Evidence map›Paper›PMID 27511193›Full record

ArticleGenome biology2016

An epigenetic clock analysis of race/ethnicity, sex, and coronary heart disease.

Steve Horvath, Michael Gurven, Morgan E Levine, Benjamin C Trumble, Hillard Kaplan, Hooman Allayee, Beate R Ritz, Brian Chen, Ake T Lu, Tammy M Rickabaugh and 12 more

Open access · goldAbstract read
In one paragraph

Article in Genome biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 472 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
472citing papers in PubMed, 2 pooled it
35.3field-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

472 citing papers in PubMed, 2 syntheses or guidelines pooled it, 776 citations in OpenAlex.

  1. Pooled it
  2. Accelerated epigenetic age in hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Pooled it
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412 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 13 institutions in 3 countries.

Steve HorvathHuman Genetics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA. shorvath@mednet.ucla.edu.ORCID 0000-0002-4110-3589
Michael GurvenDepartment of Anthropology, University of California Santa Barbara, Santa Barbara, CA, 93106, USA.
Morgan E LevineHuman Genetics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA.
Benjamin C TrumbleDepartment of Anthropology, University of California Santa Barbara, Santa Barbara, CA, 93106, USA.
Hillard KaplanDepartment of Anthropology, University of New Mexico, Albuquerque, NM, 87131, USA.
Hooman AllayeeDepartment of Preventive Medicine and Institute for Genetic Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90089, USA.
Beate R RitzDepartment of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, 90095, USA.
Brian ChenLongitudinal Studies Section, Translational Gerontology Branch, National Institute on Aging, National Institutes of Health, Baltimore, MD, 21224, USA.
Ake T LuHuman Genetics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, 90095, USA.
Tammy M RickabaughDepartment of Medicine, Division of Hematology/Oncology, AIDS Institute, University of California Los Angeles, Los Angeles, CA, USA.
Beth D JamiesonDepartment of Medicine, Division of Hematology/Oncology, AIDS Institute, University of California Los Angeles, Los Angeles, CA, USA.
Dianjianyi SunDepartment of Epidemiology, Tulane University, New Orleans, LA, 70112, USA.
Shengxu LiDepartment of Epidemiology, Tulane University, New Orleans, LA, 70112, USA.
Wei ChenDepartment of Epidemiology, Tulane University, New Orleans, LA, 70112, USA.
Lluis Quintana-MurciUnit of Human Evolutionary Genetics, Centre National de la Recherche Scientifique, URA3012, URA3012 Institut Pasteur, Paris, 75015, France.
Maud FagnyDepartment of Biostatistics, Harvard TH Chan School of Public Health and Department of Computational Biology and Biostatistics, Dana-Farber Cancer Institute, Boston, MA, 02115, USA.
Michael S KoborCentre for Molecular Medicine and Therapeutics, Child and Family Research Institute and Department of Medical Genetics, University of British Columbia, Vancouver, BC, V5Z 4H4, Canada.
Philip S TsaoDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Alexander P ReinerDepartment of Epidemiology, Fred Hutchinson Cancer Research Center, University of Washington, Seattle, WA, 98109, USA.
Kerstin L EdlefsenDepartment of Laboratory Medicine, University of Washington, Seattle, WA, 98195, USA.
Devin AbsherHudsonAlpha Institute for Biotechnology, Huntsville, AL, 35806, USA.
Themistocles L AssimesDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.
University of California, Los Angeles · USTulane University · USUniversity of California, Santa Barbara · USUniversity of Washington · USCentre National de la Recherche Scientifique · FRDana-Farber Cancer Institute · USHudsonAlpha Institute for Biotechnology · USNational Institutes of Health · USStanford University · USUniversity of British Columbia · CAUniversity of New Mexico · USUniversity of Southern California · USVA Palo Alto Health Care System · US

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
NATURAL HISTORY OF AIDS IN HOMOSEXUAL MENU01AI035040 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DETELS, ROGER, MARTINEZ-MAZA, OTONIEL · 1993 to 2018
$75.2M
SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1991 to 2020
$49.1M
Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Joseph Leo Wiemels · 1996 to 2026
$46.4M
EPIDEMIOLOGY OF NEURAL RESERVE AND NEUROBIOLOGY IN AGINGR01AG017917 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2001 to 2023
$43.3M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTON, PETER A · 1991 to 2018
$39.9M
RISK FACTORS, PATHOLOGY, AND CLINICAL EXPRESSIONS OF ADR01AG015819 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1998 to 2024
$21.4M
Center for the Analysis & Management of the Multicenter AIDS Cohort StudyUM1AI035043 · NIAID · JOHNS HOPKINS UNIVERSITY · PI D'SOUZA, GYPSYAMBER, JACOBSON, LISA P · 2012 to 2018
$20.7M
The Human Life Course and the Biodemography of AgingR01AG024119 · NIA · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI GURVEN, MICHAEL DOUGLAS, KAPLAN, HILLARD S · 2004 to 2015
$7.4M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Risk Factors, Pathology, and Clinical Expressions of ADRF1AG015819 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2014 to 2014
$6.0M
PARKINSON'S DISEASES SUSCEPTIBILITY GENES AND PESTICIDESR01ES010544 · NIEHS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RITZ, BEATE R. · 2000 to 2015
$5.7M
NCATS NIH HHS UL1 TR000424NCI NIH HHS P30 CA016042NHLBI NIH HHS HHSN268201100001INHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100004INHLBI NIH HHS HHSN268201100046CNIAID NIH HHS P30 AI028697NIAID NIH HHS U01 AI035040NIAID NIH HHS UM1 AI035043NIA NIH HHS HHSN271201100004CNIA NIH HHS P30 AG010161NIA NIH HHS R01 AG015819NIA NIH HHS R01 AG017917NIA NIH HHS R01 AG024119NIA NIH HHS R01 AG030327NIA NIH HHS R01 AG036042NIA NIH HHS R56 AG024119NIA NIH HHS RF1 AG015819NIA NIH HHS RF1 AG036042NIA NIH HHS U34 AG051425NIEHS NIH HHS P30 ES007048NIEHS NIH HHS R01 ES010544NIEHS NIH HHS R21 ES024356WHI NIH HHS HHSN268201100001CWHI NIH HHS HHSN268201100002CWHI NIH HHS HHSN268201100003CWHI NIH HHS HHSN268201100004C
6 · The paper itself

Abstract

backgroundEpigenetic biomarkers of aging (the "epigenetic clock") have the potential to address puzzling findings surrounding mortality rates and incidence of cardio-metabolic disease such as: (1) women consistently exhibiting lower mortality than men despite having higher levels of morbidity; (2) racial/ethnic groups having different mortality rates even after adjusting for socioeconomic differences; (3) the black/white mortality cross-over effect in late adulthood; and (4) Hispanics in the United States having a longer life expectancy than Caucasians despite having a higher burden of traditional cardio-metabolic risk factors.

resultsWe analyzed blood, saliva, and brain samples from seven different racial/ethnic groups. We assessed the intrinsic epigenetic age acceleration of blood (independent of blood cell counts) and the extrinsic epigenetic aging rates of blood (dependent on blood cell counts and tracks the age of the immune system). In blood, Hispanics and Tsimane Amerindians have lower intrinsic but higher extrinsic epigenetic aging rates than Caucasians. African-Americans have lower extrinsic epigenetic aging rates than Caucasians and Hispanics but no differences were found for the intrinsic measure. Men have higher epigenetic aging rates than women in blood, saliva, and brain tissue.

conclusionsEpigenetic aging rates are significantly associated with sex, race/ethnicity, and to a lesser extent with CHD risk factors, but not with incident CHD outcomes. These results may help elucidate lower than expected mortality rates observed in Hispanics, older African-Americans, and women.

Indexed as

AgedAgingBlack or African AmericanCoronary DiseaseDNA MethylationEpigenesis, GeneticFemaleHispanic or LatinoHumansMaleRacial GroupsRisk FactorsSex CharacteristicsUnited StatesWhite PeopleAgingBlack/white mortality cross-overCoronary heart diseaseDNA methylationEpigenetic clockGenderHispanic paradoxRace

Identifiers

PMID27511193
PMCPMC4980791
OpenAlexW2505539351

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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.