The RPL23AP75 gene, also known as Ribosomal Protein L23A Pseudogene 75, is a pseudogene that is part of the ribosomal protein gene family. It is located on chromosome 14q32 and shares sequence similarity with the ribosomal protein L23A gene, which is involved in the formation of ribosomes and protein synthesis. However, as a pseudogene, RPL23AP75 is not typically considered to code for a functional protein.

### 1. Associated Genes:
RPL23AP75 is primarily associated with ribosomal protein genes due to its pseudogene nature. Some of the genes that may be related include:

- RPL23A: This is the functional counterpart from which the pseudogene is derived.
- Other ribosomal protein genes such as RPL24 and RPL26, which are involved in the same biological pathways of ribosome assembly and function.

### 2. Aging and Age-Related Diseases:
While direct associations between RPL23AP75 and aging or specific age-related diseases may not be extensively documented due to its classification as a pseudogene, pseudogenes have been shown to play potential roles in gene regulation and expression. Altered expression levels of certain ribosomal proteins or their pseudogenes can influence cellular processes linked to aging such as protein synthesis efficiency, and thereby could indirectly relate to age-related conditions such as:

- Cancer: Changes in ribosomal biogenesis and protein synthesis are often observed in cancer cells.
- Neurodegenerative diseases: In general, the dysregulation of ribosomal proteins has implications in diseases like Alzheimer's and other age-related neurological disorders.

### 3. Drug Interactions:
As RPL23AP75 is classified as a pseudogene, there are typically no direct drug interactions associated. However, drugs that influence ribosomal function or gene expression might have indirect effects. These could potentially include:

- Drugs that target ribosomal biogenesis or act on the broader category of ribosomal protein synthesis (e.g., antibiotics like Streptomycin, Gentamicin) may indirectly impact the regulation of this gene due to its involvement in ribosomal functions.

### 4. Pathways and Biological Processes:
RPL23AP75 is primarily associated with the following biological processes:

- **Ribosome Biogenesis**: The assembly of ribosomal components to form functional ribosomes is a core process that this gene is linked to, due to its relationship with the RPL23A gene.
- **Protein Synthesis**: As with other ribosomal proteins, pathways involved in protein synthesis would include initiation, elongation, and termination of protein translation.
- **Regulation of Gene Expression**: Pseudogenes can influence the expression of their functional counterparts through various mechanisms, including competition for transcription factors or regulatory RNAs.

In summary, while RPL23AP75 is a pseudogene with limited direct functional implications, it is part of the complex network of gene regulation and ribosomal biology that can have broader effects on human health, aging, and disease. Further research may elucidate more specific roles and interactions.