Hallmarks of Aging
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🔑 The Core 9 Hallmarks (López-Otín, 2013)
  1. Genomic instability – DNA damage from ROS, replication errors, toxins.
  2. Telomere attrition – Chromosome shortening leading to senescence.
  3. Epigenetic alterations – Disrupted DNA methylation, histone modification, chromatin remodeling.
  4. Loss of proteostasis – Protein misfolding/aggregation (e.g., Alzheimer’s).
  5. Deregulated nutrient sensing – Overactive mTOR/insulin vs. protective AMPK, sirtuins.
  6. Mitochondrial dysfunction – Declining ATP, mtDNA mutations, oxidative stress.
  7. Cellular senescence – Accumulation of pro-inflammatory “zombie cells.”
  8. Stem cell exhaustion – Reduced regenerative capacity.
  9. Altered intercellular communication – Inflammaging and impaired immunosurveillance.
🚀 Expanded Hallmarks (2021–2023)
  • Dysbiosis – Gut microbiome imbalance driving systemic inflammation.
  • Chronic inflammation – Persistent cytokine activity (IL-6, CRP).
  • Disabled autophagy – Failure to clear damaged proteins/organelles.
  • ECM stiffening – AGE cross-links reduce tissue elasticity.
  • Altered mechanical properties – Mechanobiological decline in tissue resilience.
  • Cellular enlargement – Senescent hypertrophic cells with impaired function.
  • Splicing dysregulation – RNA processing errors linked to cancer and metabolic disease.
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Olli Sovijärvi
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Hallmarks of Aging
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