Hypothesis: In rheumatoid arthritis (RA), senescent osteocytes accumulate in periarticular bone and secrete a senescence-associated secretory phenotype (SASP) enriched in IL-6, TNF-α, and matrix metalloproteinases. We hypothesize that this osteocyte-specific SASP drives systemic epigenetic age acceleration (measured by GrimAge and DunedinPACE clocks) through NF-κB-dependent suppression of DNMT3a in circulating CD4+ T cells, leading to progressive CpG hypomethylation at inflammaging-associated loci.

Testable prediction: RA patients with higher periarticular bone senescence burden (quantified by p16^INK4a immunohistochemistry on bone biopsy) will show (1) greater GrimAge acceleration in peripheral blood, (2) lower DNMT3a expression in CD4+ T cells, and (3) selective hypomethylation at NF-κB-responsive CpG sites. Furthermore, senolytic therapy (dasatinib + quercetin) targeting senescent osteocytes should partially reverse epigenetic clock acceleration within 6 months, measurable as reduced DunedinPACE.

This connects geroscience to autoimmune disease by proposing that tissue-specific cellular senescence in a non-immune compartment (bone) drives systemic biological aging through epigenetic reprogramming of immune cells — a mechanism distinct from, but synergistic with, direct immune senescence.