General Principles of Ageing Flashcards

1
Q

What is health span?

A

the amount of time lived in healthy conditions

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2
Q

What is lifespan?

A

the total duration of an individual’s life, measured from birth to death

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3
Q

What is life expectancy?

A

the average number of years a newborn is expected to live if current mortality rates remain constant throughout their lifetime

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4
Q

What doe the geroscience hypothesis suggest?

A

the biological processes of ageing contribute to the development of diseases, and by slowing down or modifying the ageing process, it may be possible to delay or prevent the onset of multiple age-related diseases

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5
Q

What does the geroscience hypothesis work to do?

A
  • advance the understanding of the biology of ageing
  • identify novel therapeutics or lifestyle interventions to treat age-related diseases
  • identify biomarker signatures of early dysfunction to maintain health
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6
Q

Give examples of non-modifiable and modifiable risk factors

A
  • non-modifiable – genetics, age, family history, gender
  • modifiable – diet, physical activity, alcohol use, smoking
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7
Q

What do evolutionary theories of ageing suggest?

A

ageing occurs because natural selection favours traits that enhance reproductive success early in life, rather than traits that promote longevity in later life

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8
Q

What are the 2 types of physiological theories of ageing?

A

programmed and damage/error theories

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9
Q

What are the 3 programmed theories of ageing?

A
  • programmed longevity – consistently turning genes on/off leads to age-related aberrance and, when exhibited, a senescent phenotype
  • endocrine theory – hormonal networks, such as the insulin-IGF1 signalling pathway, are used by biological clocks to set the rate of human ageing
  • immunological theory – a dysfunctional immune system inspires pathogenic dominance and subsequent age-related decline of the vulnerable organism
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10
Q

What are the 5 damage/error theories of ageing?

A
  • rate of living theory – as basal metabolic rate increases, life expectancy decreases
  • free radicals theory – free radicals target vulnerable cellular macromolecules and render cells dysfunctional; endogenous antioxidants compensate to an extent but this threshold is passed in ageing
  • wear and tear theory – essential and highly utilised cellular constituents wear with time, until they are no longer functional
  • somatic DNA damage – rate of DNA damage accumulation surpasses the body’s natural compensatory capabilities; accumulation of genetic mutations and aberrance of mitochondrial DNA are also implicated
  • cross linking theory – proteins undergo cross linking reactions and accumulate in this state within cells, damaging them and leading to ageing by retarding cellular function
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11
Q

What is a characteristic of many long-lived species?

A

better resistance to environmental stressors

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12
Q

What are the 3 criteria that must apply for each hallmark of ageing?

A
  • the time-dependent manifestation of alterations accompanying the ageing process
  • the possibility to accelerate ageing by experimentally accentuating the hallmark
  • the opportunity to decelerate, halt, or reverse aging by therapeutic interventions on the hallmark
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13
Q

What do primary hallmarks of ageing do?

A

progressively accumulate with time and unambiguously contribute to the
ageing process

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14
Q

What do antagonistic hallmarks of ageing do?

A

reflect responses to damage

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15
Q

What are integrative hallmarks of ageing?

A

the accumulated damage inflicted by the primary and antagonistic hallmarks and cannot be compensated anymore

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16
Q

What do integrative hallmarks of ageing result in?

A
  • stem cell exhaustion
  • intercellular communication alterations including extra cellular matrix (ECM) damage
  • chronic inflammation and dysbiosis
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17
Q

What are the 4 primary hallmarks of ageing?

A
  • genomic instability
  • epigenetic modifications
  • telomere attrition
  • proteostasis
18
Q

What is genetic instability?

A

the accumulation of genetic mutations, chromosomal damage, and DNA degradation over time; it accelerates the ageing process and heightens the risk of diseases

19
Q

What can epigenetic modifications do?

A

affect specific genes or transcriptional programmes which are important for ageing, survival, cellular growth and senescence or death

20
Q

Give examples of epigenetic modifications

A
  • DNA methylation
  • histone modification
  • chromatin remodelling
21
Q

What are telomeres?

A

protective caps at the ends of chromosomes that shorten with each cell division

22
Q

What is telomere attrition?

A

when telomeres shorten over time and trigger cellular senescence, which contributes to tissue ageing and a decline in tissue regeneration

23
Q

What is proteostasis?

A

the balance of protein synthesis, folding, and degradation within a cell

24
Q

What is the result of a collapse in proteostasis?

A

accumulation of damaged/misfolded proteins that can cause cellular stress, impair normal cell function, and promote the formation of protein aggregates; cell function is impaired and ageing is accelerated

25
What are the consequences of inflammation increasing during ageing?
- age-associated conditions like arteriosclerosis, neuroinflammation, osteoarthritis, intervertebral discal degeneration - increase in circulating CRP and IL-6 (inflammatory cytokines and biomarkers) - immune cell populations become less protective
26
What is dysbiosis?
an imbalance in bacterial composition, changes in bacterial metabolic activities, or changes in bacterial distribution within the gut
27
What are stem cells?
undifferentiated cells with the unique ability to self-renew and differentiate into specialised cell types
28
Why is ageing associated with reduced tissue renewal?
- less renewal of the stem cell pool (less stem cells regeneration) - less differentiation potential due to altered stem cell niche (altered signalling)
29
What happens to the extracellular environment due to ageing?
it suffers several changes, altering the concentration of different factors such as hormones, cytokines, and growth factors e.g. blood borne, neuronal origin or EC factors
30
What is cellular senescence?
a state in which cells permanently stop dividing and enter a stable state of cell cycle arrest, despite remaining metabolically active
31
What is senescence an example of?
antagonistic pleiotropy
32
What does transient senescence do?
- limit proliferation - enhance tissue remodelling - permit efficient immune clearance
33
What does chronic senescence do?
- deplete progenitor pool - exacerbate fibrotic and inflammatory activation - prohibit clearance, promotes accumulation
34
What are short and long-term consequences of senescence?
- short - tumour suppression, limited tissue damage and embryonic development - long - tumorigenesis and tissue ageing
35
What does the somatotrophic axis in mammals comprise?
the growth hormone produced by the anterior pituitary, and its secondary mediator, insulin-like growth factor 1 (IGF-1)
36
What are the consequences of calorie restriction?
avoid nutrient overload → less mTOR signalling and more energy and repair pathways
37
What are insulin and IGF-1 signalling involved in?
regulating growth, metabolism, and cellular repair
38
What is the prolonged activation of insulin and IGF-1 pathways linked to?
accelerated ageing and increased risk of age-related diseases such as diabetes and cancer
39
What happens when nutrient availability (especially glucose) is high?
the insulin/IGF-1 pathway is activated, promoting cellular growth and proliferation, however long-term activation can lead to cellular stress, inflammation, and tissue damage, which contribute to ageing
40
What is mTOR adn what does it do?
a central regulator of cell growth and metabolism in response to nutrients; it promotes protein synthesis and cell proliferation when nutrients like amino acids and glucose are abundant
41
What can excessive/prolonged mTOR activity lead to?
cellular damage, inflammation, and a higher risk of age-related diseases like cancer
42
What has reduced mTOR activity through calorie restriction shown to do?
to extend lifespan and promote healthier ageing