{"id":465,"date":"2016-02-08T21:39:32","date_gmt":"2016-02-08T21:39:32","guid":{"rendered":"http:\/\/joshmitteldorf.peachpuff-wolverine-566518.hostingersite.com\/?p=465"},"modified":"2016-02-08T21:39:32","modified_gmt":"2016-02-08T21:39:32","slug":"one-of-the-most-important-aging-discoveries-ever","status":"publish","type":"post","link":"https:\/\/scienceblog.com\/joshmitteldorf\/2016\/02\/08\/one-of-the-most-important-aging-discoveries-ever\/","title":{"rendered":"&#8216;one of the most important aging discoveries ever&#8217;"},"content":{"rendered":"<p><i>The science <\/i><a href=\"http:\/\/www.theatlantic.com\/science\/archive\/2016\/02\/clearing-retired-cells-extends-life\/459723\/\"><i>news circuits have been buzzing<\/i><\/a><i> about <\/i><a href=\"http:\/\/www.nature.com\/articles\/nature16932.epdf?referrer_access_token=-ff_MTCt384zUhSbrRgIXdRgN0jAjWel9jnR3ZoTv0NKoxCD6Da6jezl_CcYf7p31-1kmXqgWYVTGE88klCZXWPAmdHwrxcgy9fAeh3UvXaXaqEl2RQHsAArpSME1FnMWrLvH8NwSJhcXmVOcuj8TuAQ4GeAajgtpRdJ-YvzhIcWE3eBAv82hdlPh9OPGgc0XYY-SzGVQniPPQT-JfOtuWEsvcJCGwMNMLP0LDEFB4g%3D&amp;tracking_referrer=www.theatlantic.com\"><i>Jan van Deursen\u2019s recent paper<\/i><\/a><i>, in which mice stayed younger, longer when their senescent cells were removed. \u00a0They\u2019re right to call this technology a game changer for anti-aging medicine. \u00a0They\u2019re wrong to say this is new\u2014in fact, the recent paper advances only incrementally over <\/i><a href=\"http:\/\/www.nature.com\/nature\/journal\/v479\/n7372\/full\/nature10600.html#close\"><i>van Deursen\u2019s stunning results from 2011<\/i><\/a><i>. \u00a0But what they don\u2019t explain very well is that so far this technology only works for specially-prepared mice. \u00a0The mice are genetically engineered (before birth) to make their senescent cells vulnerable to a trigger that can be administered later, when they are old. \u00a0We don\u2019t yet have a way to selectively kill senescent cells in a natural mouse, or a natural human.<\/i><\/p>\n<p>(Background is in my <a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2015\/03\/13\/kill-senescent-cells-before-they-kill-you\/\">blog post of last spring<\/a>.)<\/p>\n<p>As we get older, a tiny minority (~1 in 10,000) of cells becomes senescent, usually through telomere shortening that goes so far as to compromise the integrity of the chromosomes. \u00a0The number of cells is small, but they do outsized damage, by secreting signals into the surrounding region and even into the body as a whole that turn on <b><i>inflammaging, <\/i><\/b>which is one of the primary modes by which the body destroys itself<i>. \u00a0<\/i>Chronic, systemic inflammation is linked to all the diseases of old age, especially arthritis, cancer, arterial diseases and Alzheimer\u2019s.<\/p>\n<p>The original paper from 2011 reported on a novel idea to test the hypothesis that getting rid of this tiny number of cells could have a positive impact on the whole body. \u00a0The experiment required genetically engineered mice. \u00a0That means their genes were modified in the egg stage, when the incipient mouse is still a single cell, and there\u2019s only one set of genes to modify. \u00a0Mice could be prepared in such a way that a particular gene called p16 was associated with an added gene that made the cells extremely vulnerable to a drug that wouldn\u2019t otherwise have damaged them. \u00a0This was done because senescent cells express p16, while normal cells don\u2019t. \u00a0So administration of the drug would kill just the senescent cells, while leaving normal cells alone.<\/p>\n<p>The results of the experiment were dramatic. \u00a0Animals that had their senescent cells removed lived 20-25% longer, and were healthier and more active at an age when other mice were in steep decline. \u00a0In the recent paper, life extension was bumped up marginally to 24-27%.<\/p>\n<p>From my perspective <a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2014\/04\/07\/no-the-body-doesnt-just-wear-out-as-we-get-older\/\" target=\"_blank\">as theorist<\/a>, I take this as confirmation of the idea that aging is part of the developmental program, not an unavoidable side-effect or \u201caccumulated damage\u201d as standard thinking allows.<\/p>\n<ul>\n<li>The body is assassinated by <b><i>signaling<\/i><\/b><b>, not by damage.<\/b><\/li>\n<li>Much of the signaling comes from a tiny minority of cells that the body could eliminate, but doesn\u2019t.<\/li>\n<li>And furthermore, there is no need for this minority to become senescent in the first place. \u00a0They become senescent for want of telomerase, despite the fact that every cell in the body includes the telomerase (TERT) gene, and has the potential to produce telomerase, if it were instructed to do so. \u00a0(There are many species that DO produce telomerase through their lifetimes, including mice, pigs, and cows.)<\/li>\n<\/ul>\n<p>Most scientists have yet to assimilate this paradigm shift, and the popular press glosses over it with glib quotes.<\/p>\n<blockquote><p>This seems perverse, but there\u2019s method to the body\u2019s madness. Cells undergo senescence because they accumulate damage that could potentially lead to cancer, and the molecules they secrete prompt the immune system to come over and clear them. \u201cIt\u2019s a very potent anti-cancer mechanism,\u201d says Baker. But as we get older, the immune system falters, and senescent cells accumulate. Now, the molecules they secrete become problems rather than solutions.<\/p>\n<p>Even then, senescent cells have benefits. Last year, Campisi showed that these cells <a href=\"http:\/\/www.cell.com\/developmental-cell\/abstract\/S1534-5807(14)00729-1\">help to heal wounds<\/a>. And sure enough, Baker and van Deursen found that their mice heal more slowly after such cells were removed. [quote from <a href=\"http:\/\/www.theatlantic.com\/science\/archive\/2016\/02\/clearing-retired-cells-extends-life\/459723\/\">TheAtlantic<\/a>]<\/p><\/blockquote>\n<p>But (1) the cancer hypothesis has been abandonned even by its principal proponent, Judith Campisi. \u00a0Senescent cells cause a <b><i>net increase<\/i><\/b> in cancer deaths. \u00a0And (2) the idea that secretions from senescent cells may marginally increase wound healing efficiency cannot explain their evolutionary provenance if the small good is outweighed by a larger harm. \u00a0The net result is that they kill us. \u00a0(I wrote a <a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2015\/04\/22\/telomerase-does-not-cause-cancer\/\">related column last year<\/a>.)<\/p>\n<p>&nbsp;<\/p>\n<p><b>The Future<\/b><\/p>\n<p>This technology holds up the possibility of a quick avenue toward life extension in humans that could be delivered in a treatment starting in middle age or even later. But promising as this idea is, it remains an idea and not a treatment that can be tested. \u00a0Up until now, it only works in genetically engineered animals, and not in natural mice or you or me. \u00a0What we need is a medication that will kill senescent cells while leaving normal cells undamaged. \u00a0This is akin to the idea of chemotherapy, but perhaps somewhat easier because we have already identified a single genetic marker (p16) to identify the cells we want to kill, and because the cells are not proliferating and mutating as they are in a cancer patient. \u00a0Nevertheless, there is a substantial challenge in finding the medication that can kill almost all senescent cells while leaving almost all other cells undamaged.<\/p>\n<p>The word for such an agent is <a href=\"http:\/\/www.gizmag.com\/senolytics-drug-slow-aging\/36472\/\">senolytic<\/a>. \u00a0Last year, two effective senolytic agents were reported: quercetin, a common botanical extract, and Dasanatib, a chemo drug [<a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2015\/03\/13\/kill-senescent-cells-before-they-kill-you\/\">my blog post<\/a> from last spring, including reference]. \u00a0Though they prove the principle, they don\u2019t distinguish senescent cells efficiently enough to offer an attractive therapy.<\/p>\n<p>Some promising anti-aging technologies are being ignored by researchers and pharmaceutical companies, but this isn\u2019t one of them. \u00a0The good news is that there is a race on to test senolytic agents, with at least half a dozen labs competing to find powerful and non-toxic senolytic agents. \u00a0<a href=\"https:\/\/www.fightaging.org\/archives\/2015\/01\/a-winter-update-from-the-methuselah-foundation.php\">Oisin Biotech<\/a> is a start-up with a liposomal technology. \u00a0Van Deursen and Campisi have their own for-profit spinoff, called <a href=\"http:\/\/fortune.com\/2016\/02\/03\/mayo-unity-biotechnology-anti-aging\/\">Unity Biotechnology<\/a>. \u00a0This is now a problem of synthetic chemistry and testing, and we should know within a year or two if they are finding success.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The science news circuits have been buzzing about Jan van Deursen\u2019s recent paper, in which mice stayed younger, longer when their senescent cells were removed. \u00a0They\u2019re right to call this technology a game changer for anti-aging medicine. \u00a0They\u2019re wrong to say this is new\u2014in fact, the recent paper advances only incrementally over van Deursen\u2019s stunning &#8230; <a title=\"&#8216;one of the most important aging discoveries ever&#8217;\" class=\"read-more\" href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2016\/02\/08\/one-of-the-most-important-aging-discoveries-ever\/\" aria-label=\"Read more about &#8216;one of the most important aging discoveries ever&#8217;\">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-465","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>&#039;one of the most important aging discoveries ever&#039; - 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\/2016\/02\/08\/one-of-the-most-important-aging-discoveries-ever\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"&#039;one of the most important aging discoveries ever&#039;\" \/>\n<meta property=\"og:description\" content=\"The science news circuits have been buzzing about Jan van Deursen\u2019s recent paper, in which mice stayed younger, longer when their senescent cells were removed. \u00a0They\u2019re right to call this technology a game changer for anti-aging medicine. \u00a0They\u2019re wrong to say this is new\u2014in fact, the recent paper advances only incrementally over van Deursen\u2019s stunning ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/scienceblog.com\/joshmitteldorf\/2016\/02\/08\/one-of-the-most-important-aging-discoveries-ever\/\" \/>\n<meta property=\"og:site_name\" content=\"Josh Mitteldorf\" \/>\n<meta property=\"article:published_time\" content=\"2016-02-08T21:39:32+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\\\/2016\\\/02\\\/08\\\/one-of-the-most-important-aging-discoveries-ever\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2016\\\/02\\\/08\\\/one-of-the-most-important-aging-discoveries-ever\\\/\"},\"author\":{\"name\":\"Josh Mitteldorf\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/#\\\/schema\\\/person\\\/214c5d1dad9f15c48f03128d5cfccdb1\"},\"headline\":\"&#8216;one of the most important aging discoveries ever&#8217;\",\"datePublished\":\"2016-02-08T21:39:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2016\\\/02\\\/08\\\/one-of-the-most-important-aging-discoveries-ever\\\/\"},\"wordCount\":1035,\"commentCount\":90,\"publisher\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/#organization\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2016\\\/02\\\/08\\\/one-of-the-most-important-aging-discoveries-ever\\\/#respond\"]}],\"copyrightYear\":\"2016\",\"copyrightHolder\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/#organization\"}},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2016\\\/02\\\/08\\\/one-of-the-most-important-aging-discoveries-ever\\\/\",\"url\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2016\\\/02\\\/08\\\/one-of-the-most-important-aging-discoveries-ever\\\/\",\"name\":\"'one of the most important aging discoveries ever' - 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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":"'one of the most important aging discoveries ever' - 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\/2016\/02\/08\/one-of-the-most-important-aging-discoveries-ever\/","og_locale":"en_US","og_type":"article","og_title":"'one of the most important aging discoveries ever'","og_description":"The science news circuits have been buzzing about Jan van Deursen\u2019s recent paper, in which mice stayed younger, longer when their senescent cells were removed. \u00a0They\u2019re right to call this technology a game changer for anti-aging medicine. \u00a0They\u2019re wrong to say this is new\u2014in fact, the recent paper advances only incrementally over van Deursen\u2019s stunning ... 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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-7v","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts\/465","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=465"}],"version-history":[{"count":0,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts\/465\/revisions"}],"wp:attachment":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/media?parent=465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/categories?post=465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/tags?post=465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}