# Epigenetic Age Acceleration as a Biomarker of Early Life Adversity and Mid-life Cognitive Function

> **NIH NIH R01** · PENNSYLVANIA STATE UNIVERSITY, THE · 2020 · $322,910

## Abstract

ABSTRACT
Early life adversity affects two-thirds of all children in the U.S. and can have a lasting impact on healthy
cognitive aging, interfering with the acquisition of cognitive abilities in early life and leading to earlier, steeper
declines in cognitive function at mid-life. Theoretical models specify that early life adversity alters biological
stress-mediating systems underlying broad domains of cognitive health. The biological effects of early life
adversity can therefore serve as highly novel biomarkers with the unique advantage of being detected prior to
cognitive impairment. Identifying biomarkers at mid-life, prior to the onset of cognitive impairment or even
neurodegenerative diseases such as Alzheimer's Disease and related dementias, can provide actionable
information to improve early detection and efforts at delaying, reversing, or preventing these conditions in late-
life. This proposal will examine whether early life adversity alters a novel biomarker of cognitive function at mid-
life, epigenetic age, an index of the biological age of human tissues and cells derived from DNA methylation
and predictive of cognitive impairment in late-life. Existing data and biospecimens will be used to examine the
impact of early life adversity on epigenetic age and its relation to cognitive function at mid-life in the Female
Growth and Development Study (N=173; Mage=39.47), a 30-year prospective cohort study of the impact of child
sexual abuse. Active data collection with the Female Growth and Development Study is underway and
examining the impact of child sexual abuse on cognitive function using well-established, performance-based
measures of working memory, inhibitory control, fluid reasoning, and receptive language. The current
application would capitalize on this opportunity by advancing comprehensive biological models for how child
sexual abuse is embedded in the methylome to affect cognitive function at mid-life. DNA and genome-wide
variation in DNA methylation will be characterized through whole blood. DNA methylation at 353 cytosine-
guanine sites across the methylome will be used to quantify epigenetic age and examine its relation with child
sexual abuse. Mediation models will test whether glucocorticoid remodeling occurring in the sixteen years
following child sexual abuse explains accelerations in epigenetic age at mid-life. Variably methylated regions of
the methylome affected by child sexual abuse will also be examined to identify regions that have the strongest
risk and protective relations with cognitive function at mid-life. Epigenetic age and other established risks,
including a cognitive function polygenic risk score, educational attainment, socioeconomic status, and lifetime
exposure to stressful events, will be included in statistical models to examine the increased predictive power
gained from these molecular analyses of cognitive function beyond known risks. Following recommendations
by the National Institute on Aging, this ...

## Key facts

- **NIH application ID:** 9939362
- **Project number:** 5R01AG059682-03
- **Recipient organization:** PENNSYLVANIA STATE UNIVERSITY, THE
- **Principal Investigator:** Chad Shenk
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $322,910
- **Award type:** 5
- **Project period:** 2018-09-15 → 2022-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9939362

## Citation

> US National Institutes of Health, RePORTER application 9939362, Epigenetic Age Acceleration as a Biomarker of Early Life Adversity and Mid-life Cognitive Function (5R01AG059682-03). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/9939362. Licensed CC0.

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