RT Journal Article T1 Biological Age Acceleration Is Lower in Women With Ischemic Stroke Compared to Men. A1 Gallego-Fabrega, Cristina A1 Muiño, Elena A1 Cullell, Natalia A1 Carcel-Marquez, Jara A1 Lazcano, Uxue A1 Soriano-Tarraga, Carolina A1 Lledos, Miquel A1 Llucia-Carol, Laia A1 Aguilera-Simon, Ana A1 Marin, Rebeca A1 Prats-Sanchez, Luis A1 Camps-Renom, Pol A1 Delgado-Mederos, Raquel A1 Martin-Campos, Jesus M A1 Delgado, Pilar A1 Marti-Fabregas, Joan A1 Montaner, Joan A1 Krupinski, Jerzy A1 Jimenez-Conde, J A1 Roquer, Jaume A1 Fernandez-Cadenas, Israel K1 DNA methylation K1 aging K1 ischemic stroke K1 men K1 women AB Stroke onset in women occurs later in life compared with men. The underlying mechanisms of these differences have not been established. Epigenetic clocks, based on DNA methylation (DNAm) profiles, are the most accurate biological age estimate. Epigenetic age acceleration (EAA) measures indicate whether an individual is biologically younger or older than expected. Our aim was to analyze whether sexual dichotomy at age of stroke onset is conditioned by EAA. We used 2 DNAm datasets from whole blood samples of case-control genetic studies of ischemic stroke (IS), a discovery cohort of 374 IS patients (N women=163, N men=211), from GRECOS (Genotyping Recurrence Risk of Stroke) and SEDMAN (Dabigatran Study in the Early Phase of Stroke, New Neuroimaging Markers and Biomarkers) studies and a replication cohort of 981 IS patients (N women=411, N men=570) from BASICMAR register. We compared chronological age, 2 DNAm-based biomarkers of aging and intrinsic and extrinsic epigenetic age acceleration EAA (IEAA and extrinsic EAA, respectively), in IS as well as in individual IS etiologic subtypes. Horvath and Hannum epigenetic clocks were used to assess the aging rate. A proteomic study using the SOMAScan multiplex assay was performed on 26 samples analyzing 1305 proteins. Women present lower Hannum-extrinsic EAA values, whereas men have higher Hannum-extrinsic EAA values (women=-0.64, men=1.24, P=1.34×10-2); the same tendency was observed in the second cohort (women=-0.57, men=0.79, P=0.02). These differences seemed to be specific to cardioembolic and undetermined stroke subtypes. Additionally, 42 blood protein levels were associated with Hannum-extrinsic EAA (P This study shows that sex-specific underlying biological mechanisms associated with stroke onset could be due to differences in biological age acceleration between men and women. PB Lippincott Williams & Wilkins YR 2022 FD 2022-02-25 LK http://hdl.handle.net/10668/20203 UL http://hdl.handle.net/10668/20203 LA en NO Gallego-Fabrega C, Muiño E, Cullell N, Cárcel-Márquez J, Lazcano U, Soriano-Tárraga C, et al. Biological Age Acceleration Is Lower in Women With Ischemic Stroke Compared to Men. Stroke. 2022 Jul;53(7):2320-2330. DS RISalud RD Apr 7, 2025