Hallmarks of Aging: Updated 2023 Framework
Lopez-Otin et al. expand original hallmarks framework to 12 interconnected aging mechanisms, providing organizing structure for intervention research.
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Longevity investment thesis: core 60% in GLP-1 and metabolic compounders (Lilly, NovoNordisk), satellite 25% in disease-specific longevity-adjacent (senolytics, mTOR, autophagy), exploratory 15% in platforms (Altos, Retro, NewLimit) with multi-year capital commitment.
Key Points
GLP-1 receptor agonists are demonstrating longevity-adjacent benefits at scale.
Partial cellular reprogramming has cleared the tumorigenesis bar in mouse studies.
FDA acceptance of Loyal's canine longevity application opens regulatory pathway precedent.
Retail longevity-supplement market booms without clinical evidence base.
Cumulative longevity biotech capital
$11B
$3B YoYdisclosed, all-time
GLP-1 MACE risk reduction (SELECT)
−20%
vs placebonon-diabetic, CV disease
Clinical-stage company concentration
70%
of capital in 8 cos.Endpoints
Hallmarks of Aging (current)
12
vs 9 in 2013Cell, Lopez-Otin et al.
Lopez-Otin et al. expand original hallmarks framework to 12 interconnected aging mechanisms, providing organizing structure for intervention research.
SELECT trial: semaglutide reduced major adverse cardiovascular events by 20% in overweight, non-diabetic patients with existing CV disease.
Both companies focus on partial cellular reprogramming via Yamanaka factors; recent mouse studies show tissue rejuvenation without tumorigenesis.
Unity's UBX1325 advanced to Phase III for diabetic macular edema; BioAge's azelaprag in Phase II for obesity-related muscle loss.
FDA's Center for Veterinary Medicine has accepted Loyal's pharmaceutical for evaluation of reasonable expectation of effectiveness for canine lifespan extension.
Total disclosed longevity-biotech capital reached $11B cumulative; ~70% concentrated in 8 companies. Retail-product market remains evidence-light.
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