Lu · Nature communications 2018 · genome-wide association study, Mendelian randomization, and in vitro experimental study · n=9907

GWAS of epigenetic aging rates in blood reveals a critical role for TERT.

Cited 227 times in the scientific literature.

Level 3 - non-randomized controlled study

Observational cohort genome-wide association study with Mendelian randomization and in vitro laboratory validation.

PubMed 29374233 · doi:10.1038/s41467-017-02697-5 · record verified 2026-08-30

What was done

Genome-wide association study (GWAS) of blood epigenetic aging rates, measuring intrinsic epigenetic age acceleration (IEAA) and extrinsic epigenetic age acceleration (EEAA) in 9,907 individuals. The authors performed Mendelian randomization to evaluate causal associations with biological traits and experimentally expressed hTERT in primary human fibroblasts to evaluate its effect on DNA methylation age across cell population doublings.

What was found

Genetic variants mapped to 5 loci associated with IEAA and 3 loci associated with EEAA. Variants in TERT associated with longer leukocyte telomere length were paradoxically associated with higher IEAA (P < 2.7 x 10^-11). Mendelian randomization indicated causal effects of age at menarche and menopause on IEAA, and lipoproteins on both IEAA and EEAA. Experimental hTERT expression in primary human fibroblasts resulted in a linear increase in DNA methylation age with increasing cell population doubling number.

Why it matters

This work identifies genetic determinants of epigenetic aging clocks and demonstrates that TERT promotes DNA methylation aging despite preserving telomere length.

Limits

Exact effect sizes, confidence intervals, and specific variant details for most loci are not reported in the abstract. Measurements of epigenetic aging were restricted to blood, and in vitro fibroblast findings may not fully generalize to in vivo human tissue biology.

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