Turner syndrome showed clear epigenetic age acceleration, while Klinefelter syndrome showed weaker and clock-dependent evidence of accelerated aging.
Evidence
A DNA-methylation clock analysis compared 57 people with Turner syndrome with 33 female controls and 65 people with Klinefelter syndrome with 63 male controls, finding advanced across all clocks in Turner syndrome and in some clocks for Klinefelter syndrome.
Caveat
The cohorts were modest in size, and clock-specific findings, especially for Klinefelter syndrome and estrogen replacement therapy, limit causal or clinical interpretation.
Simplified
BACKGROUND: The sex chromosome aneuploidies Turner syndrome (45,X; TS) and Klinefelter syndrome (47,XXY; KS) are associated with aging-related comorbidities, reduced life expectancy and genome-wide DNA methylation changes. This indicates that , reflecting physiological function rather than chronological age, is increased in both syndromes. To investigate whether DNA methylation patterns linked to physiological decline could contribute to the comorbidity patterns and reduced lifespan in TS and KS, we applied so-called to DNA methylation data from cohorts of TS (n = 57) compared to female controls (n = 33) and KS (n = 65) compared to male controls (n = 63). Additionally, we evaluated correlations between epigenetic age and clinical variables, aiming to identify clinical aging markers in TS and KS.
RESULTS: Comparing TS to female controls, all epigenetic clocks indicated advanced biological aging. Comparing KS to male controls, less evidence was observed although some epigenetic clocks indicated accelerated biological aging. Considering estrogen replacement therapy in TS, some epigenetic clocks found that treatment reduced biological age in TS. Correlating epigenetic clocks to clinical variables, several unfavorable outcomes-mainly related to body composition-correlated with age in controls. In TS, and in some cases KS, these correlations were diminished. In TS and KS, we instead found correlations between body composition and the rate of aging.
CONCLUSION: We demonstrated that biological aging was clearly increased in sex chromosome aneuploidies, especially TS, potentially contributing to the severely reduced lifespan. Additionally, unfavorable changes in body composition, common in both TS and KS, and in particular in the presence of hypogonadism, could result in accelerated aging-or be the result thereof.
Key numbers
0.12 years
Increase in Aging Pace
Aging pace measured by clock in TS vs. female controls.
2 years
in Klinefelter Syndrome
indicates in KS vs. male controls.
13–15 years
Loss in Lifespan
Average lifespan loss in Turner syndrome individuals.
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