Translational control in cell ageing: an update

Cellular ageing refers to the progressive deterioration of cellular functions over time, often leading to cell cycle arrest (senescence) or cell death [1–3]. Ageing is characterised by several well-defined hallmarks including loss of proteostasis, telomeric shortening, mitochondrial dysfunction and changes to gene expression between young and aged cells [2–4]. Cellular ageing is one of the major contributors to organismal ageing and is thought to define the longevity of species [5,6]. In this review, we first introduce known epigenetic, transcriptional, and proteomic changes of aged cells. We then link these changes with the translational dynamics of aged cells and review the three key translation control pathways implicated in cellular ageing. We further highlight important future directions and unanswered questions to be explored regarding translational control and ageing.

Epigenetic effects of cell ageing are best characterised and include DNA methylation at certain CpG sites that almost linearly correlates with cell senescence (passaging). Overall, the number of methylated sites decreases in aged human cells, however, this trend is site-dependent, with 60% of the sites hypomethylated and 40% hypermethylated in ageing [7]. The directionality of these shifts is reliable across sites, forming the foundation of epigenetic molecular clock models. In such models, CpG sites with high correlation to the ageing are pooled and can be used to predict ages of tissue samples [8,9]. Other prominent alterations include general transcriptional amplification due to the loss of histones from the chromatin, up-regulation of cryptic promoters and ‘transcriptional noise’, and alterations of histone modifications that lead to chromatin remodelling [10–13].

Epigenetic molecular clock models have been successful in the prediction of average age, but other levels of gene expression (e.g. transcription) exhibit inconsistencies in age-related signatures dependent on individual, tissue and cell type. Gene expression signatures in natural aged samples are influenced by numerous factors, including historic exposures to radiation, infectious agents, disease and (bio)chemicals [14,15]. Controlled laboratory studies using representative cell lines and model organisms are commonly used to alleviate historic variability, but carry limitations of the in vitro culture and evolutionary or longevity differences across the typical model species (e.g. Saccharomyces cerevisiae, Caenorhabditis elegans, Drosophila melanogaster and Mus musculus) [5]. Perhaps the soundest approach to age-related research is an integrative one, studying across a range of organismal and cellular models, and potentially small human cohorts, to characterise the common and cell-specific signatures of ageing at various levels of gene expression [16,17].

Integrative sampling approaches are, to some extent, being implemented through the study of transcriptional and proteomic changes in the aged cells. Microarray and RNA sequencing have been conducted across various species and cell types, including in vitro studies of human fibroblastic cell lines and in vivo studies of human peripheral blood cells and mouse endothelial cells [18–21]. Several transcriptomic signatures are found to be conserved across the aged cells, such as down-regulation of mitochondrial and cell division genes and up-regulation of extracellular matrix (ECM) components and apoptosis signalling genes (Figure 1) [14,18–21]. Some of the most archetypal aged transcriptome traits observed in human cell lines, multicellular models such as mouse and rat tissues and human cohorts, are the increased expression of immune response factors and reduction in the abundance of ribosome protein and ribosome biogenesis factor mRNAs (Figure 1; Table 1).

Proteomic fluctuations in aged cells have been broadly studied, including in rat brain and liver tissues, mice lung tissue, human bone marrow and skeletal muscle and comprehensively in Caenorhabditis elegans [24–28]. In the aged tissues, increase in oxidoreductive (components of peroxisomes) [24,27] and immune response [25,26,28] proteins are commonly observed, alongside the decrease in ribosomal proteins, the latter mirroring transcriptomic alterations [25,27,28] (Table 2).

Numerous studies have shown that the correlation between mRNA and protein levels becomes progressively decoupled in ageing [22,29]. In young and aged mouse kidney samples, it was observed that several nutrient re-uptake membrane transporters showed decreased mRNA abundances compared with protein levels, whilst RNA splicing genes displayed the reverse effect [22]. Discordance between mRNA and proteins levels is also observable in aged killfish [4], macaque [30] and human brains [30,31]. This progressive decoupling is mediated by several post-transcriptional regulators including micro RNAs (miRNAs) and RNA binding proteins (RBPs), and the reduced proteostasis. In killfish and human brain, several differentially abundant proteins were found to have miRNA target sites in the transcripts encoding them. In human brains, the RBPs SFRS1, TIAL1 and AGO2 were associated with driving discordant mRNA–protein levels [4,30]. Reduction in protein degradation machinery component abundance, such as proteasomal subunits, ubiquitination proteins and Unfolded Protein Response (UPR) pathway proteins in aged human brain, is also a suggested contributor to the discordant mRNA and protein levels [4,31].

The incomplete correlation between mRNA and protein content has provoked research into translational signatures of aged cells, particularly with respect to the known translation control pathways [32–35]. Translation control mechanisms may suppress or incite the protein biosynthesis of certain mRNAs, as well as globally control protein output of the cell [32,36–47]. Translational control is rapid in nature [32,48] and common in stress response signalling, such as in hypoxic stress [49,50], heat shock [51,52], oxidative stress [52,53] and nutrient deprivation [52,54]. The control mechanisms can be enacted at any phase of translation (initiation [32,48], elongation [55,56], termination [55,57] and recycling [57]), with the phosphorylation of translation initiation or elongation factors, or their interacting proteins, being a common means of response mediation [29,32,35,38,39,55,58,59].

Rapidly accumulating ribosome profiling works begin to bring new insights into the translational control of aged cells [60–62]. Universal characteristics of translation-level responses from these works have emerged across aged (replicatively) yeast [63], mouse [64,65] and human cells [46,66], where reduced translational engagement and elongation rates were observed. Ribosome profiling studies in mouse liver, kidney [65] and skeletal muscle [64], and human skeletal muscle [66], revealed reduced translation of mitochondrial, ribosomal and translation factor transcripts in the aged tissues (Table 3). Human heart tissue also exhibited reduced translation of nuclear-encoded mitochondrial proteins, whilst translation of cytosolic ribosome components, including 14 Ribosomal Protein Small subunit (RPS) and 18 Ribosomal Protein Large subunit (RPL) transcripts, increased [46]. Studies in replicatively aged yeast [63] and rat liver [25] displayed increased translation of stress response transcripts such as MT2A, SGK1 and HSPB1. Mouse liver and kidney [65] and human heart tissues [46] displayed significant increases in extracellular matrix (ECM) component translation [64–66]. Overall, decreases in translation fidelity and efficiency have also been commonly observed in the aged cells across yeast, mice and humans [46,63,64].

Several key translation control pathways are emerging in the highlights of age-associated translation control research, boosted by the global profiling methods. Understanding the full evolutionary role, biological potential, and the exact mechanisms of action of translation-mediated control pathways of the aged cells is important for outlining the routes to longevity and synthetic biology developments with specific lifespan design. In this review, we update and reflect on the Integrated Stress Response (ISR), mechanistic (mammalian) Target of Rapamycin (mTOR) and eukaryotic Elongation Factor 2 (eEF2) translation control pathways of cellular ageing. We also point out the less explored avenues of translational involvement in aged cell homeostasis and outline several priority directions for future research.

The Integrated Stress Response (ISR) is a translation control pathway effecting the initiation stage of translation. In this pathway, stress signals promote the action of stress kinases, which phosphorylate eIF2 on its alpha subunit [67]. eIF2 is the main Met-tRNA_i^Met carrier and a translation factor responsible for the assembly of a functional scanning complex. eIF2 is required for start codon recognition in most cases. Phosphorylation of eIF2α (to form eIF2α-P) reduces the instance of translation initiation by stabilising eIF2 interaction with its GTP exchange factor eIF2B, and thus, decreases global translation rates [32,48].

In mammals, there are four known stress kinases capable of eIF2 phosphorylation, each triggered by distinct stress stimuli. These kinases include Heme-Regulated Inhibitor (HRI), Protein Kinase R (PKR), PKR-like Endoplasmic Reticulum Kinase (PERK) and Eukaryotic translation initiation factor 2-alpha kinase 4 (EIF2AK4) (its yeast homologue is the General Control Non-depressible 2 or GCN2), which are activated under heme deprivation, viral infection, Endoplasmic Reticulum (ER) stress and amino acid deprivation, respectively [68].

It is evident that ISR activation stimulates global repression of translation, which may be favourable for increasing lifespan (Figure 2) [69,70]. An example of the protective effect of translation repression on lifespan is known from the increased longevity of Caenorhabditis elegans upon eIF2 knock-down, as well as knock-down of many other important initiation factors (notably, eIF4G) and ribosomal proteins [70].

Alongside the global repression of translation observed under high eIF2α-P, ISR also induces translation of specific mRNAs involved in the stress response. Selective translation is thought to be mostly regulated via upstream Open Reading Frames (uORFs) in this case. The placement, length and amino acid sequence of the uORFs determines if main ORF engagement increases or decreases [71]. In mammals, eIF2α-P triggers increased translational expression of Activating Transcription Factor 4 mRNA (ATF4; also in yeast with its orthologue GCN4 where uORF control mechanism was discovered) [72–74], which transcriptionally induces expression of CCAAT/enhancer binding protein (C/EBP) homologous protein gene (CHOP). CHOP subsequently increases apoptotic signalling [72,73,75].

Activation of the ISR via the ER stress kinase PERK is regulated by the upstream UPR pathway. The UPR is activated in response to the accumulation of unfolded and misfolded proteins (ER stress) [76]. Localised within the ER are several ER chaperones, required for the folding and secretion of newly formed proteins, critical to assuring protein functionality. The UPR is activated in response to decreased protein folding efficiency, which activates PERK, increasing the eIF2α phosphorylation and decreasing the global protein synthesis [77]. In aged cells, the production of ER chaperone proteins is reduced, leading to the increased accumulation of unfolded or misfolded proteins. This activates PERK, stimulating ISR-mediated reduction in the protein synthesis and selective up-regulation of ER stress proteins via the dependence of their mRNAs on the uORF-controlled translation [78].

In several eukaryotic ageing models, phosphorylation of eIF2α by both PERK and GCN2/EIF2AK4 is prevalent [2,76]. In lower eukaryotes such as replicatively aged yeast (e.g. Saccharomyces cerevisiae and Schizosaccharomyces pombe), depletion of eIF2α-P negatively influenced lifespan, whilst its induction positively regulated autophagy and increased lifespan [63,79,80]. In contrast and somewhat surprisingly, in Caenorhabditis elegans, activation of the ISR was detrimental to longevity, with both pharmacological ISR inhibition and phosphorylation-defective eIF2α mutant extending the lifespan [81]. Ribosome profiling in yeast and rat brain and liver have indicated increase in the stress response transcripts translation in the aged tissues [25,63]. These results suggest ISR functions are complex and extend beyond translational down-regulation.

In the brain, low-level activation of the ISR is essential for memory formation and development. Excessive and/or chronic activation of ISR in the brain, in contrast, is associated with neurodegeneration [43,82]. Prolonged activation of the ISR is linked to Parkinson's Disease, Huntingdon's Disease, and Alzheimer's Disease (AD). This ISR involvement is not always correlative: for instance, in AD mouse models, reduction in the ISR by knock-out of eIF2α kinases PERK and EIF2AK4 partially alleviated the disease phenotype, improving synaptic plasticity and spatial memory. In addition, inhibition of the ISR via ISR inhibitor (ISRIB) has been shown to improve spatial and working memory deficits in aged mice [83–85]. ISR inhibition is a therapeutic target for neurodegenerative conditions which are often associated with organismal ageing, but the role of elevated ISR in the aged cells of higher metazoa remains unclear.

Overall it can be concluded that ISR functions may be mostly beneficial in the ageing of single-cell organisms. Substantial ISR activation and dysregulation can be detrimental to the lifespan and stimulate disease in complex multicellular animals [86]. In this regard, ISR functions in ageing may be linked to carcinogenesis, where ‘unicellular' genes are known to be exaggerated in the transcription profile [87]. It remains unclear to what extent ISR is beneficial to the various types of aged cells of multicellular organisms, an important future direction of research that needs to be investigated across different stressors and mitotic and post-mitotic cell types.

The mechanistic (mammalian) Target of Rapamycin (mTOR) pathway is a critical translation control mechanism regulating cell growth and proliferation. The pathway is stimulated by hormones, growth factors and amino acid availability, which positively regulate the activity of mTOR complexes 1 and 2 (mTORC1 and mTORC2) [37]. mTOR complexes contain a catalytic subunit that acts as a serine/threonine protein kinase. The activation of mTOR complexes effects numerous intracellular processes, including mRNA translation, metabolism, protein degradation and cell migration [40,88,89].

mTOR1 regulates translation via two main mechanisms. In the first mechanism, mTOR1 activates ribosomal S6 kinases by phosphorylation, allowing S6K1 to activate several facilitators of translation initiation [88,90]. Among these activation targets is eIF4B, a ubiquitous component of initiation with broad mRNA scanning stimulation activity [39,88,90]. In the second mechanism, mTOR complexes phosphorylate eIF4E-Binding Proteins (4EBPs), triggering their dissociation from the sequestered eIF4E and consequent eIF4E's return to the translation-accessible pool [88,91]. The released eIF4E associates with other initiation factors, including eIF4G, and through its binding to the 5′ mRNA cap facilitates cap-dependent translation [88,92].

Adding to the overall translation stimulation effect, translational control by mTOR incites increased expression of select transcripts, in some similarity to the global and specific effects of the ISR. Terminal Oligopyrimidine (TOP) tracts have been suggested as a feature of mRNAs specifically responsive to the mTOR activation. Notable examples of TOP mRNAs include translation-related eEF1A, eEF2 and ribosomal protein S6 [40,88].

mRNAs with long-and-structured 5′UTRs have also been considered as ‘eIF4E-sensitive’ and thus more responsive to the mTOR signalling. Importantly, these transcripts include mRNAs coding for cell cycle and proliferation regulators, such as cyclins, Vascular Endothelial Growth Factor (VEGF) and MYC [88,92].

mTOR is an extensively regulated pathway, which is suppressed in various circumstances. Under stress conditions including DNA damage and hypoxia, signalling molecules including p53, AMP-activated protein kinase (AMPK) and Regulated in Development and DNA Damage responses protein 1 (REDD1) suppress mTOR complex activity through the Tuberous Sclerosis Complex (TSC) [88]. The TSC targets mTOR activating molecule, Ras homologue enriched in brain (Rheb), hydrolysing attached GTP to GDP, to disrupt its signalling properties [93].

In recent years, interest into the role of mTOR in the context of ageing has substantially grown. Studies across Saccharomyces cerevisiae, Caenorhabditis elegans, Drosophila melanogaster and Mus musculus have indicated that mTOR is more active in ageing, with its activation negatively correlating with longevity [89,94–96]. Genetic knock-out of the S6K homologue gene SCH9 in replicatively aged yeast caused extensions in lifespan, firmly establishing the link between mTOR and longevity [97]. Similarly, in Caenorhabditis elegans, RNA interference (RNAi) inhibition of the Regulatory-Associated Protein of mTOR (RAPTOR) expression positively increased the animals’ lifespan [98,99]. Reduction in mTOR activity by caloric restriction or the canonical mTOR1 inhibitor, Rapamycin, has increased longevity in several model organisms, including Caenorhabditis elegans [100,101], Drosophila melanogaster [102,103] and Mus Musculus (Figure 3) [104,105].

Ribosome profiling studies in numerous tissues and organisms have highlighted discrepancies in translational up-regulation of mTOR signalling components within aged samples. For example, ribosome profiling of human heart tissue revealed translational enrichment of mTOR signalling components [46], whilst their down-regulation was observed in mouse kidney and liver [64]. These data imply that mTOR activation at the translational level may vary across tissues, complicating the concept of blanket mTOR up-regulation accompanying ageing.

With the general knowledge that mTOR restriction positively influences lifespan in model organisms, the question has arisen whether these findings are applicable in humans. Initially, this was investigated in cell samples from patients with Hutchinson-Gilford Progeria Syndrome (HGPS), a condition characterised by premature ageing [106,107]. The study found that Rapamycin treatment effectively delayed the onset of senescence in HGPS cells and aided in dissolving progerin aggregates, which are a central attribute of the disease. The results suggest that Rapamycin treatment may be clinically beneficial for children with HGPS and may positively influence longevity, but any longer-term effects and those across tissues in an organismal setting need to be investigated.

A concern regarding the use of Rapamycin as an ageing intervention is its ability to effect mTORC2 signalling. Whilst mTORC2 is not typically susceptible to Rapamycin inhibition, chronic exposure to the compound can lead to its inhibition, as exhibited in several studies on mice [108]. mTORC2 is known to contribute to cytoskeleton organisation and insulin signalling [89]. Studies in both mice and nematodes have shown that the suppression of mTORC2 reduces lifespan [108–111], likely due to consequently-formed insulin resistance [108]. These findings indicate that caution should be taken in administering Rapamycin or analogues of the compound (rapalogs) which are capable of inhibiting both mTORC1 and mTORC2, as mTORC2 inhibition can induce detrimental effects on lifespan [89].

Treatment with Rapamycin or rapalogs for other clinical purposes such as immunosuppression has led to prolific side effects, including neutropenia, thrombocytopenia, hyperglycemia, and pneumonitis [112]. A clinical trial utilising the rapalog RAD001, which should not affect mTORC2 functionality, in elderly individuals (over 65 years), has shown an improved immune response to influenza vaccines, exhibited by increases in antibody titers compared with placebo conditions and decreases in percentages of pro-apoptotic CD4 and CD8 T-cells. Few individuals experienced adverse side effects to the low dosages (0.5 mg daily or 5 mg weekly), indicating that RAD001 may be appropriate for clinical use in older individuals [113].

To conclude, while the positive correlative link to the mTOR activation in the aged cells seems to be well-established and supported by diverse biological evidence, we are still far away from the understanding of the functional role of mTOR in ageing. Some common-sense choices are that mTOR activation can be a compensatory response of the cells required to overcome the age-related transcriptional and DNA deficiencies, or it is an inevitable consequence of the altered transcriptome of the aged cells. Cancer cells exploit the mTOR-driven activation of Rat sarcoma virus (Ras) proteins which are important for the elevated production of the oncogenes and forming the proliferative outfit of the cells, but the mTOR-induced suppression of the autophagy was also demonstrated to render the malignant cells more vulnerable by increasing the chances of ‘energy crisis' [114,115]. Thus, the existing evidence supports a view that age-related mTOR activation can be functional in some but not all cell type contexts and the evolutionary fine-tuning of the mTOR activity has been to provide the balance fit for the species-specific environment and lifespan. Consequently, it would be impossible to broadly suppress (or activate) mTOR for an overall beneficial effect on longevity, but a targeted approach accounting for the cell type and transcriptome profile would be necessary. Therefore, more detailed information on the involvement and the purpose of mTOR pathway across the aged cells of different types and in diverse environments is required in the future, a task incorporating investigations of rapid translation-based cell responses to stress factors.

eEF2 is an elongation factor that facilitates ribosomal translocation across the codons of mRNA Open Reading Frames (ORFs). The main eEF2 regulator, eEF2 kinase (eEF2K), is activated by autophosphorylation (Thr-348 in human protein) in response to eEF2K interaction with the calcium:calmodulin complex. eEF2K can also autophosphorylate independently of calcium (Ser-500 in human protein) to become active in the calmodulin presence. Active eEF2K then phosphorylates eEF2, preventing its binding to elongating ribosomes [116,117]. By suppressing eEF2 participation in elongation, the overall rate of elongation is slowed [55,56]. eEF2K phosphorylation level is regulated by various signalling cascades. Phosphorylation of eEF2K, promoting its engagement with eEF2, is enhanced by AMPK pathway. Dephosphorylation of eEF2K is mediated by mTOR and Extracellular signal-regulated kinase (ERK) signalling [56,118].

Like the ISR, eEF2K pathway is active in stress, with eEF2K activity positively correlating with cell survival during adverse conditions. This has been observed in response to several stress stimuli, including nutrient [119], temperature [59] and genotoxic stress [120]. eEF2K activity is thought to be beneficial under stress, as it is hypothesised that the decreasing elongation rate conserves energy and improves the accuracy and fidelity of protein synthesis [56].

It has become apparent that eEF2 and its regulator eEF2K are implicated in cellular ageing (Figure 4). A ribosome profiling study in aged mouse liver showed that ribosomal occupancy in eEF2 transcripts was significantly reduced [65]. At the protein level, rat muscle samples exhibited linear decreases in eEF2 abundance across 3, 6, 12, 18 and 24 months of the animals’ age [121]. This reduced abundance of eEF2 is thought to partially contribute to the lowered translation rates in aged organisms. In addition, mTOR signalling, which is often active in ageing, to some extent regulates the activity of eEF2. mTOR signalling decreases the phosphorylation rates of eEF2K, which in turn prevents phosphorylation of eEF2, increasing its availability for translation elongation [56,89]. It thus has been proposed that suppression of eEF2K phosphorylation by mTOR signalling in ageing may negatively influence lifespan. For example, in the model organism Caenorhabditis elegans, knock-out of eEF2K orthologue efk-1 via CRISPR/Cas9 gene editing reduced translation fidelity and negatively impacted lifespan. Conversely, suppression of mTOR via Rapamycin treatment, which increased eEF2K activity, has increased translation fidelity, and extended lifespan [122]. The latter study highlights the importance of preserving translation fidelity in ageing and the likely biological function of eEF2K in the fidelity maintenance.

Yet in certain circumstances, it has been prominently demonstrated that eEF2K-induced reduction in the protein synthesis rates can be detrimental to the survivability of the cells or multicellular organisms. A pivotal study on eEF2K function in germ cells has shown that its reduced function is allowing the production of anti-apoptotic proteins and excessive survival of oocytes [123]. The increased oocyte survival in the context of species is a highly negative event, potentially leading to germline instability and embryonic defects. In contrast, in the context of neuronal function and reprogramming, it was shown that eEF2K suppression greatly reduces the Alzheimer's disease phenotype in model mice, promoting memory formation and translation-depended synaptic activity [124].

Overall, an exploration into the role of eEF2K in cellular ageing is a relatively recent research interest. Current data indicate that eEF2K activation is generally beneficial for longevity and species genetic stability, highlighting eEF2K induction as a potential therapeutic target of ageing. However, eEF2K reduces the cell capacity to rapidly respond to the stress factors, which can lead to cell death and accelerated ageing, and can be hypothesised to incur excessive DNA damage and instability and thus contribute to the carcinogenic pathways [123,124].

Evidence related to the contribution of translational dynamics to cellular ageing is becoming increasingly apparent, with several avenues prompting further exploration. Numerous examples of ribosome profiling studies have effectively characterised the aged cell translatome [63–65]. However, many of these studies took place using model organisms, with few studies conducted in humans. Existing works in human musculoskeletal tissue [66] and heart tissues [46] have highlighted aspects of the translational environment of aged cells, such as decreases in mitochondrial proteins and increases in ECM production, but there is still opportunity to broaden the range of tissues explored. There is also an increasing opportunity to utilise new techniques for investigating translation in ageing. Recent methodological advancements such as Translation Complex Profile Sequencing (TCP-seq; or its factor-selective Sel-TCP-seq variant) [125–127] may offer more detailed insight into translational control at the initiation stage for the aged cells. The TCP-seq pipeline allows for the study of 5′UTRs to characterise transcript-specific features of scanning by the small ribosomal subunits. Using TCP-seq, stalling of SSUs was observable, particularly in transcripts with long, structured 5′UTRs or uORFs, which may be of an interest to the cases of the age-related ISR and mTOR regulation [125].

In addition to the highlighted major pathways, recent studies have identified translational control through eIF5A hypusination apparent in cellular ageing. eIF5A is an elongation factor that contains a unique amino acid hypusine, synthesised by a transfer of the aminobutyl moiety from spermidine (a polyamine) to lysine 50 (human) of eIF5A [128,129]. Hypusinated eIF5A can alleviate ribosome stalling in ‘hard-to-translate’ mRNA motifs, including polyproline tracts [129,130]. Importantly, this feature of hypusinated eIF5A has been prominent in the translation of autophagic factors, such as ATG3 [130] and TFEB [131], translationally increasing their abundance. Because in ageing levels of spermidine decrease, hypusinated eIF5A becomes less available, and the autophagy is suppressed [131,132]. It is noteworthy, that a mere supplementation of spermidine in aged Drosophila brains has improved mitochondrial function and memory [128]. In aged mice, spermidine supplementation improved B-cell responses [131]. Additionally, prolonged spermidine supplementation in aged mice (6 months) improved lifespan [133]. These studies highlight the potential of spermidine as an alternative anti-ageing intervention.

Another area of interest in the field of translational control and ageing is the role of the translation rate. It has previously been shown that rates of translation decrease in cellular ageing and that the genetic knock-down of translational components is often beneficial for longevity [65,70]. Decrease of the translation rates is thought to be beneficial for several reasons. The first proposed reason is that translation is a highly energetically expensive process. By reducing translation rate in ageing, cells can redistribute energetic resources to the other processes like DNA maintenance, increasing longevity [29]. Another benefit of the reduced translation rates is the increased translation fidelity, which is considered extremely important in improving longevity [65,134]. Reducing translation rates directly rather than targeting translational control elements may be an appropriate therapeutic intervention for increasing lifespan. However, this approach is somewhat more complex, as translation must not be fully inhibited and the translation of certain genes essential for continued cellular survival must be maintained, as well as cell and tissue type-optimal translation rates must be respected.

Relating to the translation control mechanisms, another avenue of potential exploration is the therapeutic induction or reduction in the age-specific pathway mechanisms, and developments towards cell-type specific or specific stress-activated drugs. It is exciting that in all, mTOR [100,102,105], ISR [84,136] and eEF2K-based [122] age-related regulation small molecules have been successfully used to affect the pathway and increase longevity in certain circumstances (Table 4). As it becomes more apparent that the translational control has been carefully balanced by the evolution to fit the optimal longevity of the species’ individuals, cell type-selective translation effectors could be used to increase the stress resistance or decrease the proliferation programs and carcinogenicity in the critical cell types. Further research into translational control of the aged cells is needed to understand what cell types and tissues require which adjustments to extend the lifespan with minimal adverse side effects.

Cellular ageing is a complex process which elicits alterations in gene expression at all levels. Recent research into the translation-level responses has revealed several translation control pathways implicated in lifespan and longevity. In the case of mTOR and ISR, prolonged, chronic activation of these mechanisms is detrimental to lifespan, with their inactivation by inhibitors being a potential avenue for anti-ageing therapeutics. Conversely, induction of the eEF2 inhibitor eEF2K by phosphorylation is reportedly beneficial for longevity, with its activation increasing the accuracy of protein synthesis, slowing translation rates and prolonging lifespan. Potentially, activation of this pathway may be a suitable therapeutic anti-ageing target, however more research is required in model species to comment further. In all cases, directly countering the age-specific translational alterations may not be universally beneficial, and cell type, stress and homeostatic environment, as well as the species-specific lifespan need to be carefully considered. Overall, translation control pathways are an integral part of gene expression control in aged cells and present an excellent opportunity for non-genetic correction of longevity and age-related deterioration of function or disease.

• Cellular ageing is accompanied by the activation of several translation control pathways which regulate gene expression to affect cell survival during stress, DNA damage and proliferative rate. Translational control of the aged cells can underpin the evolutionary preferences of the species towards longevity, which is a biological function of high importance but insufficient understanding.

• In the aged cells, activation of ISR and mTOR is demonstrated to impede longevity, whilst inhibition of these pathways increases lifespan. Translational control by eEF2 phosphorylation with eEF2 Kinase increases lifespan in eukaryotes such as nematodes, but its effects on more complex multicellular organisms remain uncertain.

• Artificial suppression or activation of the age-specific translation control pathways has high potential for anti-ageing therapeutics. As in-depth investigation of translational responses of the cells became more universally accessible with the advent of translation profiling-type experiments, it is increasingly important to define the details of the stress and survival mechanisms of the aged cells across cell types and species with different lifespan.

The authors declare that there are no competing interests associated with the manuscript.

This work was supported by the Australian Research Council Discovery Project Grant DP180100111 (to N.E.S.) and National Health and Medical Research Council Investigator Grant GNT1175388 (to N.E.S.).

K.W. and N.E.S. contributed to the conception, drafting, revising, and final approval of the manuscript.

The authors are grateful for the critical scientific discussions to all members of the Division of Genome Sciences and Cancer of The John Curtin School of Medical Research, The Australian National University.

AD

Alzheimer's disease

AMPK

AMP-activated protein kinase

ATF4

activating transcription factor 4

CHOP

CCAAT/enhancer binding protein (C/EBP) homologous protein gene

ECM

extracellular matrix

eEF2K

eukaryotic elongation factor 2 kinase

eIF2

eukaryotic initiation factor 2

ERK

extracellular signal-regulated kinase

GCN2

general control non-depressible 2

HGPS

Hutchinson-Gilford Progeria Syndrome

HRI

heme-regulated inhibitor

ISR

integrated stress response

ISRIB

ISR inhibitor

miRNA

micro-RNA

mTOR

mechanistic (mammalian) target of Rapamycin

PERK

PKR-like endoplasmic reticulum kinase

PKR

Protein Kinase R

RAPTOR

Regulatory-associated protein of mTOR

Ras

Rat sarcoma virus protein

RBP

RNA binding protein

REDD1

Regulated in development and DNA damage responses protein 1

Rheb

Ras homologue enriched in brain

RNAi

RNA interference

(Sel)-TCP-seq

(Selective) translation complex profile sequencing

TOP

terminal oligopyrimidine

TSC

tuberous sclerosis complex

uORFs

upstream open reading frames

UPR

unfolded protein response

VEGF

vascular endothelial growth factor