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Marcante B, Marino L, Cattaneo NE, Delicati A, Tozzo P, Caenazzo L. Advancing Forensic Human Chronological Age Estimation: Biochemical, Genetic, and Epigenetic Approaches from the Last 15 Years: A Systematic Review. Int J Mol Sci 2025; 26:3158. [PMID: 40243941 PMCID: PMC11988829 DOI: 10.3390/ijms26073158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2025] [Revised: 03/24/2025] [Accepted: 03/26/2025] [Indexed: 04/18/2025] Open
Abstract
Forensic age estimation is crucial for identifying unknown individuals and narrowing suspect pools in criminal investigations. Over the past 15 years, significant progress has been made in using biochemical, genetic, and epigenetic markers to estimate chronological age. METHODS From research on PubMed a total of 155 studies, related to advancements in age prediction techniques, were selected following PRISMA guidelines. Studies considered eligible dealt with radiocarbon dating, aspartic acid racemization, mitochondrial DNA analysis, signal joint T-cell receptor excision circles, RNA analysis, telomeres, and DNA methylation in the last 15 years and were summarized in a table. RESULTS Despite these advancements, challenges persist, including variability in prediction accuracy, sample degradation, and the lack of standardization and reproducibility. DNA methylation emerged as the most promising approach capable of high accuracy across diverse populations and age ranges. Multimodal methods integrating several biomarkers show promise in improving reliability and addressing these limitations. CONCLUSION While significant progress has been made, further standardization, validation, and technological integration are needed to enhance forensic age estimation. These efforts are essential for meeting the growing demands of forensic science while addressing ethical and legal considerations.
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Affiliation(s)
- Beatrice Marcante
- Legal Medicine Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35122 Padova, Italy; (B.M.); (L.M.); (N.E.C.); (A.D.); (P.T.)
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35121 Padova, Italy
| | - Laura Marino
- Legal Medicine Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35122 Padova, Italy; (B.M.); (L.M.); (N.E.C.); (A.D.); (P.T.)
| | - Narjis Elisa Cattaneo
- Legal Medicine Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35122 Padova, Italy; (B.M.); (L.M.); (N.E.C.); (A.D.); (P.T.)
| | - Arianna Delicati
- Legal Medicine Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35122 Padova, Italy; (B.M.); (L.M.); (N.E.C.); (A.D.); (P.T.)
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35121 Padova, Italy
| | - Pamela Tozzo
- Legal Medicine Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35122 Padova, Italy; (B.M.); (L.M.); (N.E.C.); (A.D.); (P.T.)
| | - Luciana Caenazzo
- Legal Medicine Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, 35122 Padova, Italy; (B.M.); (L.M.); (N.E.C.); (A.D.); (P.T.)
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Martín-Martín J, Santos I, Gaitán-Arroyo MJ, Suarez J, Rubio L, Martín-de-Las-Heras S. Dental color measurement to estimate age in adults: a systematic review and meta-analysis. Forensic Sci Med Pathol 2025; 21:382-400. [PMID: 38459359 PMCID: PMC11953101 DOI: 10.1007/s12024-024-00798-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/26/2024] [Indexed: 03/10/2024]
Abstract
Age estimation is a major challenge in anthropology and forensic odontology laboratories, as well as in judicial settings, as one of the tools used in human identification. The aim of this study was to evaluate the usefulness of age estimation methods based on the accurate measurement of tooth color changes. A systematic review was carried out following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and in compliance with Cochrane criteria recommendations (PROSPERO registration number CRD 42022343371). An electronic search was performed in the following databases: Pubmed, Web of Science, Medline, Current Contents Connect, SciELO, KCI-Korean Journal Database, Derwent Innovations Index and Russian Citation Index. The search strategy yielded a total of 18 articles. A randomized meta-analysis model of the results for the CIE L*a*b* color variables stratified by age (less than 30 years, 30-60 years, 60 years and older) was performed with 9 of the 18 studies included in this systematic review. According to our results, sex and location of color measurement are the most influential factors in color estimation. All studies were carried out in healthy anterior teeth by spectrophotometry as the most commonly used method for color measurement, with CIE L*a*b* being the most commonly analyzed parameters. Studies based on age as a dependent variable showed R2 values between 0.28 and 0.56, being higher in ex vivo teeth. Studies based on age as an independent variable showed R2 values ranging from 0.10 to 0.48. The random model showed high heterogeneity for the L*, a* and b* parameters in all age groups, which is explained by discrepancies in age range and non-standardized conditions for color measurement. This systematic review highlights the need to protocolize age estimation studies that measure tooth color, in order to apply this method in different forensic settings.
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Affiliation(s)
- Jaime Martín-Martín
- Area of Legal and Forensic Medicine. Department of Human Anatomy, Legal Medicine and History of Science, University of Malaga, Bulevar Louis Pasteur 32, 29071, Malaga, Spain
- Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain
| | - Ignacio Santos
- Area of Legal and Forensic Medicine. Department of Human Anatomy, Legal Medicine and History of Science, University of Malaga, Bulevar Louis Pasteur 32, 29071, Malaga, Spain
- Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain
| | - María J Gaitán-Arroyo
- Area of Legal and Forensic Medicine. Department of Human Anatomy, Legal Medicine and History of Science, University of Malaga, Bulevar Louis Pasteur 32, 29071, Malaga, Spain
- Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain
| | - Juan Suarez
- Area of Legal and Forensic Medicine. Department of Human Anatomy, Legal Medicine and History of Science, University of Malaga, Bulevar Louis Pasteur 32, 29071, Malaga, Spain
- Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain
| | - Leticia Rubio
- Area of Legal and Forensic Medicine. Department of Human Anatomy, Legal Medicine and History of Science, University of Malaga, Bulevar Louis Pasteur 32, 29071, Malaga, Spain.
- Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain.
| | - Stella Martín-de-Las-Heras
- Area of Legal and Forensic Medicine. Department of Human Anatomy, Legal Medicine and History of Science, University of Malaga, Bulevar Louis Pasteur 32, 29071, Malaga, Spain
- Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain
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Sutter C, Marti Y, Haas C, Neubauer J. Methylation-based forensic age estimation in blood, buccal cells, saliva and semen: A comparison of two technologies. Forensic Sci Int 2025; 367:112325. [PMID: 39667189 DOI: 10.1016/j.forsciint.2024.112325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2024] [Revised: 11/20/2024] [Accepted: 12/01/2024] [Indexed: 12/14/2024]
Abstract
Forensic age estimation of stain donors through DNA methylation has been intensively studied in recent years. To date, there are many published age estimation tools which are based on technologies including pyrosequencing, minisequencing, or MPS. With the implementation of such tools into routine forensic casework in many laboratories worldwide, there is a need for thorough evaluation and performance comparison. In this study, we tested published age estimation tools that are based on either minisequencing or MPS on four body fluids (blood, saliva, buccal cells and semen). All samples were analyzed with both technologies and the age estimates were compared. Biological replicates were taken from ten (blood, saliva, buccal cells) or 12 individuals (semen) to assess the reproducibility of each tool. Our study demonstrates high accuracy in estimating chronological age for various body fluids using both technologies, except for semen. The mean absolute errors (MAEs) ranged from three to five years for blood, saliva and buccal cells, while semen exhibited a higher MAE of seven to eight years. Despite the overall good performance for blood, saliva, and buccal cells, significant discrepancies were observed for some individuals both between the two technologies or when compared to their chronological age. Conclusively, we demonstrated that forensic age estimation tools based on two different technologies are similarly accurate for blood, saliva and buccal cells, while the semen tools need some adjustments before implementation into forensic casework. Our results could be helpful in the decision-making process for laboratories seeking to newly establish an age estimation workflow.
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Affiliation(s)
- Charlotte Sutter
- University of Zurich, Zurich Institute of Forensic Medicine, Winterthurerstrasse 190, Zürich CH-8057, Switzerland.
| | - Yael Marti
- University of Zurich, Zurich Institute of Forensic Medicine, Winterthurerstrasse 190, Zürich CH-8057, Switzerland.
| | - Cordula Haas
- University of Zurich, Zurich Institute of Forensic Medicine, Winterthurerstrasse 190, Zürich CH-8057, Switzerland.
| | - Jacqueline Neubauer
- University of Zurich, Zurich Institute of Forensic Medicine, Winterthurerstrasse 190, Zürich CH-8057, Switzerland.
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Castagnola MJ, Medina-Paz F, Zapico SC. Uncovering Forensic Evidence: A Path to Age Estimation through DNA Methylation. Int J Mol Sci 2024; 25:4917. [PMID: 38732129 PMCID: PMC11084977 DOI: 10.3390/ijms25094917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 04/27/2024] [Accepted: 04/28/2024] [Indexed: 05/13/2024] Open
Abstract
Age estimation is a critical aspect of reconstructing a biological profile in forensic sciences. Diverse biochemical processes have been studied in their correlation with age, and the results have driven DNA methylation to the forefront as a promising biomarker. DNA methylation, an epigenetic modification, has been extensively studied in recent years for developing age estimation models in criminalistics and forensic anthropology. Epigenetic clocks, which analyze DNA sites undergoing hypermethylation or hypomethylation as individuals age, have paved the way for improved prediction models. A wide range of biomarkers and methods for DNA methylation analysis have been proposed, achieving different accuracies across samples and cell types. This review extensively explores literature from the past 5 years, showing scientific efforts toward the ultimate goal: applying age prediction models to assist in human identification.
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Affiliation(s)
- María Josefina Castagnola
- Department of Chemistry and Environmental Sciences, New Jersey Institute of Technology, Tiernan Hall 365, Newark, NJ 07102, USA; (M.J.C.); (F.M.-P.)
| | - Francisco Medina-Paz
- Department of Chemistry and Environmental Sciences, New Jersey Institute of Technology, Tiernan Hall 365, Newark, NJ 07102, USA; (M.J.C.); (F.M.-P.)
| | - Sara C. Zapico
- Department of Chemistry and Environmental Sciences, New Jersey Institute of Technology, Tiernan Hall 365, Newark, NJ 07102, USA; (M.J.C.); (F.M.-P.)
- Department of Anthropology and Laboratories of Analytical Biology, National Museum of Natural History, MRC 112, Smithsonian Institution, Washington, DC 20560, USA
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Chandler S, Sudi SM, Bailie KC, Chetty M. The challenge of unidentified decedents in Africa: The need for training and research in forensic odontology to strengthen a multidisciplinary approach. FRONTIERS IN ORAL HEALTH 2022; 3:1017736. [PMID: 36225817 PMCID: PMC9549165 DOI: 10.3389/froh.2022.1017736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 09/09/2022] [Indexed: 11/29/2022] Open
Abstract
Introduction The management of unidentified decedents suspected to be undocumented migrants is a growing humanitarian crisis in Africa. Identification of the dead and the right of the family to know the fate of a decedent is a fundamental human right. Forensic odontology methods can provide helpful and assisting information in the identification even in challenging low-resource settings. South Africa and other countries that are part of significant migration routes face the problem of unidentified decedents. Discussion The fundamental application of forensic odontology relies on the availability of good antemortem dental records. The state of dental records was reported to be suboptimal in South Africa and other African countries. Incorporating forensic odontology into the undergraduate training in the 23 dental schools in Africa will increase the understanding of the value of maintaining accurate dental records and potentially facilitate collaboration with dentists and forensic odontologists in cases where dental features can be used for identification. South Africa offers postgraduate training in forensic odontology, and prospects for research in Africa need to be explored. Conclusion The development of a forensic odontology career path and research prospects will provide African countries with the potential for building multidisciplinary teams to assist in solving the challenge of unidentified decedents.
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Affiliation(s)
- Susan Chandler
- Faculty of Dentistry, University of the Western Cape, Bellville, Cape Town, South Africa
- Correspondence: Susan Chandler Stephen M. Sudi
| | - Stephen M. Sudi
- Faculty of Dentistry, University of the Western Cape, Bellville, Cape Town, South Africa
- Correspondence: Susan Chandler Stephen M. Sudi
| | - Keané C. Bailie
- Faculty of Dentistry, University of the Western Cape, Bellville, Cape Town, South Africa
| | - Manogari Chetty
- Faculty of Dentistry, University of the Western Cape, Bellville, Cape Town, South Africa
- University of the Western Cape/ University of Cape Town Combined Dental Genetics Clinic, Red Cross Children’s Hospital, Cape Town, South Africa
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