Evidence map›Paper›PMID 41145791›Full record

ArticleNature medicine2025

A full life cycle biological clock based on routine clinical data and its impact in health and diseases.

Kai Wang, Fei Liu, Wei Wu, Changxi Hu, Xian Shen, Meihao Wang, Gen Li, Fanxin Zeng, Li Liu, Io Nam Wong and 28 more

Abstract read
In one paragraph

Article in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

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  16. European journal of nuclear medicine and molecular imaging · 2026
    Article
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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

38 authors.

Kai Wang *Department of General Surgery, Department of Hepatobiliary Surgery, Zhejiang Key Laboratory of Intelligent Cancer Biomarker Discovery and Translation, Zhejiang-Germany Interdisciplinary Joint Laboratory of Hepatobiliary-Pancreatic Tumor and Bioengineering, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.ORCID http://orcid.org/0009-0001-0354-1772
Fei Liu *Institute for AI in Medicine and Faculty of Medicine, Macau University of Science and Technology, Macau, China.ORCID http://orcid.org/0000-0003-1734-7214
Wei Wu *State Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Changxi Hu *State Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Xian Shen *Department of General Surgery, Department of Hepatobiliary Surgery, Zhejiang Key Laboratory of Intelligent Cancer Biomarker Discovery and Translation, Zhejiang-Germany Interdisciplinary Joint Laboratory of Hepatobiliary-Pancreatic Tumor and Bioengineering, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Meihao Wang *Department of Radiology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Gen Li *State Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Fanxin Zeng *Department of Clinical Research Center, Sichuan Province Clinical Medical Research Center for Imaging Medicine, Dazhou Central Hospital, Dazhou, Sichuan, China.ORCID http://orcid.org/0000-0002-7337-4463
Li Liu *Department of Health Management and Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0002-5265-4159
Io Nam WongInstitute for AI in Medicine and Faculty of Medicine, Macau University of Science and Technology, Macau, China.ORCID http://orcid.org/0000-0002-4500-1758
Sian LiuState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Zixing ZouGuangzhou National Laboratory, Guangzhou, China.
Bingzhou LiState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Jinghang LiUniversity of Pittsburgh, Department of Bioengineering, Pittsburgh, PA, USA.
Xiaoying HuangDivision of Pulmonary Medicine, the First Affiliated Hospital, Wenzhou Medical University, Wenzhou Key Laboratory of Interdisciplinary and Translational Medicine, Wenzhou Key Laboratory of Heart and Lung, Wenzhou, Zhejiang, China.
Shengwei JinDepartment of Anesthesia and Critical Care, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University,Key Laboratory of Pediatric Anesthesiology, Ministry of Education, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zhuomin LiState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Hui XuState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Gang ChenDepartment of General Surgery, Department of Hepatobiliary Surgery, Zhejiang Key Laboratory of Intelligent Cancer Biomarker Discovery and Translation, Zhejiang-Germany Interdisciplinary Joint Laboratory of Hepatobiliary-Pancreatic Tumor and Bioengineering, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Xiaodong ChenDepartment of General Surgery, Department of Hepatobiliary Surgery, Zhejiang Key Laboratory of Intelligent Cancer Biomarker Discovery and Translation, Zhejiang-Germany Interdisciplinary Joint Laboratory of Hepatobiliary-Pancreatic Tumor and Bioengineering, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ying ZhuDepartment of Radiology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Ping LiDepartment of Nephrology, First Medical Center of Chinese PLA General Hospital, State Key Laboratory of Kidney Diseases, National Clinical Research Center of Kidney Diseases, Beijing Key Laboratory of Kidney Disease, Beijing, China.
Zhe FengDepartment of Nephrology, First Medical Center of Chinese PLA General Hospital, State Key Laboratory of Kidney Diseases, National Clinical Research Center of Kidney Diseases, Beijing Key Laboratory of Kidney Disease, Beijing, China.
Winston WangMayo Clinic Department of Internal Medicine, Scottsdale, AZ, USA.
Linling ChengInstitute for AI in Medicine and Faculty of Medicine, Macau University of Science and Technology, Macau, China.ORCID http://orcid.org/0000-0001-7585-1270
Mingqi YangInstitute for AI in Medicine and Faculty of Medicine, Macau University of Science and Technology, Macau, China.
Qiang HouState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Wenyang LuState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Yiwen SunNepean Hospital, Sydney, Australia.
Kun LiState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Tian ZhongInstitute for AI in Medicine and Faculty of Medicine, Macau University of Science and Technology, Macau, China.
Zhuo SunState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Yun YinState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Alexandre LoupyUniversité Paris Cité, INSERM U970 PARCC, Paris Institute for Transplantation and Organ Regeneration, Paris, France.
Eric OermannDepartments of Neurosurgery, Radiaology, and Data Sceince, Neuroscience Institute, NYU Langone Medical Center, New York University, New York, NY, USA.ORCID http://orcid.org/0000-0002-1876-5963
Xiangmei ChenDepartment of Nephrology, First Medical Center of Chinese PLA General Hospital, State Key Laboratory of Kidney Diseases, National Clinical Research Center of Kidney Diseases, Beijing Key Laboratory of Kidney Disease, Beijing, China. xmchen301@126.com.ORCID http://orcid.org/0000-0001-8774-6021
Kang ZhangState Key Laboratory of Eye Health, Eye Hospital, Clinical Data Science Institute, Institute for Advanced Study on Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China. kang.zhang@gmail.com.ORCID http://orcid.org/0000-0002-4549-1697
International Consortium of Digital Twins in Healthcare and Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aging research has primarily focused on adult aging clocks, leaving a critical gap in understanding a biological clock across the full life cycle, particularly during infancy and childhood. Here we introduce LifeClock, a biological clock model that predicts biological age across all life stages using routine electronic health records and laboratory test data. To enhance individualized predictions, we integrated virtual patient representations from 24,633,025 heterogeneous longitudinal clinical visits across 9,680,764 individuals and projected them into a latent space. Our approach leverages EHRFormer, a time-series transformer-based model, to analyze developmental and aging dynamics with high precision and develop accurate biological age clocks spanning infancy to old age. Our findings reveal distinct biological clock patterns across different life stages. The pediatric clock is strongly associated with children's development and accurately predicts current and future risks of major pediatric diseases, including malnutrition, growth and developmental abnormalities. The adult clock is strongly associated with aging and accurately predicts current and future risks of major age-related diseases, such as diabetes, renal failure, stroke and cardiovascular diseases. This work therefore distinguishes pediatric development from adult aging, establishing a novel framework to advance precision health by leveraging routine clinical data across the entire lifespan.

Indexed as

AgingBiological ClocksAdolescentAdultAgedChildChild, PreschoolElectronic Health RecordsFemaleHumansInfantInfant, NewbornMaleMiddle AgedModels, BiologicalYoung Adult

Identifiers

PMID41145791
PMCPMC12705440

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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.