Clock Catalogue#

Browse and filter every aging clock available in pyaging. Filter by any categorical column — data type, species, platform, model type, unit, tissue, last author, journal, and more; search by name, author, or notes; sort any column; toggle between table and card views; and click a clock to expand its full details.

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Clock name

Data type

Species

Predicts

Unit

Tissue

Platform

Population

Model type

N features

Year

Citations

Citations date

Last author

Journal

DOI

Notes

Preprocess

Postprocess

Reference values

Verified

altumage

methylation

Homo sapiens

chronological age

years

multi-tissue (pan-tissue; 142 human datasets)

Illumina 27K/450K/EPIC

pan-age (all ages, human)

Neural network

20318

2022

145

2026-07-05

Ritambhara Singh

npj Aging

https://doi.org/10.1038/s41514-022-00085-y

Pan-tissue DNA-methylation age predictor built with a deep neural network spanning diverse human tissues, capturing nonlinear CpG interactions to estimate chronological age.

scale

True

By authors

bitage

transcriptomics

C elegans

biological age (transcriptomic age)

hours

whole adult C. elegans (bulk RNA-seq, whole-organism, not tissue-specific)

RNA-seq

adult C. elegans only (trained on ~1,020 adult RNA-seq samples); also shown applicable to human age prediction

Elastic net

576

2021

173

2026-07-05

Björn Schumacher

Aging Cell

https://doi.org/10.1111/acel.13320

Transcriptome-based aging clock for C. elegans that predicts biological age from binarized (on/off) gene-expression profiles using penalized elastic-net regression, achieving accuracy near the theoretical limit.

binarize

By authors

camilloh3k27ac

histone mark

Homo sapiens

chronological age

years

Multi-tissue (82 human tissue/cell types, ENCODE ChIP-seq biosamples, n=359 for H3K27ac)

ChIP-seq

Humans, multiple tissues/cell types, embryonic through 90+ years, ~equal sex split

PCA + elastic net

1275

2025

4

2026-07-05

Ritambhara Singh

Science Advances

https://doi.org/10.1126/sciadv.adk9373

Chronological-age predictor built with a deep neural network from genome-wide H3K27ac ChIP-seq signal, a mark of active enhancers and promoters, as part of a pan-tissue family of histone-mark aging clocks spanning human tissues and cell types.

By authors

camilloh3k27me3

histone mark

Homo sapiens

Chronological age

years

Multi-tissue (pan-tissue human tissues and cell types, ~82 tissues/biosamples; ENCODE ChIP-seq)

ChIP-seq

Pan-age humans (embryonic to elderly), pan-tissue

PCA + elastic net

922

2025

4

2026-07-05

Ritambhara Singh

Science Advances

https://doi.org/10.1126/sciadv.adk9373

Chronological-age predictor built with a deep neural network from genome-wide H3K27me3 ChIP-seq signal, a Polycomb-associated repressive mark, as part of a pan-tissue family of histone-mark aging clocks spanning human tissues and cell types.

By authors

camilloh3k36me3

histone mark

Homo sapiens

chronological age

years

multi-tissue (human tissues and cell lines; ENCODE H3K36me3 ChIP-seq)

ChIP-seq

humans; pan-tissue, broad age range

PCA + elastic net

870

2025

4

2026-07-05

Ritambhara Singh

Science Advances

https://doi.org/10.1126/sciadv.adk9373

Chronological-age predictor built with a deep neural network from genome-wide H3K36me3 ChIP-seq signal, a mark of transcribed gene bodies, as part of a pan-tissue family of histone-mark aging clocks spanning human tissues and cell types.

By authors

camilloh3k4me1

histone mark

Homo sapiens

Chronological age

years

Multi-tissue (ENCODE human tissues and cell types; H3K4me1 ChIP-seq data, part of a larger dataset of 1,814 human samples across 82 tissues/cell types for 7 histone marks)

ChIP-seq

Human, pan-tissue; ages spanning embryonic/fetal stages to 90+ years

PCA + elastic net

892

2025

4

2026-07-05

Ritambhara Singh

Science Advances

https://doi.org/10.1126/sciadv.adk9373

Chronological-age predictor built with a deep neural network from genome-wide H3K4me1 ChIP-seq signal, a mark of enhancers, as part of a pan-tissue family of histone-mark aging clocks spanning human tissues and cell types.

By authors

camilloh3k4me3

histone mark

Homo sapiens

chronological age

years

Multi-tissue (82 human tissue/cell types; ENCODE ChIP-seq samples, n=359)

ChIP-seq

Humans, pan-age (embryonic to 90+ years), ~equal male/female

PCA + elastic net

1240

2025

4

2026-07-05

Ritambhara Singh

Science Advances

https://doi.org/10.1126/sciadv.adk9373

Chronological-age predictor built with a deep neural network from genome-wide H3K4me3 ChIP-seq signal, a mark of active promoters, as part of a pan-tissue family of histone-mark aging clocks spanning human tissues and cell types.

By authors

camilloh3k9ac

histone mark

Homo sapiens

chronological age

years

Multi-tissue (human tissues and cell types; ENCODE ChIP-seq)

ChIP-seq

Pan-age humans (fetal/embryonic to elderly)

PCA + elastic net

102

2025

4

2026-07-05

Ritambhara Singh

Science Advances

https://doi.org/10.1126/sciadv.adk9373

Chronological-age predictor built with a deep neural network from genome-wide H3K9ac ChIP-seq signal, a mark of active promoters, as part of a pan-tissue family of histone-mark aging clocks spanning human tissues and cell types.

By authors

camilloh3k9me3

histone mark

Homo sapiens

Chronological age

years

Multi-tissue (pan-tissue human tissues and cell types, from ENCODE H3K9me3 ChIP-seq)

ChIP-seq

Humans, pan-tissue, wide age range (embryonic to 90+ years)

PCA + elastic net

341

2025

4

2026-07-05

Ritambhara Singh

Science Advances

https://doi.org/10.1126/sciadv.adk9373

Chronological age predictor built from H3K9me3 histone-mark ChIP-seq signal, using this heterochromatin-associated modification profiled across diverse human tissues and cell types to estimate age via regularized regression on gene-level features.

By authors

camillopanhistone

histone mark

Homo sapiens

chronological age

years

multi-tissue (82 distinct human tissues; also validated on primary cell types)

ChIP-seq

humans, pan-tissue, wide age range (embryonic to 90+ years)

PCA + elastic net

3739

2025

4

2026-07-05

Ritambhara Singh

Science Advances

https://doi.org/10.1126/sciadv.adk9373

Pan-tissue, pan-histone-mark age predictor that integrates ChIP-seq signal from multiple histone modifications across diverse human tissues, demonstrating that age is broadly encoded across the epigenome with accuracy comparable to DNA-methylation clocks.

By authors

cpgptgrimage3

methylation

Homo sapiens

mortality/time-to-death risk (GrimAge-style)

years

whole blood

Illumina 450K/EPIC

adults

Cox regression

24

2025

30

2026-07-05

Bo Wang

bioRxiv (Cold Spring Harbor Laboratory)

https://doi.org/10.1101/2024.10.24.619766

Mortality-risk predictor derived from a DNA-methylation foundation transformer, reconstructing a GrimAge-style Cox model of time-to-death from genome-wide methylation profiles and reporting strong methylation-based mortality prediction.

scale

cox_to_years

By authors

cpgptpcgrimage3

methylation

Homo sapiens

mortality/time-to-death risk (GrimAge3 biological age proxy)

years

whole blood

Illumina 450K/EPIC

adults

PCA + elastic net

31

2025

30

2026-07-05

Bo Wang

bioRxiv (Cold Spring Harbor Laboratory)

https://doi.org/10.1101/2024.10.24.619766

Principal-component version of the foundation-transformer GrimAge3 mortality predictor, applying the model to PC-denoised DNA-methylation inputs to yield a more reliable Cox-based estimate of mortality risk.

scale

cox_to_years

By authors

dunedinpace

methylation

Homo sapiens

pace of aging (rate of biological aging / multi-organ decline)

years

whole blood

Illumina 450K/EPIC

adults (validated ~18-95 years); trained on Dunedin 1972-73 birth cohort, blood drawn at age 45

Elastic net

20000

2022

967

2026-07-05

Terrie E Moffitt

eLife

https://doi.org/10.7554/eLife.73420

Whole-blood elastic-net biomarker of the pace of biological aging, trained to predict a longitudinal Pace-of-Aging measure derived from decline across 19 organ-system biomarkers in the Dunedin birth cohort; it is restricted to reliability-filtered CpGs to achieve high test-retest reliability.

quantile_normalization_with_gold_standard

True

By authors

han

methylation

Homo sapiens

chronological age

years

whole blood

Illumina 450K

pan-age (pediatric to elderly, ~1-101 years)

LASSO

65

2020

102

2026-07-05

Wolfgang Wagner

BMC Biology

https://doi.org/10.1186/s12915-020-00807-2

Blood chronological-age predictor built by penalized (elastic-net/Lasso) regression on a small set of age-associated CpGs selected for targeted, cost-effective assays such as pyrosequencing, droplet digital PCR, and bisulfite amplicon sequencing.

anti_log_linear

By authors

knight

methylation

Homo sapiens

gestational age at birth

weeks

Umbilical cord blood and neonatal blood spots

Illumina 27K/450K

fetal/newborn (gestational age at birth, ~24-44 weeks)

Elastic net

148

2016

312

2026-07-05

Alicia K. Smith

Genome biology

https://doi.org/10.1186/s13059-016-1068-z

Elastic-net clock estimating gestational age at birth from cord- and neonatal-blood DNA methylation at 148 CpGs.

True

By authors

leecontrol

methylation

Homo sapiens

gestational age

weeks

placenta (chorionic villi, control/uncomplicated pregnancies)

Illumina 450K/EPIC

fetal/newborn (gestational, ~5-42 weeks)

Elastic net

546

2019

170

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.102049

Placental epigenetic clock estimating gestational age from placental DNA methylation, built with elastic-net regression on roughly 546 CpGs trained on control (uncomplicated) pregnancies.

By authors

leerefinedrobust

methylation

Homo sapiens

gestational age

weeks

placenta (chorionic villi, fetal side)

Illumina 450K/EPIC

fetal/newborn (gestational); optimized for uncomplicated term pregnancies (GA >36 weeks)

Elastic net

395

2019

170

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.102049

Placental gestational-age clock built by elastic-net regression, refined on uncomplicated term pregnancies using a reduced subset (about 395) of the robust clock’s CpGs for improved precision in that subgroup.

By authors

leerobust

methylation

Homo sapiens

gestational age

weeks

placenta (fetal-side chorionic villi)

Illumina 450K/EPIC

fetal/placental, gestational age ~5-42 weeks (robust across complicated pregnancies)

Elastic net

558

2019

170

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.102049

Placental epigenetic clock estimating gestational age from placental DNA methylation via elastic-net regression on about 558 CpGs, trained across pregnancies including complications to be robust to varied clinical conditions.

By authors

pasta

transcriptomics

Homo sapiens

relative (biological) age-shift; also discriminates senescent vs stem-like/quiescent cell states

years

Multi-tissue human (healthy donors; mostly GTEx, plus GEO and Expression Atlas datasets); also mouse datasets used for validation

RNA-seq

Human (adult, healthy donors, pan-tissue) and mouse; generalizes across platforms and species

Elastic net

8113

2025

1

2026-07-05

Christian G. Riedel

bioRxiv (Cold Spring Harbor Laboratory)

https://doi.org/10.1101/2025.06.04.657785

Cross-platform transcriptomic aging clock that estimates relative cellular age from rank-transformed gene expression using a ridge-regularized age-shift classifier trained on same-tissue sample pairs decades apart. It generalizes across bulk and single-cell RNA-seq, microarray, and L1000 data and multiple species, and was used to screen chemical and genetic perturbations that accelerate or reverse cellular aging.

median_fill_and_rank_normalization

scale_and_shift

True

By authors

pastamouse

transcriptomics

Mus musculus

Relative age-shift (biological age difference between paired samples), not absolute chronological age

years

Multi-tissue (trained on paired samples from same tissue/study, human transcriptomic data across studies; mouse-ortholog variant applies same model to mouse tissues)

RNA-seq

Primarily human (pan-tissue, adult), with a mouse-ortholog adaptation (pastamouse) enabling application to mouse transcriptomic data

Ridge regression

1600

2025

1

2026-07-05

Christian G. Riedel

bioRxiv (Cold Spring Harbor Laboratory)

https://doi.org/10.1101/2025.06.04.657785

Mouse implementation of the age-shift transcriptomic clock, predicting relative cellular age from rank-transformed expression restricted to mouse one-to-one orthologs of the human age-associated genes.

median_fill_and_rank_normalization

scale_and_shift

True

By authors

pipekelasticnet

methylation

Homo sapiens

chronological age

years

multi-tissue (whole blood and other tissues)

Illumina 27K/450K/EPIC

pan-age adults (multi-tissue human)

Elastic net

239

2022

2

2026-07-05

István Csabai

Journal of Mathematical Chemistry

https://doi.org/10.1007/s10910-022-01381-4

Multi-tissue, multi-platform DNA-methylation predictor of chronological age that revises Horvath’s pan-tissue clock, fit with elastic-net regression on roughly 6,000 samples. This variant selects a fresh set of about 239 CpGs and extends accurate age estimation to Illumina EPIC array data.

anti_log_linear

By authors

pipekfilteredh

methylation

Homo sapiens

chronological age

years

multi-tissue (whole blood and other tissues, ~6,000 training samples)

Illumina 27K/450K/EPIC

pan-tissue humans, all ages (revises Horvath pan-tissue clock; anti-log-linear transform, adult age 20)

Elastic net

272

2022

2

2026-07-05

István Csabai

Journal of Mathematical Chemistry

https://doi.org/10.1007/s10910-022-01381-4

Multi-tissue, multi-platform DNA-methylation chronological-age clock revising Horvath’s pan-tissue predictor. The ‘filtered’ variant reuses the original Horvath CpG covariates (about 272 sites) with re-estimated coefficients, improving accuracy on EPIC arrays while remaining backward-compatible with datasets already processed by the original clock.

anti_log_linear

By authors

pipekretrainedh

methylation

Homo sapiens

chronological age (DNAm age)

years

multi-tissue (pan-tissue methylation, ~6,000 samples)

Illumina 27K/450K/EPIC

pan-age humans (children to elderly)

Elastic net

308

2022

2

2026-07-05

István Csabai

Journal of Mathematical Chemistry

https://doi.org/10.1007/s10910-022-01381-4

Multi-tissue, multi-platform DNA-methylation chronological-age clock revising Horvath’s pan-tissue predictor. The ‘retrained’ variant re-fits coefficients over the original Horvath CpG set (about 308 sites) on roughly 6,000 samples to extend accurate age prediction to Illumina EPIC array data.

anti_log_linear

By authors

reg

transcriptomics

Homo sapiens

Chronological age (baseline regression clock, vs. Pasta’s relative age-shift)

years

Multi-tissue (human; 17,212 healthy samples from GTEx, GEO, Expression Atlas)

RNA-seq

Healthy humans, broad adult age range (generalizes across tissues, platforms, and to mouse)

Ridge regression

8113

2025

1

2026-07-05

Christian G. Riedel

bioRxiv (Cold Spring Harbor Laboratory)

https://doi.org/10.1101/2025.06.04.657785

Transcriptomic aging clock (Pasta) that estimates relative biological age from gene-expression profiles using an age-shift learning strategy, generalizing across tissues, platforms (bulk and single-cell RNA-seq and microarray) and species. Its coefficients are enriched for p53 and DNA-damage-response pathways, and age scores track senescent and stem-like states.

median_fill_and_rank_normalization

add_constant

True

By authors

stemtoc

methylation

Homo sapiens

Total/relative mitotic age (cumulative stem-cell and progenitor cell divisions), as a cancer-risk proxy

proportion (0-1)

Multi-tissue: constructed from 86 fetal/neonatal samples across 13 tissue types (Illumina 450K) plus in vitro cell-line passage data (EPIC) and adult whole-blood cohorts for CpG validation…

Illumina 450K/EPIC

Pan-age: constructed from fetal/neonatal tissue and validated in adult whole blood and cell lines; applicable across normal and precancerous tissues

Mitotic model

371

2024

24

2026-07-05

Andrew E. Teschendorff

Nature Communications

https://doi.org/10.1038/s41467-024-48649-8

Pan-tissue mitotic counter that estimates cumulative stem-cell divisions (mitotic age) from progressive hypermethylation at a set of promoter/Polycomb-associated CpGs that are unmethylated in fetal tissue and gain methylation with cell division. Its mitotic-age proxy rises with tumor cell-of-origin fraction across cancer types, precancerous lesions, and normal tissues exposed to cancer risk factors.

0.95 quantile

True

By authors

stoch

methylation

Homo sapiens

chronological age

years

Sorted monocytes (MESA cohort); validated on whole blood and other sorted immune cells

Illumina 450K/EPIC

adults

Elastic net

353

2024

66

2026-07-05

Andrew E. Teschendorff

Nature Aging

https://doi.org/10.1038/s43587-024-00600-8

Stochastic counterpart of Horvath’s pan-tissue methylation clock, estimating age from a model in which age-associated CpGs accumulate methylation changes purely at random; used to show that roughly two-thirds to three-quarters of the original clock’s accuracy can be reproduced by stochastic drift alone.

By authors

stocp

methylation

Homo sapiens

PhenoAge (biological/phenotypic age) — stochastic simulation counterpart of Levine’s PhenoAge clock

years

sorted monocytes (MESA cohort), applied to whole blood

Illumina 450K

adults

Elastic net

513

2024

66

2026-07-05

Andrew E. Teschendorff

Nature Aging

https://doi.org/10.1038/s43587-024-00600-8

Stochastic counterpart of the PhenoAge phenotypic-age clock in whole blood, predicting age from randomly accumulating CpG methylation; a comparatively smaller share of PhenoAge’s accuracy is stochastically driven, implying a larger nonstochastic biological component.

By authors

stocz

methylation

Homo sapiens

chronological age

years

sorted monocytes (MESA, training/effect-size estimation); validated on sorted immune cells and whole blood

Illumina 450K

adults

Elastic net

514

2024

66

2026-07-05

Andrew E. Teschendorff

Nature Aging

https://doi.org/10.1038/s43587-024-00600-8

Stochastic counterpart of Zhang’s blood-based age clock, modeling CpG methylation as a purely random accumulation process; nearly all of the original clock’s chronological-age accuracy is recapitulated by this stochastic model.

By authors

thompson

methylation

Mus musculus

chronological age

months

multi-tissue (adipose, blood, kidney, liver, lung, muscle; plus cortex, heart, cerebellum, spleen)

Bisulfite sequencing

mice, postnatal to old age (full lifespan), multiple strains (C57BL/6, BALB/cByJ, dwarf/GHRKO models, Diversity Outbred, HMDP inbred strains)

Elastic net

582

2018

236

2026-07-05

Matteo Pellegrini

Aging

https://doi.org/10.18632/aging.101590

Multi-tissue DNA-methylation clock estimating chronological age across the full mouse lifespan, built with elastic-net regression on reduced-representation bisulfite sequencing data from roughly 1,200 samples spanning ten tissues and from post-natal to advanced-age mice. It tracks slowed epigenetic aging under caloric restriction and in long-lived dwarf mutants.

By authors

abec

methylation

Homo sapiens

chronological age

years

whole blood

Illumina EPIC

adults, 19-59 years (ABEC training set; related eABEC/cABEC clocks span 18-88 years)

Elastic net

1695

2020

21

2026-07-05

Jon Bohlin

BMC Genomics

https://doi.org/10.1186/s12864-020-07168-8

Whole-blood elastic-net clock (the Adult Blood-based EPIC Clock) that estimates chronological age from Illumina MethylationEPIC-array CpGs, trained on adult peripheral-blood DNA methylation spanning roughly two to six decades of age.

Not yet

adbahadosingh

methylation

Homo sapiens

late-onset Alzheimer’s disease status (case vs. control)

probability (0-1)

peripheral blood leukocytes (whole blood)

Illumina EPIC

elderly adults (late-onset AD, ~65+)

Neural network

4

2021

33

2026-07-05

Uppala Radhakrishna

PLoS ONE

https://doi.org/10.1371/journal.pone.0248375

Peripheral-blood leukocyte DNA-methylation classifier built with a deep neural network on EPIC-array CpGs that distinguishes late-onset Alzheimer’s disease cases from cognitively healthy controls, reaching near-perfect discrimination in a small case-control cohort.

sigmoid

Not yet

bocklandt

methylation

Homo sapiens

chronological age

years

saliva

Illumina 27K

adults (18-70 years)

LASSO

1

2011

1057

2026-07-05

Éric Vilain

PLoS ONE

https://doi.org/10.1371/journal.pone.0014821

One of the earliest epigenetic age predictors, estimating chronological age from saliva DNA methylation via linear regression on a small set of age-correlated CpGs (in EDARADD, TOM1L1, and NPTX2).

Not yet

bohlin

methylation

Homo sapiens

gestational age

weeks

cord blood (newborn)

Illumina 450K

newborns (fetal/gestational, at birth)

LASSO

251

2016

237

2026-07-05

Wenche Nystad

Genome biology

https://doi.org/10.1186/s13059-016-1063-4

Gestational-age predictor that estimates age in weeks from neonatal cord-blood DNA methylation, built with penalized regression over genome-wide differentially methylated regions.

days_to_weeks

Not yet

cabec

methylation

Homo sapiens

chronological age

years

whole blood

Illumina EPIC

adults (18-88 years)

Elastic net

1892

2020

21

2026-07-05

Jon Bohlin

BMC Genomics

https://doi.org/10.1186/s12864-020-07168-8

Whole-blood elastic-net clock (the common Adult Blood-based EPIC Clock) estimating chronological age, trained on EPIC-array DNA methylation but restricted to CpGs shared between the EPIC and 450K arrays for cross-platform compatibility.

Not yet

cellpopage

methylation

Homo sapiens

passage-based epigenetic age of a cell population in culture

cell passage number

adult primary human fibroblasts (mammary and dermal) in culture

Illumina EPIC

adult primary human cells in culture

Elastic net

2543

2024

6

2026-07-05

Ivana Bjedov

Genome Medicine

https://doi.org/10.1186/s13073-024-01349-w

DNA-methylation clock that tracks the passage-based, replicative age of cultured adult human primary cell populations from a compact set of CpGs, uniquely designed to detect deceleration of aging by candidate anti-aging compounds in vitro.

Not yet

compil6

methylation

Homo sapiens

serum interleukin-6 (IL-6) level (DNAm proxy)

score (arbitrary)

whole blood

Illumina 450K/EPIC

adults (trained in older adults, mean age ~70)

Elastic net

35

2021

55

2026-07-05

Riccardo E. Marioni

The Journals of Gerontology Series A

https://doi.org/10.1093/gerona/glab046

Blood DNA-methylation surrogate for circulating interleukin-6 built by elastic-net regression over 35 CpGs, providing a stable epigenetic proxy that captures chronic inflammatory burden better than a single serum measurement.

Not yet

corticalclock

methylation

Homo sapiens

chronological age

years

brain cortex (post-mortem human cortical tissue)

Illumina 450K/EPIC

humans, ages 1-108 years

Elastic net

347

2020

206

2026-07-05

Jonathan Mill

Brain

https://doi.org/10.1093/brain/awaa334

Human cortex-specific epigenetic age predictor trained by elastic-net regression on over a thousand post-mortem cortical samples, recalibrated to correct the systematic age underestimation that multi-tissue clocks show in brain tissue.

anti_log_linear

True

Not yet

ctsliver

methylation

Homo sapiens

chronological age (hepatocyte-specific)

years

liver (bulk liver tissue; 210 normal/healthy liver specimens)

Illumina EPIC

adults (18-75 years, mean ~47)

Reference-based deconvolution

90

2024

25

2026-07-05

Andrew E. Teschendorff

Aging

https://doi.org/10.18632/aging.206184

Liver cell-type-specific DNA-methylation age clock built with lasso regression on hepatocyte age-associated CpGs identified after reference-based cell-type deconvolution, detecting age acceleration in conditions such as NAFLD and obesity.

Not yet

cvdwesterman

methylation

Homo sapiens

incident cardiovascular disease (CVD) risk / time-to-event

score (arbitrary)

whole blood

Illumina 450K

adults (middle-aged/older; WHI, Framingham Offspring, Lothian Birth Cohorts)

Cox regression

235

2020

53

2026-07-05

José M. Ordovás

Journal of the American Heart Association

https://doi.org/10.1161/JAHA.119.015299

Blood DNA-methylation risk score for incident cardiovascular disease, trained as a cross-study ensemble of Cox proportional-hazards elastic-net models across multiple cohorts to predict CVD events independent of traditional risk factors.

sigmoid

Not yet

deconvolutebloodepicbcell

methylation

Homo sapiens

B cell proportion (cell-type fraction)

proportion (0-1)

whole blood (leukocyte reference)

Illumina EPIC

adults

Reference-based deconvolution

600

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based DNA-methylation deconvolution that estimates the proportion of B cells in whole blood from an EPIC-array leukocyte reference panel.

fill_with_reference_means

True

Not yet

deconvolutebloodepiccd4tcell

methylation

Homo sapiens

CD4+ T cell proportion

proportion (0-1)

whole blood (EPIC leukocyte reference panel)

Illumina EPIC

adults

Reference-based deconvolution

600

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based DNA-methylation deconvolution that estimates the proportion of CD4+ T cells in whole blood from an EPIC-array leukocyte reference panel.

fill_with_reference_means

True

Not yet

deconvolutebloodepiccd8tcell

methylation

Homo sapiens

CD8+ T cell proportion in blood

proportion (0-1)

whole blood (EPIC leukocyte reference panel)

Illumina EPIC

adults

Reference-based deconvolution

600

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based DNA-methylation deconvolution that estimates the proportion of CD8+ T cells in whole blood from an EPIC-array leukocyte reference panel.

fill_with_reference_means

True

Not yet

deconvolutebloodepicmonocyte

methylation

Homo sapiens

monocyte cell-type proportion in blood

proportion (0-1)

whole blood (leukocyte reference)

Illumina EPIC

adults

Reference-based deconvolution

600

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based DNA-methylation deconvolution that estimates the proportion of monocytes in whole blood from an EPIC-array leukocyte reference panel.

fill_with_reference_means

True

Not yet

deconvolutebloodepicneutrophil

methylation

Homo sapiens

neutrophil proportion (cell-type fraction)

proportion (0-1)

whole blood (purified-leukocyte EPIC reference)

Illumina EPIC

adults

Reference-based deconvolution

600

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based cell-type deconvolution that estimates the proportion of neutrophils in whole blood from methylation at cell-type-discriminating CpGs, using a purified-leukocyte EPIC reference panel. Reports a leukocyte composition fraction rather than an age value.

fill_with_reference_means

True

Not yet

deconvolutebloodepicnkcell

methylation

Homo sapiens

natural killer (NK) cell proportion

proportion (0-1)

whole blood (purified-leukocyte EPIC reference)

Illumina EPIC

adults (whole blood)

Reference-based deconvolution

600

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based cell-type deconvolution that estimates the proportion of natural killer (NK) cells in whole blood from methylation at cell-type-discriminating CpGs, using a purified-leukocyte EPIC reference panel. Reports a leukocyte composition fraction rather than an age value.

fill_with_reference_means

True

Not yet

depressionbarbu

methylation

Homo sapiens

major depressive disorder (MDD) status/risk

score (arbitrary)

whole blood

Illumina EPIC

adults (Generation Scotland cohort)

Elastic net

196

2021

93

2026-07-05

Andrew M. McIntosh

Molecular Psychiatry

https://doi.org/10.1038/s41380-020-0808-3

Blood methylation risk score for major depressive disorder built with penalised regression on genome-wide EPIC-array CpGs, trained on over 1,200 cases and 1,800 controls. Discriminates prevalent from incident MDD independently of polygenic risk, with a smoking-independent variant also derived.

Not yet

dnamfili

methylation

Homo sapiens

frailty risk (frailty index, prevalent and incident frailty)

score (arbitrary)

whole blood (peripheral blood)

Illumina 450K/EPIC

older adults, aged 50-75 years (ESTHER); validated in KORA-Age, age >=65

LASSO

20

2022

22

2026-07-05

Hermann Brenner

Nature Communications

https://doi.org/10.1038/s41467-022-32893-x

Blood epigenetic frailty risk score predicting a deficit-accumulation frailty index, derived by LASSO regression that selects 20 CpGs from frailty-associated methylation loci in a population-based older-adult cohort. Predicts both prevalent frailty and its incidence over up to five years of follow-up.

Not yet

dnamfitage

methylation

Homo sapiens

biological age incorporating physical fitness (composite of DNAmGrimAge and DNAm fitness biomarkers: gait speed, grip strength, VO2max)

years

whole blood

Illumina 450K

adults (validation ages ~21-100)

LASSO

630

2023

99

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204538

Composite biological-age indicator from blood DNA methylation that integrates methylation-based estimates of physical fitness (grip strength, gait speed, VO2max) with the GrimAge mortality estimator via a Klemera-Doubal framework, built separately for each sex. Its age acceleration is associated with mortality and coronary heart disease.

True

Not yet

dnamfitagegaitf

methylation

Homo sapiens

gait (walking) speed, female-specific

gait speed (m/s)

whole blood

Illumina 450K

adult females (validation ages ~21-100)

LASSO

53

2023

99

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204538

Blood DNA-methylation estimator of walking (gait) speed built with LASSO penalised regression, trained as a sex-specific model for females and used as a fitness component of DNAmFitAge.

True

Not yet

dnamfitagegaitm

methylation

Homo sapiens

gait (walking) speed, male-specific

gait speed (m/s)

whole blood

Illumina 450K

adult males, middle-aged to elderly

LASSO

59

2023

99

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204538

Blood DNA-methylation estimator of walking (gait) speed built with LASSO penalised regression, trained as a sex-specific model for males and used as a fitness component of DNAmFitAge.

True

Not yet

dnamfitagegripf

methylation

Homo sapiens

maximal handgrip strength (female-specific)

kilograms

whole blood

Illumina 450K

adult women (~21-100 years)

LASSO

91

2023

99

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204538

Blood DNA-methylation estimator of maximum handgrip strength built with LASSO penalised regression, trained as a sex-specific model for females and used as a fitness component of DNAmFitAge.

True

Not yet

dnamfitagegripm

methylation

Homo sapiens

maximum handgrip strength (males)

kilograms

whole blood

Illumina 450K

adult males (~21-100 years)

LASSO

93

2023

99

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204538

Blood DNA-methylation estimator of maximum handgrip strength built with LASSO penalised regression, trained as a sex-specific model for males and used as a fitness component of DNAmFitAge.

True

Not yet

dnamfitagevo2max

methylation

Homo sapiens

VO2max (maximal oxygen uptake / cardiorespiratory fitness)

kilograms

whole blood

Illumina 450K

adults (validation age ~21-100 years, both sexes)

LASSO

41

2023

99

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204538

Blood DNA-methylation estimator of maximal oxygen uptake (VO2max) built with LASSO penalised regression across both sexes, incorporating X-chromosome CpGs to capture sex differences, and used as a cardiorespiratory-fitness component of DNAmFitAge.

True

Not yet

dnamic

methylation

Homo sapiens

intrinsic capacity (IC) composite score (mobility, cognition, psychological, sensory, vitality)

score (arbitrary)

whole blood

Illumina EPIC

adults (20-102 years, INSPIRE-T cohort)

Elastic net

91

2025

34

2026-07-05

David Furman

Nature Aging

https://doi.org/10.1038/s43587-025-00883-5

Blood DNA-methylation clock for intrinsic capacity, trained with penalised regression against a clinical composite of the five WHO domains (cognition, locomotion, psychological well-being, sensory function and vitality) in a cohort spanning ages 20-102. Outperforms first- and second-generation clocks at predicting all-cause mortality and tracks immune and inflammatory decline.

Not yet

dnamphenoage

methylation

Homo sapiens

phenotypic age (mortality/healthspan risk composite)

years

whole blood

Illumina 27K/450K/EPIC

adults (21-100 years)

Elastic net

513

2018

3594

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632%2Faging.101414

Blood DNA-methylation clock trained by elastic-net regression on 513 CpGs to predict a phenotypic age composite derived from chronological age and nine clinical blood biomarkers. This second-generation predictor captures mortality and healthspan-related risk beyond chronological age.

Not yet

dnamstress

methylation

Homo sapiens

stress exposure (composite/cumulative stress score, “MS_stress”)

score (arbitrary)

whole blood

Illumina 450K/EPIC

adults (alcohol use disorder patients and controls, n=615; replicated in Generation Scotland and Grady Trauma Project cohorts)

Elastic net

211

2023

27

2026-07-05

Falk W. Lohoff

Biological Psychiatry

https://doi.org/10.1016/j.biopsych.2022.06.036

Blood methylation score of cumulative stress comprising 211 CpGs selected by penalised regression as a proxy for a composite of stress-related exposures. Associates with accelerated epigenetic aging, shortened methylation-based telomere length and cardiovascular disease.

Not yet

dnamtl

methylation

Homo sapiens

leukocyte telomere length

kilobases

whole blood (leukocytes)

Illumina 450K/EPIC

adults (22-93 years), multi-ancestry; generalizes to children

Elastic net

140

2019

461

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.102173

Estimator of leukocyte telomere length built with an elastic-net model over roughly 140 blood DNA-methylation CpGs; the resulting DNAmTL tracks chronological age and mortality more strongly than directly measured telomere length and largely reflects cumulative replicative history.

Not yet

downsyndrome

methylation

Homo sapiens

Down syndrome (trisomy 21) status vs euploid controls

score (arbitrary)

neonatal dried blood spots (newborn whole blood)

Illumina EPIC

newborns/neonates (pediatric)

Weighted average of CpGs

652

2021

62

2026-07-05

Adam J. de Smith

Nature Communications

https://doi.org/10.1038/s41467-021-21064-z

Blood DNA-methylation classifier that distinguishes individuals with Down syndrome (trisomy 21) from euploid controls using trisomy-associated differentially methylated CpGs identified from neonatal blood, with top signals at hematopoietic regulators such as RUNX1 and FLI1.

Not yet

dunedinpoam38

methylation

Homo sapiens

pace of aging (rate of biological aging)

years

whole blood

Illumina 450K/EPIC

adults (developed at age 38; validated ages 18-95)

Elastic net

46

2020

666

2026-07-05

Terrie E. Moffitt

eLife

https://doi.org/10.7554/eLife.54870

Whole-blood elastic-net estimator (46 CpGs) of the pace of biological aging, trained on a longitudinal Pace-of-Aging score computed from 18 organ-system biomarkers tracked to age 38 in the Dunedin cohort, quantifying how fast aging is proceeding rather than age attained.

Not yet

eabec

methylation

Homo sapiens

chronological age

years

whole blood

Illumina EPIC

adults (ages 18-88)

Elastic net

1791

2020

21

2026-07-05

Jon Bohlin

BMC Genomics

https://doi.org/10.1186/s12864-020-07168-8

Blood elastic-net estimator of chronological age optimized for the Illumina MethylationEPIC array, trained on a European-ancestry adult cohort spanning ages 18 to 88.

Not yet

encen100

methylation

Homo sapiens

chronological age

years

whole blood (majority, ~95%); some saliva/buccal

Illumina 450K/EPIC

centenarians (100-115 years); recommended for supercentenarians (110+)

Elastic net

198

2023

45

2026-07-05

Steve Horvath

GeroScience

https://doi.org/10.1007/s11357-023-00731-7

Blood elastic-net clock estimating chronological age whose training set includes centenarians (age 100+), calibrating age estimates at extreme old age; developed to validate claims of exceptional longevity and most useful for supercentenarians.

Not yet

encen40

methylation

Homo sapiens

chronological age

years

whole blood (predominantly; small amounts of saliva/buccal)

Illumina 450K/EPIC

adults aged 40 and older (40-115 years)

Elastic net

559

2023

45

2026-07-05

Steve Horvath

GeroScience

https://doi.org/10.1007/s11357-023-00731-7

Blood elastic-net clock estimating chronological age trained on individuals aged 40 and older (up to 115 years), one of a set of centenarian clocks developed to validate claims of exceptional longevity across blood, saliva, and buccal samples.

Not yet

ensembleagehumanmouse

methylation

Homo sapiens

chronological age (cross-species)

years

multi-tissue (mouse and human; blood and multiple organs)

Mammalian methylation array

pan-age, cross-species (human and mouse)

ensemble

2252

2025

3

2026-07-05

Steve Horvath

GeroScience

https://doi.org/10.1007/s11357-025-01808-1

Cross-species ensemble epigenetic clock that aggregates predictions from multiple penalized DNA-methylation models to robustly estimate age across both human and mouse samples, enabling translational comparison of aging and rejuvenation interventions.

Not yet

ensembleagestatic

methylation

Mus musculus

epigenetic age (biological age)

years

multi-tissue (mouse; diverse tissues across 200+ perturbation experiments, MethylGauge dataset)

Mammalian methylation array

mice (pan-tissue, across lifespan)

Elastic net

288

2025

3

2026-07-05

Steve Horvath

GeroScience

https://doi.org/10.1007/s11357-025-01808-1

Mouse ensemble epigenetic clock that combines multiple penalized DNA-methylation models into a single static age estimate spanning diverse tissues, designed for robust detection of pro-aging and rejuvenating interventions.

Not yet

ensembleagestatictop

methylation

Mus musculus

Recalibrated, intervention-responsive epigenetic (biological) age (an ensemble-optimized age estimate selected to maximize sensitivity to pro-aging/rejuvenating interventions; not raw chronological…

years

Multi-tissue mouse (MethylGauge perturbation dataset: 211 controlled perturbation experiments across blood, liver, brain, and other tissues)

Mammalian methylation array

mice (Mus musculus), across lifespan, wild-type and intervention/perturbed animals from 211 perturbation experiments

Elastic net

431

2025

3

2026-07-05

Steve Horvath

GeroScience

https://doi.org/10.1007/s11357-025-01808-1

Variant of the mouse EnsembleAge static clock restricted to its top-performing constituent models, aggregating multiple penalized DNA-methylation predictors for robust chronological-age estimation across tissues.

Not yet

epicga

methylation

Homo sapiens

gestational age

days

cord blood (umbilical cord blood at birth)

Illumina EPIC

newborns (fetal/newborn gestational age)

LASSO

176

2021

54

2026-07-05

Jon Bohlin

Clinical Epigenetics

https://doi.org/10.1186/s13148-021-01055-z

Elastic-net predictor of gestational age (in weeks) from neonatal blood-spot DNA methylation on the Illumina MethylationEPIC array, developed and evaluated including in newborns conceived by assisted reproductive technologies.

days_to_weeks

Not yet

epicmithyper

methylation

Homo sapiens

cumulative mitotic (cell-division) / proliferative history (epiCMIT hypermethylation component)

score (arbitrary)

B cells (normal B-cell subpopulations and neoplastic B-cell tumors spanning the B-cell lineage)

Illumina 450K/EPIC

pan-age; normal and neoplastic B cells across the human B-cell developmental lineage (pediatric to adult tumor cohorts)

Mitotic model

184

2020

104

2026-07-05

José I. Martı́n-Subero

Nature Cancer

https://doi.org/10.1038/s43018-020-00131-2

Hypermethylation-based component of the epiCMIT mitotic clock, approximating the cumulative proliferative (mitotic) history of normal and neoplastic B cells from methylation gains at Polycomb/H3K27me3-marked regions, with independent prognostic value in B-cell tumors.

mean

True

Not yet

epicmithypo

methylation

Homo sapiens

mitotic age / cumulative proliferative history (hypomethylation component)

score (arbitrary)

B cells / B-cell tumors (normal B-cell subpopulations and neoplasms: ALL, MCL, DLBCL, CLL, MM)

Illumina 450K/EPIC

B-cell tumor patients and normal B cells (human)

Mitotic model

1164

2020

104

2026-07-05

José I. Martı́n-Subero

Nature Cancer

https://doi.org/10.1038/s43018-020-00131-2

Hypomethylation-based component of the epiCMIT mitotic clock, tracking the cumulative mitotic history of B cells from progressive loss of DNA methylation in heterochromatin and serving as an independent prognostic marker in B-cell malignancies.

mean

True

Not yet

epitoc1

methylation

Homo sapiens

Mitotic (stem-cell division) age / cumulative stem-cell divisions in a tissue, correlated with cancer risk

score (arbitrary)

Whole blood (age-hypermethylation trained in blood); the 385 PCGT/PRC2-marked promoter CpGs were selected as constitutively unmethylated across 37 fetal tissue samples from 12 tissue types

Illumina 450K

Adults (pan-tissue applicability, including cancer/precancerous tissue)

Mitotic model

385

2016

357

2026-07-05

Andrew E. Teschendorff

Genome biology

https://doi.org/10.1186/s13059-016-1064-3

Epigenetic mitotic-like clock (“Epigenetic Timer of Cancer”) that approximates the cumulative number of stem-cell divisions in a tissue from age-associated hypermethylation at 385 Polycomb-group-target promoter CpGs that are unmethylated across fetal tissues. Its tick rate tracks estimated stem-cell division rates and is universally accelerated in cancer and pre-cancerous lesions.

mean

True

Not yet

epitoc2

methylation

Homo sapiens

mitotic age (cumulative stem-cell divisions)

cell divisions

whole blood (calibrated on 456/656 450K blood samples; CpGs selected as unmethylated across fetal tissues; applicable pan-tissue)

Illumina 450K/EPIC

adults (pan-tissue; healthy and pre-cancer/cancer samples)

dynamic DNAm transmission model

163

2020

155

2026-07-05

Andrew E. Teschendorff

Genome Medicine

https://doi.org/10.1186/s13073-020-00752-3

Epigenetic mitotic-like clock that directly estimates the lifetime cumulative number of stem-cell divisions in a tissue from cumulative hypermethylation at a subset of PRC2/Polycomb-target CpGs. Its intrinsic per-tissue division-rate estimates closely match experimentally derived rates and are accelerated in cancer, making it a mitotic-age and cancer-risk predictor.

nan_to_zero

True

Not yet

epitoc3

methylation

Homo sapiens

Mitotic age: total number of stem-cell divisions per stem cell (TNSC), and, when normalized by chronological age, the intrinsic stem-cell division rate (IR) of a tissue — used as a…

years

Whole blood (656 Hannum samples used for parameter calibration); validated across multiple normal adult tissue types and TCGA cancers; fetal/cord-blood samples used only to select…

Illumina 450K/EPIC

Adults, pan-tissue (parameters calibrated in adult whole blood, applied across normal adult tissues and cancers)

Mitotic model

170

2020

155

2026-07-05

Andrew E. Teschendorff

Genome Medicine

https://doi.org/10.1186/s13073-020-00752-3

Epigenetic mitotic-like clock estimating the cumulative number of stem-cell divisions in a tissue from hypermethylation at Polycomb/PRC2-target CpGs, a variant formulation of the EpiTOC2 mitotic-age estimator developed for cancer-risk prediction from tissue and blood methylation.

nan_to_zero

True

Not yet

garagnani

methylation

Homo sapiens

chronological age

years

whole blood

Illumina 450K

pan-age (cord blood/newborn to 99 years)

Linear regression

1

2012

500

2026-07-05

Claudio Franceschi

Aging Cell

https://doi.org/10.1111/acel.12005

Whole-blood single-locus epigenetic age marker based on methylation of the ELOVL2 gene CpG island, whose methylation increases progressively from early life and correlates strongly with chronological age (Spearman correlation ~0.92).

Not yet

gliasin

methylation

Homo sapiens

chronological age (glia-specific)

years

brain prefrontal cortex (bulk)

Illumina 450K

adults (18-97 years)

Elastic net

220

2024

25

2026-07-05

Andrew E. Teschendorff

Aging

https://doi.org/10.18632/aging.206184

Glia-specific DNA-methylation age clock for human brain (prefrontal cortex), built by estimating glial cell-type fractions, identifying glia-specific age-associated CpGs via cell-type deconvolution, and fitting an elastic-net model on cell-type-unadjusted (“semi-intrinsic”) methylation values; it shows pronounced epigenetic age acceleration in Alzheimer’s disease.

Not yet

grimage

methylation

Homo sapiens

mortality/time-to-death risk (lifespan & healthspan)

years

whole blood (peripheral blood leukocytes; Framingham Heart Study Offspring Cohort)

Illumina 450K/EPIC

adults (middle-aged to elderly, mean age ~66)

Cox regression

1032

2019

2610

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.101684

Blood DNA-methylation composite predictor of lifespan and healthspan, trained with Cox regression on DNAm surrogate estimators of seven plasma proteins (ADM, B2M, cystatin C, GDF-15, leptin, PAI-1, TIMP-1) and a DNAm estimator of smoking pack-years, and calibrated to units of years to strongly predict time-to-death.

cox_to_years

True

Not yet

grimage2

methylation

Homo sapiens

mortality/time-to-death risk (all-cause)

years

whole blood

Illumina 450K/EPIC

adults (training ages 40-92; applied to broader ages)

Cox regression

1032

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Updated blood DNA-methylation mortality predictor that augments the original surrogate panel with DNAm estimators of C-reactive protein and hemoglobin A1c, trained via Cox regression to predict lifespan and healthspan in units of years with improved association to age-related disease.

cox_to_years

True

Not yet

grimage2adm

methylation

Homo sapiens

mortality/time-to-death risk (calibrated to age)

years

whole blood

Illumina 450K

adults (trained age 40-92; applicable to ages 22+)

Cox regression

187

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation surrogate estimator of plasma adrenomedullin (ADM), a peptide involved in cardiovascular and blood-pressure regulation, trained by penalized regression as a component biomarker of the GrimAge2 mortality clock.

cox_to_years

True

Not yet

grimage2b2m

methylation

Homo sapiens

plasma beta-2-microglobulin (B2M) protein level (DNAm surrogate biomarker, GrimAge2 component)

protein level (surrogate)

whole blood

Illumina 450K

adults (Framingham Heart Study, ~40-92 years)

Elastic net

92

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation surrogate estimator of plasma beta-2-microglobulin (B2M), a marker of kidney function and immune activation, trained by penalized regression as a component biomarker of the GrimAge2 mortality clock.

cox_to_years

True

Not yet

grimage2cystatinc

methylation

Homo sapiens

DNAm surrogate for plasma cystatin C level (kidney function marker), used as a component of GrimAge2

protein level (surrogate)

whole blood

Illumina 450K

adults (Framingham Heart Study Offspring Cohort, ages 40-92 years)

Cox regression

88

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation surrogate estimator of plasma cystatin C, a renal-function marker, trained by penalized regression as a component biomarker of the GrimAge2 mortality clock.

cox_to_years

True

Not yet

grimage2gdf15

methylation

Homo sapiens

plasma GDF15 (growth differentiation factor 15) protein level (surrogate biomarker component of GrimAge2)

protein level (surrogate)

whole blood (Framingham Offspring)

Illumina 450K

adults (aged ~40-92)

Elastic net

138

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation surrogate estimator of plasma growth differentiation factor 15 (GDF-15), a marker of cellular stress and inflammation, trained by penalized regression as a component biomarker of the GrimAge2 mortality clock.

cox_to_years

True

Not yet

grimage2leptin

methylation

Homo sapiens

DNAm surrogate of plasma leptin (component biomarker of GrimAge2 mortality clock)

protein level (surrogate)

whole blood (Framingham Heart Study Offspring cohort)

Illumina 450K

adults (~40-92 years)

Elastic net

187

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation surrogate estimator of plasma leptin, an adipokine regulating appetite and energy balance, trained by penalized regression as a component biomarker of the GrimAge2 mortality clock.

cox_to_years

True

Not yet

grimage2loga1c

methylation

Homo sapiens

DNAm surrogate of log HbA1c (glycated hemoglobin)

proportion (0-1)

whole blood

Illumina 450K/EPIC

adults (~40-92 years)

Elastic net

87

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation surrogate estimator of log hemoglobin A1c, reflecting long-term blood-glucose exposure and diabetes risk, newly added and trained by penalized regression as a component biomarker of the GrimAge2 mortality clock.

cox_to_years

True

Not yet

grimage2logcrp

methylation

Homo sapiens

DNAm surrogate for log C-reactive protein (CRP)

log CRP (mg/L)

whole blood

Illumina 450K

adults (ages 40-92, Framingham)

Elastic net

132

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation elastic-net surrogate estimating log-transformed C-reactive protein, an inflammation marker. It is one of the DNAm biomarker components of the mortality-predictive GrimAge version 2 composite.

cox_to_years

True

Not yet

grimage2packyrs

methylation

Homo sapiens

smoking pack-years (DNAm surrogate)

years

whole blood (Framingham Heart Study Offspring Cohort)

Illumina 450K

adults (aged 40-92 in training)

Elastic net

173

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation elastic-net surrogate estimating lifetime smoking exposure in pack-years. It serves as a component of the mortality-predictive GrimAge version 2 composite.

cox_to_years

True

Not yet

grimage2pai1

methylation

Homo sapiens

DNAm surrogate of plasma PAI-1 (plasminogen activator inhibitor-1) protein

protein level (surrogate)

whole blood

Illumina 450K/EPIC

Adults (Framingham Heart Study Offspring), ages ~40-92

Elastic net

211

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation elastic-net surrogate estimating plasma plasminogen activator inhibitor-1 (PAI-1), a marker linked to triglycerides and visceral adiposity. It is one of the DNAm biomarker components of the GrimAge version 2 mortality predictor.

True

Not yet

grimage2timp1

methylation

Homo sapiens

DNAm surrogate of plasma TIMP-1 (tissue inhibitor of metalloproteinases 1) protein level

protein level (surrogate)

whole blood

Illumina 450K

adults (aged 40-92, mean ~66)

Elastic net

43

2022

291

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632/aging.204434

Blood DNA-methylation elastic-net surrogate estimating plasma tissue inhibitor of metalloproteinases-1 (TIMP-1). It is one of the DNAm biomarker components of the mortality-predictive GrimAge version 2 composite.

cox_to_years

True

Not yet

hannum

methylation

Homo sapiens

chronological age

years

whole blood

Illumina 450K

adults (19-101 years)

Elastic net

71

2013

4501

2026-07-05

Kang Zhang

Molecular Cell

https://doi.org/10.1016/j.molcel.2012.10.016

Whole-blood elastic-net clock estimating chronological age from 71 CpGs, derived from genome-wide methylation profiles of several hundred adults.

Not yet

hep

methylation

Homo sapiens

chronological age

years

liver (hepatocyte-specific, trained on bulk liver tissue)

Illumina EPIC

adults (18-75 years)

LASSO

70

2024

25

2026-07-05

Andrew E. Teschendorff

Aging

https://doi.org/10.18632/aging.206184

Hepatocyte-specific DNA-methylation clock estimating chronological age within the hepatocyte compartment of liver tissue, built by LASSO regression on cell-type-specific age-associated CpGs identified through cell-type deconvolution. It detects age acceleration in liver pathologies such as NAFLD and obesity that bulk-tissue clocks miss.

Not yet

hepatoxu

methylation

Homo sapiens

hepatocellular carcinoma diagnosis (disease presence/status) and prognosis

probability (0-1)

plasma cell-free DNA (ctDNA); methylation markers derived from HCC tumor tissue vs normal blood leukocytes

Bisulfite sequencing

adults (HCC patients, n=1,098, and normal/at-risk controls, n=835)

Logistic regression

10

2017

884

2026-07-05

Kang Zhang

Nature Materials

https://doi.org/10.1038/nmat4997

Blood plasma circulating tumour-DNA methylation marker panel that discriminates hepatocellular carcinoma from healthy controls and predicts tumour burden, stage, and prognosis, developed as a non-invasive liquid-biopsy diagnostic and prognostic model.

Not yet

horvath2013

methylation

Homo sapiens

chronological age (DNAm age)

years

multi-tissue (51 human tissues/cell types)

Illumina 27K/450K

pan-age (newborns to ~101 years)

Elastic net

353

2013

7318

2026-07-05

Steve Horvath

Genome biology

https://doi.org/10.1186/gb-2013-14-10-r115

Pan-tissue DNA-methylation clock estimating chronological age from 353 CpGs using penalized regression, applicable across a broad range of human tissues and cell types.

anti_log_linear

True

Not yet

hrsinchphenoage

methylation

Homo sapiens

phenotypic (biological) age

years

whole blood

Illumina 450K/EPIC

adults

PCA + elastic net

959

2022

497

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-022-00248-2

Principal-component (PC) reconstruction of the PhenoAge biological-age clock that summarizes CpGs into principal components before penalized regression, greatly improving test-retest reliability while retaining the mortality- and morbidity-related phenotypic-age signal.

Not yet

hypoclock

methylation

Homo sapiens

Mitotic age (cumulative stem-cell divisions / mitotic history, via PMD hypomethylation)

score (arbitrary)

Multi-tissue (WGBS of normal human/mouse tissues and primary tumors)

Illumina 450K/EPIC

Human tissues, normal and cancer, spanning fetal to adult (mitotic, not chronological, age)

Mitotic model

678

2018

452

2026-07-05

Benjamin P. Berman

Nature Genetics

https://doi.org/10.1038/s41588-018-0073-4

Mitotic clock approximating cumulative stem-cell divisions from progressive hypomethylation at solo-WCGW CpGs located in late-replicating, partially methylated domains.

mean

one_minus

True

Not yet

intrinclock

methylation

Homo sapiens

chronological age

years

multi-tissue (majority whole blood; also saliva, brain, skin, skeletal muscle)

Illumina 450K/EPIC

pan-age (neonates to 81+ years)

Elastic net

380

2024

53

2026-07-05

Eric Verdin

Communications Biology

https://doi.org/10.1038/s42003-024-06609-4

Blood/multi-tissue elastic-net clock estimating chronological age from 381 CpGs, designed so that predicted age is unchanged across immune cell types, isolating cell-intrinsic aging from age-related shifts in immune cell composition.

anti_log_linear

Not yet

lin

methylation

Homo sapiens

chronological age (Δage indicative of mortality/life expectancy)

years

whole blood

Illumina 27K/450K

adults (age 19-101)

Linear regression

99

2016

256

2026-07-05

Wolfgang Wagner

Aging

https://doi.org/10.18632/aging.100908

Blood DNA-methylation age predictor built by penalized multivariate regression on 99 age-associated CpGs, where a higher predicted age relative to chronological age is associated with increased mortality risk and shorter life expectancy.

Not yet

mammalian1

methylation

multi

chronological age

years

multi-tissue (pan-mammalian, ~59 tissue types)

Mammalian methylation array

pan-mammalian (185 species, prenatal to ~139 years)

Elastic net

335

2023

390

2026-07-05

Steve Horvath

Nature Aging

https://doi.org/10.1038/s43587-023-00462-6

Pan-mammalian DNA-methylation clock estimating chronological age in years, built by elastic-net regression on conserved CpGs and applicable across diverse species and tissues with a single formula.

anti_logp2

Not yet

mammalian2

methylation

multi

relative age (age relative to species maximum lifespan)

proportion (0-1)

multi-tissue (59 tissue types across mammals)

Mammalian methylation array

pan-mammalian, pan-age (185 species, prenatal to ~139 years)

Elastic net

2572

2023

390

2026-07-05

Steve Horvath

Nature Aging

https://doi.org/10.1038/s43587-023-00462-6

Pan-mammalian clock estimating relative age as the ratio of age to species maximum lifespan (scaled 0-1) via elastic-net regression, enabling biologically meaningful age comparisons across species with very different lifespans.

mammalian2

True

Not yet

mammalian3

methylation

multi

Chronological age (log-linear transformed age, combining relative age and gestational time, back-transformed to age scale)

years

Multi-tissue (59 tissue types across 185 mammalian species; blood, skin, liver, brain, muscle, etc.)

Mammalian methylation array

pan-mammalian (multi-species, all ages/life stages, 185 species)

Elastic net

2467

2023

390

2026-07-05

Steve Horvath

Nature Aging

https://doi.org/10.1038/s43587-023-00462-6

Pan-mammalian clock estimating a log-linear transformed age via elastic-net regression, substituting species maximum lifespan with age at sexual maturity and gestation time to allow cross-species comparison.

mammalian3

True

Not yet

mammalianblood2

methylation

multi

relative age (ratio of chronological age to species maximum lifespan)

proportion (0-1)

blood (whole blood)

Mammalian methylation array

multi-species mammals (pan-mammalian, blood; prenatal to ~139 years across species)

Elastic net

2257

2023

390

2026-07-05

Steve Horvath

Nature Aging

https://doi.org/10.1038/s43587-023-00462-6

Blood-focused pan-mammalian clock estimating relative age (ratio of age to species maximum lifespan) from conserved CpGs by elastic-net regression.

mammalian2

True

Not yet

mammalianblood3

methylation

multi

chronological age (log-linear transformed / relative age formulation, Clock 3)

years

blood

Mammalian methylation array

multi-species mammals (eutherians), pan-age

Elastic net

2097

2023

390

2026-07-05

Steve Horvath

Nature Aging

https://doi.org/10.1038/s43587-023-00462-6

Blood-focused pan-mammalian clock estimating log-linear transformed age from conserved CpGs by elastic-net regression, incorporating species age at sexual maturity and gestation time.

mammalian3

True

Not yet

mammalianfemale

methylation

multi

sex (probability that the sample is female)

probability (0-1)

multi-tissue (pan-mammalian; ~15,000 samples across 348 mammalian species, 59 tissue types)

Mammalian methylation array

pan-mammalian (multiple mammalian species, all ages)

Elastic net

101

2023

5

2026-07-05

Steve Horvath

bioRxiv (Cold Spring Harbor Laboratory)

https://doi.org/10.1101/2023.11.02.565286

Pan-mammalian DNA-methylation classifier estimating the probability that a sample is from a female, derived from CpGs conserved across mammalian species.

sigmoid

Not yet

mammalianlifespan

methylation

multi

species maximum lifespan

years

multi-tissue (tissue-agnostic; blood, skin, liver, brain, etc. across mammals)

Mammalian methylation array

pan-mammalian, species-level (348 mammalian species, ~15,000 samples across ~25 taxonomic orders)

Elastic net

152

2023

5

2026-07-05

Steve Horvath

bioRxiv (Cold Spring Harbor Laboratory)

https://doi.org/10.1101/2023.11.02.565286

Pan-mammalian predictor of species maximum lifespan from DNA methylation, built as a tissue-aware multivariate predictor using species- and tissue-averaged methylation across hundreds of mammals.

anti_log

True

Not yet

mammalianskin2

methylation

multi

relative age (chronological age / species maximum lifespan)

proportion (0-1)

skin (pan-mammalian skin samples)

Mammalian methylation array

pan-mammalian (skin), all ages/species; prenatal to ~139 years

Elastic net

2240

2023

390

2026-07-05

Steve Horvath

Nature Aging

https://doi.org/10.1038/s43587-023-00462-6

Skin-focused pan-mammalian clock estimating relative age (ratio of age to species maximum lifespan) from conserved CpGs by elastic-net regression.

mammalian2

True

Not yet

mammalianskin3

methylation

multi

chronological age (via log-linear transform relative to species age at sexual maturity and gestation time; “Universal Clock 3”)

years

skin (multi-species mammalian)

Mammalian methylation array

pan-mammalian (185 species, skin tissue), all ages

Elastic net

2055

2023

390

2026-07-05

Steve Horvath

Nature Aging

https://doi.org/10.1038/s43587-023-00462-6

Skin-focused pan-mammalian clock estimating log-linear transformed age from conserved CpGs by elastic-net regression, incorporating species age at sexual maturity and gestation time.

mammalian3

True

Not yet

mayne

methylation

Homo sapiens

gestational age

weeks

placenta (healthy singleton pregnancies)

Illumina 27K/450K

fetal/gestational (placental samples across pregnancy)

Elastic net

62

2017

150

2026-07-05

Tina Bianco‐Miotto

Epigenomics

https://doi.org/10.2217/epi-2016-0103

Placental DNA-methylation estimator of gestational age built from 62 CpG sites using penalized regression across pooled human placenta array datasets. Placentas from early-onset preeclampsia pregnancies show accelerated aging, with predicted gestational age exceeding chronological gestational age.

Not yet

mccartneyalcohol

methylation

Homo sapiens

alcohol consumption

weeks

whole blood

Illumina 450K

adults (Generation Scotland cohort, n=5087)

Elastic net

450

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of alcohol consumption, one of ten lifestyle and health scores trained on Illumina array data in the large Generation Scotland cohort and tested out-of-sample. Alcohol was among the scores associated with all-cause mortality.

Not yet

mccartneybmi

methylation

Homo sapiens

body mass index (BMI)

kilograms

whole blood

Illumina 450K

adults (Generation Scotland cohort, discovery; Lothian Birth Cohort 1936 replication)

LASSO

1109

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of body mass index, one of ten modifiable lifestyle and health traits modeled from array methylation in the Generation Scotland cohort.

sigmoid

Not yet

mccartneybodyfat

methylation

Homo sapiens

body fat percentage

proportion (0-1)

whole blood

Illumina 450K/EPIC

adults (Generation Scotland/STRADL, aged 18-99 years, mean ~48.5)

LASSO

968

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of body fat percentage, part of a panel of ten lifestyle and health scores trained on array methylation in the Generation Scotland cohort.

sigmoid

Not yet

mccartneyeducation

methylation

Homo sapiens

educational attainment

score (arbitrary)

whole blood

Illumina 450K

adults

Elastic net

373

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of educational attainment, one of ten lifestyle and health scores trained on array methylation in the Generation Scotland cohort. Educational attainment was among the scores that predicted all-cause mortality.

sigmoid

Not yet

mccartneyhdlcholesterol

methylation

Homo sapiens

HDL cholesterol level

mmol/L

whole blood

Illumina 450K

adults (18-99 years)

Elastic net

737

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of HDL cholesterol, one of ten modifiable lifestyle and health traits modeled from array methylation in the Generation Scotland cohort.

sigmoid

Not yet

mccartneyldlcholesterol

methylation

Homo sapiens

LDL (with remnant) cholesterol level

score (arbitrary)

whole blood

Illumina 450K

adults (Generation Scotland cohort)

Elastic net

233

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of LDL with remnant cholesterol, one of ten modifiable lifestyle and health traits modeled from array methylation in the Generation Scotland cohort.

sigmoid

Not yet

mccartneysmoking

methylation

Homo sapiens

smoking exposure (pack-years)

years

whole blood

Illumina 450K/EPIC

adults (Generation Scotland, mean age ~49 years)

LASSO

233

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of smoking exposure, one of ten lifestyle and health scores trained on array methylation in the Generation Scotland cohort. Smoking was among the scores associated with all-cause mortality.

Not yet

mccartneytotalcholesterol

methylation

Homo sapiens

total cholesterol level

mmol/L

whole blood

Illumina 450K/EPIC

adults (Generation Scotland/STRADL cohort, n=5087)

LASSO

204

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of total cholesterol, one of ten modifiable lifestyle and health traits modeled from array methylation in the Generation Scotland cohort.

sigmoid

Not yet

mccartneytotalhdlratio

methylation

Homo sapiens

total:HDL cholesterol ratio

score (arbitrary)

whole blood

Illumina 450K/EPIC

adults (Generation Scotland cohort)

Elastic net

412

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of the total-to-HDL cholesterol ratio, one of ten modifiable lifestyle and health traits modeled from array methylation in the Generation Scotland cohort.

Not yet

mccartneywhr

methylation

Homo sapiens

waist-to-hip ratio

score (arbitrary)

whole blood

Illumina 450K/EPIC

adults (Generation Scotland training cohort, mean age ~49; tested in Lothian Birth Cohort 1936, age ~70)

LASSO

226

2018

301

2026-07-05

Riccardo E. Marioni

Genome biology

https://doi.org/10.1186/s13059-018-1514-1

Blood DNA-methylation LASSO predictor of waist-to-hip ratio, one of ten lifestyle and health scores trained on array methylation in the Generation Scotland cohort. Waist-to-hip ratio was among the scores that predicted all-cause mortality.

Not yet

meer

methylation

Mus musculus

chronological age

days

multi-tissue (11 mouse tissues, e.g. liver, lung, brain cortex, heart, blood)

Bisulfite sequencing

mice, whole lifespan (1 week to 35 months; C57BL/6)

Elastic net

435

2018

203

2026-07-05

Vadim N. Gladyshev

eLife

https://doi.org/10.7554/eLife.40675

Multi-tissue mouse chronological age clock built by elastic-net regression on reduced-representation bisulfite sequencing, using 435 CpG sites across roughly a dozen tissues. It spans the entire mouse lifespan and is responsive to longevity interventions such as caloric restriction and growth-hormone-receptor knockout.

Not yet

neusin

methylation

Homo sapiens

chronological age

years

brain (prefrontal cortex, bulk tissue, neuron-specific CpGs)

Illumina 450K

adults (18-97 years)

Elastic net

672

2024

25

2026-07-05

Andrew E. Teschendorff

Aging

https://doi.org/10.18632/aging.206184

Neuron semi-intrinsic DNA-methylation clock estimating chronological age in prefrontal cortex, trained by elastic-net regression on neuron-specific age-associated CpGs identified through cell-type deconvolution but applied to unadjusted methylation values. It captures within-neuron aging and shows age acceleration in Alzheimer’s disease.

Not yet

ocampoatac1

atac

Homo sapiens

chronological age

years

PBMCs (peripheral blood mononuclear cells)

ATAC-seq

healthy adults, ages 20-74 years

Elastic net

80400

2023

49

2026-07-05

Alejandro Ocampo

GeroScience

https://doi.org/10.1007/s11357-023-00986-0

Human aging clock that estimates chronological age from ATAC-seq chromatin-accessibility profiles of peripheral blood mononuclear cells, using elastic-net regression over age-variable open-chromatin regions. This base version operates on raw accessibility without adjusting for shifts in blood cell-type composition.

tpm_norm_log1p

Not yet

ocampoatac2

atac

Homo sapiens

chronological age

years

whole blood (PBMCs)

ATAC-seq

adults (20-74 years)

Elastic net

80400

2023

49

2026-07-05

Alejandro Ocampo

GeroScience

https://doi.org/10.1007/s11357-023-00986-0

Variant of the PBMC chromatin-accessibility age clock that corrects for age-related changes in blood cell-type composition before elastic-net estimation of chronological age, yielding substantially tighter predictions than the uncorrected version.

tpm_norm_log1p

Not yet

pcdnamtl

methylation

Homo sapiens

DNA methylation-estimated leukocyte telomere length

kilobases

whole blood

Illumina 450K/EPIC

adults

PCA + elastic net

78464

2022

497

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-022-00248-2

Principal-component reconstruction of the DNA-methylation estimator of leukocyte telomere length, computed by applying PCA across CpGs followed by penalized regression to suppress single-CpG technical noise and improve test-retest reliability.

True

Not yet

pcgrimage

methylation

Homo sapiens

mortality/time-to-death risk

years

whole blood (originally trained on Framingham Heart Study; PC version retrained across multiple cohorts including FHS, HRS, InCHIANTI, SATSA)

Illumina 450K/EPIC

adults

PCA + elastic net

78466

2022

497

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-022-00248-2

Principal-component version of the GrimAge mortality predictor, combining DNA-methylation surrogates of plasma proteins and smoking pack-years to estimate time-to-death, retrained through PCA to bolster reliability for longitudinal tracking.

True

Not yet

pchannum

methylation

Homo sapiens

chronological age

years

whole blood

Illumina 450K/EPIC

adults

PCA + elastic net

78464

2022

497

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-022-00248-2

Principal-component version of the Hannum whole-blood clock, estimating chronological age from blood DNA methylation via PCA across CpGs followed by penalized regression to reduce technical noise from individual probes.

True

Not yet

pchorvath2013

methylation

Homo sapiens

chronological age

years

multi-tissue (pan-tissue)

Illumina 450K/EPIC

pan-age humans (fetal to elderly), multi-tissue

PCA + elastic net

78464

2022

497

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-022-00248-2

Principal-component reconstruction of the pan-tissue multi-tissue clock, predicting chronological age across diverse human tissues from DNA methylation with improved reliability through PCA-based feature aggregation.

anti_log_linear

True

Not yet

pcphenoage

methylation

Homo sapiens

phenotypic (biological) age; mortality/morbidity risk

years

whole blood

Illumina 450K/EPIC

adults

PCA + elastic net

78464

2022

497

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-022-00248-2

Principal-component version of the DNAm PhenoAge clock, estimating a mortality- and morbidity-associated phenotypic age from blood DNA methylation, retrained via PCA to reduce technical noise for more reliable longitudinal measurement.

True

Not yet

pcskinandblood

methylation

Homo sapiens

chronological age

years

skin and blood (multi-tissue)

Illumina 450K/EPIC

pan-age adults/all ages

PCA + elastic net

78464

2022

497

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-022-00248-2

Principal-component version of the skin-and-blood clock, predicting chronological age with particular accuracy in skin, blood, and fibroblasts, using PCA across CpGs to strengthen test-retest reliability.

anti_log_linear

True

Not yet

pedbe

methylation

Homo sapiens

chronological age

years

buccal epithelial cells (pediatric)

Illumina 450K

pediatric/children (0-20 years)

Elastic net

94

2019

292

2026-07-05

Michael S. Kobor

Proceedings of the National Academy of Sciences

https://doi.org/10.1073/pnas.1820843116

Pediatric buccal-cell DNA-methylation clock estimating chronological age in children from a small set of CpGs selected by elastic-net regression, trained on buccal-epithelial samples spanning gestation to early adulthood.

anti_log_linear

Not yet

petkovich

methylation

Mus musculus

chronological age

months

whole blood (mouse)

Bisulfite sequencing

mice (C57BL/6), ages 3-35 months

Elastic net

90

2017

441

2026-07-05

Vadim N. Gladyshev

Cell Metabolism

https://doi.org/10.1016/j.cmet.2017.03.016

Mouse blood DNA-methylation age clock built by regression on reduced-representation bisulfite-sequencing CpGs, estimating biological age and shown to be slowed by lifespan-extending interventions such as caloric restriction and dwarfism.

petkovich

Not yet

phenoage

blood chemistry

Homo sapiens

phenotypic age (mortality/healthspan risk), i.e., DNA methylation-based estimate of phenotypic age

years

whole blood

Illumina 450K

adults (NHANES III training cohort, ages 20+; validated across adult lifespan)

Cox regression

10

2018

3594

2026-07-05

Steve Horvath

Aging

https://doi.org/10.18632%2Faging.101414

Phenotypic age estimator computed from nine clinical blood-chemistry biomarkers together with chronological age through a parametric (Gompertz) mortality model, expressing all-cause mortality risk as an equivalent age in years.

mortality_to_phenoage

Not yet

prostatecancerkirby

methylation

Homo sapiens

prostate cancer diagnosis (malignant vs benign tissue)

probability (0-1)

prostate tissue (fresh-frozen malignant and benign-adjacent)

Illumina 450K

adult men (prostate cancer patients)

Logistic regression

3

2017

61

2026-07-05

R Myers

BMC Cancer

https://doi.org/10.1186/s12885-017-3252-2

Prostate-tissue DNA-methylation diagnostic classifier that distinguishes malignant prostate cancer from benign-adjacent tissue, built by logistic regression on genome-wide Illumina 450K methylation from 73 tumor and 63 benign-adjacent prostate samples. The differentially methylated signature was also examined as a predictor of disease progression.

Not yet

reedbmi

methylation

Homo sapiens

body mass index (BMI) - biomarker of extant/concurrent BMI

kilograms

whole blood (peripheral blood; umbilical cord blood at birth)

Illumina 450K

pan-age (birth, childhood ~7y, adolescence ~15-17y, pregnancy ~29y, middle age ~48y); ARIES/ALSPAC mother-child cohort

Weighted average of CpGs

135

2020

86

2026-07-05

Gibran Hemani

Clinical Epigenetics

https://doi.org/10.1186/s13148-020-00841-5

Blood DNA-methylation score for body mass index, computed as a weighted combination of CpGs drawn from published BMI epigenome-wide associations. It was evaluated across the life course from birth through adulthood in a longitudinal mother-child cohort to separate methylation that acts as a biomarker of current BMI from methylation that predicts future BMI.

Not yet

replitali

methylation

Homo sapiens

cumulative replicative/mitotic history (population doublings)

population doublings

primary human cells in culture (fetal/neonatal/adult skin fibroblasts, foreskin keratinocytes, vascular endothelial and smooth muscle cells)

Illumina EPIC

human primary cells in culture (relative measure of replicative history, not chronological age)

Elastic net

87

2022

86

2026-07-05

Peter W. Laird

Nature Communications

https://doi.org/10.1038/s41467-022-34268-8

Elastic-net mitotic clock (RepliTali, Replication Times Accumulated in Lifetime) that estimates the cumulative replicative history of primary human cells from progressive hypomethylation at PMD solo-WCGW CpGs in late-replicating, lamina-associated domains, trained against population doublings measured in cultured fibroblasts on EPIC arrays.

Not yet

replitalinorm

methylation

Homo sapiens

Mitotic age (normalized cumulative population doublings / replicative history)

population doublings

Cultured primary human cells (fibroblasts, keratinocytes, endothelial cells)

Illumina EPIC

Primary human cells (in vitro cultured, multiple donors/cell types)

Elastic net

218

2022

86

2026-07-05

Peter W. Laird

Nature Communications

https://doi.org/10.1038/s41467-022-34268-8

Normalized version of the RepliTali mitotic clock that predicts population doublings adjusted for each donor’s unknown in vivo replicative history (calibrated using the chronologically youngest fetal fibroblast line), tracking cumulative cell divisions through PMD solo-WCGW hypomethylation in primary human cells.

Not yet

retroelementagev1

methylation

Homo sapiens

chronological age

years

whole blood

Illumina EPIC

adults (ages 12-100 years)

Elastic net

1317

2024

26

2026-07-05

Michael J. Corley

Aging Cell

https://doi.org/10.1111/acel.14288

Blood DNA-methylation clock (‘Retro-age’) that predicts chronological age from the methylation states of retroelements, specifically human endogenous retroviruses and LINE elements, using an elastic-net model over roughly 10,900 retroelement-annotated CpGs. This version is built for Illumina EPIC v1.0 data and draws on CpGs largely non-overlapping with existing epigenetic clocks.

Not yet

retroelementagev2

methylation

Homo sapiens

chronological age

years

whole blood

Illumina EPIC

ages 12-100 years (adolescents to elderly)

Elastic net

1378

2024

26

2026-07-05

Michael J. Corley

Aging Cell

https://doi.org/10.1111/acel.14288

EPIC v2.0-compatible version of the ‘Retro-age’ clock, an elastic-net predictor of chronological age from blood DNA-methylation states of retroelements (human endogenous retroviruses and LINEs), capturing an aging signal distinct from first- and second-generation epigenetic clocks.

Not yet

senchronoage

methylation

Homo sapiens

chronological age (senescence-enriched age predictor)

years

whole blood (age-predictor training) with senescence/age/mortality-concordant CpGs selected using cultured human cell senescence datasets (fibroblasts, MSCs, epithelial cells)

Illumina 450K/EPIC

adults

Elastic net

187

2026

0

2026-07-05

Albert T Higgins-Chen

Aging Cell

https://doi.org/10.1111/acel.70430

Senescence-enriched DNA-methylation clock that estimates chronological age from a methylome subset prioritized for association with cellular senescence. It is one of a family of senescence-focused clocks whose age signal was not reversed by senolytic treatment in vitro, in mice, or in human trials.

Not yet

sencultureage

methylation

Homo sapiens

in vitro cellular senescence status (core senescence signal across senescence inducers, e.g. DNA damage/replicative/oncogene-induced senescence vs control)

score (arbitrary)

cultured human fibroblasts and mesenchymal stem/stromal cells (in vitro)

Illumina 450K/EPIC

in vitro cultured human cells (fibroblasts/MSCs)

Elastic net

142

2026

0

2026-07-05

Albert T Higgins-Chen

Aging Cell

https://doi.org/10.1111/acel.70430

Senescence-enriched DNA-methylation clock trained to quantify cellular senescence accumulated in cultured human cells, using CpGs identified by meta-analysis of replicative, DNA-damage and oncogene-induced senescence across fibroblast cell lines. Its senescence signal was not reduced by senolytic treatment.

Not yet

senmortalityage

methylation

Homo sapiens

mortality/time-to-death risk (senescence-enriched CpGs)

relative risk/hazard

whole blood (Framingham Heart Study)

Illumina 450K/EPIC

adults

Cox regression

91

2026

0

2026-07-05

Albert T Higgins-Chen

Aging Cell

https://doi.org/10.1111/acel.70430

Senescence-enriched DNA-methylation predictor of mortality risk, constructed from CpGs prioritized for their association with cellular senescence and with mortality. It belongs to a clock family that showed little CpG overlap between the senescence, chronological-age and mortality signals.

Not yet

skinandblood

methylation

Homo sapiens

chronological age

years

multi-tissue (skin fibroblasts, keratinocytes, buccal, blood, endothelial cells)

Illumina 450K/EPIC

pan-age (fetal to elderly)

Elastic net

391

2018

853

2026-07-05

Kenneth Raj

Aging

https://doi.org/10.18632/aging.101508

Multi-tissue DNA-methylation age predictor built by penalized (elastic-net) regression across skin, blood, buccal, saliva, and cultured fibroblasts/keratinocytes and endothelial cells. Designed to remain highly accurate in fibroblasts and cell-culture material, and applied to characterize accelerated epigenetic aging in Hutchinson-Gilford Progeria Syndrome.

anti_log_linear

Not yet

stemtocvitro

methylation

Homo sapiens

Mitotic (stem-cell/progenitor division) age

score (arbitrary)

In vitro proliferating cell lines (fibroblast, endothelial, smooth muscle) used to derive mitCpGs; final CpG selection calibrated against whole-blood age-hypermethylation cohorts; fetal/neonatal…

Illumina 450K/EPIC

Pan-age, pan-tissue; applicable to normal, precancerous and cancer tissues (adults, plus fetal/neonatal reference samples used in CpG selection)

Mitotic model

629

2024

24

2026-07-05

Andrew E. Teschendorff

Nature Communications

https://doi.org/10.1038/s41467-024-48649-8

Variant of the StemTOC mitotic counter whose CpGs are defined from cell-division (in vitro) experiments, tracking mitotic age via hypermethylation at sites that accumulate methylation with proliferation rather than merely with chronological time.

0.95 quantile

True

Not yet

stubbs

methylation

Mus musculus

chronological age

weeks

multi-tissue mouse (primarily liver, lung, heart, cortex from Babraham dataset; also muscle, cerebellum, spleen from additional datasets)

Bisulfite sequencing

mice (Mus musculus), newborn to ~41 weeks (whole lifespan)

Elastic net

17992

2017

430

2026-07-05

Wolf Reik

Genome biology

https://doi.org/10.1186/s13059-017-1203-5

Multi-tissue DNA-methylation age predictor for mouse, trained by penalized regression on reduced-representation bisulfite sequencing methylation across several mouse tissues to estimate chronological age.

quantile_normalization_and_scale_with_gold_standard

stubbs

True

Not yet

systemsage

methylation

Homo sapiens

mortality risk / system-specific aging deterioration (composite of 11 physiological-system aging scores, mortality-trained via Cox regression, output scaled to a chronological-age-like unit)

years

whole blood

Illumina 450K/EPIC

adults (primarily older adults, ~51-100 years; HRS and FHS cohorts)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Composite biological-age measure derived from a single blood DNA-methylation assay that integrates eleven physiological-system-specific methylation clocks trained with supervised and unsupervised learning against clinical biomarkers, functional measures, and mortality. Summarizes overall multisystem aging and predicts mortality and age-related outcomes more precisely than single-value clocks.

True

Not yet

systemsageblood

methylation

Homo sapiens

Blood-system biological age (aging of the blood/hematological physiological system, one of 11 systems in the Systems Age framework)

years

whole blood (trained in HRS, validated/replicated in Framingham Heart Study)

Illumina EPIC

adults/older adults, ~51-100 years (HRS training cohort)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Blood-system component of the Systems Age framework, a blood DNA-methylation clock quantifying aging of the hematological system relative to clinical and functional markers of that system.

True

Not yet

systemsagebrain

methylation

Homo sapiens

brain/nervous-system biological aging (brain-system age)

years

whole blood

Illumina 450K/EPIC

adults

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Brain-system component of the Systems Age framework, a blood DNA-methylation clock quantifying aging of the nervous/brain system by training against system-relevant clinical, functional, and mortality outcomes.

True

Not yet

systemsageheart

methylation

Homo sapiens

heart/cardiovascular-system biological age (aging of the heart system)

years

whole blood

Illumina 450K/EPIC

adults (middle-aged to elderly)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Heart-system component of the Systems Age framework, a blood DNA-methylation clock quantifying cardiovascular-system aging against system-specific clinical biomarkers and outcomes.

True

Not yet

systemsagehormone

methylation

Homo sapiens

hormone/endocrine physiological system aging (system-specific biological age)

years

whole blood

Illumina 450K/EPIC

adults (trained in HRS and Framingham Heart Study cohorts)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Hormone-system component of the Systems Age framework, a blood DNA-methylation clock quantifying aging of the endocrine/hormonal system from a single blood draw.

True

Not yet

systemsageimmune

methylation

Homo sapiens

immune-system biological age (immune aging; linked to immune clinical/functional markers and mortality)

years

whole blood

Illumina 450K/EPIC

adults

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Immune-system component of the Systems Age framework, a blood DNA-methylation clock quantifying immune-system aging against immune-relevant clinical and functional markers.

True

Not yet

systemsageinflammation

methylation

Homo sapiens

inflammatory-system biological age (system-specific aging)

years

whole blood

Illumina 450K/EPIC

adults (middle-aged to older adults)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Blood DNA-methylation clock estimating the aging rate of the inflammatory system, one of 11 organ-system-specific ages in the Systems Age framework derived by linking methylation to system-relevant clinical biomarkers, functional measures and mortality risk. Together the systems ages resolve within-person aging heterogeneity from a single blood draw and reveal distinct multisystem aging subtypes.

True

Not yet

systemsagekidney

methylation

Homo sapiens

kidney physiological system biological age (aging/mortality risk)

years

whole blood

Illumina 450K/EPIC

adults (older adults)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Blood DNA-methylation clock estimating the aging rate of the kidney/renal system, one of 11 organ-system-specific ages in the Systems Age framework derived by linking methylation to system-relevant clinical biomarkers, functional assessments and mortality risk. It captures system-level aging heterogeneity within a person from a single blood methylation test.

True

Not yet

systemsageliver

methylation

Homo sapiens

aging of the liver (hepatic) physiological system

years

whole blood

Illumina 450K/EPIC

adults

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Blood DNA-methylation clock estimating the aging rate of the hepatic (liver) system, one of 11 organ-system-specific ages in the Systems Age framework derived by linking methylation to system-relevant clinical biomarkers, functional measures and mortality risk. It resolves organ-specific aging heterogeneity from a single blood draw.

True

Not yet

systemsagelung

methylation

Homo sapiens

biological age (aging rate) of the lung/pulmonary system

years

whole blood

Illumina 450K/EPIC

adults (~51-100+ years)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Blood DNA-methylation clock estimating the aging rate of the pulmonary (lung) system, one of 11 organ-system-specific ages in the Systems Age framework derived by linking methylation to system-relevant clinical biomarkers, functional assessments and mortality risk. It contributes to a composite multisystem aging profile computed from a single blood sample.

True

Not yet

systemsagemetabolic

methylation

Homo sapiens

biological aging of the metabolic physiological system (one of 11 system-specific ages)

years

whole blood

Illumina 450K/EPIC

adults, ~51-100 years (trained in HRS n=3,593 and FHS ~3,935, validated in additional cohorts)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Blood DNA-methylation clock estimating the aging rate of the metabolic system, one of 11 organ-system-specific ages in the Systems Age framework derived by linking methylation to system-relevant clinical biomarkers, functional measures and mortality risk. It captures within-person metabolic aging heterogeneity from a single blood methylation assay.

True

Not yet

systemsagemusculoskeletal

methylation

Homo sapiens

musculoskeletal system biological age (system-specific mortality-associated aging rate)

years

whole blood

Illumina 450K/EPIC

adults (trained in adults over 50, ages 51-100)

PCA + elastic net

125175

2025

41

2026-07-05

Morgan E. Levine

Nature Aging

https://doi.org/10.1038/s43587-025-00958-3

Blood DNA-methylation clock estimating the aging rate of the musculoskeletal system, one of 11 organ-system-specific ages in the Systems Age framework derived by linking methylation to system-relevant clinical biomarkers, functional assessments and mortality risk. It resolves organ-level aging heterogeneity within an individual from a single blood draw.

True

Not yet

twelvecelldeconvolutebloodepicbas

methylation

Homo sapiens

basophil cell-type proportion (12-cell blood deconvolution)

proportion (0-1)

whole blood

Illumina EPIC

adults

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based cell-type deconvolution estimating the proportion of basophils from whole-blood EPIC DNA-methylation data using an extended 12-leukocyte-subtype reference validated against flow cytometry.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepicbmem

methylation

Homo sapiens

memory B cell (Bmem) proportion

proportion (0-1)

whole blood

Illumina EPIC

adults

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based cell-type deconvolution estimating the proportion of memory B cells from whole-blood EPIC DNA-methylation data using an extended 12-leukocyte-subtype reference validated against flow cytometry.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepicbnv

methylation

Homo sapiens

naive B cell proportion (cell-type deconvolution)

proportion (0-1)

whole blood

Illumina EPIC

adults (whole-blood samples)

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based cell-type deconvolution estimating the proportion of naive B cells from whole-blood EPIC DNA-methylation data using an extended 12-leukocyte-subtype reference validated against flow cytometry.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepiccd4mem

methylation

Homo sapiens

proportion of memory CD4+ T cells (cell-type composition)

proportion (0-1)

whole blood (purified leukocyte-subtype reference)

Illumina EPIC

adults (human whole-blood samples)

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based cell-type deconvolution estimating the proportion of memory CD4+ T cells from whole-blood EPIC DNA-methylation data using an extended 12-leukocyte-subtype reference validated against flow cytometry.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepiccd4nv

methylation

Homo sapiens

naive CD4+ T cell proportion (CD4nv, cell-type deconvolution)

proportion (0-1)

whole blood

Illumina EPIC

adults

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based cell-type deconvolution estimating the proportion of naive CD4+ T cells from whole-blood EPIC DNA-methylation data using an extended 12-leukocyte-subtype reference validated against flow cytometry.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepiccd8mem

methylation

Homo sapiens

memory CD8+ T cell proportion

proportion (0-1)

whole blood (purified leukocyte subsets reference panel)

Illumina EPIC

adults

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Reference-based cell-type deconvolution estimating the proportion of memory CD8+ T cells from whole-blood EPIC DNA-methylation data using an extended 12-leukocyte-subtype reference validated against flow cytometry.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepiccd8nv

methylation

Homo sapiens

naive CD8+ T-cell (CD8nv) proportion

proportion (0-1)

whole blood

Illumina EPIC

adults (whole blood)

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Cell-type deconvolution estimate of the naive CD8+ T-cell fraction in whole blood, inferred from EPIC-array DNA methylation against a twelve immune cell-type reference of leukocyte-specific CpGs rather than being an age predictor.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepiceos

methylation

Homo sapiens

eosinophil cell-type proportion (immune cell fraction)

proportion (0-1)

whole blood

Illumina EPIC

adults (whole blood)

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Cell-type deconvolution estimate of the eosinophil fraction in whole blood, inferred from EPIC-array DNA methylation against a twelve immune cell-type reference of leukocyte-specific CpGs rather than being an age predictor.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepicmono

methylation

Homo sapiens

monocyte cell-type proportion

proportion (0-1)

whole blood

Illumina EPIC

adults

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Cell-type deconvolution estimate of the monocyte fraction in whole blood, inferred from EPIC-array DNA methylation against a twelve immune cell-type reference of leukocyte-specific CpGs rather than being an age predictor.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepicneu

methylation

Homo sapiens

neutrophil cell-type proportion (12-cell-type deconvolution)

proportion (0-1)

whole blood

Illumina EPIC

adults

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Cell-type deconvolution estimate of the neutrophil fraction in whole blood, inferred from EPIC-array DNA methylation against a twelve immune cell-type reference of leukocyte-specific CpGs rather than being an age predictor.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepicnk

methylation

Homo sapiens

NK (natural killer) cell proportion

proportion (0-1)

whole blood

Illumina EPIC

adults

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Cell-type deconvolution estimate of the natural killer (NK) cell fraction in whole blood, inferred from EPIC-array DNA methylation against a twelve immune cell-type reference of leukocyte-specific CpGs rather than being an age predictor.

fill_with_reference_means

True

Not yet

twelvecelldeconvolutebloodepictreg

methylation

Homo sapiens

regulatory T-cell (Treg) proportion in blood

proportion (0-1)

whole blood

Illumina EPIC

adults (human blood samples; not age-specific)

Reference-based deconvolution

240

2024

13

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-025-00987-y

Cell-type deconvolution estimate of the regulatory T-cell (Treg) fraction in whole blood, inferred from EPIC-array DNA methylation against a twelve immune cell-type reference of leukocyte-specific CpGs rather than being an age predictor.

fill_with_reference_means

True

Not yet

vidalbralo

methylation

Homo sapiens

chronological age

years

whole blood

Illumina 27K/450K

adults (>20 years)

Bayesian regression

8

2016

145

2026-07-05

Antonio González

Frontiers in Genetics

https://doi.org/10.3389/fgene.2016.00126

Whole-blood epigenetic age estimator for adults built by stepwise multiple linear regression over eight CpG sites, designed to run as a single low-cost MS-SNuPE multiplex assay rather than a genome-wide methylation microarray.

Not yet

weidner

methylation

Homo sapiens

chronological age

years

whole blood

Illumina 27K

adults

Linear regression

3

2014

973

2026-07-05

Wolfgang Wagner

Genome biology

https://doi.org/10.1186/gb-2014-15-2-r24

Whole-blood chronological age predictor based on multivariate linear regression over just three age-associated CpG sites (in ITGA2B, ASPA and PDE4C), measurable by targeted bisulfite pyrosequencing.

Not yet

wu

methylation

Homo sapiens

chronological age

months

whole blood (peripheral blood leukocytes)

Illumina 27K/450K

pediatric/children (9-212 months, ~0-18 years)

Elastic net

111

2019

82

2026-07-05

Huiying Liang

Aging

https://doi.org/10.18632/aging.102399

Pediatric DNA-methylation age clock estimating chronological age (in months) from children’s whole-blood methylation, built by sure independence screening followed by elastic-net regression over 111 CpGs, with methylation aging signatures largely distinct from adult clocks.

anti_log_linear

Not yet

xchrom

methylation

Homo sapiens

sex / sex chromosome complement (and aneuploidy, e.g. Turner/Klinefelter syndrome)

score (arbitrary)

whole blood (generalizes across tissues)

Illumina 450K/EPIC

human, all ages (sex-independent of age)

PCA

453152

2021

38

2026-07-05

Leonard C. Schalkwyk

BMC Genomics

https://doi.org/10.1186/s12864-021-07675-2

X-chromosome component of a DNA-methylation sex classifier that scores X-linked methylation using principal components of sex-associated CpGs, reflecting X-chromosome dosage to infer sex and detect aneuploidies such as 45,X and 47,XXY.

sex_estimation_autosomal_zscore

True

Not yet

ychrom

methylation

Homo sapiens

sex / sex chromosome aneuploidy (Y-chromosome presence)

sex (categorical)

whole blood

Illumina 450K/EPIC

adults (training age 18; validation 28-98), age-independent

PCA-based classifier

453152

2021

38

2026-07-05

Leonard C. Schalkwyk

BMC Genomics

https://doi.org/10.1186/s12864-021-07675-2

Y-chromosome component of a DNA-methylation sex classifier that scores Y-linked methylation using principal components of sex-associated CpGs, indicating presence or absence of the Y chromosome and helping identify sex-chromosome aneuploidy.

sex_estimation_autosomal_zscore

True

Not yet

yingadaptage

methylation

Homo sapiens

adaptive/protective epigenetic age (captures beneficial, protective methylation changes accumulated with aging; higher AdaptAge acceleration associated with lower mortality risk, opposite of DamAge)

years

whole blood

Illumina 450K

adults (18-93 years, Generation Scotland cohort)

Elastic net

999

2024

183

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-023-00557-0

Causality-enriched DNA-methylation clock trained on CpGs identified by epigenome-wide Mendelian randomization as protective/adaptive to aging, capturing beneficial adaptive methylation changes; built by elastic-net regression on blood methylation and decreasing under age-related damage.

Not yet

yingcausage

methylation

Homo sapiens

chronological age (causality-enriched, causal CpGs; CausAge), with derived DamAge/AdaptAge tracking damaging vs adaptive methylation changes

years

whole blood

Illumina 450K

adults (aged 18-93 years, Generation Scotland cohort)

Elastic net

585

2024

183

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-023-00557-0

Causality-enriched DNA-methylation age clock built by elastic-net regression over 586 CpGs selected via epigenome-wide Mendelian randomization to be causally linked to aging-related traits, estimating biological age from blood methylation while separating causal from merely correlative signals.

Not yet

yingdamage

methylation

Homo sapiens

age-related damage (damaging DNA methylation changes prioritized by Mendelian randomization); DamAge acceleration is strongly associated with mortality risk

years

whole blood

Illumina 450K

adults (trained on ages 18-93)

Elastic net

1089

2024

183

2026-07-05

Vadim N. Gladyshev

Nature Aging

https://doi.org/10.1038/s43587-023-00557-0

Blood DNA-methylation clock (DamAge) that quantifies damaging, deleterious epigenetic changes using CpGs prioritized by epigenome-wide Mendelian randomization to be causally linked to aging traits. It tracks detrimental methylation changes and is strongly associated with all-cause mortality and other adverse outcomes, complementing the protective AdaptAge counterpart.

Not yet

zhangblup

methylation

Homo sapiens

chronological age

years

whole blood

Illumina 450K

adults

BLUP

319607

2019

519

2026-07-05

Peter M. Visscher

Genome Medicine

https://doi.org/10.1186/s13073-019-0667-1

Chronological-age predictor for blood and saliva built with Best Linear Unbiased Prediction over 319,607 CpGs. Trained on a large multi-tissue sample to achieve high-precision age estimates, at which point the age-acceleration residual loses its association with mortality.

scale_row

True

Not yet

zhangen

methylation

Homo sapiens

chronological age

years

whole blood (some saliva)

Illumina 450K/EPIC

humans, ages 2-104 years

Elastic net

514

2019

519

2026-07-05

Peter M. Visscher

Genome Medicine

https://doi.org/10.1186/s13073-019-0667-1

Chronological-age predictor for blood and saliva built with elastic-net regression on 514 CpGs. Trained across a wide age range on 450K and EPIC array data, sharing few probes with the Hannum or Horvath clocks.

scale_row

True

Not yet

zhangmortality

methylation

Homo sapiens

all-cause mortality risk

relative risk/hazard

whole blood (peripheral blood)

Illumina 450K

adults (general population, ~50-75 years)

Cox regression

10

2017

404

2026-07-05

Hermann Brenner

Nature Communications

https://doi.org/10.1038/ncomms14617

Peripheral-blood methylation risk score for all-cause mortality derived from 10 CpGs selected by LASSO Cox regression from epigenome-wide screening. The score stratifies mortality risk independently of chronological-age epigenetic clocks, with several CpGs also linked to smoking.

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