Applying engineering principles to curing aging (reversing aging), not just slowing aging:
SENS (Strategies for Engineered Negligible Senescence)
A practical approach to developing real anti-aging medicine
SENS is a detailed plan for curing human aging. SENS is an engineering
project, recognising that aging is a medical condition and that
medicine is a branch of engineering. Aging is a set of progressive
changes in body composition, at the molecular and cellular level, which
are side-effects of essential metabolic processes. Many of these
changes are eventually bad for us -- they are an accumulation of
damage, which becomes pathogenic above a certain threshold of
abundance.
The traditional gerontological approach to life extension
is to try to slow down this accumulation of damage. This is a misguided
strategy, firstly because it requires us to improve biological
processes that we do not adequately understand, and secondly because it
can even in principle only retard aging rather than reverse it. An
even more short-termist alternative is the geriatric approach, which is
to try to stave off pathology in the face of accumulating damage; this
is a losing battle because the continuing accumulation of damage makes
pathology more and more inescapable.
Instead, the engineering (SENS)
strategy is not to interfere with metabolism per se, but to repair or
obviate the accumulating damage and thereby indefinitely postpone the
age at which it reaches pathogenic levels. This is practical because it
avoids both of the problems with the other approaches: it sidesteps
our ignorance of metabolism (because it does not attempt to
interfere with metabolic processes and their production of
side-effects) but also it pre-empts the chaos of pathology
(because it repairs the precursors of pathology, rather than addressing
the pathology head-on).
The above diagram sums up the SENS philosophy. The strange arrows with
flat heads are a notation used in the literature of gene expression and
gene regulation, and they mean "inhibits". Thus, geriatrics is the
attempt to stop damage from causing pathology; traditional gerontology
is the attempt to stop metabolism from causing damage; and the SENS
(engineering) approach is periodically to eliminate the damage, so
keeping its abundance below the level that causes any pathology.
This website contains detailed descriptions of the components of the
SENS strategy, all of which are likely to be feasible in mice within
a decade (presuming adequate funding), and may be translatable to
humans within a decade or two thereafter. A variety of related
material is also here. Take a look around.