Mechanism

Autophagy

Autophagy is the cell's recycling system: it breaks down and reuses damaged components. Maintaining it is linked to healthier ageing, and several longevity interventions act partly through it.

Also known as: autophagy, self-eating, autophagic

What autophagy is

Autophagy (“self-eating”) is a conserved process by which a cell packages worn-out proteins and organelles and delivers them to lysosomes for breakdown and recycling. It is a core part of cellular quality control.

Why it matters for longevity

Autophagy tends to decline with age, and impaired autophagy is implicated in many age-related diseases. Conversely, several of the most robust pro-longevity interventions in animals — caloric restriction, fasting and mTOR inhibition with rapamycin — increase autophagy, which is thought to be part of how they work.

What the evidence shows

The mechanistic and animal evidence is strong, and the 2016 Nobel Prize recognised the underlying biology. Direct proof that boosting autophagy extends healthy human lifespan does not yet exist, and most “autophagy-activating” supplements are unproven for that purpose.

Bottom line

Autophagy is a credible target, but treat consumer claims of “activating autophagy” for longevity with caution.

Sources & references

  1. Levine B, Kroemer G. Biological functions of autophagy genes: a disease perspective. Cell. 2019. doi:10.1016/j.cell.2018.09.048
  2. López-Otín C, et al. Hallmarks of aging: an expanding universe. Cell. 2023. doi:10.1016/j.cell.2022.11.001

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Educational information, not medical advice. Evidence ratings follow our methodology.