Evidence map›Paper›PMID 41309628›Full record

ArticleNature communications2025

Epigenetic age acceleration, telomere length, and neurocognitive function in long-term survivors of childhood cancer.

AnnaLynn M Williams, Nicholas S Phillips, Qian Dong, Matthew J Ehrhardt, Nikesha Gilmore, Kah Poh Loh, Xiaoxi Meng, Kirsten K Ness, Melissa M Hudson, Leslie L Robison and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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.

AnnaLynn M WilliamsDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA. AnnaLynn_Williams@urmc.rochester.edu.ORCID http://orcid.org/0000-0002-7042-5851
Nicholas S PhillipsDepartment of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-2021-4036
Qian DongDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Matthew J EhrhardtDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0003-2781-9983
Nikesha GilmoreDepartment of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Kah Poh LohDepartment of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.ORCID http://orcid.org/0000-0002-6978-0418
Xiaoxi MengDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Kirsten K NessDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-2084-1507
Melissa M HudsonDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Leslie L RobisonDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Zhaoming Wang *Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0001-7556-3869
Kevin R Krull *Department of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA. Kevin.Krull@St.Jude.org.ORCID http://orcid.org/0000-0002-0476-7001

Funding

The St. Jude Lifetime CohortU01CA195547 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI HUDSON, MELISSA M, NESS, KIRSTEN KIMBERLIE · 2015 to 2024
$14.9M
The St. Jude Lifetime Cohort StudyU01CA301480 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI MELISSA M HUDSON, Kirsten Kimberlie Ness · 2025 to 2026
$2.1M
Trajectory of epigenetic aging and health outcomes in childhood cancer survivorsR01CA279520 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI NESS, KIRSTEN KIMBERLIE, WANG, ZHAOMING · 2024 to 2025
$1.5M
Aging-Related Biomarkers of Neurocognitive Function in Long-term Hodgkin Lymphoma SurvivorsR00CA256356 · NCI · UNIVERSITY OF ROCHESTER · PI WILLIAMS, ANNALYNN · 2022 to 2024
$655k
Aging-Related Biomarkers of Neurocognitive Function in Long-term Hodgkin Lymphoma SurvivorsK99CA256356 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WILLIAMS, ANNALYNN · 2021 to 2022
$247k
NCI NIH HHS K99 CA256356NCI NIH HHS R00 CA256356NCI NIH HHS R01 CA279520NCI NIH HHS U01 CA195547NCI NIH HHS U01 CA301480U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) K99R00CA256356U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA279520U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U01CA195547
6 · The paper itself

Abstract

Survivors of childhood cancer are prone to neurocognitive impairment and premature aging, raising concerns about early onset dementia. In this cross-sectional study, 1413 survivors of childhood cancer complete a neuropsychological battery. Mean leukocyte telomere length residual (mLTL) and epigenetic age acceleration (EAA) from five different epigenetic clocks, are derived from linear regression of mLTL or epigenetic age on chronological age. Among survivors treated with CNS-directed therapy, higher EAA, measured by PCGrimAge, or DunedinPACE is associated with worse performance on multiple measures of attention, processing speed, and executive functions (p's < 0.05). Among non-CNS-treated survivors, results are similar for PCGrimAge, however, DunedinPACE is specifically associated with attention variability (p < 0.05). mLTL is not associated with neurocognition. EAA is associated with worse neurocognitive function and may identify survivors at risk for accelerated cognitive aging or serve as an efficacy biomarker for neurocognitive interventions.

Indexed as

AgingCancer SurvivorsEpigenesis, GeneticNeoplasmsTelomereAdolescentAdultChildChild, PreschoolCognitionCross-Sectional StudiesFemaleHumansLeukocytesMaleNeuropsychological Tests

Identifiers

PMID41309628
PMCPMC12660399

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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.