3.1. Environmental Radiation
3.1.1. Ikaria
The study on environmental radiation and longevity in Ikaria provides intriguing insights into the potential impact of natural radiation on human lifespan [
3,
4]. Ikaria, an island in the eastern Aegean Sea, is divided into two main geological regions: the eastern part, consisting largely of metamorphosed sedimentary formations with low natural radioactivity, and the western part, dominated by granite formations with medium to high levels of radioactivity. Measurements of surface natural radioactivity identified three distinct areas of radiation exposure on the island, with annual dose equivalents ranging from 0.20 to 3.31 mSv per year. The western and west-north parts of the island have medium to high levels of gamma radiation, primarily due to radium-226. In this area of island the indoor radon concentrations are as high as 583 Bq/m³ [
5]. The eastern part has significantly lower radiation levels [
4].
Key findings from demographic data collected by the National Statistical Service of Greece (NSSG) reveal significant differences in longevity based on these geographic distinctions [
3,
4]. Areas with higher environmental radiation showed significantly better survival rates and a higher percentage of elderly people aged 90 and above, especially in men. The survival rates were almost 88% higher for men and 4% higher for women in the high-radiation areas compared to the low-radiation regions [
3,
4]. Participants from high-radiation areas had similar clinical and lifestyle characteristics to those from low-radiation areas [
3,
4].
3.1.2. Sardinia
In Sardinia, the population is geographically divided into two groups based on longevity, despite minimal differences in commonly monitored markers [
6]. These groups are located in distinct areas of the island: the BZ in the mountainous inner region, where male longevity is particularly pronounced, and the rest of the island, where longevity levels are similar to those in other parts of Italy. The BZ, comprising 192 municipalities, shows an Extreme Longevity Index (ELI) of 21.8 per ten thousand, while the remaining 185 municipalities have an ELI of 10.3 per ten thousand.
While nutritional variables showed no significant differences between the two groups, overall caloric intake and nutritional quality were similar across Sardinia. This indicates that dietary factors were not the primary drivers of the observed differences in longevity.
The authors of the study pointed out physical activity as a possible factor responsible for the variation in longevity between these two populations [
6]. The long-lived population is pastoral, with shepherds as the primary occupation, while the rest of the island is more agricultural. Shepherds, who engage in continuous, moderate physical activity, typically live in more rugged terrains, with an average slope of 15.2% compared to 11.5% in other areas. This physical activity, which includes walking long distances on steep paths, is associated with increased energy expenditure and better cardiovascular fitness, contributing to longer lifespan. However, it is important to note that there is no evidence that pastoral populations living in rugged terrains in other European countries or worldwide have an extended lifespan, despite the increased physical activity.
The search for a key factor influencing the variation in longevity among Sardinian populations continues, as physical activity alone does not fully account for the observed differences. The region of Sardinia with a long-lived population overlaps with the part of the island with the highest levels of radon [
13]. Nuoro and Ogliastra are the provinces in Sardinia that are widely affected by the problem of indoor radon [
14]. The radon situation in Nuoro, the capital of this province, was studied through measurements in schoolrooms [
15]. The highest recorded radon concentration in this study was 952.8 Bq/m³. This level exceeds both the European Commission's recommended reference level of 300 Bq/m³ for indoor spaces (Directive 2013/59/Euratom) and of Italy's highest acceptable radon concentration of 500 Bq/m³ in workplaces (Legislative Decree 241/2000). The concentration observed is almost double the Italian workplace limit. This high radon level was linked to the geological composition of the area, particularly the presence of granite and tonalithic granodiorite. Of note is that Nuoro and Ogliastra provincials are the core of the Sardinian BZ. This suggests that, similar to Ikaria, radiation could be an important factor contributing to the longevity of populations living in areas with increased natural radiation.
On the other hand, natural radiation, particularly exposure to radon gas, is recognized as a primary risk factor for lung cancer. Radon, a radioactive gas naturally emitted from the decay of uranium in soil, rocks, and water, can accumulate in indoor environments such as homes and workplaces, especially in regions with high geological radon levels. Long-term exposure to radon and its decay products can lead to lung cancer, with the risk being especially high for smokers.
The implication of connection between radiation and longevity, particularly in BZ like Ikaria and Sardinia, must be approached with nuance, given the established risks of radiation, such as radon exposure. According to the World Health Organization (WHO), radon is the second leading cause of lung cancer globally, accounting for up to 14% of cases. The WHO recommends that radon levels in homes should remain below 100 Bq/m³ to minimize health risks, and elevated levels should prompt remediation. Therefore, regions with naturally high radon levels face a higher risk of lung cancer and other radiation-related diseases.
This evidence underscores a key point: natural radiation alone cannot fully explain the extended lifespan of populations in BZ. Harmful effects of high radiation levels, such as increased cancer risks, are well documented. However, the longevity observed in Ikaria and Sardinia suggests that moderate levels of natural radiation may act in a synergistic manner with other health-promoting factors to contribute to longer lifespan.
3.2. Nutrition
Among the features of BZ inhabitants, described in the literature, their eating habits hold a prominent place. Each BZ has a distinct food culture shaped by local history, geography, and resources. Ikarians eat a variation of the Mediterranean diet, with lots of fruits and vegetables, whole grains, beans, potatoes, and olive oil [
16,
17]. Nutrition habits of Sardinians also are similar to the Mediterranean diet, meaning it is rich in whole grains, fruit and vegetables, and legumes. Healthy fats like olive oil take preference over saturated fats like butter and meat is consumed only in moderation [
18].
The Mediterranean diet, rich in minimally processed plant foods, is apparently linked to a reduced risk of chronic diseases and increased life expectancy [
19]. Clinical trials show that its benefits in the prevention of cardiovascular disease, type 2 diabetes, atrial fibrillation, and breast cancer. The diet's positive effects likely result from five key adaptations: (a) lowering lipid levels, (b) protecting against oxidative stress, inflammation, and platelet aggregation, (c) modifying hormones and growth factors linked to cancer, (d) inhibiting nutrient-sensing pathways through amino acid restriction, and (e) promoting gut microbiota to produce health-boosting metabolites [
19].
While the Mediterranean diet is renowned for its health benefits and is widely followed in Mediterranean countries, it does not appear to be a key factor in the extreme longevity observed in Blue Zones (BZ). Although this diet is linked to reduced risks of chronic diseases, such as cardiovascular disease, cancer and diabetes, and supports overall well-being, data suggest that it cannot fully explain the extended lifespans seen in BZ populations. This highlights the possibility that other factors may play a more significant role in promoting longevity in BZ regions.
The diet of populations in BZ like Ikaria and Sardinia is predominantly plant-based, relying almost exclusively on vegetables and fruits that are grown locally within the BZ regions. What sets these plants apart from those cultivated outside of BZ is their exposure to environmental stress, particularly radiation stress. This environmental challenge triggers a unique response in the plants: the synthesis of secondary metabolites. These compounds are part of the plants’ natural defense mechanisms against radiation thus contributing to plants resilience.
Secondary metabolites, which include carotenoids, polyphenols, flavonoids, and terpenes, are known for their potent antioxidant, anti-inflammatory, and protective properties [
20]. When consumed as part of the local diet, these stressed plants potentially confer greater health benefits to the people living in BZs. The abundance of these bioactive compounds may contribute not only to the prevention of age-related diseases and extraordinary longevity.
This dietary pattern, centered on locally grown, radiation-stressed plants, suggests that this unique environmental conditions and the resulting plant biochemistry in BZs could be a factor in promoting the remarkable lifespan of their inhabitants, eventually complementing some other lifestyle and genetic factors characteristic of these regions.
3.3. Plants Secondary Metabolites and Their Impact on Health and Longevity
To select secondary metabolites that are essential for protection against natural radiation in Blue Zones (BZs), we analyzed phytochemicals proven to be radioprotective. In Ref. [
21], 41 phytochemicals with radiation protective properties were reviewed, of which 19 are secondary metabolites (
Table 1). We compared the electronic properties, represented by parameters AQVN and EIIP, of the compounds in
Table 1 with 2,853 plant secondary metabolites from the PSC database [
22] (
Supplementary Table S1). The results in
Figure 1 show that 63% of the compounds from
Table 2 function as electron acceptors or electron donors, compared to only 37% of the secondary metabolites from the PSC database with similar properties. This suggests that these plant metabolites that are radiation protective could not only mitigate the harmful effects of radiation by scavenging free radicals but also repair molecular oxido-reductive defects caused by radiation in biological macromolecules. This aligns with the concept of electronic biology proposed by Albert Szent-Györgyi, where electron donors and acceptors play a key role in correcting oxido-reductive damage by adding or removing electrons from the conductive bands of biological macromolecules, thereby restoring their function and stability [
23]. Their molecular features and redox-modulating capacity suggest a pharmacophore potential, making them attractive scaffolds for the design of next-generation anti-aging and antisenolytic drugs.
From a pharmacological perspective, these compounds may serve as leads for drug development aimed at modulating cellular stress responses, DNA repair, or epigenetic regulation. Their ability to mimic or enhance endogenous protective mechanisms positions them as valuable candidates for therapeutic applications targeting age-related diseases and senescent cell clearance.
Alterations in DNA methylation patterns play a key role in epigenetic aging by affecting gene expression without changing the DNA sequence. As we age, DNA methylation patterns change: there is a progressive loss of methylation sites in DNA creating a noise in gene expression, but the correlation with biological aging is due to the gain of methylation (gene silencing) at particular sites in the genome [
24]. Silencing of genes involved in cell repair should promote aging.
In long-lived people from Blue Zones, it's possible that their DNA methylation patterns remain more stable or favor gene expression that supports longevity. This could help maintain healthier aging processes compared to others. To further understand the longevity observed in Blue Zones, it is essential to investigate the possible role of secondary metabolites found in the local diets. These bioactive compounds, such as polyphenols and flavonoids, commonly present in plant-based foods, may play a crucial role in modulating DNA methylation by protecting DNA methylation/demethylation proteins from oxidation. Secondary metabolites have been shown to exhibit antioxidant, anti-inflammatory, and epigenetic regulatory effects, potentially influencing the methylation patterns that control gene expression. By maintaining proper methylation balance, these compounds could help suppress harmful methylation changes associated with aging, thereby promoting healthier aging and longevity. Studying the interaction between these dietary components and DNA methylation in Blue Zone populations could offer valuable insights into natural strategies for controlling the aging process and preventing age-related diseases.
DNA methyltransferases (DNMTs) play a key role in epigenetic aging by regulating DNA methylation, a critical process for controlling gene expression. DNMT1 is responsible for maintaining existing methylation patterns after DNA replication, ensuring the preservation of established gene expression profiles. DNMT3 enzymes, on the other hand, facilitate de novo methylation, establishing new methylation marks on unmethylated DNA. This dynamic control by DNMTs can influence age-related changes in gene expression, with alterations in their activity contributing to the aging process through aberrant methylation patterns [
24].
The ISM analysis revealed that the primary structures of proteins interacting with quercetin—a predominant secondary metabolite in plants exposed to radiation—encode information corresponding to the IS frequency F(0.289) [
25]. Cross-spectral analysis between quercetin methyltransferases and human DNA methyltransferases (DNMTs) showed a strong peak at frequency F(0.289) for DNMT3A, indicating a high probability of interaction. DNMT1A also exhibited a peak, though of lower intensity, suggesting weaker binding affinity, while DNMT3B showed minimal spectral overlap, indicating a low likelihood of interaction (
Figure 2). These findings suggest that quercetin may act as a selective modulator of epigenetic aging, primarily through its interaction with DNMT3A, and to a lesser extent with DNMT1A, highlighting its potential role in influencing age-related epigenetic regulation.
Environmental radiation leads to an overproduction of reactive oxygen species (ROS) in plants, which can damage proteins, membrane lipids, carbohydrates, and DNA. Manganese (Mn) accumulation helps plants boost their tolerance to this stress by inducing Mn superoxide dismutase at the transcriptional level to combat ROS and activating Mn-dependent proteins to preserve cellular integrity [
26]. Additionally, a positive correlation has been observed between serum Mn levels and serum protein klotho, a well-known anti-aging marker [
27]. This suggests that consuming plants rich in Mn, grown in areas with environmental radiation, may contribute to the longevity of people living in BZs like Ikaria and Sardinia.