Decline in biological resilience as key manifestation of aging: Potential mechanisms and role in health and longevity.

Journal Article (Review;Journal Article)

Decline in biological resilience (ability to recover) is a key manifestation of aging that contributes to increase in vulnerability to death with age eventually limiting longevity even in people without major chronic diseases. Understanding the mechanisms of this decline is essential for developing efficient anti-aging and pro-longevity interventions. In this paper we discuss: a) mechanisms of the decline in resilience with age, and aging components that contribute to this decline, including depletion of body reserves, imperfect repair mechanisms, and slowdown of physiological processes and responses with age; b) anti-aging interventions that may improve resilience or attenuate its decline; c) biomarkers of resilience available in human and experimental studies; and d) genetic factors that could influence resilience. There are open questions about optimal anti-aging interventions that would oppose the decline in resilience along with extending longevity limits. However, the area develops quickly, and prospects are exciting.

Full Text

Duke Authors

Cited Authors

  • Ukraintseva, S; Arbeev, K; Duan, M; Akushevich, I; Kulminski, A; Stallard, E; Yashin, A

Published Date

  • March 2021

Published In

Volume / Issue

  • 194 /

Start / End Page

  • 111418 -

PubMed ID

  • 33340523

Pubmed Central ID

  • PMC7882032

Electronic International Standard Serial Number (EISSN)

  • 1872-6216

International Standard Serial Number (ISSN)

  • 0047-6374

Digital Object Identifier (DOI)

  • 10.1016/j.mad.2020.111418


  • eng