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Can we intervene in human ageing?

Published online by Cambridge University Press:  07 September 2009

Richard G.A. Faragher*
Affiliation:
School of Pharmacy and Biomolecular Science, University of Brighton, Brighton, BN2 4GJ, UK.
Angela N. Sheerin
Affiliation:
School of Pharmacy and Biomolecular Science, University of Brighton, Brighton, BN2 4GJ, UK.
Elizabeth L. Ostler
Affiliation:
School of Pharmacy and Biomolecular Science, University of Brighton, Brighton, BN2 4GJ, UK.
*
*Corresponding author: Richard G.A. Faragher, School of Pharmacy and Biomolecular Sciences, Cockcroft Building, University of Brighton, Brighton, East Sussex, BN2 4GJ, UK. Tel: +44 1273 642124; Fax: +44 1273 679333; E-mail: rgaf@brighton.ac.uk
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Abstract

Ageing is a progressive failure of defence and repair processes that produces physiological frailty (the loss of organ reserve with age), loss of homeostasis and eventual death. Over the past ten years exceptional progress has been made in understanding both why the ageing process happens and the mechanisms that are responsible for it. The study of natural mutants that accelerate some, but not all, of the features of the human ageing process has now progressed to a degree that drug trials are either taking place or can be envisaged. Simultaneously, a series of mutations have been identified in different species that confer extended healthy life, indicating that the ageing process is much more malleable than might have been expected and that single interventions have the potential to delay the onset of multiple age-associated conditions. Data generated using these organisms have led to the formulation of a powerful new hypothesis, the ‘green theory’ of ageing. This proposes that a finite capacity to carry out broad-spectrum detoxification and recycling is the primary mechanistic limit on organismal lifespan. This is turn suggests important new experimental approaches and potential interventions designed to increase healthy lifespan.

Information

Type
Review Article
Copyright
Copyright © Cambridge University Press 2009
Figure 0

Figure 1.The ‘green theory’ of ageing. The organism can be visualised as initially composed of undamaged molecular and cellular components. Levels of damage increase in this system as a result of multiple damaging processes including (but not restricted to) oxidative stress. Phase I/phase II xenobiotic metabolism functions as a repair process but is energetically costly.

Figure 1

Figure 2.Senescence of primary human fibroblasts in vitro. Growth of a population of primary human diploid fibroblasts (Strain 249.Br). The vertical axis measures cell growth in cumulative population doublings. This generic measure of growth is calculated as: population doublings = (log10 number of cells harvested − log10 number of cells seeded) ÷ log10 2. Adapted, with permission, from Ref. 46 (© 2008 Biochemical Society).

Figure 2

Figure 3.Routes to cellular senescence. The ‘pathways’ triggering replicative senescence shown here are components of a simplified network. The left side of the diagram essentially summarises components of the network associated with telomere attrition (prevented by the specialised reverse transcriptase telomerase), the tumour suppressor protein p53 and the cyclin-dependent kinase inhibitor p21 (p21CIP1/WAF1/CDKN1A). The right side summarises growth suppression associated with the activity of the cyclin-dependent kinase inhibitor p16INK4A, which acts on complexes of cyclin D and cyclin-dependent kinase 4 (CDK4). Activity at this locus is partly controlled by the BMI1 proteins (the activity of which is enhanced by EZH2-containing polycomb complexes). EZH2 levels are reduced at senescence leading to general derepression at the INK4A locus. These pathways can be interdicted by a variety of gene products including SV40 T antigen, the adenovirus E1A and E1B proteins and the human papilloma virus E6 and E7 proteins (denoted HPV E6 and E7 in the schema). Multiple linkages exist but one of the easiest conceptually is the action of the ARF protein on p53 levels via reduction of HDM2 levels. Useful orientation in this area can be found in Refs 78, 79 and 80. Abbreviations: p14ARF, alternate reading frame INK4A locus protein (CDKN2A); BMI1, B-lymphoma Moloney murine leukaemia virus insertion region-1 protein; EZH2, enhancer of zeste, Drosophila, homologue 2 histone methyltransferase; HDM2, human homologue of MDM2 (E3 ubiquitin ligase; p53-binding protein); pRb, retinoblastoma protein; SV40, simian virus 40.