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DNA damage theory of aging - Wikipedia

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<a class="vector-toc-link" href="#Age-associated_accumulation_of_DNA_damage_and_changes_in_gene_expression"> <div class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Age-associated accumulation of DNA damage and changes in gene expression</span> </div> </a> <button aria-controls="toc-Age-associated_accumulation_of_DNA_damage_and_changes_in_gene_expression-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Age-associated accumulation of DNA damage and changes in gene expression subsection</span> </button> <ul id="toc-Age-associated_accumulation_of_DNA_damage_and_changes_in_gene_expression-sublist" class="vector-toc-list"> <li id="toc-Brain" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Brain"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.1</span> <span>Brain</span> </div> </a> <ul id="toc-Brain-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Muscle" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Muscle"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.2</span> <span>Muscle</span> </div> </a> <ul id="toc-Muscle-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Liver" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Liver"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.3</span> <span>Liver</span> </div> </a> <ul id="toc-Liver-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Kidney" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Kidney"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.4</span> <span>Kidney</span> </div> </a> <ul id="toc-Kidney-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Long-lived_stem_cells" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Long-lived_stem_cells"> <div class="vector-toc-text"> <span class="vector-toc-numb">2.5</span> <span>Long-lived stem cells</span> </div> </a> <ul id="toc-Long-lived_stem_cells-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Mutation_theories_of_aging" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Mutation_theories_of_aging"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Mutation theories of aging</span> </div> </a> <ul id="toc-Mutation_theories_of_aging-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Dietary_restriction" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Dietary_restriction"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Dietary restriction</span> </div> </a> <ul id="toc-Dietary_restriction-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Inherited_defects_that_cause_premature_aging" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Inherited_defects_that_cause_premature_aging"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Inherited defects that cause premature aging</span> </div> </a> <button aria-controls="toc-Inherited_defects_that_cause_premature_aging-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Inherited defects that cause premature aging subsection</span> </button> <ul id="toc-Inherited_defects_that_cause_premature_aging-sublist" class="vector-toc-list"> <li id="toc-Defects_in_DNA_repair_cause_features_of_premature_aging" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Defects_in_DNA_repair_cause_features_of_premature_aging"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.1</span> <span>Defects in DNA repair cause features of premature aging</span> </div> </a> <ul id="toc-Defects_in_DNA_repair_cause_features_of_premature_aging-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Increased_DNA_repair_and_extended_longevity" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Increased_DNA_repair_and_extended_longevity"> <div class="vector-toc-text"> <span class="vector-toc-numb">5.2</span> <span>Increased DNA repair and extended longevity</span> </div> </a> <ul id="toc-Increased_DNA_repair_and_extended_longevity-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Lifespan_in_different_mammalian_species" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Lifespan_in_different_mammalian_species"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>Lifespan in different mammalian species</span> </div> </a> <button aria-controls="toc-Lifespan_in_different_mammalian_species-sublist" class="cdx-button cdx-button--weight-quiet cdx-button--icon-only vector-toc-toggle"> <span class="vector-icon mw-ui-icon-wikimedia-expand"></span> <span>Toggle Lifespan in different mammalian species subsection</span> </button> <ul id="toc-Lifespan_in_different_mammalian_species-sublist" class="vector-toc-list"> <li id="toc-DNA_repair_capacity" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#DNA_repair_capacity"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.1</span> <span>DNA repair capacity</span> </div> </a> <ul id="toc-DNA_repair_capacity-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-DNA_damage_accumulation_and_repair_decline" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#DNA_damage_accumulation_and_repair_decline"> <div class="vector-toc-text"> <span class="vector-toc-numb">6.2</span> <span>DNA damage accumulation and repair decline</span> </div> </a> <ul id="toc-DNA_damage_accumulation_and_repair_decline-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Centenarians" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Centenarians"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>Centenarians</span> </div> </a> <ul id="toc-Centenarians-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Menopause" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Menopause"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>Menopause</span> </div> </a> <ul id="toc-Menopause-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Atherosclerosis" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Atherosclerosis"> <div class="vector-toc-text"> <span class="vector-toc-numb">9</span> <span>Atherosclerosis</span> </div> </a> <ul id="toc-Atherosclerosis-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-DNA_damage_and_the_epigenetic_clock" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#DNA_damage_and_the_epigenetic_clock"> <div class="vector-toc-text"> <span class="vector-toc-numb">10</span> <span>DNA damage and the epigenetic clock</span> </div> </a> <ul id="toc-DNA_damage_and_the_epigenetic_clock-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-See_also" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#See_also"> <div class="vector-toc-text"> <span class="vector-toc-numb">11</span> <span>See also</span> </div> </a> <ul id="toc-See_also-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" 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accumulated DNA damage</div> <p>The <b>DNA damage theory of aging</b> proposes that <a href="/wiki/Aging" class="mw-redirect" title="Aging">aging</a> is a consequence of unrepaired accumulation of <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">naturally occurring DNA damage</a>. Damage in this context is a DNA alteration that has an abnormal structure. Although both <a href="/wiki/Mitochondrion" title="Mitochondrion">mitochondrial</a> and <a href="/wiki/Cell_nucleus" title="Cell nucleus">nuclear</a> DNA damage can contribute to aging, nuclear DNA is the main subject of this analysis. Nuclear DNA damage can contribute to aging either indirectly (by increasing <a href="/wiki/Apoptosis" title="Apoptosis">apoptosis</a> or <a href="/wiki/Hayflick_limit" title="Hayflick limit">cellular senescence</a>) or directly (by increasing cell dysfunction).<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Freitas11_2-0" class="reference"><a href="#cite_note-Freitas11-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid18055498_3-0" class="reference"><a href="#cite_note-pmid18055498-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid29141944_4-0" class="reference"><a href="#cite_note-pmid29141944-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup><sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citing_sources#Bundling_citations" title="Wikipedia:Citing sources"><span title="This claim has too many footnotes for reading to be smooth. (November 2024)">excessive citations</span></a></i>&#93;</sup> </p><p>Several review articles have shown that deficient DNA repair, allowing greater accumulation of DNA damage, causes premature aging; and that increased DNA repair facilitates greater longevity, e.g.<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> Mouse models of nucleotide-excision–repair syndromes reveal a striking correlation between the degree to which specific DNA repair pathways are compromised and the severity of accelerated aging, strongly suggesting a causal relationship.<sup id="cite_ref-pmid19812404_7-0" class="reference"><a href="#cite_note-pmid19812404-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> Human population studies show that <a href="/wiki/Single-nucleotide_polymorphism" title="Single-nucleotide polymorphism">single-nucleotide polymorphisms</a> in DNA repair genes, causing up-regulation of their expression, correlate with increases in longevity.<sup id="cite_ref-pmid25151201_8-0" class="reference"><a href="#cite_note-pmid25151201-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> Lombard et al. compiled a lengthy list of mouse mutational models with pathologic features of premature aging, all caused by different DNA repair defects.<sup id="cite_ref-pmid15734682_9-0" class="reference"><a href="#cite_note-pmid15734682-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> Freitas and de Magalhães presented a comprehensive review and appraisal of the DNA damage theory of aging, including a detailed analysis of many forms of evidence linking DNA damage to aging.<sup id="cite_ref-Freitas11_2-1" class="reference"><a href="#cite_note-Freitas11-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> As an example, they described a study showing that centenarians of 100 to 107 years of age had higher levels of two DNA repair enzymes, <a href="/wiki/PARP1" title="PARP1">PARP1</a> and <a href="/wiki/Ku70" title="Ku70">Ku70</a>, than general-population old individuals of 69 to 75 years of age.<sup id="cite_ref-Chevanne_10-0" class="reference"><a href="#cite_note-Chevanne-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Freitas11_2-2" class="reference"><a href="#cite_note-Freitas11-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> Their analysis supported the hypothesis that improved DNA repair leads to longer life span. Overall, they concluded that while the complexity of responses to DNA damage remains only partly understood, the idea that DNA damage accumulation with age is the primary cause of aging remains an intuitive and powerful one.<sup id="cite_ref-Freitas11_2-3" class="reference"><a href="#cite_note-Freitas11-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p><p>In humans and other mammals, DNA damage occurs frequently and <a href="/wiki/DNA_repair" title="DNA repair">DNA repair</a> processes have evolved to compensate.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> In estimates made for mice, DNA lesions occur on average 25 to 115 times per minute in each <a href="/wiki/Cell_(biology)" title="Cell (biology)">cell</a>, or about 36,000 to 160,000 per cell per day.<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> Some DNA damage may remain in any cell despite the action of repair processes. The accumulation of unrepaired DNA damage is more prevalent in certain types of cells, particularly in non-replicating or slowly replicating cells, such as cells in the brain, skeletal and cardiac muscle.<sup id="cite_ref-Holmes_13-0" class="reference"><a href="#cite_note-Holmes-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="DNA_damage_and_mutation">DNA damage and mutation</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=1" title="Edit section: DNA damage and mutation"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/DNA_repair" title="DNA repair">DNA repair</a>, <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">DNA damage (naturally occurring)</a>, and <a href="/wiki/Mutation" title="Mutation">Mutation</a></div> <figure class="mw-halign-left" typeof="mw:File/Thumb"><a href="/wiki/File:8-Oxo-2%27-deoxyguanosine.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/e/e5/8-Oxo-2%27-deoxyguanosine.svg/160px-8-Oxo-2%27-deoxyguanosine.svg.png" decoding="async" width="160" height="124" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/e/e5/8-Oxo-2%27-deoxyguanosine.svg/240px-8-Oxo-2%27-deoxyguanosine.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/e/e5/8-Oxo-2%27-deoxyguanosine.svg/320px-8-Oxo-2%27-deoxyguanosine.svg.png 2x" data-file-width="620" data-file-height="482" /></a><figcaption>8-Hydroxydeoxyguanosine</figcaption></figure> <p>To understand the DNA damage theory of aging it is important to distinguish between DNA damage and mutation, the two major types of errors that occur in DNA. <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">Damage</a> and <a href="/wiki/Mutation" title="Mutation">mutation</a> are fundamentally different. DNA damage is any physical abnormality in the DNA, such as single and double strand breaks, <a href="/wiki/8-hydroxydeoxyguanosine" class="mw-redirect" title="8-hydroxydeoxyguanosine">8-hydroxydeoxyguanosine</a> residues and <a href="/wiki/Polycyclic_aromatic_hydrocarbon" title="Polycyclic aromatic hydrocarbon">polycyclic aromatic hydrocarbon</a> adducts. DNA damage can be recognized by enzymes, and thus can be correctly repaired using the complementary undamaged strand in DNA as a template or an undamaged sequence in a homologous chromosome if it is available for copying. If a cell retains DNA damage, transcription of a gene can be prevented and thus translation into a protein will also be blocked. Replication may also be blocked and/or the cell may die. Descriptions of reduced function, characteristic of aging and associated with accumulation of DNA damage, are described in the next section.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>In contrast to DNA damage, a mutation is a change in the base sequence of the DNA. A mutation cannot be recognized by enzymes once the base change is present in both DNA strands, and thus a mutation cannot be repaired. At the cellular level, mutations can cause alterations in protein function and regulation. Mutations are replicated when the cell replicates. In a population of cells, mutant cells will increase or decrease in frequency according to the effects of the mutation on the ability of the cell to survive and reproduce. Although distinctly different from each other, DNA damages and mutations are related because DNA damages often cause errors of DNA synthesis during replication or repair and these errors are a major source of mutation.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>Given these properties of DNA damage and mutation, it can be seen that DNA damages are a special problem in <a href="/wiki/G0_phase" title="G0 phase">non-dividing or slowly dividing cells</a>, where unrepaired damages will tend to accumulate over time. On the other hand, in rapidly <a href="/wiki/Cell_division" title="Cell division">dividing cells</a>, unrepaired DNA damages that do not kill the cell by blocking replication will tend to cause replication errors and thus mutation. The great majority of mutations that are not neutral in their effect are deleterious to a cell's survival. Thus, in a population of cells comprising a tissue with replicating cells, mutant cells will tend to be lost. However, infrequent mutations that provide a survival advantage will tend to clonally expand at the expense of neighboring cells in the tissue. This advantage to the cell is disadvantageous to the whole organism, because such mutant cells can give rise to <a href="/wiki/Cancer" title="Cancer">cancer</a>. Thus, DNA damages in frequently dividing cells, because they give rise to mutations, are a prominent cause of cancer. In contrast, <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">DNA damages</a> in <a href="/wiki/G0_phase" title="G0 phase">infrequently dividing cells</a> are likely a prominent cause of aging.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>The first person to suggest that DNA damage, as distinct from mutation, is the primary cause of aging was Alexander in 1967.<sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> By the early 1980s there was significant experimental support for this idea in the literature.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup> By the early 1990s experimental support for this idea was substantial, and furthermore it had become increasingly evident that oxidative DNA damage, in particular, is a major cause of aging.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Holmes_13-1" class="reference"><a href="#cite_note-Holmes-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup><sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citing_sources#Bundling_citations" title="Wikipedia:Citing sources"><span title="This claim has too many footnotes for reading to be smooth. (November 2024)">excessive citations</span></a></i>&#93;</sup> </p><p>In a series of articles from 1970 to 1977, PV Narasimh Acharya, Phd. (1924–1993) theorized and presented evidence that cells undergo "irreparable DNA damage", whereby DNA crosslinks occur when both normal cellular repair processes fail and cellular apoptosis does not occur. Specifically, Acharya noted that double-strand breaks and a "cross-linkage joining both strands at the same point is irreparable because neither strand can then serve as a template for repair. The cell will die in the next mitosis or in some rare instances, mutate."<sup id="cite_ref-pmid5055816_20-0" class="reference"><a href="#cite_note-pmid5055816-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup><sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citing_sources#Bundling_citations" title="Wikipedia:Citing sources"><span title="This claim has too many footnotes for reading to be smooth. (November 2024)">excessive citations</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="Age-associated_accumulation_of_DNA_damage_and_changes_in_gene_expression">Age-associated accumulation of DNA damage and changes in gene expression</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=2" title="Edit section: Age-associated accumulation of DNA damage and changes in gene expression"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">DNA damage (naturally occurring)</a></div> <p>In tissues composed of non- or infrequently replicating cells, DNA damage can accumulate with age and lead either to loss of cells, or, in surviving cells, loss of gene expression. Accumulated DNA damage is usually measured directly. Numerous studies of this type have indicated that oxidative damage to DNA is particularly important.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup> The loss of expression of specific genes can be detected at both the mRNA level and protein level. <sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>Other form of age-associated changes in gene expression is increased transcriptional variability, that was found first in a selected panel of genes in heart cells <sup id="cite_ref-Bahar06_26-0" class="reference"><a href="#cite_note-Bahar06-26"><span class="cite-bracket">&#91;</span>26<span class="cite-bracket">&#93;</span></a></sup> and, more recently, in the whole transcriptomes of immune cells,<sup id="cite_ref-27" class="reference"><a href="#cite_note-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup> and human pancreas cells.<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Brain">Brain</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=3" title="Edit section: Brain"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Aging_brain" title="Aging brain">Aging brain</a></div> <p>The adult brain is composed in large part of terminally differentiated non-dividing neurons. Many of the conspicuous features of aging reflect a decline in neuronal function. Accumulation of DNA damage with age in the mammalian brain has been reported during the period 1971 to 2008 in at least 29 studies.<sup id="cite_ref-Bernstein2008_29-0" class="reference"><a href="#cite_note-Bernstein2008-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup> This DNA damage includes the oxidized nucleoside <a href="/wiki/8-oxo-2%27-deoxyguanosine" class="mw-redirect" title="8-oxo-2&#39;-deoxyguanosine">8-oxo-2'-deoxyguanosine</a> (8-oxo-dG), <a href="/wiki/DNA_repair#Single_strand_damage" title="DNA repair">single-</a> and <a href="/wiki/DNA_repair#Double-strand_breaks" title="DNA repair">double-strand breaks</a>, DNA-protein crosslinks and malondialdehyde adducts (reviewed in Bernstein et al.<sup id="cite_ref-Bernstein2008_29-1" class="reference"><a href="#cite_note-Bernstein2008-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup>). Increasing DNA damage with age has been reported in the brains of the mouse, rat, gerbil, rabbit, dog, and human.<sup id="cite_ref-Holmes_13-2" class="reference"><a href="#cite_note-Holmes-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup> </p><p>Rutten et al.<sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup> showed that single-strand breaks accumulate in the <a href="/wiki/Mouse_brain" title="Mouse brain">mouse brain</a> with age. Young 4-day-old rats have about 3,000 single-strand breaks and 156 double-strand breaks per neuron, whereas in rats older than 2 years the level of damage increases to about 7,400 single-strand breaks and 600 double-strand breaks per neuron.<sup id="cite_ref-pmid8858940_31-0" class="reference"><a href="#cite_note-pmid8858940-31"><span class="cite-bracket">&#91;</span>31<span class="cite-bracket">&#93;</span></a></sup> Sen et al.<sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">&#91;</span>32<span class="cite-bracket">&#93;</span></a></sup> showed that DNA damages which block the polymerase chain reaction in rat brain accumulate with age. Swain and Rao observed marked increases in several types of DNA damages in aging rat brain, including single-strand breaks, double-strand breaks and modified bases (8-OHdG and uracil).<sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup> Wolf et al.<sup id="cite_ref-Wolf_34-0" class="reference"><a href="#cite_note-Wolf-34"><span class="cite-bracket">&#91;</span>34<span class="cite-bracket">&#93;</span></a></sup> also showed that the oxidative DNA damage <a href="/wiki/8-hydroxydeoxyguanosine" class="mw-redirect" title="8-hydroxydeoxyguanosine">8-OHdG</a> accumulates in rat brain with age. Similarly, it was shown that as humans age from 48 to 97 years, 8-OHdG accumulates in the brain.<sup id="cite_ref-35" class="reference"><a href="#cite_note-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> </p><p>Lu et al.<sup id="cite_ref-Lu_36-0" class="reference"><a href="#cite_note-Lu-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup> studied the transcriptional profiles of the human frontal cortex of individuals ranging from 26 to 106 years of age. This led to the identification of a set of genes whose expression was altered after age 40. These genes play central roles in synaptic plasticity, vesicular transport and mitochondrial function. In the brain, promoters of genes with reduced expression have markedly increased DNA damage.<sup id="cite_ref-Lu_36-1" class="reference"><a href="#cite_note-Lu-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup> In cultured human neurons, these gene promoters are selectively damaged by <a href="/wiki/Reactive_oxygen_species" title="Reactive oxygen species">oxidative stress</a>. Thus Lu et al.<sup id="cite_ref-Lu_36-2" class="reference"><a href="#cite_note-Lu-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup> concluded that DNA damage may reduce the expression of selectively vulnerable genes involved in learning, memory and neuronal survival, initiating a program of brain aging that starts early in adult life.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading3"><h3 id="Muscle">Muscle</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=4" title="Edit section: Muscle"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Muscle" title="Muscle">Muscle</a></div> <p>Muscle strength, and stamina for sustained physical effort, decline in function with age in humans and other species. <a href="/wiki/Skeletal_striated_muscle" class="mw-redirect" title="Skeletal striated muscle">Skeletal muscle</a> is a tissue composed largely of multinucleated myofibers, elements that arise from the fusion of mononucleated myoblasts. Accumulation of DNA damage with age in mammalian muscle has been reported in at least 18 studies since 1971.<sup id="cite_ref-Bernstein2008_29-2" class="reference"><a href="#cite_note-Bernstein2008-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup> Hamilton et al.<sup id="cite_ref-Hamilton_37-0" class="reference"><a href="#cite_note-Hamilton-37"><span class="cite-bracket">&#91;</span>37<span class="cite-bracket">&#93;</span></a></sup> reported that the oxidative DNA damage 8-OHdG accumulates in heart and skeletal muscle (as well as in brain, kidney and liver) of both mouse and rat with age. In humans, increases in 8-OHdG with age were reported for skeletal muscle.<sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">&#91;</span>38<span class="cite-bracket">&#93;</span></a></sup> Catalase is an enzyme that removes hydrogen peroxide, a reactive oxygen species, and thus limits oxidative DNA damage. In mice, when catalase expression is increased specifically in mitochondria, oxidative DNA damage (8-OHdG) in skeletal muscle is decreased and lifespan is increased by about 20%.<sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">&#91;</span>39<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">&#91;</span>40<span class="cite-bracket">&#93;</span></a></sup> These findings suggest that mitochondria are a significant source of the oxidative damages contributing to aging.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>Protein synthesis and protein degradation decline with age in skeletal and heart muscle, as would be expected, since DNA damage blocks gene transcription. In 2005, Piec et al.<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">&#91;</span>41<span class="cite-bracket">&#93;</span></a></sup> found numerous changes in protein expression in rat skeletal muscle with age, including lower levels of several proteins related to myosin and actin. Force is generated in striated muscle by the interactions between myosin thick filaments and actin thin filaments.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading3"><h3 id="Liver">Liver</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=5" title="Edit section: Liver"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Liver" title="Liver">Liver</a></div> <p>Liver hepatocytes do not ordinarily divide and appear to be terminally differentiated, but they retain the ability to proliferate when injured. With age, the mass of the liver decreases, blood flow is reduced, metabolism is impaired, and alterations in microcirculation occur. At least 21 studies have reported an increase in DNA damage with age in liver.<sup id="cite_ref-Bernstein2008_29-3" class="reference"><a href="#cite_note-Bernstein2008-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup> For instance, Helbock et al.<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">&#91;</span>42<span class="cite-bracket">&#93;</span></a></sup> estimated that the steady state level of oxidative DNA base alterations increased from 24,000 per cell in the liver of young rats to 66,000 per cell in the liver of old rats. </p><p>One or two months after inducing DNA double-strand breaks in the livers of young mice, the mice showed multiple symptoms of aging similar to those seen in untreated livers of normally aged control mice.<sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">&#91;</span>43<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Kidney">Kidney</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=6" title="Edit section: Kidney"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Kidney" title="Kidney">Kidney</a></div> <p>In kidney, changes with age include reduction in both renal blood flow and glomerular filtration rate, and impairment in the ability to concentrate urine and to conserve sodium and water. DNA damages, particularly oxidative DNA damages, increase with age (at least 8 studies).<sup id="cite_ref-Bernstein2008_29-4" class="reference"><a href="#cite_note-Bernstein2008-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup> For instance Hashimoto et al.<sup id="cite_ref-44" class="reference"><a href="#cite_note-44"><span class="cite-bracket">&#91;</span>44<span class="cite-bracket">&#93;</span></a></sup> showed that 8-OHdG accumulates in rat kidney DNA with age.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading3"><h3 id="Long-lived_stem_cells">Long-lived stem cells</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=7" title="Edit section: Long-lived stem cells"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Stem_cell" title="Stem cell">Stem cell</a> and <a href="/wiki/Stem_cell_theory_of_aging" title="Stem cell theory of aging">Stem cell theory of aging</a></div> <p>Tissue-specific stem cells produce differentiated cells through a series of increasingly more committed progenitor intermediates. In hematopoiesis (blood cell formation), the process begins with long-term hematopoietic stem cells that self-renew and also produce progeny cells that upon further replication go through a series of stages leading to differentiated cells without self-renewal capacity. In mice, deficiencies in DNA repair appear to limit the capacity of hematopoietic stem cells to proliferate and self-renew with age.<sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">&#91;</span>45<span class="cite-bracket">&#93;</span></a></sup> Sharpless and Depinho reviewed evidence that hematopoietic stem cells, as well as stem cells in other tissues, undergo intrinsic aging.<sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">&#91;</span>46<span class="cite-bracket">&#93;</span></a></sup> They speculated that stem cells grow old, in part, as a result of DNA damage. DNA damage may trigger signalling pathways, such as apoptosis, that contribute to depletion of stem cell stocks. This has been observed in several cases of accelerated aging and may occur in normal aging too.<sup id="cite_ref-Freitas11_2-4" class="reference"><a href="#cite_note-Freitas11-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p><p>A key aspect of hair loss with age is the aging of the hair follicle.<sup id="cite_ref-pmid26912687_47-0" class="reference"><a href="#cite_note-pmid26912687-47"><span class="cite-bracket">&#91;</span>47<span class="cite-bracket">&#93;</span></a></sup> Ordinarily, hair follicle renewal is maintained by the stem cells associated with each follicle. Aging of the hair follicle appears to be due to the DNA damage that accumulates in renewing stem cells during aging.<sup id="cite_ref-pmid26912707_48-0" class="reference"><a href="#cite_note-pmid26912707-48"><span class="cite-bracket">&#91;</span>48<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Mutation_theories_of_aging">Mutation theories of aging</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=8" title="Edit section: Mutation theories of aging"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Evolution_of_ageing" title="Evolution of ageing">Evolution of ageing</a></div> <p>A related theory is that mutation, as distinct from DNA damage, is the primary cause of aging. A comparison of somatic mutation rate across several mammal species found that the total number of accumulated mutations at the end of lifespan was roughly equal across a broad range of lifespans.<sup id="cite_ref-49" class="reference"><a href="#cite_note-49"><span class="cite-bracket">&#91;</span>49<span class="cite-bracket">&#93;</span></a></sup> The authors state that this strong relationship between somatic mutation rate and lifespan across different mammalian species suggests that evolution may constrain somatic mutation rates, perhaps by selection acting on different DNA repair pathways.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (July 2022)">citation needed</span></a></i>&#93;</sup> </p><p>As discussed above, mutations tend to arise in frequently replicating cells as a result of errors of DNA synthesis when template DNA is damaged, and can give rise to cancer. However, in mice there is no increase in mutation in the brain with aging.<sup id="cite_ref-50" class="reference"><a href="#cite_note-50"><span class="cite-bracket">&#91;</span>50<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-51" class="reference"><a href="#cite_note-51"><span class="cite-bracket">&#91;</span>51<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-52" class="reference"><a href="#cite_note-52"><span class="cite-bracket">&#91;</span>52<span class="cite-bracket">&#93;</span></a></sup> Mice defective in a gene (Pms2) that ordinarily corrects base mispairs in DNA have about a 100-fold elevated mutation frequency in all tissues, but do not appear to age more rapidly.<sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">&#91;</span>53<span class="cite-bracket">&#93;</span></a></sup> On the other hand, mice defective in one particular DNA repair pathway show clear premature aging, but do not have elevated mutation.<sup id="cite_ref-54" class="reference"><a href="#cite_note-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup> </p><p>One variation of the idea that mutation is the basis of aging, that has received much attention, is that mutations specifically in mitochondrial DNA are the cause of aging. Several studies have shown that mutations accumulate in mitochondrial DNA in infrequently replicating cells with age. DNA polymerase gamma is the enzyme that replicates mitochondrial DNA. A mouse mutant with a defect in this DNA polymerase is only able to replicate its mitochondrial DNA inaccurately, so that it sustains a 500-fold higher mutation burden than normal mice. These mice showed no clear features of rapidly accelerated aging.<sup id="cite_ref-55" class="reference"><a href="#cite_note-55"><span class="cite-bracket">&#91;</span>55<span class="cite-bracket">&#93;</span></a></sup> Overall, the observations discussed in this section indicate that mutations are not the primary cause of aging.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="Dietary_restriction">Dietary restriction</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=9" title="Edit section: Dietary restriction"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Calorie_restriction" title="Calorie restriction">Calorie restriction</a></div> <p>In rodents, caloric restriction slows aging and extends lifespan. At least 4 studies have shown that caloric restriction reduces 8-OHdG damages in various organs of rodents. One of these studies showed that caloric restriction reduced accumulation of 8-OHdG with age in rat brain, heart and skeletal muscle, and in mouse brain, heart, kidney and liver.<sup id="cite_ref-Hamilton_37-1" class="reference"><a href="#cite_note-Hamilton-37"><span class="cite-bracket">&#91;</span>37<span class="cite-bracket">&#93;</span></a></sup> More recently, Wolf et al.<sup id="cite_ref-Wolf_34-1" class="reference"><a href="#cite_note-Wolf-34"><span class="cite-bracket">&#91;</span>34<span class="cite-bracket">&#93;</span></a></sup> showed that dietary restriction reduced accumulation of 8-OHdG with age in rat brain, heart, skeletal muscle, and liver. Thus reduction of oxidative DNA damage is associated with a slower rate of aging and increased lifespan.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="Inherited_defects_that_cause_premature_aging">Inherited defects that cause premature aging</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=10" title="Edit section: Inherited defects that cause premature aging"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/DNA_repair-deficiency_disorder" title="DNA repair-deficiency disorder">DNA repair-deficiency disorder</a></div> <p>If DNA damage is the underlying cause of aging, it would be expected that humans with inherited defects in the ability to repair DNA damages should age at a faster pace than persons without such a defect. Numerous examples of rare inherited conditions with DNA repair defects are known. Several of these show multiple striking features of premature aging, and others have fewer such features. Perhaps the most striking premature aging conditions are <a href="/wiki/Werner_syndrome" title="Werner syndrome">Werner syndrome</a> (mean lifespan 47 years), <a href="/wiki/Huchinson%E2%80%93Gilford_progeria" class="mw-redirect" title="Huchinson–Gilford progeria">Huchinson–Gilford progeria</a> (mean lifespan 13 years), and <a href="/wiki/Cockayne_syndrome" title="Cockayne syndrome">Cockayne syndrome</a> (mean lifespan 13 years).<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>Werner syndrome is due to an inherited defect in an enzyme (a helicase and exonuclease) that acts in <a href="/wiki/Base_excision_repair" title="Base excision repair">base excision repair</a> of DNA (e.g. see Harrigan et al.<sup id="cite_ref-56" class="reference"><a href="#cite_note-56"><span class="cite-bracket">&#91;</span>56<span class="cite-bracket">&#93;</span></a></sup>). </p><p><a href="/wiki/Huchinson%E2%80%93Gilford_progeria" class="mw-redirect" title="Huchinson–Gilford progeria">Huchinson–Gilford progeria</a> is due to a defect in <a href="/wiki/Lamin" title="Lamin">Lamin</a> A protein which forms a scaffolding within the cell nucleus to organize chromatin and is needed for repair of double-strand breaks in DNA.<sup id="cite_ref-57" class="reference"><a href="#cite_note-57"><span class="cite-bracket">&#91;</span>57<span class="cite-bracket">&#93;</span></a></sup> A-type <a href="/wiki/Lamin" title="Lamin">lamins</a> promote genetic stability by maintaining levels of proteins that have key roles in the DNA repair processes of <a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">non-homologous end joining</a> and <a href="/wiki/Homologous_recombination" title="Homologous recombination">homologous recombination</a>.<sup id="cite_ref-pmid21701264_58-0" class="reference"><a href="#cite_note-pmid21701264-58"><span class="cite-bracket">&#91;</span>58<span class="cite-bracket">&#93;</span></a></sup> Mouse cells deficient for maturation of prelamin A show increased DNA damage and chromosome aberrations and are more sensitive to DNA damaging agents.<sup id="cite_ref-Liu_B_59-0" class="reference"><a href="#cite_note-Liu_B-59"><span class="cite-bracket">&#91;</span>59<span class="cite-bracket">&#93;</span></a></sup> </p><p>Cockayne Syndrome is due to a defect in a protein necessary for the repair process, transcription coupled nucleotide excision repair, which can remove damages, particularly oxidative DNA damages, that block transcription.<sup id="cite_ref-60" class="reference"><a href="#cite_note-60"><span class="cite-bracket">&#91;</span>60<span class="cite-bracket">&#93;</span></a></sup> </p><p>In addition to these three conditions, several other human syndromes, that also have defective DNA repair, show several features of premature aging. These include <a href="/wiki/Ataxia%E2%80%93telangiectasia" title="Ataxia–telangiectasia">ataxia–telangiectasia</a>, <a href="/wiki/Nijmegen_breakage_syndrome" title="Nijmegen breakage syndrome">Nijmegen breakage syndrome</a>, some subgroups of <a href="/wiki/Xeroderma_pigmentosum" title="Xeroderma pigmentosum">xeroderma pigmentosum</a>, <a href="/wiki/Trichothiodystrophy" title="Trichothiodystrophy">trichothiodystrophy</a>, <a href="/wiki/Fanconi_anemia" title="Fanconi anemia">Fanconi anemia</a>, <a href="/wiki/Bloom_syndrome" title="Bloom syndrome">Bloom syndrome</a> and <a href="/wiki/Rothmund%E2%80%93Thomson_syndrome" title="Rothmund–Thomson syndrome">Rothmund–Thomson syndrome</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Ku_bound_to_DNA.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/6/64/Ku_bound_to_DNA.png/220px-Ku_bound_to_DNA.png" decoding="async" width="220" height="181" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/64/Ku_bound_to_DNA.png/330px-Ku_bound_to_DNA.png 1.5x, //upload.wikimedia.org/wikipedia/commons/6/64/Ku_bound_to_DNA.png 2x" data-file-width="420" data-file-height="345" /></a><figcaption>Ku bound to DNA</figcaption></figure> <p>In addition to human inherited syndromes, experimental mouse models with genetic defects in DNA repair show features of premature aging and reduced lifespan.(e.g. refs.<sup id="cite_ref-Vogel_61-0" class="reference"><a href="#cite_note-Vogel-61"><span class="cite-bracket">&#91;</span>61<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-62" class="reference"><a href="#cite_note-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Mostoslavsky_63-0" class="reference"><a href="#cite_note-Mostoslavsky-63"><span class="cite-bracket">&#91;</span>63<span class="cite-bracket">&#93;</span></a></sup>) In particular, mutant mice defective in <a href="/wiki/Ku70" title="Ku70">Ku70</a>, or <a href="/wiki/Ku80" title="Ku80">Ku80</a>, or double mutant mice deficient in both Ku70 and Ku80 exhibit early aging.<sup id="cite_ref-Li_64-0" class="reference"><a href="#cite_note-Li-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup> The mean lifespans of the three mutant mouse strains were similar to each other, at about 37 weeks, compared to 108 weeks for the wild-type control. Six specific signs of aging were examined, and the three mutant mice were found to display the same aging signs as the control mice, but at a much earlier age. Cancer incidence was not increased in the mutant mice. Ku70 and Ku80 form the heterodimer <a href="/wiki/Ku_(protein)" title="Ku (protein)">Ku protein</a> essential for the <a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">non-homologous end joining (NHEJ)</a> pathway of DNA repair, active in repairing DNA double-strand breaks. This suggests an important role of NHEJ in longevity assurance.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading3"><h3 id="Defects_in_DNA_repair_cause_features_of_premature_aging">Defects in DNA repair cause features of premature aging</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=11" title="Edit section: Defects in DNA repair cause features of premature aging"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Many authors have noted an association between defects in the DNA damage response and premature aging (see e.g.<sup id="cite_ref-Bonsignore_65-0" class="reference"><a href="#cite_note-Bonsignore-65"><span class="cite-bracket">&#91;</span>65<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Ruzankina_66-0" class="reference"><a href="#cite_note-Ruzankina-66"><span class="cite-bracket">&#91;</span>66<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Holcomb_67-0" class="reference"><a href="#cite_note-Holcomb-67"><span class="cite-bracket">&#91;</span>67<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Dollé_68-0" class="reference"><a href="#cite_note-Dollé-68"><span class="cite-bracket">&#91;</span>68<span class="cite-bracket">&#93;</span></a></sup>).<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citing_sources#Bundling_citations" title="Wikipedia:Citing sources"><span title="This claim has too many footnotes for reading to be smooth. (November 2024)">excessive citations</span></a></i>&#93;</sup> If a DNA repair protein is deficient, unrepaired DNA damages tend to accumulate.<sup id="cite_ref-pmid22103522_69-0" class="reference"><a href="#cite_note-pmid22103522-69"><span class="cite-bracket">&#91;</span>69<span class="cite-bracket">&#93;</span></a></sup> Such accumulated DNA damages appear to cause features of premature aging (<a href="/wiki/Progeroid_syndromes" title="Progeroid syndromes">segmental progeria</a>). Table 1 lists 18 DNA repair proteins which, when deficient, cause numerous features of premature aging. </p> <table class="wikitable sortable"> <caption>Table 1. DNA repair proteins that, when deficient, cause features of accelerated aging (<a href="/wiki/Progeroid_syndromes" title="Progeroid syndromes">segmental progeria</a>). </caption> <tbody><tr> <th>Protein</th> <th>Pathway</th> <th>Description </th></tr> <tr> <td><a href="/wiki/Ataxia_telangiectasia_and_Rad3_related" title="Ataxia telangiectasia and Rad3 related">ATR</a> </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a><sup id="cite_ref-pmid27827925_70-0" class="reference"><a href="#cite_note-pmid27827925-70"><span class="cite-bracket">&#91;</span>70<span class="cite-bracket">&#93;</span></a></sup></td> <td>deletion of ATR in adult mice leads to a number of disorders including hair loss and graying, kyphosis, osteoporosis, premature involution of the thymus, fibrosis of the heart and kidney and decreased spermatogenesis<sup id="cite_ref-Ruzankina_66-1" class="reference"><a href="#cite_note-Ruzankina-66"><span class="cite-bracket">&#91;</span>66<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/DNA-PKcs" title="DNA-PKcs">DNA-PKcs</a> </td> <td><a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a></td> <td>shorter lifespan, earlier onset of aging related pathologies;<sup id="cite_ref-pmid15105825_71-0" class="reference"><a href="#cite_note-pmid15105825-71"><span class="cite-bracket">&#91;</span>71<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid24740260_72-0" class="reference"><a href="#cite_note-pmid24740260-72"><span class="cite-bracket">&#91;</span>72<span class="cite-bracket">&#93;</span></a></sup> higher level of DNA damage persistence<sup id="cite_ref-pmid20193758_73-0" class="reference"><a href="#cite_note-pmid20193758-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/ERCC1" title="ERCC1">ERCC1</a> </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a>, <a href="/wiki/Crosslinking_of_DNA" title="Crosslinking of DNA">Interstrand cross link repair</a><sup id="cite_ref-Gregg_74-0" class="reference"><a href="#cite_note-Gregg-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup></td> <td>deficient <a href="/wiki/Nucleotide_excision_repair#Transcription_coupled_repair_(TC-NER)" title="Nucleotide excision repair">transcription coupled NER</a> with time-dependent accumulation of transcription-blocking damages;<sup id="cite_ref-pmid27556946_75-0" class="reference"><a href="#cite_note-pmid27556946-75"><span class="cite-bracket">&#91;</span>75<span class="cite-bracket">&#93;</span></a></sup> mouse life span reduced from 2.5 years to 5 months;<sup id="cite_ref-Dollé_68-1" class="reference"><a href="#cite_note-Dollé-68"><span class="cite-bracket">&#91;</span>68<span class="cite-bracket">&#93;</span></a></sup> <i>Ercc1</i><sup>−/−</sup> mice are leukopenic and thrombocytopenic, and there is extensive adipose transformation of the bone marrow, hallmark features of normal aging in mice<sup id="cite_ref-Gregg_74-1" class="reference"><a href="#cite_note-Gregg-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/ERCC2" title="ERCC2">ERCC2</a> (XPD) </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a> (also transcription as part of <a href="/wiki/Transcription_factor_II_H" title="Transcription factor II H">TFIIH</a>) </td> <td>some mutations in ERCC2 cause <a href="/wiki/Cockayne_syndrome" title="Cockayne syndrome">Cockayne syndrome</a> in which patients have segmental progeria with reduced stature, mental retardation, cachexia (loss of subcutaneous fat tissue), sensorineural deafness, retinal degeneration, and calcification of the central nervous system; other mutations in ERCC2 cause <a href="/wiki/Trichothiodystrophy" title="Trichothiodystrophy">trichothiodystrophy</a> in which patients have segmental progeria with brittle hair, short stature, progressive cognitive impairment and abnormal face shape; still other mutations in ERCC2 cause <a href="/wiki/Xeroderma_pigmentosum" title="Xeroderma pigmentosum">xeroderma pigmentosum</a> (without a <a href="/wiki/Progeroid_syndromes" title="Progeroid syndromes">progeroid syndrome</a>) and with extreme sun-mediated skin cancer predisposition<sup id="cite_ref-pmid21571596_76-0" class="reference"><a href="#cite_note-pmid21571596-76"><span class="cite-bracket">&#91;</span>76<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/ERCC4" title="ERCC4">ERCC4</a> (XPF) </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a>, <a href="/wiki/Crosslinking_of_DNA" title="Crosslinking of DNA">Interstrand cross link repair</a>, <a href="/wiki/Homologous_recombination#SSA_pathway" title="Homologous recombination">Single-strand annealing</a>, <a href="/wiki/Microhomology-mediated_end_joining" title="Microhomology-mediated end joining">Microhomology-mediated end joining</a><sup id="cite_ref-Gregg_74-2" class="reference"><a href="#cite_note-Gregg-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup> </td> <td>mutations in ERCC4 cause symptoms of accelerated aging that affect the neurologic, hepatobiliary, musculoskeletal, and hematopoietic systems, and cause an old, wizened appearance, loss of subcutaneous fat, liver dysfunction, vision and hearing loss, renal insufficiency, muscle wasting, osteopenia, kyphosis and cerebral atrophy<sup id="cite_ref-Gregg_74-3" class="reference"><a href="#cite_note-Gregg-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/ERCC5" title="ERCC5">ERCC5</a> (XPG) </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a>,<sup id="cite_ref-pmid14993263_77-0" class="reference"><a href="#cite_note-pmid14993263-77"><span class="cite-bracket">&#91;</span>77<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Homologous_recombination" title="Homologous recombination">Homologous recombinational repair</a>,<sup id="cite_ref-pmid26833090_78-0" class="reference"><a href="#cite_note-pmid26833090-78"><span class="cite-bracket">&#91;</span>78<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Base_excision_repair" title="Base excision repair">Base excision repair</a><sup id="cite_ref-pmid9927729_79-0" class="reference"><a href="#cite_note-pmid9927729-79"><span class="cite-bracket">&#91;</span>79<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid11554293_80-0" class="reference"><a href="#cite_note-pmid11554293-80"><span class="cite-bracket">&#91;</span>80<span class="cite-bracket">&#93;</span></a></sup> </td> <td>mice with deficient ERCC5 show loss of subcutaneous fat, kyphosis, osteoporosis, retinal photoreceptor loss, liver aging, extensive neurodegeneration, and a short lifespan of 4–5 months </td></tr> <tr> <td><a href="/wiki/ERCC6_(gene)" class="mw-redirect" title="ERCC6 (gene)">ERCC6</a> (Cockayne syndrome B or CS-B) </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a> [especially transcription coupled repair (TC-NER) and interstrand crosslink repair] </td> <td>premature aging features with shorter life span and photosensitivity,<sup id="cite_ref-Iyama_81-0" class="reference"><a href="#cite_note-Iyama-81"><span class="cite-bracket">&#91;</span>81<span class="cite-bracket">&#93;</span></a></sup> deficient <a href="/wiki/Nucleotide_excision_repair#Transcription_coupled_repair_(TC-NER)" title="Nucleotide excision repair">transcription coupled NER</a> with accumulation of unrepaired DNA damages,<sup id="cite_ref-Pascucci_82-0" class="reference"><a href="#cite_note-Pascucci-82"><span class="cite-bracket">&#91;</span>82<span class="cite-bracket">&#93;</span></a></sup> also defective repair of oxidatively generated DNA damages including <a href="/wiki/8-oxoguanine" class="mw-redirect" title="8-oxoguanine">8-oxoguanine</a>, <a href="/wiki/5-hydroxycytosine" class="mw-redirect" title="5-hydroxycytosine">5-hydroxycytosine</a> and cyclopurines<sup id="cite_ref-Pascucci_82-1" class="reference"><a href="#cite_note-Pascucci-82"><span class="cite-bracket">&#91;</span>82<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/ERCC8_(gene)" class="mw-redirect" title="ERCC8 (gene)">ERCC8</a> (Cockayne syndrome A or CS-A) </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a> [especially transcription coupled repair (TC-NER) and interstrand crosslink repair] </td> <td>premature aging features with shorter life span and photosensitivity,<sup id="cite_ref-Iyama_81-1" class="reference"><a href="#cite_note-Iyama-81"><span class="cite-bracket">&#91;</span>81<span class="cite-bracket">&#93;</span></a></sup> deficient <a href="/wiki/Nucleotide_excision_repair#Transcription_coupled_repair_(TC-NER)" title="Nucleotide excision repair">transcription coupled NER</a> with accumulation of unrepaired DNA damages,<sup id="cite_ref-Pascucci_82-2" class="reference"><a href="#cite_note-Pascucci-82"><span class="cite-bracket">&#91;</span>82<span class="cite-bracket">&#93;</span></a></sup> also defective repair of oxidatively generated DNA damages including <a href="/wiki/8-oxoguanine" class="mw-redirect" title="8-oxoguanine">8-oxoguanine</a>, <a href="/wiki/5-hydroxycytosine" class="mw-redirect" title="5-hydroxycytosine">5-hydroxycytosine</a> and cyclopurines<sup id="cite_ref-Pascucci_82-3" class="reference"><a href="#cite_note-Pascucci-82"><span class="cite-bracket">&#91;</span>82<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/GTF2H5" title="GTF2H5">GTF2H5</a> (TTDA) </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a> </td> <td>deficiency causes trichothiodystrophy (TTD) a premature-ageing and neuroectodermal disease; humans with <i>GTF2H5</i> mutations have a partially inactivated protein<sup id="cite_ref-pmid23637614_83-0" class="reference"><a href="#cite_note-pmid23637614-83"><span class="cite-bracket">&#91;</span>83<span class="cite-bracket">&#93;</span></a></sup> with retarded repair of <a href="/wiki/Pyrimidine_dimer" title="Pyrimidine dimer">6-4-photoproducts</a><sup id="cite_ref-pmid21730288_84-0" class="reference"><a href="#cite_note-pmid21730288-84"><span class="cite-bracket">&#91;</span>84<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/Ku70" title="Ku70">Ku70</a> </td> <td><a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a></td> <td>shorter lifespan, earlier onset of aging related pathologies;<sup id="cite_ref-Holcomb_67-1" class="reference"><a href="#cite_note-Holcomb-67"><span class="cite-bracket">&#91;</span>67<span class="cite-bracket">&#93;</span></a></sup> persistent foci of DNA double-strand break repair proteins<sup id="cite_ref-pmid27136939_85-0" class="reference"><a href="#cite_note-pmid27136939-85"><span class="cite-bracket">&#91;</span>85<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/Ku80" title="Ku80">Ku80</a> </td> <td><a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a></td> <td>shorter lifespan, earlier onset of aging related pathologies;<sup id="cite_ref-Li_64-1" class="reference"><a href="#cite_note-Li-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup> defective repair of spontaneous DNA damage<sup id="cite_ref-Holcomb_67-2" class="reference"><a href="#cite_note-Holcomb-67"><span class="cite-bracket">&#91;</span>67<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/LMNA" class="mw-redirect" title="LMNA">Lamin A</a> </td> <td><a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a>, <a href="/wiki/Homologous_recombination" title="Homologous recombination">Homologous recombination</a></td> <td>increased DNA damage and chromosome aberrations; <a href="/wiki/Progeria" title="Progeria">progeria</a>; aspects of premature aging; altered expression of numerous DNA repair factors<sup id="cite_ref-pmid27147057_86-0" class="reference"><a href="#cite_note-pmid27147057-86"><span class="cite-bracket">&#91;</span>86<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td>NRMT1 </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a><sup id="cite_ref-pmid24753253_87-0" class="reference"><a href="#cite_note-pmid24753253-87"><span class="cite-bracket">&#91;</span>87<span class="cite-bracket">&#93;</span></a></sup></td> <td>mutation in NRMT1 causes decreased body size, female-specific infertility, kyphosis, decreased mitochondrial function, and early-onset liver degeneration<sup id="cite_ref-Bonsignore_65-1" class="reference"><a href="#cite_note-Bonsignore-65"><span class="cite-bracket">&#91;</span>65<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/RECQL4" title="RECQL4">RECQL4</a> </td> <td><a href="/wiki/Base_excision_repair" title="Base excision repair">Base excision repair</a>, <a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a>, <a href="/wiki/Homologous_recombination" title="Homologous recombination">Homologous recombination</a>, <a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a><sup id="cite_ref-Jin_88-0" class="reference"><a href="#cite_note-Jin-88"><span class="cite-bracket">&#91;</span>88<span class="cite-bracket">&#93;</span></a></sup></td> <td>mutations in <i>RECQL4</i> cause Rothmund–Thomson syndrome, with alopecia, sparse eyebrows and lashes, cataracts and osteoporosis<sup id="cite_ref-Jin_88-1" class="reference"><a href="#cite_note-Jin-88"><span class="cite-bracket">&#91;</span>88<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/SIRT6" class="mw-redirect" title="SIRT6">SIRT6</a> </td> <td><a href="/wiki/Base_excision_repair" title="Base excision repair">Base excision repair</a>, <a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a>, <a href="/wiki/Homologous_recombination" title="Homologous recombination">Homologous recombination</a>, <a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a><sup id="cite_ref-Chalkiadaki_89-0" class="reference"><a href="#cite_note-Chalkiadaki-89"><span class="cite-bracket">&#91;</span>89<span class="cite-bracket">&#93;</span></a></sup></td> <td>SIRT6-deficient mice develop profound lymphopenia, loss of subcutaneous fat and lordokyphosis, and these defects overlap with aging-associated degenerative processes<sup id="cite_ref-Mostoslavsky_63-1" class="reference"><a href="#cite_note-Mostoslavsky-63"><span class="cite-bracket">&#91;</span>63<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/SIRT7" class="mw-redirect" title="SIRT7">SIRT7</a> </td> <td><a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a></td> <td>mice defective in SIRT7 show phenotypic and molecular signs of accelerated aging such as premature pronounced curvature of the spine, reduced life span, and reduced non-homologous end joining<sup id="cite_ref-pmid27225932_90-0" class="reference"><a href="#cite_note-pmid27225932-90"><span class="cite-bracket">&#91;</span>90<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/Werner_syndrome_helicase" title="Werner syndrome helicase">Werner syndrome helicase</a> </td> <td><a href="/wiki/Homologous_recombination" title="Homologous recombination">Homologous recombination</a>,<sup id="cite_ref-pmid12242278_91-0" class="reference"><a href="#cite_note-pmid12242278-91"><span class="cite-bracket">&#91;</span>91<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid25122754_92-0" class="reference"><a href="#cite_note-pmid25122754-92"><span class="cite-bracket">&#91;</span>92<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a>,<sup id="cite_ref-pmid27922005_93-0" class="reference"><a href="#cite_note-pmid27922005-93"><span class="cite-bracket">&#91;</span>93<span class="cite-bracket">&#93;</span></a></sup><a href="/wiki/Base_excision_repair" title="Base excision repair">Base excision repair</a>,<sup id="cite_ref-pmid17611195_94-0" class="reference"><a href="#cite_note-pmid17611195-94"><span class="cite-bracket">&#91;</span>94<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid22753033_95-0" class="reference"><a href="#cite_note-pmid22753033-95"><span class="cite-bracket">&#91;</span>95<span class="cite-bracket">&#93;</span></a></sup> Replication arrest recovery<sup id="cite_ref-pmid21389352_96-0" class="reference"><a href="#cite_note-pmid21389352-96"><span class="cite-bracket">&#91;</span>96<span class="cite-bracket">&#93;</span></a></sup> </td> <td>shorter lifespan, earlier onset of aging related pathologies, genome instability<sup id="cite_ref-pmid20075015_97-0" class="reference"><a href="#cite_note-pmid20075015-97"><span class="cite-bracket">&#91;</span>97<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid25555679_98-0" class="reference"><a href="#cite_note-pmid25555679-98"><span class="cite-bracket">&#91;</span>98<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/ZMPSTE24" title="ZMPSTE24">ZMPSTE24</a> </td> <td><a href="/wiki/Homologous_recombination" title="Homologous recombination">Homologous recombination</a></td> <td>lack of Zmpste24 prevents lamin A formation and causes progeroid phenotypes in mice and humans, increased DNA damage and chromosome aberrations, sensitivity to DNA-damaging agents and deficiency in homologous recombination<sup id="cite_ref-Liu_B_59-1" class="reference"><a href="#cite_note-Liu_B-59"><span class="cite-bracket">&#91;</span>59<span class="cite-bracket">&#93;</span></a></sup> </td></tr></tbody></table> <div class="mw-heading mw-heading3"><h3 id="Increased_DNA_repair_and_extended_longevity">Increased DNA repair and extended longevity</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=12" title="Edit section: Increased DNA repair and extended longevity"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Table 2 lists DNA repair proteins whose increased expression is connected to extended longevity. </p> <table class="wikitable sortable"> <caption>Table 2. DNA repair proteins that, when highly- or over-expressed, cause (or are associated with) extended longevity. </caption> <tbody><tr> <th>Protein</th> <th>Pathway</th> <th>Description </th></tr> <tr> <td><a href="/wiki/NDRG1" title="NDRG1">NDRG1</a> </td> <td><a href="/wiki/DNA_repair#Direct_reversal" title="DNA repair">Direct reversal</a></td> <td>long-lived Snell dwarf, GHRKO, and PAPPA-KO mice have increased expression of NDRG1; higher expression of NDRG1 can promote MGMT protein stability and enhanced DNA repair<sup id="cite_ref-pmid27618784_99-0" class="reference"><a href="#cite_note-pmid27618784-99"><span class="cite-bracket">&#91;</span>99<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid24367102_100-0" class="reference"><a href="#cite_note-pmid24367102-100"><span class="cite-bracket">&#91;</span>100<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/NUDT1" class="mw-redirect" title="NUDT1">NUDT1</a> (MTH1) </td> <td>Oxidized nucleotide removal</td> <td>degrades 8-oxodGTP; prevents the age-dependent accumulation of DNA 8-oxoguanine<sup id="cite_ref-DeLuca2013_101-0" class="reference"><a href="#cite_note-DeLuca2013-101"><span class="cite-bracket">&#91;</span>101<span class="cite-bracket">&#93;</span></a></sup> A transgenic mouse in which the human hMTH1 8-oxodGTPase is expressed,<sup id="cite_ref-pmid19023407_102-0" class="reference"><a href="#cite_note-pmid19023407-102"><span class="cite-bracket">&#91;</span>102<span class="cite-bracket">&#93;</span></a></sup> giving over-expression of hMTH1, increases the median lifespan of mice to 914 days vs. 790 days for wild-type mice.<sup id="cite_ref-DeLuca2013_101-1" class="reference"><a href="#cite_note-DeLuca2013-101"><span class="cite-bracket">&#91;</span>101<span class="cite-bracket">&#93;</span></a></sup> Mice with over-expressed hMTH1 have behavioral changes of reduced anxiety and enhanced investigation of environmental and social cues </td></tr> <tr> <td><a href="/wiki/PARP1" title="PARP1">PARP1</a> </td> <td><a href="/wiki/Base_excision_repair" title="Base excision repair">Base excision repair</a>,<sup id="cite_ref-pmid17337257_103-0" class="reference"><a href="#cite_note-pmid17337257-103"><span class="cite-bracket">&#91;</span>103<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a>,<sup id="cite_ref-pmid23045548_104-0" class="reference"><a href="#cite_note-pmid23045548-104"><span class="cite-bracket">&#91;</span>104<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Microhomology-mediated_end_joining" title="Microhomology-mediated end joining">Microhomology-mediated end joining</a>,<sup id="cite_ref-pmid17088286_105-0" class="reference"><a href="#cite_note-pmid17088286-105"><span class="cite-bracket">&#91;</span>105<span class="cite-bracket">&#93;</span></a></sup> Single-strand break repair<sup id="cite_ref-pmid12748298_106-0" class="reference"><a href="#cite_note-pmid12748298-106"><span class="cite-bracket">&#91;</span>106<span class="cite-bracket">&#93;</span></a></sup></td> <td><a href="/wiki/PARP1#Aging" title="PARP1">PARP1</a> activity in blood cells of thirteen mammalian species (rat, guinea pig, rabbit, marmoset, sheep, pig, cattle, pigmy chimpanzee, horse, donkey, gorilla, elephant and man) correlates with maximum lifespan of the species.<sup id="cite_ref-pmid1465394_107-0" class="reference"><a href="#cite_note-pmid1465394-107"><span class="cite-bracket">&#91;</span>107<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/SIRT1" class="mw-redirect" title="SIRT1">SIRT1</a> </td> <td><a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a>, <a href="/wiki/Homologous_recombination" title="Homologous recombination">Homologous recombination</a>, <a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a><sup id="cite_ref-pmid27916001_108-0" class="reference"><a href="#cite_note-pmid27916001-108"><span class="cite-bracket">&#91;</span>108<span class="cite-bracket">&#93;</span></a></sup></td> <td>Increased expression of SIRT1 in male mice extends the lifespan of mice fed a standard diet, accompanied by improvements in health, including enhanced motor coordination, performance, bone mineral density, and insulin sensitivity<sup id="cite_ref-pmid24931715_109-0" class="reference"><a href="#cite_note-pmid24931715-109"><span class="cite-bracket">&#91;</span>109<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid24582957_110-0" class="reference"><a href="#cite_note-pmid24582957-110"><span class="cite-bracket">&#91;</span>110<span class="cite-bracket">&#93;</span></a></sup> </td></tr> <tr> <td><a href="/wiki/SIRT6" class="mw-redirect" title="SIRT6">SIRT6</a> </td> <td><a href="/wiki/Base_excision_repair" title="Base excision repair">Base excision repair</a>, <a href="/wiki/Nucleotide_excision_repair" title="Nucleotide excision repair">Nucleotide excision repair</a>, <a href="/wiki/Homologous_recombination" title="Homologous recombination">Homologous recombination</a>, <a href="/wiki/Non-homologous_end_joining" title="Non-homologous end joining">Non-homologous end joining</a><sup id="cite_ref-Chalkiadaki_89-1" class="reference"><a href="#cite_note-Chalkiadaki-89"><span class="cite-bracket">&#91;</span>89<span class="cite-bracket">&#93;</span></a></sup></td> <td>male, but not female, transgenic mice overexpressing <i>Sirt6</i> have a significantly longer lifespan than wild-type mice<sup id="cite_ref-pmid22367546_111-0" class="reference"><a href="#cite_note-pmid22367546-111"><span class="cite-bracket">&#91;</span>111<span class="cite-bracket">&#93;</span></a></sup> </td></tr></tbody></table> <div class="mw-heading mw-heading2"><h2 id="Lifespan_in_different_mammalian_species">Lifespan in different mammalian species</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=13" title="Edit section: Lifespan in different mammalian species"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Maximum_life_span" title="Maximum life span">Maximum life span</a></div> <div class="mw-heading mw-heading3"><h3 id="DNA_repair_capacity">DNA repair capacity</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=14" title="Edit section: DNA repair capacity"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Studies comparing DNA repair capacity in different mammalian species have shown that repair capacity correlates with lifespan. The initial study of this type, by Hart and Setlow,<sup id="cite_ref-112" class="reference"><a href="#cite_note-112"><span class="cite-bracket">&#91;</span>112<span class="cite-bracket">&#93;</span></a></sup> showed that the ability of skin fibroblasts of seven mammalian species to perform DNA repair after exposure to a DNA damaging agent correlated with lifespan of the species. The species studied were shrew, mouse, rat, hamster, cow, elephant and human. This initial study stimulated many additional studies involving a wide variety of mammalian species, and the correlation between repair capacity and lifespan generally held up. In one of the more recent studies, Burkle et al.<sup id="cite_ref-113" class="reference"><a href="#cite_note-113"><span class="cite-bracket">&#91;</span>113<span class="cite-bracket">&#93;</span></a></sup> studied the level of a particular enzyme, <a href="/wiki/Poly_ADP_ribose_polymerase" class="mw-redirect" title="Poly ADP ribose polymerase">Poly ADP ribose polymerase</a>, which is involved in repair of single-strand breaks in DNA. They found that the lifespan of 13 mammalian species correlated with the activity of this enzyme.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>The DNA repair <a href="/wiki/Transcriptome" title="Transcriptome">transcriptomes</a> of the liver of humans, <a href="/wiki/Naked_mole-rat" title="Naked mole-rat">naked mole-rats</a> and <a href="/wiki/Mouse" title="Mouse">mice</a> were compared.<sup id="cite_ref-pmid26729707_114-0" class="reference"><a href="#cite_note-pmid26729707-114"><span class="cite-bracket">&#91;</span>114<span class="cite-bracket">&#93;</span></a></sup> The maximum lifespans of humans, <a href="/wiki/Naked_mole-rat" title="Naked mole-rat">naked mole-rat</a>, and <a href="/wiki/Mouse" title="Mouse">mouse</a> are respectively ~120, 30 and 3 years. The longer-lived species, humans and naked mole rats expressed DNA repair genes, including core genes in several DNA repair pathways, at a higher level than did mice. In addition, several DNA repair pathways in humans and naked mole-rats were up-regulated compared with mouse. These findings suggest that increased DNA repair facilitates greater longevity.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>Over the past decade, a series of papers have shown that the mitochondrial DNA (mtDNA) base composition correlates with animal species maximum life span.<sup id="cite_ref-Lehmann_et_al.,_2006_115-0" class="reference"><a href="#cite_note-Lehmann_et_al.,_2006-115"><span class="cite-bracket">&#91;</span>115<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Lehmann_et_al.,_2008_116-0" class="reference"><a href="#cite_note-Lehmann_et_al.,_2008-116"><span class="cite-bracket">&#91;</span>116<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Lehmann_et_al.,_2013_117-0" class="reference"><a href="#cite_note-Lehmann_et_al.,_2013-117"><span class="cite-bracket">&#91;</span>117<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-118" class="reference"><a href="#cite_note-118"><span class="cite-bracket">&#91;</span>118<span class="cite-bracket">&#93;</span></a></sup><sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citing_sources#Bundling_citations" title="Wikipedia:Citing sources"><span title="This claim has too many footnotes for reading to be smooth. (November 2024)">excessive citations</span></a></i>&#93;</sup> The mitochondrial DNA base composition is thought to reflect its nucleotide-specific (guanine, cytosine, thymidine and adenine) different mutation rates (i.e., accumulation of guanine in the mitochondrial DNA of an animal species is due to low guanine mutation rate in the mitochondria of that species).<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading3"><h3 id="DNA_damage_accumulation_and_repair_decline">DNA damage accumulation and repair decline</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=15" title="Edit section: DNA damage accumulation and repair decline"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The rate of accumulation of <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">DNA damage</a> (double-strand breaks) in the <a href="/wiki/White_blood_cell" title="White blood cell">leukocytes</a> of <a href="/wiki/Dolphin" title="Dolphin">dolphins</a>, <a href="/wiki/Goat" title="Goat">goats</a>, <a href="/wiki/Reindeer" title="Reindeer">reindeer</a>, <a href="/wiki/American_flamingo" title="American flamingo">American flamingos</a>, and <a href="/wiki/Eurasian_griffon_vulture" title="Eurasian griffon vulture">griffon vultures</a> was compared to the longevity of individuals of these different species.<sup id="cite_ref-Whittemore2019_119-0" class="reference"><a href="#cite_note-Whittemore2019-119"><span class="cite-bracket">&#91;</span>119<span class="cite-bracket">&#93;</span></a></sup> The species with longer lifespans were found to have slower accumulation of DNA damage, a finding consistent with the DNA damage theory of aging.<sup id="cite_ref-Whittemore2019_119-1" class="reference"><a href="#cite_note-Whittemore2019-119"><span class="cite-bracket">&#91;</span>119<span class="cite-bracket">&#93;</span></a></sup> In healthy humans after age 50, endogenous <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">DNA single- and double-strand breaks</a> increase linearly, and other forms of DNA damage also increase with age in blood mononuclear cells.<sup id="cite_ref-Vlachogiannis2023_120-0" class="reference"><a href="#cite_note-Vlachogiannis2023-120"><span class="cite-bracket">&#91;</span>120<span class="cite-bracket">&#93;</span></a></sup> Also, after age 50 <a href="/wiki/DNA_repair" title="DNA repair">DNA repair</a> capability decreases with age.<sup id="cite_ref-Vlachogiannis2023_120-1" class="reference"><a href="#cite_note-Vlachogiannis2023-120"><span class="cite-bracket">&#91;</span>120<span class="cite-bracket">&#93;</span></a></sup> </p><p>In mice, the <a href="/wiki/DNA_repair" title="DNA repair">DNA repair</a> process of non-homologous end-joining that repairs DNA double strand breaks, declines in efficiency from 1.8-3.8-fold, depending on the specific tissue, when 5 month old animals are compared to 24 month old animals.<sup id="cite_ref-121" class="reference"><a href="#cite_note-121"><span class="cite-bracket">&#91;</span>121<span class="cite-bracket">&#93;</span></a></sup> A study of <a href="/wiki/Fibroblast" title="Fibroblast">fibroblast</a> cells from humans varying in age from 16-75 years showed that the efficiency and fidelity of non-homologous end joining, and the efficiency of homologous recombinational DNA repair decline with age leading to increased sensitivity to <a href="/wiki/Ionizing_radiation" title="Ionizing radiation">ionizing radiation</a> in older individuals.<sup id="cite_ref-122" class="reference"><a href="#cite_note-122"><span class="cite-bracket">&#91;</span>122<span class="cite-bracket">&#93;</span></a></sup> In middle aged human adults, oxidative DNA damage was found to be greater among individuals who were both frail and living in poverty.<sup id="cite_ref-123" class="reference"><a href="#cite_note-123"><span class="cite-bracket">&#91;</span>123<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Centenarians">Centenarians</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=16" title="Edit section: Centenarians"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1251242444">.mw-parser-output .ambox{border:1px solid #a2a9b1;border-left:10px solid #36c;background-color:#fbfbfb;box-sizing:border-box}.mw-parser-output .ambox+link+.ambox,.mw-parser-output .ambox+link+style+.ambox,.mw-parser-output .ambox+link+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+style+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+link+.ambox{margin-top:-1px}html body.mediawiki .mw-parser-output .ambox.mbox-small-left{margin:4px 1em 4px 0;overflow:hidden;width:238px;border-collapse:collapse;font-size:88%;line-height:1.25em}.mw-parser-output .ambox-speedy{border-left:10px solid #b32424;background-color:#fee7e6}.mw-parser-output .ambox-delete{border-left:10px solid #b32424}.mw-parser-output .ambox-content{border-left:10px solid #f28500}.mw-parser-output .ambox-style{border-left:10px solid #fc3}.mw-parser-output .ambox-move{border-left:10px solid #9932cc}.mw-parser-output .ambox-protection{border-left:10px solid #a2a9b1}.mw-parser-output .ambox .mbox-text{border:none;padding:0.25em 0.5em;width:100%}.mw-parser-output .ambox .mbox-image{border:none;padding:2px 0 2px 0.5em;text-align:center}.mw-parser-output .ambox .mbox-imageright{border:none;padding:2px 0.5em 2px 0;text-align:center}.mw-parser-output .ambox .mbox-empty-cell{border:none;padding:0;width:1px}.mw-parser-output .ambox .mbox-image-div{width:52px}@media(min-width:720px){.mw-parser-output .ambox{margin:0 10%}}@media print{body.ns-0 .mw-parser-output .ambox{display:none!important}}</style><table class="box-Primary_sources plainlinks metadata ambox ambox-content ambox-Primary_sources" role="presentation"><tbody><tr><td class="mbox-image"><div class="mbox-image-div"><span typeof="mw:File"><a href="/wiki/File:Question_book-new.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/en/thumb/9/99/Question_book-new.svg/50px-Question_book-new.svg.png" decoding="async" width="50" height="39" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/9/99/Question_book-new.svg/75px-Question_book-new.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/9/99/Question_book-new.svg/100px-Question_book-new.svg.png 2x" data-file-width="512" data-file-height="399" /></a></span></div></td><td class="mbox-text"><div class="mbox-text-span">This section <b>relies excessively on <a href="/wiki/Wikipedia:Verifiability" title="Wikipedia:Verifiability">references</a> to <a href="/wiki/Wikipedia:No_original_research#Primary,_secondary_and_tertiary_sources" title="Wikipedia:No original research">primary sources</a></b>.<span class="hide-when-compact"> Please improve this section by adding <a href="/wiki/Wikipedia:No_original_research#Primary,_secondary_and_tertiary_sources" title="Wikipedia:No original research">secondary or tertiary sources</a>. <br /><small><span class="plainlinks"><i>Find sources:</i>&#160;<a rel="nofollow" class="external text" href="https://www.google.com/search?as_eq=wikipedia&amp;q=%22DNA+damage+theory+of+aging%22">"DNA damage theory of aging"</a>&#160;–&#160;<a rel="nofollow" class="external text" href="https://www.google.com/search?tbm=nws&amp;q=%22DNA+damage+theory+of+aging%22+-wikipedia&amp;tbs=ar:1">news</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.google.com/search?&amp;q=%22DNA+damage+theory+of+aging%22&amp;tbs=bkt:s&amp;tbm=bks">newspapers</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.google.com/search?tbs=bks:1&amp;q=%22DNA+damage+theory+of+aging%22+-wikipedia">books</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://scholar.google.com/scholar?q=%22DNA+damage+theory+of+aging%22">scholar</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.jstor.org/action/doBasicSearch?Query=%22DNA+damage+theory+of+aging%22&amp;acc=on&amp;wc=on">JSTOR</a></span></small></span> <span class="date-container"><i>(<span class="date">July 2017</span>)</i></span><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <p><a href="/wiki/Lymphoblastoid" class="mw-redirect" title="Lymphoblastoid">Lymphoblastoid</a> cell lines established from blood samples of humans who lived past 100 years (<a href="/wiki/Centenarian" title="Centenarian">centenarians</a>) have significantly higher activity of the DNA repair protein <a href="/wiki/Poly_(ADP-ribose)_polymerase" title="Poly (ADP-ribose) polymerase">Poly (ADP-ribose) polymerase</a> (PARP) than cell lines from younger individuals (20 to 70 years old).<sup id="cite_ref-pmid9587069_124-0" class="reference"><a href="#cite_note-pmid9587069-124"><span class="cite-bracket">&#91;</span>124<span class="cite-bracket">&#93;</span></a></sup><sup class="noprint Inline-Template" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Identifying_reliable_sources_(medicine)" title="Wikipedia:Identifying reliable sources (medicine)"><span title="Material near this tag may rely on an unreliable or less reliable medical source. (July 2017)">unreliable medical source?</span></a></i>&#93;</sup> The lymphocytic cells of centenarians have characteristics typical of cells from young people, both in their capability of priming the mechanism of repair after <a href="/wiki/Hydrogen_peroxide" title="Hydrogen peroxide">H<sub>2</sub>O<sub>2</sub></a> sublethal oxidative DNA damage and in their <a href="/wiki/Poly_ADP_ribose_polymerase" class="mw-redirect" title="Poly ADP ribose polymerase">PARP</a> capacity.<sup id="cite_ref-Chevanne_10-1" class="reference"><a href="#cite_note-Chevanne-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-125" class="reference"><a href="#cite_note-125"><span class="cite-bracket">&#91;</span>125<span class="cite-bracket">&#93;</span></a></sup> </p><p>Among <a href="/wiki/Centenarian" title="Centenarian">centenarians</a>, those with the most severe cognitive impairment have the lowest activity of the central DNA repair enzyme <a href="/wiki/AP_endonuclease" title="AP endonuclease">apurinic/apyrimidinc (AP) endonuclease</a> 1.<sup id="cite_ref-126" class="reference"><a href="#cite_note-126"><span class="cite-bracket">&#91;</span>126<span class="cite-bracket">&#93;</span></a></sup> AP endonuclease I is employed in the <a href="/wiki/DNA" title="DNA">DNA</a> <a href="/wiki/Base_excision_repair" title="Base excision repair">base excision repair</a> pathway and its main role is the repair of damaged or mismatched <a href="/wiki/Nucleotides" class="mw-redirect" title="Nucleotides">nucleotides</a> in DNA. </p> <div class="mw-heading mw-heading2"><h2 id="Menopause">Menopause</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=17" title="Edit section: Menopause"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1251242444"><table class="box-Primary_sources plainlinks metadata ambox ambox-content ambox-Primary_sources" role="presentation"><tbody><tr><td class="mbox-image"><div class="mbox-image-div"><span typeof="mw:File"><a href="/wiki/File:Question_book-new.svg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/en/thumb/9/99/Question_book-new.svg/50px-Question_book-new.svg.png" decoding="async" width="50" height="39" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/9/99/Question_book-new.svg/75px-Question_book-new.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/9/99/Question_book-new.svg/100px-Question_book-new.svg.png 2x" data-file-width="512" data-file-height="399" /></a></span></div></td><td class="mbox-text"><div class="mbox-text-span">This section <b>relies excessively on <a href="/wiki/Wikipedia:Verifiability" title="Wikipedia:Verifiability">references</a> to <a href="/wiki/Wikipedia:No_original_research#Primary,_secondary_and_tertiary_sources" title="Wikipedia:No original research">primary sources</a></b>.<span class="hide-when-compact"> Please improve this section by adding <a href="/wiki/Wikipedia:No_original_research#Primary,_secondary_and_tertiary_sources" title="Wikipedia:No original research">secondary or tertiary sources</a>. <br /><small><span class="plainlinks"><i>Find sources:</i>&#160;<a rel="nofollow" class="external text" href="https://www.google.com/search?as_eq=wikipedia&amp;q=%22DNA+damage+theory+of+aging%22">"DNA damage theory of aging"</a>&#160;–&#160;<a rel="nofollow" class="external text" href="https://www.google.com/search?tbm=nws&amp;q=%22DNA+damage+theory+of+aging%22+-wikipedia&amp;tbs=ar:1">news</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.google.com/search?&amp;q=%22DNA+damage+theory+of+aging%22&amp;tbs=bkt:s&amp;tbm=bks">newspapers</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.google.com/search?tbs=bks:1&amp;q=%22DNA+damage+theory+of+aging%22+-wikipedia">books</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://scholar.google.com/scholar?q=%22DNA+damage+theory+of+aging%22">scholar</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.jstor.org/action/doBasicSearch?Query=%22DNA+damage+theory+of+aging%22&amp;acc=on&amp;wc=on">JSTOR</a></span></small></span> <span class="date-container"><i>(<span class="date">July 2017</span>)</i></span><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <p>As women age, they experience a decline in reproductive performance leading to <a href="/wiki/Menopause" title="Menopause">menopause</a>. This decline is tied to a decline in the number of <a href="/wiki/Ovarian_follicle" title="Ovarian follicle">ovarian follicles</a>. Although 6 to 7 million <a href="/wiki/Oocyte" title="Oocyte">oocytes</a> are present at mid-gestation in the human <a href="/wiki/Ovary" title="Ovary">ovary</a>,<sup id="cite_ref-pmid27382229_127-0" class="reference"><a href="#cite_note-pmid27382229-127"><span class="cite-bracket">&#91;</span>127<span class="cite-bracket">&#93;</span></a></sup> only about 500 (about 0.05%) of these <a href="/wiki/Ovulation" title="Ovulation">ovulate</a>, and the rest are lost. The decline in <a href="/wiki/Ovarian_reserve" title="Ovarian reserve">ovarian reserve</a> appears to occur at an increasing rate with age,<sup id="cite_ref-pmid18192670_128-0" class="reference"><a href="#cite_note-pmid18192670-128"><span class="cite-bracket">&#91;</span>128<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid27382229_127-1" class="reference"><a href="#cite_note-pmid27382229-127"><span class="cite-bracket">&#91;</span>127<span class="cite-bracket">&#93;</span></a></sup> and leads to nearly complete exhaustion of the reserve by about age 51. As ovarian reserve and <a href="/wiki/Fertility" title="Fertility">fertility</a> decline with age, there is also a parallel increase in pregnancy failure and <a href="/wiki/Meiosis" title="Meiosis">meiotic</a> errors resulting in <a href="/wiki/Chromosome_abnormality" title="Chromosome abnormality">chromosomally abnormal</a> conceptions. </p><p><i>BRCA1 and BRCA2</i>&#160;are homologous recombination repair genes. The role of declining ATM-Mediated DNA double strand DNA break (DSB) repair in oocyte aging was first proposed by Kutluk Oktay, MD, PhD based on his observations that women with <i>BRCA</i> mutations produced fewer oocytes in response to ovarian stimulation repair.<sup id="cite_ref-129" class="reference"><a href="#cite_note-129"><span class="cite-bracket">&#91;</span>129<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-130" class="reference"><a href="#cite_note-130"><span class="cite-bracket">&#91;</span>130<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-131" class="reference"><a href="#cite_note-131"><span class="cite-bracket">&#91;</span>131<span class="cite-bracket">&#93;</span></a></sup> His laboratory has further studied this hypothesis and provided an explanation for the decline in <a href="/wiki/Ovarian_reserve" title="Ovarian reserve">ovarian reserve</a> with age.<sup id="cite_ref-Titus_132-0" class="reference"><a href="#cite_note-Titus-132"><span class="cite-bracket">&#91;</span>132<span class="cite-bracket">&#93;</span></a></sup> They showed that as women age, double-strand breaks accumulate in the DNA of their <a href="/wiki/Folliculogenesis#Phases_of_development" title="Folliculogenesis">primordial follicles</a>. Primordial follicles are immature primary oocytes surrounded by a single layer of <a href="/wiki/Granulosa_cell" title="Granulosa cell">granulosa cells</a>. An enzyme system is present in oocytes that normally accurately repairs DNA double-strand breaks. This repair system is referred to as <a href="/wiki/Homologous_recombination" title="Homologous recombination">homologous recombinational</a> repair, and it is especially active during <a href="/wiki/Meiosis" title="Meiosis">meiosis</a>. Titus et al.<sup id="cite_ref-Titus_132-1" class="reference"><a href="#cite_note-Titus-132"><span class="cite-bracket">&#91;</span>132<span class="cite-bracket">&#93;</span></a></sup> from Oktay Laboratory also showed that expression of four key DNA repair genes that are necessary for homologous recombinational repair (<i><a href="/wiki/BRCA1" title="BRCA1">BRCA1</a></i>, <i><a href="/wiki/MRE11A" title="MRE11A">MRE11</a></i>, <i><a href="/wiki/Rad51" class="mw-redirect" title="Rad51">Rad51</a></i> and <i><a href="/wiki/Ataxia_telangiectasia_mutated" class="mw-redirect" title="Ataxia telangiectasia mutated">ATM</a></i>) decline in <a href="/wiki/Oocyte" title="Oocyte">oocytes</a> with age. This age-related decline in ability to repair double-strand damages can account for the accumulation of these damages, which then likely contributes to the decline in ovarian reserve as further explained by Turan and Oktay.<sup id="cite_ref-133" class="reference"><a href="#cite_note-133"><span class="cite-bracket">&#91;</span>133<span class="cite-bracket">&#93;</span></a></sup> </p><p>Women with an inherited mutation in the DNA repair gene <i><a href="/wiki/BRCA1" title="BRCA1">BRCA1</a></i> undergo menopause prematurely,<sup id="cite_ref-pmid16773440_134-0" class="reference"><a href="#cite_note-pmid16773440-134"><span class="cite-bracket">&#91;</span>134<span class="cite-bracket">&#93;</span></a></sup> suggesting that naturally occurring DNA damages in oocytes are repaired less efficiently in these women, and this inefficiency leads to early reproductive failure. Genomic data from about 70,000 women were analyzed to identify protein-coding variation associated with age at natural menopause.<sup id="cite_ref-pmid26414677_135-0" class="reference"><a href="#cite_note-pmid26414677-135"><span class="cite-bracket">&#91;</span>135<span class="cite-bracket">&#93;</span></a></sup> Pathway analyses identified a major association with DNA damage response genes, particularly those expressed during meiosis and including a common coding variant in the <i>BRCA1</i> gene. </p> <div class="mw-heading mw-heading2"><h2 id="Atherosclerosis">Atherosclerosis</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=18" title="Edit section: Atherosclerosis"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The most important risk factor for cardiovascular problems is chronological <a href="/wiki/Aging" class="mw-redirect" title="Aging">aging</a>. Several research groups have reviewed evidence for a key role of <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">DNA damage</a> in vascular aging.<sup id="cite_ref-pmid23953979_136-0" class="reference"><a href="#cite_note-pmid23953979-136"><span class="cite-bracket">&#91;</span>136<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid27213333_137-0" class="reference"><a href="#cite_note-pmid27213333-137"><span class="cite-bracket">&#91;</span>137<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid28347738_138-0" class="reference"><a href="#cite_note-pmid28347738-138"><span class="cite-bracket">&#91;</span>138<span class="cite-bracket">&#93;</span></a></sup> </p><p>Atherosclerotic plaque contains <a href="/wiki/Vascular_smooth_muscle" title="Vascular smooth muscle">vascular smooth muscle</a> cells, <a href="/wiki/Macrophage" title="Macrophage">macrophages</a> and <a href="/wiki/Endothelium" title="Endothelium">endothelial cells</a> and these have been found to accumulate <a href="/wiki/8-Oxoguanine" title="8-Oxoguanine">8-oxoG</a>, a common type of oxidative DNA damage.<sup id="cite_ref-pmid26174609_139-0" class="reference"><a href="#cite_note-pmid26174609-139"><span class="cite-bracket">&#91;</span>139<span class="cite-bracket">&#93;</span></a></sup> DNA strand breaks also increased in atherosclerotic plaques, thus linking DNA damage to plaque formation.<sup id="cite_ref-pmid26174609_139-1" class="reference"><a href="#cite_note-pmid26174609-139"><span class="cite-bracket">&#91;</span>139<span class="cite-bracket">&#93;</span></a></sup> </p><p><a href="/wiki/Werner_syndrome" title="Werner syndrome">Werner syndrome</a> (WS), a premature aging condition in humans, is caused by a genetic defect in a <a href="/wiki/RecQ_helicase" title="RecQ helicase">RecQ helicase</a> that is employed in several <a href="/wiki/DNA_repair" title="DNA repair">DNA repair</a> processes. WS patients develop a substantial burden of atherosclerotic plaques in their <a href="/wiki/Coronary_circulation" title="Coronary circulation">coronary arteries</a> and <a href="/wiki/Aorta" title="Aorta">aorta</a>.<sup id="cite_ref-pmid27213333_137-1" class="reference"><a href="#cite_note-pmid27213333-137"><span class="cite-bracket">&#91;</span>137<span class="cite-bracket">&#93;</span></a></sup> These findings link excessive unrepaired DNA damage to premature aging and early atherosclerotic plaque development.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="DNA_damage_and_the_epigenetic_clock">DNA damage and the epigenetic clock</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=19" title="Edit section: DNA damage and the epigenetic clock"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Endogenous, <a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">naturally occurring DNA damages</a> are frequent, and in humans include an average of about 10,000 oxidative damages per day and 50 double-strand DNA breaks per cell cycle.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>Several reviews<sup id="cite_ref-Haganreview_140-0" class="reference"><a href="#cite_note-Haganreview-140"><span class="cite-bracket">&#91;</span>140<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Chiba_141-0" class="reference"><a href="#cite_note-Chiba-141"><span class="cite-bracket">&#91;</span>141<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid26280003_142-0" class="reference"><a href="#cite_note-pmid26280003-142"><span class="cite-bracket">&#91;</span>142<span class="cite-bracket">&#93;</span></a></sup> summarize evidence that the methylation enzyme <a href="/wiki/DNMT1" title="DNMT1">DNMT1</a> is recruited to sites of oxidative DNA damage. Recruitment of DNMT1 leads to DNA methylation at the promoters of genes to inhibit transcription during repair. In addition, the 2018 review<sup id="cite_ref-Haganreview_140-1" class="reference"><a href="#cite_note-Haganreview-140"><span class="cite-bracket">&#91;</span>140<span class="cite-bracket">&#93;</span></a></sup> describes recruitment of DNMT1 during repair of DNA double-strand breaks. DNMT1 localization results in increased DNA methylation near the site of recombinational repair, associated with altered expression of the repaired gene. In general, repair-associated hyper-methylated promoters are restored to their former methylation level after DNA repair is complete. However, these reviews also indicate that transient recruitment of epigenetic modifiers can occasionally result in subsequent stable epigenetic alterations and gene silencing after DNA repair has been completed.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>In <a href="/wiki/Human" title="Human">human</a> and <a href="/wiki/Mouse" title="Mouse">mouse</a> DNA, cytosine followed by guanine (CpG) is the least frequent <a href="/wiki/Dinucleotide" class="mw-redirect" title="Dinucleotide">dinucleotide</a>, making up less than 1% of all dinucleotides (see <a href="/wiki/CG_suppression" title="CG suppression">CG suppression</a>). At most CpG sites <a href="/wiki/Cytosine" title="Cytosine">cytosine</a> is <a href="/wiki/DNA_methylation" title="DNA methylation">methylated</a> to form <a href="/wiki/5-methylcytosine" class="mw-redirect" title="5-methylcytosine">5-methylcytosine</a>. As indicated in the article <a href="/wiki/CpG_site" title="CpG site">CpG site</a>, in mammals, 70% to 80% of CpG cytosines are methylated. However, in <a href="/wiki/Vertebrate" title="Vertebrate">vertebrates</a> there are <a href="/wiki/CpG_site#CpG_islands" title="CpG site">CpG islands</a>, about 300 to 3,000 base pairs long, with interspersed DNA sequences that deviate significantly from the average genomic pattern by being CpG-rich. These CpG islands are predominantly nonmethylated.<sup id="cite_ref-pmid21576262_143-0" class="reference"><a href="#cite_note-pmid21576262-143"><span class="cite-bracket">&#91;</span>143<span class="cite-bracket">&#93;</span></a></sup> In humans, about 70% of <a href="/wiki/Promoter_(genetics)" title="Promoter (genetics)">promoters</a> located near the <a href="/wiki/Transcription_(genetics)" class="mw-redirect" title="Transcription (genetics)">transcription</a> start site of a gene (proximal promoters) contain a <a href="/wiki/CpG_site#CpG_islands" title="CpG site">CpG island</a> (see <a href="/wiki/CpG_site#CpG_islands_in_promoters" title="CpG site">CpG islands in promoters</a>). If the initially nonmethylated CpG sites in a CpG island become largely methylated, this causes stable silencing of the associated gene.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p><p>For humans, after adulthood is reached and during subsequent aging, the majority of CpG sequences slowly lose methylation (called epigenetic drift). However, the CpG islands that control promoters tend to gain methylation with age.<sup id="cite_ref-pmid25913071_144-0" class="reference"><a href="#cite_note-pmid25913071-144"><span class="cite-bracket">&#91;</span>144<span class="cite-bracket">&#93;</span></a></sup> The gain of methylation at CpG islands in promoter regions is correlated with age, and has been used to create an <a href="/wiki/Epigenetic_clock" title="Epigenetic clock">epigenetic clock</a> (see article <a href="/wiki/Epigenetic_clock" title="Epigenetic clock">Epigenetic clock</a>). </p><p>There may be some relationship between the epigenetic clock and epigenetic alterations accumulating after DNA repair. Both unrepaired DNA damage accumulated with age and accumulated methylation of CpG islands would silence genes in which they occur, interfere with protein expression, and contribute to the aging <a href="/wiki/Phenotype" title="Phenotype">phenotype</a>.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2024)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=20" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1184024115">.mw-parser-output .div-col{margin-top:0.3em;column-width:30em}.mw-parser-output .div-col-small{font-size:90%}.mw-parser-output .div-col-rules{column-rule:1px solid #aaa}.mw-parser-output .div-col dl,.mw-parser-output .div-col ol,.mw-parser-output .div-col ul{margin-top:0}.mw-parser-output .div-col li,.mw-parser-output .div-col dd{page-break-inside:avoid;break-inside:avoid-column}</style><div class="div-col" style="column-width: 30em;"> <ul><li><a href="/wiki/Mitochondrial_theory_of_ageing" title="Mitochondrial theory of ageing">Mitochondrial theory of ageing</a></li> <li><a href="/wiki/Aging_brain" title="Aging brain">Aging brain</a></li> <li><a href="/wiki/Biological_immortality" title="Biological immortality">Biological immortality</a></li> <li><a href="/wiki/DNA_damage_(naturally_occurring)" title="DNA damage (naturally occurring)">DNA damage (naturally occurring)</a></li> <li><a href="/wiki/DNA_repair" title="DNA repair">DNA repair</a></li> <li><a href="/wiki/Heavy_metals" class="mw-redirect" title="Heavy metals">Heavy metals</a></li> <li><a href="/wiki/Life_expectancy" title="Life expectancy">Life expectancy</a></li> <li><a href="/wiki/Longevity" title="Longevity">Longevity</a></li> <li><a href="/wiki/Longevity_quotient" title="Longevity quotient">Longevity quotient</a></li> <li><a href="/wiki/Maximum_life_span" title="Maximum life span">Maximum life span</a></li> <li><a href="/wiki/Rejuvenation" title="Rejuvenation">Rejuvenation</a></li> <li><a href="/wiki/Senescence" title="Senescence">Senescence</a></li> <li><a href="/wiki/Telomere" title="Telomere">Telomere</a></li></ul></div> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=DNA_damage_theory_of_aging&amp;action=edit&amp;section=21" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist reflist-columns references-column-width" style="column-width: 32em;"> <ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFBest,_BP2009" class="citation journal cs1">Best, BP (2009). <a rel="nofollow" class="external text" href="https://web.archive.org/web/20171115192509/http://www.benbest.com/lifeext/Nuclear_DNA_in_Aging.pdf">"Nuclear DNA damage as a direct cause of aging"</a> <span class="cs1-format">(PDF)</span>. <i>Rejuvenation Research</i>. <b>12</b> (3): 199–208. <a href="/wiki/CiteSeerX_(identifier)" class="mw-redirect" title="CiteSeerX (identifier)">CiteSeerX</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.318.738">10.1.1.318.738</a></span>. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1089%2Frej.2009.0847">10.1089/rej.2009.0847</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/19594328">19594328</a>. Archived from <a rel="nofollow" class="external text" href="http://www.benbest.com/lifeext/Nuclear_DNA_in_Aging.pdf">the original</a> <span class="cs1-format">(PDF)</span> on 2017-11-15<span class="reference-accessdate">. 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<li><a href="/wiki/Catabiosis" title="Catabiosis">Catabiosis</a></li> <li><a class="mw-selflink selflink">DNA damage theory of aging</a></li> <li><a href="/wiki/Evolution_of_ageing" title="Evolution of ageing">Evolution of ageing</a></li> <li><a href="/wiki/Free-radical_theory_of_aging" title="Free-radical theory of aging">Free-radical theory of aging</a></li> <li><a href="/wiki/Hayflick_limit" title="Hayflick limit">Hayflick limit</a></li> <li><a href="/wiki/Immunosenescence" title="Immunosenescence">Immunosenescence</a></li> <li><a href="/wiki/Negligible_senescence" title="Negligible senescence">Negligible senescence</a></li> <li><a href="/wiki/Network_theory_of_aging" title="Network theory of aging">Network theory of aging</a></li> <li><a href="/wiki/Plant_senescence" title="Plant senescence">Plant senescence</a></li> <li><a href="/wiki/Programmed_cell_death" title="Programmed cell death">Programmed cell death</a></li> <li><a href="/wiki/Reliability_theory_of_aging_and_longevity" 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