The EIF5AL1 gene (Eukaryotic Translation Initiation Factor 5A Like 1) encodes a protein that plays a critical role in the regulation of translation elongation and termination, particularly under specific conditions of ribosomal stalling. Here are further details regarding your request:

### 1. Associated Genes
EIF5AL1 is associated with several other genes, particularly those involved in translation, ribosomal biogenesis, and cellular stress responses. Some of these include:
- **EIF5A**: The canonical eukaryotic translation initiation factor that is involved in translation.
- **RPSA**: Ribosomal protein SA, component of the ribosomal subunit.
- **UBR4**: Involved in protein quality control, particularly in the context of ubiquitin-mediated protein degradation.
- **RACK1**: A receptor for activated C-kinase and a component of the ribosome, involved in translation.

### 2. Aging and Age-Related Diseases
EIF5AL1 has been implicated in various aspects of cellular stress responses, which can relate to aging. While direct associations with specific age-related diseases are less well-studied, the role of EIF5AL1 in maintaining ribosomal function and promoting survival under stress can be hypothesized to contribute to:
- **Neurodegenerative Diseases**: Impaired translation and ribosome function are known features in diseases like Alzheimer's and ALS.
- **Cancer**: Alterations in translation are common in tumors, and EIF5AL1's role in translation regulation may impact oncogenesis and tumor progression.
- **Cellular Senescence**: The ribosomal quality control mechanisms of EIF5AL1 could influence lifespan by affecting cell growth and stress response.

### 3. Drug Interactions
The specific interactions between drugs and the EIF5AL1 gene/protein may not be extensively characterized; however, here are some considerations:
- **Antibiotics** (e.g., Macrolides, Tetracyclines): These typically target ribosomal function and may indirectly affect the activity of EIF5AL1 by influencing overall translation dynamics.
- **Cancer Therapeutics**: Some drugs that target the protein synthesis machinery (e.g., inhibitors of eIF4E and mTOR inhibitors) may interact broadly with processes mediated by EIF5AL1, though exact mechanisms may vary.
- **Stress Response Modulators**: Compounds that affect the cellular stress pathway may indirectly impact EIF5AL1 function.

### 4. Pathways and Biological Processes
EIF5AL1 is involved in several important biological processes and pathways, including:
- **Translation Elongation**: Essential for the sequential addition of amino acids to the polypeptide chain during protein synthesis.
- **Ribosome Quality Control (RQC)**: Helps in the resolution of stalled ribosomes, ensuring efficient protein synthesis and preventing accumulation of defective proteins.
- **Cell Cycle Regulation**: It's involved in processes affecting cell growth and division.
- **Actin Dynamics**: Plays a role in the organization and dynamics of the actin cytoskeleton, which is crucial for various cellular functions.
- **mRNA Decay**: Aiding in the degradation of mRNA under certain regulatory conditions.
- **Stress Response**: Contributing to the cellular response to stressors, which is particularly relevant under pathological conditions.

In summary, EIF5AL1 is a versatile gene with key roles in translation regulation, cell cycle progression, and stress responses, and its dysfunction could have broad implications in aging and various diseases. Further studies are warranted to fully elucidate its roles and interactions within these contexts.