Evidence map›Paper›PMID 40589934›Full record

ArticleThe Yale journal of biology and medicine2025

Tracking Epigenetic Biomarkers of Health and Aging During the Initial Year of Gender-Affirming Hormone Therapy.

Khyobeni Mozhui, Beck A Henriksen, Lauren A Bell, Ingrid Bretherton, Ada S Cheung, Boris Novakovic

Abstract read
In one paragraph

Article in The Yale journal of biology and medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Khyobeni MozhuiDepartment of Preventive Medicine, College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Beck A HenriksenDepartment of Religious Studies, and Gender and Sexualities Studies Program, and Institute for Health Equity and Community Justice, Rhodes College, Memphis, TN, USA.
Lauren A BellDepartment of Preventive Medicine, College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Ingrid BrethertonDepartment of Medicine (Austin Health), The University of Melbourne, Parkville, VIC, Australia.
Ada S CheungDepartment of Medicine (Austin Health), The University of Melbourne, Parkville, VIC, Australia.
Boris NovakovicInfection, Immunity and Global Health, Murdoch Children's Research Institute and Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.

Funding

Understanding the effects of Gender Affirming Hormone Therapy (GAHT) on immune function using a systems immunology approachR21AI179004 · NIAID · MURDOCH CHILDREN'S RESEARCH INSTITUTE · PI NOVAKOVIC, BORIS · 2023 to 2024
$272k
NIAID NIH HHS R21 AI179004
6 · The paper itself

Abstract

Gender-affirming hormone therapy (GAHT) is a necessary treatment for many transgender people, and there is a critical need to further improve treatment experience and mitigate possible risks. Here we investigated whether DNA methylation (DNAm) biomarkers of health and aging are modified during the first year of GAHT and whether these vary by treatment type. Cohort consisted of 13 trans women (TW) and 13 trans men (TM). Sampling occurred at baseline (pre-GAHT), and at 6- and 12-month follow-up. We tracked the longitudinal dynamics of three epigenetic clocks (Horvath, Hannum, PhenoAge), DNA methylation-based telomere length (DNAmTL), and DunedinPACE. At baseline, the Horvath and Hannum showed accelerated epigenetic aging, particularly pronounced among TM, while the PhenoAge and DunedinPACE showed lower pace of aging in both groups. This discrepancy may reflect possible effects of minority stress in an otherwise healthy cohort. While GAHT did not affect the three clocks, DNAmTL and DunedinPACE showed treatment-specific patterns but with notable inter-individual variability in trajectories. TW had increased DunedinPACE (estimate = 0.057, p=0.002) and slight DNAmTL gains (estimate = 0.024, ns); TM exhibited stable to slight decline in DunedinPACE (estimate = -0.013, ns), and reduction in DNAmTL (estimate = -0.057, p=0.037). The marked heterogeneity is indicative of an individualized response to treatment and highlights the potential value of incorporating such biomarkers in comprehensive health monitoring. Our findings emphasize the need for larger, long-term studies to optimize personalized strategies for gender-affirming healthcare.

Indexed as

AgingEpigenesis, GeneticAdultBiomarkersDNA MethylationFemaleHumansMaleMiddle AgedTransgender PersonsBiomarkersDNA methylationepigenetic clocksgender affirming health carehormone therapyTransgender

Identifiers

PMID40589934
PMCPMC12204027

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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.