RT Journal Article T1 Acceleration of the DNA methylation clock among lynch syndrome-associated mutation carriers. A1 Cuadros, Marta A1 Cano, Carlos A1 Garcia-Rodriguez, Sonia A1 Martin, Jose Luis A1 Poyatos-Andujar, Antonio A1 Ruiz-Cabello, Francisco A1 Pedrinaci, Susana A1 Duran, Gema A1 Benavides, Manuel A1 Bautista-Ojeda, Maria Dolores A1 Pereda, Teresa A1 Benitez-Cantos, Maria Soledad A1 Medina, Pedro A1 Blanco, Armando A1 Gonzalez, Antonio A1 Lizardi, Paul K1 DNA methylation K1 Epigenetic clock K1 Lynch syndrome AB DNA methylation (DNAm) age metrics have been widely accepted as an epigenetic biomarker for biological aging and disease. The purpose of this study is to assess whether or not individuals carrying Lynch Syndrome-associated mutations are affected in their rate of biological aging, as measured by the epigenetic clock. Genome-wide bisulfite DNA sequencing data were generated using DNA from CD4 + T-cells obtained from peripheral blood using 27 patient samples from Lynch syndrome families. Horvath's DNAm age model based on penalized linear regression was applied to estimate DNAm age from patient samples with distinct clinical and genetic characteristics to investigate cancer mutation-related aging effects. Both Lynch mutation carriers and controls exhibited high variability in their estimated DNAm age, but regression analysis showed steeper slope for the Lynch mutation carriers. Remarkably, six Lynch Syndrome-associated mutation carriers showed a strong correlation to the control group, and two sisters carrying Lynch Syndrome-associated mutations, with no significant difference in lifestyle and similar chronological age, were assigned very different DNAm age. Future studies will be required to explore, in larger patient populations, whether specific epigenetic age acceleration is predictive of time-to-cancer development, treatment response, and survival. Epigenetic clock DNAm metrics may be affected by the presence of cancer mutations in the germline, and thus show promise of potential clinical utility for stratified surveillance strategies based on the relative risk for imminent emergence of tumor lesions in otherwise healthy Lynch Syndrome-associated mutation carriers. PB BioMed Central YR 2022 FD 2022-03-04 LK http://hdl.handle.net/10668/20312 UL http://hdl.handle.net/10668/20312 LA en NO Cuadros M, Cano C, Garcia-Rodriguez S, Martín JL, Poyatos-Andujar A, Ruiz-Cabello F, et al. Acceleration of the DNA methylation clock among lynch syndrome-associated mutation carriers. BMC Med Genomics. 2022 Mar 4;15(1):45 NO The research leading to these results has received funding from “la Caixa”Foundation (Ref: CAIXA2017/1) for library preparation, sequencing, andemployment of research personnel, from The Fundación Progreso y Salud,Junta de Andalucía, Spain and from DPI2017-84439-R of MINECO, Madridand FEDER for sequencing and employment of research personnel. Finally,grant ref. A-BIO-470-UGR20 from University of Granada and FEDER has funded article processing charges (APC) and sample processing expenses.This work has been carried out as part of Projects CAIXA2017/1 of “la Caixa” Foundation, and DPI2017-84439-R of MINECO, Madrid and FEDERand A-BIO470-UGR20 of University of Granada and FEDER DS RISalud RD Apr 12, 2025