Evidence map›Paper›PMID 42601488›Full record

ArticleNature medicine2026

Histological aging signatures for monitoring tissue-specific aging and disease.

Ernesto Abila, Iva Buljan, Yimin Zheng, Lisa Kleissl, Sigrid Klotz, Tamas Veres, Zhilong Weng, Maja Nackenhorst, Rizqah Kamies, Anja Michl and 19 more

Abstract read
In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

29 authors.

Ernesto Abila *CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.ORCID http://orcid.org/0009-0005-5995-4815
Iva Buljan *CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.ORCID http://orcid.org/0009-0001-8329-8097
Yimin Zheng *CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.ORCID http://orcid.org/0000-0002-0394-9735
Lisa KleisslCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.ORCID http://orcid.org/0000-0001-8011-796X
Sigrid KlotzDepartment of Neurology, Division of Neuropathology and Neurochemistry, Medical University of Vienna, Vienna, Austria.
Tamas VeresCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Zhilong WengInstitute of Pathology, University Hospital of Cologne, Medical Faculty, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0009-0002-0321-9406
Maja NackenhorstDepartment of Pathology, Medical University of Vienna, Vienna, Austria.
Rizqah KamiesResearch Unit Precision Regenerative Medicine, Helmholz Munich, Munich, Germany.
Anja MichlResearch Unit Precision Regenerative Medicine, Helmholz Munich, Munich, Germany.
Safwen KadriResearch Unit Precision Regenerative Medicine, Helmholz Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-1710-9275
Samir MoustafaCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Wolfgang HullaInstitute of Pathology, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria.
Matthias PerkoniggInstitute of Neuropathology and Neuromolecular Pathology, Medical University of Innsbruck, Innsbruck, Austria.
Mathias DrachDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Philipp TschandlDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-0391-7810
Barbara SterniczkyDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Matthias HeinigInstitute of Computational Biology, Helmholtz Munich, Neuherberg, Germany.ORCID http://orcid.org/0000-0002-5612-1720
Laurens J De SadeleerLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism and Ageing (CHROMETA), KU Leuven, Leuven, Belgium.
Wim WuytsLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism and Ageing (CHROMETA), KU Leuven, Leuven, Belgium.
Bart VanaudenaerdeLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism and Ageing (CHROMETA), KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-6435-6901
Laurens J CeulemansLaboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism and Ageing (CHROMETA), KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-4261-7100
Daniel D BuchananColorectal Oncogenomics Group, Department of Clinical Pathology, Melbourne Medical School, The University of Melbourne, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0003-2225-6675
Lochlan J FennellCentre for Bionnovation and the School of Health, University of Sunshine Coast, Sippy Downs, Queensland, Australia.ORCID http://orcid.org/0000-0003-3214-3527
Georg StaryCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.ORCID http://orcid.org/0000-0003-1746-4250
Yuri TolkachInstitute of Pathology, University Hospital of Cologne, Medical Faculty, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-5239-2841
Adelheid WöhrerDepartment of Neurology, Division of Neuropathology and Neurochemistry, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0001-8435-8189
Herbert B SchillerResearch Unit Precision Regenerative Medicine, Helmholz Munich, Munich, Germany.
André F RendeiroCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria. arendeiro@cemm.oeaw.ac.at.ORCID http://orcid.org/0000-0001-9362-5373

Funding

Austrian Science Fund (Fonds zur Förderung der Wissenschaftlichen Forschung) PAT 8019123Cure Cancer Australia Foundation (CCAF) CCAF-2024 FennellDepartment of Health | National Health and Medical Research Council (NHMRC) GNT1194896Deutsche Forschungsgemeinschaft (German Research Foundation) 1316/1-1Deutsche Krebshilfe (German Cancer Aid) 70116893EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 European Research Council (H2020 Excellent Science - European Research Council) 101220825Fonds Wetenschappelijk Onderzoek (Research Foundation Flanders) 18E2B24NLEO Pharma Research Foundation LF-OC-24-001518University of Melbourne (Melbourne University) Dame Kate Campbell Fellowship
6 · The paper itself

Abstract

Aging is the primary risk factor for chronic disease and is characterized by profound structural and architectural remodeling of human tissues. Here, we present a comprehensive assessment of these changes using 25,712 whole-slide histopathological images from 40 tissue types across 983 individuals in the Genotype-Tissue Expression cohort. By leveraging deep learning, we quantified nuanced morphological alterations to develop 'tissue clocks', predictors of biological age that reflect tissue structural integrity and physiological fitness. These clocks correlate with established aging markers, such as telomere attrition, subclinical pathologies and comorbidities. Through a systematic evaluation of biological aging rates across organs, we identified associations of tissue-specific age acceleration with demographic, lifestyle and medical factors, highlighting potentially modifiable risk factors that affect tissue aging. Furthermore, by integrating paired histology and transcriptomic data, we developed a strategy to predict tissue-specific age gaps directly from blood samples. We validated this approach by identifying disease-relevant organ aging across independent cohorts for eight prevalent diseases, including Alzheimer's disease, stroke and Crohn's disease. This work positions tissue architecture as a critical integrator of molecular and cellular changes over the course of aging, demonstrates that histopathological imaging provides a robust framework for monitoring tissue-specific aging and offers a scalable foundation for understanding organ-level physiological decline in health and disease.

Indexed as

AgingAgedAged, 80 and overAlzheimer DiseaseDeep LearningFemaleHumansMaleOrgan SpecificityTranscriptome

Identifiers

PMID42601488
PMCPMC13577925

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.