While its role in aging research remains underestimated and poorly understood, AS contributes to cellular resilience by generating proteomic diversity through selective exon inclusion or exclusion, maintaining cellular homeostasis and ensuring survival following stress, energetic perturbations, and metabolic shifts (Deschenes and Chabot 2017). At the same time, the spliceosome machinery is susceptible to age‐related damage accumulation leading to cellular dysfunction through errors causing intron retention, exon skipping, and cryptic exon activation (Bhadra et al. 2020; Rodriguez et al. 2016). Comparative studies across species show that changes in the levels and types of splicing factors expressed correlate with lifespan in both mice and humans (Lee et al. 2016). These changes create an AS paradox in aging, namely that in late life, the period when resilience is most crucial, splicing fidelity declines most sharply. Indeed, regulating splicing is only one dimension in the larger spectrum of changes to ensure cell maintenance; these changes reflect a complex interplay between adaptive compensation and dysregulated error (Angarola and Anczukow 2021; Ule and Blencowe 2019). Moreover, the spliceosome itself becomes increasingly vulnerable to damage, and therefore inefficiency, blurring the distinction between adaptive and maladaptive RNA splicing.
Transcriptomic studies have found a gradual decline in the accuracy of mRNA splicing reactions linked to cancer, immune dysfunction, and neurodegeneration (Ren et al. 2021). In particular, changes in mRNA splicing in the aging brain show increased intron retention, mainly affecting pre‐mRNAs encoding metabolic and DNA repair proteins (Adusumalli et al. 2019). Studies in human brain further show that aging and neurodegeneration are associated with widespread splicing alterations (Tollervey et al. 2011). The finding that aberrant splicing creates neoantigens offers a mechanistic bridge between splicing dysregulation and immune aging, as these neoantigens may accelerate immunosenescence and neuroinflammation (Li et al. 2025). Aberrant splicing of disease‐associated proteins directly implicated in neuronal pathology, such as UNC13A in TDP‐43, exemplifies maladaptive AS events, while increased intron retention in metabolic proteins may represent evolved adaptive responses (Brown et al. 2022).
The effect of LPHC diets on longevity reported by Brandon et al. illustrates nicely this aging splicing paradox, that is, a health‐promoting diet may provide a practical ad libitum approach to modulating the energy‐splicing resilience axis. By targeting both mitochondrial metabolism and splicing, such strategies may enable personalized interventions that optimize AS patterns to preserve healthy proteomes in older populations.
To be able to design therapies directed at the spliceosome with the goal of slowing or improving aging, it will be essential to answer three key questions. First, how can adaptive, resilience‐promoting splicing be confidently distinguished from maladaptive events? Second, how does AS change over time in different tissues? Third, how do specific dietary interventions, macronutrient ratios, or pharmacologic modulators influence splicing outcomes? We propose that the answers will emerge from multi‐omics approaches, functional validation in multiple model systems, and careful consideration of tissue‐specific effects (Yu et al. 2022). Ultimately, intervention studies are essential for distinguishing adaptive from maladaptive splicing, optimizing dietary and pharmacologic modulation, and establishing AS as a therapeutic target for promoting healthy longevity. With its positive and detrimental impacts, AS exemplifies both the vulnerability and the adaptive potential in aging: AS decline contributes to molecular disorder, while modulating AS may be leveraged to increase resilience.