DNA Methylation Clocks' Predictive Capacity for Aging Phenotypes and Healthspan
ncbi.nlm.nih.gov
ncbi.nlm.nih.gov
- DNA Methylation - DNA Acetylation
Methylation downregulates a gene's expression. Acetylation upregulates a gene's expression. In any case, over your lifetime methylation profiles of your genetics can vary, generally increasing.
Methylation of your cells isn't something that happens in every tissue at the same rate. So you actually need to define a biological clock based on methylation over time for all the different tissues. Then you can also build clocks for 2 or more tissues, or the whole organism... maybe
These clocks are mainly being used for research, but one real-world application they are being used for is life insurance companies. If you are 60, but your methylome makes you appear 50, then you'll get a discount, as it is assumed that your health state will be closer to that of a 50-year-old.
So if you have a systematically distorted methylome, and you want to buy life insurance, the clock could be good news or bad news for you, depending on how your mutation affects the clock readout.
It used to be dogma that genomic hypomethylation occurs with age, or in other words, that methylation decreases as you age. It is now thought to be more complicated than that, but...if it is even partially true, that would imply that lower methylation levels would be associated with a higher age on the clock.
So probably you would not get a discount, sadly.
There's a lot of interesting people that work on minimizing their biological age (sometimes measuring it with simple blood metrics that correlate with youth, and other times with more advanced and speculative ones like DNA methylation tests), and it's definitely an important, neglecting, and upcoming area. The downside is that to do a good job of maximizing your health and lifespan like this, it takes a lot of work, time, money, and research. For that reason I'm hoping some startups in this area do some amazing work and really start to make the field of healthspan and lifespan optimization more mainstream and accessible.
Some related links for those interested: https://peterattiamd.com/podcast/ (one of my favorite podcasts focusing on optimizing health and longevity), https://levels.health (GCM/metabolic fitness tracking startup), https://old.reddit.com/r/longevity/ (subreddit with many interesting links on longevity), https://ouraring.com/ (detailed sleep tracking+optimization startup), https://www.zerofasting.com/ (app to help track+optimize+inform about fasting), https://michaellustgarten.com/ (another interesting Doctor that does a lot of work on optimizing blood markers and diet), https://hackernoon.com/im-32-and-spent-200k-on-biohacking-be... (a more eclectic but nonetheless interesting approach to many biomarker optimizations)
So, Ask HN: is my paranoia unfounded? Is my DNA already catalogued and the cat is out of the bag? Fortunately I've committed no crimes of significance, so I'm not I'm not worried about being identified like that.
[0] https://medcitynews.com/2020/08/blackstones-4-7b-acquisition...
In general there doesn't yet appear to be common significant gains that can be made from the DNA tests available. Sometimes you will be lucky and find you're at high risk of certain things, but the vast majority of the information won't help you much. You still need to eat and exercise well either way.
Until this changes, and we can actually do a decent job of offering personal recommendations based off of one's DNA, you're likely better off getting a lot of blood tests and working from there.
I think my key fear is that it gets used against me for healthcare coverage.
Exercise and diet alone will lower all cause deaths risk by something like 50%. But no one will do this simple thing because who wants to believe that doing heavy squats and cutting out refined carbs will help?
don’t hold me to that number it’s somewhere near there for %.
A good documentary on that subject was The Magic Pill. Well worth a watch!
Motivation is a difficult part, but I think we can help people out a lot by making accurate, personalized, and easily actionable information much more accessible to them.
up to interpretation what easily means. We can definitely make things simple (easy to comprehend for uneducated and/or lower iq). But "easy" seems to be expressed by compliance and that seems to be the trick.
it's simple to not eat (ie fast) one day a week. it's simple to lace up your shoes and go for 30 minutes run. Yet neither of those are "easy" to get someone to do
It is true that Horvath and others have shown that clock deltas (between predicted and chronological age) correlate with all-cause mortality. There has been surprisingly little work on clock deltas and specific disease risk.
But these are correlational or observational studies. What is not known is whether, or how often, an intervention that changes the clock will also change lifespan or healthspan. There are far too many grants and papers that just assume this is true. Usually the argument is something like this: intervention X improves health, intervention X lowers clock age, therefore the clock is a good biomarker of aging.
The classical Horvath clock has something like 350 loci all spread out in the genome, often in regions that have no obvious functional significance.
Imagine the extreme case (which has been the subject of more than one grant proposal): take one of the clock loci 100 kbp from the nearest gene, forcibly alter its methylation state specifically. Will this change clock age? By definition, yes. Will it alter health at all? Very likely not. People seem unaware of the almost certain fact that these loci are not causal in aging, they are readouts of upstream biological states.
Also, there are numerous inconvenient facts, such as the fact that the if you compare groups of the same age, one group with and one without various neurological diseases such as Alzheimer's, the group with neurological disease appear to be younger by the clock.
I would beware of this area, there is so much hype around it and claims have far outstripped evidence by this point.
It is honestly very hard to know about this kind of thing, because the results can vary based on how the analysis is done. But there is a severe publication bias effect in the sense that authors who see the clock giving a less than clean "story" tend to double and triple check their work and ultimately rarely to publish.
I have seen data going both ways on clock-disease associations, published and unpublished, so I do not know what the truth is, only enough to caution HN readers that a robust clock-disease association should not be taken as established truth.