Nicoletti · Molecules (Basel, Switzerland) 2025 · narrative review · n=?

From Elixirs to Geroscience: A Historical and Molecular Perspective on Anti-Aging Medicine.

Cited 5 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and historical synthesis without primary data or systematic search methodology

PubMed 41471752 · doi:10.3390/molecules30244728 · record verified 2026-08-30

What was done

This narrative and historical review traces the conceptual evolution of longevity medicine from ancient practices to modern molecular geroscience, outlining historical milestones, mechanistic pathways, and candidate interventions across model organisms and early human trials.

What was found

The abstract reports no quantitative data or numerical outcomes. It qualitatively describes the transition toward framing aging as a modifiable biological process and lists key molecular targets (nutrient-sensing networks including mTOR, AMPK, and sirtuins, mitochondrial regulation, proteostasis, cellular senescence) and interventions (caloric restriction, fasting-mimicking diets, rapalogues, sirtuin activators, metformin, NAD+ boosters, senolytics, GlyNAC).

Why it matters

It synthesizes the shift from historical longevity elixirs to molecular geroscience targeting biological aging to prevent multiple age-related chronic diseases.

Limits

The paper is a narrative overview without primary empirical data, systematic review methodology, or meta-analytic pooling. Most discussed interventions rely heavily on model organism data, with human evidence limited to early-stage biomarker and physiological studies.

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