The clinical objective of increasing the length of telomeres, the protective caps at the ends of chromosomes, which naturally shorten with each cell division and are considered a primary biomarker of cellular aging and replicative senescence. While full reversal of shortening is complex, extension strategies focus on activating the telomerase enzyme or mitigating the oxidative stress and inflammation that accelerate telomere attrition. The ultimate goal is to prolong cellular health, maintain genomic stability, and delay age-related tissue dysfunction.
Origin
The concept is rooted in the discovery of telomeres and the telomerase enzyme, which earned a Nobel Prize in 2009, establishing a molecular link between chromosome maintenance and cellular lifespan. The term “extension” reflects the ambitious goal of anti-aging research to manipulate this fundamental biological clock. Clinical application involves a combination of lifestyle, nutritional, and potentially peptide-based interventions aimed at supporting telomere maintenance.
Mechanism
Strategies function by upregulating the expression or activity of the telomerase enzyme, a reverse transcriptase that adds repetitive DNA sequences to the telomere ends, thereby counteracting shortening. Furthermore, reducing systemic oxidative stress and chronic inflammation is a key mechanism, as these factors directly contribute to DNA damage and accelerated telomere shortening. By preserving telomere length, the cell’s replicative capacity is maintained, supporting the long-term reserve of tissues and organs.
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