The twelve are not ours. They come from Hallmarks of aging: an expanding universe by Carlos López-Otín, Maria A. Blasco, Linda Partridge, Manuel Serrano and Guido Kroemer (Cell 186, 243–278, 2023), which added three to the nine the same five set out in The Hallmarks of Aging in 2013. Here we describe them to you — so you can understand them and feel them. And we filmed Guido Kroemer, one of the five, on the quest.

Old cells refuse to leave.
Old cells refuse to leave.
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Cellular senescence

Old cells refuse to leave

A damaged cell has two honourable options: repair itself, or die. A third kind does neither. It stops dividing, refuses to leave, and spends the rest of your life shouting inflammatory signals at the healthy cells around it. A few are useful — that is one way the body stops a damaged cell becoming a tumour. Too many, and the whole tissue ages around them.

What you can dosomething you can do

Exercise clears some of them, which is one more reason it turns up on nearly every entry here. Senolytics — drugs that persuade these cells to finally die — are the most watched idea in the field, and they are in human trials, not on a shelf. Anything sold to you today as a senolytic supplement is running ahead of what has actually been shown.

The science, in one sentence

Damaged cells stop dividing but do not die, and broadcast an inflammatory signal into the tissue around them.

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