The RNA5SP462 gene is a non-coding RNA gene located within a cluster of small nucleolar RNAs (snoRNAs). It plays a role in the biogenesis and modification of ribosomal RNA, specifically ribose methylation.

### 1. Associated Genes
While specific associations can vary by organism and context, RNA5SP462, being part of the snoRNA family, may be functionally linked to other snoRNA genes or ribosomal RNA processing genes. Some related genes involved in similar processes include:

- Other small nucleolar RNAs (snoRNAs), such as those in the C/D box and H/ACA box families (e.g., SNORD3, SNORA35).
- Genes involved in ribosome biogenesis like RPL (ribosomal protein L) genes.
- Gene clusters that regulate ribosomal RNA processing, although specific genes beyond those in the snoRNA category may not always be defined.

### 2. Aging and Age-Related Diseases
Research into the specific role of RNA5SP462 in aging or age-related diseases is limited. However, since snoRNAs, in general, are involved in rRNA modification and ribosome biogenesis, disturbances in their functions can lead to implications in cellular aging processes and age-related diseases. For example, changes in ribosomal RNA processing can affect protein synthesis and cellular health, which are critical in aging. Some studies suggest that snoRNA dysregulation may be linked to oncogenesis and other age-associated disorders.

### 3. Drug Interactions
As a non-coding RNA, RNA5SP462 does not have direct drug interactions in the typical sense, as it is not a protein-coding gene. However, the regulation of snoRNAs can be influenced indirectly by various drug classes that modify transcriptional or post-transcriptional controls. This can include:

- **Antineoplastic agents**: Certain drugs may affect ribosome biogenesis, and consequently, the expression of snoRNAs.
- **Drugs affecting RNA metabolism**, such as those targeting RNA polymerases or epigenetic regulators, could influence snoRNA expression, including RNA5SP462.

No specific drugs directly modulating RNA5SP462 have been identified in existing literature.

### 4. Pathways and Biological Processes
RNA5SP462 is primarily involved in the following biological processes:

- **Ribosome biogenesis**: It participates in the modification of precursor rRNA molecules.
- **Nucleolar organization**: Being a snoRNA, it plays a critical role in the structure and function of nucleoli, where rRNA processing occurs.
- **RNA processing**: It is involved in post-transcriptional modifications and maturation of ribosomal RNA, which is critical for protein synthesis.

### Summary
To summarize, RNA5SP462 is a snoRNA gene involved in ribosomal RNA modification with indirect associations to age-related processes and does not have well-defined drug interactions. It is essential for ribosome biogenesis and may be linked to cellular functions impacted by aging and disease, although specific studies on its role in aging or specific diseases are limited. Further research will be essential to fully elucidate any additional roles of RNA5SP462 in health and disease.