Inference and validation of causal genetic interactions in aging human fibroblasts

In the past hundred years, the fraction of fatalities due to age-related disease has risen from an envied minority of cases to the leading cause of death and economic morbidity in the developed world. Despite notable advances in understanding aging, its intrinsic complexity has prevented major therapeutic break-throughs. This complexity extends across all systems and scales in an organism, leaving a 'fingerprint of aging' across every aspect of cell and tissue behavior whose interrelationships are difficult to untangle. Compounding this problem, human aging is observed largely through cross-sectional rather than longitudinal data. Whether such data retain sufficient dynamical information to reveal causal interactions is unclear. Here we show that they can. Using convergent cross mapping (CCM), a method for identifying causal interactions in nonlinear dynamical systems, we reconstruct directed genetic interactions from age-ordered, cross-sectional transcriptomic data-recovering dynamics from populations rather than individuals. Applied to dermal fibroblasts from 490 GTEx donors, CCM identifies a genome-scale causal network whose topology, together with age-dependent changes in gene expression, predicts candidate drivers of aging. We tested these predictions experimentally by single-gene overexpression in fibroblasts from 55-year-old donors. Single-cell RNA sequencing confirmed 53.8% of testable CCM-predicted causal interactions, showing that dynamics reconstructed from cross-sectional populations contain experimentally recoverable information about gene-gene interactions. This 53.8% additionally exceeded that produced by multiple comparanda methods and a random null. We then asked whether this information could identify interventions that reverse cellular aging. Independent transcriptomic and high-dimensional morphological assays show that CCM-selected perturbations shift old fibroblasts toward states characteristic of young cells. These two measures of rejuvenation are strongly correlated, and the strongest interventions cause a majority of 55-year-old cells to resemble cells from 25-year-old donors. Thus, causal dynamics can be recovered from cross-sectional population data and used to identify interventions in aging. More generally, the results suggest a way to distinguish genes that change with age from genes that drive those changes, providing experimentally testable targets for altering the aging phenotype.