Lifespan extension and rejuvenation
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Lifespan extension and rejuvenation

2.3.4

Sub-Field

Lifespan extension and rejuvenation

Recent evidence suggests that the fundamental upper limit for human age is around 120,26 but the question of what determines maximum human lifespan, and why it differs from other species, remains. Blue whales live to 200, for example. Naked mole rats can live more than 40 years, more than six times the lifespan of rodents of similar size, with very little signs of ageing — 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.27

Future Horizons:

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5-yearhorizon

Some drivers of ageing are identified

People will create a geographical area designated as a longevity state.36 Scientists investigate why different species age differently and identify the pathways involved. Researchers establish the degree of conservation between ageing hallmarks among different species.

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 to target the system responsible for the differential pathways in ageing. 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 determine whether this method plausibly rewinds ageing in humans.

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.28 Animal experiments have identified age-associated biomarkers which can be delayed, stopped and even in some cases reversed.29 Stem cells can be reset to age 0 — these have been used to regenerate a crushed optic nerve in rats.30 Gene therapy has reprogrammed epigenetic information to reverse glaucoma in a mouse model.31 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.32 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)33 and gene therapy,3435 the delivery of genetic instructions for making proteins that can travel in the blood to multiple tissues.

Lifespan extension and rejuvenation - Anticipation Scores

The Anticipation Potential of a research field is determined by the capacity for impactful action in the present, considering possible future transformative breakthroughs in a field over a 25-year outlook. A field with a high Anticipation Potential, therefore, combines the potential range of future transformative possibilities engendered by a research area with a wide field of opportunities for action in the present. We asked researchers in the field to anticipate:

  1. The uncertainty related to future science breakthroughs in the field
  2. The transformative effect anticipated breakthroughs may have on research and society
  3. The scope for action in the present in relation to anticipated breakthroughs.

This chart represents a summary of their responses to each of these elements, which when combined, provide the Anticipation Potential for the topic. See methodology for more information.