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.

The clean-up crew slows down.
The clean-up crew slows down.
05

Disabled macroautophagy

The clean-up crew slows down

Cells eat their own broken parts and build new ones out of the pieces. It is the most efficient recycling scheme in nature, and it runs hardest when nothing is coming in. With age it slows, the rubbish stays where it falls, and a great deal of what ageing feels like from the inside is that pile.

What you can doa lot you can do

This is the one that answers to a decision you make at breakfast. Leave a real gap without food — a shorter eating window, or a longer fast now and then — and the crew goes to work. Hard exercise calls them out too. Coffee, green tea and olive oil each nudge it along. Rapamycin is the strongest trigger we know of, and it is a prescription drug still under study.

The science, in one sentence

The cell’s bulk recycling system, which breaks down its own damaged parts so the material can be reused, becomes less active with age.

Back to all twelve

All twelve, one by one

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