Molecular Hallmarks of Ageing
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Questions and Answers

Which factor primarily differentiates 'lifespan' from 'life expectancy'?

  • Lifespan represents the average duration of life in a specific demographic, while life expectancy indicates the potential maximum age.
  • Lifespan is a theoretical construct used in demographic studies, while life expectancy is a practical measure used in healthcare planning.
  • Lifespan denotes the scientifically projected period of survival, whereas life expectancy is based on observed data.
  • Lifespan is the maximum possible duration of life for a species, while life expectancy is the average duration an organism is expected to live. (correct)
  • What is the key distinction between lifespan and healthspan?

  • Lifespan is determined by genetic factors, whereas healthspan is solely influenced by environmental conditions.
  • Lifespan refers to the total number of years lived, and healthspan indicates the number of years lived without chronic illness.
  • Lifespan reflects the potential maximum years, whereas healthspan reflects the years lived in generally good health. (correct)
  • Lifespan is focused on physical well-being, while healthspan includes mental and social well-being.
  • According to the World Health Organization, what constitutes 'health'?

  • The capacity to maintain homeostasis and adapt to environmental stressors effectively.
  • A state of physical fitness and the ability to perform daily tasks without limitations.
  • A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. (correct)
  • The absence of physical disease or infirmity.
  • What is the implication of expanding the 'average human lifespan' towards the 'future target', regarding age-associated diseases?

    <p>It proposes a future with a significantly reduced period of suffering from age-associated diseases. (D)</p> Signup and view all the answers

    What are the impacts associated with a normal ageing process?

    <p>Molecular, cellular and physiological changes. (A)</p> Signup and view all the answers

    Which of the following is the MOST accurate description of ageing?

    <p>A gradual decline in normal physiological functions and integrity, affecting biological systems. (B)</p> Signup and view all the answers

    A key characteristic of ageing is the increased frailty of an organism. What does this frailty primarily affect?

    <p>A reduced ability to effectively deal with stress. (A)</p> Signup and view all the answers

    Why is understanding the aging process important?

    <p>We are an aging population. (D)</p> Signup and view all the answers

    According to population projections, what significant demographic shift is expected by 2070?

    <p>A global population where individuals aged 65 years or older surpasses the number of children (under age 18). (D)</p> Signup and view all the answers

    Which of the following is a characteristic of ageing?

    <p>Decline of tissue structure. (A)</p> Signup and view all the answers

    Which of these conditions are related to ageing?

    <p>Chronic conditions (A)</p> Signup and view all the answers

    What effect does increased frailty have, as a result of ageing?

    <p>Chance of both disease and death will increase (B)</p> Signup and view all the answers

    How many people were aged 65 years or over in the world during 2021?

    <p>761 million (C)</p> Signup and view all the answers

    Which of the following is NOT a primary hallmark of ageing?

    <p>Cellular senescence (B)</p> Signup and view all the answers

    What is the outcome of 'antagonistic hallmarks' in the context of aging?

    <p>They represent the cell's immediate response to damage which can have both positive and negative effects . (A)</p> Signup and view all the answers

    According to Lopez-Otin et al. (2013), which of these characteristics should a hallmark of aging possess?

    <p>Its experimental aggravation should accelerate aging. (A)</p> Signup and view all the answers

    Which of the following best describes 'genomic instability'?

    <p>An increased tendency to acquire inheritable genetic alterations. (D)</p> Signup and view all the answers

    Which of the following hallmarks is characterized by a compromised ability to maintain protein structure and function?

    <p>Loss of proteostasis (D)</p> Signup and view all the answers

    What is the primary consequence of telomere attrition in the context of aging?

    <p>Impaired cellular replication (D)</p> Signup and view all the answers

    Which of the following is classified as an 'integrative hallmark' of aging?

    <p>Cellular Senescence (D)</p> Signup and view all the answers

    Which of the following represents an 'antagonistic hallmark' of aging?

    <p>Deregulated Nutrient Sensing (D)</p> Signup and view all the answers

    Which of the following is a function of telomeres?

    <p>To protect the ends of chromosomes from degradation and fusion. (A)</p> Signup and view all the answers

    What is a likely consequence of oxidative stress in a cell?

    <p>Damage to DNA, lipids, and proteins. (D)</p> Signup and view all the answers

    According to the free radical theory of aging, what is the primary cause of aging?

    <p>Accumulation of damage inflicted by reactive oxygen species (ROS). (C)</p> Signup and view all the answers

    What does the biomarker gamma H2AX indicate within a cell?

    <p>Presence of double-strand DNA breaks. (D)</p> Signup and view all the answers

    What is the relationship between telomere length and cell division?

    <p>Telomere length decreases with each cell division. (A)</p> Signup and view all the answers

    Which of the following represents an exogenous source of reactive oxygen species (ROS)?

    <p>Exposure to UV light. (D)</p> Signup and view all the answers

    Why are neurons considered evidence against the telomere theory of aging?

    <p>Neurons do not typically divide and therefore their telomeres do not shorten. (C)</p> Signup and view all the answers

    What is the approximate telomere length in a cell at birth, compared to old age?

    <p>11kb at birth, 4kb in old age (C)</p> Signup and view all the answers

    What is the primary function of DNA methyltransferase 1 (DNMT1)?

    <p>Maintaining existing DNA methylation patterns during cell division (A)</p> Signup and view all the answers

    Which of the following best describes the concept of 'epigenetic drift' in the context of aging?

    <p>Changes in DNA methylation patterns that occur with age. (C)</p> Signup and view all the answers

    What is the role of proteostasis in cells?

    <p>Controlling the abundance, folding, and degradation of proteins. (A)</p> Signup and view all the answers

    How does the function of protein quality control (PQC) systems change with age?

    <p>The capacity of PQC systems decreases, leading to an accumulation of misfolded proteins. (C)</p> Signup and view all the answers

    Which of the following is a characteristic observed in aged cells related to proteostasis?

    <p>Appearance of non-native protein aggregates. (A)</p> Signup and view all the answers

    What is a transposable element (TE)?

    <p>A DNA sequence that can change its position within a genome. (A)</p> Signup and view all the answers

    What proportion of the human genome is made up of repetitive elements?

    <p>Nearly half (A)</p> Signup and view all the answers

    What is the relevance of CpG sites in the context of the DNA methylation clock?

    <p>They are specific locations used to estimate biological age based on methylation levels. (D)</p> Signup and view all the answers

    What is the difference between biological and chronological age, in the context of the DNA methylation clock?

    <p>Chronological age is the number of years a person has lived, while biological age reflects the body’s functional state. (A)</p> Signup and view all the answers

    Which of the following statements outlines the roles of 'Primary hallmarks' in aging?

    <p>They encompass genomic instability, telomere attrition, epigenetic alterations, and loss of proteostasis. (C)</p> Signup and view all the answers

    How might the DNA methylation clock be used in the future?

    <p>To predict the success of aging interventions. (A)</p> Signup and view all the answers

    What are fragile sites in the genome and what is their significance?

    <p>Unstable regions that can lead to genome instability and mutations. (C)</p> Signup and view all the answers

    Why is it important to consider whether a feature of aging accelerates aging when 'agitated'?

    <p>To determine if the feature is directly involved in driving the aging process. (D)</p> Signup and view all the answers

    What is the role of autophagy in the context of proteostasis?

    <p>To degrade and remove damaged or misfolded proteins. (A)</p> Signup and view all the answers

    What is the outcome of increased frailty in the context of aging?

    <p>A decreased ability to deal with stress, resulting in increased chance of disease and death. (B)</p> Signup and view all the answers

    Flashcards

    Lifespan

    The maximum length of time an organism is expected to survive, approximately 125 years for humans.

    Life Expectancy

    The average length of time an organism is expected to live, around 80 years in the UK.

    Healthspan

    The percentage of an individual's life spent in good health.

    Complete Health

    A state of complete physical, mental, and social well-being, not merely the absence of disease.

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    Hallmarks of Ageing

    Key features that define the ageing process at the molecular level.

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    Ageing

    The gradual decline in physiological functions and integrity over time.

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    Biological Ageing

    The physiological processes that contribute to the decline in function with age.

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    Chronological Ageing

    The actual time a person has been alive, measured in years.

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    Molecular Hallmarks of Ageing

    Key molecular-level changes that contribute to ageing.

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    Biological Hallmarks of Ageing

    The characteristics of biological ageing that reflect the overall health decline.

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    Frailty

    Increased vulnerability and reduced ability to maintain homeostasis due to ageing.

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    Age-Associated Diseases

    Conditions that become more prevalent as individuals age.

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    Global Ageing Population

    An increasing number of people aged 65 and over globally.

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    Reactive Oxygen Species (ROS)

    Highly reactive molecules causing DNA damage, lipid peroxidation, and protein modification.

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    Oxidative Stress

    An imbalance between reactive oxygen species production and antioxidant defenses.

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    Free Radical Theory of Ageing

    A theory that suggests ageing results from accumulated damage caused by ROS.

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    Double Strand Break (DSB)

    A type of DNA damage where both strands of the DNA double helix break.

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    Gamma H2AX

    A biomarker used to detect DNA damage and senescent cells.

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    Telomeres

    Repetitive nucleotide sequences at chromosome ends, protecting them from decay.

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    Telomere Theory of Ageing

    A theory stating ageing is due to replication-dependent shortening of telomeres.

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    Telomeres and Cancer

    Research into how telomere shortening may affect cancer development.

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    Genomic instability

    A state with increased genetic alterations affecting normal cell function.

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    Telomere attrition

    Shortening of telomeres leading to limited cell replication.

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    Epigenetic alteration

    Changes in gene expression without altering DNA sequence.

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    Loss of proteostasis

    Impairment in maintaining protein structure and function.

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    Mitochondrial dysfunction

    Impaired mitochondria leading to reduced energy production.

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    Deregulated nutrient sensing

    Inability to properly respond to nutrient levels.

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    Cellular senescence

    State where cells stop dividing, impacting tissue function.

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    Stem cell exhaustion

    Depletion of stem cells leading to reduced tissue regeneration.

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    Transposable Element (TE)

    A DNA sequence that can change position within a genome, potentially causing mutations.

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    DNA Methylation

    A process where methyl groups are added to DNA, affecting gene expression without altering the DNA sequence.

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    Epigenetic Drift

    Changes in DNA methylation patterns as a result of ageing, which can influence gene expression.

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    DNA Methyltransferase 1 (DNMT1)

    An enzyme responsible for maintaining DNA methylation patterns during cell division.

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    DNA Methylation Clock

    A method that uses CpG sites in DNA to measure biological age compared to chronological age.

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    Proteostasis

    The process by which cells regulate the abundance and folding of proteins to maintain cell health.

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    Misfolded Proteins

    Proteins that have not folded correctly, which can accumulate and disrupt cell function.

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    Biological Age

    An individual's age based on biological markers rather than the calendar age.

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    CpG Sites

    Regions of DNA where a cytosine nucleotide is followed by a guanine nucleotide, crucial for methylation.

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    Protein Quality Control (PQC)

    Cellular systems responsible for managing misfolded proteins to maintain proteostasis.

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    Study Notes

    Molecular Hallmarks of Ageing

    • Ageing is the gradual decline in normal physiological functions, affecting all biological systems.
    • This leads to increased frailty, vulnerability to stress, and a higher risk of disease and death.
    • Ageing impacts molecular interactions, cellular function, tissue structure, and physiological homeostasis.

    Learning Outcomes

    • Define ageing, differentiating between biological and chronological ageing.
    • Compare and contrast molecular and biological hallmarks of ageing.
    • Understand how molecular and biological changes during ageing can accelerate and increase the risk of age-associated diseases.
    • Otin et al. (2013): The Hallmarks of Ageing. Cell 153: 1194-1217 (available online).
    • Otin et al. (2023): Hallmarks of Ageing: An Expanding Universe. Cell 186:244-278

    What is Ageing?

    • Ageing is the progressive decline of physiological functions over time.
    • This affects all biological systems.
    • A result is that organisms become less able to cope with stress and more prone to disease.

    Why Understanding Ageing is Important

    • The global population aged 65 or over is expected to double by 2050.
    • In 2021, there were over 761 million people aged 65 or older worldwide.
    • The number of people aged 65 or older is expected to reach 2.2 billion by 2070, surpassing the number of children under 18.

    Life Expectancy

    • Average male life expectancy in Birmingham is 77.2 years, compared to 79.5 years for England.
    • Average female life expectancy in Birmingham is 81.9 years, compared to 83.1 years for England.
    • There are significant inequalities in life expectancy across Birmingham.

    Life Expectancy and Deprivation

    • Areas of higher deprivation in Birmingham have lower life expectancies.
    • Factors such as loneliness index and social determinants of health can contribute to reduced average life expectancies in certain regions.

    Lifespan vs Healthspan

    • Lifespan is the maximum potential length of an organism's life.
    • Life expectancy is the average lifespan an individual is expected to live to.
    • Healthspan refers to the portion of an organism's life spent in good health.
    • Poor health due to age-associated diseases significantly reduces healthspan.

    Chronological and Biological Age

    • Chronological age refers to the number of years lived.
    • Biological age refers to the condition of an organism relative to ageing.

    What Can Be Done?

    • Prevention strategies for age-related disorders need to focus on upstream effects of ageing
    • Specific disease prevention and treatment are needed
    • Molecular changes are occurring at a cellular level related to normal ageing.
    • Physiological changes associated with ageing are also important to address.

    Hallmarks of Ageing

    • Primary hallmarks (cause of damage) include genomic instability, telomere attrition, epigenetic alterations, and loss of proteostasis.
    • Antagonistic hallmarks describe the response to damage (positive and negative).
    • Integrative hallmarks link to the phenotypic changes of ageing.

    Genomic Instability

    • An increased tendency to acquire heritable genetic alterations, influencing cell function.
    • This can be caused by exogenous damage (e.g., chemicals, UV/IR) and endogenous damage (e.g., replication errors, reactive oxygen species).

    Telomere Attrition

    • Telomeres are repetitive nucleotide sequences at chromosome ends, protecting from decay and fusion.
    • Telomeres shorten with each cell division, eventually leading to cellular ageing.

    Epigenetic Alterations

    • Epigenetic alterations are changes in gene expression without changing the DNA sequence, often involving methylation patterns.
    • Methylation patterns change with ageing, potentially playing a role.

    DNA Methylation Clock

    • A method to calculate biological age based on DNA methylation patterns across 353 CpG sites.
    • This provides a measure of ageing independent of chronological age.

    Loss of Proteostasis

    • Cells lose the ability to maintain protein homeostasis or 3D structure.
    • Misfolded or damaged proteins accumulate. This results in significant disruptions to cellular function.

    Summary

    • Ageing leads to reduced ability to cope with stress, eventually contributing to higher incidences of disease and death.
    • Hallmarks of ageing show specific criteria to be met, manifested during normal ageing, and accelerated by experimental aggravation and improved by mitigating factors that can slow down the ageing process/enhance healthy ageing.
    • Primay, antagonistic, and intregrative hallmarks can be used to characterize the ageing process and potentially target intervention strategies.

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    Description

    This quiz explores the molecular aspects of ageing, highlighting the differences between biological and chronological ageing. It also discusses the consequences of ageing on physiological functions, cellular interactions, and the risk of age-associated diseases. Prepare to delve into crucial concepts and recent literature on this vital topic.

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