INTRODUCTION
Aging is a major risk factor for most complex human diseases. It involves the decline of numerous biological functions or processes, such as stem cell renewal, nutrient sensing, autophagy, mitochondria, stress response and DNA damage response. Aging is therefore a systems level problem that needs a systems level strategy to tackle. However, systems level models of aging, although very much desired, are still lacking, largely due to the paucity of conceptual frameworks for modeling such a complex process.
Dietary restriction (DR) is a classical aging intervention strategy. DR has been found to extend lifespan in multiple species compared to
ab libitum feeding (AL). However, its effect on lifespan can be affected substantially by genetic background [
1,
2], which suggests that even the assumed general anti-aging regimens need to be tailored for different individuals. Meanwhile, the paucity of longevity genes coming out of the major studies of centenarians [
3–
8] suggests that a non-genetic or epigenetic plasticity has a predominant effect on human longevity. These put forward new challenges to search for gene-gene interactions and gene-environment interactions through a systems biology approach in the study of human aging.
Calorie restriction (CR) and intermittent fasting (IF) are two major DR regimens in
C. elegans. In our previous study that examined transcriptome changes caused by CR/IF in
Caenorhabditis elegans, we found three major patterns of changes that are modulated by CR and IF through aak-2/tax-6, rheb/tor-1 and daf-2/daf-16 pathways. They are related to i) (de)phosphorylation, ii) redox metabolism and unfolded protein response (UPR), and iii) cell cycle and DNA damage responses, respectively [
9]. The maximal or minimal expression levels of gene expression groups altered by CR/IF suggest that they not only cause a delay in age-dependent changes, but also change the maximal or minimal levels of the gene functions, or capacities, of these gene functions (Figure 1). For instance, the post-reproduction stage seems to be a transition point for one of the three major transcriptome patterns during aging, PC2 (Figure 1B). The expression levels of cell cycle and DNA damage repair genes progressively increase during development, peak post reproduction and decline afterwards [
9]. DR/IF slightly and significantly shifted the maximal expression levels of these genes at the turning points (Figure 1C).
However, neither of the two DR regimens totally reverses or stops the reversed gene expression pattern or other major patterns during aging, but just delays the trend or slightly shifts the maximum (Figure 1). This indicates that the effect of CR/IF and the maximal output of a system are limited by intrinsic factors. To further interpret such phenomena, we propose a concept of “system capacity” in aging, analogous to the “system capacity” concept that was put forward for manufacturing system automation [
10]. We define system capacity as the maximum level of output that a system produces to fulfill demands. The system capacity of a whole organism is maintained through the capacity of many components (or subsystems) and the interactions among them, and both components and their interactions are subject to the capacity limits of regulatory system (Figure 2A). Systems capacity can be divided into two distinct types of functions: i) production of energy and material and ii) homeostasis or maintenance of the system that consists of information flow and control (Figure 2A). As an example, the maximal velocity, but not the average velocity, is a reflection of the system capacity in motility [
11].
Although there are debates on what measures aging, the commonly agreed upon standard is lifespan. An alternative could be healthspan, but this is harder to measure. So here the output of an organismal-level system includes all the products, energy, and information a system needs to generate to maintain life. Meanwhile, for different components of a system, or subsystems, their outputs can be different. For example, the output of the mitochondria system is mainly energy, whereas the output of the DNA repair system is repaired DNA.
Similarly, demands here refer to all the demands a system needs to handle in order to maintain life. For different components, the demands can also be different, for example, for the DNA repair system, the demands are the total number of damaged DNA molecules to be repaired, and for the immune system, the demands are the total external pathogens, and damaged or dead cells, that need to be cleared.
Of course, not all components and their capacity should be equally weighted. Instead, they should be weighted in terms of their contribution to the lifespan of an organism. As an example for simplicity, by a linear formula of lifespan,L=SaiCi, where Ci is the ith component that significantly contributes to the lifespan of an organism, and aI is the weight of contribution of by Ci.
With the system capacity model, we can i) explain the well-established aging hallmarks [
12], ii) gauge the ways, and to what extent, system capacity and hence the aging process can be modulated, iii) predict new components that may affect aging and longevity, iv) predict aging regulators from their importance to the genetic networks, and their overall effect on stress resistance, and v) eventually when the quantification of major components and interactions is available, to theoretically predict lifespan and death (breakdown of a system) of a specific system.
AGING IN A VIEW OF SYSTEM CAPACITY
To examine aging at the systems level, we draw an analogy of an organism to a manufacturing system. For a manufacturing system to operate, system dynamics are largely determined by demand from markets, machine capacity and decision to invest or not to invest in capacity. Similarly, in a biological system, system dynamics are mainly determined by the balance of physiological demand versus the system capacity to fulfill this demand, and ability of the decision and regulatory circuitry, such as sensing and signaling pathways to tune system capacity and the balance between the demands and system capacity based on the demand perceived (Figure 2B). Physiological demand comes from two sources: extrinsic factors, such as nutrients and temperature; intrinsic factors, such as growth and repair. However, not all physiological demand would be met due to limited resources or regulation ability, so the unfulfilled demand in turn drives decision machinery to judge whether system capacity should be extended. Nevertheless, the increase of system capacity may not solve the problem, especially when the system already maxed out its capacity, and, thus, overload factors begin to take control. Failure rate will then be non-negligible and also spread to undermine the system capacity and confound the signaling in and out from the decision and regulatory circuitry, which activates potential positive feedback, making it more fragile and inevitably moving towards system capacity decline, which is “aging” of a biological system. As a result of aging, increasing unfulfilled demand will accumulate and most of which, if not all, finally pushes organisms to death or to the breakdown of a biological system.
Evolutionary selection has ensured the demand is largely met by system capacity until passing reproduction age; afterwards, although the unfulfilled demand starts to increase—as shown by the trend of PC1 which largely reflects the expression changes of metabolic genes (Figure 1B)—the system is not under evolutionary selection through reproduction to increase system capacity (Figure 1A). Although the decline of system capacity and increase of unfulfilled demand seems to be inevitable, system capacity is tunable through the selected pre-reproduction regulatory systems, which largely determines the tunability of the aging process.
AGING HALLMARKS AS SYSTEM CAPACITY DECLINES
Nine potential hallmarks of aging have been summarized [
12], that are grouped into three classes: “primary hallmarks” including “genomic instability”, “telomere attrition”, “loss of proteostasis”, and “epigenetic alterations”; “antagonistic hallmarks” including “deregulated nutrient sensing”, “mitochondrial dysfunction”, and “cellular senescence”; “integrative hallmarks” including “stem cell exhaustion”, and “altered intercellular communication”.
These hallmarks are actually well-aligned to our system capacity concept (Table 1). According to the definition of system capacity, “genomic instability”, “telomere attrition” and “loss of proteostasis” are related to self-maintenance programs and “mitochondrial dysfunction “is related to energy production, so all can be characterized as dysfunction of components that maintain system capacity. Meanwhile, “deregulated nutrient sensing”, “altered intercellular communication”, and “epigenetic alterations” are related to signaling and regulation, and thus are parts of decision and regulatory circuitry. The rest of the hallmarks including “cellular senescence” and “stem cell exhaustion”, are cellular consequences of unfulfilled demand or capacity decline. Together, these hallmarks can be classified according to whether they are components for maintaining system capacity, factors to regulate it or balance it with demands, or the consequence of exceeding it. From such a perspective, modulating system capacity modulates aging.
Although system capacity is under developmentally programmed regulation before reproduction, it is tunable before or after reproduction. Because the regulation is selected for development, not for aging, timing is important: an intervention might be only effective at a specific time period in lifespan. For example, inactivating mitochondrial function only during early development, but not later, dose-dependently increases lifespan [
13]. As another example,
hsf-1 is required during early development, whereas
daf-16 is required afterwards, to counter proteotoxicity [
14]. In addition, different components of each part are interconnected: modulation of one hallmark could actually lead to a chain of alterations of other hallmarks. For example, nutrient sensing will affect protein homeostasis [
15], epigenetic regulation could modulate mitochondria functions [
16], mitochondria dysfunction will increase ROS, which in turn affects homeostasis [
17–
19]. Taken together, timing or interconnectivity can affect whether a component of the system capacity is able to modulate aging or not.
ANTI-AGING STRATEGIES AS A MEANS TO INCREASE SYSTEM CAPACITY OR BALANCE IT VERSUS DEMAND
The strategies that postpone aging are more desirable than the opposite, and are more difficult to develop, which is consistent with the destruction of a system being far easier to achieve than increasing system capacity.
Most anti-aging strategies can be aligned to targeting components that constituting the system capacity. Some directly target the capacity machinery, such as mitochondria [
20] and proteostasis components [
21], or telomerase [
22]. Some work through decision and regulatory circuitry, such as through epigenetic regulators such as sirtuins and histone modification enzymes [
23–
26], and signaling pathways [
15]. Whereas healthy lifestyle strategies can directly reduce the physiological demands to remove damaging materials, such as reduction of environmental exposure to UV light or pollution, etc.
Some lifestyle interventions may also modulate aging by targeting multiple components and signaling pathways. Our laboratory showed that based on a cross-sectional microarray design, exercise together with dietary choices including high/low fat diet and AL/DR, may affect mouse lifespan through multiple components, including the oxidative phosphorylation, ribosome, peroxisome, lysosome, apoptosis and inflammation pathways [
27]. A detailed time course study of
C. elegans aging upon AL and DR regimens indicates that RHEB-1, AAK-2, and DAF-16 related pathways play roles in lifespan regulation by CR/IF. The study also demonstrated that simultaneous modulation of all three pathways can not only recapitulate DR’s effect, but can be even more effective than DR itself in lifespan extension. The success of reverse engineering DR is only a starting point. It sheds lights on a promising direction for future anti-aging strategies: systematic perturbations on multiple parts will target aging more effectively and have fewer side effects than single point perturbations.
The effects of these strategies mainly fall into three categories (Figure 3): i) slowing down system capacity decline or reducing the rate the aging-related functional decay relative to demands (Figure 3A); ii) presetting the initial parameters of system capacities of components (or subsystems) to a higher level at the beginning of life or before the start of aging, relative to demands; and iii) resetting the overall system capacity back to the young state (Figure 3C). Both i) and ii) can be achieved through targeting the different system components of an organism (such as energy and material generation and self-maintenance components), or through reducing the intrinsic (such as reproduction and metabolism) and extrinsic demands (such as exposure to damaging materials) (Figure 3B). Most strategies fall into the first category, including genetic, pharmaceutical and dietary perturbations through nutrient-sensing pathways, stress response pathways, sirtuins or some epigenetic factors to boost self-maintenance programs [
9,
15,
28–
31]. Mitochondria defects during development in
C. elegans, which probably shape the system capacity through mitohormesis, probably belong to the second category [
20]. Parabiosis and reprogramming to induced pluripotent stem cell (iPSC) are two approaches to rejuvenation at the cellular level, and thus could be classified into the third category, although the mechanisms are still dubious [
32–
34]. Obviously, the first and third categories are more practical to achieve without any side-effects on proper development.
LIFESPAN VARIATIONS AS A REFLECTION OF SYSTEM CAPACITY DIFFERENCES
Besides the external anti-aging perturbations, comparative studies between short-lived and long-lived individuals within one species or across different species provide additional insights into the relationship between system capacity and aging.
Regarding individual variations, numerous genome-wide association studies (GWAS) have been carried out to explore the genetic loci that are associated with longevity in human, especially centenarians. Only a few genes are identified as robust results:
FOXO1A and
FOXO3A responsible for stress response and DNA damage [
5,
6];
APOE in cholesterol homeostasis [
3,
4,
7];
MINPP1, involved in inositol phosphate metabolism [
8]. Interestingly, some of them are likely to function as components of self-maintenance machinery or regulatory circuitry, and their reinforcement could lead to a higher system capacity and thus longer maximal lifespan of a species. The recent finding of a limited maximal human lifespan based on evidence of a plateau in maximum age in recent decades suggests that the variations in maximal lifespan within a species are relatively very small [
35], in contrast to the variations in lifespan across species.
The results of comparisons across different species are more complex. For example, many studies examine different rodents, among which the lifespan can differ by ten-fold: two or three years for mouse or rat, and twenty or thirty years for blind mole-rat or naked mole-rat. Multiple alterations of genes or pathways contribute to their lifespan differences, including p16-INK4A or p53 in tumor suppression machinery [
36–
38], oxidative stress resistance [
39,
40], translation fidelity [
41], autophagy [
42,
43], and insulin and mTOR signaling pathways [
44,
45],
Ifnb1 and
Mx1 in the interferon signaling pathway [
46], and so on. In addition, other studies on longevity in large animals or flying long-lived animals also reveal a mixed pattern of strategies—interventions of both components in system capacity machinery and decision and regulatory circuitry. It indicates that multiple components might have been modulated at the systems level to optimize fitness during evolution, and thus much larger lifespan variations across different species.
TESTABLE HYPOTHESES BASED ON THE SYSTEM CAPACITY MODEL
The systems capacity model of aging leads to testable hypotheses. Those that have been already established as true lend support to our model and those not yet tested will guide future research.
i) Any component of system capacity that is essential to maintain life and has its own capacity limit reached will have a consequence on the aging process, and can be a trigger for aging even if other parts are not yet reaching their limits. For example, RNA processing has not been proposed as a hallmark of aging, but its capacity is indeed limited during the aging process, and it is essential for maintaining life. Therefore, we would predict from our model, that when RNA processing reaches its capacity limit, it will trigger the system towards decline or aging. Indeed, splicing has just been shown to an important process regulating aging and lifespan [
47].
ii) Regulatory/signaling networks connecting components of system capacity also have limited capacities. When their capacities are reached, the regulatory networks lose their regulation precision. Increased gene expression noise has indeed been observed during aging, which is an indication of overload on the regulatory network capacity [
48]. A prediction from our model would be that the loss of regulatory precision would also lead to aging, that is, introducing random noises to the regulation output will lead the system towards decline or aging, a hypothesis that can be tested both computationally and experimentally.
iii) As a system is composed of many components whose capacities are limited, the more components a gene interacts with or the more components’ capacities a gene regulates, the more likely it will affect the whole system and hence its overall capacity. This is consistent with the fact that aging and lifespan regulators are frequently hubs in the molecular interaction networks [
49–
51], and the fact that pleiotropic genes and genes regulating general stress tolerance in many physiological components or processes, such as daf-16, are key regulators of aging and longevity.
iv) Based on the model, if the relative level of demand (both extrinsic and intrinsic) and the system capacity (in material/energy production and homeostasis maintenance) are known for an individual organism, the probability of death for this given individual can be quantitatively predicted. Although this requires a myriad of data collection, our model points to the direction of what data needs to be collected (that is, quantification of systems capacity components and demands) and the feasibility of finally being able to predict death.
v) An extension for the fourth prediction will be development of anti-aging strategies targeting different parts of system capacity, or aspects of aging, when there is a precise diagnosis of which component of the system is running over capacity. Its efficacy will be dependent on whether it can balance the specific loss of the capacity for a particular component. Therefore a precision medicine approach is needed to first diagnose where system capacity is lost and then match an intervention that specifically addresses the lost capacity, or reduces the demand that burdens the specific capacity, and to regain the balance between demand and capacity, hence achieving the goal of healthy aging.
CONCLUSIONS AND OUTLOOK
The system capacity model of aging provides an opportunity to examine aging at the systems level. This model predicts that the extent to which aging can be modulated is normally limited by the upper bound of the system capacity of a species. Within such a boundary, aging can be delayed by moderately increasing an individual’s system capacity. Beyond such a boundary, increasing the upper bound is required, which is not unrealistic given the unlimited potential of regenerative medicine in the future, but it requires increasing the capacity of the whole system instead of only part of it.
The system capacity model provides a framework for applying systems approaches in at least four directions: i) identifying components whose capacity limits are maximized or overload during aging, ii) modeling regulatory circuits to examine their effects on the aging process, iii) quantifying the level of components versus demands and building a computational model to predict lifespan and death of a system, and iv) diagnosing capacity deficiency of a system and rebalancing demands at the individual level through combinatorial interventions for healthy lifespan.
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