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Heuristic editor, no API keyVerdict: Notable

Intraindividual longitudinal changes of the proteome reveal dynamic markers of biological aging

Proteomic aging clocks have emerged as biomarkers of aging, but most rely on cross-sectional data.

By Lermer, Qian, Pusch +9

Score████░░░░░░4.3

Caveats

  • Preprint; not yet peer reviewed.

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Abstract

Proteomic aging clocks have emerged as biomarkers of aging, but most rely on cross-sectional data. Here, we present a proteomic aging clock based on longitudinal measurements of liquid chromatography-mass spectrometry plasma proteomics at up to three time points in the population-based KORA cohort, comprising 9,105 samples from 4,100 individuals in the final dataset aged 25-88 years. The model predicts chronological age and yields a measure of proteomic age acceleration associated with lifestyle and clinical risk factors. Risk factor-stratified analyses reveal shared proteomic signatures among cardiometabolic exposures and distinct signatures for smoking and physical activity. Within individuals, dyslipidemia and impaired kidney function track transitions to increases in age acceleration, while higher age acceleration is associated with increased all-cause mortality. Mediation analysis suggests that risk factors are linked to mortality indirectly through age acceleration. Affected proteins and pathways highlight extracellular matrix remodeling, complement and coagulation pathways, and liver-derived plasma proteins as key contributors to aging. Mendelian randomization identifies proteins with evidence consistent with a causal role in aging-related traits. Together, these findings are consistent with biological aging being dynamically responsive to changes in modifiable risk factors.

R. Lermer, X. Qian, S. T. Pusch, T. Schaefer, J. Adam, L. Li, M. von Scheidt, B. Linkohr, A. Peters, M. Mann, H. Schunkert, M. Heinig

The editor's rubric

Heuristic review

DimensionLevelWeightWhat that level means
Leverage███░░ 324%A method or resource many groups across the field will adopt within a year.
Magnitude██░░░ 216%Solid incremental gain on a meaningful problem.
Evidence████░ 420%Strong: large scale, preregistered, independently replicated, or a well-powered randomized trial.
Novelty███░░ 320%A genuinely new approach to an open problem.
Trajectory██░░░ 210%Some room to improve with obvious engineering.
Stakes██░░░ 210%Benefits a professional community (practitioners, clinicians, engineers).

Editor’s rationale

Heuristic triage from title and abstract text only, not a reading of the paper. Cues found: method (we propose); novelty (open problem); design (randomized); stakes (mortality).

How the score was computed

rank-2026-10-07

Score████░░░░░░4.3

Score = 10 × (75% × adjusted merit / 10 + 15% × attention + 10% × freshness)

Merit
5.7 / 10
Weighted rubric, evidence-gated.
Adjusted merit
4.6 / 10
Shrunk toward the desk prior by editor confidence (38%).
Attention
0%
Citations, upvotes, points, mentions.
Freshness
80%
Half-life decay since publication.

No attention signals recorded yet.

The record

  • Reviewed by heuristic-v5 on Oct 8, 2026, 05:48 UTC. Paper type: clinical.
  • Categories: bioinformatics
  • BRIEF, No.4 in the Biology edition of October 8, 2026.