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Aging interventions

Hallmarks
of aging

Twelve drivers

Genomic instability
Telomere attrition
Epigenetic alterations
Loss of proteostasis
Disabled autophagy
Nutrient sensing
Mitochondrial dysfunction
Cellular senescence
Stem cell exhaustion
Intercellular comm.
Inflammation
Dysbiosis
Primary
Antagonistic
Integrative

The hallmarks of aging

Aging is not a single process but a convergence of interlocking hallmarks — genomic instability, telomere attrition, mitochondrial dysfunction, cellular senescence, chronic inflammation and disrupted intercellular signalling. Rather than treating one disease at a time, the lab asks whether targeting these shared drivers can slow aging itself.

Where we intervene

Our central ambition is translational: to turn mechanistic insight into interventions that extend healthy human lifespan. We test targeted strategies at multiple points along the damage cascade — inhibiting PARP1 to spare NAD⁺, boosting NAD⁺ directly with precursors such as nicotinamide riboside, raising acetyl-CoA through ketogenic substrates, and exploring compounds that enhance DNA repair and clear senescent cells.

Putative targets for interventions in DNA damage accumulation
Putative targets for interventions across the DNA-damage cascade

From models to human studies

Each strategy is tested in cellular and animal models of both normal and accelerated aging, and increasingly in human studies. The guiding hypothesis is simple: if normal aging and age-associated disease share the same underlying mechanisms, they may yield to the same interventions — and the goal is not merely longer life, but more years lived in good health.

Selected reading

  1. Norheim KL, Ben Ezra M, Heckenbach I, et al., Porsbjerg C & Scheibye-Knudsen M. Effect of nicotinamide riboside on airway inflammation in COPD: a randomized, placebo-controlled trial. Nature Aging 4, 1772–1781 (2024). doi:10.1038/s43587-024-00758-1
  2. Petr MA, Matiyevskaya F, Osborne B, et al., Mkrtchyan GV, Scheibye-Knudsen M. Pharmacological interventions in human aging. Ageing Research Reviews (2024). doi:10.1016/j.arr.2024.102213
  3. Fals EB, Springborg EC, et al. & Scheibye-Knudsen M. Study protocol for FAXAge: a randomized, controlled clinical trial of fasting and exercise to slow aging in humans. GeroScience (2026). doi:10.1007/s11357-026-02362-0

See the full list of the lab's publications on Google Scholar.