Aging: Is It a Disease, a Process, or Something Else?

Summary: A survey of experts in aging research reveals significant disagreements on fundamental questions, such as “What is aging?” and “When does it begin?” Responses ranged from seeing aging as a demographic increase in mortality to a lifelong process or even a developmental stage, with no consensus on whether aging is a disease.

Despite these differences, scientists generally agree that aging is a process and is inherently harmful. The findings highlight the need for the field to reflect on its foundational definitions to advance aging research effectively.

Key Facts:

  • Experts disagree on whether aging begins at gametogenesis, adulthood, or earlier.
  • There is no consensus on defining aging as a disease or a normal process.
  • Scientists agree aging is a process and is inherently deleterious.

Source: Brigham and Women’s Hospital

Vadim N. Gladyshev and 80 colleagues surveyed the participants of the 2022 Systems Aging Gordon Research Conference to explore how researchers of aging perceive their subject of study.

The authors found wide disagreement on fundamental questions, including “what is aging?” and “what causes aging?”.

The collected responses indicated that some of the 103 professors, postdocs, graduate students, industry professionals, and other experts in the survey saw aging as a demographic increase in mortality rate, while other respondents saw aging as a loss of function over time, while still other respondents saw aging as the accumulation of damage or an overall pathological decline.

This shows people at various ages.
There was no consensus on whether aging is a disease or not and respondents did not even agree on the question of whether the field ought to have a single consensus definition of aging. Credit: Neuroscience News

Some respondents saw aging as a normal developmental stage.

In terms of when aging begins, some respondents saw aging as a lifelong process that begins as early as gametogenesis—when the gametes that will form the individual are made—while others saw aging as a process specific to adults.

Some disagreements indicated a difference in perspective between those who see aging as something that happens to cells and those who see aging as a process that happens to organisms.

There was no consensus on whether aging is a disease or not and respondents did not even agree on the question of whether the field ought to have a single consensus definition of aging.

Yet behind the wide disagreement there were some implied points of agreement: aging exists; aging is a process; and aging is inherently deleterious.

According to the authors, the field could benefit from considering its foundations to better move forward.

About this aging research news

Author: Vadim N. Gladyshev
Source: Brigham and Women’s Hospital
Image: The image is credited to Neuroscience News

Original Research: Open access.
Disagreement on foundational principles of biological aging” by Vadim N. Gladyshev et al. PNAS Nexus


Abstract

Disagreement on foundational principles of biological aging

To gain insight into how researchers of aging perceive the process they study, we conducted a survey among experts in the field. While highlighting some common features of aging, the survey exposed broad disagreement on the foundational issues.

What is aging? What causes it? When does it begin? What constitutes rejuvenation?

Not only was there no consensus on these and other core questions, but none of the questions received a majority opinion—even regarding the need for consensus itself.

Despite many researchers believing they understand aging, their understanding diverges considerably. Importantly, as different processes are labeled as “aging” by researchers, different experimental approaches are prioritized.

The survey shed light on the need to better define which aging processes this field should target and what its goals are. It also allowed us to categorize contemporary views on aging and rejuvenation, revealing critical, yet largely unanswered, questions that appear disconnected from the current research focus.

Finally, we discuss ways to address the disagreement, which we hope will ultimately aid progress in the field.

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  1. Aging is many things that tend to be correlated and mutually reinforced, starting either positively, benignly, committally with no return or deleteriously. I would claim these processes start when each cell can no longer become a full human, at day 5 or 6 after fertilization. At this stage, some cells can only become placenta, and the rest can only become a fetus and beyond. They have made the first irreversible commitment.
    Some people would like to distinguish between development and aging, but the play that is development is the same play that later on becomes a tragedy. It is as though the writers went on strike and the scabs they brought in just don’t know what they are doing. The writing gets progressively worse. But all aspects of aging are not directly due to the play. Many of the degradations are due to damage from anomalous reactions due to quantum effects (heat quanta can concentrate randomly causing reactions that are harmful), toxins, radiation, physical trauma, hypoxia, and pathogens.
    If we could operate at just 10 degrees C cooler, we would live several hundreds of years. But we can’t because our enzymes have tight optimal ranges.
    Attempts have been made to at least put the patterns of deleterious changes into categories. Most of the community agree that these things are patterns of change that unabated will lead to harm and death, if something else does not kill first. They call these categories “Hallmarks of Aging.” The list has been expanded. And now includes: Genomic Instability (DNA damage), Telomere Attrition (each generation of cell gets shorter chromosomes until the Hayflick limit is reached, and division stops), Epigenetic Alterations (that play. Proteins are made at different rates as genes get turned on and off), Loss of Proteostasis (related to the Epigenetic Alterations the imbalance of protein creation can lead to misfolding and accumulations often from insufficient chaperone protein production, Disabled macroautophagy (reduced recycling of cellular components, and insufficient enzymes to break other accumulations down within cells that can build up causing mechanical obtrusion to essential functions, or harmful reactions), Deregulated Nutrient-sensing (mostly they are talking about suboptimal responses to glucose and insulin), Mitochondrial dysfunction, Cellular Senescence (those cells that reach their division limit can behave in harmful ways, often as a result of the ends of the chromosomes separating and becoming very active making large amounts of useless proteins and subsequent inflammation), Stem Cell Exhaustion (cells are often replaced by dividing stem cells, even if free to divide indefinitely, they only live so long, so we get fewer a fewer cell lines as they diminish), Altered Intercellular Communication, Chronic Inflammation, Dysbiosis (the change in relative populations of bacteria in the gut).

    I think this is incomplete. I think there should be 6 more: accumulation of environmental toxins that the body has difficulty removing (especially glucosepane), accumulation of latent infections, alterations in immune function due to previous infections some of which may produce autoimmune conditions, there should be distinction between Loss of Proteostasis and proteins made in the body by incidental mergers such as in glycation, disorganization of cells or intercellular matrix proteins within tissues, and loss of proteins, cells, or structures that were only made in earlier stages of life, such as elastin, some irreplaceable neurons, and such.

    Because causes can affect other causes, there is a tendency for scientists to decide that the particular Hallmark they are working on is more fundamental, and the linchpin of aging. Very much like the 3 blind men trying to figure out an elephant by each feeling a different part.

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