Evidence map›Paper›PMID 26673150›Full record

ArticleGenome biology2015

Lifetime stress accelerates epigenetic aging in an urban, African American cohort: relevance of glucocorticoid signaling.

Anthony S Zannas, Janine Arloth, Tania Carrillo-Roa, Stella Iurato, Simone Röh, Kerry J Ressler, Charles B Nemeroff, Alicia K Smith, Bekh Bradley, Christine Heim and 8 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Genome biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 275 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
275citing papers in PubMed, 8 pooled it
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

275 citing papers in PubMed, 8 syntheses or guidelines pooled it, 472 citations in OpenAlex.

  1. Pooled it
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  5. Using Epigenetic Clocks to Characterize Biological Aging in Studies of Children and Childhood Exposures: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2023
    Pooled it
  6. Pooled it
  7. Pooled it
  8. A Systematic Review and Meta-analysis of Environmental, Lifestyle, and Health Factors Associated With DNA Methylation Age.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Pooled it
  9. Trial
  10. Article
  11. Article
  12. Review
  13. Post-traumatic stress disorder.Nature reviews. Disease primers · 2026
    Review
  14. Observational
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

215 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 3 countries.

Anthony S ZannasDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany. anthony_zannas@psych.mpg.de.
Janine ArlothDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.
Tania Carrillo-RoaDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.
Stella IuratoDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.
Simone RöhDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.
Kerry J ResslerDepartment of Psychiatry and Behavioral Sciences, Emory University Medical School, Atlanta, GA, USA.
Charles B NemeroffDepartment of Psychiatry and Behavioral Sciences and the Center on Aging, University of Miami Miller School of Medicine, Miami, FL, USA.
Alicia K SmithDepartment of Psychiatry and Behavioral Sciences, Emory University Medical School, Atlanta, GA, USA.
Bekh BradleyDepartment of Psychiatry and Behavioral Sciences, Emory University Medical School, Atlanta, GA, USA.
Christine HeimInstitute of Medical Psychology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Andreas MenkeCurrent Address: Department of Psychiatry, Psychosomatics, and Psychotherapy, University of Wuerzburg, Wuerzburg, Germany.
Jennifer F LangeDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.
Tanja BrücklDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.
Marcus IsingMax Planck Institute of Psychiatry, Munich, Germany.
Naomi R WrayThe University of Queensland, Queensland Brain Institute, St Lucia, Qld 4072, Australia.
Angelika ErhardtDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.
Elisabeth B BinderDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany. binder@psych.mpg.de.
Divya MehtaThe University of Queensland, Queensland Brain Institute, St Lucia, Qld 4072, Australia.
Max Planck Institute of Psychiatry · DEEmory University · USUniversity of Queensland · AUCharité - Universitätsmedizin Berlin · DEUniversity of Miami · USUniversity of Würzburg · DE

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Signal transductionP50MH058922 · NIMH · EMORY UNIVERSITY · PI KINKEAD, BECKY · 1999 to 2008
$21.7M
Neural Substrates of Depression Risk after Child AbuseK01MH073698 · NIMH · EMORY UNIVERSITY · PI HEIM, CHRISTINE M · 2006 to 2010
$642k
European Research Council 281338NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1 RR025008NCRR NIH HHS UL1RR025008NIMH NIH HHS K01 MH073698NIMH NIH HHS K01 MH073698-01NIMH NIH HHS MH071538NIMH NIH HHS MH58922NIMH NIH HHS P50 MH058922
6 · The paper itself

Abstract

backgroundChronic psychological stress is associated with accelerated aging and increased risk for aging-related diseases, but the underlying molecular mechanisms are unclear.

resultsWe examined the effect of lifetime stressors on a DNA methylation-based age predictor, epigenetic clock. After controlling for blood cell-type composition and lifestyle parameters, cumulative lifetime stress, but not childhood maltreatment or current stress alone, predicted accelerated epigenetic aging in an urban, African American cohort (n = 392). This effect was primarily driven by personal life stressors, was more pronounced with advancing age, and was blunted in individuals with higher childhood abuse exposure. Hypothesizing that these epigenetic effects could be mediated by glucocorticoid signaling, we found that a high number (n = 85) of epigenetic clock CpG sites were located within glucocorticoid response elements. We further examined the functional effects of glucocorticoids on epigenetic clock CpGs in an independent sample with genome-wide DNA methylation (n = 124) and gene expression data (n = 297) before and after exposure to the glucocorticoid receptor agonist dexamethasone. Dexamethasone induced dynamic changes in methylation in 31.2 % (110/353) of these CpGs and transcription in 81.7 % (139/170) of genes neighboring epigenetic clock CpGs. Disease enrichment analysis of these dexamethasone-regulated genes showed enriched association for aging-related diseases, including coronary artery disease, arteriosclerosis, and leukemias.

conclusionsCumulative lifetime stress may accelerate epigenetic aging, an effect that could be driven by glucocorticoid-induced epigenetic changes. These findings contribute to our understanding of mechanisms linking chronic stress with accelerated aging and heightened disease risk.

Indexed as

Epigenesis, GeneticAdolescentAdultAgedAgingBlack or African AmericanCase-Control StudiesCpG IslandsDexamethasoneFemaleGlucocorticoidsHumansMaleMiddle AgedReceptors, GlucocorticoidResponse ElementsDexamethasoneGlucocorticoidsReceptors, Glucocorticoid

Identifiers

PMID26673150
PMCPMC4699359
OpenAlexW2200534091

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.