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Building a Future Free of Age-Related Disease

Mouse on wheel

Metformin and Galantamine To Combat Muscle Loss

Researchers associated with Rejuvenate Biomed and publishing in JCI Insight have conducted multiple experiments on a combination of metformin and galantamine in animal models. These preclinical experiments are intended to be a prelude to a human trial for sarcopenia.

A debilitating disease with no pharmaceutical treatments

The researchers start by discussing the well-known problem of sarcopenia, the age-related loss of muscle mass that leads to increasing frailty in older people, with prevalence reaching at least half of 80-year-olds, and has no treatments other than lifestyle interventions [1].

Metformin has been used to treat Type 2 diabetes for decades [2] and has been found to be associated with longer lifespans in people [3]. Previous research has found that part of its mechanism of action involves the AMPK pathway, which is related to mitochondrial function [4] and muscle regeneration [5].

Galantamine, while lesser known, is used to treat Alzheimer’s disease [6]. This drug has anti-inflammatory effects and has been found to improve cholinergic transmission, a way in which nerve cells talk to each other [7]. Therefore, these researchers believe that it may be effective in aiding neuromuscular junctions, the places where nerves and muscles meet.

Because of their non-overlapping and potentially synergistic effects, Rejuvenate Biomed has chosen a combination of these two drugs, labeled RJx-01, as a potential sarcopenia treatment.

Initial experiments in worms

The researchers first began their experiments in C.elegans worms, which are frequently used in aging studies. The relevant sarcopenic mechanisms apply to both worms and people [8]. Unlike metformin, galantamine has never been tested as a life extension drug in these animals.

The researchers tested these compounds individually and in combination. Metformin, in accordance with previous studies, increased C.elegans lifespan by about 12%. Galantamine increased it by almost 7%. However, the RJx-01 combination treatment increased lifespan by about 22% in these animals, showing a synergistic effect.

RJx-01 also increased these worms’ physiological parameters. Maximum and average speed, time spent moving, muscle cell occupancy, and muscle fiber organization were all significantly improved compared to controls.

Recapitulated in a mouse model

The researchers then turned to a mouse model. These mice were genetically depleted of OPA1, a protein needed for muscle maintenance, and these mice exhibit symptoms that very strongly resemble human sarcopenia.

RJx-01 was effective in these mice. Compared to untreated controls, treated mice retained their muscle mass and fast-twitch fibers, and they were able to run for far longer. Critical to this experiment, neither metformin nor galantamine were able to accomplish this alone; only the combination showed significantly positive effects. The researchers attribute these results to the considerably better retention of nerves in the muscle tissue.

These findings were recapitulated in naturally aged (22-month-old) mice as well. The researchers stopped testing metformin and galantamine in the wild-type experiments; only RJx-01 was compared to the control group. Similar to the OPA1-depleted mice, the wild-type aged mice given this compound had improved longer running times.

RJx-01 effects

While the fibers between treated and untreated mice looked similar, there were significant differences in strength. The researchers attribute this to the presence of more innervated muscle fibers, just like in the worm experiment.

Markers of inflammation and other parameters were also significantly improved in aged mice. Interleukins, a group of compounds that promote inflammation, were considerably more abundant in controls than in treated animals. There were also notable improvements in mitochondrial morphology, and the waste-clearing process of autophagy was significantly improved in the muscles of treated mice.

A prelude to human experiments

One of this study’s authors was Rejuvenate Biomed’s CEO, and another employee was also an author. This study was funded by the company with the clear intent of bringing its sarcopenia treatment to human clinical trials, and the authors hold that their strongly positive findings are sufficient to begin such trials.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Dent, E., Morley, J. E., Cruz-Jentoft, A. J., Arai, H., Kritchevsky, S. B., Guralnik, J., … & Vellas, B. (2018). International clinical practice guidelines for sarcopenia (ICFSR): screening, diagnosis and management. The journal of nutrition, health & aging, 22, 1148-1161.

[2] Kulkarni, A. S., Gubbi, S., & Barzilai, N. (2020). Benefits of metformin in attenuating the hallmarks of aging. Cell metabolism, 32(1), 15-30.

[3] Bannister, C. A., Holden, S. E., Jenkins‐Jones, S., Morgan, C. L., Halcox, J. P., Schernthaner, G., … & Currie, C. J. (2014). Can people with type 2 diabetes live longer than those without? A comparison of mortality in people initiated with metformin or sulphonylurea monotherapy and matched, non‐diabetic controls. Diabetes, Obesity and Metabolism, 16(11), 1165-1173.

[4] Zong, H., Ren, J. M., Young, L. H., Pypaert, M., Mu, J., Birnbaum, M. J., & Shulman, G. I. (2002). AMP kinase is required for mitochondrial biogenesis in skeletal muscle in response to chronic energy deprivation. Proceedings of the national academy of sciences, 99(25), 15983-15987.

[5] Mounier, R., Théret, M., Arnold, L., Cuvellier, S., Bultot, L., Göransson, O., … & Chazaud, B. (2013). AMPKα1 regulates macrophage skewing at the time of resolution of inflammation during skeletal muscle regeneration. Cell metabolism, 18(2), 251-264.

[6] Scott, L. J., & Goa, K. L. (2000). Galantamine: a review of its use in Alzheimer’s disease. Drugs, 60, 1095-1122.

[7] Lilienfeld, S. (2002). Galantamine—a novel cholinergic drug with a unique dual mode of action for the treatment of patients with Alzheimer’s disease. CNS drug reviews, 8(2), 159-176.

[8] Herndon, L. A., Schmeissner, P. J., Dudaronek, J. M., Brown, P. A., Listner, K. M., Sakano, Y., … & Driscoll, M. (2002). Stochastic and genetic factors influence tissue-specific decline in ageing C. elegans. Nature, 419(6909), 808-814.

Healthy and unhealthy foods

Impact of Plant-Based Diets on Biological Aging

In new research published in BMC Medicine, the authors recruited a large cohort of participants in order to assess how plant-based foods affect aging trajectories [1].

Benefits of plant-based diets

Previous research has shown that consumption of plant-based foods is associated with healthy aging [2,3]. It can also help to decrease the risk of mortality [4], prevent the development of chronic diseases [5,6], and improve neurological health, such as by lowering the risk of dementia [7] and cognitive impairment [8].

This new study aimed to determine the influence of a plant-based diet on the aging trajectory of the middle-aged Asian population. Researchers recruited over 10,000 people 50 years and older in Taiwan. Participants provided health data four times during the eight years after enrollment, underwent physical examinations, and filled out relevant questionnaires.

Researchers aimed to go beyond a single assessment of biological age. Instead, they performed repeated measures of biomarkers over the years, which allowed for the creation of aging trajectories.

Building aging trajectories

These researchers used their obtained data to measure aging in multiple dimensions. They also calculated multi-dimensional aging acceleration, which compares of their multi-dimensional aging metric to chronological age. To analyze trajectories, both multi-dimensional aging and its acceleration derivative were calculated four times at different time points.

During the analysis, researchers identified three aging trajectories. People in the slowly aging group had biological ages that were generally lower than their chronological age across four measurements. Compared to the slow-aging trajectory group, the medium group had a 1.56-fold higher risk of all-cause mortality. For the rapidly aging group, the risk was 3.72-fold higher. Associations slightly decreased when researchers adjusted for education, marital status, and health behaviors.

Beneficial and harmful plant-based foods

Not all plant-based foods are beneficial. Therefore, the authors created a plant-based diet index, a healthy plant-based diet index, and an unhealthy plant-based diet index. These categories distinguish between plant-based foods that are beneficial or harmful to aging and health in the long term.

Healthy plant foods include whole grains, fruits, vegetables, rhizomes, and legumes. Less healthy plant foods included sugar, refined grains, and salt-preserved vegetables.

The researchers divided participants into five groups (quintiles) based on the overall plant-based diet index. Compared to the participants from the lowest quintile, participants in the highest quintile were 25% less likely to be in the medium group and 37% less likely to in the rapidly aging group. Researchers also observed that the unhealthy plant-based diet index was reduced in the slowly aging group, while the healthy plant-based diet index was increased in this group.

Then, the researchers divided the participants into five groups, this time based on their healthy plant-based diet index and unhealthy plant-based diet index. People in the highest healthy plant-based diet index quintile were 27% less likely to be in the medium aging group and 38% less likely to belong to the rapidly aging group. On the other hand, people in the highest unhealthy plant-based diet index quintile were 72% more likely to be in the medium group and 70% more likely to belong to the rapidly aging group.

Taking a closer look, theresearchers noted that increased consumption of fresh fruit, fresh vegetables, and legumes were the main drivers of the positive associations with aging observed in this study. The main drivers of the detrimental effects observed included refined grain, salt-preserved vegetables, and dairy products.

Limitations and conclusions

The study has a few limitations. For example, the food intake data comes from a self-reported questionnaire, which can introduce some errors. Additionally, the study population consists mainly of middle-aged Asians, so these results cannot be generalized to other populations and ethnicities.

Nevertheless, this study points out that aging trajectories can better capture the dynamic nature of aging than a measurement conducted at a single time point. It can also help to identify populations with various risks of age-related diseases and mortality. The authors also note that people making public health recommendations should distinguish between healthy and unhealthy plant-based foods.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Wang, S., Li, W., Li, S., Tu, H., Jia, J., Zhao, W., Xu, A., Xu, W., Tsai, M. K., Chu, D. T., Wen, C. P., & Wu, X. (2023). Association between plant-based dietary pattern and biological aging trajectory in a large prospective cohort. BMC medicine, 21(1), 310.

[2] Hodge, A. M., O’Dea, K., English, D. R., Giles, G. G., & Flicker, L. (2014). Dietary patterns as predictors of successful ageing. The journal of nutrition, health & aging, 18(3), 221–227.

[3] Yeung, S. S. Y., Kwan, M., & Woo, J. (2021). Healthy Diet for Healthy Aging. Nutrients, 13(12), 4310.

[4] Liu, W., Hu, B., Dehghan, M., Mente, A., Wang, C., Yan, R., Rangarajan, S., Tse, L. A., Yusuf, S., Liu, X., Wang, Y., Qiang, D., Hu, L., Han, A., Tang, X., Liu, L., Li, W., & PURE-China Investigators (2021). Fruit, vegetable, and legume intake and the risk of all-cause, cardiovascular, and cancer mortality: A prospective study. Clinical nutrition (Edinburgh, Scotland), 40(6), 4316–4323.

[5] Satija, A., Bhupathiraju, S. N., Spiegelman, D., Chiuve, S. E., Manson, J. E., Willett, W., Rexrode, K. M., Rimm, E. B., & Hu, F. B. (2017). Healthful and Unhealthful Plant-Based Diets and the Risk of Coronary Heart Disease in U.S. Adults. Journal of the American College of Cardiology, 70(4), 411–422.

[6] Adair, K. E., & Bowden, R. G. (2020). Ameliorating Chronic Kidney Disease Using a Whole Food Plant-Based Diet. Nutrients, 12(4), 1007.

[7] Lin, M. N., Chiu, T. H., Chang, C. E., & Lin, M. N. (2019). THE IMPACT OF A PLANT-BASED DIETARY PATTERN ON DEMENTIA RISK: A PROSPECTIVE COHORT STUDY. Innovation in Aging, 3(Suppl 1), S734.

[8] Wu, J., Song, X., Chen, G. C., Neelakantan, N., van Dam, R. M., Feng, L., Yuan, J. M., Pan, A., & Koh, W. P. (2019). Dietary pattern in midlife and cognitive impairment in late life: a prospective study in Chinese adults. The American journal of clinical nutrition, 110(4), 912–920.

Full Biomarkers

Biomarkers of Aging for Facilitating Future Research

The Biomarkers of Aging Consortium, an initiative uniting about 200 geroscientists around the goal to inform and guide the use of biomarkers of aging, has put out its first paper [1].

The need for biomarkers

Since studies with lifespan as their endpoint can take a prohibitively long time, especially in humans, the importance of reliable biomarkers of aging is hard to overstate. Such biomarkers are essential for devising and validating anti-aging interventions and understanding the fundamental mechanisms of aging. While a lot of progress has been seen in this field, with established biomarkers such as methylation clocks being perfected, and multiple other types of biomarkers being introduced, there are still many obstacles to overcome.

The Biomarkers of Aging Consortium unites about 200 prominent geroscientists in an attempt to outline an approach to biomarkers of aging and standardize some of its important aspects. This was reported by Steve Horvath, “the father of methylation clocks”, at our recent conference in New York. The consortium has recently issued its first paper, which was published in Cell, and it has all the chances of becoming a seminal work on biomarkers of aging, guiding efforts in this field for years to come.

Standardizing definitions

This paper offers an overview of the history and the current state of the field, listing leading existing biomarkers of human aging, their scientific and commercial applications, and some of the ongoing clinical trials in which they are being used.

More importantly, it finally provides several crucial definitions, starting with the definition of aging itself. This paper defines aging as “the process of accumulation of consequences of life, such as molecular and cellular damage, that leads to functional decline, chronic diseases, and ultimately mortality”. This might be the first agreed-upon definition of aging, even if it has yet to be accepted by the longevity community as a whole.

An aging biomarker is defined in the paper as “a quantitative parameter of an organism that either alone or in a composite predicts biological age and ideally its changes in response to interventions.”

The definition of biological age is a bit longer but is worth quoting here in full: “Conceptually, an individual’s age defined by the level of age-dependent biological changes, such as molecular and cellular damage accumulation. In practical use, this is often summarized as a number (in units of time) matching the chronological age where the average person in a reference population shares the individual’s level of age-dependent biological changes.”

Age acceleration is defined as “the difference between biological age and chronological age (originally defined by Horvath and typically expressed in units of time)”. The authors add that they “propose adoption of the term age deviation (AgeDev) for this concept to distinguish it from an increased rate of aging and encompass changes in both directions.” Age deviation, indeed, seems to be a better term than “age acceleration” and will probably gain traction.

From those definitions naturally arises a concise definition of geroprotectors: “An agent or intervention that increases healthspan or lifespan and ameliorates [tested] biomarkers of aging”.

Classification and validation

The authors classify biomarkers of aging into types. The first one is molecular, based on ‘omics’, such as epigenomics, proteomics, or metabolomics, on individual molecules, such as IL-6 or IGF-1, or on composites of blood markers. The second type is physiological markers (VO2 max, gait speed, grip strength, etc.).

A third category is proposed as well: digital biomarkers, defined as coming from wearable devices or other tools that allow individuals to directly collect their own health data. However, many such biomarkers are at the same time either functional (such as heart rate variability), or molecular (such as data collected via continuous glucose monitoring). These biomarkers are becoming increasingly valuable, especially due to their intrinsically longitudinal nature.

In addition to their type, biomarkers can also be classified by their clinical applications, although no aging biomarkers of any category have yet been approved for clinical applications, at least in the US). In this context, biomarkers can, for instance, be predictive of a certain outcome, be it the onset of disease or the effect of an intervention. Prognostic biomarkers are similar to predictive ones, but they are applied to already diseased people to predict disease progression and outcome.

Response biomarkers are those that “indicate the biological reaction of an individual to an exposure or an intervention”, instead of just predicting outcomes such as mortality. Response biomarkers are a major stepping-stone on the way to surrogate endpoint biomarkers, which could truly power clinical studies of anti-aging interventions. For instance, reduction in blood pressure is a recognized surrogate endpoint for reduction in rates of stroke.

There are no FDA-recognized surrogate endpoints of aging yet, although epigenetic clocks, being used in many ongoing trials, probably come closest. More studies are required to determine whether those clocks or other biomarkers of aging are actually predictive of clinical outcomes, which is essential for them becoming surrogate endpoint biomarkers.

Finally, discovery biomarkers are those that can be effectively used to discover new targets and longevity interventions. Biomarkers based on large-scale omics data and powered by AI seem to be well-positioned to do so.

Biomarkers of Aging Concepts

The authors also provide several important recommendations on how to rank and validate biomarkers using criteria such as minimal invasiveness; high reliability (i.e., low variability); relevance to aging; ability to predict functional aspects of aging, such as mortality, better than chronological age; and responsiveness to longevity interventions. These criteria are neither necessary nor sufficient but rather provide a framework for assessing to what extent candidate biomarkers might be feasible, valid, and useful.

It may be unrealistic to identify a single biomarker that captures all aspects of biological aging and satisfies all criteria. Each biomarker of aging has advantages and limitations, which may be evaluated using this framework.

In line with what one of this paper’s authors, Vadim Gladyshev of Harvard, said at our conference, the paper suggests that cross-species applicability is indicative of a good biomarker of aging. Biomarkers that work in animal models are indispensable for pre-clinical research, while cross-species compatibility allows to apply the same biomarkers in clinical research. Importantly, biomarkers should also function across different human populations.

More biomarkers in more cohorts

The authors outline a seemingly cyclical relationship between geroprotectors (supposedly life-prolonging interventions) and biomarkers of aging, which can help to validate both: “There exist many candidate biomarkers of aging and many proposed geroprotectors, and the accumulated evidence supporting either could be leveraged to validate the other.”

Biomarkers of Aging Explanation

Some considerations on validation of biomarkers include the need to use them across multiple cohorts of humans, although such efforts might be hampered by the scarcity of available health data.

Conversely, several biomarkers rather than just one should probably be applied to the same cohort. In particular, the researchers suggest that for best results, biomarkers of aging, which they liken to odometers measuring total distance traveled, should be applied alongside biomarkers of the rate of aging (AgeDev) that act like speedometers. It seems that with both geroprotectors and biomarkers, combinations are key.

Biomarkers of aging could therefore serve several important roles in aging research: (1) to give an early indication of whether an intervention increases healthspan and/or lifespan; (2) to identify individuals who might benefit from a treatment; (3) to prioritize candidate interventions for longer-term assessment; and (4) as validated surrogate endpoints for regulatory and clinical purposes if short-term changes in aging biomarkers are shown to be predictive of longer-term outcomes. Our hope is that the consensus terminology, classification, evaluation criteria, and identified challenges and future directions for research presented in this work represent a solid first step toward achieving this goal.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Moqri, M., Herzog, C., Poganik, J. R., Justice, J., Belsky, D. W., Higgins-Chen, A., … & Gladyshev, V. N. (2023). Biomarkers of aging for the identification and evaluation of longevity interventions. Cell, 186(18), 3758-3775.

Columbia sheep

Fisetin Reduces Senescence in the Brains of Sheep

A study published in Antioxidants has found that the senolytic fisetin significantly decreases cellular senescence in the brains of sheep.

A flavonoid with a long history

This paper begins with an in-depth discussion of many previous experiments involving this flavonoid, which is naturally found, in small quantities, in various fruits and vegetables such as strawberries and cucumbers. In addition to its well-documented senolytic abilities, these researchers note that fisetin has been found to exhibit positive effects in multiple species: it reduces oxidative stress in the well-known C.elegans worms [1] and improves cognitive function in rats and mice [2]. Previous pathway analysis has found that fisetin acts as a direct antioxidant, promotes the antioxidant glutathione, and reduces inflammation in brain microglia [3].

However, the majority of fisetin-related experiments have been done in cells, worms, and rodents. These researchers decided to see if fisetin was more effective in larger mammals: a dozen female Columbia sheep divided into two groups of six. The sheep were 6-7 years old, which is somewhat over half of their natural lifespan. After 8 weeks during which the treatment group received 100 mg/kg injected fisetin, the researchers examined these animals’ brains and organs.

Brain senescence biomarkers were significantly decreased

While fisetin had no visible effects on the brain morphology of these animals, a closer look revealed several significant differences. In the cortical gray matter of these sheep, cells had less of the senescence biomarker SA-β-gal, although this did not reach statistical significance. The cerebellum was also not statistically affected. However, the cortical white matter was significantly less senescent, as was one region of the hippocampus.

Fisetin Sheep Brains

While most of the cells showing these biomarkers were large neurons, astrocytes were also affected. To determine which cells were affected, these researchers used two different senescence biomarkers along with markers of neuronal and astrocyte identity. These results were considerably stronger: fisetin was found to reduce cellular senesence in both neurons and astrocytes, in both grey and white matter. Many of the relevant p values were very small, despite there only being six animals in each group, demonstrating the apparent power of this senolytic.

Fisetin also decreased S100B, a plasma biomarker of neuronal injury and degeneration.

Confusing and contradictory gene expression

In contrast to the senesence biomarkers, many of of the gene expression results were relatively inconclusive if not puzzling. Inflammatory biomarkers, along with antioxidant genes and senescence-related genes, were not found to be affected within statistical significance. Inflammatory, senescence-associated interleukins were noted to slightly increase, although this did also not meet statistical significance.

In general, these gene expression results were found to be true for the spleen and heart. Interestingly, mRNA related to p53, which has been associated with senescence, was found to be increased in bone marrow.

The lung and liver, however, were different. The senescence-related genes GLB1, p21, and p53, along with the inflammatory biomarker TREM2, were decreased in the lung, although the antioxidant gene CAT was decreased nearly to nothing. In the liver, both the antioxidant genes SOD1 and CAT were decreased to near-zero levels, and the interleukin IL-8 was significantly increased. However, in that same tissue, the inflammatory biomarker NLRP3 was decreased along with GLB1 and p21.

These contradictory results demonstrate part of the reason why fisetin, despite its clear senolytic ability, is still questioned as a human therapeutic. More in-depth experiments will have to be conducted to determine where, exactly, fisetin fits into the biology of senesence in various tissues and organs.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Park, S., Kim, B. K., & Park, S. K. (2022). Effects of fisetin, a plant-derived flavonoid, on response to oxidative stress, aging, and age-related diseases in Caenorhabditis elegans. Pharmaceuticals, 15(12), 1528.

[2] Maher, P., Akaishi, T., & Abe, K. (2006). Flavonoid fisetin promotes ERK-dependent long-term potentiation and enhances memory. Proceedings of the National Academy of Sciences, 103(44), 16568-16573.

[3] Maher, P. (2009). Modulation of multiple pathways involved in the maintenance of neuronal function during aging by fisetin. Genes & nutrition, 4(4), 297-307.

Lab rat

Extracellular Vesicles Improve Cardiac Health in Old Rats

In a new study published in Nature, extracellular vesicles derived from neonatal cardiac progenitors produced significant rejuvenation in old rats and human cells [1].

Tiny messengers

Extracellular vesicles (EV) are microscopic bubbles encased in the same lipid bilayer that cellular membranes are made of. EVs are secreted by cells, and they carry various molecular cargo to facilitate intercellular communication. EVs have long been of interest to geroscientists, and we have reported on promising studies involving EVs on several occasions.

Cellular therapies are a relatively new field that involves using various types of cells, such as stem cells and  immune cells, to fight diseases or rejuvenate organs and tissues. Many of these effects might be recapitulated by EVs secreted by these cells. Administration of EVs instead of cells might make cell therapies simpler and safer.

Cardiac and systemic rejuvenation

In this study, the researchers used EVs secreted by cardiosphere-derived cells (CDC), stem cells that are isolated from heart tissue. CDCs can differentiate into various cell types that make up the heart, including cardiomyocytes (muscle cells), endothelial cells (blood vessel liners), and smooth muscle cells. This makes them a potential resource for regenerative therapies in heart disease. Recently, the same group of researchers found that transplantation of young CDCs exerts anti-aging effects and improves heart function in old rats [2].

CDC-derived EVs were administered to 22-month-old rats for 16 weeks on a monthly basis. After those four systemic injections, the hearts of the treated rats showed clear signs of rejuvenation compared to controls. One especially notable result was a two-fold increase in telomere length. The researchers also detected a 32% decrease in the levels of phosphorylated histone H2A (γH2AX), a marker of DNA damage, and a 21% decrease in the inflammatory cytokine interleukin 6 (IL-6).

No less impressive were histological results, with myocardial fibrosis attenuated by 70% in rats injected with CDC-EVs and a significant improvement in age-related left ventricular hypertrophy compared to controls. Cardiac efficiency, a marker of myocardial metabolism, was improved by 28%.

Metabolic effects were also observed. Treated rats lost weight (rats usually gain weight with age). Even more impressively, the reduction was mostly in visceral fat, the most harmful type of fat [3]. Markers of glucose control were improved in the treated rats, which was the opposite of the age-related changes in the control group.

Other systemic improvements included a 16% increase in treadmill capacity. Interestingly, drastic improvements in fibrosis were observed not only in the heart, but also in skeletal muscle and lungs. Finally, although lifespan was not an endpoint (the rats had to be sacrificed for histological analysis), some of the animals died before the experiment was over. There were many more such rats in the control group than in the study group, suggesting prolonged lifespan:

Rat Mortality EVs

Works in human cells

To make sure the beneficial effects of CDC-derived EVs were not confined to a murine model, the researchers treated aged human cells with human EVs taken from very young donors. The treatment led to beneficial transcriptional and proteomic changes in several pathways related to DNA repair, cellular senescence, and proliferation.

In their last experiment, the researchers mimicked heterochronic parabiosis (blood exchange between an old and a young organism) by treating old human cells with several blood fractions, including purified EVs, taken from a young donor. While whole blood and serum were more effective in lowering senescence markers and improving proliferation markers, the EV fraction was still able to recapitulate a significant part of these effects.

Repeated systemic administration of young CDC-EVs in aged rodents triggered broad-ranging functional improvements, with concordant structural changes in different organs and associated evidence of tissue rejuvenation. The beneficial effects of CDC-EVs were maintained over mid-term follow-up, with prolongation of survival of treated animals. But, beyond longevity, the changes we observed in heart and kidney function, glucose metabolism, and exercise tolerance have the potential to improve quality of life, which is an important goal of anti-aging therapies.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Grigorian Shamagian, L., Rogers, R. G., Luther, K., Angert, D., Echavez, A., Liu, W., … & Marbán, E. (2023). Rejuvenating effects of young extracellular vesicles in aged rats and in cellular models of human senescence. Scientific Reports, 13(1), 12240.

[2] Grigorian-Shamagian, L., Liu, W., Fereydooni, S., Middleton, R. C., Valle, J., Cho, J. H., & Marbán, E. (2017). Cardiac and systemic rejuvenation after cardiosphere-derived cell therapy in senescent rats. European heart journal, 38(39), 2957-2967.

[3] Bergman, R. N., Kim, S. P., Catalano, K. J., Hsu, I. R., Chiu, J. D., Kabir, M., … & Ader, M. (2006). Why visceral fat is bad: mechanisms of the metabolic syndrome. Obesity, 14(2S), 16S.

RR August 23

Rejuvenation Roundup August 2023

EARD2023, the Longevity + DeSci Summit, is over, but the work its speakers have been doing continues. Here’s what’s happened on the aging research front in August.

LEAF News

Team and activities

EARD2023 PhotoEARD 2023: After three years in digital format due to COVID concerns, one of the oldest longevity conferences was again welcoming attendants in New York City: Ending Age-Related Diseases (EARD), organized by lifespan.io for the sixth time.

Lifespan News

Preventing Disease with AI: Emmett Short talks about what can be done to modify the healthcare system in ways that focus on preventing, rather than reacting to, disease.

LSN When Should You DieWhen Should You Die?: Ryan O’Shea talks about a real-world doctor whose euthanasia-related statements parallel those found in a particular episode of Star Trek.

Advocacy and Analysis

Is Immortality Possible or Is Aging Inevitable?: “Could humans become immortal?” is something we get asked quite often, and the answer depends on what exactly you mean. Whether human immortality is possible greatly depends on how you define it.

Research Roundup

Old mouse and young mouseHeterochronic Parabiosis Extends the Lives of Mice: For the first time, scientists have shown that letting young and old mice share blood leads to a significant lifespan extension in the old mouse.

Impact of Vitamin D Supplements on Mortality Risk: In a new study published in Nutrients, researchers analyzed the results of 80 randomized clinical trials and assessed the impact of vitamin D supplementation on mortality.

CalciumImpaired Calcium Uptake May Impact Long-Term Inflammation: Scientists have reported in Nature Aging that impaired mitochondrial uptake of calcium ions leads to changes in inflammatory responses that resemble what happens in aging.

The Flavonoid Rutin May Suppress Senescent Cells: Researchers publishing in Aging Cell have documented some potential effects of rutin against senescence and cancer. Rutin is a natural compound found in several plants.

PlankingAnalysis: Isometric Exercises Are Best for Blood Pressure: In a new expansive meta-analysis comparing several types of exercise, isometric exercises, which include wall squats and planks, were linked to the biggest decrease in blood pressure. As is very well-known, exercise confers numerous health benefits, including age-related benefits, and it has been linked to lower cardiovascular and cancer risks.

A Strong Correlation Between Happiness and Lifespan: Researchers publishing in BMC Geriatrics have found that people who reported being happy were considerably more likely to live longer than people who were not. The relationship between happiness and health, even controlling for other relevant factors, has been frequently confirmed and occasionally denied in the research.

Brain InflammationThe Inflammatory Pathway to Brain Damage: Scientists publishing in Nature have explained a key pathway that leads to immune dysfunction and neurodegeneration in aging. Throughout this paper, the researchers cite other papers demonstrating a cause-and-effect relationship between initial damage and long-term effects.

Artificial Sweeteners Associated with Fat, Weight Gain: A longitudinal analysis of a large cohort suggests an association between artificial sweetener intake and several markers of adiposity, such as visceral fat. Artificial sweeteners were invented to provide a healthier alternative to sugar and other high-calorie sweeteners, especially in the wake of the obesity epidemic.

GalliumLiquid Metal Nanoparticles Eradicate Colon Cancer in Mice: Scientists have combined gallium nanoparticles with immunotherapy agents to deliver a decisive blow to colon cancer tumors in mice. Gallium is a metal that becomes liquid well below body temperature.

New Senolytics from Artificial Intelligence: Recent research published in Nature Communications has used machine learning algorithms to find senolytics, molecules that destroy senescent cells. Only a small number of such molecules have been identified, and only two have shown efficacy in clinical trials.

Advanced ClockInflammation as a Biomarker of Mortality: In a paper published in Geroscience, researchers have developed a metric of systemic inflammation and used it to estimate mortality, finding that it performs better than epigenetic clocks.

Study: Vegetarians Have Higher Risk of Hip Fracture: Studying a large British cohort, scientists have found that vegetarians have an increased risk of hip fracture compared to regular meat eaters, but pescatarians and occasional meat eaters do not.

Amyloid beta plaquesRestoring Helper Cell Function to Fight Alzheimer’s: In a study published in Cell Stem Cell, researchers have investigated a way to repopulate the brain with functional cells in order to fight back against Alzheimer’s disease. This method was found to be functional in mice.

Extracellular Vesicles from Stem Cells Reverse Senescence: Scientists have found that bubbles secreted by embryonic stem cells counter cellular senescence, in large part due to just two tiny snippets of RNA. Extracellular vesicles (EVs) are membrane-bound tiny bubbles that are loaded with various molecular cargo, such as proteins, DNA, or RNA, that cells secrete as a method of intercellular communication.

Mediterranean PlantsFlavonoid Consumption Correlates With Less Biological Aging: Researchers investigated how much the consumption of flavonoids impacts the biological age of the heart, kidney, liver, and whole body. Flavonoids possess many beneficial properties, and previous research has found them to protect from oxidation, inflammation, mutagens, and carcinogens.

Biomarker Study Returns Surprising Results: Researchers publishing in Biogerontology have tested multiple biomarkers in an effort to use them as proxies for aging, and some of their findings were surprising. Unlike other association studies that are used to evaluate biomarkers of aging, this study did not use data from a pre-existing biobank.

CurcuminAntioxidants Rescue Cognitive Decline in Mice: Scientists have found that EGCG and curcumin, two well-known antioxidants, are effective both alone and especially in combination in a mouse model of cognitive decline induced by oxidative stress.

Figuring Out Why Stem Cells Won’t Build Bone: Researchers publishing in Aging have uncovered some of the molecular mechanisms behind why mesenchymal stem cells (MSCs) do and don’t differentiate into bone-building osteoblasts, unlocking a potential new approach to osteoporosis.

Effect of AMDA Protective Mechanism Against AMD: A paper published in Aging explains the relationship of long noncoding RNAs, which change with aging, to age-related macular degeneration (AMD). AMD is the most common cause of vision loss in people over 70 years old.

How Spaceflight Alters the Rate of Aging: A review published in Aging Cell has explored the impact of spaceflight on human and other organisms’ health and aging. This includes such things as circadian rhythms and gravity.

Naked Mole RatUtilizing One of the Naked Mole Rat’s Abilities: Publishing in Nature, a team of researchers including Vadim Gladyshev, Steve Horvath, and Vera Gorbunova has investigated the role of hyaluronan, which naked mole rats have in abundance, as a protective mechanism in a mouse model.

Diversity in Daily Activities Might Slow Cognitive Decline: A new study suggests that greater diversity of everyday activities is associated with a slower rate of age-related cognitive decline, independently of the amount of physical activity.

Cat heartTreating Enlarged Hearts in Cats with Rapamycin: Researchers publishing in Journal of the American Veterinary Medical Association have conducted a feline clinical trial finding that rapamycin is effective against heart enlargement in cats.

Senolytics Have Sex-Dependent Effects on Young Mice: In a research paper published in GeroScience, researchers investigated the impact of senolytics on young mice and found some surprising results. Senolytics such as fisetin and quercetin also have anti-inflammatory properties and can be used as chemotherapeutics and senotherapeutics.

Gene analysisA Gene Behind a Key Senescence Biomarker: A paper published in GeroScience has described a gene responsible for SA-beta-galactosidase, a key biomarker of cellular senescence.

Association between plant-based dietary pattern and biological aging trajectory in a large prospective cohort: The researchers identified three distinctive aging trajectories in a large Asian cohort and found that adopting a plant-based dietary pattern, especially when rich in healthful plant foods, was associated with a substantially lowered pace of aging.

The Safety and Anti-Ageing Effects of Nicotinamide Mononucleotide in Human Clinical Trials: An Update: This article integrates the safety and anti-ageing effects of NMN in preclinical animal studies and human clinical trials to clarify the potential benefits of NMN supplementation

Fingerstick blood assay maps real-world NAD+ disparity across gender and age: The researchers showed that aerobic sport and NMN supplementation increased whole-blood NAD+ and that male on average has higher NAD+ than female before the age of 50.

Collagen peptides supplementation improves function, pain, and physical and mental outcomes in active adults: The study group consumed 10 to 20?grams per day of collagen peptides over 6 to 9?months.

Cost-Effectiveness of Glucosamine in Osteoarthritis Treatment: A Systematic Review: Patented crystalline glucosamine sulfate was more cost-effective and had more benefits than other formulations of glucosamine.

A combination of metformin and galantamine exhibits synergistic benefits in the treatment of sarcopenia: The researchers hold that their findings support the pursuit of RJx-01 in a human clinical trial as a therapeutic intervention for sarcopenia.

Randomized, double-blind, placebo-controlled trial of rapamycin in amyotrophic lateral sclerosis: Rapamycin treatment is well tolerated and provides reassuring safety findings in ALS patients, but further trials are necessary to understand the biological and clinical effects of this drug in ALS.

Universal DNA methylation age across mammalian tissues: These findings offer new evidence suggesting that aging is evolutionarily conserved and intertwined with developmental processes across all mammals.

Oxidative Stress Response Kinetics after 60 Minutes at Different (1.4 ATA and 2.5 ATA) Hyperbaric Hyperoxia Exposures: These exposures lead to a similar significant increase in the production of reactive oxygen species and antioxidant reactions. Immunomodulation and inflammatory responses, on the contrary, respond proportionally to the hyperbaric oxygen dose.

Senolytic Combination Treatment Is More Potent Than Single Drugs in Reducing Inflammatory and Senescence Burden in Cells from Painful Degenerating IVDs: Combining o-Vanillin and RG-7112 greatly enhanced the effect of either senolytic alone. Together, these results support the potential of senolytics as a promising treatment for IVD-related low back pain.

Effects of Fisetin Treatment on Cellular Senescence of Various Tissues and Organs of Old Sheep: Fisetin treatment significantly decreased senescent neurons, astrocytes, and microglia in both gray and white matter of the cerebral brain cortex and non-Cornu Ammonis area of the hippocampus. In addition, fisetin treatment decreased senescent gene expressions and inflammasomes in other organs, such as the lung and the liver.

NKG2D-CAR T cells eliminate senescent cells in aged mice and nonhuman primates: These findings establish that NKG2D-CAR T cells could serve as potent and selective senolytic agents for aging and age-associated diseases driven by senescence.

Downregulation of transposable elements extends lifespan in Caenorhabditis elegans: These results indicate that transposable elements represent a novel genetic determinant of aging, and that N6-adenine methylation plays a pivotal role in aging control.

Platelet factors attenuate inflammation and rescue cognition in ageing: Together, thse data identify platelet-derived factors as potential therapeutic targets to abate inflammation and rescue cognition in old age.

Platelet factors are induced by longevity factor klotho and enhance cognition in young and aging mice: Augmenting platelet factors, possible messengers of klotho, may enhance cognition in the young brain and decrease cognitive deficits in the aging brain.

Platelet-derived exerkine CXCL4/platelet factor 4 rejuvenates hippocampal neurogenesis and restores cognitive function in aged mice: Together, these findings highlight the role of platelets in mediating the rejuvenating effects of exercise during physiological brain ageing.

News Nuggets

Get Up to $500,000 for Aging Research with Impetus: Earlier this month, Impetus Grants announced its third round of funding, with 10 million from the Rosenkranz and Hevolution foundations. Previously, the program conducted two grant rounds, bringing 114 new projects and 50 new labs into the space, giving away more than 24 million dollars for a “new kind of science”.

Singapore Opens World’s First Healthy Longevity Clinic: The National University Health System, National University of Singapore and Alexandra Hospital have launched the world’s first Healthy Longevity Clinic in a public hospital to increase Singaporeans’ healthspan by three years in the next ten years.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Longevity DeSci Aug 2023

Longevity and DeSci Recap – August 2023

On the Longevity and DeSci Recap, you’ll discover the latest interviews, insights, and research in the longevity tech sphere over the past month and learn more about topics including blockchain, DAOs, cryptocurrency, DeSci, and events that have been happening over the past month.

The fall breeze may be starting to fill the air, but longevity is only heating up. This August saw two huge conferences in New York City and Dublin that brought together industry insiders and enthusiasts to discuss the latest longevity innovations and the role of decentralized science in the future of human health.

However, it certainly wasn’t all talk and no action. Alongside the exciting announcements and partnerships at the conference, the wider longevity sphere has been busy with new discoveries and funding news set to drive the fall season forward.

Conferences

Innovation, discussions, and networking opportunities abound as world experts took to the stage to discuss the latest industry trends and achievements. Although the summer 2023 conference season is coming to a close, the year isn’t over yet. Join industry experts at these conferences this fall:

10th Annual Aging Research & Drug Discovery Meeting from Aug 28 to Sept 1: Dive deep into the world of aging research and biotechnology at the 10th ARDD conference. Join in and hear the insights of renowned figures, such as James Kirkland, David Sinclair, Kirsten Fortney, Vadim Gladyshev, and Brian Kennedy on the latest longevity topics. In addition, attendees can join an exclusive Longevity Medicine Workshop where top healthcare experts and trailblazing aging researchers come together to revolutionize clinical practices. Industry experts Morten Scheibye-Knudsen, Daniela Bakula, and Alex Zhavoronkov will be leading the event. Join in to watch online.

DeSci.Berlin x Funding the Commons: Berlin 2023, Sept 8-9: Promising interactive workshops, hot discussions, and networking opportunities, DeSci enthusiasts can feel at home at DeSci.Berlin this September 8 and 9, 2023. Held over two days, tickets can still be bought online via this link.

Longevity Investors Conference, Sept 27-29: Set among the stunning Alps in Gstaad, Switzerland, this September will see 150 guests joining together to talk about life and health extension along with industry trends and to create new partnerships. The conference’s distinguished speakers will include Alex Zhanavoronkov of Insilico Medicine, Dr. Nir Barzilai of the Institute for Aging Research, Prof. Evelyne Yehudit Bischof of Human Longevity Inc., alongside Eric Verdin, Tom Weldon, and Brian Kennedy. Apply for your seat at the conference here.

Interviews and key videos

Emmett Short talks prevention vs. cure and the role of AI: With the current healthcare system status quo focused on cure rather than prevention, longevity technology enthusiasts are exploring AI to shift the balance. Watch our video to find out how artificial intelligence (AI) might be used to detect diseases in the future.

Bankless unwraps the mystery of DeSci for the masses: Crypto YouTube channel Bankless tackles the topic of DeSci, giving an overview of what DeSci is, its role in science, longevity, crypto, DAOs and more. Watch for a run down of the basics surrounding the topic.

DeSci Podcast by Molecule with Niklas Anzinger of Infinite: Niklas Anzinger, the founder and GP of Infinite, a Venture Capital fund focused on biotech and crypto (among other things) joins the Molecule team to talk about the VC’s areas of interest, the need for increased regulation, and which regulatory structures could benefits longevity and DeSci long-term. Watch the full video here.

Longevity investment and development news

Brain health start-up raises $2.1 million in seed funding: Neurowyzr, a Singaporean start-up focusing on early brain decline, raised $2.1 million in a seed funding round. Added to previously raised funds, this brings the total for the company’s planned expansion to $3.3 million, with Neurowyzr saying that funds will be directed to accelerating future product development efforts and the company’s expansion into new markets, namely Southeast Asia and India.

Genesis Therapeutics’ $200 Million Series B round successfully closed: Interest in longevity is growing, with Genesis Therapeutics successfully closing an oversubscribed Series B funding round at $200 million. This impressive funding round is set to go toward advancing the development of the company’s AI platform that uses generative and predictive AI methods to back its Exploration of Molecular Space (GEMS) platform.

Impetus grants closing September 15, 2023: The Impetus grants are now open and offering $24 million for aging science and clinical trials. With the slogan “Bold longevity research. Fast,” the grants provider makes it clear that its interest is projects seeking to create a rapid impact. With decisions made within three weeks and an aim to cut red tape, these grants offer an opportunity to scientists and enthusiasts alike to dive in and kick their research into action. Learn more about applying here.

$86.5 million in Series C round for Viome Life Sciences: With AI at the forefront of its solution, Viome Life Sciences is on a mission to use technology to improve human health and address the root causes of illness. The company uses AI recommendations derived from human and microbial gene expressions to create at-home tests and other health products. The latest funding will go toward further research and development efforts and retail avenues as the company also announced a collaboration with CVS that will see the roll-out of an at-home Gut Intelligence test sold at over 200 store locations.

Tech breakthroughs & new research

New paper discusses how machine learning can help predict life-extending compounds: Recent studies highlight the merging of pharmacology and machine learning in aging research. The authors of a newly-released paper analyzed DrugAge, a database of compounds that could potentially influence lifespan in organisms, with a particular interest on the effects on C. elegans. Using machine learning technology, they identified influential factors like the “Glutathione metabolic process” in aging. Their findings spotlight potential lifespan-extending compounds, such as the antihypertensive drug, nitroprusside. Read more about it in this paper.

Million-molecule challenge: project to rapidly advance longevity intervention discovery: Just like the space race, longevity research is, by nature, working against the clock. Modern medicine needs to target aging and the key could lie in preventative medicine. This new research paper explores how a moonshot project using AI, namely WormBot AI, a cutting-edge robotic and AI data analysis platform that can be utilized to cost-effectively evaluate 1 million longevity interventions in five years. Read more here.

DAOs and communities

VitaDAO’s Longevity Fellowship is back: Want to attend a longevity-related conference, enroll in a specialized program or do something else longevity or DeSci related? The Longevity Fellowship is back. With micro-grants of between $100 and $2000, VitaDAO are offering scientists, students, and longevity enthusiasts the chance to get funding for their interests and hopefully contribute to the future of longevity. For those interested in applying for the program, you can read more about the details here.

Web3 meets DeSci: Although the DeSci world has long been aware of the potentials of Web3, not everyone in the Web3 domain knows about decentralized science and its potential. In December 2023, Brian Armstrong, CEO of Coinbase, will introduce the DeSci movement to the wider community at the Sora Summit, a Web3 conference hosted by Venture Capital firm Sora Ventures—speaking on the potentials of technology, NFTs, DeFi infrastructure and more. The Summit will take place in Taipei on December 16, 2023 during blockchain week.

World Longevity News

6th Annual Longevity+DeSci conference comes to a close: August 10-11 saw the 6th Annual Longevity summit held by lifespan.io in New York City. This year the longevity non-profit added DeSci to the title, making it the first Longevity+DeSci event and illustrating the impact of technology on science.

Lifespan’s CEO, Keith Comito, spoke on the potential of new technology solutions that extend beyond the traditional science field and how organizations, such as DAOs, offer scientists a new avenue outside highly competitive funding avenues for their research. He also announced Lifespan’s latest partnership with the Dragon Tyrant P2E game, which the team believe will contribute to longevity research.

Other speakers at the event included Dr. Vadim Gladyshev of the world-known Harvard Medical School regarding his research into longevity and potential treatments, Omar Elnaggar of Weavechain, a Web3 security framework who announced the creation of proprietary NFTs designed to gamify philanthropy donations into longevity science, Dr. Morten Scheibye-Knudsen of the University of Copenhagen who discussed the Longevity Molecule Project, and Yuri Deigin of YouthBio Therapeutics and his organization’s explorations into cell reprogramming.

Innovation and ethical concerns often go hand in hand. This was the focus of Kelsey Moody, the CEO of Ichor Life Sciences, talk. In it he outlines the drug pipeline and issues of ethics when dealing both with innovative therapeutics and working with high-net-worth individuals.

Age is more than a number when it comes to finances: The saying, “age is just a number” has long been used to ease the nerves of people as they get older, and in this respect – rightly so. However, recent data by Transamerica and the Massachusetts Institute of Technology’s (MIT) AgeLab indicates that although age in itself might be just a number, knowing how we age may impact our finances.

The survey showed that 92% of respondents valued saving enough money to retire, whilst acknowledging that lifestyle and nutritional habits played a factor in their working-life ability and longevity. At the same time, 54% stated that some of their current habits would need to change to create a sustainable financial future.

Such research about longevity is becoming crucial into how people manage their finances and spend their time over their working lives.

A reward for the best research?: The Amaranth Prize is given to scientists for the best research in longevity. The 2023 Prize will be awarded to scientists with viable topics in any area of longevity, one of which being protein aging. With a $250K prize pool, 15 papers winning in 2022, and 180 influencing papers, the prize sets out to award the best and brightest in the field.

Social media pages

Twitter, now known simply as X, is one of the best resources to keep on top of the latest longevity and DeSci news. Here are our top picks for this month.

Keith Comito’s Twitter: Keith’s Twitter is packed with the latest longevity insights, and he is known as one of the originals in the longevity movement.

CryoDAO Twitter: Dedicated to funding moonshot research projects, CryoDAO is worth a follow to get the latest on new projects and news.

LabDAO Twitter: A while back, we covered the work of LabDAO and how it uses open tools and infrastructure for real-life science. Follow its Twitter to get the latest on their work, progress, and related industry insights.

Coming Soon

August has been a busy month for longevity with two conferences and a massive amount of funding being raised, showing continued interest in lifespan-related science. For people interested in taking action and diving in with new innovative research, the key takeaway this month is the Impetus Grants, closing September 15, which offer scientists the opportunity to fund their longevity projects.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.
Gene analysis

A Gene Behind a Key Senescence Biomarker

A paper published in GeroScience has described a gene responsible for a key biomarker of cellular senescence.

A widely used biomarker

Senescence-associated beta-galactosidase (SA-ß-gal) is the most widely used and most definitive biomarker of cellular senescence [1]. However, unlike other senescence-related biomarkers, such as p21 [2], SA-ß-gal testing requires tissue harvesting, making it difficult to use on living organisms [3].

However, SA-ß-gal’s actual relationship to senescence processes has not been fully explored. In order to explore its potential as a biomarker, these researchers developed an RNA-binding protein that restricts SA-ß-gal expression both in C.elegans worms and in human cell cultures, and their experiments provided some insights into how this compound works.

Testing the value of SA-ß-gal

To begin their experiments, the researchers first tested to make sure that SA-ß-gal indeed increases in C.elegans worms with age. As these worms normally live for less than two weeks, these experiments were rapid, showing increasing levels of SA-ß-gal every two days. The researchers knocked out two related gene expressions in these worms, bgal-1 and bgal-2, with the former being primarily responsible for the staining reaction used in their testing.

The researchers also made the important finding that this was only a biomarker. Knocking out these two genes in these worms had no impact on their lifespan, which was in accordance with previous testing in mammalian cells. These researchers conducted further experiments in this area, finding that knocking out the mammalian equivalent in cells (Regnase-1) reduced SA-ß-gal but did not affect the cells’ lifespan; however, knocking out this gene in mice causes them to die soon after birth [5].

Only some longevity interventions affect SA-ß-gal

Anti-senescence drugs were found to reduce SA-ß-gal in C.elegans. One of them is quercetin, a widely known senolytic, which was previously found to increase lifespan in these worms [4]. Navitoclax, another commonly studied senolytic, also significantly decreased SA-ß-gal, as did rapamycin and metformin.

On the other hand, the p53 pathway, which is associated with cellular death by apoptosis, did not decrease SA-ß-gal, as found in worms that were mutated not to express this protein. Further experiments with apoptosis also found no changes in SA-ß-gal.

Irradiating mammalian cells with UV radiation, which is known to trigger senescence, did not increase SA-ß-gal in those cells. Subjecting worms to caloric restriction decreased SA-ß-gal at day four of their lifespan decreased SA-ß-gal at day seven.

The lysosome, which is responsible for consuming cellular junk (autophagy), is the repository of SA-ß-gal. Expectedly, lysosomal activity was found to be strongly related to SA-ß-gal accumulation.

The researchers tested multiple mutations of C.elegans worms that are known to increase lifespan. Many of these mutations affected SA-ß-gal, but many did not. The researchers noted that mutations that increase mitochondrial longevity and affected mTORC1 also decreased the accumulation of SA-ß-gal with age. While the evidence was not fully conclusive (the researchers described it as “tantalizing”), they found a specific mTORC1-related pathway associated with SA-ß-gal.

Valuable information beyond biomarkers

The researchers believe that they have discovered a link between SA-ß-gal and a previously discovered pathway that connects metformin, mitochondria, and mTORC1 [6]. Specifically, metformin increases ACAD10, a factor that decreases SA-ß-gal. Decreasing ACAD10, accordingly, increases SA-ß-gal. The researchers also noted existing links between Regnase-1 and human senescence-related responses, inclduing stress and inflammation [7].

In total, this paper explains many key reasons behind exactly why SA-ß-gal is so thoroughly connected to cellular senescence. The researchers also hold that their findings have opened new paths towards investigating cellular senescence.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Dimri, G. P., Lee, X., Basile, G., Acosta, M., Scott, G., Roskelley, C., … & Pereira-Smith, O. (1995). A biomarker that identifies senescent human cells in culture and in aging skin in vivo. Proceedings of the National Academy of Sciences, 92(20), 9363-9367.

[2] Wang, B., Wang, L., Gasek, N. S., Zhou, Y., Kim, T., Guo, C., … & Xu, M. (2021). An inducible p21-Cre mouse model to monitor and manipulate p21-highly-expressing senescent cells in vivo. Nature aging, 1(10), 962-973.

[3] Beck, J., Horikawa, I., & Harris, C. (2020). Cellular senescence: mechanisms, morphology, and mouse models. Veterinary Pathology, 57(6), 747-757.

[4] Kampkötter, A., Timpel, C., Zurawski, R. F., Ruhl, S., Chovolou, Y., Proksch, P., & Wätjen, W. (2008). Increase of stress resistance and lifespan of Caenorhabditis elegans by quercetin. Comparative Biochemistry and Physiology Part B: Biochemistry and Molecular Biology, 149(2), 314-323.

[5] Matsushita, K., Takeuchi, O., Standley, D. M., Kumagai, Y., Kawagoe, T., Miyake, T., … & Akira, S. (2009). Zc3h12a is an RNase essential for controlling immune responses by regulating mRNA decay. Nature, 458(7242), 1185-1190.

[6] Wu, L., Zhou, B., Oshiro-Rapley, N., Li, M., Paulo, J. A., Webster, C. M., … & Soukas, A. A. (2016). An ancient, unified mechanism for metformin growth inhibition in C. elegans and cancer. Cell, 167(7), 1705-1718.

[7] Mao, R., Yang, R., Chen, X., Harhaj, E. W., Wang, X., & Fan, Y. (2017). Regnase-1, a rapid response ribonuclease regulating inflammation and stress responses. Cellular & Molecular Immunology, 14(5), 412-422.

Healthy Longevity PR

Singapore Opens World’s First Healthy Longevity Clinic

The National University Health System, National University of Singapore and Alexandra Hospital have launched the world’s first Healthy Longevity Clinic in a public hospital to increase Singaporeans’ healthspan by three years in the next ten years.

The Healthy Longevity Clinic at Alexandra Hospital translates healthy longevity research into evidence-based medicine and makes it available to a wider group. The Clinic is co-located with the NUHS Centre for Healthy Longevity, where new longevity treatments and technologies are being tested. There will be opportunities for people at the Clinic to participate in ongoing clinical trials of supplements and repurposed drugs. In fact, the first human clinical trials involving lifestyle interventions and nutritional supplements began last year. The first human clinical trial for repurposed drugs will start next. The Clinic will also be a valuable resource for the community, providing education and outreach on topics related to ageing, optimising health and preventing and reducing the burden of age-related diseases.

Healthy Longevity Singapore

A year after the official launch of the Centre for Healthy Longevity (CHL), the National University Health System (NUHS), National University of Singapore (NUS) and Alexandra Hospital (AH) today, on 31 August 2023, announced the opening of the” “Healthy Longevity Clinic” to the general public, the first of its kind in the world in a public hospital. AH’s doctors, nurses, exercise physiologists, dietitians and health coaches now accept appointments to provide diagnosis and interventions for individuals between 35 and 70 years old with a maximum of one stable chronic disease. The aim is to optimise health by targeting ageing processes throughout the life course, as early as possible. The Clinic also aims to establish the cost-effectiveness of the service in optimising health and increasing healthspan and integrates implementation science into the framework. The ultimate goal is to make evidence-based healthy longevity medicine accessible to everyone.

Advantages of being in a public hospital

Its co-location in the public healthcare system is timely and beneficial as Singapore shifts the healthcare paradigm towards preventive healthcare for the broader population, where a greater majority are healthy and disease-free. It is co-located with the NUHS CHL, which Professor Andrea Maier, an internal medicine specialist renowned for translational research in ageing and age-related diseases, diagnostics, and pharmacological and non-pharmacological interventions in ageing humans, leads. Prof Maier is also the Founding President of the Healthy Longevity Medicine Society, an international medical society for healthy longevity medicine, promoting the highest standards of clinical practice and interdisciplinary collaboration. The NUHS CHL is where new treatments and technologies for healthy longevity medicine are being tested. There will be opportunities for people in the Clinic to participate in research trials of supplements, repurposed drugs and other interventions targeting biological ageing. The first human clinical trials involving lifestyle interventions and nutritional supplements began last year. The first human clinical trial for repurposed drugs will start next. The Clinic will also be a valuable resource for the community, providing education and outreach on topics related to healthy longevity to promote healthy ageing and prevent and reduce the burden of age-related diseases.

The Clinic, helmed by Clinical Director and Clinical Assistant Professor Laureen Wang, will use the hospital’s existing infrastructure and resources, such as laboratory, imaging and medical specialists. AH’s care model is already one of integrated, seamless, patient-centred care. So, the Healthy Longevity Clinic, which falls under the auspices of AH’s Well Programme (preventive health screening, women’s health and sports medicine), is integrated with other complimentary services within the hospital. Should any abnormalities be identified during the service that are best handled by other specialities, participants will be referred accordingly to ensure comprehensive and specialised care.

Purpose of the Clinic

The new Healthy Longevity Clinic aims to delay biological ageing, optimising functionality and resilience and increasing healthspan through evidence-based diagnosis and intervention. Using ageing biomarkers specific to the Singapore population, the Clinic will leverage breakthroughs from the NUHS CHL and incorporate advances in geroscience and healthy longevity medicine towards precision medicine.

What to expect at the Clinic

The Healthy Longevity Clinic offers a comprehensive approach to health and longevity, starting with a thorough baseline assessment using a range of tests from blood biomarkers for ageing to measuring exercise capacity to advanced techniques such as epigenetics and artificial intelligence to measure biological age. Some of the assessment tools used in the Clinic include clinical biomarkers such as arterial stiffness, cardiac age, body composition analysis, cognition, physical and functional performance, biological biomarkers such as blood age, epigenetic age and microbiome analysis, and digital biomarkers to track physical activity, sedentary behaviour, sleep and physiological parameters. This assessment will identify the individual’s biological age and risk factors for chronic disease and functional decline.

Following the comprehensive baseline assessment, a multidisciplinary team including doctors, nurses, allied health professionals and health coaches will review each individual’s health status and develop a Personalised Care Plan (PCP) tailored to their needs and goals. The plan will include diet, exercise, sleep, and medical interventions, such as medication and supplements, if necessary. The Clinic provides regular health coaching sessions, telemonitoring and access to digital health monitoring tools to ensure ongoing support. This emphasis on continuous care and monitoring sets the Clinic apart from traditional healthcare models. The individual will have repeat assessments between 6 and 12 months and up to 24 months, if need be, to assess their progress.

Clinical indicators and targets

The Clinic aims to achieve specific clinical indicators and targets to demonstrate the effectiveness of the interventions. Targets for key indicators are as follows:

  • HbA1c (average blood glucose levels): Aim for a reduction of 0.5%.
  • LDL (low-density lipoprotein) cholesterol (an indicator of heart disease and stroke): Aim for a reduction of 30-40 mg/dL
  • HS-CRP (indicates the risk of heart disease and stroke in people who are not predisposed): Aim for a 33% reduction
  • Vo2 max/peak (maximum amount of oxygen an individual can consume during peak exercise): Aim for an increase of 3-5 mL/kg/min

These clinical indicators are tangible measures of the participant’s progress in managing their health and slowing the ageing process. Achieving these goals will mean improved metabolic health, inflammation and cardiovascular fitness.

To get in touch with the clinic, use the email: AH_Wellness@nuhs.edu.sg
Mouse on hand

Senolytics Have Sex-Dependent Effects on Young Mice

In a research paper published in GeroScience, researchers investigated the impact of senolytics on young mice and found some surprising results [1].

Senescent cell removal and other properties

Senolytics, when given to older mice, clear senescent cells. Senolytics such as fisetin and quercetin also have anti-inflammatory properties and can be used as chemotherapeutics and senotherapeutics [2]. Another senolytic, dasatinib, is used to treat leukemia, and when used with quercetin, its senolytic potency is higher [3].

Promising research results in older animals has led to senotherapeutics being marketed as anti-aging therapies. In particular, compounds such as fisetin and quercetin, which are naturally occurring plant-derived flavonoids, can be used as dietary supplements. However, there is a lack of knowledge on how such supplementation can impact organisms before they accumulate senescent cells.

In this new paper, researchers gave mice a cocktail consisting of either fisetin or a combination of dasatinib and quercetin once per month, starting from 4-month young adulthood until 13 months of age.

Fisetin’s positive impact on male mice

First, these researchers measured gene expression to investigate senescence markers, including the senescence-associated secretory phenotype (SASP) profile of the mice. The SASP is the result of senescent cell accumulation [4]. It is comprised of inflammatory molecules, growth factors, and proteases, which are enzymes that break down proteins.

In fisetin-treated male mice, expression of SASP markers was reduced to the levels of 4-month-old mice, while no or minor changes were observed in female mice.

The researchers then measured physiological parameters. Fisetin treatment didn’t impact the weight or food consumption of the male and female mice. On the molecular level, fisetin treatment improved glucose metabolism in male mice, enhancing glucose clearance and increasing adiponectin, a molecule involved in regulating glucose levels. Females didn’t show changes in adiponectin levels.

Researchers also observed improvements in energy metabolism, as measured by oxygen consumption and energy expenditure. Fisetin treatment increased oxygen consumption and energy expenditure in male mice, suggesting enhanced energy metabolism in those animals.

Previous research has shown that senolytic compounds can destroy senescent cells in models of neurodegenerative disease and lead to functional improvement [5, 6]. Monthly treatment of young male mice with fisetin showed improved cognitive performance and learning. However, researchers didn’t see changes in cognitive tests in female mice.

Overhaul, researchers observed improvements in male mice treated with fisetin, but fisetin treatment did not affect female mice. The authors suggest that it is potentially due to the slower rate of biological aging in these mice.

Detrimental effects on female mice

This study also included an assessment of SASP markers in dasatinib and quercetin-treated mice. The effects of this cocktail on mice differed from those of fisetin. Contrary to expectations, the researchers observed increased expression of SASP markers in female mice. There were no effects in male mice except for one marker.

Just like with fisetin, dasatinib and quercetin treatment didn’t impact the weight of the male mice. However, the body weight of female mice treated with dasatinib and quercetin increased. Body composition analysis attributed this weight gain to increased white adipose tissue deposits.

On the molecular level, researchers learned that females treated with dasatinib and quercetin had increased fat synthesis and less fat burning for heat. Both of those changes can result in increased white adipose tissue deposits, which could explain the additional SASP.

Additionally, white adipose tissue in treated female mice can result from reduced energy metabolism, as researchers observed that those mice have reduced oxygen consumption and energy expenditure.

Overall, treatment with dasatinib and quercetin had minimal effects on male mice but was detrimental to female mice, leading to changes in metabolism and reduced cognitive performance. The reasons why these senolytics have a negative impact on female mice were not explained in this study.

Further research in humans is essential

Fisetin and quercetin are plant-derived flavonoids. Since they are natural compounds available as supplements, they can be taken by young people in the hope of delaying aging. However, the research so far is not clear on the potential impacts on human health and longevity for young people.

Lifespan measurements need to be performed to properly assess the anti-aging effect of senolytics taken during young adulthood, and this mouse research cannot be directly translated to humans. It is essential to follow this study with human research on how senolytics can impact health and lifespan when taken by younger people.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Fang, Y., Medina, D., Stockwell, R., McFadden, S., Quinn, K., Peck, M. R., Bartke, A., Hascup, K. N., & Hascup, E. R. (2023). Sexual dimorphic metabolic and cognitive responses of C57BL/6 mice to Fisetin or Dasatinib and quercetin cocktail oral treatment. GeroScience, 10.1007/s11357-023-00843-0. Advance online publication.

[2] Jafarinia, M., Sadat Hosseini, M., Kasiri, N., Fazel, N., Fathi, F., Ganjalikhani Hakemi, M., & Eskandari, N. (2020). Quercetin with the potential effect on allergic diseases. Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology, 16, 36.

[3] Aguilera, D. G., & Tsimberidou, A. M. (2009). Dasatinib in chronic myeloid leukemia: a review. Therapeutics and clinical risk management, 5(2), 281–289.

[4] Kirkland, J. L., & Tchkonia, T. (2020). Senolytic drugs: from discovery to translation. Journal of internal medicine, 288(5), 518–536.

[5] Bussian, T. J., Aziz, A., Meyer, C. F., Swenson, B. L., van Deursen, J. M., & Baker, D. J. (2018). Clearance of senescent glial cells prevents tau-dependent pathology and cognitive decline. Nature, 562(7728), 578–582.

[6] Zhang, P., Kishimoto, Y., Grammatikakis, I., Gottimukkala, K., Cutler, R. G., Zhang, S., Abdelmohsen, K., Bohr, V. A., Misra Sen, J., Gorospe, M., & Mattson, M. P. (2019). Senolytic therapy alleviates Aß-associated oligodendrocyte progenitor cell senescence and cognitive deficits in an Alzheimer’s disease model. Nature neuroscience, 22(5), 719–728.

EARD2023 Photo

Science and Advocacy at EARD 2023

After three years in digital format due to COVID concerns, one of the oldest longevity conferences was again welcoming attendants in New York City. Ending Age-Related Diseases (EARD), organized by lifespan.io for the sixth time, kept with modern ideas by using a hybrid format that combined in-person attendance with full online access in real time. This enabled the online participation of hundreds of experts and enthusiasts who could not travel to NYC in person.

This wasn’t the only aspect in which EARD-2023 led the way. The longevity space is changing, and we at lifespan.io are trying to be at the forefront of those changes. As we see it, one of the most profound shifts, although still in its early stages, has been the introduction of decentralized science, or DeSci.

DeSci provides a vibrant and exciting alternative to the traditional framework of scientific discovery and translation, improving incentives and removing roadblocks. A pioneer of crowdfunded science, lifespan.io has been very bullish about DeSci. We have collaborated with several DeSci organizations and initiatives, and so we have finally decided to bring DeSci to the main stage at EARD2023, officially naming it the Longevity + DeSci Summit.

While our previous conferences were mostly about science, this time, we fully embraced our advocacy side. There is a growing understanding in the field that advocacy is an integral part of the longevity ecosystem, indispensable for shifting public opinion and creating a favorable regulatory and investment climate.

We hosted our conference at Capitale, a historic building and the former seat of the Bowery Savings Bank, which retains a lot of its in-your-face grandeur. Turn-of-the-century interiors, complete with the bank vault and the lever-operated elevator, provided a refreshing contrast to the cutting-edge science being discussed on the stages and sidelines.

Capitale Inside

Inside the Capitale building

Unfortunately, we can only bring you a roundup of some of the talks from this extremely fast-paced and busy conference, which took place on two stages simultaneously, but videos will become available at some point.

Off to a good start

lifespan.io president Keith Comito commenced the conference with a fast-paced overview of trends in citizen and decentralized science. He began with the opening of the first citizen science laboratory in the world, Genspace, in NYC in 2010, and then continued with lifespan.io founding in 2014 along with our crowdfunding projects for SENS Research Foundation and other influential players in the longevity field. He noted how anti-aging research is being accelerated with novel tools and forms of organization, such as cryptocurrency, blockchain, and DAOs.

Keith made an important mention of earlier citizen initiatives, such as the Jimmy Fund, the massive grassroots campaign by Mary Lasker and Sidney Farber that elevated cancer research to the forefront of the US public agenda. We still have a lot to learn from those epic campaigns of old.

Keith then moved on to Zuzalu, the first-of-its-kind pop-up city that, earlier this year, brought together hundreds of people from several overlapping fields, including crypto, DeSci, and longevity, for two months of cohabitation and collaboration. Our team had boots on the ground in Zuzalu, and you can read all about it in our extensive coverage.

Briefly glancing over the improving attitudes towards longevity in society, Keith continued with an overview of lifespan.io and its history and contributions to the field.

lifespan.io Results

History, however glorious, is still history, and Keith backed it up with plenty of exciting news to report. First, our collaboration with Chris Hemsworth’s fitness app and community Centr, which turned to us to provide millions of its users with quality longevity-related content. We are proud of this opportunity, which can serve as a blueprint for extending the reach of longevity advocacy.

Keith also reported on the creation of the first ever longevity-related philanthropy NFTs. Those NFTs, based on the ancient image of Ouroboros, the dragon-snake biting its own tail, are automatically enhanced when their owner donates to longevity-related causes, and are “demi-soulbound” – that is, they are still tradable, but their upgradable aspects are based on the donations of the current holder. This is yet another creative way to boost awareness and philanthropy in our field.

Ouroboros Donations

But creativity never sleeps. Keith announced yet another collaboration, this time with the game development company Skillcap Studios on a game based on the Fable of the Dragon-Tyrant by the philosopher Nick Bostrom. The fable allegorically depicts aging as a cruel dragon that had been demanding multitudes of sacrificial victims from people until they acquired enough strength and knowledge to revolt against him. According to Keith, the “play-and-earn gaming incentivizes players to be healthy and builds up donations to fund research which could literally save them in real life.” The game is expected in the second quarter of 2024.

Why DeSci?

Todd White, steward of VitaDAO, expertly argued a case for decentralized science. He recounted the well-known problems that “traditional” science has been mired in, such as publication bias.

Todd highlighted misaligned incentives, including the “publish or perish” paradigm, which leads to the kind of publication bias that pushes researchers towards a wide variety of conscious and subconscious actions that pursue a single goal: to get published whatever it takes.

In this system biased against risk, failure is not rewarded. However, the null hypothesis, Todd said, is not a failure devoid of value. It is an important piece of information that should be made available to the scientific community – which the current system often prevents.

The DeSci movement is well positioned to alleviate, if not solve, many of those problems by reimagining the system of incentives and making research more open and collaborative.

For instance, intellectual property stored as an NFT (IP-NFT), one of the pillars of DeSci, is not a gimmick but a useful feature that ensures all the information about a project is kept “on-chain”, verified and reviewed, and is an asset in itself. This de-risks the first steps in bringing scientific knowledge to the market.

Todd talked about The Longevist, a website launched by VitaDAO that publishes curated preprints. Preprints that have received the most votes from the community are highlighted. The curating team includes big names, such as Andrea Maier and Matt Kaeberlein. The Longevist positions itself as an alternative to scientific journals that act as “profit-hungry intermediaries”.

Todd also touched upon the topic of longevity advocacy. “The communication the value of longevity has not reached maturity yet,” he said. “When researchers try to explain the field, they think about nuances, but people want soundbites.” This echoes lifespan.io’s long-held views and relates well to our constant effort to hone our messages and the art of longevity advocacy as a whole.

Nature and longevity interventions work in different ways

One of the star guests of the conference was Vadim Gladyshev, a renowned Harvard geroscientist. In his talk, he started from the basics, by stating that there is still no agreement among the scientific community on what aging is. Different answers to this question, according to Vadim, lead to different strategies in fighting aging. Amazingly, with all the “geroscience boom” going on, there is not a lot of research into this fundamental question. “We need to agree on what we are optimizing”, Vadim said, “less chances of dying, fewer diseases, better function, or something else?”

While we can operate on all those levels, it is important to address the aging processes themselves. Vadim’s team developed a research program in order to address them directly. One of its parts attempts to understand what gives longevity to various systems, be it a cell type or an animal.

The second pillar is longevity interventions. While we know that some of them significantly extend lifespan in animal models, the question is if longevity of cells, longevity of organisms, and longevity-extending effects of certain interventions work along the same lines.

The third component is rejuvenation, the idea of reducing the biological age of an organism. It is different from aging, since a change from young to old is not necessarily the change from old to young, only in reverse. Questions of rejuvenation hence must be addressed separately. Working in all three directions will allow scientists both to slow and to reverse age-related changes.

Studying long-lived animals, Vadim’s team has discovered that the pathways leading to their exceptional longevity can differ between species. In a recent paper published in Cell, the group analyzed 41 species of mammals at an organ level to identify longevity signatures: omics-based patterns that illustrate the potential to live longer across mammalian species. The known maximum lifespan of a species is strongly correlated with patterns in gene expression, which provides a pathway towards longevity interventions.

Interestingly, “longevity signatures” across species do not correlate with the effects on gene expression produced by interventions. This means that the best interventions we have today, such as caloric restriction or rapamycin, work in different ways than those found by nature to extend maximum lifespan in long-lived species. This vast potential (after all, the difference in maximum lifespan across mammalian species is 100-fold) is “completely untapped”, according to Vadim, and longevity signatures provide “a direct tool for developing new interventions.”

It’s time to talk about female reproductive aging

After becoming a contributor to VitaDAO, Laura Minquini thought the model could be used to promote a highly important yet unfairly overlooked part of the longevity field – female reproductive aging. To turn things around, Laura created AthenaDAO, “a decentralized community to fund, govern, incubate, and support translational research into women’s health.”

Reproductive aging remains vastly under-researched, despite being relevant to half of the world’s population and to organismal aging in general. Beyond oncology, just 1% of healthcare research and innovation budget is spent on female-specific conditions. According to Laura, in longevity biotech investments, reproductive longevity comes second last, just before pets.

Decentralizing research into female reproductive longevity, Laura said, will empower women to invest directly into the topic that is highly relevant to them, circumventing the traditional avenues that apparently de-prioritize their plight. However, it is not only about research but also about education, advocacy, and access to resources. The aspiration, according to Laura, is to create a global female-led movement.

Formed only a year ago, in August 2022, AthenaDAO had already issued one IP-NFT to fund a research project on diminishing ovarian reserves. Six research projects are under advanced review as well as one stealth company. AthenaDAO prides itself on being the second biggest bio-DAO after VitaDAO.

Laura’s pitch to biotech is “Give women what they need, and they’ll become your best customers”. The menopause market, she said, is evaluated at 600 billion dollars, and yet research into menopause and its effects on the female organism is scarce. For instance, there are no biomarkers for when menopause begins (premenopause).

From the conference’s stage, Laura addressed the scientific community with a call for collaboration in several areas such as mitochondrial dysfunction, inflammaging, and the role of extracellular matrix in uterine pathologies.

lifespan.io – an ecosystem-creating community hub for the field

The second day of the conference started with a keynote talk from lifespan.io executive director Stephanie Dainow. “There are a lot of longevity conferences going on,” she said. “What we tried to be exceptional at is expanding and diversifying our audience. We have people from many different communities here: crypto, DeSci, government, and even general public, because we need to build the community.” Here are some excerpts from Stephanie’s talk:

Whether you are a transhumanist who wants to upload their mind, it doesn’t matter, because the first step we must take is to understand aging, and to do that, we need more funding, knowledge, collaboration, we need a united voice, so we can operate together more effectively.

To amplify the great work the scientific community is doing, we need precision and thoughtfulness in our messages, which lifespan.io embodies. For a decade, we have been known for our unwavering dedication to responsible and high-quality longevity-related content, and our deep engagement with diverse audiences. We now have hundreds of thousands of monthly visitors to our website, and millions of subscribers across our various YouTube channels. We are a source of education and inspiration. We are bridging the gap between the research and the public, having become one of the foremost non-profits in the longevity domain.

We are architects of connection, introducing organizations and individuals to each other and actively supporting collaborations. The recent rapid expansion of the longevity field generated a clear need for a roadmap. We are guardians of progress, equipping scientists, investors, policy makers, and all community members with the tools they need to navigate this complex landscape. Our purpose is to facilitate cross-pollination, sparking those invaluable serendipitous connections. An embodiment of this is our Longevity Investors Network.

We have not yet reached the level of impact that was characteristic of the campaigns of old that fueled research into cancer and Alzheimer’s. In another example, climate change, once relegated to scholarly circles, now commands worldwide attention. Irrespective of differing viewpoints, we cannot deny the remarkable impact achieved. We need to recreate this success in our field.

Every interaction is an opportunity to kindle a flame, to attract fresh champions to our mission. Yet, the message must be meticulously crafted. We at lifespan.io possess the expertise to shape the discussion, to counter the misconceptions. We tread this delicate line between exciting and overpromising. Collaborative problem solving, tolerance towards each other’s views, deduplication of efforts and effective resource allocation – lifespan.io is a hub that supports all of this.

Making old drugs young again

Brian Kennedy, professor of biochemistry and physiology at the National University of Singapore and a star geroscientist, delivered a captivating update on his and his team’s work.

One of the problems with clinical trials in medicine is what Brian calls “the sickcare approach” which prioritizes treating symptoms of the disease after they appear over preventing them from appearing in the first place. In part, this stems from the Hippocratic Oath being reduced to one of its postulates, “do no harm”, which can be a road to hell paved with good intentions.

This entrenched approach makes it harder for the medical establishment to accept the need for healthy longevity studies. “We can’t work on someone who’s not sick”, many healthcare professionals would say. But doing nothing, Brian argued, is actually harming people. “This paradigm needs to be completely revisited,” he said. “Waiting until people get sick in their 50s and 60s is one of the least effective strategies you can take. You’re waiting till the problem is difficult before trying to solve it.”

Brian gave an overview of the studies his group is conducting on various potentially life-extending small molecules. Since even in mice, lifespan studies take a long time and are very expensive, the team has moved towards using biomarkers of aging and function in studies six to eight months long. This also allows for better histological analysis. “A complete change of strategy”, Brian called it.

The group pours additional resources into studying several doses rather than one arbitrarily chosen dose and making sure that both sexes are adequately represented, which is important given significant sex-related differences in aging (and, therefore, in the effects of anti-aging therapies).

Among the molecules currently being tested, Brian highlighted gemfibrozil, which reduced frailty in mice by 45%. Using a novel technique, the group was able to prove that previous research has misidentified gemfibrozil’s target as PPAR. The group has identified three true targets of gemfibrozil.

With another promising compound, urolithin A, the group saw a significant reduction of frailty in mice and “a very robust extension” in lifespan, although just in flies and killifish for now.

Many of the drugs Brian’s team is working on have been in use for decades, but they apparently can be repurposed as anti-aging drugs. Brian called this approach “making old drugs young again”.

Brian highlighted the importance of the combination approach in longevity medicine, and the fact that we are still not well-versed in creating such combinations. “When we combine things in mice,” he said, “we mostly get nothing – i.e., the effect size of the best single intervention. In many cases, the drugs actually cancel each other out. A cumulative effect is only the third most probable outcome”.

Mammals, unite!

At the beginning of his talk, Steve Horvath, “the father of methylation clocks” and a principal investigator at Altos Labs, outlined a major challenge in geroscience: the need for high quality data for AI-powered research and for full access to this data.

Thankfully, as a step in the right direction, the Mammalian Methylation Consortium founded by a group of scientists including Steve himself, just released data from more than 15,000 samples taken from 70 tissue types of 348 mammalian species. The data and the software to explore it are widely available, and in his talk, Steve called on anyone interested to put it to good use. Today, the Consortium includes more than 200 collaborators, an unprecedented number for our field.

According to Steve, a good biomarker of mammalian aging should be applicable to all mammals, because, in his opinion, all mammalian species age, even those who are sometimes credited with “negligeable senescence”.Steve’s group has even been able to develop an epigenetic clock for the naked mole rat. Most of Steve’s talk was dedicated to this particular statement.

To build this multi-species clock, the group had to work with tens of thousands of methylation sites that are highly conserved in mammals. This allowed them to build what Steve called the third-generation epigenetic clock.

Steve introduced the concept of relative age, which works like this: if the maximum lifespan in rats is four years, a two-year-old rat’s relative age would be 0.5, the same as the relative age of a 60-year-old human. Third-generation clocks predict this relative age based on methylation.

However, is it really possible to construct a clock that would be applicable to every mammalian species, without exception, given that mammals are separated by as many as 200 million years of evolution and their maximum lifespans differ 100-fold?

The answer, according to Steve, is yes, and the proof was recently published in Nature Aging. This new clock achieves remarkable correlation across all species, which, Steve said, shows that “something is deeply conserved about all those species, as if there is some clock ticking.” Here is how well this single clock applies to different mammalian species with vastly different maximum lifespans:

Mammalian Methylation Clock

The new clock has been validated in vitro, showing an almost complete “wipeout” of epigenetic age following cellular reprogramming in human fibroblasts. Known anti-aging and pro-aging interventions (such as caloric restriction and high-fat diets, respectively) move the needle of the new clock in expected ways.

According to Steve, one of the inferences of this remarkable cross-species robustness is that if an intervention moves the needle in one mammalian species, it will probably do the same for other species, including humans.

Analyzing this pan-mammalian methylation data revealed yet another interesting finding: methylation signatures of popular anti-aging interventions do not match those associated with maximum lifespan. This suggests that while those interventions can make individuals live healthier and longer, they can hardly extend their lifespan beyond the maximum one for their species, which is consistent with a lot of previous research. To extend human maximum lifespan, new, currently undiscovered interventions are probably needed.

Can it even be done? Steve said that maximum lifespan is strongly correlated with the rate of change in methylation. Probably, anything that drastically slows this rate of change in humans has the potential to affect our maximum lifespan.

Finally, Steve reported that across multiple mammalian species, the rate of change in methylation is higher in young animals than in old ones. This interesting finding suggests that methylation is linked to development: starting from the moment of the embryonic reset, we basically begin to age rapidly, even though it will take decades for aging to manifest itself as dysfunction.

The two types of aging

In an interesting counterpoint to Steve Horvath’s talk, Peter Fedichev, CEO of Gero, gave a talk with the inspiring title of “How to Stop Worrying and Halt Aging”.  However, the contents of the talk might have been less optimistic than the title.

A while ago, Peter, a physicist-turned-geroscientist, got the longevity field’s attention with his theory of aging, which postulates that humans and mice age fundamentally differently, even though mice are the most popular animal model in geroscience. In mice, dysregulation starts creating damage early on, and this damage becomes a runaway train, leading to a short maximum lifespan. In humans, remarkably long-lived species, potent regulatory mechanisms maintain homeostasis for a long time, but when they themselves become dysregulated, this is the point when we start experiencing accelerated aging.

Two major upshots from this theory are that mice are probably a bad animal model for discovering anti-aging interventions for humans and that slowing or even stopping aging in humans is fundamentally easier than reversing it (“true rejuvenation”). Peter’s theory, while far from being confirmed or even widely accepted, is interesting and worth keeping in mind. Read our recent interview with Peter, where it is explained in much more detail.

Is a super-drug coming?

Maxwell Biosciences, although not a household name in the longevity field, might be one of the most interesting companies in it. J. Scotch McСlure, its CEO, has a lot of experience and a fascinating personal history, as he got into biotech to save his father and daughter from disease. His company’s idea is to create a “synthetic immune system”.

Maxwell is currently working on a molecule with a wide variety of effects: it is effective against viruses, fungi, and bacteria, and it also has anti-cancer properties. Maxwell was initially funded by DARPA to create a “synthetic immune system”. It started with the peptide LL-37, which was discovered in heterochronic parabiosis studies. According to McClure, this unassuming molecule serves as an “orchestra conductor” for the entire immune system by recruiting immune cells and facilitating tissue repair and cleaning. Maxwell has been able to create a molecule that mimics LL-37 and is currently taking it to clinical trials.

Maxwell has received both government and private funding and conducted extensive preclinical studies that confirmed the molecule’s effectiveness against all tested enveloped viruses, drug resistant fungi, and more than 70 bacterial strains. Maxwell is collaborating with the Barron Lab in Stanford and Kirshenbaum Lab NYU, which pioneered this research about two decades ago.

LL-37 is a part of the “healing secretome”, as it is secreted by many tissues and universally present across the body. However, in vivo, it breaks down unpredictably and quickly, which precludes its use as a drug. The solution found was quite ingenious: to replace the carbon-based backbone of the peptide, vulnerable to degradation by protease enzymes, with a nitrogen-based one while leaving all the side chains intact. This modification also reduced the molecule’s size to the point that it is regulated by the FDA as a small molecule.

Maxwell has chosen infectious diseases as its indication, which allows for a much quicker and cheaper FDA approval process compared to fields like cardiovascular diseases or cancer. However, their discovery is potentially highly relevant to the aging processes, and we will probably be hearing about Maxwell a lot in the coming years.

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Cat heart

Treating Enlarged Hearts in Cats with Rapamycin

Researchers publishing in Journal of the American Veterinary Medical Association have conducted a feline clinical trial finding that rapamycin is effective against heart enlargement in cats.

A well-known drug for a well-known problem

Rapamycin, also known as sirolimus, is one of the most well-known and commonly taken compounds for longevity. The key metabolic factor it inhibits, the mechanistic target of rapamycin (mTOR), has two protein complexes, mTORC1 and mTORC2, both of which have substantial downstream effects, including in the cardiovascular system [1]. In this and other organs, inhibiting mTORC1 has positive effects, while inhibiting mTORC2 has negative ones. However, rapamycin affects mTORC1 much more acutely and mTORC2 only over the long term, meaning that intermittent dosing can be an effective strategy [2].

Hypertrophic cardiomyopathy (HCM), the unhealthy enlargement of the walls of the heart, affects approximately 15% of domestic cats and is often found not to have any clear cause [3]. This disease is largely untreatable by downstream therapies and, just like in people, it often leads to heart failure and death. As rapamycin was found to be effective in a mouse model of cardiac hypertrophy [4] and another study found it to improve the hearts of dogs [5], these researchers decided to see if it was effective in cats as well.

Conducted like a human clinical trial

As this study was conducted on companion animals recruited from the general population, it was conducted much like a human trial. This study was fully blinded, and the owners signed informed consent forms. One-third of the enrolled cats received placebo, one-third received low-dose delayed-release rapamycin (0.3 mg/kg), and the last third received high-dose delayed-release rapamycin (0.6 mg/kg).

Attempting to treat HCM before it became a problem, this study focused on subclinical HCM with no other diagnoses; cats with severe health problems were excluded from the study, as were cats over the age of 12 (in human years, approximately retirement age). These cats were 6 years old, with a wide variety of ages. 53 cats were screened, and 36 of them finished this 180-day trial.

While a substantial number of adverse events appeared in this study, they applied to all three groups mostly equally. Although one cat in the high-dose group died of diabetic ketoacidosis, rapamycin was not found to be a statistically significant cause of any adverse event. Rapamycin was also not found to cause changes in body weight, heart rate, systolic blood pressure, quality of life, or biochemical measurements.

Not all of these groups started with the same maximal wall thickness (MWT). The placebo group, on average, had thicker walls than the treatment groups. After 60 days, these groups did not change much, with the low-dose group slightly thinning their walls. However, after 180 days, the placebo group’s walls thickened substantially, which did not occur in either of the rapamycin groups.

Rapamycin in Cats

The researchers also found a biomarker for the development of feline HCM. Cats with more N-terminal pro-B-type natriuretic peptide (NTproBNP) at baseline were substantially more likely to develop thicker walls. Rapamycin seemed to blunt this correlation and reduce NTproBNP, although these differences did not reach the level of statistical significance.

Finding the right dose

With the effects of mTORC1 and mTORC2 in mind, these researchers believe that low-dose delayed-release rapamycin appears to be more effective and potentially safer than its high-dose counterpart, at least in cats suffering from HCM.

This study had some limitations, including the relatively small study groups and the lack of direct measurements of mTORC1 and mTORC2. This study also focused on rapamycin itself rather than rapalogs that only affect mTORC1. The researchers note that further studies would be required to determine if their approach has an appreciable effect on lifespan and on HCM over the long term.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Sciarretta, S., Forte, M., Frati, G., & Sadoshima, J. (2018). New insights into the role of mTOR signaling in the cardiovascular system. Circulation research, 122(3), 489-505.

[2] Arriola Apelo, S. I., Neuman, J. C., Baar, E. L., Syed, F. A., Cummings, N. E., Brar, H. K., … & Lamming, D. W. (2016). Alternative rapamycin treatment regimens mitigate the impact of rapamycin on glucose homeostasis and the immune system. Aging cell, 15(1), 28-38.

[3] Kittleson, M. D., & Côté, E. (2021). The feline cardiomyopathies: 2. Hypertrophic cardiomyopathy. Journal of feline medicine and surgery, 23(11), 1028-1051.

[4] Shioi, T., McMullen, J. R., Tarnavski, O., Converso, K., Sherwood, M. C., Manning, W. J., & Izumo, S. (2003). Rapamycin attenuates load-induced cardiac hypertrophy in mice. Circulation, 107(12), 1664-1670.

[5] Urfer, S. R., Kaeberlein, T. L., Mailheau, S., Bergman, P. J., Creevy, K. E., Promislow, D. E., & Kaeberlein, M. (2017). A randomized controlled trial to establish effects of short-term rapamycin treatment in 24 middle-aged companion dogs. Geroscience, 39, 117-127.

Lobsters do not age like we do, perhaps we can learn to do the same.

Is Immortality Possible or Is Aging Inevitable?

 

“Could humans become immortal?” is something we get asked quite often, and the answer depends on what exactly you mean.

When it comes to immortality, what you mean is important

Whether human immortality is possible greatly depends on how you define it. If you define it as living forever and being unkillable like in a comic book or movie, then, no, it is highly unlikely.

However, if you define it in terms of showing no decline in survival characteristics, no increase in disease incidence, and no increase in mortality with advancing age, then yes. 

To some people this may seem to be a matter of semantics, but it is not. The first is a science-fiction fantasy; the second is based on real-world biology that evolution has already selected for in certain species. This is known as negligible senescence. And in fact, some animals are already doing exactly this! 

And the good news is that there is no reason why humans could not enjoy considerably increased healthy longevity if the appropriate technologies are developed. It isn’t even beyond the realms of possibility that humans might achieve negligible senescence thanks to the march of medical science and technology.

Senescence and negligible senescence

Senescence refers to the gradual deterioration of aging and is typically very obvious in almost every species. More accurately, senescence refers to a decline of survival characteristics, such as strength, mobility, and senses, and age-related increases in mortality along with a decrease in reproductive capability. Mortality rates for humans and most animals increase dramatically with age beyond reaching reproductive maturity.

A number of species age very slowly and enjoy extreme longevity and a few species are even more unusual and exhibit negligible senescence. An organism is considered negligibly senescent (NS) if it does not show any loss of survival characteristics, such as strength, mobility, and senses, an increased mortality rate with advancing age, or a loss of reproductive capability with age.

Species

Recorded lifespan

Rougheye rockfish 205 years[1-2]
Aldabra Giant Tortoise 255 years
Lobsters 100+ years (Presumed NS)
Naked mole rat (Heterocephalus glaberis) 28 years
Sea anemones 60–80 years
Freshwater pearl mussel 210–250 years[3]
Ocean Quahog clam 507 years[4]
Greenland Shark 400 years
Lake sturgeon (Acipenser fulvescens) 152 years (Presumed NS)
Clams such as Panopea generosa 160 years (Presumed NS)

Possibly even more intriguing is the hydra, a species that is observed to have no lifespan limit, as it regenerates very quickly. Barring predation and changes to its environment, it is one of the few species for which the phrase “biological immortality” would be appropriate [5]. The hydra is quite unique in how its cells work, and it is quite unlike the majority of other organisms on the planet; it is a true oddball but fascinating all the same.

Can we achieve negligible senescence?

Well, this is great news if you happen to be a lobster and avoid the fisherman’s pot long enough to reach a ripe old age, but what about us; how can we benefit from the same advantages that negligibly senescent species do?

It is clear that we would have to wait a long time, perhaps forever, before evolution selected the same traits in humans, so something a little more direct is needed.

The good news is that some researchers are trying to find out if the longevity of the naked mole rat might be exported to humans. In fact recently scientists successfully transfered a longevity mechanism from naked mole rats to mice [6]. This opens the door for potentially doing the same for humans. Who knows, we might be able to harness the superior DNA repair of the naked mole rat and signficantly reduce the impact of aging on our bodies.

Some scientists, such as Dr. Aubrey de Grey, propose that we can engineer negligible senescence by using a repair-based approach to the damage that aging causes. This is the basis of SENS, the strategies for engineered negligible senescence, and is being pursued by the SENS Research Foundation.

Other researchers have built on the original concept of SENS, and in 2013, the Hallmarks of aging was published. This landmark paper broke the aging process down into nine distinct processes known as hallmarks and essentially gave researchers a way to classify aging and an insight into what processes they might target to slow down or even reverse aging.

While there are quite a number of aging theories, the Hallmarks of aging appears to be one of the more popular, judging by how many times it has been cited and how often it is used in academia. Essentially, the Hallmarks of aging has given researchers a list of targets to develop therapies for and now the race is on to create them.

Should negligible senescence be achieved in humans through SENS or other approaches such as partial cellular reprogramming, it would potentially mean the end of age-related diseases and ill health, a most worthy goal indeed.

Negligible senescence does not mean they cannot die

It is worth noting that even though a number of species enjoy negligible senescence and do not age or age immeasurably slowly, they are still vulnerable to predation, accidents, starvation, environmental dangers, changes to their environmental niches, and diseases. This means that extremely old examples of these species with negligible senescence are very rare, especially in the wild.

To further complicate matters, we often need to sacrifice the animal in order to measure its age by examining the deep tissues and marks inside bones, much like measuring rings in a tree trunk.

This means that we cannot know the maximum age that might be achieved by these species, so the above numbers are based on what information we have; there could well be considerably older examples out there.

The point here is that negligible species with senescence do not deteriorate with age and may live considerably longer than has been recorded.

The inevitability of multicellular aging

Back in 2017, a great deal of fuss was made about humans achieving negligible senescence, with a number of articles suggesting that it is impossible. The reason is that the mainstream media interpreted a research paper very badly, assuming that the authors imply that because aging is inevitable, we cannot do anything about it [7].

The media was filled with articles smugly proclaiming in some cases that aging is unstoppable and mathematically impossible to defeat. The problem with this interpretation is that it is just plain wrong. The original paper is, strictly speaking, correct in that aging damage is indeed inevitable, but it makes no assumptions about interventions. The publication says a great deal about what evolution has done and is likely to do based on observation, but that says absolutely nothing about what medicine may achieve in the future.

One cannot apply such thinking when it comes to engineering negligible senescence in humans through the periodic repair of age-related damage. So, quite simply, publications like this make little difference to work in this field, and they change the plausibility of us achieving negligible senescence in no way whatsoever.

No, aging is not inevitable

A more recent example in 2021, which was again met with almost gleeful declaration by the press that aging cannot be stopped, was the ‘invariant rate of ageing’ paper [8].  Unfortunately, once again the reporting was based on the a similar misunderstanding of what the study actually said.

The study was actually not a study about longevity or that aging was inevitable. It was trying to understand what influences the rate of aging across species and how much results from evolved biological processes versus the effects of the environment. While the research itself has obvious merit scientifically speaking, the popular press chose to represent it in a different light.

The irony is that instead of showing that aging is indeed inevitable, the research instead shows that eventually humanity will run out of ways in which environmental improvements will increase our lifespans. At that point further gains will only be achieved through medical interventions that address the aging processes directly and either repair the damage aging does, or slow aging down by make us more resilient.

There is a clear difference between Hollywood-style immortality and negligible senescence, with the latter being a plausible goal in the next few decades. Evolution has already demonstrated that negligible senescence is indeed possible; now, the next big challenge is to use an engineering approach to aging to see if we can emulate in people what nature has done in a few lucky species. The good news is, we have a list of targets and a far better understanding of what aging is than we did even 10 years ago, and there is a lot more interest in tackling aging from both the academic and investment communities. 

Literature

[1] Munk, K. M. (2001). Maximum ages of groundfishes in waters off Alaska and British Columbia and considerations of age determination. Alaska Fish. Res. Bull, 8(1), 12-21.

[2] Cailliet, G. M., Andrews, A. H., Burton, E. J., Watters, D. L., Kline, D. E., & Ferry-Graham, L. A. (2001). Age determination and validation studies of marine fishes: do deep-dwellers live longer?. Experimental gerontology, 36(4), 739-764.

[3] Ziuganov, V., Miguel, E. S., Neves, R. J., Longa, A., Fernández, C., Amaro, R., … & Johnson, T. (2000). Life span variation of the freshwater pearl shell: a model species for testing longevity mechanisms in animals. AMBIO: A Journal of the Human Environment, 29(2), 102-105.

[4] Munro, D., & Blier, P. U. (2012). The extreme longevity of Arctica islandica is associated with increased peroxidation resistance in mitochondrial membranes. Aging cell, 11(5), 845-855.

[5] Martı́nez, D. E. (1998). Mortality patterns suggest lack of senescence in hydra. Experimental gerontology, 33(3), 217-225.

[6] Zhang, Z., Tian, X., Lu, J. Y., Boit, K., Ablaeva, J., Zakusilo, F. T., Emmrich, S., Firsanov, D., Rydkina, E., Biashad, S. A., Lu, Q., Tyshkovskiy, A., Gladyshev, V. N., Horvath, S., Seluanov, A., & Gorbunova, V. (2023). Increased hyaluronan by naked mole-rat Has2 improves healthspan in miceNature, 10.1038/s41586-023-06463-0. Advance online publication. https://doi.org/10.1038/s41586-023-06463-0

[8] Nelson, P., & Masel, J. (2017). Intercellular competition and the inevitability of multicellular aging. Proceedings of the National Academy of Sciences, 201618854.

[8] Colchero, F. et al. The long lives of primates and the ‘invariant rate of ageing’ hypothesis. Nature Communications (2021), doi: 10.1038/s41467-021-23894-3

Elderly bicycling

Diversity in Daily Activities Might Slow Cognitive Decline

A new study suggests that greater diversity of everyday activities is associated with a slower rate of age-related cognitive decline, independently of the amount of physical activity [1].

Variety or quantity?

It is widely accepted that being cognitively and socially active can slow down age-associated cognitive decline. Scientists also generally agree that the range of activities matters as well: the more you diversify them, the slower the decline [2]. Varied daily activities make people switch between tasks and adapt to new settings, which, as one study found, is likely to stimulate the hippocampus [3], a crucial brain area responsible for navigation, learning, and memory. Another study found a link between activity variety and actual hippocampal volume [2].

However, what if the effect is explained by more diverse activities being more physically demanding? After all, greater physical activity is also associated with slower cognitive decline [4]. Whether better physical shape produces the diversity of activities, or vice versa, it is possible that the relationship that is observed with cognitive function is driven by the level of physical activity rather than by the diversity of cognitive and social activities.

Diversity seems to matter

In this new study, the researchers attempted to answer this question by studying 252 community-dwelling (that is, not living in an institution) elderly adults with a mean age of 74 years. The participants completed a battery of cognitive tests at baseline and then self-reported their participation in ten common types of activity, such as reading, chores, and social visits, every three hours for five or six days. At the same time, the actual levels of their physical activity were recorded by wearable accelerometers. Results were controlled for age, sex, racial/ethnic minority status, marital status, education, self-rated health, depressive symptoms, and, interestingly, extroversion.

The researchers provide an example of how the ten daily activities they monitored differed for two of the study’s participants:

Cognitive Participants

The main upshot is that greater diversity in daily activities was indeed associated with better overall cognitive functioning. Moreover, the effect size was similar to that of education, which, although possibly mediated by income,  is a potent predictor of the rate of cognitive decline [5]. Interestingly, movement duration and step count did not show association with cognitive function.

Insights into the life of the elderly

The study also provided some interesting insights into the daily activities of the elderly. For example, chores and using computer or other electronic devices were the most common activities, with volunteering, work, and religious activities being the least common.

Average daily activity diversity did not differ between men and women, and it was greater among participants who were married or partnered. Importantly, activity diversity was substantially greater among non-Hispanic Whites compared to racial/ethnic minorities, despite movement duration and step count being mostly similar between the two groups.

This study features an interesting and compelling design but also has some serious limitations. For example, the authors did not control for income, which is known to be highly correlated with age-related cognitive decline and could at least partially explain the difference between minorities and non-minorities in this study.

While the study found no correlation between levels of physical activity and cognitive decline, the average daily step count was unusually low, which might have affected the results. Finally, it would be interesting to see longitudinal measurements of cognitive function. With the advance of commercially available wearable devices, setting up such studies should become increasingly easier.

Humans need to stay both mentally and physically active. DeYoung (2015) further asserts that the need to explore and adapt is fundamental for the health of any complex organism. The present study provides clarity to the complex question of how to best stay mentally active. People must constantly adapt to their world, even when engaged in routine activities that provide structure and meaning to daily life. The present study suggests that even daily routine activities, if combined with each other in a rich and balanced schedule, are related to higher levels of cognitive functioning that cannot be explained by the physical activity that accompanies these activities.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Brown, C. J., Jeon, S., Ng, Y. T., Lee, S., Fingerman, K. L., & Charles, S. T. (2023). Switching it up: Activity diversity and cognitive functioning in later life.Psychology and Aging. Advance online publication.

[2] Urban-Wojcik, E. J., Lee, S., Grupe, D. W., Quinlan, L., Gresham, L., Hammond, A., … & Schaefer, S. M. (2022). Diversity of daily activities is associated with greater hippocampal volume. Cognitive, affective, & behavioral neuroscience, 1-13.

[3] Aronov, D., Nevers, R., & Tank, D. W. (2017). Mapping of a non-spatial dimension by the hippocampal–entorhinal circuit. Nature, 543(7647), 719-722.

[4] Sofi, F., Valecchi, D., Bacci, D., Abbate, R., Gensini, G. F., Casini, A., & Macchi, C. (2011). Physical activity and risk of cognitive decline: a meta‐analysis of prospective studies. Journal of internal medicine, 269(1), 107-117.

[5] Zahodne, L. B., Stern, Y., & Manly, J. J. (2015). Differing effects of education on cognitive decline in diverse elders with low versus high educational attainment. Neuropsychology, 29(4), 649.

Naked Mole Rat

Utilizing One of the Naked Mole Rat’s Abilities

Publishing in Nature, a team of researchers including Vadim Gladyshev, Steve Horvath, and Vera Gorbunova has investigated the role of hyaluronan, which naked mole rats have in abundance, as a protective mechanism in a mouse model.

An established mechanism

Naked mole rats are notably resistant to cancer, and these researchers have previously determined that this resistance is, at least in part, due to high-molecular-mass hyaluronan (HMM-HA) [1]. Hyaluronan is a component of the extracellular matrix that is composed of long repeating chains of glucosamine and glucuronic acid. While smaller forms of hyaluronan (LMM-HA) are associated with inflammation [2] and cancer [3], HMM-HA is anti-inflammatory in nature [4], which may also explain some of the naked mole rat’s longevity.

However, while these benefits had been previously explored, the naked mole rat’s particular tissue-infusing amounts of hyaluronan had not been examined in other species. To that end, these researchers decided to create a mouse model that expresses HMM-HA in the way that the naked mole rat does. They used relatively large samples of mice for this lifespan study, with approximately 80-90 mice in both the treatment and control groups listed in the various results.

Not good for early development, but good for longevity

Because HMM-HA interferes with embryonic development and naturally accumulates in naked mole rats later in life, the researchers controlled its expression, activating it only upon injections of the commonly used molecule tamoxifen. Interestingly, the altered mice only had more HMM-HA in certain tissues when tamoxifen was administered; the muscle tissue contained eight times as much, the heart was unaffected, and the kidneys and intestines contained twice as much. The researchers note that the mice’s levels of hyaluronidase, which breaks down hyaluronan, were not affected and that naked mole rats have much less hyaluronidase.

Even with that being the case, the mice were profoundly affected. Mice naturally get, and die of, cancer. 80% of the old, untreated mice had signs of cancer, but only 40% of the older treated group had such signs. Even when skin cancer was directly induced in the mice through application of a toxin, the HMM-HA mice had significantly fewer tumors.

With no change in overall bodyweight, there were multiple beneficial physical effects. Treated older mice performed better on the commonly used rotarod and forelimb grip strength tests. The treatment group retained stronger bone connectivity, was considerably less frail in old age, and was even biologically younger according to epigenetic testing done on liver tissue. Lifespan, itself, was significantly but slightly improved as a result of the HMM-HA treatment.

NMR Hyaluronan

Measurements of gene expression and inflammation backed up these results. The treated group had fewer changes with aging and significantly less inflammation than the control group. The researchers note that these differences do not correspond to any other longevity treatment, suggesting that a combination treatment may be even more effective. Oxidative stress and intestinal health were also positively affected by the additional HMM-HA.

Already in use

Hyaluronan injections are already in use in the clinic for the treatment of arthritis. However, the hyaluronan in those treatments is not being produced by the body’s own cells and suffused throughout the muscles, as it was in these mice. Given the wide-ranging benefits displayed in this study, it may be worthwhile to determine if it is possible and safe to use mRNA or similar technologies to help human beings produce, and retain, more of this apparently life-extending compound.

We would like to ask you a small favor. We are a non-profit foundation, and unlike some other organizations, we have no shareholders and no products to sell you. All our news and educational content is free for everyone to read, but it does mean that we rely on the help of people like you. Every contribution, no matter if it’s big or small, supports independent journalism and sustains our future.

Literature

[1] Tian, X., Azpurua, J., Hine, C., Vaidya, A., Myakishev-Rempel, M., Ablaeva, J., … & Seluanov, A. (2013). High-molecular-mass hyaluronan mediates the cancer resistance of the naked mole rat. Nature, 499(7458), 346-349.

[2] Cyphert, J. M., Trempus, C. S., & Garantziotis, S. (2015). Size matters: molecular weight specificity of hyaluronan effects in cell biology. International journal of cell biology, 2015.

[3] Zhang, G., Lu, R., Wu, M., Liu, Y., He, Y., Xu, J., … & Gao, F. (2019). Colorectal cancer‐associated ~6kDa hyaluronan serves as a novel biomarker for cancer progression and metastasis. The FEBS Journal, 286(16), 3148-3163.

[4] Muto, J., Yamasaki, K., Taylor, K. R., & Gallo, R. L. (2009). Engagement of CD44 by hyaluronan suppresses TLR4 signaling and the septic response to LPS. Molecular immunology, 47(2-3), 449-456.