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Biohorology and biomarkers of aging: Current state-of-the-art, challenges and opportunities
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The aging process results in multiple traceable footprints, which can be quantified and used to estimate an organism's age. Examples of such aging biomarkers include epigenetic changes, telomere attrition, and alterations in gene expression and metabolite concentrations. More than a dozen aging clocks use molecular features to predict an organism's age, each of them utilizing different data types and training procedures. Here, we offer a detailed comparison of existing mouse and human aging clocks, discuss their technological limitations and the underlying machine learning algorithms. We also discuss promising future directions of research in biohorology - the science of measuring the passage of time in living systems. Overall, we expect deep learning, deep neural networks and generative approaches to be the next power tools in this timely and actively developing field.
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“Chronological age predictors, which the field has colloquially termed ageing clocks43,44, are one framework to interpret omics data in the context of ageing and has shown considerable promise45.”
From Measuring biological age using omics data (2022) · cites this paper as [45]
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Secci, R., Hartmann, A., Walter, M., Grabe, H. J., der Auwera, S. V., Kowald, A., Palmer, D. H., Rimbach, G. H., Fuellen, G., & Barrantes, I. (2021) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2021.1975638 · Cited by 11
Shokhirev, M. N., & Johnson, A. A. (2025) · GeroScience · doi:10.1007/s11357-025-01824-1 · Cited by 10
Song, Y., Liu, Y. S., Talarico, F., Zhang, Y., Hayward, J., Wang, M., Stroulia, E., Dixon, R. A., Greiner, R., Li, X., et al. (2023) · Gerontology · doi:10.1159/000534015 · Cited by 10
Novel Epigenetic Clock Biomarkers of Age-Related Macular Degeneration
Mallik, S., Grodstein, F., Bennett, D. A. A., Vavvas, D. G., & Lemos, B. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.856853 · Cited by 10
Harinath, G., Zalzala, S., Nyquist, A., Wouters, M. C. A., Isman, A., Moel, M., Verdin, E. M., Kaeberlein, M. R., Kennedy, B. K., & Bischof, E. Y. (2024) · Ageing Research Reviews · doi:10.1016/j.arr.2024.102293 · Cited by 9
From clock to clock: Therapeutic target discovery for aging and age-related diseases
Chen, J., Leung, G. H. D., Leung, H., Ustiugova, A. S., Shneyderman, A., Korzinkin, M., Gennert, D. G., Pun, F. W., Aliper, A. M., Ren, F., et al. (2025) · Ageing Research Reviews · doi:10.1016/j.arr.2025.102871 · Cited by 10
Self-citationSandalova, E., & Maier, A. B. (2023) · Biogerontology · doi:10.1007/s10522-023-10077-4 · Cited by 9
Kang, S., Baker, S. A., Hayhoe, B. W. J., Price, G., Novak, G., Wong, J., Middleton, L. T., & Robinson, O. (2025) · The Journal of Prevention of Alzheimer s Disease · doi:10.1016/j.tjpad.2025.100274 · Cited by 9
Adapting Blood DNA Methylation Aging Clocks for Use in Saliva Samples With Cell-type Deconvolution
Galkin, F., Kochetov, K., Mamoshina, P., & Zhavoronkov, A. A. (2021) · Frontiers in Aging · doi:10.3389/fragi.2021.697254 · Cited by 8
Self-citationPlasma Proteomics Reveals Biomarkers and Undulating Changes in Metabolic Aging
Zhang, J., Yu, H., Xiong, Y., Xue, D., Chen, S., Li, J., Li, X., Xie, J., Wang, Y., Xu, K., et al. (2025) · Research · doi:10.34133/research.1004 · Cited by 7
Scale bar of aging trajectories for screening personal rejuvenation treatments
Shen, X., Wu, B., Jiang, W. M., Li, Y., Zhang, Y., Zhao, K., Nie, N., Gong, L., Liu, Y., Zou, X., et al. (2022) · Computational and Structural Biotechnology Journal · doi:10.1016/j.csbj.2022.10.021 · Cited by 7
Fingelkurts, A. A., & Fingelkurts, A. A. (2023) · Brain Sciences · doi:10.3390/brainsci13030520 · Cited by 7
Metadata
- Authors
- Galkin, F., Mamoshina, P., Aliper, A., de Magalhães, J. P., Gladyshev, V. N., & Zhavoronkov, A.
- Affiliations
- University of Liverpool (GB)
- Brigham and Women's Hospital (US)
- Buck Institute for Research on Aging (US)
- Corresponding author
- Zhavoronkov, Alex
- Venue
- Ageing Research Reviews
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 60
- Pages
- 101050
- ISSN
- 1568-1637 (ISSN-L)
- OpenAlex
- W3015295307
- Cited by
- 189
- References
- 123
- Citations by year
- 2026: 15 · 2025: 36 · 2024: 45 · 2023: 40 · 2022: 26 · 2021: 22 · 2020: 5
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Ageing Research Reviews (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Keywords
- aging biomarkers, aging clocks, epigenetic aging, telomere shortening, gene expression, metabolites, machine learning, deep learning, generative models, age estimation
- MeSH terms
- Machine Learning, Aging, Algorithms, Animals, Humans, Biomarkers, Neural Networks, Computer, Mice
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