
Age affects us all eventually, butĀ aĀ lucky few seem to stave off the effects of ageing for longer. AĀ new blood test may help us understand why.
As well as telling us how fast we are ageing, the test can also predict whether a person is more likely to develop a chronic disease or die in the near future. It is an update on epigenetic clocks, tests that estimate a personās biological age based on markers thought to control the way genes are expressed.
āItās like a speedometer ā it tellsĀ you how fast youāre going, inĀ contrast to clocks, which tell you how far youāve come,ā says Daniel Belsky at Columbia University in New York. This means the new testĀ is āa more immediate measure of the ageing rateā, he says.
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Epigenetic clocks often compare chemical tags on DNA that are markers of gene expression in people of different ages. But these may differ for reasons other than ageing, says Belsky. For example, older people might have had poorer diets or have been exposed to moreĀ pollutants and pathogens early in life, he says.
To develop the āpace of ageingā test, Belsky and his colleagues followed 954 people and tracked changes inĀ 18 markers of health. These included indicators of participantsā heart, liver, lung and kidney function, as well as their waist-to-hip ratio, blood lipids andĀ markers of inflammation. EachĀ volunteer was assessed atĀ ages 26, 32, 38 and 45.
The researchers used all this toĀ get an idea of the average change in participantsā health as they aged and to measure how each person aged biologically. They then used this information to create a single blood test that measures chemical tags on DNA indicating changes in the 18 health markers.
To check whether the test could predict how quickly a person ages, the researchers compared the participantsā scores at age 38 with their physical and cognitive health seven years later, when, at age 45, the volunteers took tests of their balance, coordination and cognition and were scored based on how old they looked. āIn nearly every case, people whose DNA [markers] suggested they were ageing faster were showing these emerging deficits in function,ā says Belsky.
Belskyās team also applied theĀ test to a study that has trackedĀ the health of a group of men, now inĀ their 70s, since the 1960s. The test predicted who would develop worse health andĀ who was likely toĀ die in the subsequent seven years. During thisĀ period, āpeople with a faster [pace of ageing] at baseline wereĀ atĀ increased risk to develop aĀ new chronic disease or toĀ dieā, says Belsky.
The new test represents āthe bestĀ we can doā to measure ageing, says Sara HƤgg at the Karolinska Institute in Solna, Sweden. But a lot more data will be needed before itĀ can be used in clinical settings, saysĀ Belsky. As the test is based onĀ people of European ancestry living in New Zealand, it will alsoĀ need to be trialled in other populations, says Paul Yousefi atĀ the University of Bristol, UK.
eLife