DNA methylation and healthy human aging

Summary

The procedure of aging results in a host of changes at the cellular and molecular levels, which include aging, telomere shortening, and changes in gene expression. Epigenetic patterns besides change over the life, suggesting that epigenetic changes may constitute an crucial part of the aging summons. The epigenetic mark that has been most highly studied is DNA methylation, the presence of methyl groups at CpG dinucleotides. These dinucleotides are much located near gene promoters and associate with gene formulation levels. early studies indicated that ball-shaped levels of DNA methylation increase over the first few years of life and then decrease beginning in former adulthood. recently, with the second coming of microarray and next‐generation sequence technologies, increases in unevenness of DNA methylation with age have been observed, and a act of site‐specific patterns have been identified. It has besides been shown that certain CpG sites are highly associated with age, to the extent that prediction models using a minor number of these sites can accurately predict the chronological long time of the donor. together, these observations point to the universe of two phenomena that both put up to age‐related DNA methylation changes : epigenetic drift and the epigenetic clock. In this review, we focus on goodly human aging throughout the life and discuss the dynamics of DNA methylation vitamin a well as how interactions between the genome, environment, and the epigenome influence aging rates. We besides discuss the impact of determining ‘ epigenetic old age ’ for homo health and outline some authoritative caveats to existing and future studies. Keywords:

aging,

DNA

methylation, epigenetics, human, review

Introduction

The biology of aging has been a consistent source of sake among the populace and researchers alike. Main questions for exploration include what happens to result in the host of phenomena associated with age and what strategies can slow this progress. Beginning at birth, developmental programs result in age‐related changes to gene construction, increase, and physiology. Over the stallion life course, these changes can be seen in physical manifestations, specially in advance age with its associated functional declines caused by the accumulation of cellular damage, paired with a belittled ability to repair this price ( Lopez‐Otin et al., 2013 ). One phenomenon associated with aging is a change in patterns of epigenetic modifications. Epigenetics is most normally defined as modifications to DNA and DNA packaging that do not involve changes to the DNA sequence and that are potentially catching to daughter cells ( Bird, 2007 ). Given its dynamic nature, epigenetics has been referred to as the interface between the genome and the environment ( Feil & Fraga, 2012 ). Epigenetics includes modifications to histone proteins, noncoding RNAs, and DNA methylation ; here, we focus on the latter as it is a more accessible target for quantitative measurements and thus is more often used in homo population studies. The most common form of DNA methylation involves the addition of a methyl group to the 5′ cytosine of C‐G dinucleotides, referred to as CpGs. These nucleotide pairs are relatively sparse in the genome, and areas of relatively high CpG concentration are referred to as CpG islands, identified as regions > 200 bp with a > 50 % G+C message and 0.6 observed/expected ratio of CpGs ( Saxonov et al., 2006 ; Illingworth & Bird, 2009 ). These islands tend to be less methylated compared to nonisland CpGs and are frequently associated with gene promoters, while the regions immediately surrounding CpG islands are referred to as ‘ shores ’, followed by ‘ shelves ’. approximately 60–70 % of genes have a CpG island associated with their promoters, and promoters can be classified according to their CpG concentration ( Saxonov et al., 2006 ; Weber et al., 2007 ). Levels of DNA methylation at a promoter‐associated CpG island are broadly negatively associated with gene expression, although some specific genes show the opposite impression ( Weber et al., 2007 ; Lam et al., 2012 ; Gutierrez Arcelus et al., 2013 ). interestingly, this negative correlation coefficient is not continue when comparing formulation and DNA methylation for a particular gene across individuals ( van Eijk et al., 2012 ; Lam et al., 2012 ; Gutierrez Arcelus et al., 2013 ; Wagner et al., 2014 ). conversely, DNA methylation in the gene body is often positively associated with levels of gene formulation ( Lister et al., 2009 ; Gutierrez Arcelus et al., 2013 ). deoxyribonucleic acid methylation besides functions to repress insistent elements, such as Alu and LINE‐1, which are broadly highly methylated in the human genome. ( Kochanek et al., 1993 ; Alves et al., 1996 ). good as patterns of gene expression differ across tissues, indeed do patterns of DNA methylation ( Byun et al., 2009 ; Ziller et al., 2013 ). In fact, weave of origin is the basal deviation in DNA methylation profiles from unlike samples, regardless of whether they originate from the lapp or different individuals ( Davies et al., 2012 ; Ziller et al., 2013 ; Jiang et al., 2015 ). deoxyribonucleic acid methylation can affect recording agent binding sites, insulator elements, and chromatin conformation, resulting in multiple levels of control of expression ( reviewed in ( Jones, 2012 ) ). In addition to convention DNA methylation, variations and derivatives of the methyl mark on CpG dinucleotides have besides been reported, including hydroxymethyl, formyl, and carboxyl groups, a well as methyl marks that occur at non‐CpG sites. These variants are very rare and many of the technologies normally used to assess DNA methylation do not distinguish between them, and so for the purposes of this recapitulation, all such modifications to DNA will be referred to as ‘ DNA methylation ’. recently, there has been an increase in the number of studies examining associations between DNA methylation in senesce across the life and across tissues. In this recapitulation, we outline the dynamics of DNA methylation over the life and define two clear-cut phenomena that jointly contribute to these changes. We focus only on healthy age ; for excellent reviews of the epigenetics of age‐associated disease including cancer, please see Baylin & Jones ( 2011 ), Bergman & Cedar ( 2013 ), and Teschendorff et aluminum. ( 2013 ) .

DNA methylation dynamics during aging

Changes in DNA methylation occur throughout the life, beginning at creation. early studies assessing levels of DNA methylation both globally and at specific regions observed age‐associated changes ( Wilson et al., 1987 ; Drinkwater et al., 1989 ; Fuke et al., 2004 ; Kwabi‐Addo et al., 2007 ). These studies examined DNA methylation through judgment of ball-shaped methylcytosine/cytosine ratios by immune, colorimetric, and HPLC analyses, and occasionally by assaying DNA methylation at insistent elements. Based on these early studies, it was hypothesized that DNA methylation was not accurately maintained over cell divisions, resulting in a gradual loss and increase in variability over the life ( Cooney, 1993 ). This phenomenon has been referred to as ‘ epigenetic drift ’ ( Egger et al., 2004 ; Martin, 2005 ). More holocene work has shown that both Alu and LINE‐1 repetitive elements show decreased DNA methylation levels and increased unevenness with old age ( Bollati et al., 2009 ; Talens et al., 2012 ). Furthermore, samples from the lapp individuals taken 8 years by and by showed that Alu elements lose methylation longitudinally, far verifying this pattern ( Bollati et al., 2009 ). in concert, these data attest that gradual change in DNA methylation occurs with senesce, both generally across the genome and specifically at repetitive elements. With the advent of microarray engineering, it became possible to assess a bombastic number of specific genomic sites for age‐related changes in DNA methylation. Microarray studies confirmed a decrease in DNA methylation with old age, while site‐specific analysis indicated an increase in unevenness of DNA methylation with historic period. The latter was first base noted in monozygotic twins, and subsequently in unrelated individuals ( Fraga et al., 2005 ; Martin, 2005 ; Poulsen et al., 2007 ; Kaminsky et al., 2009 ; Martino et al., 2011 ). These studies besides supported the theme that DNA methylation showed reduce stringency in care over the life, resulting in an increase in interindividual unevenness along with the overall decrease in DNA methylation. Hereafter, findings discussed hera are quantitative and sequence‐ or array‐based except where noted. holocene studies have expanded our sympathy of the dynamics of DNA methylation over the life, identifying genomic locations where changes preferentially occur. In neonatal blood, DNA methylation levels are lower than that observed at most other points during the life ( Martino et al., 2011 ; Wang et al., 2012 ). interestingly, the historic period of the parents appears to affect DNA methylation in a subset of sites, possibly relating to evidence that sperm DNA methylation is besides associated with age ( Adkins et al., 2011 ; Jenkins et al., 2013 ). After parentage, average DNA methylation levels increase in blood throughout the first year of life ( Martino et al., 2011 ; Herbstman et al., 2013 ). These changes occur preferentially at CpG island shores and shelves, enhancers, and promoters lacking CpG islands ( McClay et al., 2014 ). In both rake and buccal epithelial cells, DNA methylation between monozygotic twins has been shown to become more variable star in the inaugural year of life ( Martino et al., 2011, 2013 ). This phenomenon may indicate that the shared prenatal environment confers a high degree of epigenetic similarity between children, whereas subsequent variations in the postnatal environment result in epigenetic discrepancy after birth. After the first year, medial global DNA methylation levels are relatively stable, with the exception of certain regions that frequently gain DNA methylation ( Martino et al., 2011 ). The first few years of life have been extensively studied ; however, there are relatively few reports of changes in DNA methylation throughout late childhood and adolescence. Studies that examined this menstruation of human development have reported that DNA methylation levels increase quickly and then stabilize by adulthood in both mind and rake ( Alisch et al., 2012 ; Lister et al., 2013 ). From adulthood to promote age, overall levels of DNA methylation remain stable in blood, while interindividual variability increases over that time ( Talens et al., 2012 ; Weidner et al., 2014 ). Postadulthood, many studies have found a intend decrease in blood DNA methylation with increasing age ( Bjornsson et al., 2004 ; Boks et al., 2009 ; Heyn et al., 2012 ; Horvath et al., 2012 ; Hannum et al., 2013 ; Johansson et al., 2013 ; Florath et al., 2014 ; Weidner et al., 2014 ). These changes are less likely to occur in promoters and more likely to be observed in enhancers ( Johansson et al., 2013 ). Regions that gain DNA methylation with age are enriched for CpG islands, while nonislands tend to lose DNA methylation with age ( Rakyan et al., 2010 ; Heyn et al., 2012 ; Horvath et al., 2012 ; Florath et al., 2014 ; Weidner et al., 2014 ). These findings demonstrate an concern pattern—sites that show overall low deoxyribonucleic acid methylation, such as promoter‐associated CpG islands, tend to increase methylation with historic period, while those with high DNA methylation such as intergenic nonisland CpGs tend to lose methylation with age. As most CpGs are located outside of CpG islands and are highly methylated, this translates to an overall loss of DNA methylation in late life adenine well as a tendency for DNA methylation levels to shift toward the bastardly with increased age ( Saxonov et al., 2006 ; Weber et al., 2007 ; Illingworth & Bird, 2009 ; Hannum et al., 2013 ; Teschendorff et al., 2013 ; Weidner et al., 2014 ). Despite a gain in DNA methylation in early life and gradual loss in by and by life sentence across the genome, these changes are not harmonious. They differ in two major ways : ( i ) the rate of deepen is much higher in early life than subsequently life, and ( two ) the genomic locations of the changes are quite different. In early life, DNA methylation is gained globally, but more at island shores and intergenic regions, while in late life, DNA methylation is lost globally, but still gained at islands and shores ( Alisch et al., 2012 ; Gentilini et al., 2013 ; McClay et al., 2014 ). Beyond the general trends of DNA methylation levels changing with age, more specific examples of age‐related DNA methylation changes can be seen. Gain of DNA methylation during aging has been reported to be enriched at targets of Polycomb proteins, which broadly show gamey levels of DNA methylation ( Viré et al., 2006 ; Teschendorff et al., 2010 ; Heyn et al., 2012 ; Horvath et al., 2012 ). Beyond Polycomb targets, we can expect future research will decipher the chromatin neighborhoods associated with aging‐related DNA methylation changes. Although the patterns described above have been largely observed in blood, they have been replicated in early tissues. overall, most tissues fit with the pattern of increase in average deoxyribonucleic acid methylation early in life, with a gradual decrease later in life ( Grönniger et al., 2010 ; Ong & Holbrook, 2014 ). For case, many studies have shown that brain regions follow this traffic pattern, showing rapid changes in DNA methylation in the early life time period and then slowing gradually over the life ( Horvath et al., 2012 ; Numata et al., 2012 Lister et al., 2013 ). Given that DNA methylation profiles are highly divergent in different tissues, comparing DNA methylation across tissues presents unique challenges. In addition to general patterns of DNA methylation change with senesce, it has been repeatedly shown that DNA methylation levels at specific sites in the genome are so highly associated with old age and that in some cases, they have been used to accurately predict chronological age ( Bocklandt et al., 2011 ; Horvath et al., 2012 ; Hannum et al., 2013 ; Florath et al., 2014 ; Weidner et al., 2014 ). These sites underlie the concept of the ‘ epigenetic clock ’. While this term was originally coined to describe a multivariate historic period forecaster, it is clear that the phenomenon of the epigenetic clock is besides reflected in studies that reported highly age‐associated CpGs. These epigenetic clock sites have been found both within a specific weave and across tissues, and have been shown to be much more concordant across tissues than gene expression changes across tissues with age ( Horvath et al., 2012 ; Hannum et al., 2013 ; Horvath, 2013 ; Florath et al., 2014 ; Weidner et al., 2014 ). These findings imply that the epigenetic clock is distinct from age‐related epigenetic drift .

Epigenetic drift vs. the epigenetic clock: two phenomena underlying the relationship between DNA methylation and aging

Both epigenetic stray and the epigenetic clock lend to age‐related DNA methylation changes, but in basically unlike ways. While both are related to age, epigenetic drift represents the leaning for increasing discordance between epigenomes over fourth dimension. conversely, the epigenetic clock refers to specific sites that are systematically related to senesce across individuals. In some studies, the terms epigenetic drift and the epigenetic clock have been used interchangeably, though the necessity to discriminate between them has been identified ( Teschendorff et al., 2013 ). here, we define epigenetic drift as the collection of DNA methylation changes that are associated with age within an individual but are not common across individuals. The epigenetic clock, on the early hand, represents those sites that are associated with age across individuals and can thus in some cases be used to predict chronological senesce ( Fig. ) .An external file that holds a picture, illustration, etc.
Object name is ACEL-14-0924-g001.jpgOpen in a separate window Epigenetic drift is now understand to comprise age‐related changes in the epigenome that include those that are acquired environmentally a well as stochastically ( Fraga et al., 2005 ; Fraga & Esteller, 2007 ; Kaminsky et al., 2009 ; Hannum et al., 2013 ; Teschendorff et al., 2013 ). early indications of epigenetic float were noted in cell culture studies, after the notice that clones of a unmarried cell line became epigenetically divergent upon multiple passages ( Humpherys et al., 2001 ). The concept was then used to describe the increase in discordance of DNA methylation between monozygotic twins as they historic period ( Fraga et al., 2005 ; Fraga & Esteller, 2007 ; Poulsen et al., 2007 ). Since then, it has been shown that epigenetic drift does not necessarily occur at specific CpGs across individuals, as a site that undergoes a stochastic exchange in DNA methylation in one person is not probably to show the same relationship with historic period in another person ( Fig. ). Epigenetic drift can be observed by and large in cross‐sectional studies, as evidenced by increase discord between epigenomes with advance old age ( Heyn et al., 2012 ; Talens et al., 2012 ). however, in order to identify regions that are susceptible to epigenetic float within an person, longitudinal studies are required.

In contrast, epigenetic clock sites show a relationship between age and DNA methylation that is coherent between individuals ( Horvath et al., 2012 ; Hannum et al., 2013 ). The hypothesis behind this phenomenon rests upon the estimate that specific sites in the genome undergo changes in DNA methylation with long time that are progressive and common across individuals and sometimes even tissues ( Horvath, 2013 ). several recent studies have attempted to differentiate sites comprising the epigenetic clock from background epigenetic drift by determining which CpG sites that change with age are found across a population ( Rakyan et al., 2010 ; Bocklandt et al., 2011 ; Bell et al., 2012 ; Horvath et al., 2012 ; Numata et al., 2012 ; Horvath, 2013 ; Florath et al., 2014 ; Weidner et al., 2014 ). interestingly, although epigenetic historic period and chronological old age are highly correlated across study population, there is significant interindividual unevenness ( Horvath, 2013 ; Weidner et al., 2014 ). This indicates that some people ‘s epigenome is more concordant with their chronological historic period than others. When tracked in a big population, the distribution of DNA methylation levels suggests that these sites change quickly with age until adulthood, at which point the pace of change slows well ( Horvath, 2013 ; Lister et al., 2013 ). An important characteristic of the epigenetic clock is that it can be tissue specific, meaning that different sites may be better correlated with age in specific tissues, although pan‐tissue epigenetic clocks have besides been identified ( Teschendorff et al., 2010 ; Horvath et al., 2012 ; Day et al., 2013 ). In one discipline, an analysis examining 20 different tissues using a multitissue‐derived age forecaster found that tissues differ in their apparent epigenetic ages, with some reflecting chronological age more accurately than others ( Horvath, 2013 ). It is likely, then, that there may exist particular sites within a tissue that more accurately bode chronological senesce for that tissue. many factors of tissues or cell types may affect their apparent epigenetic aging pace, including differences in cell division rate, respiration rate and energy consumption, or photograph to environmental factors. interestingly, analysis of induce pluripotent root cells shows that their predicted epigenetic senesce is significantly lower and very close to 0 compared to their source bodily tissues ( Horvath, 2013 ) .

Concordance in epigenetic clock sites across studies

A total of studies have published lists of epigenetic clock sites in blood ( Bocklandt et al., 2011 ; Rakyan et al., 2011 ; Bell et al., 2012 ; Numata et al., 2012 ; Hannum et al., 2013 ; Horvath, 2013 ; Florath et al., 2014 ; Weidner et al., 2014 ). For the purposes of this review, we attempted to identify high‐confidence candidates for epigenetic clock sites in rake based on the most highly replicated age‐related sites across eight studies. These studies were all performed using either the Illumina Infinium HumanMethylation27 or HumanMethylation450 BeadChip ( 27k array and 450k range, respectively ) and were all performed on peripheral blood. We found no sites that replicated in seven or more studies, and decided on a list of 14 sites that were identified in a minimal of four studies. To minimize likely confuse by interindividual differences in rake cell constitution ( see below for more detail ), we filtered for sites that were found in the only learn that compared age‐associated sites to sites known to be associated with blood cellular telephone type ( Weidner et al., 2014 ). This resulted in a final list of 11 CpGs, shown in Table. It is authoritative to note that Study 5 identified pan‐tissue epigenetic clock sites, so the sites not found in Study 5 may be blood specific ( Horvath, 2013 ). Of the 11, eight show an increase in DNA methylation with age and are found in CpG islands, while the three that show a decrease in DNA methylation are found in island shores. This blueprint mimics the general practice where islands gain DNA methylation and nonislands lose DNA methylation with age. Despite obvious limitations, including the relatively humble density of sites assessed and the abject number of overlapping sites, these 11 sites are probable candidates for crucial biological associations with aging in lineage. however, foster work is required to identify replicable epigenetic clock sites .

Table 1

StudyDistance to closest TSSClosest TSS gene nameChrRelationship to island12345678cg21801378↑↑■↑↑■918CELF615Islandcg22736354↑↑↑↑↑■132NHLRC16Islandcg00059225↑↑↑↑■40GLRA15Islandcg01820374↓↓■↓↓403LAG312N_Shorecg06291867↑↑■↑↑509HTR710Islandcg06493994↑■↑↑↑174SCGN6Islandcg09809672↓■↓↓↓3EDARADD1N_Shorecg17861230↑↑↑■309PDE4C19Islandcg19722847↓↓↓↓−185IPO812S_Shorecg21296230↑■↑↑332GREM115Islandcg27320127↑↑↑■−926KCNK122IslandOpen in a separate window

Causes of aging‐associated changes in DNA methylation

One of the chief questions remaining in the learn of DNA methylation dynamics and age, including both epigenetic drift and the epigenetic clock, is why these changes occur. A noteworthy aspect of DNA methylation is that it can be modified by external factors, and in some cases, the resulting marks are inheritable through cell divisions. This balance of responsiveness to stimuli and heritability results in a alone mechanism for lasting signatures of anterior exposures that accumulate over the life ( Cortessis et al., 2012 ; Feil & Fraga, 2012 ). As an case of a specific exposure that has been shown to leave a survive signature, cigarette smoke has been linked to changes in DNA methylation at the AHRR venue both in smokers and in children of smokers ( Saxonov et al., 2006 ; Monick et al., 2012 ; Joubert et al., 2012 ; Shenker et al., 2013 ; Sun et al., 2013 Elliott et al., 2014 ; Lee et al., 2015 ; Shah et al., 2014 ). Smoking‐associated DNA methylation changes have besides been found in genes involved in incendiary networks, authoritative candidates in the gamble of age‐related diseases such as center disease and stroke ( Breitling et al., 2012 ; Dogan et al., 2014 ). other environmental influences, such as abuse or adversities in childhood, have besides been linked to stable DNA methylation differences that persist into adulthood ( Meaney, 2010 ; Essex et al., 2011 ; Borghol et al., 2012 ; Lam et al., 2012 ; Klengel et al., 2013 ). The accretion of these environmental exposures, either shared or unshared across individuals, would then contribute to epigenetic exchange with historic period. In addition to the environmental signatures, DNA methylation changes with no obvious induce or pattern have been observed and ascribed to the reduce capability of faithfully maintaining epigenetic marks over cell divisions ( Fraga et al., 2005 ; Martin, 2005 ). Changes in the functionality of epigenetic machinery in addition to exposure of the genome to environmental factors might therefore besides contribute to increasing epigenetic diversity with old age ( Fraga & Esteller, 2007 ). While evidence suggests that both environmental and stochastic factors are associated with epigenetic changes with old age, it is not clean whether they contribute differently to epigenetic roll and the epigenetic clock. The speculate decrease in the stability of DNA methylation with long time could occur randomly, resulting in epigenetic float, or preferentially and regularly at sealed sites, which would appear as epigenetic clock sites. While environmental exposures are by and large thought to be highly variable star across individuals, leading to diverging epigenetic patterns or epigenetic drift, shared experiences or exposures may lead to common epigenetic changes and thus influence the epigenetic clock. For example, a longitudinal cogitation of soldiers before and after deployment to Afghanistan showed an increase in epigenetic age associated with injury experienced in combat ( Boks et al., 2014 ). however, the consistency of epigenetic clock sites across a broad variety of people implies a third base effect that is implicative of a functional or structural rationality why specific sites are more probable to undergo deepen with age. farther studies are required to disentangle these electric potential contributors to epigenetic age .

What can we learn from DNA methylation and aging?

Both epigenetic stray and the epigenetic clock identify changes in DNA methylation with age, and both are about surely associated with age‐related phenotypes. Epigenetic drift reflects the global decrease in constancy and preciseness of DNA methylation with historic period. however, as it is a ( eysenck personality inventory ) genome‐wide phenomenon without coherent sites, its utility in terms of determining health outcomes may be limited, as longitudinal samples from the same individual would be required to track its advancement. The epigenetic clock, on the other hand, has electric potential as a biomarker of aging as it may represent functional age‐related epigenetic changes that are common across individuals. In fact, the epigenetic clock has already been used to predict the epigenetic age of tissue samples ( Horvath, 2013 ). In any application of epigenetic old age as a biomarker, the predicted epigenetic historic period when compared to chronological age across many individuals would broadly show a linear relationship ( Fig. A ). however, some individuals would probably be in the ‘ off‐diagonal ’ region of this comparison, with an epigenetic age that is higher ( ‘ epigenetically old ’ ) or lower ( ‘ epigenetically young ’ ) than their chronological senesce. This drift has already been observed using the age predictors described in many of the studies described in Table, one analyze in finical found that centenarians had an unusually young epigenetic old age ( Gentilini et al., 2013 ). An scheme hypothesis is to predict health outcomes for those in the epigenetically previous or epigenetically young groups relative to those who display concordant epigenetic and chronological ages, supported by a identical recent analyze which associated accelerated epigenetic historic period with increase deathrate ( Marioni et al., 2015 ) ( Fig. B ). In this room, epigenetic old age could be a more herculean predictor than chronological age for future health decline .An external file that holds a picture, illustration, etc.
Object name is ACEL-14-0924-g002.jpgOpen in a separate window In addition to likely age‐related biomarkers that could predict future health, an epigenetic signature of age based on the epigenetic clock could give insight into why some age‐related phenotypes occur, thus opening areas for potential treatment and attenuation of the harmful physical manifestations of age. In a prospective study of healthy individuals, sites that gained DNA methylation with age were besides found to have greater variability across women who developed cervical cancer within the following three years compared to those women who remained healthy ( Teschendorff et al., 2012 ). particular factors like smoking and fleshiness have been shown to increase epigenetic long time in both men and women, factors which have besides been shown to decrease actual life anticipation in populations ( Elliott et al., 2014 ; Weidner et al., 2014 ). recently, high body aggregate index was associated with an accelerated epigenetic age in liver-colored weave, that is, the predict senesce of the liver weave was significantly older than expected based on the donor ‘s long time ; of note, this study did not replicate the discover of increased epigenetic age with smoke ( Horvath et al., 2014 ). frankincense, studies assessing the epigenetic clock are potentially identical utilitarian to determine which regions of the genome are targets for these changes and how this can inform interventions or life style changes. however, there are a numeral of potential confounders and limitations, including reproducibility, for studies of epigenetics and aging that must be considered .

Considerations for studies of epigenetics and aging

The enormous interest in epigenetics as a reporter and potentially a mediator of aging is a sign for the prolongation of studies on DNA methylation and age. Given the current condition of the field, there are a issue of considerations for studies looking to assess this relationship. The first are study design and engineering. While both cross‐sectional and longitudinal have advantages, the survey invention must be able to address the particular questions being asked about the DNA methylation and senesce. As epigenetic float is distinct in each individual, longitudinal studies are necessary for explorations of epigenetic drift over historic period. These studies have the benefit of being able to control for differences between individuals ; however, the costs and time investment can be prohibitive. In contrast, either longitudinal or cross‐sectional studies are allow for studies assessing the epigenetic clock. In terms of engineering, the Illumina 450K align is the current gold standard for DNA methylation arrays, but it has limitations in terms of genomic coverage at regions that may potentially be important to aging, such as of repetitive elements and long noncoding RNAs. As the cogitation of DNA methylation and aging develops, improvements in engineering will begin to give us a better understand of the genomic locations where these changes occur. For studies of epigenetic drift or the epigenetic clock, the integration of environmental exposures and health outcomes will be a particular challenge, though highly pertinent as exposures such as sunlight exposure and stress have already been shown to affect DNA methylation levels at age‐associated sites ( Grönniger et al., 2010 ; Tapp et al., 2013 ; Boks et al., 2014 Noreen et al., 2014 ). Cell writing is a major confuse factor for epigenetic studies, as cell lineage is a major antigenic determinant of DNA methylation. A recent report showed that patterns of DNA methylation associated with age can easily be confounded with signatures of specific white blood cell types, as the proportional frequencies of white lineage cells change over the life ( Weng et al., 2009 ; Jaffe & Irizarry, 2014 ). For model, if the frequency of T cells declines with age, then a site that is methylated in T cells may show declining methylation when comparing across ages, but this is due to the change in cell frequency preferably than at the web site itself. The authors of this study proposed that to be certain that particular sites are dependable, it is vital to correct for cellular telephone types across individuals, although some epigenetic clock sites have been shown to not associate with cellular constitution ( Talens et al., 2012 ; Horvath, 2013 ; Jaffe & Irizarry, 2014 ). While this model refers specifically to rake, the same consideration is important for psychoanalysis of any weave sample containing more than one cell type ( Guintivano et al., 2013 ; Montaño et al., 2013 ). In the future, studies of historic period and DNA methylation will need to either admit cell counts, use reference‐free cell admixture command, or, at the very least, check their age‐related hits against regions known to differ across cell types in order for results to be reliable. It should be noted, however, that the correction methods will not identify age‐related signatures that are give in a cell type that constitutes a little divide of the weave being studied, as these will still be overwhelmed by signals from more frequent cell types. In that case, plainly separating the tissue of interest into its component cells and analyzing them individually will be necessity to identify such patterns. It is crucial to note that many of the studies discussed in this review have not been adjusted for differences in cellular constitution with age. therefore, tissue‐specific epigenetic clock sites in some of these studies may not be accurate ; however, the overall patterns of DNA methylation variety with age have been validated in studies that did correct for cellular constitution ( Lam et al., 2012 ; Lister et al., 2013 ; Jaffe & Irizarry, 2014 ). Another consideration is the impression of familial pas seul on the kinship between epigenetics and age, about which identical little is presently known. genetic variation has been shown to contribute to longevity, evidenced by the fact that longevity runs in families ( Schoenmaker et al., 2006 ). clear relationships besides exist between DNA methylation and genic unevenness, and holocene studies have identified genetic loci whose variation is powerfully associated with DNA methylation at nearby sites ( Fraser et al., 2012 ; Gamazon et al., 2013 ; Gutierrez Arcelus et al., 2013 ; Moen et al., 2013 ). thus, it is potential that genetic variants associated with longevity may besides be correlated with DNA methylation changes. At this point, however, it is not clear up whether these would be limited to site‐specific DNA methylation changes or whether genetic variants may affect the function of DNA methylation machinery, resulting in differences in rates of epigenetic drift. farther evidence for genetic contributions to epigenetic aging total from studies examining age and DNA methylation that have besides observed high correlation of DNA methylation levels between twins at more than one age ( Bell et al., 2012 ; Martino et al., 2013 ). similar studies in adults have shown greater concordance in DNA methylation profiles between monozygotic twins than dizygotic twins ( Kaminsky et al., 2009 ; Bell et al., 2011 ). One study examined twins to determine the heritability of discord between epigenetic and chronological senesce and determined that at give birth, the heritability is 100 % but drops to 39 % in adulthood ( Horvath, 2013 ). These findings support the estimate that genic heritability of DNA methylation is overcome by environmental perturbations during the life. Hence, familial variants that affect DNA methylation levels can do sol throughout the aging process, but the effects may vary at different times during the life. ultimately, it is authoritative to consider the causative versus correlate function of DNA methylation with respect to its relationship with age. As so far, it is unknown what officiate, if any, DNA methylation changes with old age have. An invoke hypothesis is that epigenetic drift is a marker of long time, suggesting that increases in variability with age are a by‐product of the aging work itself. The consistency of the epigenetic clock, however, points to a common age‐related epigenetic mechanism across individuals. It is therefore possible that these common changes are authoritative contributors to the aging process, preferably than a consequence, or they could possibly be beneficial adaptive changes occurring as a reaction to aging. future shape addressing this hypothesis is necessary before we can fully understand the role of DNA methylation changes that occur with age .

Concluding remarks

deoxyribonucleic acid methylation changes that are associated with age can be considered separate of two relate phenomena, epigenetic float and the epigenetic clock. We have defined epigenetic drift as the ball-shaped leaning toward median DNA methylation caused by stochastic and environmental individual‐specific changes over the life. The epigenetic clock, on the other hand, refers to specific sites in the genome that have been shown to undergo age‐related change across individuals and, in some cases, across tissues. We hope that this clarification of terminology will improve our understand of age‐related DNA methylation changes adenine well as clarify the tag of these distinct phenomena across researchers in the field. A count of aspects of age‐related DNA methylation stay, which should be far scrutinized. First, it is expected that certain life sentence periods, such as early childhood, puberty, and promote old age, consequence in accelerated epigenetic changes. Most studies of DNA methylation and age have examined changes within specific periods of life—the first few years of life or adulthood to honest-to-god long time, for exemplar. Moving forward, it will be significant to determine what periods during the life are the most mutable, which highlights the need for more rigorous studies. furthermore, knead on the effects of environmental stimuli on the rates of epigenetic aging would contribute insight into how or why specific environmental exposures result in increase deathrate. It could be hypothesized that people who are exposed to factors that affect mortality prove advanced epigenetic compared to chronological long time, although these effects may be tissue specific. additionally, several recent cross‐sectional studies have published epigenetic clocks. Comparison of these sites across longitudinal studies, while controlling for confounders in DNA methylation such as weave type, cellular writing, ethnicity, and environment, is necessary to confirm a reproducible, reliable, and independent signature of DNA methylation and aging. This type of long time forecaster could be of practice in a total of areas. One likely lotion is in forensics, where the ability to determine the estimate age of a person from a biological sample distribution would be invaluable ( Lee et al., 2012 ). In health, epigenetic age could be used to target or assess interventions or treatments. however, the health‐related electric potential of epigenetic senesce silent waits on an judgment of concordance between epigenetic and chronological senesce across a large population with longitudinal trailing of health during the aging process. This field has huge potential to inform human populations and will undoubtedly continue to develop in the near future.

Funding

No fund data provided .

Conflict of interest

The authors declare that they have no conflict of matter to .

Acknowledgments

The authors would like to thank Dr. Parminder Raina, Rachel Edgar, Sumaiya Islam, and Mina Park for critical read of this review. MJJ was supported by a mining for Miracles postdoctoral fellowship from the Child and Family Research Institute. SJG was supported by a Doctoral Research Award from the Canadian Institute of Health Research. MSK is a senior Fellow of the Canadian Institute for Advanced Research, the co‐lead of the Biology Working Group of the Canadian Longitudinal Study of Aging and the Canada Research Chair in Social Epigenetics .

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