1.Subjective sleep problems is associated with epigenetic age acceleration:a Mendelian randomization study
Xiaomei LI ; Hao REN ; Zheng ZHANG ; Yimo SHEN
Journal of Army Medical University 2025;47(19):2437-2444,封3
Objective To investigate the potential causal associations between 3 common subjective sleep problems,daytime sleepiness,insomnia,and sleep apnea,and epigenetic age acceleration.Methods A two-sample Mendelian randomization(MR)study was conducted the publicly available genome-wide association study(GWAS)data to assess the causal effects of self-reported sleep problems on 4 indicators of epigenetic age acceleration,including intrinsic epigenetic age acceleration(IEAA),GrimAge acceleration,HannumAge acceleration,and PhenoAge acceleration.The primary analytical method was inverse-variance weighting(IVW),supplemented by sensitivity analyses using MR-Egger regression and the weighted median(WM)method to examine the robustness of the findings.Results IVW showed that daytime sleepiness was significantly positively associated with IEAA(β=1.83,95%CI:0.17~2.49,P=0.031)and HannumAge acceleration(β=1.81,95%CI:0.21~2.42,P=0.027),suggesting a potential accelerating effect on epigenetic aging.Insomnia also showed significant positive associations with IEAA(β=1.57,95%CI:0.40~2.73,P=0.009)and GrimAge acceleration(β=1.37,95%CI:0.18~2.56,P=0.024).No significant causal relationship was observed between sleep apnea and any indicator of epigenetic age acceleration(P>0.05).Conclusion Daytime sleepiness and insomnia may accelerate epigenetic aging,indicating their potential biological role in the aging process.The impact of sleep apnea remains unclear and warrants further investigation.

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