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DOI 10.1016/j.mad.2026.112236

Медицинская библиотека · Mechanisms of ageing and development · 2026

To longevity and beyond: A systems view of aging and stress resilience.

Sideri Silvia, Cosentino Marianna, Forcina Laura, Musarò Antonio

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Аннотация

Aging is a dynamic and time-dependent process characterized by progressive functional decline across biological systems. Key hallmarks, including genomic instability, telomere attrition, loss of proteostasis, mitochondrial dysfunction, and immunosenescence, have been widely described, each reflecting distinct yet interconnected mechanistic frameworks. Rather than acting in isolation, these processes arise from complex interactions among cellular stressors, impaired repair mechanisms, and the cumulative burden of maladaptive responses. This system-level perspective explains the inter-individual variability in aging trajectories. Centenarians represent an extreme and informative model of successful aging, in which the balance between damage accumulation and repair is shifted toward the maintenance of physiological function. Their exceptional longevity is supported by coordinated genetic, epigenetic, metabolic, and immunological adaptations that enhance resilience to age-related stressors. Here, we summarize the biological drivers and theoretical frameworks of aging within an integrative context, focusing on mechanisms associated with extended healthspan in centenarians. We also examine the contribution of major animal models, highlighting their complementary roles in elucidating conserved and species-specific aging pathways. Overall, aging outcomes reflect a dynamic equilibrium between damage and repair processes. Understanding how this balance is modulated in long-lived individuals may inform strategies to promote healthy aging and delay the onset of age-related diseases.

Для цитирования: Sideri Silvia, Cosentino Marianna, Forcina Laura, Musarò Antonio. To longevity and beyond: A systems view of aging and stress resilience.. Mechanisms of ageing and development. 2026. DOI: 10.1016/j.mad.2026.112236.

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