Systemic Functional Decline is the progressive, multi-organ deterioration of physiological reserve and homeostatic capacity across the entire organism, which characterizes the biological process of aging. This decline is not limited to a single organ but represents the cumulative failure of interconnected systems, such as the endocrine, metabolic, and immune systems, to maintain robust function. Clinically, it manifests as increased frailty, reduced resilience to stress, and heightened susceptibility to chronic disease. It is the overarching biological phenomenon that precision medicine and longevity science aim to mitigate.
Origin
The term is rooted in gerontology and the systems biology perspective, which views the body as an interconnected network rather than a collection of isolated organs. It evolved from the observation that aging is a generalized process involving the failure of regulatory loops, not just wear and tear on individual parts. The concept emphasizes the interdependence of biological systems in maintaining health.
Mechanism
The decline operates through multiple, interconnected molecular pathways, including chronic low-grade inflammation (inflammaging), cellular senescence, mitochondrial dysfunction, and the dysregulation of the neuroendocrine axes. The failure of one system, such as reduced hormonal signaling, cascades into others, accelerating the overall decline in functional reserve. This mechanism highlights the need for multi-target, integrated interventions to slow the aging process.
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