2023
DOI: 10.1038/s41591-023-02296-6
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Heterogeneous aging across multiple organ systems and prediction of chronic disease and mortality

Abstract: Applying the trained models to predict the chronological age of all participants resulted in personalized organ-specific age gaps.Follow-up phenotype and imaging measurements were available for body (n = 1,220, 837 males; 2.1-5.6 years follow-up) and brain (n = 1,294, 632 males; 2.0-2.7 years follow-up) systems. Chronological age was thus predicted at baseline (t 0 ) and follow-up (t 1 ), yielding two age gaps for each organ per individual (Fig. 2c). This enabled estimation of longitudinal rates of change in b… Show more

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Cited by 217 publications
(132 citation statements)
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References 102 publications
(119 reference statements)
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“…Our results support the concept that CKD promotes accelerated ageing, and recent studies report an association between poor renal function and age acceleration [31][32][33][34]. Indeed, CKD patients had the highest age acceleration in a study comparing 16 chronic diseases [34].…”
Section: Discussionsupporting
confidence: 90%
See 1 more Smart Citation
“…Our results support the concept that CKD promotes accelerated ageing, and recent studies report an association between poor renal function and age acceleration [31][32][33][34]. Indeed, CKD patients had the highest age acceleration in a study comparing 16 chronic diseases [34].…”
Section: Discussionsupporting
confidence: 90%
“…As the uremic milieu promotes accelerated biological ageing, it is of interest to establish whether KRT slows down or reverses accelerated ageing. Identification of a robust biomarker for biological ageing may help nephrologists identify CKD patients that are on 'fast track ageing' and tailor the most appropriate nutritional, lifestyle and therapeutic interventions [34,35]. Our study suggests that neither PA nor SAF alone are suitable biomarkers of ageing in advanced kidney disease, as they produce implausibly high estimates of biological age.…”
Section: Discussionmentioning
confidence: 88%
“…The advent of artificial intelligence (AI) has made significant progress in its ability to decipher various aspects of human brain health 2,3 , such as normal brain aging 4 , neurodegenerative disorders like Alzheimer's disease (AD) 5 , and brain cancer 6 . Utilizing magnetic resonance imaging (MRI), the AI-derived human brain age [7][8][9] has emerged as a valuable biomarker for the evaluation of brain health. More precisely, the difference between an individual's predicted brain age and their chronological age -brain age gap (BAG) -provides a means of quantifying an individual's brain health by measuring deviation from the typical aging trajectory.…”
Section: Mainmentioning
confidence: 99%
“…A) Genome-wide associations identified sixteen genomic loci associated with GM (6), WM (9), and FC-BAG (1) using a genome-wide P-value threshold [-log 10 (P-value) > 7.30]. Each locus is represented by the top lead SNP and cytogenetic region.…”
Section: Figure 2: Genome-wide Associations Of Multimodal Brain Age Gapsmentioning
confidence: 99%
“…Likewise, a biological clock built using the gut microbiome (Wilmanski et al, 2021) was used to identify individuals who might be aging slower or faster than average and suggest drugs that might influence gut health. Recently, aging of separate organs has been investigated and linked to age-associated diseases and mortality (Tian et al, 2023), and biological age has been estimated using AI methods (Qiu et al, 2022).…”
Section: Introductionmentioning
confidence: 99%