AS315 - Epigenetic mechanisms of PM-mediated CVD risk

Investigator Names and Contact Information

Eric Whitsel (eric_whitsel@med.unc.edu)

Introduction/Intent

Epidemiologic studies, including several within the Women’s Health Initiative (WHI), have linked exposure to ambient particulate matter (PM) air pollution with sub-clinical and clinical cardiovascular disease (CVD). Although PM inhalation also has been linked with increases in inflammatory, oxidative, endothelial, metabolic, and coagulation biomarkers, the molecular mechanisms producing such effects remain unclear. We and others have consistently found that PM exposure is associated with altered global and gene-promoter DNA methylation measured in peripheral leukocyte DNA, an environmentally inducible and dynamic epigenetic mechanism that controls gene expression. DNA methylation has also been associated with CVD, implicating it as a primary molecular mechanism capable of mediating the cardiovascular health effects of environmental exposures. However, genome-wide DNA methylation has been examined at only one time point relative to a given exposure or outcome and conclusive evidence of temporality is lacking. We therefore propose a two-stage study of associations between PM air pollution, DNA methylation, and cardiovascular measures among independent subsets of the exam site- and race-stratified, randomly selected 6% minority oversample of approximately 4,300 WHI CT participants who had fasting blood draws and resting, standard, twelve-lead electrocardiograms (ECGs) repeated at three-year intervals from 1993 to 2004. Stage 1 will focus on the interrogation, discovery and ranking of 450,000 DNA methylation sites potentially sensitive to PM in year 2000 blood samples from 800 of the participants (400 with low and 400 with high PM exposures). In up to three blood samples collected serially from the remaining 3,500 participants, Stage 2 will focus on the longitudinal replication of the ten most PM-sensitive DNA methylation sites identified by Stage 1, the temporal relationship between PM and DNA methylation at those sites, and that between site-specific DNA methylation and several types of cardiovascular measures. The proposed epigenetic data analyses will be well-powered and appropriately adjusted for both ancestral admixture and multiple comparisons. Findings based on them will improve understanding of pathophysiological mechanisms underlying PM-related CVD in post-menopausal women and support inference to the larger, dynamic population of WHI CT participants from which the minority oversample was drawn. From this perspective, the DNA methylation data generated by the proposed ancillary study may be of substantial value in addressing a variety of hypotheses posed by other investigators.

Specific Aims

I. Characterize associations between PM exposure and DNA methylation in a genome-wide analysis

a) quantify the extent of DNA methylation at approximately 450,000 DNA methylation sites

b) rank the PM sensitivity of the DNA methylation sites

II. Characterize temporal patterns and modification of associations between PM exposure and DNA methylation in a gene-specific analysis

a) perform replication analyses of the ten most PM-sensitive DNA methylation sites identified by Aim I in an independent subset of WHI participants by measuring the extent of DNA methylation changes at these sites using a highly quantitative, bisulfite-pyrosequencing method

b) evaluate modification of longitudinal PM effects on site-specific DNA methylation by a diet rich in anti-oxidant micronutrients, as reflected by high and low plasma concentrations of

         i.   α- and β-carotene
        ii.   α- and γ-tocopherol
        iii.  β-cryptoxanthine
        iv.  lycopene
        v.   lutein                                                                                                       
        vi.  zeaxanthin
        vii. retinol

III. Characterize temporal patterns of associations between DNA methylation at sites identified by Aims I-II and measures of

a) lipid metabolism: TC, HDL-C, TG, LDL-C, HDL-2, HDL-3 and apolipoprotein (a)

b) glucose homeostasis: glucose, insulin and HOMA-IR

c) coagulation: fibrinogen, factor VII antigen, and factor VII clotting activity

d) ECG: heart rate, heart rate variability, conduction, repolarization, ischemia, ectopy and arrhythmia

Related Papers

Dietary patterns and biological aging in the Women’s Health Initiative

Approved Proposal, Reynolds, Lindsay et al., MSID: 5060
Keywords: Diet Quality; Dna Methylation; Epigenetic Aging; Frailty; Biological Aging
Related Studies: 311, 315, BA23

Novel blood DNA methylation sites predict death risk in a longitudinal study of 12 300 individuals

Approved Manuscript, Colicino, Elena et al., 2018/9 MSID: 2639
Keywords: Dna Methylation; 450k; All-Cause Mortality; Epigenome-Wide Association Studies; Aging
Related Studies: 315

DNA methylation signatures of chronic low-grade inflammation are associated with complex diseases

Approved Proposal, Waite, Lindsay et al., 2015/5 MSID: 2745
Keywords: C-Reactive Protein; Il-6; Tnfalpha; Inflammation; Dna Methylation; Epigenetics
Related Studies: 315, BA23

Epigenome of physical activity

Approved Proposal, Hibler, Elizabeth et al., 2015/5 MSID: 2755
Related Studies: 315

Blood leukocyte DNA methylation predicts future risk of myocardial infarction and coronary heart disease: A study of 11,461 participants in nine population-based cohorts

Approved Manuscript, Gondalia, Rahul et al., 2018/1 MSID: 2571
Keywords: Epigenetics; Epigenome-Wide Association Study; Dna Methylation; Coronary Heart Disease; Charge Consortium
Related Studies: 315

Social strain and DNA methylation

Approved Proposal, Kershaw, Kiarri et al., 2015/8 MSID: 2813
Related Studies: 315

Dietary patterns and epigenetic aging in the Women’s Health Initiative

Lindsay Reynolds et al., 2024/1 PubMed #38215906 MSID: 4491
Background: Higher diet quality scores are associated with a lower risk for many chronic diseases and all-cause mortality; however, it is unclear if diet quality is associated with aging biology. Objective: This study aimed to examine the association between diet quality and a measure of biological aging - epigenetic aging. Design: A cross-sectional data analysis was used to examine the association between three diet quality scores based on self-reported food frequency questionnaire (FFQ) data a...
Keywords: Mediterranean Diet; Dna Methylation; Epigenetic Aging; Physical Function; Biological Aging
Related Studies: 311, 315, BA23

Epigenome-wide association study of leukocyte telomere length

Publication, Lee, Yunsung et al., 2019/2 MSID: 3851
Keywords: Dna Methylation; Leukocyte Telomere Length; Aging; Mortality; Cvd
Related Studies: 315, BA23, M5, W58, W63

Epigenome-wide association study (EWAS) of exceptional aging in the Women’s Health Initiative

Approved Proposal, Jain, Purva et al., 2020/5 MSID: 4182
Keywords: Epigenetic; Aging; Cognitive Function; Intact Mobility; Longevity
Related Studies: 39, 311, 315, BA23

Farming history and pesticide exposure as risk factors for ALS deaths within the Women’s Health Initiative Observational Cohort; A nested case control study

Approved Proposal, Talbott, Evelyn et al., 2020/10 MSID: 4313
Keywords: Als; Amyotrophic Lateral Sclerosis; Motor Neuron Disease; Occupational; Environmental Exposures; Pesticides; Risk Factors
Related Studies: 140, 220, 251, 264, 315, 593

Association of clonal hematopoiesis and mosaic chromosomal alterations with solid malignancy incidence and mortality

Pinkal Desai et al., 2024/11 PubMed #39012906 MSID: 3648
Background: Understanding the impact of clonal hematopoiesis of indeterminate potential (CHIP) and mosaic chromosomal alterations (mCAs) on solid tumor risk and mortality can shed light on novel cancer pathways. Methods: The authors analyzed whole genome sequencing data from the Trans-Omics for Precision Medicine Women's Health Initiative study (n = 10,866). They investigated the presence of CHIP and mCA and their association with the development and mortality of breast, lung, and colorectal can...
Keywords: Clonal Hematopoesis; Cancer; Cancer Specific Mortality; Breast Cancer; Colorectal Cancer; Lung Cancer; Hematologic Malignancies
Related Studies: 311, 315, 564, BA23

Epigenetic measures of accelerated aging and mortality in blood are associated with declining renal function

Approved Manuscript, Raffield, Laura et al., 2020/11 MSID: 4329
Keywords: Aging; Kidney Function; Epigenetic Age Acceleration; Dnam Age; Glomerular Filtration Rate
Related Studies: 315, BA23

Impact of childhood secondhand smoking exposure on later health outcomes through DNA methylation

Approved Proposal, Jhun, Min A. et al., 2020/6 MSID: 4223
Keywords: Childhood Secondhand Smoking; Dna Methylation; Race/Ethnic Differences; Epigenetics; Health Disparity
Related Studies: 311, 315, BA23

DNA methylation and optimism in two epigenome-wide studies in women and men

Approved Manuscript, Wang, Cuicui et al., 2020/12 MSID: 3959
Keywords: Dna Methylation; Optimism; Aging; Biology; Psychosocial Factors
Related Studies: 315, BA23

Genome-wide association study of heart rate variability measures among minority women in the WHI clinical trials: Part B

Approved Proposal, Whitsel, Eric et al., 2012/2 MSID: 1740
Keywords: Electrocardiogram; Heart Rate Variability; Genome-Wide Association
Related Studies: 264, 315, M5, M13

An analysis of clonal hematopoiesis and adiposity measures in the Women’s Health Initiative TOPMED cohort

Approved Proposal, Desai, Pinkal et al., 2020/7 MSID: 4246
Keywords: Clonal Hematopoiesis; Chip; Obesity; Adiposity
Related Studies: 311, 315, 628, BA23

Epigenome-wide association study of diet quality in Women’s Health Initiative and TwinsUK cohort

Publication, Leet, Whitney et al., 2019/10 MSID: 3676
Keywords: Diet; Epigenetics; Insulin Resistance; Type 2 Diabetes
Related Studies: 311, 315, 534, BA23

Early life exposure impacts on racial/ethnic and socioeconomic differences in DNA methylation

Approved Proposal, Jhun, Min A. et al., 2020/2 MSID: 4108
Keywords: Early Life; Dna Methylation; Race/Ethnic Differences; Epigenetics; Health Disparity
Related Studies: 311, 315, BA23

Long-term air pollution and risk of amyotrophic lateral sclerosis mortality in the Women’s Health Initiative Cohort

Evelyn Talbott et al., 2022/10 PubMed #36220441 MSID: 3712
Background: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disorder with no cure. Although the etiology of sporadic ALS is largely unknown, environmental exposures may affect ALS risk. Objective: We investigated relationships between exposure to long-term ambient particulate matter (PM) and gaseous air pollution (AP) and ALS mortality. Methods: Within the Women's Health Initiative (WHI) cohort of 161,808 postmenopausal women aged 50-79 years at baseline (1993-1998), we performed a ne...
Keywords: Als; Amyotrophic Lateral Sclerosis; Motor Neuron Disease; Air Pollution; Environmental Exposures; Risk Factors
Related Studies: 140, 220, 251, 264, 315

Genetic loci associated with heart rate variability and their effects on cardiac disease risk

Ilja Nolte et al., 2017/6 PubMed #28613276 MSID: 3083
Reduced cardiac vagal control reflected in low heart rate variability (HRV) is associated with greater risks for cardiac morbidity and mortality. In two-stage meta-analyses of genome-wide association studies for three HRV traits in up to 53,174 individuals of European ancestry, we detect 17 genome-wide significant SNPs in eight loci. HRV SNPs tag non-synonymous SNPs (in NDUFA11 and KIAA1755), expression quantitative trait loci (eQTLs) (influencing GNG11, RGS6 and NEO1), or are located in genes p...
Related Studies: 264, 315, M5, M13

Testing DNA methylation support for a stochastic aging process

Approved Proposal, Robins, Chloe et al., 2017/3 MSID: 3307
Keywords: Aging; Dna Methylation; Biomarker; Stochastic; Disposable Soma
Related Studies: 315, 534

Replication request for: genome-wide scan for CpGxE interactions on central adiposity: the ARIC Study

Approved Proposal, Justice, Anne et al., 2017/3 MSID: 3313
Keywords: Central Obesity; Methylation; Epigenetics
Related Studies: 315

The effect of weather on DNA methylation

Approved Proposal, Mendez Giraldez, Raul et al., 2017/3 MSID: 3314
Keywords: Epigenetics; Epigenome-Wide Association Study; Dna Methylation; Meteorological Weather Variables
Related Studies: 315, 534

Leukocyte traits and exposure to ambient particulate matter air pollution in the Women’s Health Initiative and Atherosclerosis Risk in Communities study

Rahul Gondalia et al., 2020/1 PubMed #31903802 MSID: 3251
BACKGROUND: Inflammatory effects of ambient particulate matter (PM) air pollution exposures may underlie PM-related increases in cardiovascular disease risk and mortality, although evidence of PM-associated leukocytosis is inconsistent and largely based on small, cross-sectional, and/or unrepresentative study populations. OBJECTIVES: Our objective was to estimate PM-leukocyte associations among U.S. women and men in the Women's Health Initiative and Atherosclerosis Risk in Communities study (n=1...
Keywords: Air Pollution; Particulate Matter; Leukocytes
Related Studies: 311, 315, BA23

DNA methylation-based estimator of telomere length

Ake Lu et al., 2019/8 PubMed #31422385 MSID: 3721
Telomere length (TL) is associated with several aging-related diseases. Here, we present a DNA methylation estimator of TL (DNAmTL) based on 140 CpGs. Leukocyte DNAmTL is applicable across the entire age spectrum and is more strongly associated with age than measured leukocyte TL (LTL) (r ~-0.75 for DNAmTL versus r ~ -0.35 for LTL). Leukocyte DNAmTL outperforms LTL in predicting: i) time-to-death (p=2.5E-20), ii) time-to-coronary heart disease (p=6.6E-5), iii) time-to-congestive heart failure (p...
Keywords: Dna Methylation; Leukocyte Telomere Length; Aging; Mortality; Cvd
Related Studies: 315, BA23, M5, W58, W63

Association between epigenetic age acceleration and postmenopausal estradiol in the Women’s Health Initiative

Approved Manuscript, Binder, Alexandra M. et al., 2021/8 MSID: 3725
Keywords: Aging; Postmenopausal Health; Estradiol; Epigenetics; Epigenetic Clock; Breast Cancer
Related Studies: 311, 315, 584, BA23

Integration of epigenetic age acceleration into postmenopausal breast cancer risk prediction models in the Women’s Health Initiative

Approved Proposal, Binder, Alexandra M. et al., 2018/12 MSID: 3726
Keywords: Aging; Postmenopausal Health; Estradiol; Epigenetics; Epigenetic Clock; Breast Cancer
Related Studies: 311, 315, 584, BA23

DNA methylation analysis identifies loci for blood pressure regulation

Melissa Richard et al., 2017/11 PubMed #29198723 MSID: 2860
Genome-wide association studies have identified hundreds of genetic variants associated with blood pressure (BP), but sequence variation accounts for a small fraction of the phenotypic variance. Epigenetic changes may alter the expression of genes involved in BP regulation and explain part of the missing heritability. We therefore conducted a two-stage meta-analysis of the cross-sectional associations of systolic and diastolic BP with blood-derived genome-wide DNA methylation measured on the Inf...
Keywords: Epigenetics; Epigenome-Wide Association Study; Dna Methylation; Blood Pressure; Charge Consortium
Related Studies: 315, BA23

Replication of a methylome-wide association study of socioeconomic adversity and obesity

Approved Proposal, Fernández-Rhodes, Lindsay et al., 2019/12 MSID: 4050
Keywords: Socioeconomic Position; Obesity; Methylation; Epigenetics
Related Studies: 311, 315, BA23

Response to a request to contribute to a methylome-wide association study of ambient particulate matter air pollution and roadway proximity

Approved Proposal, Collins, Jason et al., 2020/4 MSID: 4149
Keywords: Dna; Methylation; Particulate Matter; Ewas; Roadways
Related Studies: 311, 315, BA23

A longitudinal study of DNA methylation as a potential mediator of age-related diabetes risk

Publication, Grant, Cyrstal D. et al., 2017/7 MSID: 2684
Keywords: Aging; Bmi; Dna Methylation; Biological Age; Biomarker; Diabetes
Related Studies: 315, 534

DNA methylation and diabetes: The CHARGE Epigenetics Consortium

Approved Proposal, Lamichhane, Archana et al., 2014/10 MSID: 2572
Keywords: Epigenetics; Epigenome-Wide Association Study; Dna Methylation; Diabetes; Charge Consortium
Related Studies: 315

Epigenome-wide association study of kidney function identifies trans-ethnic and ethnic-specific loci

Nora Franceschini et al., 2021/4 PubMed #33931109 MSID: 3626
Background: DNA methylation (DNAm) is associated with gene regulation and estimated glomerular filtration rate (eGFR), a measure of kidney function. Decreased eGFR is more common among US Hispanics and African Americans. The causes for this are poorly understood. We aimed to identify trans-ethnic and ethnic-specific differentially methylated positions (DMPs) associated with eGFR using an agnostic, genome-wide approach. Methods: The study included up to 5428 participants from multi-ethnic studies...
Keywords: Dna Methylation; Chronic Kidney Disease; Race/Ethnicity; Epigenetics
Related Studies: 315, BA23

History of alcohol use and genome-wide methylation in the Women’s Health Initiative Study

Approved Proposal, Bhatti, Parveen et al., 2016/3 MSID: 3023
Keywords: Alcohol; Epigenetics; Dna Methylation; Age Acceleration; Carcinogenesis
Related Studies: 311, 315, BA23

Physical activity and epigenetic age

Approved Proposal, Hibler, Elizabeth et al., MSID: 3329
Keywords: Epigenetic Aging; Dna Methylation; Physical Activity
Related Studies: 315

Metabolomic evaluation of air pollution-related bone damage and potential mediation

Approved Manuscript, Prada, Diddier et al., 2023/2 MSID: 4490
Keywords: Metabolomics; Air Pollution; Bone Mineral Density; Pm2.5; Pm10
Related Studies: 140, 264, 315, 564, BA24

Stressful life events, social support, and epigenetic aging in the Women’s Health Initiative

Harlyn Skinner et al., 2023/12 PubMed #38149693 MSID: 4386
Background: Elevated psychosocial stress has been linked with accelerated biological aging, including composite DNA methylation (DNAm) markers that predict aging-related outcomes ("epigenetic age"). However, no study has examined whether stressful life events (SLEs) are associated with epigenetic age acceleration in postmenopausal women, an aging population characterized by increased stress burden and disease risk. Methods: We leveraged the Women's Health Initiative, a large muti-ancestry cohort...
Keywords: Stressful Life Events; Psychosocial Stress; Dna Methylation; Epigenetic Age Acceleration; Social Support
Related Studies: 311, 315, BA23

Validation of DNA-methylation-based mortality risk scores

Approved Proposal, Baldassari, Antoine et al., 2017/9 MSID: 3448
Keywords: Epigenetics; Epigenome-Wide Association Study; Dna Methylation; Mortality; Prediction Model
Related Studies: 315

Estrogen exposure, DNA methylation and breast cancer risk

Approved Proposal, Palma Gudiel, Helena et al., 2020/1 MSID: 4094
Keywords: Dna Methylation; Stressful Life Events; Social Support; Cardiovascular Disease; Coronary Heart Disease; Stroke
Related Studies: 311, 315, BA23

Epigenomic signatures of circulating polyunsaturated fatty acids in humans: a meta-analysis of 7 studies in the Cohorts for Heart and Aging Research in Genomic Epidemiology consortium

Approved Manuscript, Tintle, Nathan et al., 2020/11 MSID: 3234
Keywords: Linoleic Acid; Epa; Dha; Ala; Methylation; Fatty Acids
Related Studies: 311, 315, BA19, BA23

Relations of optimism to biomarkers of aging: Epigenetic clock score

Approved Proposal, Grodstein, Francine et al., MSID: 3598
Keywords: Dna Methylation; Epigenetic Clock; Optimism; Aging; Biology
Related Studies: 315, BA23

Epigenetic age and cardiovascular disease outcomes

Approved Proposal, Khan, Sadiya S. et al., 2017/5 MSID: 3359
Keywords: Epigenetic Aging; Dna Methylation; Cardiovascular Health; Obesity; Diabetes
Related Studies: 315

Epigenetically mediated electrocardiographic manifestations of sub-chronic exposures to ambient particulate matter air pollution in the Women's Health Initiative and Atherosclerosis Risk in Communities Study

Rahul Gondalia et al., 2021/4 PubMed #33895111 MSID: 3361
Background: Short-duration exposure to ambient particulate matter (PM) air pollution is associated with cardiac autonomic dysfunction and prolonged ventricular repolarization. However, associations with sub-chronic exposures to coarser particulates are relatively poorly characterized as are molecular mechanisms underlying their potential relationships with cardiovascular disease. Materials and methods: We estimated associations between monthly mean concentrations of PM < 10 µm and 2.5-10 µm in d...
Keywords: Air Pollution; Dna Methylation; Particulate Matter; Mediation; Heart Rate Variability
Related Studies: 311, 315, BA23

Modifiers of the association of air pollution with DNA methylation: Women Health Initiative

Approved Proposal, Huang, Jian et al., 2017/8 MSID: 3415
Keywords: Effect Modifier; Cardiovascular Disease; Adiposity; Air Pollution; Methylation
Related Studies: 315

Are air pollution – depression / anxiety associations mediated by DNA methylation?

Approved Proposal, Rasmussen, Sara et al., 2017/8 MSID: 3417
Keywords: Depression; Anxiety; Particulate Matter; Ozone; Dna Methylation
Related Studies: 315

DNA methylation associated with glycemic traits and type 2 diabetes in multi-ethnic meta-analyses: CHARGE Consortium

Approved Manuscript, Gondalia, Rahul et al., 2020/2 MSID: 2956
Keywords: Epigenetics; Epigenome-Wide Association Study; Dna Methylation; Insulin; Glucose; Glycemic Traits; Charge Consortium
Related Studies: 315

Pharmacoepigenomics: human population studies of DNA methylation and statin treatment response

Approved Proposal, Floyd, James et al., 2017/5 MSID: 3381
Keywords: Dna Methylation; Ldl Cholesterol; Statin; Drug-Gene Interaction; Ewas
Related Studies: 311, 315, 534, BA23

Novel DNA methylation sites of glucose and insulin homeostasis: an integrative cross-omics analysis

Approved Manuscript, Liu, Jun et al., 2018/8 MSID: 3577
Keywords: Replication; Glucose; Insulin; Dna; Methylation; Ewas
Related Studies: 315, W1

Aircraft noise and DNA methylation

Approved Proposal, Holliday, Katie et al., 2017/4 MSID: 3339
Keywords: Epigenetics; Aircraft; Noise; Epigenome-Wide Association Study; Dna Methylation
Related Studies: 311, 315, 534, BA5, BA16, BA23

Gaseous air pollutants and DNA methylation in a methylome-wide association study of an ethnically and environmentally diverse population of U.S. adults

Katie Holliday et al., 2022/9 PubMed #35500859 MSID: 3189
Epigenetic mechanisms may underlie air pollution-health outcome associations. We estimated gaseous air pollutant-DNA methylation (DNAm) associations using twelve subpopulations within Women's Health Initiative (WHI) and Atherosclerosis Risk in Communities (ARIC) cohorts (n = 8397; mean age 61.3 years; 83% female; 46% African-American, 46% European-American, 8% Hispanic/Latino). We used geocoded participant address-specific mean ambient carbon monoxide (CO), nitrogen oxides (NO2; NOx), ozone (O3)...
Keywords: Epigenetics; Air Pollution; Epigenome-Wide Association Study; Dna Methylation; Carbon Monoxide; Nitrogen Dioxide; Nitrous Oxides; Ozone; Sulfur Dioxide
Related Studies: 315, 534

A multi-pollutant approach to the epigenome-wide effects of NAAQS pollutants

Approved Proposal, Baldassari, Antoine et al., 2016/10 MSID: 3190
Keywords: Epigenetics; Epigenome-Wide Association Study; Dna Methylation; Air Pollution; Multi-Pollutant
Related Studies: 315, 534

Whole blood DNA methylation signatures of diet quality

Approved Manuscript, Ma, Jiantao et al., 2019/7 MSID: 3929
Keywords: Cross-Examination; Diet; Dna; Methylation; Mortality
Related Studies: 315

Epigenetic analyses of age at menopause and phenotypes related to estrogen exposure

Approved Proposal, Leet, Whitney et al., 2021/9 MSID: 4562
Keywords: Dna Methylation; Menopause; Reproductive Years; Epigenetics; Late Menopause
Related Studies: 311, 315, BA23

Postmenopausal hormone therapy and DNA methylation levels in blood

Approved Proposal, Kusters, Cynthia D. et al., 2017/10 MSID: 3420
Keywords: Postmenopausal Hormone Therapy; Dna Methylation; Reproductive Characteristics; Epigenetics; Estrogen Risk Scores
Related Studies: 311, 315, BA23

Psychosocial stress, DNA methylation and incident cardiovascular disease

Approved Proposal, Zannas, Anthony et al., 2020/6 MSID: 4090
Keywords: Dna Methylation; Stressful Life Events; Social Support; Cardiovascular Disease; Coronary Heart Disease; Stroke
Related Studies: 311, 315, BA23

DNA methylation GrimAge strongly predicts lifespan and healthspan

Ake Lu et al., 2019/1 PubMed #30669119 MSID: 3668
It was unknown whether plasma protein levels can be estimated based on DNA methylation (DNAm) levels, and if so, how the resulting surrogates can be consolidated into a powerful predictor of lifespan. We present here, seven DNAm-based estimators of plasma proteins including those of plasminogen activator inhibitor 1 (PAI-1) and growth differentiation factor 15. The resulting predictor of lifespan, DNAm GrimAge (in units of years), is a composite biomarker based on the seven DNAm surrogates and a...
Related Studies: 315, BA23

Systems Age: A single blood methylation test to quantify aging heterogeneity across 11 physiological systems

Approved Manuscript, Levine, Morgan et al., 2022/10 MSID: 4601
Keywords: Dna Methylation; Aging; Morbidity; Mortality; Biomarkers
Related Studies: 311, 315, BA23

DNA methylation signatures of depressive symptoms in middle-aged and elderly persons: meta-analysis of multi-ethnic epigenome-wide studies

Rahul Gondalia et al., 2018/9 PubMed #29998287 MSID: 3093
Importance: Depressive disorders arise from a combination of genetic and environmental risk factors. Epigenetic disruption provides a plausible mechanism through which gene-environment interactions lead to depression. Large-scale, epigenome-wide studies on depression are missing, hampering the identification of potentially modifiable biomarkers. Objective: To identify epigenetic mechanisms underlying depression in middle-aged and elderly persons, using DNA methylation in blood. Design, Setting, ...
Keywords: Epigenetics; Epigenome-Wide Association Study; Dna Methylation; Depressive Symptoms; Charge Consortium
Related Studies: 315

Optimism is not associated with two indicators of DNA methylation aging

Eric Kim et al., 2019/7 PubMed #31322503 MSID: 3275
Evidence indicates associations between higher optimism and reduced risk of age-related conditions and premature mortality. This suggests optimism is a positive health asset, but research identifying potential biological mechanisms underlying these associations remains limited. One potential pathway is slower cellular aging, which may delay age-related deterioration in health. Data were from the Women's Health Initiative (WHI) (N=3,298) and the Veterans Affairs Normative Aging Study (NAS) (N=514...
Keywords: Optimism; Health; Health Behaviors; Exceptional Longevity; Epidemiology
Related Studies: 315, BA23

Epigenetic clock for skin and blood cells applied to Hutchinson Gilford Progeria Syndrome and ex vivo studies

Steve Horvath et al., 2018/7 PubMed #30048243 MSID: 3645
DNA methylation (DNAm)-based biomarkers of aging have been developed for many tissues and organs. However, these biomarkers have sub-optimal accuracy in fibroblasts and other cell types used in ex vivo studies. To address this challenge, we developed a novel and highly robust DNAm age estimator (based on 391 CpGs) for human fibroblasts, keratinocytes, buccal cells, endothelial cells, lymphoblastoid cells, skin, blood, and saliva samples. High age correlations can also be observed in sorted neuro...
Keywords: Dna Methylation; Aging; Morbidity; Mortality; Biomarkers
Related Studies: 315, BA23

Epigenetic signatures for breast cancer underlying glucose intolerance in minority subpopulations

Approved Proposal, Jung, Su Yon et al., 2024/10 MSID: 5092
Keywords: Cancer; Breast Carcinogenesis; Glucose Intolerance; Dna Methylation; Minority Subpopulations
Related Studies: 311, 315, 564, BA23

Metabolic obesity phenotype, age acceleration and obesity-related cancer risk in the Women’s Health Initiative

Approved Proposal, Karra, Prasoona et al., 2023/3 MSID: 4878
Keywords: Obesity-Associated Cancer; Metabolic Dysfunction; Body Mass Index; Metabolic Health Phenotypes; Age Acceleration
Related Studies: 311, 315, 564, BA23, W1, W2, W54, W58, W66

Optimism, lifestyle, and longevity in a racially diverse cohort of women

Hayami K. Koga et al., 2022/6 PubMed #35674052 MSID: 4441
Background: Research has suggested optimism is associated with healthy aging and exceptional longevity, but most studies were conducted among non-Hispanic White populations. We examined associations of optimism to longevity across racial and ethnic groups and assessed healthy lifestyle as a possible mediating pathway. Methods: Participants from the Women's Health Initiative (N = 159,255) completed a validated measure of optimism and provided other demographic and health data at baseline. We eval...
Keywords: Optimism; Health; Health Behaviors; Exceptional Longevity; Epidemiology
Related Studies: 315, BA23

Analysis of epigenetic age acceleration and healthy longevity among older US women

Purva Jain et al., 2022/7 PubMed #35895062 MSID: 4181
Importance: Accelerated biological aging is associated with decreased physical capability and cognitive functioning, which are associated with increased risk of morbidity and mortality. Objective: We investigated associations between epigenetic age acceleration (EAA), a biomarker associated with aging, and healthy longevity among older women. Design, setting, and participants: This cohort study was a secondary analysis of participants in the Women's Health Initiative (WHI) who were eligible to s...
Keywords: Epigenetic; Aging; Cognitive Function; Intact Mobility; Longevity
Related Studies: 39, 311, 315, BA23

Methylome-wide association study provides evidence of particulate matter air pollution-associated DNA methylation

Rahul Gondalia et al., 2019/6 PubMed #31208937 MSID: 3188
BACKGROUND: DNA methylation (DNAm) may contribute to processes that underlie associations between air pollution and poor health. Therefore, our objective was to evaluate associations between DNAm and ambient concentrations of particulate matter (PM) =2.5, =10, and 2.5-10 µm in diameter (PM2.5; PM10; PM2.5-10). METHODS: We conducted a methylome-wide association study among twelve cohort- and race/ethnicity-stratified subpopulations from the Women's Health Initiative and the Atherosclerosis Risk i...
Keywords: Epigenetics; Air Pollution; Epigenome-Wide Association Study; Dna Methylation; Particulate Matter
Related Studies: 311, 315, 534, BA23

The association of epigenetic age acceleration and multimorbidity at age 90 in the Women’s Health Initiative

Purva Jain et al., 2022/9 PubMed #36107798 MSID: 4214
Background: Epigenetic age acceleration (EAA), a measure of accelerated biological aging, has been associated with increased risk of several age-related chronic conditions. This is the first study to prospectively examine the relationship between EAA and both multimorbidity count and a weighted multimorbidity score among long-lived postmenopausal women. Methods: We included 1,951 women from the Women's Health Initiative who could have survived to age 90. EAA was estimated using the Horvath pan-t...
Keywords: Epigenetic; Aging; Multimorbidity; Chronic Conditions; Longevity
Related Studies: 311, 315, BA23

Associations between DNA methylation and BMI vary by metabolic health status: a potential link to disparate cardiovascular outcomes

Whitney Leet et al., 2021/12 PubMed #34937574 MSID: 4071
Background: Body mass index (BMI), a well-known risk factor for poor cardiovascular outcomes, is associated with differential DNA methylation (DNAm). Similarly, metabolic health has also been associated with changes in DNAm. It is unclear how overall metabolic health outside of BMI may modify the relationship between BMI and methylation profiles, and what consequences this may have on downstream cardiovascular disease. The purpose of this study was to identify cytosine-phosphate-guanine (CpG) si...
Related Studies: 311, 315, 534, BA23

Association of cardiovascular health and epigenetic age acceleration

Tess Pottinger et al., 2021/2 PubMed #33632308 MSID: 3360
Background: Cardiovascular health (CVH) has been defined by the American Heart Association (AHA) as the presence of the ""Life's Simple 7"" ideal lifestyle and clinical factors. CVH is known to predict longevity and freedom from cardiovascular disease, the leading cause of death for women in the United States. DNA methylation markers of aging have been aggregated into a composite epigenetic age score, which is associated with cardiovascular morbidity and mortality. However, it is unknown whethe...
Related Studies: 315

Transposable element methylation state predicts age and disease

Approved Manuscript, Gorbunova, Vera et al., 2024/3 MSID: 4805
Keywords: Dna Methylation; Transposable Elements; Line1; Clock; Morbidity; Mortality
Related Studies: 315, 534, BA23

DNA methylation GrimAge version 2

Approved Manuscript, Lu, Ake et al., 2022/8 MSID: 4616
Keywords: Epigenetic Clocks; Dna Methylation; Proteomics; Principal Components; Mortality; Reproducibility
Related Studies: 315, BA23

Identifying the relation between food groups and biological ageing; a data-driven approach

Ynte Biemans et al., 2024/5 PubMed #38745494 MSID: 4811
Background: Heterogeneity in ageing rates drives the need for research into lifestyle secrets of successful agers. Biological age, predicted by epigenetic clocks, has been shown to be a more reliable measure of ageing than chronological age. Dietary habits are known to affect the ageing process. However, much remains to be learnt about specific dietary habits that may directly affect the biological process of ageing. Objective: To identify food groups that are directly related to biological agei...
Keywords: Aging; Epigenetic Clock; Dna Methylation; Nutrition; Copula Graphical Model
Related Studies: 315, BA23

Association of epigenetic age acceleration with incident mild cognitive impairment and dementia among older women

Aladdin Shadyab et al., 2021/8 PubMed #34417803 MSID: 4146
Background: Epigenetic age acceleration (AgeAccel), which indicates faster biological aging relative to chronological age, has been associated with lower cognitive function. However, the association of AgeAccel with mild cognitive impairment (MCI) or dementia is not well-understood. We examined associations of four AgeAccel measures with incident MCI and dementia. Methods: This prospective analysis included 578 older women from the Women's Health Initiative Memory Study selected for a case-coho...
Keywords: Epigenetics; Dementia; Alzheimer’S; Dna Methylation; Mild Cognitive Impairment; Aging
Related Studies: 311, 315, BA23

AESurv: autoencoder survival analysis for accurate early prediction of coronary heart disease

Yike Shen et al., 2024/9 PubMed #39323093 MSID: 4795
Coronary heart disease (CHD) is one of the leading causes of mortality and morbidity in the United States. Accurate time-to-event CHD prediction models with high-dimensional DNA methylation and clinical features may assist with early prediction and intervention strategies. We developed a state-of-the-art deep learning autoencoder survival analysis model (AESurv) to effectively analyze high-dimensional blood DNA methylation features and traditional clinical risk factors by learning low-dimensiona...
Keywords: Coronary Heart Disease; Autoencoder Survival Analysis; Aesurv; Deep Learning; Prediction
Related Studies: 311, 315, 564, BA23

Comparison of PM2.5 air pollution exposures and health effects associations using 11 different modeling approaches in the Women's Health Initiative Memory Study (WHIMS)

Melinda Power et al., 2024/1 PubMed #38226465 MSID: 4126
Background: Many approaches to quantifying air pollution exposures have been developed. However, the impact of choice of approach on air pollution estimates and health-effects associations remains unclear. Objectives: Our objective is to compare particulate matter with aerodynamic diameter ≤ 2.5 μ m ( PM 2.5 ) concentrations and resulting health effects associations using multiple estimation approaches previously used in epidemiologic analyses. Methods: We assigned annual PM 2.5 exposure estimat...
Keywords: Air Pollution; Particulate Matter; Ozone; Environmental Health; Environmental Epidemiology
Related Studies: 140, 150, 226, 251, 252, 264, 315, 552

The role of social determinants of health on epigenetic aging acceleration and symptoms in women cancer survivors: Findings from the Women’s Health Initiative Study

Approved Proposal, Han, Claire J. et al., 2024/7 MSID: 5155
Keywords: Epigenetic Age Acceleration; Dna Methylation; Symptoms; Cancer Survivors; Social Determinants Of Health
Related Studies: 311, 315, BA23

Understanding ADRD disparities using a representative epigenetic clock

Approved Proposal, Boyle, Rory et al., 2024/10 MSID: 5222
Keywords: Epigenetics; Health Equity; Disparities; Dna Methylation; Aging
Related Studies: 311, 315, BA23

Epigenetic entropy, social disparity, and health and lifespan in the Women’s Health Initiative

Approved Manuscript, Mozhui, Khyobeni et al., 2025/1 MSID: 4833
Keywords: Dna Methylation; Epigenetics; Entropy; Aging; Lifespan; Healthspan
Related Studies: 311, 315, BA23

Discovering the direct relations between nutrients and epigenetic ageing

Pol Grootswagers et al., 2024/9 PubMed #39067141 MSID: 5022
Background: Along with the ageing of society, the absolute prevalence of age-related diseases is expected to rise, leading to a substantial burden on healthcare systems and society. Thus, there is an urgent need to promote healthy ageing. As opposed to chronological age, biological age was introduced to accurately represent the ageing process, as it considers physiological deterioration that is linked to morbidity and mortality risk. Furthermore, biological age responds to various factors, inclu...
Keywords: Aging; Epigenetic Clock; Dna Methylation; Nutrition; Copula Graphical Model
Related Studies: 315, BA23

Indoor radon exposure and its effects on leukocyte and platelet traits

Approved Proposal, Shi, Cuiran et al., 2024/6 MSID: 5148
Keywords: Radon; Radiation; Leukocyte; Compositional Data; Platelet
Related Studies: 311, 315, 534, BA23

Response to a request for cross-examining in WHI successful aging-DNA methylation signatures in ARIC

Approved Proposal, Collins, Jason et al., 2025/4 MSID: 5317
Keywords: Dna; Methylation; Aging; Success; Health; Replication
Related Studies: 311, 315, BA23

DNA methylation in peripheral blood leukocytes for the association with glucose metabolism and invasive breast cancer

Su Yon Jung et al., 2023/2 PubMed #36782224 MSID: 4429
Background: Insulin resistance (IR) is a well-established factor for breast cancer (BC) risk in postmenopausal women, but the interrelated molecular pathways on the methylome are not explicitly described. We conducted a population-level epigenome-wide association (EWA) study for DNA methylation (DNAm) probes that are associated with IR and prospectively correlated with BC development, both overall and in BC subtypes among postmenopausal women. Methods: We used data from Women's Health Initiative...
Keywords: Breast Cancer Risk; Cancer-Related Metabolic Biomarkers; Obesity; Exogenous Estrogen; Dna Methylation
Related Studies: 311, 315, BA23

Pre-cancer epigenetic age acceleration and risk of major adverse cardiovascular events in cancer survivors

Approved Proposal, Vasbinder, Alexi et al., 2025/1 MSID: 5263
Keywords: Cardiovascular Disease; Epigenetics; Accelerated Aging; Cancer; Dna Methylation
Related Studies: 311, 315, BA23

Epigenome-wide meta-analysis of BMI in nine population-based cohorts: examining the utility of epigenetically predicted BMI

Whitney Leet et al., 2023/1 PubMed #36649705 MSID: 4353
This study sought to examine the association between DNA methylation and body mass index (BMI) and the potential of BMI-associated cytosine-phosphate-guanine (CpG) sites to provide information about metabolic health. We pooled summary statistics from six trans-ethnic epigenome-wide association studies (EWASs) of BMI representing nine cohorts (n = 17,034), replicated these findings in the Women's Health Initiative (WHI, n = 4,822), and developed an epigenetic prediction score of BMI. In the poole...
Keywords: Obesity; Dna Methylation; Epigenetics; Bmi; Metabolic Health
Related Studies: 311, 315, BA23

Genetic risk score for epigenetic age and associations with cardiovascular outcomes

Approved Proposal, Couch, Catharine et al., 2024/4 MSID: 5096
Keywords: Epigenetics; Polygenic Risk Score; Aging; Biological Age; Cardiovascular Disease
Related Studies: 315, 564, BA23

Association between Life’s Essential Eight and epigenetic age acceleration

Approved Proposal, Mendoza, Carmen et al., 2023/12 MSID: 5029
Keywords: Life’S Essential Eight; Epigenetics; Cardiovascular Health; Dna Methylation; Biological Aging
Related Studies: 311, 315, BA23

Associations of Epigenetic Age Estimators With Cognitive Function Trajectories in the Women’s Health Initiative Memory Study

Steve Nguyen et al., 2024/7 PubMed #38857479 MSID: 4550
Background and objectives: Epigenetic age estimators indicating faster/slower biological aging vs chronological age independently associate with several age-related outcomes; however, longitudinal associations with cognitive function are understudied. We examined associations of epigenetic age estimators with cognitive function measured annually. Methods: This longitudinal study consisted of older women enrolled in the Women's Health Initiative Memory Study with DNA methylation (DNAm) collected ...
Keywords: Aging; Dna Methylation; Cognitive Functioning; Epigenetic Age Acceleration; Cognitive Aging
Related Studies: 311, 315, BA23

Neighborhood socioeconomic status, green space, and walkability and risk for falls among postmenopausal women: The Women’s Health Initiative

Marilyn Wende et al., 2023/5 PubMed #37149415 MSID: 4068
Purpose: This study estimated associations between neighborhood socioeconomic status (NSES), walkability, green space, and incident falls among postmenopausal women and evaluated modifiers of these associations, including study arm, race and ethnicity, baseline household income, baseline walking, age at enrollment, baseline low physical functioning, baseline fall history, climate region, and urban-rural residence. Methods: The Women's Health Initiative recruited a national sample of postmenopaus...
Keywords: Built Environment; Neighborhood; Falls; Physical Activity; Injury
Related Studies: 140, 220, 251, 252, 264, 315, 442, 481

How neighborhood socioeconomic status, green space, and walkability are associated with risk for fracture among postmenopausal women: The Women’s Health Initiative

Marilyn Wende et al., 2023/7 PubMed #37149415 MSID: 4069
Purpose: This study estimated associations between neighborhood socioeconomic status (NSES), walkability, green space, and incident falls among postmenopausal women and evaluated modifiers of these associations, including study arm, race and ethnicity, baseline household income, baseline walking, age at enrollment, baseline low physical functioning, baseline fall history, climate region, and urban-rural residence. Methods: The Women's Health Initiative recruited a national sample of postmenopaus...
Keywords: Neighborhood Socioeconomic Status; Walkability; Green Space; Fracture; Postmenopausal
Related Studies: 140, 220, 251, 252, 264, 315, 442, 481

Methylome-wide association study of central adiposity implicates genes involved in immune and endocrine systems

Anne Justice et al., 2020/9 PubMed #32901515 MSID: 3312
Aim: We conducted a methylome-wide association study to examine associations between DNA methylation in whole blood and central adiposity and body fat distribution, measured as waist circumference, waist-to-hip ratio and waist-to-height ratio adjusted for body mass index, in 2684 African-American adults in the Atherosclerosis Risk in Communities study. Materials & methods: We validated significantly associated cytosine-phosphate-guanine methylation sites (CpGs) among adults using the Women's He...
Keywords: Central Obesity; Methylation; Epigenetics
Related Studies: 315