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Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.

Cellular Clock Theory

The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of chromosomes. Each cell division shortens these telomeres until they can no longer protect chromosomes, triggering cellular senescence. This progressive decline in cellular division capability affects tissue regeneration and repair, contributing to aging and associated disorders.

Free-Radical Theory

The free-radical theory of aging centers on oxidative stress caused by unstable oxygen molecules called free radicals. These molecules, byproducts of normal cellular metabolism, damage cellular components such as DNA, proteins, and lipids. The cumulative effect of such damage accelerates the aging process and increases susceptibility to conditions like cancer, arthritis, and neurodegenerative diseases. Antioxidant mechanisms, while protective, diminish with age, compounding the effects of oxidative stress.

Hormonal Stress Theory

The hormonal stress theory focuses on the physiological consequences of chronic stress. Prolonged activation of the hypothalamic-pituitary-adrenal (HPA) axis leads to sustained elevation of stress hormones, such as cortisol. In aging individuals, these hormones linger longer in circulation, impairing immune function and increasing the risk of cardiovascular disorders and diabetes. Chronic hormonal stress also disrupts homeostasis, exacerbating age-related decline.

Neural Adaptations in Aging

Aging also impacts the brain, particularly regions like the prefrontal cortex, which governs memory and executive functions. Despite such declines, the brain exhibits remarkable plasticity, reorganizing neural pathways to compensate for cognitive losses. This adaptability highlights the potential for maintaining cognitive functions through interventions like mental stimulation and physical exercise, even as other biological processes advance aging.

From Chapter 10:

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