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Mechanism

FOXO

Highly conserved family of transcription factors (FOXO1-4) that acts as a molecular sensor of cellular stress. Regulates cell cycle, autophagy, DNA repair, and longevity. Inhibited by insulin/IGF-1, activated by fasting and caloric restriction.
Category
Scientific evidence
Moderate
Number of findings
3
Sources
Our own summaries · Cited studies

Effect by goal · level of evidence

Longevity

improves Moderate observational (A)
Confirmed longevity target

Variants of the FOXO3 gene multiply by 1.5–2.75 the probability of reaching centenarian age in German and Japanese cohorts.

View the study (cohort) →

Cancer

reduces Low-moderate preclinical (A)
Tumor suppressor

FOXO blocks the cell cycle and activates apoptosis in cells with genomic damage; a high intake of animal protein raises IGF-1, which inhibits FOXO.

Diabetes

improves Low-moderate preclinical (A)
Insulin sensor

Regulates insulin sensitivity via the PI3K/Akt cascade; activates autophagy under low-insulin conditions.

In depth

*⏱ 2 min read

FOXO proteins are members of the FOX family of transcriptional regulators, highly conserved throughout evolution from worms to mammals, and they play essential roles in longevity and healthy aging by acting as molecular sensors that translate signals from the cellular environment into changes in gene expression that modulate and coordinate the survival and health of the organism.

FOXO proteins are regulated by the insulin/PI3K/Akt signaling pathway, a complex and conserved biological system that is activated when we eat: elevated glucose levels stimulate the release of insulin, which activates PI3K, which in turn phosphorylates Akt, triggering a cascade of effects that includes the temporary inactivation of FOXO proteins, which means that eating directly inhibits the longevity mechanisms that FOXO activates.

FOXO as a nexus of essential cellular processes

A unique feature of FOXO is its ability to move between the nucleus, where it binds to DNA and influences transcription, and the cytoplasm of the cell, in response to specific signals, which places it at the nexus of essential cellular processes such as the cell cycle, apoptosis, autophagy, tumor suppression, longevity, and appetite regulation, with an exquisite sensitivity to the physiological context that allows differentiated responses depending on the intensity of the stress.

FOXO blocks the cell cycle by activating cell cycle inhibitors under stress conditions, allowing time to repair damaged DNA; it activates stress resistance genes in response to moderate stressors and apoptosis genes in response to intense stressors; it regulates autophagy, the cellular recycling system critical for healthy aging, in multiple cell types including neurons and cardiac, kidney, and muscle cells; and it participates in appetite regulation through neuropeptides in the hypothalamus.

FOXO3 and longevity

FOXO3 is a master regulator of many genes involved in stress tolerance, and it increases the production of genes that combat cellular aging, including damage to DNA, proteins, and lipids, loss of stem cell function, DNA repair, tumor suppression, and immune function; single nucleotide polymorphisms in FOXO3 are associated with increased longevity in multiple human populations studied.

In a study of more than 1,700 German adults, carriers of a variant of the FOXO3 gene were 1.5 times more likely to live to 100 years or older; in another study of more than 600 men of Japanese ethnicity, carriers of the same variant were 2.75 times more likely to live to 95 years or older, and those who lived longer tended to be leaner and enjoyed better overall health than their younger peers.

FOXO3 is activated by caloric restriction, intermittent fasting, and dietary components such as EGCG from green tea and quercetin found in onions and apples; heat stress such as that from a sauna also activates FOXO3; whereas smoking, lack of exercise, and a diet high in animal protein may inhibit it, since high protein intake is the most potent nutritional regulator of serum IGF-1 levels in humans, and IGF-1 inhibits the actions of FOXO3.

References

  1. The Pro-Longevity Gene FoxO3 Is A Direct Target Of The P53 Tumor Suppressor. doi:10.1038/onc.2011.35
  2. FOXO Transcription Factors. doi:10.1016/j.cub.2007.01.008
  3. The ins and outs of FoxO shuttling: mechanisms of FoxO translocation and transcriptional regulation. doi:10.1042/BJ20040167
  4. Triple Layer Control: Phosphorylation, Acetylation And Ubiquitination Of FOXO Proteins. doi:10.4161/cc.4.7.1796
  5. FOXO Transcription Factors At The Interface Between Longevity And Tumor Suppression. doi:10.1038/sj.onc.1209086
  6. Hormetic Dietary Phytochemicals. doi:10.1007/s12017-008-8037-y
  7. FOXO Transcription Factors: Key Regulators Of Cellular Quality Control. doi:10.1016/j.tibs.2014.02.003
  8. A C. Elegans Mutant That Lives Twice As Long As Wild Type. doi:10.1038/366461a0
  9. Extended Longevity In Mice Lacking The Insulin Receptor In Adipose Tissue. doi:10.1126/science.1078223
  10. Role Of Hypothalamic Foxo1 In The Regulation Of Food Intake And Energy Homeostasis. doi:10.1038/nn1731
  11. Association Of FOXO3A Variation With Human Longevity Confirmed In German Centenarians. doi:10.1073/pnas.0809594106
  12. Human SNP Links Differential Outcomes In Inflammatory And Infectious Disease To A FOXO3-Regulated Pathway. doi:10.1016/j.cell.2013.08.034

Information, not medical advice. Scientific evidence reflects the quality of the studies.

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