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Published on: May 18, 2022
The road ahead for health and lifespan interventions
Marta Gonzalez-Freire1, Alberto Diaz-Ruiz2, David Hauser3
1Translational Gerontology Branch, Biomedical Research Center, National Institute on Aging, National Institutes of Health, Baltimore, Maryland, 21224, USA; Cardiovascular and Metabolic Diseases Group, Fundació Institut d'Investigació Sanitària Illes Balears (IdISBa), Palma de Mallorca, Spain.
Abstract:
Aging is a modifiable risk factor for most chronic diseases and an inevitable process in humans. The development of pharmacological interventions aimed at delaying or preventing the onset of chronic conditions and other age-related diseases has been at the forefront of the aging field. Preclinical findings have demonstrated that species, sex and strain confer significant heterogeneity on reaching the desired health- and lifespan-promoting pharmacological responses in model organisms. Translating the safety and efficacy of these interventions to humans and the lack of reliable biomarkers that serve as predictors of health outcomes remain a challenge. Here, we will survey current pharmacological interventions that promote lifespan extension and/or increased healthspan in animals and humans, and review the various anti-aging interventions selected for inclusion in the NIA's Interventions Testing Program as well as the ClinicalTrials.gov database that target aging or age-related diseases in humans.
Insights
Pharmacological interventions show promise for extending healthspan and lifespan in animals, but human translation faces challenges due to variability and lack of biomarkers. Research surveys current anti-aging drug candidates for human trials.
Area of Science:
- Gerontology and pharmacology.
- Biomedical research on aging processes.
Background:
- Aging is a significant risk factor for numerous chronic diseases.
- Pharmacological interventions are actively being developed to target aging and age-related diseases.
- Heterogeneity in species, sex, and strain affects drug responses in preclinical models.
Purpose of the Study:
- To survey current pharmacological interventions for lifespan and healthspan extension.
- To review anti-aging interventions in animal models and humans.
- To examine interventions in the NIA's Interventions Testing Program and ClinicalTrials.gov.
Main Methods:
- Literature survey of pharmacological interventions.
- Review of animal study findings on healthspan and lifespan.
- Analysis of human clinical trial data for anti-aging therapies.
Main Results:
- Preclinical studies demonstrate variability in pharmacological responses.
- Translating animal findings to human efficacy and safety remains a challenge.
- Lack of reliable biomarkers for predicting health outcomes complicates human trials.
Conclusions:
- Current research focuses on identifying and validating pharmacological interventions for aging.
- Further investigation is needed to overcome translational challenges and identify predictive biomarkers.
- A comprehensive review of ongoing human trials provides insight into the field's progress.
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