Frontiers in Aging (Jul 2021)

Network Topology of Biological Aging and Geroscience-Guided Approaches to COVID-19

  • Alan Landay,
  • Jenna M. Bartley,
  • Jenna M. Bartley,
  • Dishary Banerjee,
  • Geneva Hargis,
  • Laura Haynes,
  • Laura Haynes,
  • Ali Keshavarzian,
  • Chia-Ling Kuo,
  • Chia-Ling Kuo,
  • Oh Sung Kwon,
  • Oh Sung Kwon,
  • Sheng Li,
  • Sheng Li,
  • Shuzhao Li,
  • Shuzhao Li,
  • Julia Oh,
  • Julia Oh,
  • Ibrahim Tarik Ozbolat,
  • Ibrahim Tarik Ozbolat,
  • Duygu Ucar,
  • Duygu Ucar,
  • Ming Xu,
  • Ming Xu,
  • Xudong Yao,
  • Derya Unutmaz,
  • Derya Unutmaz,
  • George A. Kuchel

DOI
https://doi.org/10.3389/fragi.2021.695218
Journal volume & issue
Vol. 2

Abstract

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Aging has emerged as the greatest and most prevalent risk factor for the development of severe COVID-19 infection and death following exposure to the SARS-CoV-2 virus. The presence of multiple coexisting chronic diseases and conditions of aging further enhances this risk. Biological aging not only enhances the risk of chronic diseases, but the presence of such conditions further accelerates varied biological processes or “hallmarks” implicated in aging. Given the growing evidence that it is possible to slow the rate of many biological aging processes using pharmacological compounds has led to the proposal that such geroscience-guided interventions may help enhance immune resilience and improve outcomes in the face of SARS-CoV-2 infection. Our review of the literature indicates that most, if not all, hallmarks of aging may contribute to the enhanced COVID-19 vulnerability seen in frail older adults. Moreover, varied biological mechanisms implicated in aging do not function in isolation from each other and exhibit intricate effects on each other. With all of these considerations in mind, we highlight limitations of current strategies mostly focused on individual single mechanisms and propose an approach that is far more multidisciplinary and systems-based emphasizing network topology of biological aging and geroscience-guided approaches to COVID-19.

Keywords