{"id":283,"date":"2014-09-02T20:20:38","date_gmt":"2014-09-02T20:20:38","guid":{"rendered":"http:\/\/joshmitteldorf.peachpuff-wolverine-566518.hostingersite.com\/?p=283"},"modified":"2014-09-02T20:20:38","modified_gmt":"2014-09-02T20:20:38","slug":"transfusing-youth-the-epigenetic-aging-clock-hypothesis-is-about-to-be-tested","status":"publish","type":"post","link":"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/09\/02\/transfusing-youth-the-epigenetic-aging-clock-hypothesis-is-about-to-be-tested\/","title":{"rendered":"Transfusing Youth: &#013;the epigenetic aging clock hypothesis is about to be tested"},"content":{"rendered":"<p><i>Just this past Spring, Tony Wyss-Coray of Stanford <\/i><a href=\"http:\/\/journals.lww.com\/neurotodayonline\/Fulltext\/2014\/06050\/Plasma_from_Younger_Mice_Found_to_Reverse.2.aspx\"><i>demonstrated<\/i><\/a><i> that infusions of blood plasma from young mice can make old mice grow new brain tissue. \u00a0Others have demonstrated benefits for muscle and liver health. The old mice are healthier, smarter, better healers for the infusion of hormones and dissolved factors (<\/i>not blood cells<i>) from the younger mice. \u00a0Leapfrogging over years of animal tests and investigations, Wyss-Coray is about to test plasma infusions in people. \u00a0<\/i><\/p>\n<p>(I\u2019m grateful to Adrian Crisan and a reader who identifies himself only as \u201cQuandry\u201d for alerting me to this story. \u00a0This is not what I had planned to write about today, but I\u2019m pumped.)<\/p>\n<p>&nbsp;<\/p>\n<p>I have argued that much of our age-state may be coded in gene expression\u2014the choice of which genes are active and which are idle. \u00a0We go through life with the same 46 chromosomes we got from our parents, the same DNA, the same genes. \u00a0But different genes are turned on and off \u00a0in different tissues, at different ages. \u00a0This is \u201cepigenetics\u201d, and it determines everything about a cell\u2019s behaviors and activities.<\/p>\n<p>The epigenetic state of a chromosome is programmed by several different kinds of decorations to the DNA. \u00a0The decorations include methylation, acetylation, and states of tight-winding and unwinding of DNA about molecular spindles called <a href=\"http:\/\/www.nature.com\/scitable\/definition\/histone-histones-57\">histones<\/a>.<\/p>\n<p>Does epigentics also determine age? \u00a0In other words, would a young person whose DNA state was epigenetically re-programmed to look like an old person\u2019s actually become old? \u00a0Could the body of an old person fix itself up to look like that of a young person if its DNA was reprogrammed? \u00a0I think it\u2019s a good bet that this will work.<\/p>\n<p>A separate question is whether it works by a local or a whole-body mechanism. \u00a0Does changing the epigenetic programming of a single cell make that one cell younger, or does it contribute to a hormone environment that makes the whole body a tiny bit younger? \u00a0DNA expression creates proteins that do the cell\u2019s work at home within the cell, and others that circulate through the body as signals, commonly known as \u201chormones\u201d. \u00a0Hormones can affect the decoration of DNA, changing the epigenetics. \u00a0But hormones are also a product of epigenetics. \u00a0Cause, effect, and cause and effect. \u00a0Perhaps this is the basis of a clock, a biological clock that can time development, maturity, puberty and aging. \u00a0It\u2019s <a href=\"http:\/\/link.springer.com\/article\/10.1134\/S0006297913090113#page-1\">an idea I find intriguing<\/a>.<\/p>\n<p>Up until Sunday, I thought that this idea would be explored at a leisurely pace, indirectly as a result of research with a different conceptual basis. \u00a0I was delighted to learn from <a href=\"http:\/\/www.newscientist.com\/article\/mg22329831.400-young-blood-to-be-used-in-ultimate-rejuvenation-trial.html?full=true#.VAW5wtddWSp\">this <i>New Scientist<\/i> article<\/a> of trials soon to begin that will test to what extent young hormones can make a person young. \u00a0Here is an <a href=\"http:\/\/www.bizjournals.com\/sanfrancisco\/blog\/biotech\/2014\/05\/young-blood-stanford-researchers-hope-plasma.html\">interview with Wyss-Coray<\/a> that contains more details.<\/p>\n<p><b>History of Parabiosis and Plasma Transfusions<\/b><\/p>\n<p>About ten years ago, Tom Rando and several students at Stanford picked up and rejuvenated an experimental paradigm that had been used and abandoned in the past. \u00a0They sewed together a young mouse and an old mouse so that they shared a common blood supply. \u00a0[See my <a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/03\/25\/young-blood\/\">previous blog<\/a>, and <a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/05\/05\/gdf11-a-hormonal-candidate-for-rejuvenation\/\">another<\/a>]. \u00a0Of course, the arrangement was hard on both mice, and they didn\u2019t live long. \u00a0But they lived long enough to determine that the older mouse was receiving benefits from the younger blood: \u00a0faster healing, tissues that looked younger under the microscope, enhanced growth of new nerve and muscle cells.<\/p>\n<p>There were many directions to take this research:<\/p>\n<ul>\n<li>What were the blood factors that gave the benefit? \u00a0(Not just beneficial blood factors, but others as well that we have too much of as we age.)<\/li>\n<li>What tissues and processes are affected?<\/li>\n<li>Aside from the surgery, what are the costs and risks?<\/li>\n<li>The big question: does the youthful blood profile have the power to reprogram cells epigenetically, so that the body remains in a youthful state and produces its own youthful blood profile?<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><b>Wyss-Coray\u2019s Bold Experiment<\/b><\/p>\n<p>Plasma transfusions are old technology. \u00a0Donor blood is separated centrifugally (<a href=\"http:\/\/en.wikipedia.org\/wiki\/Apheresis\">apheresis<\/a>) into cells and liquid (plasma) and the cells are returned to the donor\u2019s body. \u00a0Because there are no cells, there is no issue of blood type compatibility or immune attack. \u00a0A lot of the usual regulatory hurdles are avoided, and Phase I safety studies are bypassed.<\/p>\n<p>This is a small trial, less than 20 Alzheimer\u2019s patients, conducted at Stanford but privately funded by Alkahest, Inc. \u00a0(I can\u2019t find a web site for them. \u00a0Perhaps they are very new.) \u00a0It sounds from the article as though they plan on only one transfusion for each patient. \u00a0They will measure cognitive performance sensitively, and hope to see a bump in a few days, perhaps lasting a few weeks or months.<\/p>\n<p>If it is true that they\u2019re planning only one transfusion, this is disappointing. \u00a0I\u2019m tempted to say something stronger than \u201cdisappointing\u201d, like \u201cwhat could they be thinking?\u201d \u00a0They\u2019re not giving these patients new brain cells, after all. \u00a0They\u2019re signaling the body in a way that is likely to stimulate growth of new cells and offer other benefits as well. \u00a0But this could take weeks or months, and require a youthful hormonal environment that is sustained over that time. \u00a0If I were designing the experiment, I would opt for 10 weekly transfusions to 2 patients, rather than a single transfusion for each of 20 patients.<\/p>\n<p>&nbsp;<\/p>\n<p><b>The Future of Blood Factors<\/b><\/p>\n<p>I predict that Wyss-Coray\u2019s experiment will work marginally or not at all without repeated treatments. \u00a0I hope they see enough success to warrant extended trials in a follow-up. \u00a0I think that with ongoing treatment, it has the potential to work spectacularly well, and that over a few months\u2019 time we will see patients becoming younger in a number of ways. \u00a0If this happens, it will precipitate a rush of interest and new research in the area. \u00a0Patients, too, will be clamoring for treatments. \u00a0Old people will feel an entitlement to the blood plasma of young donors.<\/p>\n<p>We will quickly run out of donors. \u00a0The best thing that could come from this is an intensive effort to test different components of the blood that vary with age. \u00a0I predict that the optimum blood environment\u00a0will be obtained by\u00a0re-balancing components. \u00a0rather than just adding a few magic ingredients. \u00a0Some hormones will have to be dialed up, others dialed down in order to make old blood young. \u00a0We may hope that there are just a handful of important factors, and not many hundreds or thousands. \u00a0It will not be terribly difficult to create the recipe once we know which hormones are the important ones and how much to add or remove.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Just this past Spring, Tony Wyss-Coray of Stanford demonstrated that infusions of blood plasma from young mice can make old mice grow new brain tissue. \u00a0Others have demonstrated benefits for muscle and liver health. The old mice are healthier, smarter, better healers for the infusion of hormones and dissolved factors (not blood cells) from the &#8230; <a title=\"Transfusing Youth: &#013;the epigenetic aging clock hypothesis is about to be tested\" class=\"read-more\" href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/09\/02\/transfusing-youth-the-epigenetic-aging-clock-hypothesis-is-about-to-be-tested\/\" aria-label=\"Read more about Transfusing Youth: &#013;the epigenetic aging clock hypothesis is about to be tested\">Read more<\/a><\/p>\n","protected":false},"author":65,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-283","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Transfusing Youth: &#013;the epigenetic aging clock hypothesis is about to be tested - Josh Mitteldorf<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/09\/02\/transfusing-youth-the-epigenetic-aging-clock-hypothesis-is-about-to-be-tested\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Transfusing Youth: &#013;the epigenetic aging clock hypothesis is about to be tested\" \/>\n<meta property=\"og:description\" content=\"Just this past Spring, Tony Wyss-Coray of Stanford demonstrated that infusions of blood plasma from young mice can make old mice grow new brain tissue. \u00a0Others have demonstrated benefits for muscle and liver health. The old mice are healthier, smarter, better healers for the infusion of hormones and dissolved factors (not blood cells) from the ... 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The surprising fact that our bodies are genetically programmed to age and to die offers an enormous opportunity for medical intervention. It may be that therapies to slow the progress of aging need not repair or regenerate anything, but only need to interfere with an existing program of self-destruction. Mitteldorf has taught a weekly yoga class for thirty years. He is an advocate for vigorous self care, including exercise, meditation and caloric restriction. After earning a PhD in astrophysicist, Mitteldorf moved to evolutionary biology as a primary field in 1996. He has taught at Harvard, Berkeley, Bryn Mawr, LaSalle and Temple University. He is presently affiliated with MIT as a visiting scholar. In private life, Mitteldorf is an advocate for election integrity as well as public health. He is an avid amateur musician, playing piano in chamber groups, French horn in community orchestras. His two daughters are among the first children adopted from China in the mid-1980s. Much to the surprise of evolutionary biologists, genetic experiments indicate that aging has been selected as an adaptation for its own sake. This poses a conundrum: the impact of aging on individual fitness is wholly negative, so aging must be regarded as a kind of evolutionary altruism. Unlike other forms of evolutionary altruism, aging offers benefits to the community that are weak, and not well focussed on near kin of the altruist. This makes the mechanism challenging to understand and to model. more at http:\\\/\\\/mathforum.org\\\/~josh\",\"sameAs\":[\"http:\\\/\\\/AgingAdvice.org\"],\"url\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/author\\\/joshmitteldorf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Transfusing Youth: &#013;the epigenetic aging clock hypothesis is about to be tested - Josh Mitteldorf","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/09\/02\/transfusing-youth-the-epigenetic-aging-clock-hypothesis-is-about-to-be-tested\/","og_locale":"en_US","og_type":"article","og_title":"Transfusing Youth: &#013;the epigenetic aging clock hypothesis is about to be tested","og_description":"Just this past Spring, Tony Wyss-Coray of Stanford demonstrated that infusions of blood plasma from young mice can make old mice grow new brain tissue. \u00a0Others have demonstrated benefits for muscle and liver health. 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The surprising fact that our bodies are genetically programmed to age and to die offers an enormous opportunity for medical intervention. It may be that therapies to slow the progress of aging need not repair or regenerate anything, but only need to interfere with an existing program of self-destruction. Mitteldorf has taught a weekly yoga class for thirty years. He is an advocate for vigorous self care, including exercise, meditation and caloric restriction. After earning a PhD in astrophysicist, Mitteldorf moved to evolutionary biology as a primary field in 1996. He has taught at Harvard, Berkeley, Bryn Mawr, LaSalle and Temple University. He is presently affiliated with MIT as a visiting scholar. In private life, Mitteldorf is an advocate for election integrity as well as public health. He is an avid amateur musician, playing piano in chamber groups, French horn in community orchestras. His two daughters are among the first children adopted from China in the mid-1980s. Much to the surprise of evolutionary biologists, genetic experiments indicate that aging has been selected as an adaptation for its own sake. This poses a conundrum: the impact of aging on individual fitness is wholly negative, so aging must be regarded as a kind of evolutionary altruism. Unlike other forms of evolutionary altruism, aging offers benefits to the community that are weak, and not well focussed on near kin of the altruist. This makes the mechanism challenging to understand and to model. more at http:\/\/mathforum.org\/~josh","sameAs":["http:\/\/AgingAdvice.org"],"url":"https:\/\/scienceblog.com\/joshmitteldorf\/author\/joshmitteldorf\/"}]}},"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/pgtN8h-4z","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts\/283","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/users\/65"}],"replies":[{"embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/comments?post=283"}],"version-history":[{"count":0,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts\/283\/revisions"}],"wp:attachment":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/media?parent=283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/categories?post=283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/tags?post=283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}