**NUTM2A-AS1 Overview:**

The NUTM2A-AS1 gene is a long non-coding RNA (lncRNA) located on chromosome 4. It is part of the NUTM2A gene’s antisense transcript. As a non-coding RNA, it is involved in various regulatory functions but does not encode a protein.

### 1. Associated Genes:
NUTM2A-AS1 is primarily associated with its nearby gene NUTM2A, which is implicated in various biological activities and has been studied regarding its role in different cancers. While specific additional genes may not be directly linked or mentioned frequently, non-coding RNAs like NUTM2A-AS1 may have interactions in regulatory networks that include genes relevant for development and disease mechanisms. Some other genes and mechanisms potentially associated based on broader functional studies may include those regulated by NUTM2A expression or genes involved in similar pathways, which need to be explored through experimental data.

### 2. Aging and Age-Related Diseases:
Although specific direct associations of NUTM2A-AS1 with aging or age-related diseases are not extensively documented, research suggests that some lncRNAs are involved in the regulation of cellular senescence and may impact age-related pathological processes. Long non-coding RNAs like NUTM2A-AS1 may play a role in chromatin remodeling and gene regulation, mechanisms that are central to the aging process. Further research is needed to clarify its specific role in aging or disorders such as Alzheimer's disease, cardiovascular diseases, and cancer related to aging.

### 3. Drug Interactions:
Currently, there is limited specific information regarding drugs or drug classes that are known to interact directly with the NUTM2A-AS1 gene. Since it is a lncRNA, interactions might be indirect, occurring through modulation of pathways affected by RNA or altered expression levels during treatment. Exploration of databases focusing on RNA and cancer therapies may yield better insights into relevant compounds.

### 4. Pathways and Biological Processes:
NUTM2A-AS1 is involved in several biological processes predominantly linked to regulation, including:

- **Gene regulation**: Long non-coding RNAs often function as regulators of gene expression through chromatin modification, transcriptional interference, and molecular signaling pathways.
- **RNA processing**: Some lncRNAs play roles in the splicing and processing of other RNAs.
- **Cellular proliferation and differentiation**: Given its proximity to the NUTM2A gene, NUTM2A-AS1 may be implicated in pathways important for cellular growth and survival.
- **Cancer progression**: Due to its association with the NUTM2A gene, which has been linked to oncogenic processes, the lncRNA might influence pathways related to tumorigenesis and metastasis.

Further research, particularly using genomic and transcriptomic approaches, may provide deeper insights into the functional capabilities and the physiological relevance of the NUTM2A-AS1 gene as well as its interactions in pathological contexts.