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  • This is a video about research into slowing the rate of aging

  • and extending the human lifespan.

  • So, before I filmed this I wanted to know:

  • What do you guys generally think about such research?

  • And I made a Twitter poll

  • where I found that the majority of people were supportive and thought there should be more of it

  • but there were some important concerns and I want to address those here

  • at the beginning. I mean the most significant concern was:

  • if we're looking to extend human lifespan,

  • does that just mean we'll have more

  • sick years where we'll be in bed with Alzheimer's? Nobody wants that, and that was clear to me.

  • But the professor that I was interviewing for this video, professor David Sinclair, points out

  • that as you get older the risk of horrible diseases, things like diabetes and cancer,

  • and arthritis, all those sorts of things... it increases exponentially.

  • And so, if this research is successful the whole point of it will be to

  • forestall those sorts of diseases.

  • I mean, if you really are tackling aging,

  • then you should also see that those age-related diseases do not set in so quickly.

  • So, the point of slowing aging and extending human lifespan

  • is to extend the healthy lifespan, also called the health span.

  • The other concerns I saw were that people were saying:

  • "Well, this could be used only for the wealthy and increase inequality"

  • or "It could increase the population of the Earth causing..."

  • "...more garbage, more CO2. Where are the resources to feed all these people?".

  • I think these are valid concerns, but they're not part of the scope of this video.

  • So if you want to discuss them in the comments, feel free, but the point of this video is to address:

  • can we slow aging in humans? Can we extend the lifespan and the health span?

  • And what does that look like? How do we do it?

  • Okay. So for this video I traveled up to the 'Bodega Marine Lab',

  • which is north of San Francisco and there I got to see some 'moon jellyfish'.

  • Now what's fascinating about these 'moon jellyfishes' is that some people consider them immortal.

  • How can that be?

  • So all these jellyfish have this complex life cycle

  • where they start off as a polyp,

  • which is basically like a small sea anemone and then they'll go through a metamorphosis

  • and become a medusa. And the medusa stage is what we generally think of when we think about a jellyfish.

  • And in most of these species the polyps are generally able to asexually reproduce,

  • and they can regenerate if tissue is cut off of them or if they're damaged,

  • and they don't have any clear evidence of senescence, which is the term for biological aging.

  • So they appear to have some degree of immortality.

  • No one had reported their ability to do this until... I think this was 2015.

  • So do 'moon jellyfish' hold the key to slowing aging and extending our lifespan?

  • Could they help us live forever?

  • Before I got into making this video, I would have put this sort of research in the same category as

  • downloading your brain, your consciousness into a computer. Like, I can see how maybe that would work

  • but I don't think we're anywhere near that.

  • Because we don't even understand how the brain works or how memories are stored,

  • so that seems like serious science fiction, so

  • I would have put, say, extending the human lifespan to 120, 150, and beyond in the same category,

  • but after reading professor Sinclair's book and doing an interview with him,

  • I think it seems much more possible and in fact plausible

  • that we'll make some progress over controlling aging in our lifetimes.

  • Now, if you want to slow aging, the first question you need to answer is:

  • Why do we age in the first place? I mean, what really is aging?

  • I've made a video in the past about telomeres.

  • These are the end caps on your chromosomes. And every time a cell divides the telomere gets a bit shorter.

  • So it was thought that these

  • telomeres are kind of like the tips of your shoelaces and they prevent the chromosome from fraying.

  • But there are other signs in older bodies that you have old cells.

  • There are an accumulation of things, they're called senescent cells.

  • They're essentially these zombie-like cells that just go on living in your body and inflaming the cells around them.

  • There's poor intercellular communication,

  • there's mitochondrial dysfunction, those are the powerhouses of the cell.

  • There are these 8 or 9 different features of older cells and they are the hallmarks of aging.

  • But the question is: are they the cause of aging,

  • or are they kind of the result of a deeper root cause?

  • In the middle of the last century, the hypothesis was that

  • it was damage to our DNA, mutations to our DNA that happened over the course of our lives

  • that led us to be older

  • But,

  • evidence since then has suggested that that is not really the case.

  • I mean, you can take an adult cell,

  • and you can clone it into a new organism.

  • And that organism appears to live about as long as non-cloned organisms of the same species.

  • Now, the first sheep, Dolly the sheep, had a short lifespan. She died early.

  • But cloned animals; you can now clone a monkey,

  • you can clone dogs, in fact Barbra Streisand, the actress, she cloned her dogs,

  • and they are expected to live a normal lifespan.

  • So in that way it seems like all the information is still there in the DNA.

  • So if we're not losing information in our DNA then what is the reason for aging?

  • Well, professor Sinclair suspects that it's a loss of information,

  • but not the information in our DNA, in our genome.

  • No, professor Sinclair suspects that the loss of information is in our epigenome.

  • So what is the epigenome?

  • Every cell in your body has the same DNA,

  • but, different cell types have different epigenomes.

  • They have different ways of packaging that DNA,

  • coiling up, you know, a lot of it so that it's not read,

  • and leaving some parts of the DNA spooled out,

  • so it's easier to transcribe and turn into proteins and run that cell.

  • So the epigenome is responsible for

  • turning on or turning off different parts of the DNA.

  • The way it does that is with proteins called 'histones'

  • that, essentially, the DNA is wrapped on,

  • and also things like methylation.

  • So there's these chemical signaling markers which are placed on the DNA in certain positions.

  • So the idea is: when your body is first forming, the epigenome is what tells your cells what type of cell to be.

  • But as you get older,

  • professor Sinclair's hypothesis is that we are losing information in the epigenome.

  • And that's important because if a skin cell

  • needs to remain a skin cell, that's the epigenome.

  • And if you don't have the epigenome

  • the skin cell will forget what type of cell it is and it might turn into a brain cell,

  • which may not be that bad but if your brain turns into a skin cell

  • you've got a problem and I think that's largely what aging is.

  • I've gotta say, there's some weird, hair patches, on my shoulder,

  • that have happened as I've gotten older.

  • Is that a cell... doing the wrong thing? Are those meant to be skin cells?

  • Are they're screwing up or is this just some... I don't know.

  • No, no, weird stuff happens when you get older, right? You start to get hair growing where it shouldn't:

  • ears, nose, back. That's cells losing their identity, the cells go:

  • "I can't remember what I'm supposed to do, I'm not reading the right genes anymore."

  • So, the key to this sort of breakdown in the epigenome

  • is DNA damage?

  • Yeah, so when you go out in the sun, not like today,

  • but on a day where there's a lot of sun, you'll break your chromosomes.

  • And in the effort that the cells go to to stick the chromosome back together,

  • note: the DNA isn't just flailing around, it's actually bundled up. The cell has to unwrap it,

  • recruit proteins to help,

  • join it together, and then they have to go back and reset the structures.

  • And that resetting of the epigenome

  • happens about 99%. That 1% is the aging process.

  • So overtime, histones are not returned to the right places and DNA methylation is added in places where it shouldn't be.

  • We can read that methylation pattern and I could tell you how old you are, exactly, and when you're even gonna die.

  • How could you tell that?

  • Well, it's a clock, we call it the Horvath clock named after my good friend Steve Horvath,

  • and so these little chemicals that accumulate on the DNA like a plaque on the teeth,

  • we can read that and the more you have, the older you are; biologically.

  • So you might only be 40,

  • you're younger than 40, of course but, you know, I'm 50 now,

  • but I might be biologically 60, actually I was.

  • And I changed my life and then the test said I was biologically 31.

  • I mean, one of the things I found really interesting was: you found a way to make mice age faster.

  • So, how did you do that?

  • Well, the clock of aging is due to the loss of the information in the cell,

  • and one way to accelerate that is to go break a chromosome.

  • Instead of going in the sun we engineered a mouse where we could break its chromosomes.

  • Not enough to cause mutations, the cells put the DNA back together, so we didn't lose any genetic information.

  • But if we're right about the 'epigenetic information theory of aging',

  • those mice should get old and that's exactly what happened.

  • It's gray, it's got a hunchback,

  • it's got dementia, all its organs look old,

  • but the real test was: "what if we measured that DNA clock?" what we call the 'DNA methylation clock'.

  • And we measured it and those mice were actually 50% older than mice that we didn't treat.

  • So that isn't just a mouse that looks old, that mouse literally is older.

  • What's interesting about this hypothesis is that, if it's true,

  • if the noise accumulating the epigenome is really what's causing aging,

  • well then there are steps we can take right now

  • to slow the rate of aging in our bodies,

  • by trying to better maintain our epigenomes.

  • So how do we do that?

  • There's this theory, that billions of years ago

  • early bacteria took an important evolutionary step.

  • They actually developed two different modes of living.

  • When times were good they used their energy to grow and reproduce.

  • But when conditions were tough, they used their energy to protect and repair their cells.

  • They evolved, what professor Sinclair calls: 'longevity genes'.

  • These genes triggered by adversity create enzymes which among other things, maintain the epigenome.

  • And today, those same longevity genes can be found in bacteria, and us.

  • We have these 'hormetic response' genes or 'longevity genes' that are in all of our cells,

  • and they sense when we've run a lot, we've lost our breath or we're hungry,

  • we are a little bit hot, or a little bit cold.

  • These genes are turning on our general defenses against aging. So, what is that?

  • So, parts of our cells fall apart: they can put them back together.

  • Proteins misfold: they can get rid of them or put them back together.

  • The ends of the chromosomes get shorter: they can lengthen them.

  • A lot of processes that go on but one of the most important, I think,

  • is maintaining the information, the epigenetic information in the cell,

  • so that our cells don't forget what to do.

  • There are three types of longevity gene.

  • There are the ones we work on called 'sirtuins' and they control the information in the cell.

  • In fact, 'sir' in sirtuin stands for 'silent information regulator' number two (SIR2).

  • There are other ones. The other group is called AMP-kinase or AMPK.

  • This group of genes senses how much energy we're taking in... mostly in the form of sugar.

  • And then the third group is called mTOR.

  • And these genes control and respond to how much amino acids we're taking in.

  • So if you eat a giant steak, you've got a lot of amino acids coming into your body.

  • That'll actually prevent mTOR from hunkering down and keeping you being longer lived.

  • So the mouse experiments actually bear this out.

  • The best way to make a mouse live longer is to reduce the amount of time it eats,

  • so periodic fasting, intermittent fasting,

  • to keep it a little bit cool,

  • and to restrict its amino acids.

  • That's the recipe for long life for a mouse, and it's true for monkeys as well,

  • that have been calorie restricted studies where

  • these monkeys for 15 years didn't eat as much food as the ones that gorged themselves whenever they wanted.

  • And they were protected. They didn't just age slower.

  • They didn't get as much diabetes and heart disease, they were actually fit and healthy,

  • when the control group, eating whatever they wanted, aged and became sick quicker.

  • When some people think about eating less,

  • like, calorie restriction as a way to extend their life.

  • That doesn't seem like a very pleasant way to extend life. I mean, to be hungry for longer...

  • So are there other ways to... you know, mimic that effect? Or to simulate that?

  • There are these molecules that turn on the sirtuin pathway,

  • and trick the body. And so, for example, in the lab if I give some of our mice a molecule called 'NMN',

  • which raises the level of a chemical called 'NAD',

  • you get hyperactive defenses in the body.

  • And what did you see in these... 'senescent mice' that you gave NMN to?

  • Well, we had a bit of an incident. These mice that we gave NMN to ran 50% further,

  • but actually some of them ran so far that the machine, the little treadmill, stopped working.

  • And we had to reprogram the software

  • because this program had never seen a mouse that ran more than three kilometers.

  • Three kilometers for a mouse?

  • For an old mouse. They outran the young mice.

  • And that's like an ultramarathon for us?

  • That would be probably like taking a 70 year-old and making them run faster than a 20 year-old; further.

  • Yes, so these are ultra marathoners,

  • and if we did that to humans I imagine you could have 90 year-olds winning Olympic medals.

  • So to sum up, there are six things that you can do right now to slow the rate of your aging.

  • Starting with zero: avoid DNA damage.

  • Wear sunscreen, avoid x-rays and all that sort of stuff.

  • Number one: eat less. Caloric restriction.

  • Number two: eat less protein, because your body has ways of detecting how much of that you're taking in.

  • Number three: do some exercise. 'High-intensity interval training' (HIIT).

  • Get your heart rate up to 85%, make your body feel like you're running from a lion or something.

  • Number four: be uncomfortably cold,

  • or number five: be uncomfortably hot.

  • All of these things will trigger your body's 'longevity genes' into maintaining your epigenome.

  • Going into 'repair and protect mode' rather than 'grow and reproduce', and if you think about those things,

  • those are generally all the things that we don't do.

  • But what if slowing aging isn't enough for you?

  • Well, this is where my interview with professor Sinclair took an interesting turn,

  • because he's actually done some research on reversing aging.

  • So how would you do that?

  • Well, effectively, you would need to take the epigenome and reset it back to an earlier time.

  • But how is that possible?

  • Back in 2012, a scientist named Yamanaka received the Nobel Prize for discovering four factors,

  • which when applied in a gene therapy to an adult cell,

  • would reset the whole epigenome back to how that cell was when it was an embryo.

  • So it is what is called a 'pluripotent stem cell'.

  • Now, you wouldn't want to apply that to your entire body because,

  • well, then you would turn into a giant tumor because your cells wouldn't know how to differentiate.

  • But it does suggest that there are ways of resetting your epigenome,

  • and they could be the key to reversing aging.

  • The big breakthrough that we just had in my lab,

  • finally, you know, about a year or so ago,

  • was to reprogram the eye of a mouse.

  • And the eye, we chose the eye because that's a very hard thing to fix, right?

  • If you go blind when you're older, we think that's a one-way thing,

  • you're never going to recover your vision,

  • but we decided: let's try it anyway, let's go for broke.

  • So we put our gene therapy in the eye of old mice,

  • turn their retinas to be young again, reversed aging in their retinas.

  • So those one-year old mice went back to about two months,

  • And guess what? Those mice could see again, just like they were young again.

  • How do you reset one of these eye cells without resetting it to just a stem cell?

  • Well, we have to be very careful not to reset these cells to be basically a stem cell,

  • otherwise, we wouldn't have mice that can see, we'd have mice with a giant tumor in the back of their eyes.

  • So what we do is a couple of things:

  • we didn't use all of the four reprogramming factors that won the Nobel Prize, we use just three,

  • we leave off one called 'cMyc', which causes cancer,

  • and those three seem to be just the right recipe for taking the age of the eye backwards, but not too far.

  • Then, the second thing we do is: we turn it off.

  • We can actually turn this system 'on' when we want, and 'off' again,

  • so that we don't take them too far back in age.

  • Can you do that with any cell?

  • We think we can do this in any tissue. We've now given it to the whole mouse and those mice are fine.

  • No evidence of cancer. They seem to be really quite healthy.

  • So the big question is: can you take a mouse way back, the whole body, and be totally younger?

  • Maybe back from two years, back to two months. And that's what we're doing right now.

  • That's pretty exciting!

  • It's freakishly exciting, actually!

  • I thought we'd just slow down aging, now we're talking about an aging reset.

  • You know what? We've only reset the age of the eye once,

  • But how many times can we do this? Maybe it's twice. Maybe it's a hundred times.

  • So, professor Sinclair claims that his gene therapy reversed aging in the mouse's eye and allowed it to see again.

  • But applying a gene therapy to every one of your trillion cells is pretty impossible.

  • So in order for this to actually work and reset an entire body,

  • you would need another way, and this is where the jellyfish come in,

  • because 'moon jellyfish'—any cell in an adult jellyfish can actually be reset

  • into an earlier stage of its life cycle. It can become a polyp again.

  • So it seems like the jellyfish are actually capable of activating something like the Yamanaka factors

  • and resetting their epigenomes to an earlier time in their lives.

  • If we were able to figure out how they do that,

  • well, then maybe we could do the same with our own cells.

  • We do have the ability to reset our epigenomes,

  • but that is typically only used when we're in the embryonic stage,

  • when we need to maintain all our cells as stem cells.

  • As we age, most mammals including humans,

  • we lose stem cells over time.

  • And the stem cells we do have become more and more restricted over time

  • to the types of cells they can make.

  • So if we can understand how the 'moon jellyfish' can take, presumably, many different kinds of cells,

  • and reverse-engineer them into the cells it needs during regeneration,

  • that might give us an idea of how to do it in ourselves, as well.

  • So, I still think we're a fair ways off from reversing aging in the entire human body.

  • But what I found interesting from talking to professor Sinclair was that there's at least a roadmap.

  • At least a path ahead where you can see

  • that it could be possible to slow and even reverse aging.

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