Scientists have already demonstrated interventions that significantly extend maximum lifespan in several species. I see no reason to believe humans will be different.
My guess is that the primary cause of human aging is a combination of "depleted" stem cells combined with a gradual disruption of regulatory homeostasis. Part of the problem with "depleted" stem cells is an accumulation of silencing errors in the stem cell DNA. Another part is a gradual breakdown in local cell signaling that regulates cell fate. I believe both problems could be reversed by targeted "rebooting" of stem cell niches. I.e., inject new stem cells which have been engineered to stimulate tissue rejuvenation while also injecting growth factors and cell differentiation factors in the local tissue. (Most likely the would be done by injecting a fluid which forms a scaffolding which then releases the stem cells and factors over time. Such technology is currently being developed to repair cartilage.)
It may also be necessary to kill some existing cells so that they can be replaced by rejuvenated tissue. E.g., rebooting the immune system. This technology is currently being developed for bone marrow transplant, organ transplantation, and training the immune system to target cancers.
I expect such technologies will be common within the next two decades and should make Gompertz curves obsolete for humans.
My guess is that the primary cause of human aging is a combination of "depleted" stem cells combined with a gradual disruption of regulatory homeostasis.
Not Telomeres?
I recently recalled, apropos of the intermittent fasting/caloric restriction discussion, a very good blog post on mortality curves and models of aging:
gravityandlevity then discusses some simple models of aging and the statistical characters they have which do not match Gompertz's law:
What models do yield a Gompertz curve? gravityandlevity describes a simple 'cops and robbers' model (which I like to think of as 'antibodies and cancers'):
This offers food for thought about various anti-aging strategies. For example, given the superexponential growth in mortality, if we had a magic medical treatment that could cut your mortality risk in half but didn't affect the growth of said risk, then that would buy you very little late in life, but might extend life by decades if administered at a very young age.