Cited by 14Genetics, Aging, and Longevity in Model OrganismsInsurance, Mortality, Demography, Risk ManagementTelomeres, Telomerase, and Senescence

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index; none of the 3 sources its claims cite is checked for support yet.

A model of aging as accumulated damage matches observed mortality patterns and predicts the life-extending effects of prospective interventions

Open access

Abstract

The relative insensitivity of lifespan to environmental factors constitutes compelling evidence that the physiological decline associated with aging derives primarily from the accumulation of intrinsic molecular and cellular side-effects of metabolism. Here we model that accumulation starting from a biologically based interpretation of the way in which those side-effects interact. We first validate this model by showing that it very accurately reproduces the distribution of ages at death seen in typical populations that are well protected from age-independent causes of death. We then exploit the mechanistic basis of this model to explore the impact on lifespans of interventions that combat aging, with an emphasis on interventions that repair (rather than merely retard) the direct molecular or cellular consequences of metabolism and thus prevent them from accumulating to pathogenic levels. Our results strengthen the case that an indefinite extension of healthy and total life expectancy can be achieved by a plausible rate of progress in the development of such therapies, once a threshold level of efficacy of those therapies has been reached.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

The authors present a biologically motivated simulation of aging as accumulating molecular and cellular damage, fitted to US 1999 mortality data, and use it to model therapies that repair damage. They conclude that if therapies halve each category of aging damage roughly every 40 years or faster, “longevity escape velocity” is quantitatively plausible.

Key findings

  • The simulation reproduced the distribution of ages at death in US 1999 mortality data with goodness-of-fit exceeding r² = 0.99, better than the Gompertz formula, especially at ages where most deaths occur.
  • Simulated damage accumulated during old age at roughly twice the rate seen during youth; the slowest-aging simulated individuals had a damage level at age 85 that the fastest agers reached by age 70.
  • In a schedule where therapies arrive every 6 years and there are 7 damage categories, each category’s damage and new accumulation are halved every 42 years; cohorts first treated at age 80 gained only a few years, while first treatment at age 70 gave a 10% chance of reaching negligible age-related mortality, and the cohort 10 years younger had almost a 50% chance.
  • The authors conclude that if each category of aging damage is halved every ∼40 years or faster, beneficiaries can experience progressive damage decline and indefinite lifespans; a harmonic slowdown (1/2, 1/3, 1/4…) may still work, but exponential deceleration (1/2, 1/4, 1/8…) fails.

Methods

  • A simulation program modeled each person with multiple damage categories, each containing multiple mechanisms; each mechanism contributed additively to its category via a basal constant rate plus a feedback rate proportional to existing damage.
  • Fitting parameters were adjusted to match observed United States mortality data from 1999 (Wilmoth 1997); after fitting, the model simulated schedules of “cures” that set a mechanism’s accumulated damage and future accumulation rate to zero.
  • The intervention analysis used 100,000 individuals, 7 damage categories, therapies arriving every 6 years, and a schedule eliminating 50% of remaining damage in each category per therapy; survival projections assumed no age-independent death.

Limitations

  • The paper states that the simulation has many parameters, which could invite criticism, but argues all parameters have biological reasons and that goodness-of-fit is insensitive to many parameter values.
  • The paper states that survival projections assume no age-independent death and that the timeframe for initial fundamental breakthroughs is factored out by defining time zero as the first breakthrough.
  • Evident from the text: the intervention predictions are model outputs under assumed cure schedules, not validated against real rejuvenation therapies; the model also focuses on therapies that remove damage rather than prevent its accumulation.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1007/s11357-007-9038-8

Cites

11 of 11 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 3 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    The rate of accumulation of damage is dominated by the feedback component, i.e. by how much damage is already present, rather than the basal (constant) component.

    “The explanation is to be found in the parameters that we found fit real-life mortality data: the rate of accumulation of damage is dominated by the feedback component, i.e. by how much damage is already present, rather than the basal (constant) component.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
  • Findingown data

    The model very accurately reproduces the distribution of ages at death seen in typical populations well protected from age-independent causes of death.

    “We first validate this model by showing that it very accurately reproduces the distribution of ages at death seen in typical populations that are well protected from age-independent causes of death.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
    • The authors state this as an assumption: Curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.
  • Findingown data

    Inter-individual variation in rate of simulated aging is plausible, with the slowest-aging simulated individuals having a damage level at age 85 that the fastest agers attain by age 70.

    “The inter-individual variation in rate of simulated aging is also plausible, with the slowestaging simulated individuals having a damage level at age 85 that the fastest agers attain by age 70.”
    Quote in the paperNot a substantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
  • Findingreasoning

    Damage for which there is as yet no therapy has approximately a constant doubling time.

    “Thus, damage for which there is as yet no therapy has approximately a constant doubling time.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
  • Findingown data

    The simulation achieved a goodness-of-fit to observed United States mortality data from 1999 exceeding r^2 = 0.99.

    “The goodness-of-fit of our simulation to the data exceeds r 2 =0.99.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
    • The authors state this as an assumption: Curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.
  • It may state two separate claims as one. 12
  • Probably not a substantial claim. 12
  • The quote only partly states this claim. 2
  • It may state two separate claims as one.

    Findingown data

    The model's fit to contemporary human mortality data is better than the Gompertz formula, including at the ages at which most deaths occur.

    “Figure 2a and b illustrate our first major finding: our model can generate a mortality pattern that fits contemporary human mortality data extremely well, better even than the Gompertz formula.”
    • Also stated in: § Fitting human mortality data · boosted
      “it can be clearly seen that the superiority does not derive simply from a better fit at early ages, but at the ages at which most deaths occur.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
    • The authors state this as an assumption: Curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.
  • It may state two separate claims as one.

    Findingown data

    Cures can slow down to roughly a harmonic rate of progress (remaining amount cured every 40 years is 1/2, 1/3, 1/4... rather than always 1/2); only an exponential deceleration (e.g. 1/2, 1/4, 1/8...) fails.

    “However, our experiments indicate (data not shown) that this still allows cures to slow down somewhat, to roughly a harmonic rate of progress (in which the remaining amount cured every 40 years is 1/2, 1/3, 1/4... rather than always 1/2): only an exponential deceleration in progress (e.g.1/2, 1/4, 1/8...) fails.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
  • It may state two separate claims as one.

    Findingreasoning

    It takes more than 36 years from the arrival of the first therapy before the DMAX of any cohort falls back to its pre-therapy level, because until then at least one category of damage has yet to be addressed at all.

    “As one would expect, it takes more than 36 years from the arrival of the first therapy before the DMAX of any cohort falls back to its pre-therapy level, since until then at least one category of damage has yet to be addressed at all.”
    Quote in the paperNot a substantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
    • The authors state this as an assumption: Curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.
  • It may state two separate claims as one.

    Findingreasoning

    If the impact of each category of aging mechanism is halved every ∼40 years or faster, beneficiaries of the first round of such therapies will experience a progressive decline in their damage level over the long term, and thus a reduction to negligible levels of their risk of death from age-related causes.

    “Specifically, we show that, if the impact of each category of aging mechanism is halved every ∼40 years or faster, beneficiaries of the first round of such therapies will experience a progressive decline in their damage level over the long term, and thus a reduction to negligible levels of their risk of death from age-related causes.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
    • The authors state this as an assumption: Curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.
  • It may state two separate claims as one.

    Findingreasoning

    As few as 10 years of head start (first therapies at age 70) gives a 10% chance of surviving long enough that the chance of dying from aging at any age becomes infinitesimal, and the cohort 10 years younger has almost a 50% chance of achieving indefinite youth.

    “As few as 10 years of”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
    • The authors state this as an assumption: In simulations of survival, there is no age-independent death.
    • The authors state this as an assumption: Curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.
  • It may state two separate claims as one.

    Findingreasoning

    For individuals who first receive therapies when already 80 years old, the survival curve differs only slightly from a contemporary curve, with only a small minority obtaining a few additional years of life.

    “The survival curve for individuals who first receive therapies when already 80 years old differs only slightly from a contemporary curve (black line in Fig. 5), with only a small minority of the cohort obtaining a few additional years of life.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
    • The authors state this as an assumption: In simulations of survival, there is no age-independent death.
    • The authors state this as an assumption: Curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingnone given

    The normal reflected model with zero SD gives an OK fit to the Gompertz model.

    “/* normal reflected, zero SD -OK fit to Gompertz* /”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Findingnone given

    The lognormal, big basal model gives a mediocre fit with bad skew.

    “/* lognorm, big basal -mediocre fit (bad skew)* /”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one. The quote only partly states this claim.

    Findingown data

    The simulation with the normal reflected model yields mean 79.4792, normSD 0.1741, skew -0.8564, kurtosis 4.2376, ar^2 0.9690, and gr^2 0.9850.

    “//Sim 79.4792 0.1741 -0.8564 4.2376 0.9690 0.9850”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingown data

    The optimised values of the fitting parameters were virtually identical whatever goodness-of-fit measure was chosen.

    “our simulation achieved so high a goodness-of-fit that it was unnecessary to choose between these alternatives (i.e. the optimised values of the fitting parameters were virtually identical whatever measure was chosen).”
    Quote in the paperNot a substantial claim
    • The authors state this as an assumption: Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.
    • The authors state this as an assumption: Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.
    • The authors state this as an assumption: The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.
  • Probably not a substantial claim.

    Findingown data

    The simulation was fitted to United States mortality data for 1999.

    “Fitting of the simulation to United States mortality data for 1999.”
    Quote in the paperSubstantial claim
  • The quote only partly states this claim.

    Findingown data

    With the normal reflected distribution and the listed parameters, the simulation model produces a good fit to the mortality data.

    “/* normal reflected -good fit*/”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingown data

    The absolute-normal, big basal model gives a lousy fit.

    “/* absnorm, big basal -lousy* /”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Findingown data

    The Gompertz model yields mean 80.0171, normSD 0.1722, skew -1.0700, kurtosis 4.8656, ar^2 0.9876, and gr^2 1.0000.

    “//Gomper 80.0171 0.1722 -1.0700 4.8656 0.9876 1.0000”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Findingnone given

    The high basal rate model is poor with or without the reflected normal distribution, and impossible with the lognormal distribution.

    “/* High basal; poor with or without refl norm, impossible with lognorm* /”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Findingnone given

    The actuarial model yields mean 78.7283, normSD 0.1977, skew -1.8408, kurtosis 8.4616, ar^2 1.0000, and gr^2 0.9876.

    “//Actuar 78.7283 0.1977 -1.8408 8.4616 1.0000 0.9876”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.

    Premisenone given

    Types of damage can be considered in clusters whose members contribute additively to impair essentially the same aspects of metabolism by the same mechanisms.

    “Second, and conversely, types of damage can be considered in clusters, in which the members of a cluster contribute additively to impair essentially the same set of aspects of metabolism by the same mechanisms”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Premisereasoning

    Death is not a deterministic outcome of progression to a given level of damage; damage level dictates near-future risk of death rather than causing instant death.

    “Fourth, death is not a deterministic outcome of the progression to a given level of damage, because death generally results from the body's inability to cope with a stochastic, often external, challenge such as an infection or an injury: thus, one's level of damage dictates one's risk of death in the near future rather than causing instant death.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.

    Premisenone given

    Each type of damage affects different aspects of metabolism, such that a single type could kill the organism once it rose to a sufficient level even if all other types of damage were absent.

    “First, each type of damage affects different aspects of metabolism to different degrees, such that in principle a single type could kill the organism once it rose to a sufficient level even if all other types of damage were totally absent.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper may give no reason why it holds.

    Premisenone given

    Metabolism is a highly robust homeostatic network that maintains the organism in a functional state in the face of transient perturbations.

    “Metabolism (here defined in its broad sense, as the entire set of biochemical and cellular processes that maintain organismal function) is a highly robust homeostatic network that maintains the organism in a functional state in the face of phenomena that transiently perturb that state-infections, meals, exertion, etc.”
    Quote in the paperNot a substantial claim
20 of 20
  • The paper relies on this without support.

    The physiological decline associated with aging derives primarily from the accumulation of intrinsic molecular and cellular side-effects of metabolism.

    “The relative insensitivity of lifespan to environmental factors constitutes compelling evidence that the physiological decline associated with aging derives primarily from the accumulation of intrinsic molecular and cellular side-effects of metabolism.”
  • The authors state this as an assumption.

    Aging damage can be represented as multiple categories, each with multiple mechanisms that contribute additively to the damage level of its category.

    “Each category has multiple mechanisms, and each mechanism contributes additively to the damage level of its category.”
  • The authors state this as an assumption.

    Each mechanism's damage rate has a basal component adding a constant amount each year and a feedback component increasing damage in proportion to existing damage.

    “Each mechanism has two contributors to its rate: a basal component that adds a constant amount of damage each year, and a feedback component that increases damage in proportion to the person's existing damage (the average of its category damages), creating an accelerating increase in damage.”
  • The authors state this as an assumption.

    The probability of death in the coming year given a particular damage level follows an exponential curve with value 0 at damage level 0 and 1 at damage level 1.

    “One additional fitting parameter determines the probability of death in the coming year given a particular damage level.The curve is exponential and chosen to have a value of 0 at damage level 0 and 1 at damage level 1”
  • The authors state this as an assumption.

    In simulations of survival, there is no age-independent death.

    “Figure 5 shows the consequences of these trajectories of damage level for the probability of survival to a given age assuming no age-independent death.”
  • The paper relies on this without support.

    The timeframe for fundamental breakthroughs is very hard to predict, but once made, cumulative refinement by individually modest advances proceeds at a rather predictable rate so long as public enthusiasm for progress remains strong.

    “Specifically, the timeframes for fundamental breakthroughs are very hard to predict, but once those breakthroughs have been made, their cumulative refinement by individually modest advances proceeds at a rather predictable rate so long as public enthusiasm for progress remains strong.”
  • The authors state this as an assumption.

    Curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.

    “In simulations in which aging mechanisms are cured, curing a mechanism sets both its accumulated damage and damage accumulation rate to zero.”
  • The authors state this as an assumption.

    There is a frailty threshold of loss of reserve, beyond which intervention becomes much harder as pathologies are emerging and exacerbating their own rate of progress.

    “It is presumed that there is a “frailty threshold” of loss of reserve, beyond which intervention becomes much harder as pathologies are emerging and exacerbating their own rate of progress.”
8 of 8

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • The implemented death rule is not the stated exponential curve

    Major

    The methods specify an exponential death-probability curve that reaches certainty at damage level 1. The appended code instead draws a fatal threshold from a uniform or other fitted distribution and tests whether damage exceeds it; that rule is not the specified curve and does not generally make death certain at damage 1.

  • Person-level feedback damage is specified as both a sum and an average

    Minor

    The methods table defines PD(t), the damage used for feedback, as the sum of category damages. The appended implementation divides that sum by the number of categories before using it for subsequent updates.

2 of 2

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Metadata

Authors
Phoenix, C., & de Grey, A. D. N. J.
Affiliations
Methuselah Foundation (US)
Corresponding author
de Grey, Aubrey D. N. J.
Venue
AGE
Published
2007-09-18
Volume
29
Issue
4
Pages
133-189
ISSN
  • 0161-9152 (ISSN-L)
  • 1574-4647
OpenAlex
W2031504628
Cited by
14
References
11
Citations by year
2021: 4 · 2019: 2 · 2018: 2 · 2014: 1 · 2012: 1
FWCI
0.34
Type
journal article
Language
en
Open access
Locations
  • AGE (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Social Sciences › Demography › Insurance, Mortality, Demography, Risk Management
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
Keywords
aging, mortality patterns, age-at-death distribution, life expectancy extension, anti-aging interventions, healthy life expectancy

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