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.

Proteins stop folding properly.
Proteins stop folding properly.
04

Loss of proteostasis

Proteins stop folding properly

A protein is a long ribbon that only works once it is folded into one exact shape. Your cells fold millions a minute and throw away the ones that come out wrong. As the folding and the throwing away both get less reliable, the rejects stay where they are, and they clump together.

What you can doa lot you can do

Heat and hard effort both switch on the cell’s own folding crew — a sauna and a proper workout are doing the same job by different routes. And sleep earns more credit than it usually gets: a good deal of the clearing out happens overnight, particularly in the brain.

The science, in one sentence

The systems that fold proteins into shape, and dispose of the ones that fold wrongly, become less reliable, and the rejects clump.

In the glossary
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