🧬 12 Signs of Aging

The scientific framework that explains why we age. Not a single "theory," but 12 cellular processes that longevity researchers agree underlie aging, and what we are doing to understand and slow each one.

💡 In 2013, a leading group of researchers (Lopez-Otin and colleagues) defined the "hallmarks of aging," a list that became the roadmap for all longevity science, and was updated in 2023 to 12 hallmarks. They are divided into three groups: the damage itself, the body's response that goes awry, and the consequences in systems. Click on each hallmark to delve deeper.
Want to dive deeper? Our two in-depth articles explain everything from start to finish:

Primary (the damage)

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Genomic instability

Genomic Instability

Throughout our lives, our DNA accumulates damage and mutations from radiation, chemicals, and replication errors. Repair mechanisms weaken with age, and the accumulated damage impairs cell function.

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Telomere shortening

Telomere Attrition

הטלומרים הם "כיסויי המגן" בקצות הכרומוזומים. בכל חלוקת תא הם מתקצרים, וכשהם נשחקים מדי התא מפסיק להתחלק או מת. זה אחד השעונים הביולוגיים המוכרים ביותר.

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Epigenetic changes

Epigenetic Alterations

מעבר ל-DNA עצמו, יש "מתגים" שקובעים אילו גנים פעילים. עם הגיל המתגים האלה משתבשים, ותאים "שוכחים" את זהותם. כאן נכנסים שעוני המתילציה ותכנות-מחדש (Yamanaka).

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Loss of proteostasis

Loss of Proteostasis

The cell needs to fold proteins correctly and clear damaged proteins. With age, this system fails, and damaged proteins accumulate, a central process in diseases like Alzheimer's and Parkinson's.

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Impairment of autophagy

Disabled Macroautophagy

אוטופגיה היא "מערכת המיחזור" של התא, שמפרקת רכיבים פגומים ומשתמשת בהם מחדש. היא נחלשת עם הגיל. צום, פעילות גופנית וספרמידין נחקרים כמפעילים שלה.

Antagonistic (the response)

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Disrupted substance sensing

Deregulated Nutrient-Sensing

Pathways like mTOR, AMPK, insulin, and IGF-1 sense how much energy is available and how much to grow. Disruption of these accelerates aging. This is where fasting, caloric restriction, rapamycin, and metformin come in.

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Mitochondrial dysfunction

Mitochondrial Dysfunction

Mitochondria produce the cell's energy. With age, they become less efficient and produce more free radicals. Exercise, Zone 2, and NAD+ are related to mitochondrial function.

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Accumulation of senescent cells

Cellular Senescence

"תאי זומבי" שהפסיקו להתחלק אך לא מתו, ומפרישים חומרים דלקתיים שמזיקים לסביבה. הצטברותם מאיצה הזדקנות. סנוליטיקה (כמו פיסטין) מנסה לפנות אותם.

Integrative (the result)

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Stem cell exhaustion

Stem Cell Exhaustion

Stem cells regenerate tissues. With age, their reservoir depletes and the regenerative capacity decreases, so wounds heal more slowly and tissues wear out.

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Disrupted intercellular communication

Altered Intercellular Communication

תאים מדברים זה עם זה דרך הורמונים ואותות. עם הגיל ה"שיחה" משתבשת, ובמיוחד עולה דלקת כרונית נמוכה ("inflammaging") שפוגעת בכל המערכות.

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Chronic inflammation (Inflammaging)

Chronic Inflammation

Low-grade, persistent inflammation that increases with age, even without infection. It is linked to almost every age-related disease, from heart disease to dementia. Diet, sleep, and activity directly affect it.

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Microbiome imbalance

Dysbiosis

The bacterial population in the gut affects immunity, inflammation, metabolism, and even the brain. With age, its diversity decreases, and proper balance (fiber, fermented foods) supports health.

Want to translate this science into personal action?

⏳ Biological Age Calculator 🧬 Personal Protocol 📰 All the articles

Based on: Lopez-Otin C et al., The Hallmarks of Aging, Cell 2013, and the update Hallmarks of Aging: An Expanding Universe, Cell 2023.