Evidence map›Paper›PMID 40699485›Full record

ArticleGeroScience2026

Associations of accelerated epigenetic aging with cancer and mortality risk in the USA.

Tongyan An, Hui Zhang, Yaqian Xu, Chongyu Ding, Yulu Gong, Darong Hao, Jing Wang, Xinyi Zhang, Tianlang Tong, Zhaojun Wang and 2 more

Abstract read
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Tongyan AnSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Hui ZhangSchool of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Yaqian XuSchool of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Chongyu DingSchool of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Yulu GongSchool of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Darong HaoSchool of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Jing WangSchool of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Xinyi ZhangSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China.
Tianlang TongHainan International Medical Center, Shanghai Jiao Tong University School of Medicine, Hainan, 571434, China.
Zhaojun WangSchool of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Shuaiyin ChenSchool of Public Health, Zhengzhou University, Zhengzhou, 450001, China. sychen@zzu.edu.cn.ORCID 0000-0001-6129-0310
Xiangwei LiSchool of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China. li.xiangwei@sjtu.edu.cn.ORCID 0000-0002-9450-7771

Funding

National Natural Science Foundation of China 82073618National Natural Science Foundation of China 8220031National Natural Science Foundation of China 82301768Starup fund for Principal Investigators from the School of Medicine, Shanghai Jiao Tong University KJ2-0112-23-0002
6 · The paper itself

Abstract

DNA methylation (DNAm) algorithms have been developed to assess biological aging and its association with cancer. Despite their potential, direct comparisons to identify the most accurate algorithm for predicting cancer risk and mortality remain limited. The study population (n = 2532) consisted of adults aged 50 years and older from the National Health and Nutrition Examination Survey, with 17-year follow-up mortality data. Twelve DNAm algorithms were evaluated using Illumina EPIC BeadChip array. Logistic regression models were used to assess both overall and site-specific cancer risk, while Cox proportional hazards models and Fine-Gray sub-distribution hazard model were employed to assess cancer mortality. Three hundred forty-three cancer cases were observed at baseline, and 271 cancer-caused deaths were recorded during the follow-up. GrimAgeMortAcc, GrimAge2MortAcc, and VidalBraloAgeAcc were positively associated with overall cancer risk, with multivariable-adjusted odds ratios per standard deviation increase of 1.44 (95% CI: 1.06-1.95), 1.32 (95% CI: 1.01-1.72), and 1.20 (95% CI: 1.01-1.44), respectively. PhenoAgeAcc, GrimAgeMortAcc, and GrimAge2MortAcc were associated with increased cancer risk in women (particularly non-Hispanic White women), while no significant associations were observed in men, including for prostate cancer specifically. Several DNAm algorithms showed strong inverse associations with skin cancer risk. In addition, higher HorvathAgeAcc was linked to an increased risk of cancer mortality, with multivariable adjusted hazard ratio 1.19 (95% CI: 1.04-1.37). This study reveals a close association between several DNAm algorithms (particularly GrimAge) and cancer risk and mortality. These algorithms offer promising tools for advancing precision medicine, with potential applications in cancer prevention and risk stratification.

Indexed as

AgingDNA MethylationEpigenesis, GeneticNeoplasmsAgedAlgorithmsFemaleHumansMaleMiddle AgedNutrition SurveysProportional Hazards ModelsRisk AssessmentRisk FactorsUnited StatesAge accelerationCancer mortality riskCancer riskDNA methylationEpigenetic clock

Identifiers

PMID40699485
PMCPMC12972367

What OpenQuestion holds

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Registered trials

None linked

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.