de Grey Aubrey D N J
SENS Research Foundation, Mountain View, USA.
Curr Aging Sci. 2015;8(1):24-33. doi: 10.2174/1874609808666150421131304.
In the 60 years since Medawar questioned the assumption that aging is a selected trait with a fitness benefit, mainstream biogerontology has overwhelmingly adopted the view that aging is a product of evolutionary neglect rather than evolutionary intent. Recently, however, this question has come to merit further scrutiny, for three reasons: a variety of new ways in which aging could indeed be "programmed" have been proposed, several phenomena with superficial similarities to programmed aging have been suggested to offer evidence for it and against the mainstream consensus, and above all it has become appreciated that the existence or otherwise of "pro-aging genes" has enormous implications for determining our optimal strategy for the medical postponement of age-related ill-health. Accordingly, it is timely to revisit the arguments and data on this topic. In this article I discuss difficulties in reconciling the programmed-aging concept with existing data, flaws in various arguments given by others that existing data prove aging to be programmed, and extensions of these considerations to various phenomena that in one or another way resemble programmed aging. I conclude that, however much we might wish that aging were programmed and thus that the ill-health of old age could be greatly postponed just by disabling some aspect of our genetic makeup, the unfortunate truth is that no such program exists, and thus that our only option for substantial extension of healthspan is a divide-and-conquer panel of interventions to repair the damage that the body inflicts upon itself throughout life as side-effects of its normal operation. I explicitly avoid arguments that rely on unnecessarily abstruse evolutionary theory, in order to render my line of reasoning accessible to the broadest possible audience.
自梅达沃质疑衰老具有适应性益处这一被选择性状的假设以来的60年里,主流生物老年学绝大多数都采纳了这样一种观点:衰老是进化忽视而非进化意图的产物。然而,最近这个问题值得进一步审视,原因有三:有人提出了多种衰老可能确实是“被编程”的新方式,有人提出了几种与程序性衰老表面相似的现象,以此为程序性衰老提供证据并反对主流共识,最重要的是,人们已经认识到“促衰老基因”的存在与否对于确定我们推迟与年龄相关的健康问题的最佳医学策略具有巨大影响。因此,适时地重新审视关于这个话题的论点和数据是很有必要的。在本文中,我讨论了将程序性衰老概念与现有数据相协调的困难,其他人给出的各种论点中的缺陷,即现有数据证明衰老具有程序性,以及将这些考虑扩展到以某种方式类似于程序性衰老的各种现象。我得出的结论是,无论我们多么希望衰老具有程序性,从而希望仅仅通过禁用我们基因构成的某些方面就能大大推迟老年的健康问题,但不幸的事实是,不存在这样的程序,因此我们大幅延长健康寿命的唯一选择是采取一系列分而治之的干预措施,以修复身体在其正常运作过程中作为副作用而在一生中对自身造成的损害。我明确避免依赖不必要的晦涩进化理论的论点,以便使尽可能广泛的受众能够理解我的推理思路。