Modern longevity research is organised around the Hallmarks of Ageing framework, first proposed by López-Otín et al. in 2013 and updated in 2023 to 12 hallmarks. Each hallmark represents a biological process that deteriorates with age and contributes to the aged phenotype:
- Genomic instability, accumulation of DNA damage
- Telomere attrition, shortening of chromosome-protective telomeres
- Epigenetic alterations, changes in gene expression patterns
- Loss of proteostasis, failure of protein quality control systems
- Deregulated nutrient sensing, dysregulation of mTOR, AMPK, sirtuins
- Mitochondrial dysfunction, decline in mitochondrial bioenergetics
- Cellular senescence, accumulation of pro-inflammatory senescent cells
- Stem cell exhaustion, depletion of regenerative capacity
- Altered intercellular communication, chronic inflammation, hormonal dysregulation
- Disabled macroautophagy, microbiome disturbance, chronic inflammation (2023 additions)
Research-grade longevity compounds are generally studied for their effects on one or more of these hallmarks. The peptides and small molecules discussed below each target different parts of this framework.