{"id":301,"date":"2014-10-29T21:50:33","date_gmt":"2014-10-29T21:50:33","guid":{"rendered":"http:\/\/joshmitteldorf.peachpuff-wolverine-566518.hostingersite.com\/?p=301"},"modified":"2014-10-30T02:55:35","modified_gmt":"2014-10-30T02:55:35","slug":"open-letter-on-research-priorities-in-aging","status":"publish","type":"post","link":"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/10\/29\/open-letter-on-research-priorities-in-aging\/","title":{"rendered":"Open Letter on Research Priorities in Aging"},"content":{"rendered":"<p><i>Last week, I had the honor of speaking with Cynthia Kenyon, who has been recruited by Google to direct research activities at their new venture into aging medicine, called CALICO, for California Life Co. \u00a0She was kind enough to listen to my thoughts on research priorities seeking near-term breakthroughs in human life extension. \u00a0Here is what I said to her, paraphrased with some added background and comments.<\/i><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p>It is my belief that the timing of development and aging is determined by chromatin* state. \u00a0The body knows how to be young, and it knows how to be old. \u00a0The difference is coded in chromosomes, especially in telomere length of stem cells and epigenetic markers in endocrine cells.<\/p>\n<p><b>*<\/b> Chromatin is the DNA in the cell nucleus, together with the histone spools around which it is wrapped and all the proteins and side-groups that are loosely and temporarily attached. \u00a0Spooled DNA is called \u201cheterochromatin\u201d and it is mostly silent. \u00a0Unspooled DNA is termed \u201ceuchromatin\u201d and it is more likely to be active. \u00a0All the protein markers, the methyl groups and acetyl groups strategically placed, together determine when and where particular genes are expressed. \u00a0This phenomenon is called \u201cepigenetics\u201d. \u00a0How is epigenetic programming effected? \u00a0The cell\u2019s epigenetic language if much more complex than the Genetic Code, and is yet poorly understood.<\/p>\n<p><b><i>I am proposing that aging is, in large part, a matter of epigenetics. \u00a0A different set of genes is turned on when we are young compared to when we are old, and that makes all the difference.<\/i><\/b><b> \u00a0<\/b>Here are four references on the subject, including my own #4 [<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2838984\/\">Ref1<\/a>, <a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0092867412000049\">Ref2<\/a>, <a href=\"http:\/\/online.liebertpub.com\/doi\/abs\/10.1089\/rej.2012.1324\">Ref3<\/a>, <a href=\"https:\/\/www.researchgate.net\/publication\/258525218_How_Does_the_Body_Know_How_Old_It_Is_Introducing_the_Epigenetic_Clock_Hypothesis\">Ref4<\/a>].<\/p>\n<p><strong><strong>\u00a0<\/strong><\/strong><\/p>\n<p><b>Background assumptions<\/b><\/p>\n<p>I believe that aging is controlled by several biological clocks. \u00a0This is a strong claim, but I think it has good support, outlined\u00a0in the references above. \u00a0Biological clocks certainly control development, puberty and related schedules early in life. \u00a0How the body knows its own age is yet incompletely understood. \u00a0It\u2019s a good bet that the same clocks that control development have been re-purposed to control aging.<\/p>\n<p>There are three clocks we know something about. \u00a0These are the epigenetic clock, cellular senescence (telomere loss), and life-long <a href=\"http:\/\/en.wikipedia.org\/wiki\/Thymic_involution\">shrinkage of the thymus<\/a>, master gland of the immune system.<\/p>\n<p>A common way to construct a clock is with a feedback loop. \u00a0A clock looks at itself to determine its next move. \u00a0The body has a feedback loop between epigenetic state (at a cell level) and circulating hormones and RNAs (at a systemic level).<\/p>\n<ul>\n<li>The epigenetic state determines which hormones and RNAs are expressed. \u00a0Endocrine glands in particular are sending hormones out into the blood which are selected by their epigenetic state.<\/li>\n<li>The circulating hormones feed back to cells and re-program the epigenetic state. All cells in the body are constantly receiving signals from the blood that guide them in continually reprogramming their DNA to express some genes and silence others.<\/li>\n<\/ul>\n<p><b><i>There is<a href=\"https:\/\/www.researchgate.net\/profile\/Josh_Mitteldorf\/publication\/258525219_Telomere_Biology_Cancer_Firewall_or_Aging_Clock\/links\/5414b6710cf2bb7347db3459?origin=publication_detail\" target=\"_blank\"> evidence <\/a>that telomere length in stem cells constitutes an independent aging clock.<\/i><\/b> \u00a0Studies have shown that <a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0140673603123847\" target=\"_blank\">people<\/a> (and other <a href=\"http:\/\/dx.plos.org\/10.1371\/journal.pone.0108964\" target=\"_blank\">mammals <\/a>and <a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-294X.2006.02862.x\/full\" target=\"_blank\">birds<\/a>) with shorter telomeres have shorter life expectancies than people with longer telomeres. \u00a0Extending telomere length is simply a matter of signaling the body to express telomerase, which is always available in the genome but normally is expressed only in embryos.<\/p>\n<p>The thymus is the organ where white blood cells are trained to attack foreign invaders and lay off the body\u2019s own cells. \u00a0The thymus shrinks beginning in childhood, accelerating with age. \u00a0Late in life, the thymus becomes seriously deficient in its function, with the result that white blood cells make two kinds of mistakes. \u00a0Type I errors cause the T-cells to fail to attack invading parasites, with the result that we get sick more often as we age. \u00a0Type II errors cause the T-cells to attack healthy cells, leading to the auto-immune diseases of late life such as arthritis and exacerbating inflammatory damage.<\/p>\n<p><strong><strong>\u00a0<\/strong><\/strong><\/p>\n<p><b>Strategy<\/b><\/p>\n<p><strong><strong>\u00a0<\/strong><\/strong><\/p>\n<p>1) There is intriguing data from parabiosis that circulating factors may be able to reprogram the body\u2019s age state. \u00a0(This is the \u201cback end\u201d of the feedback loop described above.) \u00a0If we\u2019re looking for quick progress against aging, the circulating hormones are more accessible and make a more convenient target than trying to get inside the cell nucleus to reprogram epigenetic state directly.<\/p>\n<p>Some of the blood factors most important for aging have already been identified. \u00a0For example, as we get older, we have too much NFkB, too much TGF-\u00df. \u00a0We have too little GDF11, too little oxytocin. \u00a0<a href=\"http:\/\/newscenter.berkeley.edu\/2014\/06\/10\/oxytocin-helps-muscle-regeneration\/\" target=\"_blank\">Irina Conboy<\/a> has led me to believe she knows a few more, and identifying these factors is at the center of her research. \u00a0It&#8217;s a good bet that <a href=\"http:\/\/support.cureduchenne.org\/site\/PageServer?pagename=june2013page06\" target=\"_blank\">Tom Rando<\/a>, <a href=\"http:\/\/hsci.harvard.edu\/people\/amy-wagers-phd\" target=\"_blank\">Amy Wagers<\/a> and other parabiosis researchers are compiling their own lists.<\/p>\n<p>If we&#8217;re lucky, then adding some factors to the blood while blocking others will have a long-lasting effect of re-programming epigenetics, and the body will take over by continuing to secrete a \u201cyoung mix\u201d into the blood stream. \u00a0If we\u2019re not so lucky, it may be necessary to perform some epigenetic re-programming more invasively. \u00a0<a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/09\/15\/crispr-in-your-future\/\" target=\"_blank\">CRISPR technology<\/a> holds promise in this regard.<\/p>\n<p>2) I believe that telomeres will also have to be extended in a fully-effective anti-aging program. Many herbs and supplements are known to have small activity in promoting telomerase (e.g., cycloastragenol, silymarin, carnosine). \u00a0<a href=\"http:\/\/www.sierrasci.com\/proof\/index.html\" target=\"_blank\">Bill Andrews<\/a> claims to have a synthetic telomerase promoter that is 50 times more potent than any of these. \u00a0<a href=\"http:\/\/www.michaelfossel.com\/\" target=\"_blank\">Mike Fossel<\/a> and others are also pursuing the search for telomerase activators.<\/p>\n<p>3) <a href=\"http:\/\/europepmc.org\/abstract\/MED\/9220146\" target=\"_blank\">Multiple treatments have been documented<\/a> over the years to increase thymus size in humans and in animals.\u00a0\u00a0These include growth hormone, zinc, melatonin, and thymic peptides. \u00a0A <a href=\"http:\/\/dev.biologists.org\/content\/141\/8\/1627.full\">recent breakthrough<\/a> from Univ of Edinburgh suggests a particularly effective\u00a0treatment.<\/p>\n<p><strong><strong>\u00a0<\/strong><\/strong><\/p>\n<p><b>Roadmap<\/b><\/p>\n<p>Telomerase activators are ready for safety tests and human trials now.<\/p>\n<p>Various techniques for thymus regrowth are ready for clinical trials.<\/p>\n<p>Based on <a href=\"http:\/\/med.stanford.edu\/news\/all-news\/2014\/05\/infusion-of-young-blood-recharges-brains-of-old-mice-study-finds.html\">encouraging results with mice<\/a> just last spring, Tony Wyss-Coray of Stanford Med School has just begun <a href=\"http:\/\/clinicaltrials.gov\/ct2\/show\/NCT02256306?term=stanford+alzheimer%27s&amp;rank=2\">human trials<\/a>\u00a0(for Alzheimer\u2019s Disease). \u00a0This work should be rapidly expanded if his preliminary results are promising.<\/p>\n<p><strong>GDF11, oxytocin and other blood factors should be tested for rejuvenating potential in rodents. \u00a0Drugs can be developed that block NFkB and other pro-inflammatory signals.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last week, I had the honor of speaking with Cynthia Kenyon, who has been recruited by Google to direct research activities at their new venture into aging medicine, called CALICO, for California Life Co. \u00a0She was kind enough to listen to my thoughts on research priorities seeking near-term breakthroughs in human life extension. \u00a0Here is &#8230; <a title=\"Open Letter on Research Priorities in Aging\" class=\"read-more\" href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/10\/29\/open-letter-on-research-priorities-in-aging\/\" aria-label=\"Read more about Open Letter on Research Priorities in Aging\">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-301","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>Open Letter on Research Priorities in Aging  - 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\/10\/29\/open-letter-on-research-priorities-in-aging\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Open Letter on Research Priorities in Aging\" \/>\n<meta property=\"og:description\" content=\"Last week, I had the honor of speaking with Cynthia Kenyon, who has been recruited by Google to direct research activities at their new venture into aging medicine, called CALICO, for California Life Co. \u00a0She was kind enough to listen to my thoughts on research priorities seeking near-term breakthroughs in human life extension. \u00a0Here is ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/10\/29\/open-letter-on-research-priorities-in-aging\/\" \/>\n<meta property=\"og:site_name\" content=\"Josh Mitteldorf\" \/>\n<meta property=\"article:published_time\" content=\"2014-10-29T21:50:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2014-10-30T02:55:35+00:00\" \/>\n<meta name=\"author\" content=\"Josh Mitteldorf\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Josh Mitteldorf\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2014\\\/10\\\/29\\\/open-letter-on-research-priorities-in-aging\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2014\\\/10\\\/29\\\/open-letter-on-research-priorities-in-aging\\\/\"},\"author\":{\"name\":\"Josh Mitteldorf\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/#\\\/schema\\\/person\\\/214c5d1dad9f15c48f03128d5cfccdb1\"},\"headline\":\"Open Letter on Research Priorities in Aging\",\"datePublished\":\"2014-10-29T21:50:33+00:00\",\"dateModified\":\"2014-10-30T02:55:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2014\\\/10\\\/29\\\/open-letter-on-research-priorities-in-aging\\\/\"},\"wordCount\":1044,\"commentCount\":7,\"publisher\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/#organization\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2014\\\/10\\\/29\\\/open-letter-on-research-priorities-in-aging\\\/#respond\"]}],\"copyrightYear\":\"2014\",\"copyrightHolder\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/#organization\"}},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2014\\\/10\\\/29\\\/open-letter-on-research-priorities-in-aging\\\/\",\"url\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2014\\\/10\\\/29\\\/open-letter-on-research-priorities-in-aging\\\/\",\"name\":\"Open Letter on Research Priorities in Aging - 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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":"Open Letter on Research Priorities in Aging  - 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\/10\/29\/open-letter-on-research-priorities-in-aging\/","og_locale":"en_US","og_type":"article","og_title":"Open Letter on Research Priorities in Aging","og_description":"Last week, I had the honor of speaking with Cynthia Kenyon, who has been recruited by Google to direct research activities at their new venture into aging medicine, called CALICO, for California Life Co. \u00a0She was kind enough to listen to my thoughts on research priorities seeking near-term breakthroughs in human life extension. \u00a0Here is ... 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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-4R","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts\/301","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=301"}],"version-history":[{"count":0,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts\/301\/revisions"}],"wp:attachment":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/media?parent=301"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/categories?post=301"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/tags?post=301"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}