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Epigenetic Clock and Biological Age Steve Horvath, Professor of Human Genetics and Biostatistics, University of California, Los Angeles The DNA methylation based biomarker of aging known as the "epigenetic clock" can be used to measure the DNA methylation (DNAm) age of any human (or chimpanzee) tissue, cell type, or fluid that contains DNA with the exception of sperm. DNAm age of blood has been shown to predict all-cause mortality in later life, even after adjusting for known risk factors, which suggests that it relates to the biological aging process. Similarly, markers of physical and mental fitness are also found to be associated with the epigenetic clock (lower abilities associated with age acceleration). DNA methylation age has the following properties: first, it is close to zero for embryonic and induced pluripotent stem cells; second, it correlates with cell passage number; third, it gives rise to a highly heritable measure of age acceleration; and, fourth, it is applicable to chimpanzee tissues. I illustrate the utility of this novel biomarker of aging by studying obesity, HIV infection, Alzheimer's disease, Parkinson's disease syndrome X, and supercentenarians. Analysis of 6,000 cancer samples from 32 datasets showed that cancer types exhibit significant positive and negative age acceleration. Low age-acceleration of cancer tissue is associated with a high number of somatic mutations and TP53 mutations, while mutations in steroid receptors greatly accelerate DNA methylation age in breast cancer. These results suggest that we are close to achieving a long standing milestone in aging research: the development of an accurate measure of tissue age or even biological age. Main reference Horvath S (2013) DNA methylation age of human tissues and cell types. Genome Biology 2013, 14:R115 Correction: http://genomebiology.com/2013/14/10/R115/comments Wikipedia: https://en.wikipedia.org/wiki/Biological_clock_(aging)