Proposing a Novel Set of Proxy Measures of Aging Rate
It is well understood in the aging research community that the lack of a useful, consensus measure of biological age or pace of biological aging is a considerable hindrance to progress. If researchers could quickly measure the pace of aging or the state of aging in a robust way, then discovery and optimization of interventions would proceed a great deal more rapidly. At present, too many suboptimal lines of research are maintained despite the likely lack of effectiveness at the end of the day, and the discovery of new approaches to slow aging and extend life is a slow and expensive process; even in mice, life span studies take years to run.
There are a great many age-related changes in health, biochemistry, and physical function that can be measured, and many of those have their advocates. The "just measure grip strength and get on with it already" faction is a sizable one. Various aging clocks produce decent correlations with age-related mortality and morbidity. And so forth. But the challenge with all of the existing options is that we have no idea as whether then can be trusted to accurately reflect the effects of any new class of intervention. Maybe they will overstate the outcome. Maybe they will understate it. The only way to find out is to calibrate assays against interventions in long-running and expensive studies. And so development remains stuck in the slow lane.
In today's open access paper, researchers propose one possible way forward to an incrementally better situation. The idea is to look through the existing high quality studies of slowed aging in mice conducted by the Interventions Testing Program, and find common biochemical and metabolic measures that appear in mice exhibiting slowed aging. This seems relevant to the classes of therapy that slow aging by provoking cellular stress responses, repair and maintenance and defense activities that improve cell function: calorie restriction, calorie restriction mimetics, and the like. It seems tough to argue that metrics uncovered via these studies could then be applied to completely different approaches to therapy that do not touch on these shared stress response systems, such as senolytics or stem cell therapies, however.
Aging rate indicators and the search for anti-aging drugs
Evidence that drugs, diets, and single-gene mutations can slow aging and extend the healthy lifespan of mammals has begun to convert biogerontology from an observational science into one based on interventions that could provide people with additional years of healthy, productive life. However, the research and development of anti-aging drugs is hampered by the lack of instantaneous and continuous measures of the rate of aging itself. This article presents recent work on anti-aging drugs that are effective in mice, provides evidence for candidate "aging rate indicators" (ARIs), and outlines a roadmap for translating these into clinical research to slow aging in humans.
Thus far, 14 agents or combinations have significantly increased the lifespan of mice in studies conducted under the Interventions Testing Program (ITP) of the National Institute on Aging, often when initiated in late adulthood. Recent evidence suggests that many, perhaps all, interventions that slow aging in mice induce common, shared changes in physiological status and molecular pathways. We have proposed 12 such mechanisms as candidate ARIs, i.e., measurable outcomes that reflect a slow-aging state and that could discriminate between normal mice (and perhaps humans) and those exposed to effective anti-aging interventions - thereby accelerating research.
Research priorities now include testing the robustness of these ARIs, extending them to include plasma constituents, elucidating the mechanisms through which diverse interventions alter them, uncovering the links between the ARIs and late-life diseases, and extending research to dogs, non-human primates, and humans. The growing recognition of the legitimacy and promise of evidence-based interventions resulting from aging biology should elevate this field to a level of urgency and respect comparable to that of current research on individual age-related conditions.