Key Moments

How to Slow Aging (and even reverse it)

VeritasiumVeritasium
Education3 min read22 min video
Dec 14, 2019|7,402,670 views|270,075|20,360
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TL;DR

Scientists explore slowing and reversing aging by focusing on the epigenome, not just DNA.

Key Insights

1

Aging is hypothesized to be a loss of information in the epigenome, rather than DNA mutations.

2

The epigenome controls which genes are turned on or off, dictating cell identity.

3

Moon jellyfish exhibit a form of biological immortality, offering clues to cellular regeneration.

4

Longevity genes (sirtuins, AMPK, mTOR) can be activated through lifestyle changes like fasting, exercise, and temperature stress.

5

Reversing aging may involve resetting the epigenome, potentially using Yamanaka factors, with promising results in mouse eye regeneration.

6

While full body reversal is distant, strategies to slow aging are available now.

THE EPIGENOME: A MASTER OF CELLULAR IDENTITY

Aging is approached less as an inevitable decay and more as a loss of cellular information, specifically within the epigenome. Unlike the DNA genome that contains all genetic blueprints, the epigenome acts as a regulatory layer, determining which genes are expressed in different cell types. This intricate system, involving proteins like histones and chemical markers such as methylation, essentially tells each cell what its job is. As we age, a breakdown in this epigenetic information can lead to cells losing their identity and function, contributing to age-related decline.

BIOMARKERS OF AGING AND THE IMPLICATIONS OF IMMORTALITY

Cellular aging is characterized by several hallmarks, including senescent cells, poor intercellular communication, and mitochondrial dysfunction. While DNA damage can disrupt the epigenome, it's not considered the root cause of aging. The concept of immortality is explored through organisms like the moon jellyfish, which can revert to an earlier life stage. This ability suggests a profound capacity for cellular reset and regeneration, hinting at mechanisms that could potentially be harnessed to combat aging in other species.

HORVATH CLOCK: MEASURING BIOLOGICAL AGE

A significant breakthrough in understanding aging is the development of the 'Horvath clock.' This method measures DNA methylation patterns, which accumulate over time like plaque on teeth. These patterns serve as a biological clock, indicating an individual's true age independent of their chronological age. By analyzing these methylation marks, scientists can assess biological age and even its progression, providing a quantifiable metric for gauging the effects of aging and potential interventions.

ACTIVATING LONGEVITY GENES THROUGH LIFESTYLE

Activating 'longevity genes,' also known as hormetic response genes, is key to slowing aging. These genes, present in all cells, are triggered by mild stressors that prompt protective and repair mechanisms. This includes processes like repairing cellular components, refolding proteins, and maintaining epigenetic information. The primary groups of these genes are sirtuins, AMPK (sensing energy levels like sugar intake), and mTOR (responding to amino acid intake). Engaging these pathways can significantly bolster cellular resilience.

STRATEGIES TO SLOW AGING: FROM CALORIE RESTRICTION TO TEMPERATURE THERAPY

Several practical strategies can activate longevity pathways. Periodic fasting or calorie restriction limits nutrient intake, particularly amino acids, which influences mTOR. Exercise, especially high-intensity interval training, simulates the 'fight or flight' response, triggering protective mechanisms. Exposure to mild cold or heat also activates these longevity genes, pushing the body into a state of repair and preservation rather than growth and reproduction. Avoiding DNA damage, such as from UV radiation or x-rays, is also crucial for maintaining epigenetic integrity.

THE POTENTIAL FOR REVERSING AGING VIA EPIGENETIC REPROGRAMMING

Reversing aging may be possible through epigenetic reprogramming, akin to resetting the biological clock. Yamanaka factors, discovered in 2012, can reset adult cells to an embryonic-like pluripotent stem cell state. While applying this broadly could lead to tumors, researchers have successfully used a modified approach in mice, applying only three of the four factors and controlling their activation. This technique successfully reversed aging in mouse retinas, restoring vision without causing cancerous growth, indicating a potential pathway for targeted age reversal.

FUTURE DIRECTIONS AND THE JELLYFISH PARADIGM

While applying reprogramming to the entire human body remains a significant challenge, the unique regenerative capabilities of organisms like the moon jellyfish offer a fascinating paradigm. These creatures can revert any cell to an earlier stage, suggesting a natural mechanism for complete epigenetic resetting. If scientists can decipher how jellyfish achieve this, it could unlock methods for human cellular rejuvenation. Although full reversal of human aging is still a distant prospect, the current understanding provides a roadmap for extending both lifespan and healthspan.

How to Slow Aging

Practical takeaways from this episode

Do This

Avoid DNA damage (wear sunscreen, avoid x-rays).
Practice caloric restriction (eat less).
Reduce protein intake.
Engage in high-intensity interval training (exercise).
Expose yourself to uncomfortable cold.
Expose yourself to uncomfortable heat.
Consider taking NMN supplements to boost NAD+.
When attempting to reverse aging, use only three of the four Yamanaka factors (omitting Myc) and be able to turn the process on and off.

Avoid This

Accumulate DNA damage.
Overeat or consume excessive protein.
Lead a sedentary lifestyle.
Avoid temperature extremes.
Apply all four Yamanaka factors systemically without control (risk of cancer/tumors).

Common Questions

Professor David Sinclair hypothesizes that aging is primarily caused by a loss of information in the epigenome, rather than damage to DNA. This epigenetic information tells cells what type of cell they should be, and its degradation leads to cells forgetting their function.

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