Brand new paper with many interesting insights into aging. Also some of the most extensive BioAge testing I’ve seen.
Reminds me of presentations by Peter Fedichev about nonlinear aspects of aging.
https://www.nature.com/articles/s43587-024-00692-2
Aging is a complex process associated with nearly all diseases. Understanding the molecular changes underlying aging and identifying therapeutic targets for aging-related diseases are crucial for increasing healthspan. Although many studies have explored linear changes during aging, the prevalence of aging-related diseases and mortality risk accelerates after specific time points, indicating the importance of studying nonlinear molecular changes.
The analysis revealed consistent nonlinear patterns in molecular markers of aging, with substantial dysregulation occurring at two major periods occurring at approximately 44 years and 60 years of chronological age. Distinct molecules and functional pathways associated with these periods were also identified, such as immune regulation and carbohydrate metabolism that shifted during the 60-year transition and cardiovascular disease, lipid and alcohol metabolism changes at the 40-year transition.
The observation of a nonlinear increase in the prevalence of aging-related diseases implies that the process of human aging is not a simple linear trend. Consequently, investigating the nonlinear changes in molecules will likely reveal previously unreported molecular signatures and mechanistic insights. Some studies examined the nonlinear alterations of molecules during human aging13. For instance, nonlinear changes in RNA and protein expression related to aging have been documented14,15,16. Moreover, certain DNA methylation sites have exhibited nonlinear changes in methylation intensity during aging, following a power law pattern17. Li et al.18 identified the 30s and 50s as transitional periods during women’s aging.
The cohort was followed over a span of several years (median, 1.7 years), with the longest monitoring period for a single participant reaching 6.8 years (2,471 days). Various types of omics data were collected from the participants’ biological samples, including transcriptomics, proteomics, metabolomics, cytokines, clinical laboratory tests, lipidomics, stool microbiome, skin microbiome, oral microbiome and nasal microbiome.
In total, 135,239 biological features (including 10,346 transcripts, 302 proteins, 814 metabolites, 66 cytokines, 51 clinical laboratory tests, 846 lipids, 52,460 gut microbiome taxons, 8,947 skin microbiome taxons, 8,947 oral microbiome taxons and 52,460 nasal microbiome taxons) were acquired, resulting in 246,507,456,400 data points. Overall, this extensive and longitudinal multi-omics dataset enables us to examine the molecular changes that occur during the human aging process.
Particularly noteworthy was the observation that, among all the omics data examined, metabolomics, cytokine and oral microbiome data displayed the strongest association with age.
The clinical laboratory test blood urea nitrogen, which provides important information about kidney function, is also detected in cluster 2 (Fig. 3c). This indicates that kidney function nonlinearly decreases during aging. Furthermore, the clinical laboratory test for serum/plasma glucose, a marker of type 2 diabetes (T2D), falls within cluster 2. This is consistent with and supported by many previous studies demonstrating that aging is a major risk factor for T2D28. Collectively, these findings suggest a nonlinear escalation in the risk of cardiovascular and kidney diseases and T2D with advancing age, particularly after the age of 60 years (Fig. 2c).
Our analysis revealed thousands of molecules exhibiting changing patterns throughout aging, forming distinct waves, as illustrated in Fig. 3a. Notably, we observed two prominent crests occurring around the ages of 45 and 65, respectively (Fig. 4a). Notably, too, these crests were consistent with findings from a previous study that included only proteomics data14. Specifically, crest 2 aligns with our previous trajectory clustering result, indicating a turning point at approximately 60 years of age