The inherent, genetically programmed cellular and molecular processes within the body responsible for self-repair, maintenance, and regeneration of tissues and organs. These pathways include autophagy, mitochondrial biogenesis, and DNA repair mechanisms, all of which are critical for clearing damaged components and restoring optimal cellular function. Activating and supporting these endogenous systems is a primary goal of longevity and restorative medicine.
Origin
This term is a descriptive synthesis of fundamental concepts in molecular biology and cellular homeostasis, with “endogenous” referring to their internal origin and “renewal” emphasizing their restorative function. The clinical focus on these pathways grew out of research into aging and disease, which identified the failure of these intrinsic repair systems as a key driver of chronic pathology.
Mechanism
Autophagy, a key pathway, functions as a cellular recycling system, degrading and removing damaged organelles and misfolded proteins, thereby clearing cellular debris. Mitochondrial biogenesis, another pathway, increases the number and quality of power-producing mitochondria, enhancing cellular energy production. Hormones and nutrient sensing pathways, such as mTOR and AMPK, act as critical regulators, sensing the body’s metabolic state to either promote growth or initiate these vital self-renewal processes.
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