ImAge quantitates aging and rejuvenation

Abstract Biomarkers of biological age that predict the risk of disease and expected lifespan better than chronologi-cal age are key to efficient and cost-effective healthcare1–3. To advance a personalized approach to healthcare, such biomarkers must reliably and accurately capture individual biology, predict biological age, and provide scalable and cost-effective measurements. We developed a novel approach – image-based chromatin and epigenetic age (ImAge) that captures intrinsic progressions of biological age, which readily emerge as principal changes in the spatial organization of chromatin and epigenetic marks in single nuclei without regression on chronological age. ImAge captured the expected acceleration or deceleration of bio-logical age in mice treated with chemotherapy or following a caloric restriction(definition) regimen, respectively. Im-Age from chronologically identical mice inversely correlated with their locomotor activity (greater activity for younger ImAge), consistent with the widely accepted role of locomotion as an aging biomarker across species. Finally, we demonstrated that ImAge is reduced following transient expression of OSKM cassette in the liver and skeletal muscles and reveals heterogeneity of in vivo reprogramming. We propose that Im-Age represents the first-in-class imaging-based biomarker of aging with single-cell resolution.