The OXCT1-AS1 gene encodes an antisense RNA that is involved in the regulation of gene expression in its associated protein-coding regions. It is known to be related to several biological processes, particularly in the context of metabolism.

### 1. Associated Genes
While the provided summaries may detail direct interactions or associations of OXCT1-AS1, additional genes that may be associated include:

- **OXCT1:** Since OXCT1-AS1 is an antisense RNA to the OXCT1 gene, it plays a regulatory role in the expression of OXCT1.
- **SLC16A1:** There may be indirect regulatory interactions as both genes can be associated with transport and metabolism pathways of substances like ketone bodies.
- **SIRT1:** Known for its role in aging and metabolism, potential interactions through metabolic pathways could also involve OXCT1-AS1.

### 2. Aging and Age-Related Diseases
While specific studies linking OXCT1-AS1 directly to aging or age-related diseases are limited, it is worth noting that:

- The metabolic functions related to OXCT1 and its potential roles in the utilization of ketone bodies could have implications in metabolic syndromes and diseases such as obesity, diabetes, and neurodegenerative conditions that are often age-related.
- Dysregulation of metabolic pathways that OXCT1 and its associated non-coding RNAs participate in may contribute to the aging process or age-related diseases.

### 3. Drug Interactions
As of the latest data, specific drug interactions directly associated with OXCT1-AS1 are not robustly documented. However, due consideration of the following drug classes may be pertinent due to their broader interaction with metabolic processes:

- **Ketogenic Diet Related Supplements:** Such as exogenous ketones which have implications on OXCT1 function in metabolizing ketone bodies.
- **Antidiabetic Drugs:** As alterations in carbohydrate metabolism may influence the functions of metabolic genes, giving insights into potential indirect interactions.

### 4. Pathways and Biological Processes
The OXCT1-AS1 gene is linked to several biological processes and metabolic pathways, including:

- **Regulation of Gene Expression:** As it is an antisense RNA, it may have a regulatory role on OXCT1 expression.
- **Ketone Body Metabolism:** Directly related to its associated protein-coding partner OXCT1, it plays a critical role in the metabolism of ketone bodies, particularly during states of fasting or low carbohydrate intake.
- **Cellular Metabolism:** Implicated in the overall metabolic processes of the cell that may also tie into energy production pathways and responses to metabolic stress.

### Summary
Overall, OXCT1-AS1 plays a role in regulating the expression of OXCT1 and is involved in metabolic processes with potential associations in aging and age-related diseases. While specific drug interactions remain undefined, exploring metabolic and regulatory pathways can provide a nuanced understanding of its biological significance.