The quest to slow ageing through drug discovery
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Updated: Dec 20, 2025

SA-β-Galactosidase-Based Screening Assay for the Identification of Senotherapeutic Drugs
Published on: June 28, 2019
Linda Partridge1,2, Matias Fuentealba3, Brian K Kennedy4,5,6,7,8
1Max Planck Institute for Biology of Ageing, Department Biological Mechanisms of Ageing, Cologne, Germany. linda.partridge@age.mpg.de.
Abstract:
Although death is inevitable, individuals have long sought to alter the course of the ageing process. Indeed, ageing has proved to be modifiable; by intervening in biological systems, such as nutrient sensing, cellular senescence, the systemic environment and the gut microbiome, phenotypes of ageing can be slowed sufficiently to mitigate age-related functional decline. These interventions can also delay the onset of many disabling, chronic diseases, including cancer, cardiovascular disease and neurodegeneration, in animal models. Here, we examine the most promising interventions to slow ageing and group them into two tiers based on the robustness of the preclinical, and some clinical, results, in which the top tier includes rapamycin, senolytics, metformin, acarbose, spermidine, NAD+ enhancers and lithium. We then focus on the potential of the interventions and the feasibility of conducting clinical trials with these agents, with the overall aim of maintaining health for longer before the end of life.
Insights
Scientists are exploring interventions to slow the ageing process and delay age-related diseases. Promising methods include targeting nutrient sensing, cellular senescence, and the gut microbiome to enhance healthspan.
Area of Science:
- Gerontology and Longevity Science
- Biomedical Interventions for Aging
Background:
- Aging is a modifiable biological process.
- Interventions targeting key biological systems can slow aging phenotypes.
- These interventions show promise in delaying age-related diseases in preclinical models.
Purpose of the Study:
- To review and categorize promising interventions for slowing the aging process.
- To assess the potential and clinical trial feasibility of these anti-aging agents.
- To support the goal of extending healthspan and mitigating age-related decline.
Main Methods:
- Categorization of interventions based on preclinical and clinical evidence robustness.
- Identification of top-tier interventions including rapamycin, senolytics, metformin, acarbose, spermidine, NAD+ enhancers, and lithium.
- Evaluation of the potential therapeutic applications and clinical trial design considerations.
Main Results:
- Several interventions demonstrate significant potential to slow aging.
- Top-tier interventions identified include rapamycin, senolytics, metformin, acarbose, spermidine, NAD+ enhancers, and lithium.
- Preclinical data supports the efficacy of these agents in mitigating age-related functional decline and disease.
Conclusions:
- Targeted interventions can modify the aging process and extend healthspan.
- Further clinical research is warranted to validate these findings in humans.
- The ultimate aim is to maintain health and function longer throughout life.
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