RT journal article T1 Epigenetic clocks in relapse after a first episode of schizophrenia A1 González Segura, Álex A1 Prohens, Llucia A1 Mezquida, G. A1 Amoretti, Silvia A1 Bioque, Miquel A1 Ribeiro, M. A1 Gurriarán-Bas, Xaquin A1 Rementería, Lide A1 Berge, Daniel A1 Rodriguez-Jimenez, R. A1 Roldán, Alexandra A1 Pomarol-Clotet, Edit A1 Ibáñez, Angela A1 Usall, J. A1 García Portilla, María Paz A1 Cuesta, Manuel J. A1 Parellada, M. A1 González-Pinto, A. A1 Berrocoso Domínguez, Esther María A1 Bernardo, Miquel A1 Mas, Sergi A1 2EPS group A2 Psicología AB The main objective of the present study was to investigate the association between several epigenetic clocks, covering different aspects of aging, with schizophrenia relapse evaluated over a 3-year follow-up period in a cohort of ninety-one first-episode schizophrenia patients. Genome-wide DNA methylation was profiled and four epigenetic clocks, including epigenetic clocks of chronological age, mortality and telomere length were calculated. Patients that relapsed during the follow-up showed epigenetic acceleration of the telomere length clock (p=0.030). Shorter telomere length was associated with cognitive performance (working memory, r=0.31 p=0.015; verbal fluency, r=0.28 p=0.028), but no direct effect of cognitive function or symptom severity on relapse was detected. The results of the present study suggest that epigenetic age acceleration could be involved in the clinical course of schizophrenia and could be a useful marker of relapse when measured in remission stages. PB SPRINGERNATURE SN 2754-6993 YR 2022 FD 2022-07 LK http://hdl.handle.net/10498/27935 UL http://hdl.handle.net/10498/27935 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 12-nov-2026