The 12 o’clock assay: an optimized dodecaplex droplet digital PCR assay for robust DNA methylation quantification and epigenetic clock-based age-predictions

DNA methylation quantification in age-prediction models relies on only a few techniques with inherent limitations and biases, reducing the accuracy and reproducibility. We developed a new droplet digital PCR assay format for accurate DNA methylation quantification, based on three LNA-containing hydrolysis probes to detect methylated and unmethylated alleles. Using a 12-plex assay we simultaneously quantified methylation at six CpGs (ASPA, C1orf132, CCDC102B, EDARADD, ELOVL2, FHL2) in 351 blood samples (age range: 0-95 years), showing strong correlations with age (|r|> 0.83). Several age-prediction models were developed, achieving high performance on testing sets (R<sup>2</sup>: 0.933-0.973, MAE: 3.18-5.18, RMSE: 4.71-7.27).

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Publication Details

Journal
Clinical Epigenetics
Published
2026-03-24
DOI
https://doi.org/10.1186/s13148-026-02105-0
Primary Topic
Epigenetics and DNA Methylation
Type
article
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article

The 12 o’clock assay: an optimized dodecaplex droplet digital PCR assay for robust DNA methylation quantification and epigenetic clock-based age-predictions

Clinical Epigenetics
Epigenetics and DNA Methylation
article

The 12 o’clock assay: an optimized dodecaplex droplet digital PCR assay for robust DNA methylation quantification and epigenetic clock-based age-predictions

article en

Abstract

DNA methylation quantification in age-prediction models relies on only a few techniques with inherent limitations and biases, reducing the accuracy and reproducibility. We developed a new droplet digital PCR assay format for accurate DNA methylation quantification, based on three LNA-containing hydrolysis probes to detect methylated and unmethylated alleles. Using a 12-plex assay we simultaneously quantified methylation at six CpGs (ASPA, C1orf132, CCDC102B, EDARADD, ELOVL2, FHL2) in 351 blood samples (age range: 0-95 years), showing strong correlations with age (|r|> 0.83). Several age-prediction models were developed, achieving high performance on testing sets (R<sup>2</sup>: 0.933-0.973, MAE: 3.18-5.18, RMSE: 4.71-7.27).

Clinical Epigenetics
Conservatoire National des Arts et Métiers (FR), Institut de Radioprotection et de Sûreté Nucléaire (FR), Inserm (FR), Université Paris Cité (FR), Commissariat à l'Énergie Atomique et aux Énergies Alternatives (FR), Fondation Jean Dausset-CEPH (FR), Sorbonne Université (FR), Centre National de Recherche en Génomique Humaine (FR), Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR), Université Sorbonne Paris Nord (FR), Sorbonne Paris Cité (FR), Direction de la Recherche Fondamentale (FR), Génomique Bioinformatique et Applications (FR), French Clinical Research Infrastructure Network (FR), Centre de Recherche Épidémiologie et Statistique (FR), Institut Curie (FR)
Openalex Percentile: Top 10%
Epigenetics and DNA Methylation
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The 12 o’clock assay: an optimized dodecaplex droplet digital PCR assay for robust DNA methylation quantification and epigenetic clock-based age-predictions · Clinical Epigenetics (2026) | TGRS Research Map | TGRS