Key Moments

171- Longevity science: caloric restriction studies, aging biomarkers & possible longevity molecules

Peter Attia MDPeter Attia MD
People & Blogs3 min read155 min video
Aug 9, 2021|74,687 views|1,640|124
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TL;DR

Longevity science explored: caloric restriction, biomarkers, animal models, and human studies.

Key Insights

1

Steve Austad's unconventional journey shaped his unique perspective on aging research.

2

Laboratory animals, particularly mice, differ significantly from their wild counterparts, impacting research validity.

3

Caloric restriction (CR) shows longevity benefits in animals, but human studies reveal challenges with adherence and potential downsides.

4

Dietary composition, especially sugar intake, may be as crucial as calorie reduction.

5

Sex differences in longevity are significant and likely rooted in complex biological factors beyond behavior.

6

Developing reliable biomarkers of aging is critical for advancing human longevity research.

A SCIENTIST'S UNCONVENTIONAL PATH

Steve Austad's early life was marked by a nomadic upbringing due to his father's union traveling card, exposing him to diverse educational experiences. Initially drawn to mathematics and literature, he eventually found his calling in biology, influenced by early encounters with nature and a series of unexpected life experiences. These included driving a taxi in 1970s New York, a stint as a lion tamer, and a near-fatal lion attack, all contributing to a unique, interdisciplinary approach to scientific inquiry.

THE LABORATORY ANIMAL DILEMMA

A significant focus of the discussion is the divergence between laboratory animals and their wild counterparts. Austad highlights how extensive inbreeding and selection over generations have created 'genetically identical' mouse strains that are dramatically different from wild mice in size, reproduction, and susceptibility to disease. This genetic uniformity, while useful for controlled genetic studies, raises concerns about the translational relevance of findings to human and wild animal biology, which is far more genetically diverse.

CALORIC RESTRICTION: PROMISE AND PITFALLS

The conversation delves into caloric restriction (CR) as a key area of longevity research. While studies in rodents and even primates (like the Wisconsin National Primate Research Center study) show significant lifespan and healthspan benefits, human trials present challenges. Achieving substantial calorie reduction is difficult for humans, and while some improvements in cardiovascular markers are observed, potential downsides like reduced bone mineral density and muscle mass loss emerge, particularly in extreme CR practitioners.

THE ROLE OF DIET QUALITY

The nuanced findings from the rhesus macaque studies underscore the importance of diet quality beyond mere calorie reduction. The contrast between the Wisconsin study (using purified, high-sucrose diets) and the NIA study (using natural ingredients with low sucrose) suggests that the detrimental effects of a poor diet, particularly high sugar intake, may significantly influence CR outcomes. The Bethesda group's controls, eating a healthier diet, lived longer and healthier lives than the restricted group in Wisconsin, highlighting the impact of diet composition.

SEX DIFFERENCES AND LONGEVITY

A striking observation is the consistent survival advantage of women across all age groups. While behavioral factors, such as men's propensity for risk-taking, contribute, biological factors are likely more significant. Hypotheses explored include the protective effect of a second X chromosome in women and potential incompatibilities between male nuclear and mitochondrial genomes. The discussion emphasizes that these sex differences are profound and may necessitate sex-specific approaches to longevity interventions.

THE QUEST FOR BIOMARKERS AND FUTURE INTERVENTIONS

The conversation concludes by addressing the critical need for reliable biomarkers of aging. While epigenetic clocks show promise and rapid changes, their short-term volatility and susceptibility to manipulation raise questions about long-term clinical utility. The focus shifts to the proteome and metabolome as more stable indicators. The discussion also touches upon potential longevity molecules like Rapamycin and Metformin, the challenges in translating animal findings to humans, and the significant public health focus on obesity, which can overshadow longevity research.

Common Questions

Steve started in math, then switched to English, aiming to be a novelist. After working as a taxi driver and even a lion trainer, a significant injury from a lion led him to graduate school. While studying social birds, he noticed opossums aged incredibly quickly, sparking his lifelong interest in the biology of aging.

Topics

Mentioned in this video

Organizations
FDA

The U.S. regulatory body that makes it challenging to conduct trials with longevity drugs in healthy people due to safety concerns for long-term use.

NIH

Proposed funding for a clinical trial to look at Rapamycin as a preventative for kidney cancer recurrence, but the funding was unsuccessful.

Serengeti Lion Project

A long-running research project in East Africa that had just ended when Steve went to graduate school, hoping to study lions there.

Tufts University

One of the three institutions involved in the CALERIE studies, which published results in the later phase.

Pennington Biomedical Research Center

One of the three institutions involved in the CALERIE studies.

Cornell University

The institution where Clive McCay conducted his early, landmark caloric restriction experiments.

National Institute of Aging

One of two groups that conducted the largest and most expensive longevity experiments on rhesus macaques, focusing on caloric restriction.

Washington University in St. Louis

One of the three institutions involved in the CALERIE studies.

Calorie Restriction Society

A group of individuals who practice extreme caloric restriction inspired by rodent studies, often called 'cronies'.

UCLA

The university where Steve did his undergraduate studies and played soccer.

Harvard University

Steve's first faculty position after his postdoc, where he began his aging research career.

University of Wisconsin

One of two groups that conducted the largest and most expensive longevity experiments on rhesus macaques, focusing on caloric restriction.

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