suPARnostic® in longevity

suPARnostic® by ViroGates

ABOUT SUPAR

A new clinical lens on aging

Longevity is about healthspan: the years lived in good health, free from chronic disease and functional decline.

Chronic inflammation plays a central role in aging. suPAR is a stable blood biomarker of chronic inflammation, giving your clinic an early, measurable view of a client’s long-term health.

Elevated suPAR is associated with higher risk of major diseases such as cancer, diabetes and cardiovascular disease, while lower levels point to good underlying health.

Learn more

BIOLOGICAL AGE

What is the expected suPAR level of an individual?

suPAR rises naturally with age, but faster in people with unhealthy lifestyles (7). Women typically have higher levels than men until their mid-70s (8). Because suPAR closely tracks the pace of aging, it can be used to estimate biological age (9).

To make this actionable, we developed the suPAR Biological Age Calculator, based on data from over 9,000 healthy Danish blood donors and elderly individuals (7,8,9). Healthcare professionals enter a patient’s or client’s gender, age, and suPAR level to get their biological age and rate of aging.

Biological age calculator

SAMPLE REPORT

How you can help your client

See what a suPAR test report could look like. It shows how clinics can translate suPAR test results into an easy-to-understand biological age and pace-of-aging score, helping clients understand and monitor their inflammatory health.

This is a demonstration report for illustrative purposes only. ViroGates does not interpret results for patients. Interpretation and patient guidance remain the sole responsibility of the treating healthcare professional.

See an example report

IMPLEMENTATION GUIDE

Easy to adopt, flexible to run

suPAR fits into your clinic’s existing operations, without replacing the tests you already run.

Running the test in-house with CE-IVD certified assays on major analyzers (e.g. Abbott, Siemens, Roche)
Using an external partner lab, either your current one or one recommended by ViroGates
Receiving full onboarding support, including training, setup, and clinical best practices
Accessing optional reporting software for suPAR level and biological age with white-label solutions

PARTNERS

What our clients say

Clinics already using suPAR in their longevity programmes.

“In our Healthspan Longevity and Lifestyle Medicine Unit and the LongCOVID Unit at Blue Healthcare, we have incorporated the soluble urokinase plasminogen activator receptor (suPAR) test as a key biomarker to assess inflammatory risk and accelerated aging. This approach allows us to personalize preventive and therapeutic strategies, enhancing long-term health and post-COVID sequelae management.”

Dr. Francisco Mera

Head of the Longevity Area – Long Covid and Post-Viral Syndromes Unit at Blue Healthcare

“At Chenot, we use suPAR as an advanced biomarker to detect chronic systemic inflammation, offering deep insights into biological aging and cellular senescence. It’s a powerful tool to personalize and optimize longevity strategies.”

Dr George Gaitanos

Chief Operating & Scientific Officer at the Chenot Group

THE EVIDENCE

Elevated suPAR and accelerated aging

In a long-term study following a birth cohort into midlife, suPAR was measured at ages 38 and 45. Elevated suPAR was associated with (11):

Accelerated aging across multiple organ systems
Older facial appearance, as rated by independent panels
Older brain structure on MRI
Greater cognitive decline
Poorer physical function, including more physical limitations, worse balance, weaker grip strength, and slower walking speed

Improving health habits between ages 38 and 45, such as quitting smoking or becoming more physically active, was linked to a slower rise in suPAR over time (11).

“suPAR informs on the general health of an individual. Is everything OK or should something be changed?”

Jesper Eugen-Olsen,

Chief Scientific Officer, ViroGates

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INTERPRETATION

Lifestyle and suPAR

Unlike many other biomarkers, suPAR levels are remarkably stable in that they are not influenced by circadian rhythms or minor infections. Instead, suPAR levels provides a reliable measure of the body’s long-term inflammatory activity and the cumulative impact of lifestyle and health behaviors.

suPAR levels tend to improve and remain lower in response to healthy lifestyle choices.

Non-smoking

Smoking is one of the strongest inducers of chronic inflammation. In a cross-sectional study, the difference in suPAR levels between daily smokers and never smokers was 1 ng/ml, corresponding to 5 years in biological age (2). Individuals who smoke with elevated suPAR levels have an increased risk of developing e.g. lung cancer, compared to individuals who smoke with a low suPAR level (2,3). Following smoking cessation, suPAR decreases within the following 4 weeks (10).

Well-balanced, good nutrition

There is a linear association between diet and suPAR levels (5). To address the influence of diet on the biological age, data on Dietary Quality Score- 9 and their corresponding suPAR levels in 5349 individuals was analyzed (11). A linear relationship between diet quality and suPAR levels was observed. The difference in biological age between those who had the least healthy diet compared to those with the healthiest diet was 4 years.

Regular physical activity

A cross-sectional study including 3225 healthy individuals with a mean age of 46 years, it was observed that having a low level of daily activity resulted in an increased mean biological age by over 1 year, when compared to an average activity level (light). On the contrary, those with a high level of activity had lowered biological age by almost 3 years (12).

Resilience and stress management

Interestingly, chronic inflammation, as reflected in increased suPAR, is already increased at age 18 in children who have been exposed to adverse experiences, stress, and violence during childhood (13). Also, stressful events such as divorce, homelessness, being fired, death of a close relative, serious financial problems, physical or sexual attack or being jailed add to the suPAR level, with more events, the higher the suPAR (14).

Strong social connections

suPAR is a sensitive and stable biomarker compared to other markers of chronic inflammation such as IL-6 and hsCRP (1) and therefore also captures risks that are more settle in nature, such as loneliness, social isolation, stress, and adverse events in childhood. E.g., it has been shown that loneliness and social isolation is associated increased risk of cardiovascular disease and mortality (Ref Yang Z, and ref Meng A). This increased risk of loneliness and social isolation was not reflected in CRP or IL-6 levels but was reflected in increased suPAR levels (14).

COMPETITIVE ADVANTAGE

A distinctive edge in a growing market

In a market flooded with generic wellness claims, differentiation is key. With suPAR, you get the opportunity to:

Position your clinic as a first mover with a scientifically validated biomarker of chronic inflammation.
Deliver more personalized guidance by tracking chronic inflammation.
Motivate clients to improve biological age through targeted lifestyle interventions and follow-ups.
Simple to interpret for both clinics and clients.

suPAR helps your clinic move beyond promises, offering a clear, measurable indicator of health and prognosis that responds to lifestyle changes and inspires clients to take action.

Trusted by researchers & clinicians worldwide

Validated in 1,000+ peer-reviewed publications
Used in longitudinal studies (e.g. Dunedin) linking it to real-world aging outcomes
Already implemented in decision-making at hospitals, longevity, and health clinics
Supports personalized interventions, not one-size-fits-all coaching

Bourassa KJ, Rasmussen LJH, Danese A, Eugen-Olsen J, Harrington H, Houts R, Poulton R, Ramrakha S, Sugden K, Williams B, Moffitt TE, Caspi A. Linking stressful life events and chronic inflammation using suPAR (soluble urokinase plasminogen activator receptor). Brain Behav Immun. 2021 Oct;97:79-88.
Eugen-Olsen J, Andersen O, Linneberg A, Ladelund S, Hansen TW, Langkilde A, Petersen J, Pielak T, Møller LN, Jeppesen J, Lyngbaek S, Fenger M, Olsen MH, Hildebrandt PR, Borch-Johnsen K, Jørgensen T, Haugaard SB. Circulating soluble urokinase plasminogen activator receptor predicts cancer, cardiovascular disease, diabetes and mortality in the general population. J Intern Med. 2010 Sep;268(3):296-308.
Eugen-Olsen J, Ladelund S, Sørensen LT. Plasma suPAR is lowered by smoking cessation: a randomized controlled study. Eur J Clin Invest. 2016 Apr;46(4):305-11.
Haupt TH, Rasmussen LJH, Kallemose T, Ladelund S, Andersen O, Pisinger C, Eugen-Olsen J. Healthy lifestyles reduce suPAR and mortality in a Danish general population study. Immun Ageing. 2019 Jan 22;16:1.
Hayek SS, Sever S, Ko YA, Trachtman H, Awad M, Wadhwani S, Altintas MM, Wei C, Hotton AL, French AL, Sperling LS, Lerakis S, Quyyumi AA, Reiser J. Soluble Urokinase Receptor and Chronic Kidney Disease. N Engl J Med. 2015 Nov 12;373(20):1916-25.
Hindy G, Tyrrell DJ, Vasbinder A, Wei C, Presswalla F, Wang H, Blakely P, Ozel AB, Graham S, Holton GH, Dowsett J, Fahed AC, Amadi KM, Erne GK, Tekmulla A, Ismail A, Launius C, Sotoodehnia N, Pankow JS, Thørner LW, Erikstrup C, Pedersen OB, Banasik K, Brunak S, Ullum H, Eugen-Olsen J, Ostrowski SR; DBDS Consortium; Haas ME, Nielsen JB, Lotta LA; Regeneron Genetics Center; Engström G, Melander O, Orho-Melander M, Zhao L, Murthy VL, Pinsky DJ, Willer CJ, Heckbert SR, Reiser J, Goldstein DR, Desch KC, Hayek SS. Increased soluble urokinase plasminogen activator levels modulate monocyte function to promote atherosclerosis. J Clin Invest. 2022 Dec 15;132(24):e158788.
Persson M, Östling G, Smith G, Hamrefors V, Melander O, Hedblad B, Engström G. Soluble urokinase plasminogen activator receptor: a risk factor for carotid plaque, stroke, and coronary artery disease. Stroke. 2014 Jan;45(1):18-23.
Rasmussen LJH, Caspi A, Ambler A, Danese A, Elliott M, Eugen-Olsen J, Hariri AR, Harrington H, Houts R, Poulton R, Ramrakha S, Sugden K, Williams B, Moffitt TE. Association Between Elevated suPAR, a New Biomarker of Inflammation, and Accelerated Aging. J Gerontol A Biol Sci Med Sci. 2021 Jan 18;76(2):318-327.
Rasmussen LJH, Moffitt TE, Arseneault L, Danese A, Eugen-Olsen J, Fisher HL, Harrington H, Houts R, Matthews T, Sugden K, Williams B, Caspi A. Association of Adverse Experiences and Exposure to Violence in Childhood and Adolescence With Inflammatory Burden in Young People. JAMA Pediatr. 2020 Jan 1;174(1):38-47.
Rasmussen LJH, Petersen JEV, Eugen-Olsen J. Soluble Urokinase Plasminogen Activator Receptor (suPAR) as a Biomarker of Systemic Chronic Inflammation. Front Immunol. 2021 Dec 2;12:780641.
Tavenier J, Rasmussen LJH, Tolstrup J, Petersen J, Sobocki J, Pisinger C, Eugen-Olsen J, Gamst-Jensen H. Self-rated health and chronic inflammation are related and independently associated with hospitalization and long-term mortality in the general population. Sci Rep. 2022 Nov 17;12(1):19761.
Thunø M, Macho B, Eugen-Olsen J. suPAR: the molecular crystal ball. Dis Markers. 2009;27(3):157-72.
Törnkvist PBS, Haupt TH, Rasmussen LJH, Ladelund S, Toft U, Pisinger C, Eugen-Olsen J. Soluble urokinase plasminogen activator receptor is linearly associated with dietary quality and predicts mortality. Br J Nutr. 2019 Mar;121(6):699-708
Rasmussen LJH, Caspi A, Ambler A, et al. Association between elevated suPAR, a new biomarker of inflammation, and accelerated aging. J Gerontol A Biol Sci Med Sci. 2021;76(2):318–327.