Have you ever looked in the mirror and sighed at the increasing wrinkles or declining energy? Have you tried various expensive skincare products and health supplements, only to be disappointed with the results?
The real answer may lie in your cells. In recent years, a top research team led by core scientists who initially proposed the concept of aging hallmarks—including Carlos López-Otín, Linda Partridge, Manuel Serrano, and Guido Kroemer—published a review titled From Geroscience to Precision Geromedicine: Understanding and Managing Aging in the international top journal Cell [1]. The review updates the biological hallmarks of aging from 12 to 14. Understanding these 14 hallmarks is the first step toward scientific anti-aging.

01 What Are "Aging Hallmarks"? Why 14?
"Hallmarks" are not causes, but common, measurable functional characteristics of the body during aging. Intervening in them can delay aging and even alleviate age-related diseases.
In 2013, the landmark paper The Hallmarks of Aging was published in Cell, proposing a framework of "nine hallmarks of aging" that became the cornerstone of the field.
In 2023, an updated review expanded the framework to "12 hallmarks of aging" and introduced a new classification system:
- Primary hallmarks: Initial, causal damages (e.g., genomic instability, telomere attrition, epigenetic alterations, loss of proteostasis, disabled macroautophagy).
- Antagonistic hallmarks: Responses to primary damages—beneficial in moderation but harmful in excess (e.g., deregulated nutrient sensing, cellular senescence, mitochondrial dysfunction).
- Integrative hallmarks: Functional deficits resulting from uncompensated primary and antagonistic hallmarks (e.g., stem cell exhaustion, altered intercellular communication, chronic inflammation, dysbiosis).
In recent years, a more comprehensive review further expanded the framework to "14 hallmarks of aging," adding "extracellular matrix changes" and "psychosocial isolation." These 14 characteristics cover changes from the molecular level (e.g., genomic instability, telomere attrition) to macro-level impacts (e.g., psychosocial maladaptation), providing a comprehensive framework for understanding the complexity of aging.



02 What Are the 14 Hallmarks of Aging?
Group 1: Primary Hallmarks (Root Causes of Aging)
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Genomic Instability: More and more "typos" in DNADNA is constantly damaged by UV radiation, radiation, and chemicals, leading to cumulative damage—like a book filled with typos that becomes unreadable.Solution: Sunscreen is crucial! Eat more antioxidant-rich foods (blueberries, nuts, dark vegetables) and reduce processed food intake.
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Telomere Attrition: The "protective cap" on chromosomes shortensTelomeres are protective caps at the ends of chromosomes. Each cell division shortens telomeres; when they reach a critical length, cells stop dividing.Solution: Studies show regular exercise, meditation, and a healthy diet help maintain telomere length.
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Epigenetic Alterations: The "switches" of genes malfunctionEven if DNA sequences remain unchanged, gene "switch" states can shift, affecting gene expression—like an orchestra playing from the same score but with a faulty conductor.Solution: Supplement methyl donors such as folic acid and B vitamins; avoid bad habits like smoking and excessive drinking.
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Loss of Proteostasis: "Garbage" in cells can’t be clearedYoung cells efficiently remove misfolded proteins; with age, these "garbage" proteins accumulate, causing diseases like Alzheimer’s.Solution: Intermittent fasting (e.g., 16:8 light fasting) activates autophagy to clear misfolded proteins.
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Disabled Macroautophagy: The cell’s "recycling system" shuts downAutophagy is the cell’s self-cleaning process, which becomes less efficient with age.Solution: In addition to intermittent fasting, eat quercetin-rich foods (onions, apples) and green tea to activate autophagy.
Group 2: Antagonistic Hallmarks (Body’s Responses to Damage—Harmful in Excess)
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Deregulated Nutrient Sensing: Cells "overwork" even when "full"mTOR and AMPK are key pathways for cells to sense nutrient status. Overactive mTOR accelerates aging.Solution: Calorie restriction is one of the most effective known anti-aging methods. Try reducing sugar and refined carbohydrate intake.
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Mitochondrial Dysfunction: The cell’s "power plants" become inefficientMitochondria produce energy for the body, but their efficiency declines with age, producing more free radicals.Solution: Regular exercise is the best way to enhance mitochondrial function. Supplementation with CoQ10 or PQQ may also help.
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Cellular Senescence: "Zombie cells" lingerThese cells should die but remain in a semi-functional state, secreting harmful substances that damage surrounding healthy cells.Solution: Eat foods that clear senescent cells, such as strawberries (rich in fisetin) and ginger (rich in curcumin).
Group 3: Integrative Hallmarks (Final Functional Decline)
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Stem Cell Exhaustion: The body’s "repair team" is understaffedStem cells are responsible for tissue repair and renewal, but their quantity and activity decrease with age.Solution: Ensure quality sleep and reduce chronic stress to protect stem cell function.
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Altered Intercellular Communication: Cells "miscommunicate"Cells communicate via chemical signals; aging disrupts this communication, triggering chronic inflammation.Solution: Intervene through diet (nuts, whole grains, leafy greens), exercise (brisk walking, swimming), and lifestyle adjustments (stress reduction, sufficient sleep) to reduce inflammatory damage and maintain signal molecule balance.
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Chronic Inflammation: The body is in a state of low-grade "fire"This persistent low-grade inflammation (Inflamm-aging) is the common foundation for most age-related diseases.Solution: Increase Omega-3 fatty acid intake (deep-sea fish, flaxseeds) and reduce pro-inflammatory foods (fried foods, high-sugar foods).
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Dysbiosis: Gut microbiota "gets out of balance"Gut microbiota affects overall health, including immunity, metabolism, and even brain function. Microbiota diversity declines with age.Solution: Eat more dietary fiber and fermented foods (yogurt, kimchi, kombucha).
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Extracellular Matrix Changes: The cell’s "living environment" deterioratesAging extracellular matrix (ECM) releases collagen fragments and advanced glycation end products (AGEs), activating the TLR4/NF-κB pathway and inducing chronic inflammation.Solution: Reduce intake of grilled, fried, and ultra-processed foods; prefer steaming or boiling for cooking.
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Psychosocial Isolation: The overlooked aging acceleratorLong-term, chronic social isolation and loneliness act as powerful psychosocial stressors, activating physiological stress pathways and directly "poisoning" cells to accelerate biological aging.Solution: Join book clubs, painting classes, or choirs to meet new friends through shared interests.
03 Scientific Anti-Aging Methods
- Diversified diet: Eat more colorful vegetables, nuts, berries, and deep-sea fish.
- Regular exercise: At least 150 minutes of moderate-intensity aerobic exercise + 2 strength training sessions per week.
- Quality sleep: 7–8 hours of high-quality sleep every night.
- Stress management: Reduce stress through meditation, yoga, or deep breathing.
- Nutritional supplements: Take supplements containing nicotinamide mononucleotide (NMN) or α-ketoglutarate (AKG) to activate NAD+ metabolism and improve mitochondrial function.
- Medical devices: Hyperbaric oxygen chambers use strong oxygenation and induced mild oxidative stress to stimulate the body’s self-repair and regeneration mechanisms at the cellular level.
In summary, "aging hallmarks" are the underlying code of bodily aging. Decoding these codes means shifting from passively "treating diseases" to actively "managing health," truly achieving high-quality longevity.
Interactive Question
"Among these 14 hallmarks, which one do you think affects you the most? Which aspect of maintenance do you pay the most attention to? Tell us in the comments!"
Reference
[1] Kroemer, G., Maier, A. B., Cuervo, A. M., Gladyshev, V. N., Ferrucci, L., Gorbunova, V., ... & López-Otín, C. (2025). From Geroscience to Precision Geromedicine: Understanding and Managing Aging. Cell, 188(8), 2043-2062. https://doi.org/10.1016/j.cell.2025.03.011