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Life extension

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Life extension is the scientific concept of increasing the human lifespan. This goal can be met through small, incremental medical improvements. It can also involve radical increases to the maximum lifespan. Most humans have a settled biological limit of about 125 years. Researchers in this field are often called life extensionists, immortalists, or longevists. These advocates hope to reach a state called agerasia. This is a state of optimal health and permanent youth. They believe future technology could eventually allow for indefinite lifespans.

Healthspan, parental lifespan, and longevity are highly genetically correlated
Healthspan, parental lifespan, and longevity are highly genetically correlated

To understand how life might be extended, we must look at aging. Aging is a process where an organism accumulates damage over time. This damage affects macromolecules, cells, tissues, and organs. Scientists identify several specific causes for this decline. These include genomic instability and telomere attrition. They also note epigenetic alterations and the loss of proteostasis. Other factors include mitochondrial dysfunction and stem cell exhaustion. Additionally, free radicals can cause oxidation damage to cellular contents. This damage is a key driver of the aging process.

There are several different ways researchers approach these biological problems. One method involves molecular repair to fix damaged parts. Another strategy is tissue rejuvenation to refresh old cells. Scientists also study regenerative medicine and stem cells. Stem cells are special cells that can grow into new tissues. Organ replacement is another potential path for life extension. This could include using artificial organs or xenotransplantation. Xenotransplantation involves using organs from different species. Some researchers also look toward nanotechnology. They imagine tiny machines that could perform cell repair.

Humans have pursued the idea of long life for thousands of years. This desire appears in the Sumerian Epic of Gilgamesh. It also appears in the Egyptian Smith medical papyrus. Many philosophers and scientists have explored these ideas. Francis Bacon advocated for using reason to delay aging. Robert Boyle even proposed replacing old blood with young blood. In the late 19th century, scientific optimism grew. Nobel Prize winner Elie Metchnikoff was a major researcher during this time. Charles-Édouard Brown-Séquard also helped found modern endocrinology. These thinkers helped start the modern era of life extensionism.

Modern research uses many different models to study longevity. Scientists often use mice, fruit flies, or nematodes. A wildtype mouse has a maximum lifespan of about three years. Humans live much longer due to different genetic efficiencies. Humans have better DNA repair and antioxidant defenses. We also have better energy metabolism and recycling mechanisms like autophagy. In laboratory settings, researchers have seen huge results. Since 2009, scientists have increased the lifespan of nematodes and yeast by 10-fold. This was done through genetic engineering and caloric restriction. However, these results do not always translate directly to humans.

Many organizations and companies are now funding this work. The Methuselah Foundation was formed in 2003 by Aubrey de Grey and David Gobel. In 2009, the SENS Research Foundation was founded in California. Google launched a company called Calico in 2013 to study aging biology. Another company, Human Longevity Inc., was founded by Craig Venter in 2014. They use genomics and cell therapy to study the human phenotype. There is also a large commercial market for this field. In 2009, the US hormone replacement market made $50 billion. However, many of these products have not been proven safe or effective.

Life extension connects to many other fields of science and law. Bioethicists study the ethical implications of living much longer. Regulatory agencies like the FDA monitor anti-aging claims. In 1991, the FDA took legal action against the Life Extension organization. This shows the ongoing struggle between researchers and government standards. Currently, the FDA states that no medication reverses aging. However, some medicines like statins are promising. These drugs lower LDL-C to reduce cardiovascular disease. By preventing disease, these treatments can help increase overall lifespan.

Life expectancy vs healthcare spending
Life expectancy vs healthcare spending
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