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      Geroscience and pathology: a new frontier in understanding age-related diseases

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          Abstract

          Geroscience, a burgeoning discipline at the intersection of aging and disease, aims to unravel the intricate relationship between the aging process and pathogenesis of age-related diseases. This paper explores the pivotal role played by geroscience in reshaping our understanding of pathology, with a particular focus on age-related diseases. These diseases, spanning cardiovascular and cerebrovascular disorders, malignancies, and neurodegenerative conditions, significantly contribute to the morbidity and mortality of older individuals. We delve into the fundamental cellular and molecular mechanisms underpinning aging, including mitochondrial dysfunction and cellular senescence, and elucidate their profound implications for the pathogenesis of various age-related diseases. Emphasis is placed on the importance of assessing key biomarkers of aging and biological age within the realm of pathology. We also scrutinize the interplay between cellular senescence and cancer biology as a central area of focus, underscoring its paramount significance in contemporary pathological research. Moreover, we shed light on the integration of anti-aging interventions that target fundamental aging processes, such as senolytics, mitochondria-targeted treatments, and interventions that influence epigenetic regulation within the domain of pathology research. In conclusion, the integration of geroscience concepts into pathological research heralds a transformative paradigm shift in our understanding of disease pathogenesis and promises breakthroughs in disease prevention and treatment.

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          Most cited references290

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          The Hallmarks of Aging

          Aging is characterized by a progressive loss of physiological integrity, leading to impaired function and increased vulnerability to death. This deterioration is the primary risk factor for major human pathologies, including cancer, diabetes, cardiovascular disorders, and neurodegenerative diseases. Aging research has experienced an unprecedented advance over recent years, particularly with the discovery that the rate of aging is controlled, at least to some extent, by genetic pathways and biochemical processes conserved in evolution. This Review enumerates nine tentative hallmarks that represent common denominators of aging in different organisms, with special emphasis on mammalian aging. These hallmarks are: genomic instability, telomere attrition, epigenetic alterations, loss of proteostasis, deregulated nutrient sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, and altered intercellular communication. A major challenge is to dissect the interconnectedness between the candidate hallmarks and their relative contributions to aging, with the final goal of identifying pharmaceutical targets to improve human health during aging, with minimal side effects. Copyright © 2013 Elsevier Inc. All rights reserved.
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            Aging: a theory based on free radical and radiation chemistry.

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              Geroscience: linking aging to chronic disease.

              Mammalian aging can be delayed with genetic, dietary, and pharmacologic approaches. Given that the elderly population is dramatically increasing and that aging is the greatest risk factor for a majority of chronic diseases driving both morbidity and mortality, it is critical to expand geroscience research directed at extending human healthspan.
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                Author and article information

                Contributors
                Journal
                Pathol Oncol Res
                Pathol Oncol Res
                Pathol. Oncol. Res.
                Pathology and Oncology Research
                Frontiers Media S.A.
                1219-4956
                1532-2807
                23 February 2024
                2024
                : 30
                : 1611623
                Affiliations
                [1] 1 Department of Public Health , Semmelweis University , Budapest, Hungary
                [2] 2 Departments of Hematology and Stem Cell Transplantation , South Pest Central Hospital , National Institute of Hematology and Infectious Diseases , Saint Ladislaus Campus , Budapest, Hungary
                Author notes

                Edited by: Andrea Ladányi, National Institute of Oncology (NIO), Hungary

                *Correspondence: Vince Fazekas-Pongor, pongor.vince@ 123456semmelweis.hu
                Article
                1611623
                10.3389/pore.2024.1611623
                10922957
                38463143
                1b3b18b2-c0dd-445b-804a-b47c0c1ea81d
                Copyright © 2024 Fekete, Major, Feher, Fazekas-Pongor and Lehoczki.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 04 December 2023
                : 07 February 2024
                Funding
                Project no. TKP2021-NKTA-47, implemented with the support provided by the Ministry of Innovation and Technology of Hungary from the National Research, Development and Innovation Fund, financed under the TKP2021-NKTA funding scheme; by funding through the National Cardiovascular Laboratory Program (RRF-2.3.1-21-2022-00003) provided by the Ministry of Innovation and Technology of Hungary from the National Research, Development and Innovation Fund; Project no. 135784 implemented with the support provided from the National Research, Development and Innovation Fund of Hungary, financed under the K_20 funding scheme and the European University for Wellbeing (EUniWell) program (grant agreement number: 101004093/EUniWell/EAC-A02-2019/EAC-A02-2019-1). The funding sources had no role in the writing of the manuscript; and in the decision to submit the article for publication. The 3.5 version of ChatGPT, developed by OpenAI, was used as a tool to refine our writing and enhancing the clarity of our work.
                Categories
                Pathology and Oncology Archive
                Review

                Oncology & Radiotherapy
                geroscience,senescence,cancer,cardiovascular disease,ageing
                Oncology & Radiotherapy
                geroscience, senescence, cancer, cardiovascular disease, ageing

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