Research Publications and Clinical Trials

A genome-wide association study of mass spectrometry proteomics using the Seer Proteograph platform
Karsten Suhre, Qingwen Chen, Anna Halama, Kevin Mendez, Amber Dahlin, Nisha Stephan, Gaurav Thareja, Hina Sarwath, Harendra Guturu, Varun B. Dwaraka, Serafim Batzoglou, Frank Schmidt, Jessica A. Lasky-Su
Abstract

This genome-wide association study using mass spectrometry-based proteomics identifies and replicates novel protein quantitative trait loci (pQTLs), highlights biases from affinity-based methods, and demonstrates the broader potential of MS platforms to uncover new drug discovery targets.

Systems Age: A single blood methylation test to quantify aging heterogeneity across 11 physiological systems
Raghav Sehgal, Margarita Meer, Aladdin H. Shadyab, Ramon Casanova, JoAnn E. Manson, Parveen Bhatti, Eileen M. Crimmins, Themistocles L. Assimes, Eric A. Whitsel, Albert T. Higgins-Chen, Morgan Levine
Abstract

Using blood DNA methylation with machine learning, we built 11 system-specific epigenetic clocks (Heart, Lung, Kidney, etc.) plus a unified Systems Age. These scores predict system-level aging, mortality and disease, revealing distinct aging subtypes for personalized care.

Quantifying the stochastic component of epigenetic aging
Huige Tong, Varun B. Dwaraka, Qingwen Chen, Qi Luo, Jessica A. Lasky-Su, Ryan Smith & Andrew E. Teschendorff
Abstract

Simulating DNAm drift in >22k blood samples shows stochastic change explains 66–75 % of Horvath clock accuracy, 90 % for Zhang, but 63 % for PhenoAge, implying true aging reflects non-stochastic biology. Male, severe COVID-19 and smoker accelerations stem from these non-random effects.

Unveiling the Epigenetic Impact of Vegan vs. Omnivorous Diets on Aging: Insights from the Twins Nutrition Study (TwiNS)
Varun B. Dwaraka, Lucia Aronica, Natalia Carreras-Gallo, Jennifer L Robinson, Tayler Hennings, Aaron Lin, Logan Turner, Ryan Smith, Tavis L. Mendez, Hannah Went, Emily R. Ebel, Matthew M. Carter, Erica D. Sonnenburg, Justin L. Sonnenburg, Christopher D. Gardner
Abstract

In an 8-week twin study, only the vegan diet cut epigenetic age: lower PC GrimAge, PC PhenoAge, DunedinPACE and reduced aging in inflammation, heart, hormone, liver and metabolic systems. Omnivores didn’t shift, underscoring plant-based diets’ anti-aging edge.

Genomic map of candidate human imprint control regions: the imprintome
Dereje D. Jima, David A. Skaar, Antonio Planchart, Alison Motsinger-Reif, Sebnem E. Cevik, Sarah S. Park, Michael Cowley, Fred Wright, John House, Andy Liu, Randy L. Jirtle, & Cathrine Hoyo
Abstract

WGBS of germ-layer tissues and gametes mapped 1,488 hemi-methylated candidate imprint control regions, including 19/25 known. 332 showed near-complete parent-specific methylation and 65 % overlapped CTCF/DNase sites. This draft imprintome opens paths to study imprinting errors in disease.

Retroelement-Age Clocks: Epigenetic Age Captured by Human Endogenous Retrovirus and LINE-1 DNA methylation states
Lishomwa C. Ndhlovu, Matthew L. Bendall, Varun Dwaraka, Alina PS Pang, Nicholas Dopkins, Natalia Carreras, Ryan Smith, Douglas F. Nixon, Michael J. Corley
Abstract

Methylation of specific HERV and LINE-1 loci forms potent epigenetic clocks across tissues and species. These clocks reset with reprogramming, accelerate in HIV-1, respond to therapy, and track brain organoid age, tying retroelement control to aging.

Epigenetic clocks and risk assessment in adult spinal deformity: A novel association between pace of aging with frailty, disability, and postoperative complications
Michael M. Safaee, Varun B. Dwaraka, Justin M. Lee, Marissa Fury, Tavis L Mendez, Ryan Smith, Jue Lin, Dana L. Smith, John F. Burke, Justin K. Scheer, Hannah Went, Christopher P. Ames
Abstract

In 86 adult spinal-deformity patients, blood epigenetic clocks—especially DunedinPACE—tied faster biological aging to greater frailty (EFS, ASD-FI), worse disability (ODI, SRS-22) and more 90-day complications, suggesting biological age can refine surgical risk prediction.

Creation and Validation of the First Infinium DNA Methylation Array for the Human Imprintome
Natalia Carreras-Gallo, Varun B. Dwaraka, Dereje D. Jima, David A. Skaar, Tavis L. Mendez, Antonio Planchart, Wanding Zhou, Randy L. Jirtle, Ryan Smith, Cathrine Hoyo
Abstract

22,819-probe Human Imprintome array profiles 1,088 of 1,488 candidate ICRs, filling gaps left by standard Infinium chips at lower cost. Methylation concordance: R² 0.569 vs WGBS, 0.796 vs EPIC v2; replication ICC 0.80–0.95. Delivers reliable, scalable ICR analysis.

OMICmAge: An integrative multi-omics approach to quantify biological age with electronic medical records
Qingwen Chen, Varun B. Dwaraka, Natàlia Carreras-Gallo, Kevin Mendez, Yulu Chen, Sofina Begum, Priyadarshini Kachroo, Nicole Prince, Hannah Went, Tavis Mendez, Aaron Lin, Logan Turner, Mahdi Moqri, Su H. Chu, Rachel S. Kelly, Scott T. Weiss, Nicholas J.W Rattray, Vadim N. Gladyshev, Elizabeth Karlson, Craig Wheelock, Ewy A. Mathé, Amber Dahlin, Michae J. McGeachie, Ryan Smith, Jessica A. Lasky-Su
Abstract

From ~30k biobank records, researchers derived EMRAge, a lab-based biological age tied to mortality. DNA-methylation (DNAmEMRAge) and multi-omics (OMICmAge) versions outperform existing clocks in two cohorts (n=3,451; 12,666), linking aging biology across epigenome, proteome and metabolome.

Exploring the effects of Dasatinib, Quercetin, and Fisetin on DNA methylation clocks: a longitudinal study on senolytic interventions
Edwin Lee, Natàlia Carreras-Gallo, Leilani Lopez, Logan Turner, Aaron Lin , Tavis L. Mendez, Hannah Went, Alan Tomusiak, Eric Verdin, Michael Corley, Lishomwa Ndhlovu, Ryan Smith, Varun B. Dwaraka
Abstract

Phase-I: 19 adults on dasatinib + quercetin (DQ) for 6 months showed faster epigenetic/mitotic aging and shorter telomeres. Adding fisetin (DQF) for 6 mo in 19 subjects blunted age acceleration and shifted immune-cell mix, hinting fisetin may counter DQ’s pro-aging epigenetic effects.

Meeting Report: Aging Research and Drug Discovery
Esther Meron, Maria Thaysen, Suzanne Angeli, Adam Antebi, Nir Barzilai, Joseph A. Baur, Simon Bekker-Jensen, Maria Birkisdottir, Evelyne Bischof, Jens Bruening, Anne Brunet, Abigail Buchwalter, Filipe Cabreiro, Shiqing Cai, Brian H. Chen, Maria Ermolaeva, Collin Y. Ewald, Luigi Ferrucci, Maria Carolina Florian, Kristen Fortney, Adam Freund, Anastasia Georgievskaya, Vadim N. Gladyshev, David Glass, Tyler Golato, Vera Gorbunova, Jan Hoejimakers, Riekelt H. Houtkooper, Sibylle Jager, Frank Jaksch, Georges Janssens, Martin Borch Jensen, Matt Kaeberlein, Gerard Karsenty, Peter de Keizer, Brian Kennedy, James L. Kirkland, Michael Kjaer, Guido Kroemer, Kai-Fu Lee, Jean-Marc Lemaitre, David Liaskos, Valter D. Longo, Yu-Xuan Lu, Michael R. MacArthur, Andrea B. Maier, Christina Manakanatas, Sarah J. Mitchell, Alexey Moskalev, Laura Niedernhofer, Ivan Ozerov, Linda Partridge, Emmanuelle Passegué, Michael A. Petr, James Peyer, Dina Radenkovic, Thomas A. Rando, Suresh Rattan, Christian G. Riedel, Lenhard Rudolph, Ruixue Ai, Manuel Serrano, Björn Schumacher, David A. Sinclair, Ryan Smith, Yousin Suh, Pam Taub, Alexandre Trapp, Anne-Ulrike Trendelenburg, Dario Riccardo Valenzano3, Kris Verburgh68 , Eric Verdin2 , Jan Vijg4 , Rudi G.J. Westendorp69 , Alessandra Zonari70 , Daniela Bakula1 , Alex Zhavoronkov53 , Morten Scheibye-Knudsen
Abstract

ARDD 2021 (Aug 30–Sep 3) drew 130 onsite and 1,800 online participants. Seventy-five talks covered aging mechanisms, modulating interventions, AI-driven discovery and research standards; a new longevity workshop linked scientists with clinicians.

Global DNA Methylation Status in Relation to Resistance Training with High vs Low Loads to Failure
Casey Sexton, Joshua Godwin, Bradley Ruple, Mason Mcintosh, Shelby Osburn, Blake Hollingsworth, Philip Agostinelli, Andreas Kavazis, Timothy Zeigenfuss, Hector Lopez, Ryan Smith, Kaelin Young, Varun Dwaraka, Christopher Mobley, Adam Sharples, Michael Roberts
Abstract

Eleven trained men did squat + leg extensions to failure at 80 % vs 30 % 1-RM. The 30 % load yielded far more reps but matched volume. Both sessions cut global DNA methylation 3–6 h post-exercise, with a larger drop trending after 30 %, hinting low-load RT drives stronger muscle hypomethylation.

Effects of different types of resistance exercise failure training on the methylation status of genes that drive skeletal muscle hypertrophy
Mason McIntosh, Casey Sexton, Josh Godwin, Bradley Ruple, Shelby Osburn, Blake Hollingsworth, Philip Agostinelli, Andreas Kavazis, Timothy Ziegenfuss, Hector Lopez, Ryan Smith, Kaelin Young, Varun Dwaraka, Christopher Mobley, Adam Sharples, Michael Roberts
Abstract

In 11 trained men, a single squat + leg-extension bout to failure at 80 % or 30 % 1-RM (matched volume) reshaped promoter methylation of ~46 hypertrophy genes; the heavier load yielded distinct hypomethylation patterns, revealing load-specific epigenetic drivers of muscle adaptation.

Longitudinal Study of DNA Methylation and Epigenetic Clocks Prior to and Following Test-Confirmed COVID-19 and mRNA Vaccination
Alina P. S. Pang, Albert T. Higgins-Chen, Ioana RaicaIoana Raica, Christopher Arboleda, Hannah Went, Tavis Mendez, Michael Schotsaert, Varun Dwaraka, Ryan Smith, Morgan E. Levine, Lishomwa C. Ndhlovu, Michael J. Corley
Abstract

Blood DNA methylation tracked pre/post mild COVID-19 (n=21) found 756 CpG shifts and age-split clock shifts: PhenoAge/GrimAge rose in >50 yr, fell in younger adults. In 36 others, Moderna vaccine cut Horvath age by ~3.9 yr (>50). Epigenetic clocks could monitor infection and vaccine effects.

Different Resistance Exercise Loading Paradigms Similarly Affect Skeletal Muscle Gene Expression Patterns of Myostatin-Related Targets and mTORC1 Signaling Markers
Mason C. McIntosh, Casey L. Sexton , Joshua S. Godwin, Bradley A. Ruple, J. Max Michel, Daniel L. Plotkin, Tim N. Ziegenfuss, Hector L. Lopez, Ryan Smith, Varun B. Dwaraka, Adam P. Sharples, Vincent J. Dalbo, C. Brooks Mobley, Christopher G. Vann, Michael D. Roberts
Abstract

In 11 trained men, squats/leg extensions to failure at 30 % or 80 % 1-RM altered hypertrophy-related gene expression similarly: 32/58 mRNAs shifted 3 h, 17 at 6 h, with myostatin-pathway genes most affected. p70S6K and follistatin proteins rose, highlighting load-independent myostatin regulation.

Skeletal Muscle DNA Methylation and mRNA Responses to a Bout of Higher versus Lower Load Resistance Exercise in Previously Trained Men
Casey L. Sexton, Joshua S. Godwin, Mason C. McIntosh, Bradley A. Ruple, Shelby C. Osburn, Blake R. Hollingsworth, Nicholas J. Kontos, Philip J. Agostinelli, Andreas N. Kavazis, Tim N. Ziegenfuss, Hector L. Lopez, Ryan Smith, Kaelin C. Young, Varun B. Dwaraka, Andrew D. Frugé, Christopher B. Mobley, Adam P. Sharples, Michael D. Roberts
Abstract

In 11 trained men, squats/leg extensions to failure at 30 % or 80 % 1-RM (volume-matched) triggered similar muscle DNA-methylation and mRNA shifts—major at 3 h, fewer at 6 h—engaging focal-adhesion, MAPK and PI3K-Akt pathways alike, showing load doesn’t dictate early epigenetic response.

Prenatal environmental exposures associated with sex differences in childhood obesity and neurodevelopment
Alejandro Cáceres, Natàlia Carreras-Gallo, Sandra Andrusaityte, Mariona Bustamante, Ángel Carracedo, Leda Chatzi, Varun B. Dwaraka, Regina Grazuleviciene, Kristine Bjerve Gutzkow, Johanna Lepeule, Léa Maitre, Tavis L. Mendez, Mark Nieuwenhuijsen, Remy Slama, Ryan Smith, Nikos Stratakis, Cathrine Thomsen, Jose Urquiza, Hannah Went, John Wright, Tiffany Yang, Maribel Casas, Martine Vrijheid & Juan R. González
Abstract

In 1,044 HELIX kids, a prenatal exposome combo—low dairy, non-smoker cotinine, low facility richness, ample greenspace—defined Environment E1. There, girls (not boys) showed sharply lower obesity and neurodevelopment-delay risk, echoed by DNA-methylation shifts.

The Effects of a Multi-Ingredient Supplement Containing Wasabia Japonica Extract, Theacrine, and Copper (I) Niacin Chelate on Peripheral Blood Mononuclear Cell DNA Methylation, Transcriptomics, and Sirtuin Activity
Michael D. Roberts, Michael B. La Monica, Betsy Raub, Jennifer E. Sandrock, Tim N. Ziegenfuss, Ryan Smith, Varun B. Dwaraka, Hector L. Lopez
Abstract

In 12 mid-aged adults, 12-wk NAD3 (wasabi extract + theacrine + copper niacin) shifted 64 PBMC mRNAs, curbed CpG hypermethylation, and prevented the placebo-linked drop in sirtuin activity, paralleling higher NAD+/NADH. NAD3 may preserve DNA structure and sirtuin function, pending larger trials.

Cellular aging for risk stratification in adult deformity surgery: utilization of seven epigenetic clocks and two telomere length measurements in the analysis of comorbidity burden, frailty, disability and complications in adult deformity surgery
Michael Safaee, Varun Dwaraka, Justin K. Scheer, Marissa Fury, Tavis Mendez, Ryan Smith, Jue Lin, Dana Smith, Christopher P. Ames, MD
Abstract

Prospective study of 43 adult spinal-deformity patients: blood epigenetic clocks and telomere length were compared with frailty, comorbidities, disability, and 90-day complications. Epigenetic age linked to CCI, ASD-FI; shorter telomeres predicted post-op complications, enhancing risk tools.

Metabolic and Inflammatory Changes as Biological Mechanisms Underlying the Accelerated Pace of Epigenetic Aging in Bipolar Disorder
Camila Nayane, Lima Alexandre Rubinstein, Apurva Kumar, Rohit Jha, Esther Soyebo, Mohammad Farhan, Varun Dwaraka, Ann Alexis Prestrud, Ryan Smith, Consuelo Walss-Bass, Joao Quevedo, Jair Soares, Gabriel Fries
Abstract

Blood DNA-methylation study (86 BD, 39 matched controls) shows bipolar patients age faster per DunedinPACE. Faster pace is largely mediated by DNAm surrogates of metabolic, anthropometric and inflammatory traits; within BD, worse metabolic profiles track higher aging pace.

Impact of tobacco, alcohol, and marijuana on genome-wide DNA methylation and its relationship with hypertension
Natàlia Carreras-Gallo, Varun B. Dwaraka, Alejandro Cáceres, Ryan Smith, Tavis L. Mendez, Hannah Went, Juan R Gonzalez
Abstract

Hefty alcohol and tobacco use tweaks hundreds of gene “switches”; 66 alcohol-linked changes largely explain its boost to high blood pressure, while marijuana shows little effect.

A meta-analysis of immune cell fractions at high resolution reveals novel associations with common phenotypes and health outcomes
Qi Luo, Varun B. Dwaraka, Qingwen Chen, Huige Tong, Tianyu Zhu, Kirsten Seale, Joseph M. Raffaele, Shijie C. Zheng, Tavis L. Mendez, Yulu Chen, Natalia Carreras, Sofina Begum, Kevin Mendez, Sarah Voisin, Nir Eynon, Jessica A. Lasky-Su, Ryan Smith & Andrew E. Teschendorff
Abstract

Researchers created and validated a DNAm reference for 12 blood immune cells, then profiled 23,053 samples. Sex, age, smoking, obesity, exercise and sleep altered cell fractions; more naïve CD4+ T and NK cells predicted lower all-cause mortality.

Epigenetic age acceleration in older adults with hematologic malignancies
Ashley E. Rosko; Kaitlyn Dvorak; Jennifer Woyach; Varun Dwaraka; Ryan Smith; Ryann Finlayson; Alice Mims; Christin Burd
Abstract

In 94 patients ≥60 y with blood cancers, T-cell PhenoAge topped healthy controls, highest in acute leukemia. Greater epigenetic age tied to poorer ECOG, IADL loss and comorbidities, while hypomethylating therapy lowered PhenoAge, hinting reversibility.

Epigenetic age biomarkers and risk assessment in adult spinal deformity: a novel association of biological age with frailty and disability
Michael M. Safaee, Varun B. Dwaraka, Justin M. Lee, Marissa Fury, Tavis L. Mendez, Ryan Smith, Jue Lin, Dana L. Smith, John F. Burke, Justin K. Scheer, Hannah Went, and Christopher P. Ames
Abstract

In 83 spinal-deformity patients, faster epigenetic aging (DunedinPACE, PhenoAge, GrimAge) tracked with greater frailty/disability, while shorter telomeres flagged 90-day complications—supporting biological-age markers to refine surgical risk.

Comprehensive evaluation of the Infinium human MethylationEPIC v2 BeadChip
Diljeet Kaur, Sol Moe Lee, David Goldberg, Nathan J. Spix, Toshinori Hinoue, Hong-Tao Li, Varun B. Dwaraka, Ryan Smith, Hui Shen, Gangning Liang, Nicole Renke, Peter W. Laird, Wanding Zhou
Abstract

New EPICv2 methylation array boosts enhancer coverage, works with diverse ancestries and as little as 1 ng DNA, and still delivers accurate, reproducible data. It supports clocks, deconvolution, trait CpGs, and maps DNMT/SETD2 mutation signatures, providing a versatile tool for epigenetic studies.

Big Bold Health: The Impact of a Polyphenol-Rich Supplement on Epigenetic and Cellular Markers of Immune Age
Wild Health: Impact of Ketamine on Epigenetic Age (IKEA)
Doterra
Semaglutide: Larry Siegel
Hyperbaric Oxygen Therapy
AC-11
Trulacta
Dastinib + Quercetin
Nutratarian Diet aand Longevity: 50:50 study
Olaplex Phenotypic Skin Clock Study
Blushield
SRW Laboratories