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Pharmaceutical Intervention of Aging
1Guangdong Key Laboratory of Genome Stability and Human Disease Prevention, Medical Research Center, Department of Biochemistry and Molecular Biology, Shenzhen University Health Science Center, Shenzhen, China.
Abstract:
The aging population represents a significant worldwide socioeconomic challenge. Aging is an inevitable and multifactorial biological process and primary risk factor for most age-related diseases, such as cardiovascular diseases, cancers, type 2 diabetes mellitus (T2DM), and neurodegenerative diseases. Pharmacological interventions targeting aging appear to be a more effective approach in preventing age-related disorders compared with the treatments targeted to specific disease. In this chapter, we focus on the latest findings on molecular compounds that mimic caloric restriction (CR), supplement nicotinamide adenine dinucleotide (NAD+) levels, and eliminate senescent cells, including metformin, resveratrol, spermidine, rapamycin, NAD+ boosters, as well as senolytics. All these interventions modulate the determinants and pathways responsible for aging/longevity, such as the kinase target of rapamycin (TOR), AMP-activated protein kinase (AMPK), sirtuins, and insulin-like growth factor (IGF-1) signaling (Fig. 15.1).
Insights
Targeting the aging process with compounds that mimic caloric restriction, boost NAD+ levels, or clear senescent cells offers a promising strategy for preventing age-related diseases.
Area of Science:
- Gerontology and Molecular Biology
- Biomedical Sciences
Background:
- Aging is a major risk factor for numerous diseases, posing a global socioeconomic challenge.
- Interventions targeting aging itself may be more effective for disease prevention than disease-specific treatments.
Purpose of the Study:
- To review the latest findings on molecular compounds that target aging pathways.
- To explore interventions mimicking caloric restriction, boosting NAD+ levels, and eliminating senescent cells.
Main Methods:
- Review of recent scientific literature on anti-aging molecular compounds.
- Focus on compounds like metformin, resveratrol, spermidine, rapamycin, NAD+ boosters, and senolytics.
- Analysis of how these compounds modulate key aging pathways (TOR, AMPK, sirtuins, IGF-1).
Main Results:
- Several molecular compounds show potential in modulating aging determinants.
- Interventions discussed target fundamental aging processes, not just individual diseases.
- These compounds influence critical signaling pathways linked to longevity and age-related diseases.
Conclusions:
- Pharmacological targeting of aging mechanisms is a viable strategy for preventing age-related disorders.
- Compounds mimicking caloric restriction, enhancing NAD+ bioavailability, and senolytics represent key areas of research.
- Modulating pathways like AMPK, TOR, sirtuins, and IGF-1 is central to these anti-aging interventions.
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