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. 2009 Nov 17;1(11):887–902. doi: 10.18632/aging.100081

Table 1. A comparison of the mechanistic theories and biological processes of aging with the health effects of IR.

Aging processes Causes of aging Physiological characteristics Aging health effects IR health effects
Accumulated wear and tear
Free-radical damage and oxidative stress Endogenous or exogenous free radicals [11, 12]. Damage to proteins (glycation), lipids and DNA [36,43, 44,45,48]. Cancer, cataracts, atherosclerosis and Alzheimer's plaques. Yes: Can cause DNA DSBs, apoptosis and inflammation [16, 53,81].
Mito-chondrial damage Endogenous electron leakage [12]. Increased 8-oxo-dG lesions in mitochondrial DNA and decreased repair [83]. Cancer and neurodegeneration [37]. Yes: 8X more γ-ray oxidative damage to mitochondrial than nuclear DNA [39].
Rate of living The higher the metabolic rate, the shorter the life span [160]. Oxidative damage increases with metabolic rate [161]. Calorie restriction lowers body temperature, increases life span [154]. No: Ability to change metabolic rate not found in literature.
Telomere shortening Oxidative stress [93]. Shorter telomeres lead to replicative senescence [91,95]. Cardiovascular disease [98, 97]. Segmental aging in some progerias [138]. Ambiguous: No change in telomere length [102]. Short telomeres increase sensitivity to radiation [103,105].
Programmed senescence and other processes
Telomere shortening "Mitotic clock" [90] As above. As above. As above.
Senile endocrineand auto-immune response Hypothalamus receptor insensitivity and increased autoimmunity [162]. Hyperinsulinemia, reduced innate and adaptive immune response (immunosenescence) and increased autoimmune antibodies [163]. Diabetes, autoimmune hypothyroidism, rheumatoid arthritis. No: No dose response for autoimmune hypothyroidism and rheumatoid arthritis in A-bomb survivors [15,26]. Excess type 2 diabetes only at high doses [142].
Immunological decline Hormone levels. Decreased naïve T-cells and lymphocytes [23]. Viral and bacterial infections, i.e., pneumonia. Ambiguous: Evidence of immunological decline in A-bomb survivors [23, 53, 54], but infectious disease is not in excess [30].
‘Metabolic' aging Metabolic syndrome and activation of the TOR pathway [152]. Increased insulin resistance, blood glucose and leptin. Diabetes, cardiovascular disease, stroke, hypertension and dementia Ambiguous: A-bomb survivors show high blood pressure and cholesterol, excess atherosclerosis, but no excess diabetes and dementia [15,19,20].