Bidirectional relationship between epigenetic age and stroke, dementia, and late-life depression

Abstract Chronological age is an imperfect estimate of molecular aging. Epigenetic age, derived from DNA methylation data, provides a more nuanced representation of aging-related biological processes. We examine the bidirectional relationship between epigenetic age and brain health events (stroke, d...

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Main Authors: Cyprien A. Rivier, Natalia Szejko, Daniela Renedo, Santiago Clocchiatti-Tuozzo, Shufan Huo, Adam de Havenon, Hongyu Zhao, Thomas M. Gill, Kevin N. Sheth, Guido J. Falcone
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-54721-0
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author Cyprien A. Rivier
Natalia Szejko
Daniela Renedo
Santiago Clocchiatti-Tuozzo
Shufan Huo
Adam de Havenon
Hongyu Zhao
Thomas M. Gill
Kevin N. Sheth
Guido J. Falcone
author_facet Cyprien A. Rivier
Natalia Szejko
Daniela Renedo
Santiago Clocchiatti-Tuozzo
Shufan Huo
Adam de Havenon
Hongyu Zhao
Thomas M. Gill
Kevin N. Sheth
Guido J. Falcone
author_sort Cyprien A. Rivier
collection DOAJ
description Abstract Chronological age is an imperfect estimate of molecular aging. Epigenetic age, derived from DNA methylation data, provides a more nuanced representation of aging-related biological processes. We examine the bidirectional relationship between epigenetic age and brain health events (stroke, dementia, late-life depression) using data from 4,018 participants. Participants with a prior brain health event are 4% epigenetically older (β = 0.04, SE = 0.01), indicating these conditions are associated with accelerated aging beyond that captured by chronological age. Additionally, a one standard deviation increase in epigenetic age is associated with 70% higher odds of experiencing a brain health event in the next four years (OR = 1.70, 95% CI = 1.16–2.50), suggesting epigenetic age acceleration is not just a consequence but also a predictor of poor brain health. Mendelian Randomization analyses replicate these findings, supporting their causal nature. Our results support using epigenetic age as a biomarker to evaluate interventions aimed at preventing and promoting recovery after brain health events.
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publishDate 2025-02-01
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spelling doaj-art-50e3de8cd0b549c19e5938b04d6f27602025-02-02T12:32:19ZengNature PortfolioNature Communications2041-17232025-02-0116111310.1038/s41467-024-54721-0Bidirectional relationship between epigenetic age and stroke, dementia, and late-life depressionCyprien A. Rivier0Natalia Szejko1Daniela Renedo2Santiago Clocchiatti-Tuozzo3Shufan Huo4Adam de Havenon5Hongyu Zhao6Thomas M. Gill7Kevin N. Sheth8Guido J. Falcone9Department of Neurology, Yale School of MedicineDepartment of Bioethics, Medical University of WarsawDepartment of Neurology, Yale School of MedicineDepartment of Neurology, Yale School of MedicineDepartment of Neurology, Yale School of MedicineDepartment of Neurology, Yale School of MedicineDepartment of Biostatistics, Yale School of Public HealthDepartment of Internal Medicine, Yale School of MedicineDepartment of Neurology, Yale School of MedicineDepartment of Neurology, Yale School of MedicineAbstract Chronological age is an imperfect estimate of molecular aging. Epigenetic age, derived from DNA methylation data, provides a more nuanced representation of aging-related biological processes. We examine the bidirectional relationship between epigenetic age and brain health events (stroke, dementia, late-life depression) using data from 4,018 participants. Participants with a prior brain health event are 4% epigenetically older (β = 0.04, SE = 0.01), indicating these conditions are associated with accelerated aging beyond that captured by chronological age. Additionally, a one standard deviation increase in epigenetic age is associated with 70% higher odds of experiencing a brain health event in the next four years (OR = 1.70, 95% CI = 1.16–2.50), suggesting epigenetic age acceleration is not just a consequence but also a predictor of poor brain health. Mendelian Randomization analyses replicate these findings, supporting their causal nature. Our results support using epigenetic age as a biomarker to evaluate interventions aimed at preventing and promoting recovery after brain health events.https://doi.org/10.1038/s41467-024-54721-0
spellingShingle Cyprien A. Rivier
Natalia Szejko
Daniela Renedo
Santiago Clocchiatti-Tuozzo
Shufan Huo
Adam de Havenon
Hongyu Zhao
Thomas M. Gill
Kevin N. Sheth
Guido J. Falcone
Bidirectional relationship between epigenetic age and stroke, dementia, and late-life depression
Nature Communications
title Bidirectional relationship between epigenetic age and stroke, dementia, and late-life depression
title_full Bidirectional relationship between epigenetic age and stroke, dementia, and late-life depression
title_fullStr Bidirectional relationship between epigenetic age and stroke, dementia, and late-life depression
title_full_unstemmed Bidirectional relationship between epigenetic age and stroke, dementia, and late-life depression
title_short Bidirectional relationship between epigenetic age and stroke, dementia, and late-life depression
title_sort bidirectional relationship between epigenetic age and stroke dementia and late life depression
url https://doi.org/10.1038/s41467-024-54721-0
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