### Summary of RPL23AP65 Gene

**Gene Symbol:** RPL23AP65  
**Description:** RPL23AP65 is a pseudogene that is located on chromosome 14. It is associated with the ribosomal protein gene RPL23, which is critical for protein synthesis.

### 1. Associated Genes

RPL23AP65 is generally associated with genes involved in ribosomal function and protein synthesis. While the specific pairs or associations may not be abundant in the summaries, other ribosomal protein genes may show co-regulation or interaction. Possible associated genes include:

- **RPL23 (Ribosomal Protein L23):** The primary gene from which RPL23AP65 is derived.
- **RPL24, RPL26:** Other ribosomal protein genes that could be involved in similar biological pathways.

### 2. Aging and Age-Related Diseases

While specific studies on RPL23AP65 pertaining to aging or age-related diseases may not be directly mentioned, the functionality of ribosomal proteins becomes pertinent in the context of cellular aging:

- **Ribosomal Biogenesis:** Dysregulation of ribosome biogenesis has been linked to aging and age-related diseases.
- **Cancer:** Given that ribosomal proteins often have a role in cellular growth and proliferation, mutations or misregulation can be associated with cancer which is more prevalent in aging populations.

### 3. Drug Interactions

As RPL23AP65 is a pseudogene, it does not actively produce a protein product. Therefore, there are no specific drugs or drug classes known to interact directly with RPL23AP65 itself. However, ribosomal proteins (like RPL23) may be indirectly involved in the action mechanism of certain anticancer drugs (e.g., ribosome-inactivating proteins) and antibiotics targeting ribosomal functions.

### 4. Pathways and Biological Processes

RPL23AP65 is involved in the following biological processes:

- **Ribosome Biogenesis:** Implicated in the assembly and maturation of ribosomes, critical for protein synthesis.
- **Cellular Growth:** Indirect involvement in pathways regulating cellular growth and signaling mechanics, due to its connection with ribosomal function.
- **Protein Translation:** Participation in the protein translation process via associations with core ribosomal components.

### Conclusion

The RPL23AP65 gene is a pseudogene primarily associated with ribosomal functions, and while it does not lead to a functional protein, its connections to ribosomal protein regulatory mechanisms impact aging and possibly age-related diseases through broader biological pathways, especially in the context of ribosome biogenesis and translation. Due to its pseudogene status, direct pharmacological interactions are not established, but its associated genes and pathways highlight its relevance in cellular health and maintenance.