Biochemistry and Aging: Notes adapted from the National Institutes of Health and Aging.
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Biochemistry and Aging

Biochemistry and Aging (adapted from the NIH/NIA Consumer Health Information Fact Sheets) This page is for background information. Please refer to your personal physician for all actual medical advice and treatment.


IN SEARCH OF THE SECRETS OF AGING


Proteins, in their myriad forms and functions, are the substances most responsible for the day-to-day functioning of living organisms. Some of these proteins seem to affect the way we age and how long we live.

Treacherous oxygen molecules, protective enzymes, hormones that seem to turn back the clock, and proteins that may speed it up: The biochemistry of aging is a rich territory with an expanding frontier. Major areas of exploration include oxygen radicals and glucose crosslinking of proteins, both of which damage cells; the substances that help prevent and repair damage; and the role of specific proteins, particularly heat shock proteins, hormones, and growth factors.


Oxygen Radicals
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Demolishing proteins and damaging nucleic acids, oxygen radicals are thought to be the villains in the day-to-day life of cells. The free radical theory of aging, first proposed by Denham Harman at the University of Nebraska, holds that damage caused by oxygen radicals is responsible for many of the bodily changes that come with aging. Free radicals have been implicated not only in aging but also in degenerative disorders, including cancer, atherosclerosis, cataracts, and neurodegeneration.
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A free radical is a molecule with an unpaired, highly reactive electron. An oxygen-free radical is a byproduct of normal metabolism, produced as cells turn food and oxygen into energy.

In need of a mate for its lone electron, the free radical takes an electron from another molecule, which in turn becomes unstable and combines readily with other molecules. A chain reaction can ensue, resulting in a series of compounds, some of which are harmful. They damage proteins, membranes, and nucleic acids, particularly DNA, including the DNA in mitochondria, the organelles within the cell that produce energy.

But free radicals do not go unchecked. Mounted against them is a multilayer defense system manned by anti-oxidants that react with and disarm these damaging molecules. Anti-oxidants include nutrients -- the familiar vitamins C and E and beta carotene -- as well as enzymes, such as superoxide dismutase (SOD), catalase, and glutathione peroxidase. They prevent most, but not all, oxidative damage. Little by little the damage mounts and contributes, so the theory goes, to deteriorating tissues and organs.

Support for the free radical theory comes from studies of anti-oxidants, particularly SOD. SOD converts oxygen radicals into the also harmful hydrogen peroxide, which is then degraded by another enzyme, catalase, to oxygen and water.



Anti-Oxidants and Aging Gerbils
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A boost for the hypothesis that high levels of anti-oxidants can slow the aging process comes from a study of N-tert-butyl-alpha-phenylnitrone or PBN in gerbils. Although it does not occur naturally in the body, PBN works in much the same way as beta-carotene and other anti-oxidants by binding and neutralizing free radicals.

Older gerbils had been shown to have increased levels of oxidized protein in their brains by two researchers, Robert A. Floyd at the Oklahoma Medical Research Foundation and John M. Carney at the University of Kentucky. Curious about the effects of anti-oxidants in older animals, Floyd and Carney designed an experiment to learn whether PBN could lower oxidized protein levels in gerbils' brains. Over a period of 14 days they gave PBN to two groups of gerbils, one made up of young adults, the other of older adults.

As the older gerbils were treated with PBN, their levels of oxidized protein decreased until they were nearly comparable to levels found in the younger animals. After treatment ended, oxidized protein gradually returned to pretreatment levels. PBN had no effect on the young gerbils.

While it is only one study and more are needed, this investigation supports the idea that maintaining anti-oxidant defense levels may be critical during aging. It also suggests that an intervention such as PBN may someday provide the means.

 
At the National Institute on Aging (NIA), Richard Cutler has found that SOD levels are directly related to life span in 20 different species; longer-lived animals have higher levels of SOD, suggesting that the ability to fight free radicals has something to do with longer life spans. Levels of other anti-oxidants -- vitamin E and beta-carotene, for example -- have also been correlated with life span.

Other studies have shown that inserting extra copies of the SOD gene into fruit flies extends their average life span. In three different laboratories, researchers have reported that transgenic fruit flies, carrying extra copies of the gene for SOD, live 5 to 10 percent longer than average.

Other experimental evidence lends support to the free radical hypothesis. For example, higher levels of SOD and catalase have been found in long-lived nematodes. And in another important study, giving gerbils a synthetic anti-oxidant has reduced high levels of oxidized protein, a sign of aging, in their brains.

The discovery of anti-oxidants raised hopes that people could retard aging simply by adding them to the diet. Unfortunately taking SOD tablets has no effect on cellular aging; the enzyme is simply broken down in the body during digestion. And when anti-oxidant vitamins are added to cells, they compensate by halting production of their own anti-oxidants, leaving free radical levels unchanged.

Researchers have not abandoned all hope for dietary anti-oxidants, however. Current studies, for example, are exploring the possibility that vitamin C can reduce heart disease by blocking oxidation of low-density lipoproteins. Oxidation of these cholesterol-carrying proteins is thought to be a key element in hardening of the arteries. In addition, there is evidence that vitamin E in the diet may be linked to heart attacks, with low vitamin E intake appearing to increase the risk.

Glucose Crosslinking
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Another suspect in cellular deterioration is blood sugar or glucose. In a process called non-enzymatic glycosylation or glycation, glucose molecules attach themselves to proteins, setting in motion a chain of chemical reactions that ends in the proteins binding together or crosslinking, thus altering their biological and structural roles. The process is slow but increases with time.

Crosslinks, which have been termed advanced glycosylation end products (AGEs), seem to toughen tissues and may cause some of the deterioration associated with aging. AGEs have been linked to stiffening connective tissue (collagen), hardened arteries, clouded eyes, loss of nerve function, and less efficient kidneys.

These are deficiencies that often accompany aging. They also appear at younger ages in people with diabetes, who have high glucose levels. Diabetes, in fact, is sometimes considered an accelerated model of aging. Not only do its complications mimic the physiologic changes that can accompany old age, but its victims have shorter-than-average life expectancies. As a result, much research on crosslinking has focused on its relationship to diabetes as well as aging.

One happy finding is that the body has its own defense system against crosslinking. Just as it has anti-oxidants to fight free-radical damage, it has other guardians, immune system cells called macrophages, that combat glycation. Macrophages with special receptors for AGEs seek them out, engulf them, break them down, and eject them into the blood stream where they are filtered out by the kidneys and eliminated in urine.


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Glucose, the fundamental source of energy, reacts with and crosslinks essential molecules.

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The only apparent drawback to this defense system is that it is not complete and levels of AGEs increase steadily with age. One reason is that kidney function tends to decline with advancing age. Another is that macrophages, like certain other components of the immune system, become less active. Why is not known, but immunologists are beginning to learn more about how the immune system affects and is affected by aging (see The Immune System). And in the meantime, diabetes researchers are investigating drugs that could supplement the body's natural defenses by blocking AGE formation.

Crosslinking interests gerontologists for several reasons. It is associated with disorders that are common among older people, such as diabetes; it progresses with age; and AGEs are potential targets for anti-aging drugs. In addition, crosslinking may play a role in damage to DNA, which has become another important focus for research on aging.




DNA Repair

In the normal wear and tear of cellular life, DNA undergoes continual damage. Attacked by oxygen radicals, ultraviolet light, and other toxic agents, it suffers damage in the form of deletions, or destroyed sections, and mutations, or changes in the sequence of DNA bases that make up the genetic code.  

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DNA is damaged throughout life; the repair process may be a major factor in aging, health, and longevity.

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DNA Damage, which gradually accumulates, leads to malfunctioning genes, proteins, cells, and, as the years go by, deteriorating tissues and organs.

Not surprisingly, numerous enzyme systems in the cell have evolved to detect and repair damaged DNA. The repair process interests gerontologists. It is known that an animal's ability to repair certain types of DNA damage is directly related to the life span of its species. Humans repair DNA, for example, more quickly and efficiently than mice or other animals with shorter life spans. This suggests that DNA damage and repair are in some way part of the aging puzzle.

In addition, researchers have found defects in DNA repair in people with a genetic or familial susceptibility to cancer. If DNA repair processes decline with age while damage accumulates, as scientists hypothesize, it could help explain why cancer is so much more common among older people.

Gerontologists who study DNA damage and repair have begun to uncover numerous complexities. Even within a single organism, repair rates can vary among cells, with the most efficient repair going on in terms (sperm and egg) cell. Moreover, certain genes are repaired more quickly than others, including those that regulate cell proliferation.


Research on Sunlight May Help Explain What Happens to Skin as We Age


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As anyone who reads beauty magazines knows, sunlight damages skin in ways that seem similar to aging. It causes wrinkles, to begin with. And in both normal aging and photoaging -- the process initiated by sunlight -- the skin becomes drier and loses elasticity. Although gerontologists think that the normal or intrinsic aging process is probably not the same as photoaging, there are enough similarities to make this a tantalizing field of study.

The process of photoaging may hold clues to normal aging because many of the same cells are affected. Photoaging, for example, damages collagen and elastin, the two proteins that give skin its elasticity. These proteins decline as we age, along with the fibroblast cells that manufacture them. In addition, the enzymes that break down collagen and elastin increase.

Other changes occur in keratinocytes, upper-layer skin cells that are shed and renewed regularly. In the normal aging process the turnover of keratinocytes slows down and in photoaging, they are damaged. Still other skin cells, called melanocytes, are also affected by both processes: they decline with normal aging, are killed in photoaging. (Stopped in their tracks by sunlight, these normally migratory cells show up as freckles in light skin.)

What we don't know yet is exactly how photoaging damages cells. Ultraviolet light can damage DNA and could be the culprit. Free radicals could be involved in some way. Researchers continue to explore these and other factors in the effort to understand photoaging.


Especially intriguing is repair to a kind of DNA that resides not in the cell's nucleus but in its mitochondria. These small organelles are the principal sites of metabolism and energy production, and cells can have hundreds of them. Mitochondrial DNA is thought to be injured at a much greater rate than nuclear DNA, possibly because the mitochondria produce a stream of damaging oxygen radicals during metabolism. Adding to its vulnerability, mitochondrial DNA is unprotected by the protein coat that helps shield DNA in the nucleus from damage.

Research has shown that mitochondrial DNA damage increases exponentially with age, and several diseases that appear late in life, including late-onset diabetes, have been traced to defects in mitochondria. While such disorders seem to be linked to metabolism, it is not yet known whether age-associated damage also impairs metabolism.

Researchers are searching for answers to this and other questions. They would like to know, for example, how much mitochondrial DNA damage occurs in specific parts of the body, such as the brain, what causes the damage, and how it could be prevented.


Heat Shock Proteins
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Despite their name, heat shock proteins (HSPs) are produced when cells are exposed to various stresses, not only heat. Their expression can be triggered by exposure to toxic substances such as heavy metals and chemicals and even by behavioral and psychological stress.
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Produced in response to stress, HSPs decline with age.

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What attracts aging researchers to HSPs is the finding that the levels at which they are produced depend on age. Old animals placed under stress -- physical restraint, for example -- have lower levels of a heat shock protein designated HSP-70 than young animals under similar stress. Moreover, in laboratory cultures of cells, researchers have found a striking decline in HSP-70 production as cells approach senescence.

Exactly what role HSPs play in the aging process is not yet clear. They are known to help the cell disassemble and dispose of damaged proteins and to facilitate the making and transport of new proteins. But what proteins are involved and how they relate to aging is still the subject of speculation and study.

Researchers like Nikki Holbrook at the NIA's Gerontology Research Center in Baltimore, Maryland, are investigating the action of HSP-70 in specific sites, such as the adrenal cortex (the outer layer of the adrenal gland). Here, and in blood vessels and possibly other sites, the expression of HSP-70 appears to be closely related to hormones released in response to stress, such as the glucocorticoids and catecholamines. Eventually, answers to the puzzle of heat shock proteins may throw light on some parts of the neuroendocrine system, whose hormones and growth factors also appear to be major factors in the aging process.



Hormones

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In 1989, at Veterans Administration hospitals in Milwaukee and Chicago, a small group of men aged 60 and over began receiving injections three times a week that dramatically reversed some signs of aging. The injections increased their lean body (and presumably muscle) mass, reduced excess fat, and thickened skin. When the injections stopped, the men's new strength ebbed and signs of aging returned.
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Declining levels of these chemical messengers may trigger some aging processes.

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What the men were taking was recombinant human growth hormone (GH), a synthetic version of the hormone that is produced in the pituitary gland and plays a critical part in normal childhood growth and development. Now researchers are learning that GH, or the decline of GH, seems also to play a role in the aging process in at least some individuals.

The idea that hormones are linked to aging is not new. We have long known that some hormones decline with age. Human growth hormone levels decrease in about half of all adults with the passage of time. Production of the sex hormones estrogen and testosterone tends to fall off. Hormones with less familiar names, like melatonin and thymosin, are also not as abundant in older as in younger adults.



Hormones and Research on Aging


Produced by glands, organs, and tissues, hormones are the body's chemical messengers, flowing through the blood stream and searching out cells fitted with special receptors. Each receptor, like a lock, can be opened by the specific hormone that fits it and also, to a lesser extent, by closely related hormones. Here are some of the hormones and other growth factors of special interest to gerontologists.

Estrogen. The female hormone, estrogen is used in hormone replacement therapy to relieve discomforts of menopause. Produced mainly by the ovaries, it slows the bone thinning that accompanies aging and may help prevent frailty and disability. After menopause, fat tissue is the major source of a weaker form of estrogen than that produced by the ovaries.

Growth Hormone. This product of the pituitary gland appears to play a role in body composition and muscle and bone strength. It is released through the action of another trophic factor called growth hormone releasing hormone, which is produced in the brain. It works by stimulating the production of insulin-like growth factor, which comes mainly from the liver. All three are being studied for their potential to strengthen muscle and bones and prevent frailty among older people.

Melatonin. This hormone from the pineal gland responds to light and seems to regulate various seasonal changes in the body. As it declines during aging, it may trigger changes throughout the endocrine system.

Testosterone. The male hormone, testosterone is produced in the testes and may decline with age, though less frequently or significantly than estrogen in women. Researchers are investigating its ability to strengthen muscles and prevent frailty and disability in older men when administered as testosterone therapy. They are also looking at its side effects, which may include an increased risk of certain cancers, particularly prostate cancer.

DHEA. Short for dehydroepiandrosterone, DHEA is produced in the adrenal glands. It is a weak male hormone and a precursor to some other hormones, including testosterone and estrogen. DHEA is being studied for its possible effects on selected aspects of aging, including immune system decline, and its potential to prevent certain chronic diseases, like cancer and multiple sclerosis.


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Hormone Replacement

We also know that when some declining hormones are replaced, various signs of aging diminish. Most, like growth hormone, are still in the experimental stage, but one, estrogen, is used in medical practice to alleviate the discomforts of menopause. Estrogen replacement therapy also lessens the accelerated bone loss that comes with menopause and may help prevent cardiovascular disease. Preliminary studies suggest that testosterone replacement may likewise have benefits for aging men, by increasing bone and muscle mass and strength. However, questions about cancer and other risks surround both estrogen and testosterone replacement therapy and have not yet been resolved.

A hormone that has attracted the interest of many researchers is DHEA (short for dehydroepiandrosterone), which is abundant in youth but begins to decline in humans at about age 30. Very low levels of DHEA have been linked to cardiovascular disease in men, some cancers, trauma, and stress; low levels are also associated with old age, particularly in the unwell, institutionalized elderly. In animal studies, replacing DHEA has had startling anti-aging effects. Large doses of the hormone have restored older animals' strength and vigor.

How DHEA works is still not clear. Circulating through the blood stream in an inactive form, called DHEA sulfate, this hormone becomes active when it comes in contact with a specific cell or tissue that "needs" it. When this happens, the sulfate is removed.

DHEA seems to be needed, for example, to assist in the function and proliferation of immune cells. In experiments with mice, DHEA sulfate boosted the older animals' levels of a substance called interleukin-2, important in the immune response.



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Growth Factors

Hormones are aided and abetted by an arsenal of other substances that also stimulate or modulate cell activities. Known collectively as growth or trophic factors, these include substances such as insulin-like growth factor (IGF-1), which mediates many of the actions of GH. Another trophic factor of interest to gerontologists is growth hormone releasing hormone, which stimulates the release of GH.

The mechanisms -- how hormones and growth factors produce their effects -- are still a matter of intense speculation and study. Scientists know that these chemical messengers selectively stimulate cell activities which in turn affect critical events, such as the size and functioning of skeletal muscle. However, the pathway from hormone to muscle is complex and still unclear.

Consider growth hormone. It begins to stimulating production of insulin-like growth factor. Produced primarily in the liver, IGF-1 enters and flows through the blood stream, seeking out special IGF-1 receptors on the surface of various cells, including muscle cells. Through these receptors it signals the muscle cells to increase in size and number, perhaps by stimulating their genes to produce more of special, muscle-specific proteins. Also involved at some point in this process are one or more of the six known proteins that bind with IGF-1; their regulatory roles are still a mystery.

As if the cellular complexities weren't enough, the action of growth hormone also may be intertwined with a cluster of other factors -- exercise, for example, which stimulates a certain amount of GH secretion on its own, and obesity, which depresses production of GH. Even the way fat is distributed in the body may make a difference; lower levels of GH have been linked to excess abdominal fat but not to lower body fat.



Biochemistry and Aging: Selected Readings


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Ames, B.N., "Endogenous DNA Damage as Related to Nutritionand Aging," in Ingram, D.K., Baker, G.T., Shock, N.W., eds., The Potential for Nutritional Modulation of Aging Processes, Trumbull, CT: Food and Nutrition Press, 1991.

Blake, M.J., Udelsman, R., Feulner, G.J., Norton, D.D.,Holbrook, N.J., "Stress-Induced HSP70 Expression in Adrenal Cortex: A Glucocorticoid Sensitive, Age-Dependent Response," Proceedings of the National Academy of Sciences 87:846-850, 1991.

Cerami, A., "Hypothesis: Glucose as a Mediator of Aging,"Journal of the American Geriatric Society 33:626-634, 1985.

Daynes, R.A., and Araneo, B.A., "Prevention and Reversal of Some Age-Associated Changes in Immunologic Responses by Supplemental Dehydroepiandrosterone Sulfate Therapy," Aging: Immunology and Infectious Disease 3:135-157, 1992.

Harman, D., "The Free Radical Theory of Aging," in Warner,H.R., et al., eds., Modern Biological Theories of Aging, New York: Raven, 1987.

Rudman, D., Feller, A.G., Nagraj, H.S., et al., "Effects of Human Growth Hormone in Men Over 60 Years Old," The New England Journal of Medicine 323:1-6, 1990.

Stadtman, E.R., "Protein Oxidation and Aging," Science 257:1220-1224, 1992.

Wallace, D.C., "Mitochondrial Genetics: A Paradigm for Aging and Degenerative Diseases?" Science 256:628-632, 1992.




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