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Gene & Protein in Disease                                                      Buccal mucosa and aging




            Table 3. Examples of biomolecular changes in aging
            Type                           Effect                        Examples                  References
            Pathways             Mediated cell survival, growth, and   AKT1, ATM, FOXO1, FOXO3, GHR, HIF1A, IGF1,   96
                                 DNA repair               IGF1R, PIK3CA, and PIK3CB
                                 Mediated apoptosis/senescence   BAX, BCL2, CDK4, CDK6, CDKN1A (P21), CDKN2A   96
                                 signaling pathway        (P16), CDKN2B (P15), FAS, and TP53
                                 Autophagy/Survival       AMPK subunits (PRKAA1, PRKAA2, PRKAB2,      96
                                                          PRKAG1, PRKAG2), SIRT1, RPS6KB1 (S6K), and TSC2
                                 Cross-talk between the aging   KL, MYC, NFKB1, NFKB2, PPARGC1A, PTEN, TGFB1,   96
                                 pathways                 and TGFBR2
                                 Sirtuins are involved in metabolic   Sir2, SIRT1, PGC-1α, Ku70, NF-κB, AceCS1, MEF2 and   127
                                 control, apoptosis, cell survival,   p53, FOXO transcription factors
                                 development, inflammation, and
                                 healthy aging
                                 Lifespan regulation through   PGC-1α, PGC-1β, NRF-1, and ERRα       127
                                 mitochondrial DNA
                                 Stable housekeeping genes in aging  18s, HPRT1, ACTB, and TMEM199  128,129
            Epigenetics          DNA methylation, histone                                            130
                                 modifications, non-coding RNAs
            Natural killer cells in the   Biomarkers modifications during   IFN-γ, TNF-α, TNF-β, GM-CSF, CXCR3, CCR6, CCR9,   69,70,117,131-137
                          dim
            buccal mucosa (CD56  cells   aging            CCR4, IL-10, IL-4, IL6, IL-13, IL-2, IL-15, and IL-12
            and CD56 bright  cells)
            Abbreviations: IFN-γ: Interferon-γ; TNF-α: Tumor necrosis factor-α; TNF-β: Tumor necrosis factor-β; IL: Interleukin.

            cells  and the aging process  can be regulated through   invasive methods and identifying molecular biomarkers
                                   121
               120
            epigenetic changes in the body.                    to monitor cellular damage caused by both external
              Epigenetics, including DNA methylation, histone   and internal factors. Environmental hazards are well-
            modifications, and non-coding RNAs,  plays a crucial role   documented contributors to aging, leading to DNA
                                          122
            in the regulation of aging. These epigenetic modifications   damage and premature aging, which, in turn, increase
            are key regulators of gene expression  and influence   the incidence of diseases and premature mortality. As a
                                            122
            cellular responses to environmental exposures,  as well as   result, molecular biomarkers are being investigated for
                                                 99
            changes associated with aging.  Various environmental   their potential to assess DNA damage in cells, including
                                     122
            factors, such as diet, exposure to toxins, stress, smoking,   buccal and NK cells found in the oral mucosa, to enable the
            and childhood trauma, can significantly impact individual   screening and diagnosis of individuals at risk of premature
            epigenetic clocks and gene regulation.  These changes   aging. This review aims to clarify the intricate relationship
                                            123
            are directly linked to longevity across a wide range of   between environmental hazards, cellular senescence,
            organisms, from yeast to humans. 124               and DNA damage, thereby aiding in the development of
                                                               diagnostic and preventive measures. Further research
              Exposure to environmental chemicals can lead
            to changes in epigenetic biomarkers and genome     is essential to fully understand the role of biomarkers in
            function, 125,126  which accelerate aging by influencing   assessing DNA damage during aging and to identify new
                                                               targets for strategies aimed at preventing and treating
            caloric restriction, mitochondrial function, the activity
            of housekeeping genes, and metabolic enzyme control.    premature aging and age-related health issues.
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            Figure 4 illustrates how these factors contribute to cellular   Acknowledgments
            senescence. Despite these findings, further efforts are
            needed to identify the genetic and epigenetic factors that   The authors would like to acknowledge Dr.  Johannes
            contribute to aging and to determine their precise effects,   Martin Schmid from the Department of Respiratory
            thereby expanding the list of contributing factors (Table 3).  Diseases and Allergy, Aarhus University Hospital, for his
                                                               support in editing the English of this paper.
            7. Conclusion
                                                               Funding
            Given the profound impact of aging on mortality and disease
            susceptibility, researchers are continually developing non-  None.


            Volume 3 Issue 4 (2024)                         7                               doi: 10.36922/gpd.4418
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