Using Epigenetic Clocks to Characterize Biological Aging in Studies of Children and Childhood Exposures: A Systematic Review
Open accessAbstract
Biological age, measured via epigenetic clocks, offers a unique and useful tool for prevention scientists to explore the short- and long-term implications of age deviations for health, development, and behavior. The use of epigenetic clocks in pediatric research is rapidly increasing, and there is a need to review the landscape of this work to understand the utility of these clocks for prevention scientists. We summarize the current state of the literature on the use of specific epigenetic clocks in childhood. Using systematic review methods, we identified studies published through February 2023 that used one of three epigenetic clocks as a measure of biological aging. These epigenetic clocks could either be used as a predictor of health outcomes or as a health outcome of interest. The database search identified 982 records, 908 of which were included in a title and abstract review. After full-text screening, 68 studies were eligible for inclusion. While findings were somewhat mixed, a majority of included studies found significant associations between the epigenetic clock used and the health outcome of interest or between an exposure and the epigenetic clock used. From these results, we propose the use of epigenetic clocks as a tool to understand how exposures impact biologic aging pathways and development in early life, as well as to monitor the effectiveness of preventive interventions that aim to reduce exposure and associated adverse health outcomes.
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DNA methylation-based age estimates combine selected cytosine-phosphate-guanine sites using algorithms trained for particular ages and tissues.
“DNA methylation–based age estimates combine selected cytosine–phosphate–guanine sites using algorithms trained for particular ages and tissues [132,133].”
From Placental Pathophysiology and Developmental Programming of Adult Cardiometabolic Risk: A Narrative Review of Pregnancy Exposures (2026) · cites this paper as [133]
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Cited by
Sorted by citations
Prenatal and early-life air pollutant exposure and epigenetic aging acceleration
Lee, D.-W., Lim, Y.-H., Choi, Y.-J., Kim, S., Shin, C. H., Lee, Y. A., Kim, B.-N., Kim, J. I., & Hong, Y.-C. (2024) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2024.116823 · Cited by 14 · see citing works
Panteris, E., Kakatsaki, I., Koukou, Z., Kolvatzis, C., Papanikolaou, S., & Hatzidaki, E. (2026) · Pathophysiology · doi:10.3390/pathophysiology33030067
- Authors
- Musci, R. J., Raghunathan, R. S., Johnson, S. B., Klein, L., Ladd-Acosta, C., Ansah, R., Hassoun, R., & Voegtline, K. M.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Musci, Rashelle J.
- Venue
- Prevention Science
- Published
- 2023-07-21
- Volume
- 24
- Issue
- 7
- Pages
- 1398-1423
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC10964791
- OpenAlex
- W4384925723
- Cited by
- 27
- References
- 5
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 9
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD093643)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Health, Environment, Cognitive Aging
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- epigenetic clocks, biological aging, children's exposure, biological age, early life development, preventive interventions, health outcomes, epigenetics, aging biomarkers
- MeSH terms
- Aging, Biological Clocks, Child, Humans, Databases, Factual, DNA Methylation, Epigenesis, Genetic, Epigenomics
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