowledge Gaps and Research Agenda.
    J Gerontol A Biol Sci Med Sci. 2017 Feb;72(2):210-215 PMID: 28087676
  34. DNA methylation and healthy human aging.
    Aging Cell. 2015 Dec;14(6):924-32 PMID: 25913071
  35. DNA methylation age is associated with mortality in a longitudinal Danish twin study.
    Aging Cell. 2016 Feb;15(1):149-54 PMID: 26594032
  36. Telomere length and mortality: a study of leukocytes in elderly Danish twins.
    Am J Epidemiol. 2008 Apr 1;167(7):799-806 PMID: 18270372
  37. Do changes in circulating biomarkers track with each other and with functional changes in older adults?
    J Gerontol A Biol Sci Med Sci. 2014 Feb;69(2):174-81 PMID: 23811185
  38. Modeling the rate of senescence: can estimated biological age predict mortality more accurately than chronological age?
    J Gerontol A Biol Sci Med Sci. 2013 Jun;68(6):667-74 PMID: 23213031
  39. Heterogeneity's ruses: some surprising effects of selection on population dynamics.
    Am Stat. 1985 Aug;39(3):176-85 PMID: 12267300
  40. Normative values for the unipedal stance test with eyes open and closed.
    J Geriatr Phys Ther. 2007;30(1):8-15 PMID: 19839175
  41. Has the Rate of Human Aging Already Been Modified?
    Cold Spring Harb Perspect Med. 2015 Dec 01;5(12):null PMID: 26627454
  42. Change in the Rate of Biological Aging in Response to Caloric Restriction: CALERIE Biobank Analysis.
    J Gerontol A Biol Sci Med Sci. 2017 Dec 12;73(1):4-10 PMID: 28531269
  43. Is the onset of obesity the same as aging?
    Proc Natl Acad Sci U S A. 2015 Dec 29;112(52):E7163 PMID: 26676582
  44. Interventions for Human Frailty: Physical Activity as a Model.
    Cold Spring Harb Perspect Med. 2016 Jun 01;6(6): PMID: 27143701
  45. Stress and telomere biology: a lifespan perspective.
    Psychoneuroendocrinology. 2013 Sep;38(9):1835-42 PMID: 23639252
  46. Longevity and aging.
    F1000Prime Rep. 2013;5:5 PMID: 23513177
  47. Inflammatory exposure and historical changes in human life-spans.
    Science. 2004 Sep 17;305(5691):1736-9 PMID: 15375259
  48. Perinatal complications and aging indicators by midlife.
    Pediatrics. 2014 Nov;134(5):e1315-23 PMID: 25349321
  49. Heritability of and mortality prediction with a longevity phenotype: the healthy aging index.
    J Gerontol A Biol Sci Med Sci. 2014 Apr;69(4):479-85 PMID: 23913930
  50. Telomere length and early severe social deprivation: linking early adversity and cellular aging.
    Mol Psychiatry. 2012 Jul;17(7):719-27 PMID: 21577215
  51. Reply to Newman: Quantification of biological aging in young adults is not the same thing as the onset of obesity.
    Proc Natl Acad Sci U S A. 2015 Dec 29;112(52):E7164-5 PMID: 26676581
  52. Heterogeneity of Human Aging and Its Assessment.
    J Gerontol A Biol Sci Med Sci. 2017 Jul 1;72(7):877-884 PMID: 27216811
  53. Family-centered prevention ameliorates the longitudinal association between risky family processes and epigenetic aging.
    J Child Psychol Psychiatry. 2016 May;57(5):566-74 PMID: 26680699
  54. Grip and pinch strength: normative data for adults.
    Arch Phys Med Rehabil. 1985 Feb;66(2):69-74 PMID: 3970660
  55. Obesity accelerates epigenetic aging of human liver.
    Proc Natl Acad Sci U S A. 2014 Oct 28;111(43):15538-43 PMID: 25313081
  56. Evidence of accelerated aging among African Americans and its implications for mortality.
    Soc Sci Med. 2014 Oct;118:27-32 PMID: 25086423
  57. Aging of blood can be tracked by DNA methylation changes at just three CpG sites.
    Genome Biol. 2014 Feb 03;15(2):R24 PMID: 24490752
  58. Geroscience: linking aging to chronic disease.
    Cell. 2014 Nov 6;159(4):709-13 PMID: 25417146
Article Info
Journal
American journal of epidemiology
Abbr.
Am J Epidemiol
ISSN
1476-6256
Published
2018-00-01
Pages
1220-1230
Language
English
Region
United States
NLM ID
7910653
PMCID
PMC6248475
Subset
IM
Grants
NIA NIH HHS · R01 AG049789 · United States
NIA NIH HHS · T32 AG000139 · United States
NIA NIH HHS · P30 AG034424 · United States
CIHR · Canada
NIA NIH HHS · P30 AG028716 · United States
NIH HHS · S10 OD018164 · United States
NIA NIH HHS · R01 AG032282 · United States
Medical Research Council · MR/P005918/1 · United Kingdom
NIA NIH HHS · R21 AG054846 · United States
NIA NIH HHS · R01 AG048895 · United States
NICHD NIH HHS · R03 HD050374 · United States
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