### Gene Overview: TTC23L-AS1

**Gene Symbol**: TTC23L-AS1  
**Type**: Long non-coding RNA (lncRNA)

TTC23L-AS1 is an antisense long non-coding RNA gene located in the human genome that is believed to play a role in the regulation of gene expression, although detailed mechanisms are still under investigation.

### 1. Associated Genes
While the specific associations of TTC23L-AS1 with other genes can vary based on different studies, it is known to potentially interact with genes involved in various biological processes and diseases. Some genes that have been studied alongside or reported in association with TTC23L-AS1 in research literature include:

- **TTC23**: Since TTC23L-AS1 is an antisense RNA to TTC23, it may be involved in the regulation of this gene.
  
Other genes may not have been explicitly mentioned in the summaries but can be indirectly related through regulatory networks or pathways influenced by lncRNAs.

### 2. Aging and Age-Related Diseases
The understanding of the direct involvement of TTC23L-AS1 in aging or age-related diseases is still emerging. However, emerging research suggests roles for lncRNAs in cellular processes linked to aging, such as:

- **Cellular senescence**: lncRNAs are often implicated in the regulation of pathways associated with cell aging. Alterations in lncRNA expression profiles, including those involving TTC23L-AS1, can be observed in aging tissues.
  
- **Inflammation**: Chronic inflammation is a hallmark of aging and many age-related diseases. lncRNAs like TTC23L-AS1 may contribute to inflammatory pathways.

Specific studies are necessary to provide more concrete connections between TTC23L-AS1 and aging or age-related diseases.

### 3. Drug Interactions
As of now, there are no specific drugs or drug classes well-documented to interact directly with TTC23L-AS1. However, research has indicated that lncRNAs can influence the efficacy and mechanism of various therapeutic agents, particularly in cancer and other diseases. Future studies might uncover specific drug interactions or therapeutic implications involving TTC23L-AS1.

### 4. Pathways and Biological Processes
TTC23L-AS1 may participate in several biological processes, primarily through the regulation of gene expression and chromatin remodeling. Although specific pathways have not been definitively outlined in relation to TTC23L-AS1 due to its status as a relatively less-characterized lncRNA, here are some general biological processes it could potentially influence:

- **Gene silencing and transcriptional regulation**: lncRNAs are often involved in epigenetic regulation and may modulate the expression of neighboring genes (e.g., TTC23).
  
- **Response to stimuli**: lncRNAs are known to play roles in cellular responses to external signals and stressors, which could relate to various physiological or pathological states.

Further functional studies are necessary to ascertain the exact biological pathways and implications of TTC23L-AS1 in cellular contexts.

### Conclusion
TTC23L-AS1 represents a developing area in the study of non-coding RNAs with potential roles in gene regulation, aging, and disease. Future research is imperative to delineate its functions, associated pathways, and clinical significance.