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The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki

The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki

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56<br />

<strong>The</strong> <strong>Mitochondrial</strong> <strong>Free</strong> <strong>Radical</strong> <strong>The</strong>ory <strong>of</strong> <strong>Aging</strong><br />

layers <strong>of</strong> the skin, called the dermis. <strong>The</strong>se fibres are made mainly from two proteins, collagen<br />

and elastin, which are secreted by specialised cells (fibroblasts) and linked into a network<br />

outside the cells. This network is not subject to the rapid turnover that intracellular proteins<br />

undergo. But, contrary to what is commonly stated, it is (in most tissues, anyway) amenable<br />

to some turnover—its half-life in rats is a few months. 15 Fibroblasts are able to secrete an<br />

enzyme called collagenase, which breaks collagen down and allows fibres to be replaced.<br />

This happens in response to ultraviolet damage, in fact. 16 Unfortunately the repair process<br />

is not very precise, so that the network <strong>of</strong> fibres becomes progressively less organised. This<br />

matters, because the regularity <strong>of</strong> the fibrous network is essential for its elasticity.<br />

Again, the point to focus on is not that this damage occurs but that it worsens as we get<br />

older. In this case, the worsening is because the ability <strong>of</strong> fibroblasts to perform the turnover<br />

process diminishes with age. This diminution seems to be due to three cellular changes. <strong>The</strong><br />

first is that, as with DNA repair, the ability <strong>of</strong> all cells (fibroblasts included) to synthesise<br />

protein gradually declines with age. <strong>The</strong> second is that fibroblasts (along with other skin cell<br />

types) diminish in number throughout life. 17 <strong>The</strong> third, rather more curious, reason is that<br />

older tissues destroy a large proportion <strong>of</strong> newly-created, so undamaged, collagen: 18 this<br />

may be due to excessive collagenase production by a few cells that are approaching replicative<br />

senescence. 19a Elastin (sometimes—see below) and the other two classes <strong>of</strong> extracellular<br />

matrix protein, proteoglycans and structural glycoproteins, are also slowly recycled. 19b<br />

Osteoarthritis is another disease <strong>of</strong> this type. <strong>The</strong>re, the material whose turnover is<br />

inadequate is again collagen, but this time it is the collagen in the cartilage <strong>of</strong> our joints. As<br />

in the skin, it seems that the main reason why collagen turnover diminishes with age is that<br />

the fibroblasts which produce and recycle it diminish in number and also in efficacy. 20<br />

A very similar process happens in the lens <strong>of</strong> the eye, and also in the walls <strong>of</strong> our<br />

major arteries. Both <strong>of</strong> these are elastic, and need to remain so in order to do their job.<br />

<strong>The</strong>y undergo the same sort <strong>of</strong> damage as UV causes in the skin—random, extra<br />

cross-linking <strong>of</strong> the elastic protein (elastin in the arteries, crystallin in the lens). In this<br />

case, though, the reason why the process accelerates with age is one step more indirect.<br />

<strong>The</strong>se two materials are not just recycled very slowly, they aren’t recycled at all; thus there<br />

are no recycling-responsible cells to blame for the decline. Rather, the cross-linking<br />

accelerates because it is caused not by ultraviolet light but by a chemical, and that chemical<br />

is increasingly inefficiently removed from the blood. <strong>The</strong> chemical is simply glucose, and<br />

this damage done by too much circulating glucose is called glycation.* Levels <strong>of</strong> glucose in<br />

the blood are controlled by the extremely rapid release <strong>of</strong> insulin in response to glucose<br />

arriving in the blood from the gut. That response diminishes with age, because the uptake<br />

<strong>of</strong> glucose in response to elevated blood insulin becomes increasingly sluggish (especially<br />

in inactive or obese individuals); 21 this is probably, once again, a change brought about by<br />

(a) reduced function <strong>of</strong> the glucose uptake process and (b) a reduction in the number <strong>of</strong><br />

relevant cells. <strong>The</strong> pathological manifestation <strong>of</strong> this effect is late-onset (Type II) diabetes.<br />

This group <strong>of</strong> symptoms <strong>of</strong> aging, therefore, seems to have two underlying driving<br />

causes: functional decline <strong>of</strong> cells, and decrease <strong>of</strong> cell number due to non-replacement <strong>of</strong><br />

cells that die. <strong>The</strong> non-replacement is superficially somewhat curious, since fibroblasts are<br />

perfectly capable <strong>of</strong> cell division—and indeed perform it very rapidly in response to<br />

wounding. One very plausible theory is that the avoidance <strong>of</strong> division in response to the<br />

very slow loss <strong>of</strong> cells that occurs with aging is a defence against cancer: non-division is<br />

tolerable (albeit only for a lifetime), whereas each and every cell division carries a risk <strong>of</strong><br />

DNA replication error that could, if it happened in the wrong gene, initiate a cancer that<br />

would kill us sooner. This is not a complete explanation <strong>of</strong> the phenomenon, however: we<br />

* Note that glycation is more wide-ranging than this; we will return to it in Sections 5.6.3 and 6.5.6.

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