This is a highly original and insightful preprint, hopefully to be peer-reviewed soon (1st version dates Feb 2022). It is highly technical and requires time to follow through the many details both in biology and mathematical modeling (imported from the physics of dynamical systems).
Please post here in case you have insight into the paper and know of good discussions going on elsewhere.
“We analyze aging signatures of DNA methylation and longitudinal electronic medical records from the UK Biobank datasets and observe that aging is driven by a large number of independent and infrequent transitions between metastable states in a vast configuration space. The compound effect of conguration changes can be captured by a single stochastic variable, thermodynamic biological age (tBA), tracking entropy produced, and hence information lost during aging. We show that tBA increases with age, causes the linear and irreversible drift of physiological state variables, reduces resilience, and drives the exponential acceleration of chronic disease incidence and death risks. The entropic character of aging drift sets severe constraints on the possibilities of age reversal. However, we highlight the universal features of configuration transitions, suggest practical ways of suppressing the rate of aging in humans, and speculate on the possibility of achieving negligible senescence.”
Tarkhov AE, Denisov KA, Fedichev PO. Aging Clocks, Entropy, and the Limits of Age-Reversal. Systems Biology; 2022.
There are several good videos on YouTube by one of the authors, Peter Fedichev (CEO of Gero), and also a recent interview on Lifespan.io explaining the main points of his theory of aging, e.g. here: https://www.lifespan...heory-of-aging/