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DISCO metric from proteomics predicts mortality and frailty in older adultsBrain entropy predicts death better than existing aging clocks in older adults

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Key Takeaway
Consider DISCO as a preliminary proteomic metric for predicting mortality and frailty in older adults.

This cohort study used data from the UK BioBank, NHANES, and three Chinese cohorts to develop a proteomic-based metric called DISCO for measuring the aging process. The study population was older adults, and the intervention or exposure was the aging process, quantified as increases in entropy. The comparator was existing metrics of dysregulation and best-in-class epigenetic clocks.

The main results showed that DISCO consistently outperforms existing metrics of dysregulation and is comparable to the best-in-class epigenetic clocks for mortality prediction. DISCO strongly predicts frailty and incidence of age-related chronic conditions. Organ- and system-specific DISCO scores derived from circulating proteomics demonstrate broad predictive power with little to no specificity of a given organ predicting its own diseases and mortality. More central, connected organ DISCOs predict health outcomes more strongly, and brain entropy is one of the strongest predictors for each mortality cause.

No safety or tolerability data were reported. A key limitation is that the entropy of human aging has not been well characterized. The study design is observational, so causal inferences cannot be made. Practice relevance is limited to understanding potential biomarkers for aging-related outcomes.

For decades, doctors have struggled to find a perfect way to measure how fast someone is aging. We often rely on existing metrics of dysregulation or epigenetic clocks, but these tools have limits. A new study challenges this by looking at the aging process itself, specifically increases in entropy, which is a measure of disorder or randomness in the body. Researchers analyzed data from older adults across the UK, the US, and China to see if this new approach works better.

The results were clear: this new measure, called DISCO, consistently outperforms existing metrics of dysregulation and matches the best-in-class epigenetic clocks. It strongly predicts frailty and the chance of developing age-related chronic conditions. This matters because it gives doctors a sharper tool to spot health risks before they become emergencies.

Interestingly, the study found that looking at the brain was key. Brain entropy was one of the strongest predictors for every cause of death. While organ-specific scores showed broad power, the most central and connected organs predicted health outcomes most strongly. This suggests our health is deeply linked, not just isolated parts failing separately.

What this means for you:
Brain entropy predicts death and disease risk as well as the best current aging clocks.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
Aging involves diminished homeostatic control and changes in individual biomarker levels/states. However, it is unknown whether these alterations reflect a rise in entropy during the aging process, and whether entropy disrupts broad systemic interrelationships. The entropy of human aging has not been well characterized, but measures of systemic entropy could reveal aging dynamics that may not be apparent even by integration of state-based aging metrics. Here, we leverage the Distance of Covariance (DISCO), which quantifies entropy in large ensembles of biological information, to demonstrate that organs and systems exhibit interconnected increased entropy with age. We validate DISCO on multiple data substrates (clinical biomarkers, proteomics, metabolomics, and microbiomes) in five cohort datasets: UK BioBank, National Health and Nutrition Examination Survey, and three Chinese cohorts of older adults. DISCO consistently outperforms mortality prediction of existing metrics of dysregulation and is comparable to the best-in-class epigenetic clocks. It also strongly predicts frailty and incidence of age-related chronic conditions. Crucially, organ- and system-specific DISCO scores derived from circulating proteomics demonstrate broad predictive power with little to no specificity of a given organ predicting its own diseases and mortality. Network analysis of organ- and system-specific DISCO shows that more central, connected organ DISCOs predict health outcomes more strongly. For example, for each mortality cause, brain entropy is one of the strongest predictors. These findings challenge current notions of independent organ-specific aging signatures, suggesting instead that while pathology may be organ-specific, entropy spills readily across systems, and thus conversely that health during aging requires integrated homeostatic coordination across multiple systems.
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