The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki
The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki
A Descriptive Introduction to Human Aging If everything that is oxidized were recycled, aging due to pro-oxidant damage simply could not proceed indefinitely: it would asymptotically approach a maximum level but never exceed it.* Therefore, in seeking the root cause of the observed, inexorably rising pro-oxidant levels, we can restrict ourselves to material that is not recycled at all. They are hearteningly few in number: 1. some connective proteins (elastin, crystallin, maybe some others) 2. tissues that lose (and fail to replace) cells 3. nuclear DNA 4. mitochondrial DNA, maybe 5. lipofuscin All of these except mitochondrial DNA are known, as described in the preceding sections, to be intimately involved in one or other aspect of aging. Mitochondrial DNA is not immediately implicated, but, as will be explained, it is also a prime suspect. 5.6.2. Oxidative and Reductive Stress In 1985, Helmut Sies defined** the term "oxidative stress" as “a disturbance in the prooxidant-antioxidant balance in favor of the former.” 37 His use of the word “balance” was, I think, both insightful and unhelpful. It was insightful because it emphasises the fact that pro-oxidants and antioxidants participate in a complex network of reactions, which are broadly maintained in a stable equilibrium. If this equilibrium is disturbed, such as in disease, it is restored once the disease has been overcome. But conversely, this emphasis on the stability of the system gives a misleading impression of the possible role of oxidative stress in aging, in which there is no such equilibrium; rather, there is an inexorable rise in the levels of pro-oxidants, which is not balanced by a corresponding rise in antioxidants and which in fact progressively diminishes those antioxidants’ efficacy. There is another problem with the term “oxidative stress” which relates to the chemical reactions involved. I stressed in Chapter 3 that LECs are generally more reactive than non-LECs; they can be thought of as taking the initiative to undergo reactions of classes a and b in Table 3.3. “Oxidation” is a term usually reserved for reactions in which the more reactive molecule is the electron acceptor, but, as Table 3.3 shows, there are many important reactions related to free radical chemistry in vivo in which the more reactive molecule is the electron donor. Reactions of this sort are normally termed “reduction”; thus, a situation in which there is an excess of LECs that are inclined to donate electrons would much better be called “reductive stress”—a term which, though introduced as long ago as 1987, 38 has not found widespread use. This is the situation at the earliest stage of LEC production by mitochondria, where the ubisemiquinone in the respiratory chain donates electrons to molecular oxygen to form superoxide. It is also the situation that I have proposed 39 to exist at the cell membrane of respiration-deficient cells, as will be discussed in Chapter 9. * This logic has clear implications for interventions that might retard aging. Many groups have investigated the ability of certain antioxidant dietary supplements to reduce the steady-state levels of oxidative damage to material that is recycled; for example, a recent investigation35 of the effects of combined supplementation with acetyl-L-carnitine and R-lipoic acid was particularly impressive in restoring youthful metabolic performance in rat liver. But we do not yet have lifespan data on these rats; I predict that their maximum lifespan will not be much greater than controls. ** The term had, however, been in use in broadly this sense since at least 1970. 36 59
60 The Mitochondrial Free Radical Theory of Aging 5.6.3. Positive Feedback One of the major lines of thought that will be discussed in the next chapter is known as the “vicious cycle theory.” This name is rather unfortunate, because the theory in question was a very specific proposal for the mechanism of age-related mitochondrial decline, whereas “vicious cycle” is an extremely general term describing any system which undesirably accelerates its own rate of change—that is, which exhibits positive feedback. The vicious cycle theory did indeed hypothesise such a system, but many other systems are also vicious cycles. More to the point, many aspects of aging can be so described. A prominent example is atherosclerosis, in which the lesion grows increasingly rapidly as the surrounding tissue resorts to ever more drastic measures to control it. At the molecular level, there is an interplay between oxidation and glycation, 40 which makes glycation harmful over and above its effects on unrecycled tissues (discussed in Section 5.3). For example, LDL can undergo glycation; this does not of itself make LDL toxic, but it does make it more prone to undergo oxidation and thereby become toxic, with the result that diabetics are unusually prone to atherosclerosis. 41 This interplay also goes the other way—oxidation exacerbates the deleterious effects of glycation, because the irreversible cross-links (such as pentosidine) that were discussed in Section 5.3 require an oxidation reaction following the glycation process. For this reason, pentosidine and its relatives are sometimes called glycoxidation products. 42 This dependency may help explain why birds can sustain such high blood glucose (see Section 6.5.6); biochemical investigation of glycation in birds has so far been restricted to relatively short-lived poultry, however. 43 5.7. An Interim Conclusion: The Overinterpretable Pleiotropy of Human Aging 5.7.1. Biochemical Pleiotropy This chapter has reviewed only rather superficially the major changes that occur in our bodies as we age, but it suffices to remind us, if we needed reminding, that they are intimidatingly many and varied. Perhaps it is that, more than any other characteristic, which has caused gerontology to be much less popular as a field of study than non-biologists might expect it to be. It should also be apparent, however, that the more deeply one explores these many processes, the more they reveal themselves to have in common. This commonality is most evident not in the mechanisms that initiate these processes, but rather in the microenvironmental features that determine the rate of that initiation. Oxidative stress has a strong claim to being the main accelerating factor for all of them. Moreover, the root causes of increasing oxidative stress cannot be all that numerous, since they are restricted to the unrecycled materials listed in Section 5.6.1. And even among those, there is no reason to suppose that all make the same contribution; equally possible, a priori, would be that one is the primary culprit. There is thus a very real possibility that the continued exploration of aging will follow very much the same pattern as did the exploration of cells' energy utilisation. It was appreciated for many decades that energy was used in a huge number of biological processes, and similarly that it could be extracted from a huge number of different nutrients. Now, however, we know that the link between energy extraction and energy utilisation involves just one molecule, ATP. Lonely electrons are shaping up to fill the role in aging that ATP does in metabolism.
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60<br />
<strong>The</strong> <strong>Mitochondrial</strong> <strong>Free</strong> <strong>Radical</strong> <strong>The</strong>ory <strong>of</strong> <strong>Aging</strong><br />
5.6.3. Positive Feedback<br />
One <strong>of</strong> the major lines <strong>of</strong> thought that will be discussed in the next chapter is known as<br />
the “vicious cycle theory.” This name is rather unfortunate, because the theory in question<br />
was a very specific proposal for the mechanism <strong>of</strong> age-related mitochondrial decline, whereas<br />
“vicious cycle” is an extremely general term describing any system which undesirably<br />
accelerates its own rate <strong>of</strong> change—that is, which exhibits positive feedback. <strong>The</strong> vicious<br />
cycle theory did indeed hypothesise such a system, but many other systems are also vicious<br />
cycles.<br />
More to the point, many aspects <strong>of</strong> aging can be so described. A prominent example is<br />
atherosclerosis, in which the lesion grows increasingly rapidly as the surrounding tissue<br />
resorts to ever more drastic measures to control it. At the molecular level, there is an interplay<br />
between oxidation and glycation, 40 which makes glycation harmful over and above its effects<br />
on unrecycled tissues (discussed in Section 5.3). For example, LDL can undergo glycation;<br />
this does not <strong>of</strong> itself make LDL toxic, but it does make it more prone to undergo<br />
oxidation and thereby become toxic, with the result that diabetics are unusually prone to<br />
atherosclerosis. 41 This interplay also goes the other way—oxidation exacerbates the<br />
deleterious effects <strong>of</strong> glycation, because the irreversible cross-links (such as pentosidine)<br />
that were discussed in Section 5.3 require an oxidation reaction following the glycation<br />
process. For this reason, pentosidine and its relatives are sometimes called glycoxidation<br />
products. 42 This dependency may help explain why birds can sustain such high blood<br />
glucose (see Section 6.5.6); biochemical investigation <strong>of</strong> glycation in birds has so far<br />
been restricted to relatively short-lived poultry, however. 43<br />
5.7. An Interim Conclusion: <strong>The</strong> Overinterpretable Pleiotropy<br />
<strong>of</strong> Human <strong>Aging</strong><br />
5.7.1. Biochemical Pleiotropy<br />
This chapter has reviewed only rather superficially the major changes that occur in our<br />
bodies as we age, but it suffices to remind us, if we needed reminding, that they are<br />
intimidatingly many and varied. Perhaps it is that, more than any other characteristic, which<br />
has caused gerontology to be much less popular as a field <strong>of</strong> study than non-biologists might<br />
expect it to be.<br />
It should also be apparent, however, that the more deeply one explores these many<br />
processes, the more they reveal themselves to have in common. This commonality is most<br />
evident not in the mechanisms that initiate these processes, but rather in the<br />
microenvironmental features that determine the rate <strong>of</strong> that initiation. Oxidative stress<br />
has a strong claim to being the main accelerating factor for all <strong>of</strong> them. Moreover, the root<br />
causes <strong>of</strong> increasing oxidative stress cannot be all that numerous, since they are restricted<br />
to the unrecycled materials listed in Section 5.6.1. And even among those, there is no reason<br />
to suppose that all make the same contribution; equally possible, a priori, would be that<br />
one is the primary culprit.<br />
<strong>The</strong>re is thus a very real possibility that the continued exploration <strong>of</strong> aging will follow<br />
very much the same pattern as did the exploration <strong>of</strong> cells' energy utilisation. It was appreciated<br />
for many decades that energy was used in a huge number <strong>of</strong> biological processes, and<br />
similarly that it could be extracted from a huge number <strong>of</strong> different nutrients. Now, however,<br />
we know that the link between energy extraction and energy utilisation involves just<br />
one molecule, ATP. Lonely electrons are shaping up to fill the role in aging that ATP does in<br />
metabolism.