What Is Aging? Most Scientists Still Get It Wrong
joshmitteldorf.scienceblog.com
joshmitteldorf.scienceblog.com
The problem is that animals in laboratories are "coach potatoes". They don't do the exercise they naturally do in their habitat searching for food.
They live overcrowded in small cages and overstressed. Most lab animals are already ill from their artificial habitat, they have diabetes and other disorders.
Strong social animals are isolated so they don't create problems like fighting each other(what are thy going to do if not?).
Imagine you were forced to live in a sofa, or in your bed, all your life, with no sunlight but LED lighting.
Most of those animals are overeating for their activity, so making them starve is better than not doing it. But this tells us nothing about real animals in the real world.
http://www.vivisectioninformation.com/index.php?p=1_27_Unrep...
The fear is that when we use animal models the interventions we find in them will not apply to humans because we are already utilising these strategies naturally. For example, the level of Uric acid in humans is very high, so high that it tends to precipitate out in the extremities causing gout. One theory of why we have such high levels of Uric acid in our bloodstream is because it is protecting us from age related damage - it is one of the simple 'hacks' that we use to age slowly.
Getting to your question there is some concern that calorie restriction won't work in humans for the same reason - we are already using the same pathways activated by calorie restriction in lab animals.
Anyway I cut down to one day a week, which is far more manageable (I am pretty skinny, and I was struggling to keep my weight up). Now it feels good. I have a feeling it is to do with insulin sensitivity, as I no longer feel hunger pangs, and don't get the sleepy feeling after having a huge lunch.
So yes, I consider myself reasonably healthy, but even so I had blood pressure and cholesterol that were bordering between normal and high levels.
Now I kind of enjoy it (one day a week). I occasionally stop, i.e. on holiday, and I do notice a bit of lethargy creeping in a time to time.
Otherwise, just get a cookbook and go for recipes that are less than 600 calories (that's the total I allow my self on a fast day).
Should have the same health test in March, so hopefully one day a week is still doing well (I have a blood pressure monitor to check that and and mine still down, actually it improved when I went from 2 to 1 day a week, maybe because I was eating a lot of crap to try and keep my weight up).
Have a google about for BBC's Horizon "Eat fast live longer". I can't find a full length version on youtube just now, but I am sure it is somewhere on the web. That's what inspired me.
I personally avoid exercise on the fast days, but some people swear by it (reddit has some subs on keto diet, which I think is combining exercise fasting and diet), but I am probably in a minority that I am not trying to loose weight with it.
Actually in the afternoon / evening it feels a lot like you have been on a long hike or something similar - probably due to using up your blood glycogen. You likely wouldn't really want to go to the gym after that.
IF is about managing appetite mostly, as the hormone that plays a large role in driving hunger (ghrelin) is highly habitual; the more often you eat, the more often you're going to be hungry. So by reducing the time-window in which you eat, you reduce the window when you'll feel hungry, which can dramatically aid diet adherence.
But that's more the everyday form of IF. If you're on a eat-stop-eat type protocol and fast once or twice a week, you're probably using it to ensure you maintain a caloric deficit each week. You're bundling all your reduction in food consumption into one day a week instead of ensuring you're at TDEE-400 calories every day.
But it seems that it is one extreme case. Another extreme would be stories about wandering (note that "wandering") Indian ascetics, who had very modest and not regular meals (low calories, not abundant) but display a very good fitness (compared to average consumers).
The truth is still out there.)
The evidence for it to extend healthy, mean, and maximum life span in a wide range of species is very extensive: mice, flies, nematodes, etc, etc, etc. The primate evidence for life span extension is mixed at this time, partially because the two decades-long studies were poorly designed in hindsight, and the expectation is that it doesn't extend life greatly in humans. Nonetheless, it has enormously impressive short term health effects in we primates [1]. If calorie restriction was a pill rather than a lifestyle, you'd beat a path to the manufacturer's door, as it has far greater positive effects on health for basically healthy people than any presently available medical technology.
It is true that there is some concern in the research community over the degree to which laboratory mice are not good reflections of what is being studied. This is not unknown, and it is not unacknowledged. A range of rigorous testing programs aim to do something about past less rigorous results - see for example the NIA Interventions Testing Program [2].
Interestingly it is worthy of note that many past research programs were tainted by inadvertent calorie restriction - the things they tested led to led to lab animals eating less. The effects of calorie restriction on health and life span are many times larger than those produced by most other things under testing.
To address your subtext of animal abuse, the only thing worse than running animal studies to advance medicine and life science knowledge is to not run those studies. Even the path to the future in which near all studies are carried out in tissue engineered flesh or simulation, causing no harm to creatures capable of suffering, requires present animal studies. Researchers want that future as it is better on all counts. Further, studies of calorie restriction and longevity are about the most benign of animal studies: these animals are healthier and longer-lived as a result of the restriction. If you want to do something about animal suffering, farming is the place to start, not research, as it accounts for 99.9% of the harms you dislike.
[1]: http://impactaging.com/papers/v5/n7/full/100581.html
[2]: http://www.nia.nih.gov/research/dab/interventions-testing-pr...
It seems that excess of calories have a big negative effect for an "idle/aged" lifestyle, and almost no effect for "hyper-active/young" lifestyle.
It seems also related to urban vs. rural populations.
See for a very good review: http://jn.nutrition.org/content/137/4/1078.full
But I do acknowledge your underlying point -- that it is exceedingly difficult to know how well results from mouse studies can be generalized to humans. It is a big problem.
Suppose there was no senescence, we all lived perfectly healthy and at peak capacity for the duration of our lives. We would still have limited lifespan in nature, because of diseases, natural predators, etc. There would be a life expectancy, since people would not live forever. Now suppose a mutation occurs that grants the individual a boost in body functions at a young age with a caveat: a gradual decline in body functions after a certain age. If this certain age is way past the life expectancy of the population, this mutation would give competitive advantage to its bearers, with no real downside, since nobody lives way past the life expectancy anyway. This mutation would spread throughout the entire population and aging would establish itself in this population.
The point of equilibrium in these trade-offs would be different for each population, since the environments and species are different, hence why hummingbirds, dogs, humans and turtles have wildly varying life expectancies.
Trying to stop aging would involve stopping or mitigating these mechanisms, which are deeply ingrained in our systems. The consequences of doing so are far from straightforward, both to the individual (if we could not stop side effects to have the cake and eat it too) and to the population as a whole.
For one thing, even in primitive human societies, the life expectancy is well into the 30s or higher (after you discount infant and early-life mortality). Yet aging starts rapidly deteriorating physical capabilities in the mid 20s.
Secondly, one of the key definitions of aging is decreasing resilience with increasing age: so in reality, you cannot treat average lifespan as if it is a constant and the rate of aging is evolutionarily determined from that. Even in primitive man, which died of predation and infectious disease primarily, aging makes older humans much more susceptible to these things (physically weaker and weaker immune system).
Finally, antagonistic pleiotropy does not explain why different organisms have very different maximum lifespans (in protected conditions), and some do not seem to appreciably age at all.
Some more detailed criticisms: http://www.programmed-aging.org/theories/antagonistic_pleiot...
Antagonstic pleiotropy probably plays some role, but it is a needlessly complex explanation when a simpler one exists: the body is a system, and over time, systems degrade and components are damaged. Its ability to repair this damage is considerable, but finite, since the repair mechanisms themselves can become damaged.
It is an interesting way of looking at it though.
http://www.ncbi.nlm.nih.gov/pubmed?term=Mitteldorf%20JJ%5BAu...
Biochemistry (Mosc) is a hotbed of programmed aging theory, and much of the theorizing in this area is generated by the Russian gerontology community.
Is it required on HN that every article be terse list of peer-reviewed facts?
There's a ton of pseudo science and outright bs in the anti-aging scene so some references would definitely help in this case.
Articles that don't make grandiose claims don't need to put their evidence up front. For 'most scientists' in the title read 'most scientists that hold a view contrary to that of the author'.
Never mind that the quality of published research itself varies wildly, or that this requirement creates an intrinsic tunnel-vision bias toward premature convergence at local maxima. If the measure of veracity is citations, then that creates a network effect, etc.
Not saying citations are a bad thing, just that they're not prima facie indicators of truth or rationality.
The grandmother hypothesis:
https://en.wikipedia.org/wiki/Grandmother_hypothesis
Evolution of sexually dimorphic longevity in humans:
"The inheritance of mitochondria is asymmetric: you only get them from your mother, and your father makes no mitochondrial contribution at all. Your father’s mitochondrial contribution dies with him and is not passed on. What does that mean? It means that there can be no selection to fine tune mitochondria to the male nuclear genome."
Mitochondria are extrmely important to the cell and have been linked to many effects of aging. The reasoning above suggests that mitochondria work more poorly in males. And indeed, the paper (linked below) explains that in fruit flies, mitochondrial genes in males are expressed with much higher variability than females.
Your two links depend on human biology, but early male death is a much more general phenomenon. Males die earlier in the vast majority of animals (with gender). This idea could explain it.
http://scienceblogs.com/pharyngula/2013/02/06/mothers-curse/
Ageing is at least as complex as cancer, but has received 1000th the study. If we assume understanding of a field correlates with resources committed then ageing research is in the 1920s. If you read the scientific literature from 1920s on cancer you will find everyone had a theory and everyone was wrong.
Males' reproductive abilities continue into much later life. Wouldn't this theory then suggest that males would live longer? The opposite is in fact the case.
Isn't this just group selection again? Has this view become more accepted nowadays among biologists? There are very compelling arguments against it.
Maybe a better way to phrase it would be to say that aging has evolved to benefit the offspring, which traditionally happened to make up a significant part of the community?
Most cases where group/community selection appears to take place have been explained by individual selection. Similarly, most (if not all) cases of symbiotic and cooperative behavior between species have been explained by an evolution of selfish survival behavior of each species.
In both cases cooperation is not being directly selected for, but occurs as a special case of individual/selfish selection.
For example (to clarify), would you say religions are subject to evolution?
[1] http://whyevolutionistrue.wordpress.com/2012/06/24/the-demis...
http://whyevolutionistrue.wordpress.com/2013/02/27/another-c...
1. http://en.m.wikipedia.org/wiki/Evolution_of_ageing#Disposabl...
But I'm not in biology or medicine, and I may be wildly off base. I'm naturally cynical about the presence of a silver bullet for aging, though.
But there are problems. First, telomerase is activated in many cancers to allow cancer cells to divide indefinitely, so there is a fear that adding telomerase as an anti-aging treatment would increase cancer risk. It is assumed that the finite length and existence of telomeres is an anti-cancer mechanism by cells.
Secondly and even more problematic, aging occurs in tissues, and aging-like gene expression signatures in cells, which still have ample telomeres. There is a lot of evidence that other things like inflammation and metabolism, which have no direct connection to telomeres, are critical to aging.
So telomerase/telomere lengthening is exceedingly unlikely to be a "silver bullet" for aging. Experiments show that it can extend lifespan in mice modestly. Conversely, though, upregulating or downregulating many other proteins which have nothing to do with telomeres can also increase lifespan.
It is possible that telomeres are important in stem cell maintenance, since stem cells have to last a long time and replicate repeatedly (stem cells themselves are a very hot topic in aging right now).
What if aging is simply a side effect of the fact that we stop growing at a certain age? It could be that certain key resources needed to fully repair the body are reduced or shut off once growth stops. Aging might even be a kind of negative growth.
It's interesting that the effects of aging don't start showing up until after we stop growing. Also, the rate at which different forms of life age seems to be related to the growth rate. Some types of turtle can live to be over 200 years old but take 50 years to grow to full size.
I'd be curious to see if there is any research into aging along these lines. If aging is related to growth, perhaps an anti-aging treatment could be as simple as finding a way to restart growth for short periods of time to generate the additional resources needed to repair damaged tissue. I have heard of human growth hormone being used as an anti-aging treatment though something tells me there would be more involved than just one hormone.
A more modern and sophisticated version is called the "disposable soma" theory of aging, which states that reproduction competes with maintenance activities for the body's resources. But it too suffers from the same problem, and the additional problem that some organisms do not appreciably age.
Yes, you are right that lifespan correlates with body mass/volume among species quite nicely, with some exceptions. And it is indeed quite suspicious that aging begins just about the same time growth stops. Growth hormone (GH) levels drop with age and GH supplementation can slow some age-related phenotypes. But, on the other hand, GH-deficient mice have increased lifespan, and GH is induced by cancer and its supplementation may increase cancer risk. There is a similar story for other growth hormones like IGF-1. Of course, these hormones, especially IGF-1, are intimately connected with metabolism, which is probably the set of pathways most heavily implicated in aging.
So I am not sure this "coincidence" of aging starting when growth stops has a known explanation. It would however make an intriguing sci-fi novel if the "cure" for aging involved always growing larger and larger in size.
The rate of aging seems to be tied to the rate of growth with slower growing organisms also aging more slowly so you might expect GH-deficient mice to live longer if it resulted in a slower rate of growth.
Hopefully turning growth back on for a short period of time would not result in the body actually growing larger in size. With luck, resources made available by new growth would go to repair tissues damaged by aging before initiating new growth.
In what sense? For most senses of the word efficient, I think I'd disagree with that.
It is rather "stopping investing in repair" rather than "intentional self-destruction". But I think there is no single "marker/indicator" for this.
So, they could keep regeneration of some specific kind of cells in a lab animal, by manipulating some hormone, but it doesn't affect the other parallel processes in different kinds of cells.
(This simplistic view obscures a lot of argument within programmed aging, just as there is a lot of argument within the aging as damage view. The author of this article has developed a novel evolutionary theory of programmed aging to compare and contrast with a range of others, such as the hyperfunction theory of aging).
At the present time we are entering an age of genetics. Whether the research community thinks of aging as a program or not is very important from the point of view of which treatments they try to chase. If aging is programmed, we'd expect damage repair to be of limited utility. If aging is accumulated damage, we'd expect attempts to change epigenetic patterns and gene expression levels to be of limited utility.
Strangely, despite the fact that most researchers think of aging as damage accumulation, the research community actually spends much more time on trying to catalog and alter epigenetic and gene expression changes - the path that clearly won't have any great impact on the underlying causes of aging in that model. So if you do support programmed aging you should be pretty happy with the way things are going. If you don't, you really shouldn't: the field is heading in the wrong direction, for bad reasons. i.e. that it is easier to raise funds for the study and alteration of epigenetics, or the Big Pharma style development of drugs to do the same, which is the very hard exploration of how to safely alter a massively complex system that is very poorly understood, while it is much harder to raise funds to aim at rejuvenation through repair of damage, as this latter is a comparatively new approach in medicine.
So despite the fact that the majority of the field thinks that aging is damage, next to no groups work on damage repair. They are largely working on building a catalog of the precise way in which damage interacts with metabolism in great detail, a part of the ongoing process of producing a complete map of metabolism, a process that has only just started in the grand scheme of things: what we have today is just the sketch of an outline.
But that list of forms of damage that cause aging? That's good and defensible and therapies could be built starting now, with a proposed ten year timeline to get to working prototypes in mice given $100m/yr funding. The whole and main point of the SENS strategies for aging is that we can skip over the need for full understanding of the detailed operation of metabolism and just fix the damage we know distinguishes old tissue from young tissue. This is the logical way to go if aging is thought to be damage. And yet it has taken a decade of advocacy to get even a small number of researchers in the field to support this approach. [3]
Want to prove whether aging is programmed or not? Implement SENS therapies, a clear and very detailed research program with a billion dollar price tag (much less than has already been spent on investigating sirtuins and mTOR, efforts that have produced nothing but knowledge of metabolism, and none of the promised treatments to modestly slow aging in healthy individuals). If that produces actual rejuvenation in mice, then aging is damage accumulation. If it doesn't, then it is programmed. End of story, fastest way to the target, job done.
[1]: http://sens.org/research/introduction-to-sens-research
[2]: http://www.senescence.info/aging_theories.html
[3]: http://sens.org/about/leadership/research-advisory-board
IIRC the role of telomeres in aging has been known for twenty or thirty years. I'm blanking on the name, but there was a biotech company that went public in the 90's that had a drug in the works to lengthen or prevent the shortening of telomeres. But two decades later they haven't made much progress.
It's far more likely there are other reasons. For example limited telomeres prevent cells from multiplying out of control. And if aging was easy to biologically prevent/reverse, we would expect to find a few people out of billions that live far outside the normal life expectancy. Like someone with a rare combination of genes that happens to have longer telomeres or younger hormones etc. Instead everyone dies pretty consistently within 90 years, give or take a decade.
this is too simplistic. there is also selection pressure for shorter generational cycles, leading to faster evolution. keeping older generations around would consume extra resources.
To prove "slowing aging", you need to demonstrate increase in maximum lifespan, not average lifespan. Exercise, diet, etc. increase average lifespan. There is no evidence they increase maximum lifespan, none at all.
Common sense, while harder to study in a lab than a new specific medicine XYZ, actually can serve us well in the messy real world.
We don't even know that for sure. There were two big studies in rhesus monkeys which disagreed on that.[1] Evidence from mice, where this idea originated, is dubious at best considering the mice most studies use.
[1] http://www.nytimes.com/2014/04/02/science/a-new-salvo-in-deb...
My hope is that if we did manage to ward off death for a bit longer, we might transcend some of our flawed notions.
Who knows? Maybe young humans are fools, and that's the problem.
If 1 dollar = 1 natural resource then clearly, yes, growth is constrained.
But it isn't. My example for this is clerical work. Banks (for example) used to employ vast rooms of clerks, who spent entire days performing simple, repetitive maths in double-entry ledgers to make sure the bank knew where all the money was. Now all of that is done by computers, and so cheaply that banks now offer massively increased services. More value, for less cost. That's growth.
Given that this is HN and frequented by legions of hackers trying to find problems to solve that create real value (by reducing costs or improving services), then this is the last place I'd expect the "growth is limited" mantra to be trotted out.
>"Given that this is HN and frequented by legions of hackers trying to find problems to solve that create real value"
Looking at the list of YCombinator funded startups on the front page (Reddit, Airbnb, Scribd), none of them seem to be tackling the big issues of climate change, pollution, seas being over-fished, deforestation, lack of physical resources for a growing population. Sure they increase efficiency in some small area, but I don't see any that even address environmental issues.
You need to remember that the majority of the worlds population live on very little money, and don't have the comfy lifestyles that many of us in the west have.
Why ? What stops mankind to go in space in go grow further in other planets and systems in the future ? There's AMPLE space for growth everywhere, if anything.
Hubble length is less than 10^24 km. Earth radius is more than 10^3 km. Therefore there's at most room for 10^21 growth in one dimension, 10^63 growth in three dimensions. 10^63 growth is less than 210 doublings. Doubling is less than 70 years of 1% growth per year. 210 * 70 is less than 20,000. Therefore, we can't grow more than 20,000 years, 1% growth per year.
Yes all is fine and dandy, once we set up colonies on the moon.
Population is very much expected and planned to grow up until 10 billions and then stagnate and decrease progressively. Not everyone on earth has tons of kids anymore, it's very much linked to the level of life. See Rosling's speech on the matter for a more detailed explanation.
The Earth does not get hotter by the way, we have like virtually no long term data on the temperature of the Earth and we should actually be VERY humble as to our ability to predict long term climate trends.
And 97% of scientists agree that climate change is happening, and is probably caused by man.
You know, 97% of scientists believed that the Sun rotated around the Earth not too long ago, so "consensus" is rarely telling.
Yup, will be fine. In the early 20th century people said we would all starve when we reach 1 billion people. Look how far we have come without major starvation (apart from the ones causes by civil wars or Communism)
Our growth is sustainable for the foreseeable future, so I'd say let's first make ourselves immortal and then tackle on the issue of stagnating growth.
Until we can get a C eelegans worm to live for years, we are not remotely close to stopping aging.
https://en.wikipedia.org/wiki/Life_expectancy#mediaviewer/Fi...
The effect continued past the large effects of hygiene, antibiotics and child vaccination. You may argue that the curve is clearly asymptotic, and that a maximum age genetic barrier is clearly visible. You can't argue, however, that there isn't real progress after antibiotics and hygiene.
This type of barrier is typical of technological evolution. We do strain a technology until returns are minimal, and only then sidestep to the next level of evolution. Steam machines were mechanical wonders before the combustion engine. Valves were amazing right before the transistor made an entrance. Current "corrective medicine" will reach its peak right before "manipulative medicine" enters the fray.
we are seeing a resurgence of bacteria resistant to antibiotics, though, and we have no new lines of antibiotics to fight them. These advances may only be temporary.
We don't develop such, due to the broken way our pharmacy research is done.
It makes no sense for pharma companies to develop antibiotics due to low ROI and lifetime of the product. A better approach for this is government to fund researchers for areas that private sector has abandoned.
yeah, like Ebola research funding done by the government ? That was an efficient model.
but surely we've been accumulating knowledge and engineering abilities that will enable progress in those areas. It may enable the progress just by being a stepping stone. That is a kind of progress. (Note that I'm not saying we've been accumulating these as fast as we could have been).
If you're in the group of people privileged to have access to those innovations, yes. For everyone else it kind of sucks seeing what the elite get to play with.
https://www.authorea.com/users/13335/articles/13690/_show_ar...
This is a result of more than year of research by the Author.
Of course we will want to. I am sure there will be lots of side effects, but almost anything beats dying.
IMHO this is the wrong question to ask. As long as you continue to age, and your body degrades, you'll eventually not object to dying any more, because living isn't much fun.
The much more interesting question is: do you want to age beyond a certain point?
I mean that I don't want my 4 year old to stop ageing, please :-)
So "stop ageing" is only good as long as we have some decent measure of control over it.
(I feel like I'm really stating the obvious here, but I don't know the whole discussion well enough to know if I can assume that obvious stuff is well-understood...)
Someone must have written sci-fi of this.
A brilliant short story by asminov also briefly touches living forever and running out of space as it were.
For me if a population of immortals means a population without children I'm not sure it's such a great idea. I'm concerned about intellectual, cultural and technological ossification and ultimately degeneration without a continually renewing population.
From a moral point of view, I don't buy the idea that death is something horrific to be avoided at all costs. Historically it's generally been accepted that there are things worth dying for, and countless throngs have sacrificed their lives, or at least willingly risked them, for causes they believed in. I'm specifically reminded of the case of a father a few years back that leaped in front of a lorry to push a child to safety, obviously knowing that he was sacrificing his own life to do so.
Human life is precious and valuable, but not infinitely so and it's not obvious to me that an existing life is necessarily more valuable than a potential new one. I don't expect it will be politicaly possible or desirable to suppress life extending treatments and I don't really have any idea how this will all play out, but for me it's not a foregone conclusion that a future in which it is normal to indefinitely extend life is an ideal one.
They had lots of children, overpopulation was not a problem because of huge habitats that hosted billions of individuals (and that were built with relative ease - The Player of Games). Also I don't agree with the intellectual degradation argument, it's just silly in the Culture AGI context.
Whatever the value of life I think it's best for the individual to decide what to do with it. Most would probably euthanasiate after a while anyway. I would very much prefer suicide than a random age related problem, but I don't really have a choice do I?
Early animals didn't age, nor did they die. Some plants don't age (they still die due to illness or trauma, but not through old age). Even "mortal" animals today are offshoots of a central cell-line that doesn't age (ovi in women get their age reset upon birth then no longer age. Sperm get their age reset upon production. This goes for all animals that age, not just for humans). So you are immortal, in the sense that some of the cells that form part of your body won't age and die like the rest of you.
Natural selection and evolution has no purpose. It does what works best in its environment. If mankind find that having longer and healthier lives benefits its species, we will probably go that way anyway.