Cited by 949Genetics, Aging, and Longevity in Model OrganismsDNA Repair MechanismsTelomeres, Telomerase, and Senescence

The DOI matches its Crossref record; 86 of the 115 references it cites were found in a registry or an index, and 29 are not checked yet; none of the 153 sources its claims cite is checked for support yet.

DNA Repair, Genome Stability, and Aging

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Abstract

Aging can be defined as progressive functional decline and increasing mortality over time. Here, we review evidence linking aging to nuclear DNA lesions: DNA damage accumulates with age, and DNA repair defects can cause phenotypes resembling premature aging. We discuss how cellular DNA damage responses may contribute to manifestations of aging. We review Sir2, a factor linking genomic stability, metabolism, and aging. We conclude with a general discussion of the role of mutant mice in aging research and avenues for future investigation.

Checked 2026-10-06 · 29 references not checked yet

Overview

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Written from the paper’s full text.

TL;DR

This review argues that nuclear DNA damage accumulates with age and that defects in DNA repair produce premature-aging phenotypes in mice and humans, with p53-mediated senescence and apoptosis as a shared downstream mechanism. It also reviews Sir2/SIRT1 as a link between genome stability, metabolism, and life span.

Key findings

  • DNA damage and mutations accumulate with age in mammals; cytogenetically visible lesions (translocations, insertions, dicentrics, acentric fragments) increase in aging cells, and mutation spectra vary considerably between tissues.
  • Many premature-aging syndromes arise from mutations in DNA repair genes: ATM (Ataxia-Telangiectasia), CSA/CSB (Cockayne syndrome), XPD (trichothiodystrophy), WRN (Werner syndrome), plus mouse hypomorphs in Rad50 and BRCA1 and NHEJ mutants (Ku80, DNA-PKcs).
  • Aging-like phenotypes in Rad50s/s, BRCA1Δ11/Δ11/p53+/−, and several NHEJ mutants are largely p53-dependent responses to unrepaired damage rather than direct consequences of the lesions; p53 deficiency rescues premature senescence and neuronal apoptosis but not small size.
  • Sir2 links genome stability, metabolism, and life span: loss of Sir2 increases rDNA recombination and shortens yeast life span, while an extra copy extends it; overexpression or pharmacologic activation of Sir2 extends life span in worms and flies.

Methods

  • Narrative review, not primary research. The authors synthesize evidence from yeast, C. elegans, Drosophila, mouse models, and human progeroid syndromes.
  • Focus is on nuclear (not mitochondrial) DNA damage in mammalian aging, emphasizing recent mouse models; mitochondrial ROS is deferred to the companion Balaban et al. review in the same issue.
  • Key evidence discussed includes mouse DNA repair/metabolism mutants with aging features (Table 1), features of normal aging in wild-type mice (Table 2), and pathway diagrams for DSB repair (NHEJ, HR) and NER.

Limitations

  • Stated: the evidence that cellular senescence plays a role in aging is correlative, and "a causal relationship between cellular senescence and organismal aging has yet to be proved."
  • Stated: premature aging models are "segmental progerias" that reproduce only some aspects of aging, and the histopathology of normal aging corresponds poorly with changes in these models; genetic background, housing, infection, and diet likely modify phenotypes.
  • Stated: it is unclear why only certain DNA repair mutants in particular pathways show progeroid phenotypes, and many implicated factors have roles beyond DNA repair; measurement of ROS and oxidative damage is experimentally difficult, with discrepant estimates of oxidatively damaged DNA.

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Integrity signals

Registry

Crossref · 10.1016/j.cell.2005.01.028

Cites

86 of 115 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

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Show all 119 claims

  • It may state two separate claims as one. 54
  • Probably not a substantial claim. 22
  • The quote only partly states this claim. 1
74 of 74
  • The paper relies on this without support.

    The induction of senescence depends on pathways involving the p53 and Rb proteins.

    “The induction of senescence depends on pathways involving the p53 and Rb proteins (Figure 1).”
  • The paper relies on this without support.

    The accurate maintenance of nuclear DNA is critical to cellular and organismal function.

    “The accurate maintenance of nuclear DNA is critical to cellular and organismal function, and therefore, numerous DNA repair systems have evolved.”
  • The paper relies on this without support.

    p53 suppresses the onset of malignancy and thereby extends life span.

    “While p53 suppresses the onset of malignancy and thereby extends life span”
  • The paper relies on this without support.

    The role of p53 in aging cannot be directly tested using p53-deficient mice because they die of malignancy before age-related changes become manifest.

    “The role of p53 in aging cannot be directly tested using p53-deficient mice, as such animals invariably die of malignancy before age-related changes become manifest.”
  • The paper relies on this without support.

    Mouse models of accelerated aging phenotypes are informative about normal aging processes.

    “phenotypes resembling accelerated aging have been described in one strain each of Ku80- and DNA-PKcs-deficient mice”
  • The paper relies on this without support.

    Patients with specific mutations in XPD suffer from trichothiodystrophy (TTD), a disease characterized by photosensitivity, brittle hair, skin defects, and a shortened life span.

    “Patients with specific mutations in XPD suffer from trichothiodystrophy (TTD), a disease characterized by photosensitivity, brittle hair, skin defects, and a shortened life span.”
  • The paper relies on this without support.

    Cells derived from TTD patients show NER defects.

    “In addition, cells derived from TTD patients show NER defects”
  • The paper relies on this without support.

    XPDTTD/XPA double mutants show a much more rapid degenerative phenotype than XPDTTD single mutants.

    “XPDTTD/XPA double mutants show a much more rapid degenerative phenotype”
  • The paper relies on this without support.

    The gene defective in WS, WRN, encodes a helicase of the RecQ family.

    “The gene defective in WS, WRN, encodes a helicase of the RecQ family (a group defined by its similarity to E. coli RecQ helicase).”
  • The paper relies on this without support.

    WRN possesses an exonuclease domain.

    “WRN also possesses an exonuclease domain.”
  • The paper relies on this without support.

    SIRT1 is the most highly related mammalian Sir2 family member to S. cerevisiae Sir2.

    “SIRT1 is the most highly related to S. cerevisiae Sir2.”
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Metadata

Authors
Lombard, D. B., Chua, K. F., Mostoslavsky, R., Franco, S., Gostissa, M., & Alt, F. W.
Affiliations
  • Brigham and Women's Hospital (US)
  • Howard Hughes Medical Institute (US)
Corresponding author
Alt, Frederick W.
Venue
Cell
Publisher
Elsevier BV
Published
2005-02
Volume
120
Issue
4
Pages
497-512
ISSN
0092-8674 (ISSN-L)
OpenAlex
W2022572059
Cited by
944
References
115
Citations by year
2026: 20 · 2025: 40 · 2024: 27 · 2023: 35 · 2022: 39 · 2021: 51 · 2020: 40 · 2019: 46 · 2018: 29 · 2017: 37 · 2016: 38 · 2015: 41 · 2014: 54 · 2013: 51 · 2012: 43
FWCI
5.27
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
Keywords
aging, DNA repair, genome stability, DNA damage accumulation, premature aging, DNA damage response, Sir2, sirtuins, metabolism, mouse mutants
MeSH terms
Ku Autoantigen, Animals, DNA Damage, DNA Repair, DNA-Binding Proteins, Longevity, Tumor Suppressor Protein p53, Cellular Senescence, Reactive Oxygen Species, Antigens, Nuclear, Sirtuins, Genomic Instability, Rad51 Recombinase, Mice

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