2.3.4. Lifespan extension and rejuvenation
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2.3.4. Lifespan extension and rejuvenation
Use the future to build the present
Lifespan extension and rejuvenation
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Stakeholder Type
1.1Advanced AI1.2QuantumRevolution1.3UnconventionalComputing1.4AugmentedReality1.5CollectiveIntelligence2.1CognitiveEnhancement2.2HumanApplicationsof GeneticEngineering2.3HealthspanExtension2.4ConsciousnessAugmentation2.5Organoids2.6FutureTherapeutics3.1Decarbonisation3.2EarthSystemsModelling3.3FutureFoodSystems3.4SpaceResources3.5OceanStewardship3.6SolarRadiationModification3.7InfectiousDiseases4.1Science-basedDiplomacy4.2Advancesin ScienceDiplomacy4.3Foresight,Prediction,and FuturesLiteracy4.4Democracy-affirmingTechnologies5.1ComplexSystemsScience5.2Futureof Education5.3Future Economics,Trade andGlobalisation5.4The Scienceof theOrigins of Life5.5SyntheticBiology
1.1Advanced AI1.2QuantumRevolution1.3UnconventionalComputing1.4AugmentedReality1.5CollectiveIntelligence2.1CognitiveEnhancement2.2HumanApplicationsof GeneticEngineering2.3HealthspanExtension2.4ConsciousnessAugmentation2.5Organoids2.6FutureTherapeutics3.1Decarbonisation3.2EarthSystemsModelling3.3FutureFoodSystems3.4SpaceResources3.5OceanStewardship3.6SolarRadiationModification3.7InfectiousDiseases4.1Science-basedDiplomacy4.2Advancesin ScienceDiplomacy4.3Foresight,Prediction,and FuturesLiteracy4.4Democracy-affirmingTechnologies5.1ComplexSystemsScience5.2Futureof Education5.3Future Economics,Trade andGlobalisation5.4The Scienceof theOrigins of Life5.5SyntheticBiology

Sub-Field:

2.3.4Lifespan extension and rejuvenation

    Recent evidence suggests that the fundamental upper limit for human age is around 120,27 but the question of what determines maximum human lifespan, and why it differs from other species, remains. Bowhead whales live for up to 200 years, for example. Naked mole rats can live more than 40 years, more than ten times the lifespan of rodents of similar size. They have “healthspan” too, it seems: they avoid neurodegeneration, cardiovascular disease and cancer. This may be transferable: naked mole rat genes have been used to extend a transgenic mouse’s life.28 Pathways have been identified that are associated with longevity across animal species. For example, animal species with longer lifespan have more efficient DNA repair and more active Sirtuin 6.29 These pathways can be activated in humans to slow the rate of aging.

    Some researchers speculate that these observations suggest we can extend healthspan through extending lifespans. Others speculate that ageing can actually be reversed. A gene therapy has been mooted to treat multiple age-related diseases, restoring youthful function in some systems, for example.30 Animal experiments have identified age-associated biomarkers which can be delayed, stopped and even in some cases reversed.31 Stem cells can be reset to age 0 - these have been used to regenerate a crushed optic nerve in rats.32 Gene therapy has reprogrammed epigenetic information to reverse glaucoma in a mouse model.33 Organ replacement, and next-generation drugs also may reset the body’s clock to an earlier state.

    According to a more ambitious theory of ageing, a loss of epigenetic information is a reversible cause of ageing and accelerates its hallmarks.34 Proponents claim that such changes can be reversed by epigenetic reprogramming, driving the entire system of ageing backwards. These techniques include partial reprogramming (which erases a cell’s identity and reverts it back to a stem-cell-like state),35 and gene therapy,3637 the delivery of genetic instructions for making proteins that can travel in the blood to multiple tissues.

    Future Horizons:

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    5-yearhorizon

    Some drivers of ageing are identified

    People will create a longevity state.38 Scientists investigate why different species age differently and identify the pathways involved. The degree of conservation between ageing hallmarks among different species is established.

    10-yearhorizon

    Cell and gene therapy used to slow ageing

    Improvements in the tools and techniques of cell and gene therapy reduce the cost and widen the availability of treatments that slow ageing. Interventions target the system responsible for the differential pathways in ageing. Interventions that improve genome maintenance and DNA repair become accepted. Investigations commence on whether mesenchymal stem cell administration affects biological age.

    25-yearhorizon

    Gene transfer slows ageing in humans

    Longevity genes transplanted from different species into humans, in unlicensed clinics, may begin to yield limited data that can speak to the validity of the approach. Slowing the rate of ageing yields new information on whether that has significant impact on lifespan. Stem cell delivery methods mature, allowing the targeting and rejuvenation of a range of tissue types. Organ derivation and replacement becomes a possibility. Results from cellular rejuvenation trials determines whether this method plausibly rewinds ageing in humans.

    Lifespan extension and rejuvenation - Anticipation Scores

    How the experts see this field in terms of the expected time to maturity, transformational effect across science and industries, current state of awareness among stakeholders and its possible impact on people, society and the planet. See methodology for more information.

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