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Sunday, June 15, 2014

Pushing off the Inevitable: Research Resisting Mortality

It seems that every time I dare turn on the T.V. I am involuntarily scarred by commercials of old men craving a sex drive. It makes you wonder...are Americans increasingly obsessed with youth? Or is the market simply appealing to the aging baby boomers? Whatever the reason, I'm here to discuss some of the research going down on anti-aging.

past century has seen a 30 year increase in the average American lifespan. Scientists attribute this dramatic, 140% rise to cooperative measures taken to control infectious disease, improve sanitation, and promote the use of antibiotics and vaccines. However, there is a limit to the number of years these measures can add to the average lifespan, which has now steadied at 77 years in the U.S.

If not external environmental factors (i.e sanitation), then what other factors limit our lifespan? Turns out, the answer is within. Scientists are increasingly examining internal factors - genetics, immunology, cell biology, neurology, and microbiology - to understand the secrets of long life.

With billions now flowing into anti-aging research, I will briefly summarize  some of the prominent advances in hormone therapy, gene mutation, and drug therapy as they relate to the quest to extend life.

Hormones Therapy

"Finding a 'fountain of youth' is a captivating story," says the National Institute on Aging. "The truth is that, to date, no research has shown that hormone replacement drugs add years to life or prevent age-related frailty."

Accordingly, the FDA has not approved hormone replacement drugs for combating aging. 

And yet, hormone replacement pharmaceuticals staunchly continue to support a booming, one-billion dollar industry – and customers are willing to pay high prices. A hormone based dietary supplement known as DHEA (dehydroepiandrosterone), which the body converts into estrogen and testosterone, sells at $12.95 for a single capsule. 

There exists a deep divide in confidence of hormone replacement therapies between pessimistic scientists and optimistic doctors and patients. The truth is that there have been no long term clinical research conducted on many hormone drugs, including DHEA.

Patients seem to use the simple logic that since hormone levels are highest in youth, added hormones in old age will increase youthful energy and strength. In reality, the body remains a delicate balance in hormone levels that can fluctuate every hour to maintain stability. Hormone therapies disrupt this natural, healthy variation.

Human growth hormone (HGH) can be especially dangerous, with studies even suggesting that people with naturally high levels of growth hormone die at younger ages than those with lower levels of the hormone (Read Hanneke Hop's experience with HGH shots).

 Read more on Hormone Therapy:

Gene Mutation
 
C. elegans, a microscopic round worm...
he's kinda cute
Studies have shown that genes attribute to 25% of  the variation in the human life span. 

Dr. Cynthia Kenyon, director of the Hillblom Center for the Biology of Aging at the University of California, San Francisco has identified daf-2, a gene thought to play a major role in aging. 

Kenyon used the model organism, Caenorhabditis elegans, because of its simple physiology and short lifespan of just two to three weeks. She found that when the daf-2 gene was mutated, the roundworms lived twice as long. 

In a later study, researchers led by Gary Ruykun, found that daf -2 codes for the creatively named  DAF-2 protein, which acts similarly to the human insulin receptor proteins. 

Further research found that single daf-2 gene actually controls the expression of a whole slew of genes through a cascade of events. Daf-2 reduces the expression of daf-16 (via phosphorylation),  a gene that encodes a transcription factor and thus regulates hundreds of other genes. In concert, this cassette of genes regulate a variety of physiological processes including: metabolism, fertility, stress response, collagen levels,and cell growth.  

Thus, daf-16 is crucial to life extension and healthy aging, and mutating its suppressor, daf-2 could extend life. 

If daf-2 limits lifespan, than why has the gene and its corresponding insulin pathway passed the test of evolution? Would it not be unwise to ignore what evolution has determined to be fit for survival? 

It turns out that daf-2 is vital; dysregulation of our insulin pathway and natural aging processes (slow of cell growth, fertility, and metabolism) can lead to both Type II diabetes and cancer, two diseases that increase with age. 

I suppose that evolution has decided that it is best to die younger, free of disease than to live longer and be crippled by these debilitating ailments. Would you agree?

Read more on gene mutation:

Drug Therapy

If I were to discuss just one anti-aging drug, it would be resveratrol. It is a chemical that is found in small quantities in red wine, but it is now being produced synthetically for stronger, more concentrated activity. 

It all has to do with calorie restriction. Calorie restriction is the only well established factor to increased lifespan.  Calorie restriction, in its role in inducing metabolic changes, improvement of insulin sensitivity, and regulation of neuroendocrine function, has been shown to reduce diabetes, cancer, cardiovascular disorders, and other age-related ailments. 

So where does resvertarol come into play? It turns out that this chemical naturally mimics calorie restriction by enhancing the expression of the key enzyme, SIRT1. Mechanisms in which it does so are unclear, but it proves to be a promising field of study. 

What implications do you think exist when our bodies reap the benefits of calorie restriction without actually restricting calories?



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