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Measuring Single-Cell Aging with an Imaging-based Biomarker of Chromatin and Epigenetic Aging
Published on: January 30, 2026
Epigenetic Clock Trajectories and Brain Health in Midlife
Medrxiv : the Preprint Server for Health Sciences
|July 30, 2026
Summary
Faster epigenetic aging in midlife is linked to poorer cognitive function and Alzheimer's disease biomarkers. Slower biological aging trajectories show cognitive resilience and better biomarker profiles, identifying individuals at different brain health risks.
Area of Science:
- Epigenetics and Aging
- Neuroscience
- Biomarkers of Aging
Background:
- Accelerated biological aging, measured by DNA methylation (DNAm)-based epigenetic clocks, is associated with cognitive decline and Alzheimer disease (AD) risk.
- Previous studies often used single-time-point measurements, limiting understanding of dynamic aging processes.
- This study investigates the impact of 15-year epigenetic aging trajectories on brain health in midlife adults.
Purpose of the Study:
- To examine the association between 15-year epigenetic aging trajectories and cognitive function.
- To assess the relationship between epigenetic aging trajectories and plasma Alzheimer disease (AD) biomarkers.
- To identify individuals at differential risk for brain health outcomes based on biological aging speed.
Main Methods:
- Analysis of 2,833 middle-aged adults with at least three DunedinPACE epigenetic clock measurements over 15 years.
- Derivation of individual epigenetic aging trajectories (slopes) using mixed-effects modeling.
- Categorization into Fast, Slow, or Typical Agers based on trajectory slopes; assessment of cognition and AD biomarkers (NfL, p-tau217, Aβ42/Aβ40) 15-20 years post-baseline.
Main Results:
- Faster epigenetic aging trajectories (Fast Agers) were associated with worse performance in processing speed, memory, executive function, and global cognition compared to Typical Agers.
- Slower epigenetic aging trajectories (Slow Agers) were linked to better memory and global cognition.
- Fast Agers showed significantly lower Aβ42/Aβ40 ratios, a biomarker associated with AD, compared to Typical Agers.
Conclusions:
- Individual differences in 15-year epigenetic aging trajectories significantly impact cognitive performance and AD biomarker profiles in midlife.
- Faster biological aging is associated with poorer brain health outcomes, while slower aging confers cognitive resilience.
- Long-term epigenetic aging trajectories provide valuable insights into differential risks for neurodegenerative diseases.
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