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Is there a need for consensus in aging biology?

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Abstract

In a 2020 paper, 37 authors, all researchers and students in aging biology, pointed out a general lack of consensus in their field, “even on the most fundamental questions”. They evoked a “problem”, for which a solution has yet to be found. But what exactly does this lack of consensus specifically refer to and why should it be inherently problematic? Here, I would like to explore three distinct philosophical reactions when dealing with this issue. First, I will assess the extent to which this lack of consensus can be taken as evidence that science, in a sense, needs philosophy. Then, I will examine how it may be related to the particular nature of the aging phenomenon, which both science and philosophy can help describe and understand. Finally, I will show that this lack of consensus could also be considered, not as a problem, but as an opportunity to question the role of pluralism and the importance of ambiguity in science in general, and in aging biology in particular.

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  1. In 1990, Medvedev had already identified more than 300 biological theories of aging (Medvedev, 1990).

  2. (i) What is aging? (ii) Is aging a disease? (iii) Is aging inevitable? (iv) Do all living beings age? (v) Can aging be measured? (vi) Is aging a phenomenon restricted to the organism level? (vii) Do physical objects age in the same way as living beings? (viii) What logical relationships exist between the many theories of aging? (ix) Does the concept of aging differ between physiological and evolutionary biology?

  3. Though it may not be the case in other domains, such as psychiatry (see especially Spitzer et al. 1967; Shrout et al. 1987).

  4. The italics are ours.

  5. More precisely, these recommendations are: (i) to “make more room for philosophy in scientific conferences”; (ii) to “host philosophers in scientific labs and departments”; (iii) to “co-supervise PhD students”; (iv) to “create curricula balanced in science and philosophy that foster a genuine dialogue between them”; (v) to “read science and philosophy”, since “reading philosophy can also constitute a great source of inspiration for researchers”; and finally (vi) to “open new sections devoted to philosophical and conceptual analysis issues in science journals” (Laplane et al. 2019).

  6. “The aging of a mechanism is a process resulting from the combination of mechanisms limiting its lifespan (“promotive”) and mechanisms modulating their effects (“protective”). The balance between the effects of these two types determines the rate of aging.”.

  7. (ii) Is aging a disease? (iii) Is aging inevitable? (iv) Do all living beings age? (v) Can aging be measured? (vi) Is aging a phenomenon restricted to the organism level? (vii) Do physical objects age in the same way as living beings? (viii) What logical relationships exist between the many theories of aging? (ix) Does the concept of aging differ between physiological and evolutionary biology?

  8. For example, many papers recently reported a significant increase in life span (lifepsan) or healthy life span (healthspan) in a model organism. Such articles are necessarily based on the follow-up of individuals during their entire life span. See for example: (Bitto et al. 2016; Eisenberg et al. 2016; Catterson et al. 2018; Bárcena, et al. 2019).

  9. Here, it seems important to acknowledge the existence of certain tests that are used in geriatrics to assess the health status of elderly patients. Indeed, many of these tests have been carefully designed to take into account (some aspects, at least) of the psychological dimension of aging (see, for example, the use of the G-CODE for clinical research in older patients with cancer (Paillaud et al. 2018)). However, one may ask: do these tests really make it possible to account for the individual, lived experience of aging?

  10. Please note that this is the same Alan Cohen as in (Cohen et al. 2020a), but with different colleagues and a rather different approach.

  11. I am well aware that the notion of “biology” was forged at the very beginning of the nineteenth century, or at most in the middle of the 18th (McLaughlin 2002). I am therefore speaking here of “biological” considerations in a very broad sense, allowing to consider Western philosophy as a whole, since Antiquity.

  12. I am focusing here on “classical” Western philosophy. In this respect, it would be interesting to consider the possible contribution of other philosophical traditions, as suggested by the work of François Jullien, which I will cite later.

  13. Those stages are: fertilization, blastocyst development, blastocyst implantation, embryo development, fetal development.

  14. This enumeration of the different forms of integrative biology is based on the three forms of holism identified by Anne Harrington in her history of “holism” in German culture (Harrington 1999).

  15. Without going into detail, let us simply consider the huge gap between, on the one hand, demographic studies of aging, which focus on populations to explore the hereditary dimension of aging (Vaupel 2010), and, on the other hand, the genetics of aging, which is interested in the particular phenotype of certain individuals (phenotype of healthy aging or exceptional longevity, for example) in order to identify genes and mutations that might be associated with a certain type of aging (Brooks-Wilson 2013).

  16. DSBs: DNA Double-Strand Breaks.

  17. In French, « pivot» means swivel.

  18. As Ilana Löwy (Löwy 1992) points out, such examples of imprecise and/or ambiguous use of certain terms or theories that are temporary but also necessary can be found in the history of the nineteenth century physics or twentieth century genetics.

  19. Interestingly, it seems that similar notions are used in gerontology and geriatrics – in particular: “decompensation”, “disengagement” or “fragility”. However, a more in-depth analysis of these concepts, and of the field from which they originate, would be necessary before any conclusion could be drawn.

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Acknowledgements

I am grateful to Lucie Laplane, Claire Crignon, Michael Rera, Ilana Löwy, Cornelius Borck, and especially to Marie Gaille, for helpful discussions and valuable comments and feedback on previous versions of this paper.

Funding

This research was conducted within the framework of a doctoral contract financed by the École polytechnique (allocation ministérielle spécifique polytechnicien, AMX) within the SPHERE laboratory (CNRS, UMR7219) and the École doctorale 623.

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Correspondence to Clémence Guillermain.

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Guillermain, C. Is there a need for consensus in aging biology?. Biol Philos 37, 49 (2022). https://doi.org/10.1007/s10539-022-09882-x

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