The present invention is in the field of biomedical sciences. The present invention relates to
in vitro and / or
ex vivo methods of determining
biological age and / or the presence and / or magnitude of an age gap between chronological age and
biological age. Specifically, the present invention relates to a method of determining an age gap between chronological age and
biological age based on expression level(s) of one or more marker(s) in cells derived from a bodily fluid sample. The method of the invention may be computer-implemented. Furthermore, the present invention relates to a method of determining biological age and / or presence and / or magnitude of an age gap between chronological age and biological age comprising the steps of determining expression level of one or more marker(s) in cells derived from a bodily fluid sample from an individual and determining said biological age and / or presence of said age gap between chronological age and biological age, wherein the expression level(s) of said one or more marker(s) is / are indicative of biological age and / or presence and / or magnitude of an age gap between chronological age and biological age. The present invention further relates to a method for determining biological age and / or presence and / or magnitude of an age gap between chronological age and biological age comprising the steps of (a) providing a training dataset of a plurality of individuals, wherein said training dataset comprises for each individual: i) histological sections of at least one tissue of said individual, and ii) chronological age of said individual, (b) extracting morphological features from said histological sections of step (a) i), (c) analyzing the extracted morphological features of step (b) and correlating said morphological features with the chronological age of step (a) ii) of the same individual, wherein associations between the morphological features and the chronological age are determined, and (d) applying the associations determined in step (c) to histological sections to determine the biological age and / or the presence and / or magnitude of an age gap between the chronological age and the biological age. The present invention also relates to a method of determining the biological age and / or the presence and / or magnitude of an age gap between chronological age and biological age in tissue from whole slide images, application of the age gap analysis to a bodily fluid sample, and determination of biological age from said bodily fluid sample using associated marker expression level. In particular, the present invention also relates to methods of determining biological age and / or the presence and / or magnitude of an age gap between chronological age and biological age using the analysis of histopathological tissue samples and / or marker expression levels in cells derived from bodily fluids. The present invention is particularly useful for determining tissue-specific and / or systemic biological age and / or tissue-specific and / or systemic biological age gaps. The invention also relates to a method of determining areas in a histological section that are affected by aging. Furthermore, the present invention is particularly of value for research, diagnostics, and
personalized medicine, in particular personalized aging assessment and development of corresponding
treatment options. Furthermore, the present invention allows, inter alia, for detection, in particular
early detection or prediction of diseases such as age-related pathologies and / or diseases, as well as the determination of the health state or fitness state. The present invention also provides for monitoring treatment responses.