The Genesis of the 2013 Hallmarks
Before 2013, various theories attempted to explain aging. The 2013 review paper, "The Hallmarks of Aging," by Carlos López-Otín and colleagues, unified these ideas into a cohesive framework. They proposed nine fundamental hallmarks driving aging, primarily focusing on mammals. These were categorized into three groups: primary damage, antagonistic responses, and integrative phenotypes. This framework aids researchers in understanding the interactions of cellular processes in age-related decline.
Three Criteria for a Hallmark
The review established three criteria for a hallmark of aging: 1. Presence during normal aging, 2. Aggravation accelerates aging, and 3. Amelioration retards aging and extends healthy lifespan.
The Nine Hallmarks of Cellular Aging (2013)
These hallmarks were categorized into three groups: primary damage, antagonistic responses, and integrative phenotypes, as outlined in the 2013 paper. For a full list and description, refer to {Link: ScienceDirect https://www.sciencedirect.com/science/article/pii/S0092867413006454} and {Link: Aging-US https://www.aging-us.com/article/204248/text}.
Comparison of Hallmark Categories (2013)
For a detailed comparison of the primary, antagonistic, and integrative hallmark categories, including their functions and examples, please consult {Link: ScienceDirect https://www.sciencedirect.com/science/article/pii/S0092867413006454} and {Link: Aging-US https://www.aging-us.com/article/204248/text}.
Evolution of the Hallmarks Concept
The 2013 framework has been highly influential and updated with new discoveries, including disabled macroautophagy, chronic inflammation, and microbiome disturbance. However, the original nine hallmarks remain foundational. The model highlights the interconnectedness of aging mechanisms, suggesting multi-target interventions may be more effective than single-target approaches.
Conclusion
The 2013 paper on the hallmarks of aging offered a crucial framework for understanding aging's complexity. By grouping molecular and cellular changes, it directed research toward key drivers and potential therapies. These hallmarks are interconnected, forming a network of decline. The model remains essential to geroscience, shifting focus towards enhancing 'healthspan'.