gerontology as oncology
TRANSCRIPT
R.A. Miller
3 . Gruebeck-Loebenstein B., Lechner H., Treib K.: Long-term invitro growth of human T cell clones: Can post-mitotic 'senescent' cell populations be defined? Int. A rch. lm munol , 104:232 -239, 1994.
4. Perillo N.L., Naeim F., Walford R.L., Effros RB.: The invitro senescence of human T lymphocytes: failure to divide isnot associated with a loss of cytolytic activity or memory T cellphenotype . Mech. Agein g Dev . 67: 173-185, 1993.
5 . Effros R.B., Boucher N., Porter V., Zhu x.,Spaulding c. Walford R.L., Kronenberg M., Cohen D., Schachter F.: Decline inCD28 +T cells in centenarians and in long-term T cell culturesa possible cause for both in vivo and in vitro immunosenescence . Exp . Geron tol. 29: 601-609,1994.
6. Effros R.B., Zhu X., Walford R.L.: Stress response of senescent T lymphocytes: reduced hsp70 is independent of the proliferative block. J. Geron tol. 49 : B65-B7 0, 1994.
7. Vaziri H. , Schachter F., Uchida I., Wei L., Zhu X., Effros R,Cohen D., Harley c.:Loss of telomeric DNA during aging ofnormal and trisomy 21 human lympocytes. Am. J. Hum.Gen et. 52: 661-667, 1993.
8 . Harley C.B.: Telomere loss: mitotic clock or genetic timebomb. Mut at. Res. 256: 271 , 1991.
9 . Miller R A.: Aging and the immune response. In: SchneiderE.L., Rowe J'w. (Eds.], Handbook 0/ the biology of aging,ed. 3. Academic Press, New York, 1990 , pp .157-180 .
10 . Effros R.B., Allsopp R., Chiu C-P., Wang L., Hirji K., Villeponteau B., West M., Giorgi J .: Lymphocyte replicativesenescence in AIDS: telomere loss in the expa nded CD28CD8+ subset. (submitted for publication).
Gerontology as oncology
R.A. MillerDepartment of Pathology, Institute of Gerontology,and Ann Arbor DVA Medical Center, University ofMichigan, Ann Arbor, Michigan, U.S.A.
The most fundamental of the many challenges facing experimental gerontologists is to determine the nature of the mechanism that controls the synchrony ofage-dependent pathophysiologic processes within aspecies, and leads to species-specific differences inthe rate of aging. The aging process - though variablein detail from person to person - is remarkably synchron ized within a species. An 80-year old who exhibited no loss of sight or hearing , no memory deficits,no arthritis, no signs of renal or card iovascular disorders, no decline in muscle and immune function , andno history of neoplastic disease would be distinctlyunusual, while a 20-year old who exhibited any ofthese conditions would be almost equally rare. One canimagine a hypothetical mammalian species in which athird of the individuals died around age 10 of onespecific disease (say cardiac failure), a second th ird
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died around 20 of a second illness (e.g., neoplasia) ,while the remaining third died at 30 of a neurodegenerative illness. Su ch species do not, however,evolve, and the risk of the most common disabling andlethal conditions increases exponentially over mostof the adult life span. There is nothing intrinsic tothe structure of cells or tissues or organs that dictatesa working lifeof 2 or 20 or 60 years: the same patternof dysfunction that affects the eyes, skin, brain, muscles,and endocrine organs of 80-year-old humans is seen,in recognizable form, in 2.5-year-old mice and 25-yearold ho rses . Immune senescence, or myopenia , orhepatomas, or neurodegeneration, could in principleoccur in 3-year-old humans - these changes are, after all, seen in 3-year-old rodents - but are in fact synchronously delayed until well into the post-reproductiveyears. Discovery of the process that leads, in long-livedspecies, to the parallel retardation of the vast spectrumof age-d ependent pathophysiologic changes is in asense the central goal of experimental gerontology.
A consideration of the comparative biology ofneoplasia puts this case in a particularly striking light.In genetically heterogeneous mice , the lifetime incidence of potentially lethal neoplasia is about 25%50%, similar to the risk in humans. Since mice live, onaverage, only l/30th as long as humans, their risk pertime period is therefore 30-fold higher. Mice are also3000-fold smaller than people , and thus present3000-fold fewer 'target" cells at risk for the mutagenicand othe r stochastic processes that convert normalcells into malignant clones .
Thus, each mouse cell, on a given day, is 90 000fold more likely than the corresponding human cell toinitiate (or complete) the oncogenic process. Evolutionof long-lived , large mammals has required the evolution of anti-neoplastic defenses that reduce cancer riskby 90 000; without these defenses, no human wouldreach the age of puberty. It is in this sense thatgerontologists are oncologists: an understanding of thebasis for species-specific differences in aging ratewould , as a byproduct, provide critical insights intooncogenesis. The strongest risk factor for cancer is notage, but species.
Experimental work has begun to provide some insight into the factors that affect aging rate (and cancerincidence risk) within a species. Caloric restriction,discussed at length by oth er contributors to this symposium, provides strong support for a fundamental connection between aging rate and cancer causation, inthat effective restriction leads to parallel changes in neoplasia incidence and non-neoplastic illnesses and disabilities (1). The age-adjusted incidenc e of both solidand hematopoietic tumors is diminished in mice bredselectively for high levels of early life humoral immunity
(2), and the "high-immune" mice have greatly increased mean and maximal life spans in comparison to"low-immune" mice bred in parallel. Interestingly,analysis of the genetic components of variation in lifespan and immunity in these selected mouse lines hassuggested that fixation of as few as 3 - 7 genetic locimay be sufficient to produce the dramatic differencesin longevity, immune function , and tumor incidence .Within the backcross populations that exhibited thegreatest variation in life span and immune function,those individual mice with the highest levels of immunefunction were also most likely to have long life span.Our own laboratory has also developed preliminaryevidence that those mice whose immune systems seemto be aging most rapidly - as judged by the appearance of age-dependent T cell subsets - are mostlikely to succumb early in life to tumors (3). In our smallpilot study, the initial group of necropsies included atleast three distinct tumor types : lymphoblastic lymphoma , follicular center cell lymphoma, and hepatic hemangiosarcoma. Association between immune agingand life span, if confirmed by a larger study, might reflect either control of immunosenescence and diseaseprocesses by an underlying timing mechanism, or theinvolvement of age-related immune decline in thepathogenesis of late life diseases including cancer.
There is essentially no information available todate concerning the genetic basis for differences in aging rate among species. The demonstration that striking differences in aging rate can evolve within a fewdozens of generations in the laboratory (2, 4 , 5), or ina few thousands of generations in the wild (6), suggeststhat this key question may prove to be experimentallyaccessible.
REFERENCES1. Weindruch R., Walford R.L.: Th e retardation of aging and
disease by dietary restriction. Charles C Thomas, Springfield,lL,1988.
2. Covelli V., Mouton D., Di Majo V., Bouthillier Y., BangraziC ,Mevel J.C , Rebessi 5 ., Doria G.. BiozziG.: Inheritance of immune responsiveness, life span . and disease incidence in interline crosses of mice selected for high or low multispecific antibody production . J. Im muno/. 142: 1224 -1234.1989 .
3 . Miller R.A., Turke P., Chrisp C , Ruger J., Luciano A., Peterson J., Chalmers K., Gorgas G., VanCise 5 .: Age-sensitiveT cell phenotypes covary in genetically hete rogeneous miceand predict early death from lymphoma. J. Gerontal. 49 :B255-B262 , 1994.
4 . Arking R.: Genetic analyses of aging processes in Drosophila. Exp. Aging Res. 14 : 125-135 , 1988 .
5 . Rose M.R.: Laboratory evolution of postponed senescence inDrosophila melanogaster. Evolu tion 38: 1004-1010,1984.
6 . Austad S .N.: Reta rded aging rate in an insular population ofopossums. J. Zoology 22 9 : 695-708, 1993.
Intervention in Aging IV
Oxidative damage of mitochondria:The effect of age and dietaryrestriction
B.P. YuDepartment of Physiology, The University of TexasHealth Science Center, San Antonio, Texas,U.S.A.
Recent studies of age-related alterations in biological function indicate that many cellular componentsundergo diverse forms of oxidative modifications during aging. Many scientists believe these oxidativechanges are likely due to the increased oxidativestress which occurs in organisms as they age (1). It hasbeen proven that oxidative stress can be exacerbatedby the combination of stresses resulting from a number of biological sources, including unregulated freeradicals , lipid peroxidation , transition metals , andweakened antioxidant defense components, etc.
Quantitatively , mitochondria are the site of majorcellular free radical production. Various sources estimate that under normal physiological conditions ,about 1-4% of all oxygen taken up by mitochondria isconverted into a free radical (superoxide) when inap propriate one-electron transfer occurs during oxygen reduction. It is believed that this incessant production of free radicals could create conditions leadingto altered membrane structures and aberrant membrane functions. This may be the basis for the age-related decline in mitochondrial function that has ledsome gerontologists to consider mitochondrial agingas the "biological clock" of cellular aging (2).
Mitochondrial DNA is at least 15 times more susceptible to oxidative modification than nuclear DNA,and has less efficient repair mechanisms (3). Mitochondrial DNA damage has been traced to mutationof specific mitochondrial genes. It has been hypothesized to lead to many abnormal cell functions , indicated by lowered state III respiration, increased stateN respiration, disturbed K+ and Cat " transport andimpaired protein synthesis (3). Thus , under increasedoxidative stress, biological consequences of mitochondrial alterations are expected to be much greaterthan in other subcellular components. Some of themajor forms of oxidative alterations in mitochondriaare discussed in detail in the following sections.
Membrane lipid alterations
Substantial alterations in mitochondria during theaging process are documented through quantificationof oxidized mitochondrial lipids (4). Lipids, which
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