{"id":773,"date":"2018-10-23T15:15:55","date_gmt":"2018-10-23T15:15:55","guid":{"rendered":"http:\/\/joshmitteldorf.peachpuff-wolverine-566518.hostingersite.com\/?p=773"},"modified":"2018-10-23T15:15:55","modified_gmt":"2018-10-23T15:15:55","slug":"fisetin-a-new-senolytic","status":"publish","type":"post","link":"https:\/\/scienceblog.com\/joshmitteldorf\/2018\/10\/23\/fisetin-a-new-senolytic\/","title":{"rendered":"Fisetin&mdash;a new senolytic"},"content":{"rendered":"<p><i><span style=\"font-weight: 400\">Senolytic drugs have been the most promising near-term anti-aging therapy since the ground-breaking paper by van Deursen of Mayo Clinic published in <\/span><\/i><a href=\"https:\/\/www.nature.com\/articles\/nature10600\"><i><span style=\"font-weight: 400\">2011<\/span><\/i><\/a><i><span style=\"font-weight: 400\">. \u00a0The body accumulates senescent cells as we age, damaged cells that send out signal molecules that in turn modify our biochemistry in a toxic, pro-inflammatory direction. \u00a0Though the number of such cells is small, the damage they do is great. Van Deursen showed that just getting rid of these cells could increase lifespan of mice by ~25%. But he did it with a trick, using genetically engineered mice in which the senescent cells had a built-in self-destruct switch. \u00a0<\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400\">After that, the race was on to find chemical agents that would do the same thing without the genetically engineered self-destruct. \u00a0They must selectively kill senescent cells, while leaving all other cells unharmed. It\u2019s a tall order, because even a little residual toxicity to normal cells can be quite damaging. \u00a0Before last week, the two best candidates were <\/span><\/i><a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2017\/03\/28\/senolytics-against-aging-snapshot-of-a-fast-moving-field\/\"><i><span style=\"font-weight: 400\">FOXO4-DRI<\/span><\/i><\/a><i><span style=\"font-weight: 400\"> and a combination of <\/span><\/i><a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2015\/03\/13\/kill-senescent-cells-before-they-kill-you\/\"><i><span style=\"font-weight: 400\">quercetin with dasatinib<\/span><\/i><\/a><i><span style=\"font-weight: 400\">.<\/span><\/i><\/p>\n<hr \/>\n<p><span style=\"font-weight: 400\">I\u2019ve written in the past (<\/span><a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2016\/02\/08\/one-of-the-most-important-aging-discoveries-ever\/\"><span style=\"font-weight: 400\">here<\/span><\/a><span style=\"font-weight: 400\"> and <\/span><a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2017\/03\/28\/senolytics-against-aging-snapshot-of-a-fast-moving-field\/\"><span style=\"font-weight: 400\">here<\/span><\/a><span style=\"font-weight: 400\">) that senolytic drugs are our best prospect for a near-term lift on the road to anti-aging medicine. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Last week, a large research group affiliated with the original May Clinic team published <\/span><a href=\"https:\/\/www.ebiomedicine.com\/article\/S2352-3964(18)30373-6\/fulltext\"><span style=\"font-weight: 400\">findings about fisetin<\/span><\/a><span style=\"font-weight: 400\">, the latest and greatest candidate for a senolitic pill, another flavenoid, very close in structure to quercetin.\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"size-large aligncenter\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/9\/91\/Fisetin.svg\/250px-Fisetin.svg.png\" width=\"250\" height=\"136\" \/><\/span><\/p>\n<p><span style=\"font-weight: 400\">They grew senescent and normal cells in a test tube, then tested 11 different plant-derived chemicals for power to kill the one while leaving the other unharmed. \u00a0The winner was fisetin. <\/span><\/p>\n<p><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large\" src=\"https:\/\/els-jbs-prod-cdn.literatumonline.com\/cms\/attachment\/8f25ea56-3f1a-4d40-b9d4-e0a24f6c6c24\/gr1.jpg\" width=\"621\" height=\"475\" \/>(MEF stands for Mouse Embryonic Fybroblast, the cells that were cultured in the screening experiment.)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Fisetin is especially interesting because it is cheap, easily available, widely-regarded as safe, but not nearly as well studied as quercetin.<\/span><\/p>\n<p><span style=\"font-weight: 400\">They took the winner, fisetin, and subjected it to a series of tests. \u00a0They began with <\/span><i><span style=\"font-weight: 400\">in vitro <\/span><\/i><span style=\"font-weight: 400\">(cell culture) tests and proceeded to <\/span><i><span style=\"font-weight: 400\">in vivo <\/span><\/i><span style=\"font-weight: 400\">tests with live animals, culminating with an impressive life span assay in mice.<\/span><\/p>\n<p><span style=\"font-weight: 400\">(The runner-up was curcumin, less interesting perhaps only because it has already been extensively studied. \u00a0The curcumin molecule is unrelated to quercetin or fisetin, and is not a flavenoid. I can\u2019t help but wonder if they had subjected curcumin to the same thorough testing that they reserved for fisetin, how would curcumin have fared?)<\/span><\/p>\n<figure style=\"width: 246px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/c\/c9\/CurcuminKeto.svg\/256px-CurcuminKeto.svg.png\" width=\"256\" height=\"75\" \/><figcaption class=\"wp-caption-text\">curcumin<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">The paper\u2019s principal findings were:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fisetin has lower liver toxicity (at equivalent doses for senolytic benefit) than any of the other senolytics tested so far.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fisetin reduces pro-inflammatory signaling in a short course given to mice and in long-term experiments where fisetin was added to the mouse chow.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fisetin reduces number of senescent fat cells in a short course given to mice.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Mice fed fisetin for long periods had much more glutathione than control mice. \u00a0(<\/span><a href=\"https:\/\/www.selfhacked.com\/blog\/glutathione-30-scientifically-proven-health-benefits-glutathione\/\"><span style=\"font-weight: 400\">Glutathione<\/span><\/a><span style=\"font-weight: 400\"> is one of very few marker molecules that seems to be wholly beneficial.)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Most impressively, mice fed fisetin late in life lived 10-15% longer than control mice. This represents a 50% increase in the remaining lifespan after the intervention.<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-774\" src=\"https:\/\/scienceblog.com\/wp-content\/uploads\/sites\/2\/2018\/10\/Fisetin-survival.png\" alt=\"\" width=\"820\" height=\"447\" srcset=\"https:\/\/scienceblog.com\/joshmitteldorf\/wp-content\/uploads\/sites\/2\/2018\/10\/Fisetin-survival.png 820w, https:\/\/scienceblog.com\/joshmitteldorf\/wp-content\/uploads\/sites\/2\/2018\/10\/Fisetin-survival-300x164.png 300w, https:\/\/scienceblog.com\/joshmitteldorf\/wp-content\/uploads\/sites\/2\/2018\/10\/Fisetin-survival-768x419.png 768w, https:\/\/scienceblog.com\/joshmitteldorf\/wp-content\/uploads\/sites\/2\/2018\/10\/Fisetin-survival-500x273.png 500w\" sizes=\"auto, (max-width: 820px) 100vw, 820px\" \/><br \/>\n<b>What we know and what we\u2019d really like to know<\/b><\/p>\n<p><span style=\"font-weight: 400\">We\u2019d like to know, do humans who take large doses of fisetin live longer? \u00a0Do they have toxic side-effects? These questions require decades to answer.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Does fisetin reduce age markers in humans, especially methylation age? \u00a0This is a feasible study, since the test is mature and safety of fisetin is fairly well established for short courses. \u00a0Perhaps this experiment is being considered; I\u2019ve written to the corresponding authors of the most recent study, in case they haven\u2019t already thought of it. \u00a0This test would not be definitive because we know that methylation age is not perfectly correlated with biological age; but if positive it would confirm both that fisetin is accomplishing epigenetic rejuvenation and that methylation tests were correctly informing us of this; a negative result would be ambiguous.<\/span><\/p>\n<p><b>Episodic Dosing<\/b><\/p>\n<p><span style=\"font-weight: 400\">It makes sense that senolytics should be taken periodically, not continuously. \u00a0A high dose can be toxic to existing senescent cells, and then getting out of the way, it can allow normal cells to recover from any damage. \u00a0This sounds like good theory, but different dosing regimens have not been tested experimentally. In fact, the new paper reports positive results from both high episodic dosing and lower everyday dosing.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Mayo group had <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5391241\/\"><span style=\"font-weight: 400\">previously tested fisetin<\/span><\/a><span style=\"font-weight: 400\">, and found it effective in killing some kinds of human senescent cells but not others. \u00a0In previous tests, fisetin was found to be effective in senescent fat cells (pre-adipocyte, white adipose tissue), and that is where it was primarily tested in the new studies. \u00a0<\/span><\/p>\n<p><b>Authors\u2019 comments<\/b><\/p>\n<p><span style=\"font-weight: 400\">They note that the episodic treatment and short half-life suggest that the benefits of fisetin come from its senolytic action, rather than other actions as an antioxidant and signal molecule. \u00a0They emphasize that clearing senescent white blood cells and making room for new, active white blood cells are activities that enhance the benefits of fisetin, since white blood cells contribute to clearing the remaining senescent cells. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Fisetin has previously been shown to have <\/span><a href=\"https:\/\/www.ingentaconnect.com\/content\/ben\/acamc\/2013\/00000013\/00000007\/art00005\"><span style=\"font-weight: 400\">anti-cancer activity<\/span><\/a><span style=\"font-weight: 400\"> and to <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24946050\"><span style=\"font-weight: 400\">inhibit inflammatory signals<\/span><\/a><span style=\"font-weight: 400\"> directly.\u00a0 Here is a <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5527824\/\">review<\/a> of benefits of fisetin from three years ago.\u00a0 <a href=\"http:\/\/genomics.senescence.info\/drugs\/browse.php?search=fisetin#\">Drugage<\/a>\u00a0lists just two previous lifespan studies with fisetin, with encouraging results from yeast and fruitflies.<\/span><\/p>\n<p><b>The Bottom Line<\/b><\/p>\n<p><span style=\"font-weight: 400\">If we choose to take fisetin at this stage in the science, we are early adopters, and our main concern ought to be safety. \u00a0There is little doubt that killing senescent cells will be beneficial. But what is the toxic burden of fisetin, and what dosage can we safely take without risk of damage to normal cells? \u00a0The current study covers a lot of ground but doesn\u2019t answer this question, apparently because they are convinced that fisetin is quite safe.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Strawberries, apples, grapes, and onions all contain fisetin, but at low levels compared to a senolytic dose. \u00a0For example, the highest food concentration, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3689181\/\"><span style=\"font-weight: 400\">160 ppm<\/span><\/a><span style=\"font-weight: 400\">, is found in strawberries. \u00a0A half pound of strawberries yields 36 mg of fisetin. \u00a0We\u2019re still guessing at the therapeutic dose, based on mouse studies, and the experimental dosage in human trials is about 1,000 to 1,500 mg (based on <\/span><a href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03430037\"><span style=\"font-weight: 400\">this clinical trial<\/span><\/a><span style=\"font-weight: 400\">), the content to 30-40 pounds of strawberries on each of two consecutive days.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In the best cases, fisetin was shown to reduce senescent cell burden by 50% and up to 75% in cell cultures. \u00a0This is a good start, and encourages us to think we can do better by combining fisetin with other agents, or perhaps with fasting.<\/span><\/p>\n<hr \/>\n<p><span style=\"font-weight: 400\">Also reported today, <\/span><\/p>\n<p><a href=\"https:\/\/peachpuff-wolverine-566518.hostingersite.com\/503965\/clearing-senescent-cells-from-the-brain-in-mice-preserves-cognition\/\"><span style=\"font-weight: 400\">Clearing Senescent Cells From The Brain In Mice Preserves Cognition<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">It sounds impressive, but I\u2019m not impressed. \u00a0First, mouse models of Alzheimer\u2019s have been discredited repeatedly. \u00a0Mice don\u2019t naturally get AD, so they have to be genetically engineered to do so, and the genetically modified mice don\u2019t share the deep causes of human AD. \u00a0Time and again, treatments have been found effective in the mouse model that fail to translate to humans. Second, the treatment used in the study to kill senescent brain cells also relied on another genetic modification, and would not be applicable to humans. \u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">My guess is that effective senolytic agents for humans will be available within a few years, and that they will decrease risk of all age-related disease, including Alzheimer\u2019s. \u00a0But this study does little to advance us toward that goal.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Senolytic drugs have been the most promising near-term anti-aging therapy since the ground-breaking paper by van Deursen of Mayo Clinic published in 2011. \u00a0The body accumulates senescent cells as we age, damaged cells that send out signal molecules that in turn modify our biochemistry in a toxic, pro-inflammatory direction. \u00a0Though the number of such cells &#8230; <a title=\"Fisetin&mdash;a new senolytic\" class=\"read-more\" href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2018\/10\/23\/fisetin-a-new-senolytic\/\" aria-label=\"Read more about Fisetin&mdash;a new senolytic\">Read more<\/a><\/p>\n","protected":false},"author":65,"featured_media":774,"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-773","post","type-post","status-publish","format-standard","has-post-thumbnail","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>Fisetin&mdash;a new senolytic - 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\/2018\/10\/23\/fisetin-a-new-senolytic\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fisetin&mdash;a new senolytic\" \/>\n<meta property=\"og:description\" content=\"Senolytic drugs have been the most promising near-term anti-aging therapy since the ground-breaking paper by van Deursen of Mayo Clinic published in 2011. \u00a0The body accumulates senescent cells as we age, damaged cells that send out signal molecules that in turn modify our biochemistry in a toxic, pro-inflammatory direction. \u00a0Though the number of such cells ... 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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":"Fisetin&mdash;a new senolytic - 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\/2018\/10\/23\/fisetin-a-new-senolytic\/","og_locale":"en_US","og_type":"article","og_title":"Fisetin&mdash;a new senolytic","og_description":"Senolytic drugs have been the most promising near-term anti-aging therapy since the ground-breaking paper by van Deursen of Mayo Clinic published in 2011. \u00a0The body accumulates senescent cells as we age, damaged cells that send out signal molecules that in turn modify our biochemistry in a toxic, pro-inflammatory direction. \u00a0Though the number of such cells ... 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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. 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