Section on Clinical Genomics and Experimental Therapeutics, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD, USA.
NIH-Oxford-Cambridge Scholars Program; Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
Nat Aging. 2023 Aug;3(8):1020-1035. doi: 10.1038/s43587-023-00455-5. Epub 2023 Aug 7.
The concept of aging is complex, including many related phenotypes such as healthspan, lifespan, extreme longevity, frailty and epigenetic aging, suggesting shared biological underpinnings; however, aging-related endpoints have been primarily assessed individually. Using data from these traits and multivariate genome-wide association study methods, we modeled their underlying genetic factor ('mvAge'). mvAge (effective n = ~1.9 million participants of European ancestry) identified 52 independent variants in 38 genomic loci. Twenty variants were novel (not reported in input genome-wide association studies). Transcriptomic imputation identified age-relevant genes, including VEGFA and PHB1. Drug-target Mendelian randomization with metformin target genes showed a beneficial impact on mvAge (P value = 8.41 × 10). Similarly, genetically proxied thiazolidinediones (P value = 3.50 × 10), proprotein convertase subtilisin/kexin 9 inhibition (P value = 1.62 × 10), angiopoietin-like protein 4, beta blockers and calcium channel blockers also had beneficial Mendelian randomization estimates. Extending the drug-target Mendelian randomization framework to 3,947 protein-coding genes prioritized 122 targets. Together, these findings will inform future studies aimed at improving healthy aging.
衰老的概念很复杂,包括许多相关表型,如健康寿命、寿命、极端长寿、虚弱和表观遗传衰老,这表明它们具有共同的生物学基础;然而,与衰老相关的终点主要是单独评估的。我们使用来自这些特征和多变量全基因组关联研究方法的数据,对其潜在的遗传因素(“mvAge”)进行建模。mvAge(有效 n = ~190 万欧洲血统的参与者)在 38 个基因组位置中鉴定了 52 个独立的变体。其中 20 个变体是新的(未在输入的全基因组关联研究中报告)。转录组预测鉴定出与年龄相关的基因,包括 VEGFA 和 PHB1。用二甲双胍靶向基因进行药物-靶点孟德尔随机化研究表明,其对 mvAge 有有益的影响(P 值 = 8.41×10)。同样,与二甲双胍基因具有遗传相关性的噻唑烷二酮类药物(P 值 = 3.50×10)、脯肽酶枯草溶菌素/克酶素 9 抑制物(P 值 = 1.62×10)、血管生成素样蛋白 4、β受体阻滞剂和钙通道阻滞剂也具有有益的孟德尔随机化估计值。将药物-靶点孟德尔随机化框架扩展到 3947 个编码蛋白的基因中,优先考虑了 122 个靶点。这些发现将为未来旨在改善健康衰老的研究提供信息。