Khan Mehmood
Hevolution Foundation, KAFD, Riyadh 13519, Saudi Arabia
Cold Spring Harb Perspect Med. 2023 Apr 10;13(12). doi: 10.1101/cshperspect.a041208.
While the worldwide trend in life expectancy continues to increase slightly overall, the trend for the last few decades in developed countries is that more people are spending more years in poor health with multiple chronic comorbidities. These chronic conditions in aging populations consume high proportions of national healthcare budgets. The relatively young field of longevity research, after accumulating insights into the mechanisms of aging and producing dramatic laboratory demonstrations of life extension in some organisms, is entering the translational phase. This phase, through clinical trials, will confirm or refute the "geroscience hypothesis" that drugs can change the trajectory of the processes of aging within cells, and ultimately in living humans. At the same time, traditional funding patterns do not favor such visionary "moonshot" research, which, despite the potential for ultimately providing benefits for everyone, offers little prospect for rapid return on investment and high probabilities for early phase failure. New radical funding strategies incentivizing innovation will have to be called into play.
虽然全球预期寿命总体上仍在持续略有增加,但在过去几十年里,发达国家的趋势是,越来越多的人在健康状况不佳且患有多种慢性合并症的情况下度过更长时间。老龄人口中的这些慢性病消耗了国家医疗保健预算的很大一部分。相对年轻的长寿研究领域,在积累了对衰老机制的见解并在一些生物体中进行了显著的实验室寿命延长演示之后,正在进入转化阶段。这个阶段将通过临床试验来证实或反驳“老年科学假说”,即药物可以改变细胞内衰老过程的轨迹,并最终改变活着的人类的衰老过程轨迹。与此同时,传统的资助模式并不青睐这种有远见的“登月计划”式研究,尽管这种研究最终有可能让每个人受益,但投资回报迅速的前景渺茫,且早期失败的可能性很大。必须采用激励创新的全新激进资助策略。