{"id":89,"date":"2013-03-25T02:14:15","date_gmt":"2013-03-25T02:14:15","guid":{"rendered":"http:\/\/joshmitteldorf.peachpuff-wolverine-566518.hostingersite.com\/?p=89"},"modified":"2013-03-25T03:06:08","modified_gmt":"2013-03-25T03:06:08","slug":"young-blood","status":"publish","type":"post","link":"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/03\/25\/young-blood\/","title":{"rendered":"Young Blood"},"content":{"rendered":"<p><em>Dr.\u00a0 Harold Katcher of the University of Maryland believes that signals in our blood tell our stem cells how old to act, and that some key disabilities of old age might be reversed by serial transfusions of blood plasma from a young donor.\u00a0 Plasma transfusion is a routine medical procedure, established to be safe for humans, but remarkably, its potential for rejuvenation has never been tested in humans or even in animals.<\/em><\/p>\n<p>In a <a href=\"http:\/\/www.nature.com\/nature\/journal\/v433\/n7027\/abs\/nature03260.html\" target=\"_blank\">2005 experiment<\/a> that would make anyone with the least\u00a0sensitivity to animal welfare cringe, Irina and Michael Conboy of UC\u00a0Berkeley surgically joined pairs of mice so that they shared a common\u00a0blood supply.\u00a0 One old mouse and one young mouse became artificial\u00a0Siamese twins.\u00a0 For control, Conboy also paired two old mice and two\u00a0young mice.<\/p>\n<p align=\"center\"><img decoding=\"async\" alt=\"\" src=\"http:\/\/4.bp.blogspot.com\/-M3D3LKqL1Bg\/ULQk5RpHEpI\/AAAAAAAACG8\/C9FfTQsam0w\/s1600\/Parabiosis.jpg\" \/><\/p>\n<p>After the surgery, they injured one mouse from each pair, and\u00a0monitored the healing process at a cellular level.\u00a0 As expected, the\u00a0young mice recovered from injury much more efficiently than old mice.\u00a0The surprise was that old mice that were paired with young mice healed as if they were young. \u00a0\u201c<em>Importantly, the enhanced regeneration of aged muscle was due\u00a0almost exclusively to the activation of resident, aged progenitor\u00a0cells, not to the engraftment of circulating progenitor cells from\u00a0the young partner.<\/em>\u201d In other words, it was not young cells\u00a0that implanted themselves in the old mice; it was <i>signal\u00a0proteins<\/i> in the blood that told the old mouse tissue to go\u00a0ahead and heal as if it were young.\u00a0 Something in the young blood was\u00a0signaling the satellite cells of the old mice to divide and grow\u00a0efficiently, as if they were young.<\/p>\n<p>The Conboys went on from muscle cells to study the livers of their\u00a0test animals.\u00a0 The liver is constantly regenerating, and in livers of\u00a0old animals this regrowth slows way down. \u00a0They found that livers of\u00a0old mice exposed to young blood had rejuvenated potential for growth.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Some background<\/strong><\/p>\n<p><a href=\"http:\/\/en.wikipedia.org\/wiki\/Myosatellite_cell\">Satellite cells<\/a> are\u00a0partially-differentiated stem cells.\u00a0 A pluripotent stem cell can\u00a0produce daughter cells capable of taking on any role in the body &#8211;\u00a0nerve, muscle, bone, blood, etc.\u00a0 At the other extreme, the\u00a0terminally differentiated cells of the body perform their functions but never divide to create new cells.\u00a0 A satellite cell is an in\u00a0between stage.\u00a0 It is derived from a pluripotent stem cell, and its\u00a0job is to divide and create a supply of new muscle cells only.\u00a0 The\u00a0Conboys found that satellite cells from older mice were rejuvenated\u00a0by exposure to blood from the young mouse. \u00a0Blood is best known as white and red corpuscles, but the fluid\u00a0(plasma) is important as well.\u00a0 Blood plasma contains dissolved\u00a0hormones, tiny quantities of powerful signal proteins.\u00a0 One class of signal molecules effects\u00a0<a href=\"http:\/\/en.wikipedia.org\/wiki\/Notch_signaling_pathway\">notch signaling<\/a>.<\/p>\n<p>Notch signaling is a mechanism by which cells can respond to external\u00a0signals without allowing the signal molecule to enter the cell.\u00a0 It\u2019s\u00a0a lock-and-key mechanism where the key inserted from outside controls\u00a0a latch inside the house.\u00a0 There are four types of notch proteins,\u00a0which span the cell membrane, head in the cell and tail extending\u00a0outside.\u00a0 The tail contains a receptor for specific signal molecules,\u00a0and when one of these finds its way to the receptor, the entire\u00a0molecule changes conformation along its length, reconfiguring the\u00a0head which is inside the cell.\u00a0 The Conboy study identified a notch\u00a0signal molecule called Delta that was present in the young mouse\u00a0blood, but missing in older mice.\u00a0 Responding to the Delta signal,\u00a0old satellite cells were reprogrammed to act young.<\/p>\n<p>(In case you don&#8217;t find this to be bizarre, go back and read it again. \u00a0Old cells become dysfunctional not because there&#8217;s something wrong that can&#8217;t be repaired. \u00a0All they need is a messenger protein commanding them to Be Young!)<\/p>\n<p>&nbsp;<\/p>\n<p><strong>From mouse to human<\/strong><\/p>\n<p><a href=\"http:\/\/en.wikipedia.org\/wiki\/Notch_signaling_pathway\">The Conboys with colleague Morgan Carlson<\/a>\u00a0went on to explore the biology of aging stem cells in humans.\u00a0 After a disappointing\u00a0response to their ad seeking young volunteers to be surgically joined\u00a0to genetically-matched old fogeys, they wisely decided to work instead with\u00a0cell cultures.\u00a0 They were able to rejuvenate old, inactive stem cells\u00a0by treatment with young blood plasma.\u00a0 They identified another notch\u00a0signal protein that make this happen: TGF-\u03b2 (\u201c<strong>T<\/strong>ransforming <strong>G<\/strong>rowth <strong>F<\/strong>actor\u201d). \u00a0Using TGF-\u03b2, cells drawn from a 70-year-old human were made to behave and function like\u00a0cells from a 20-year-old.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Katcher\u2019s Proposal<\/strong><\/p>\n<p><a href=\"http:\/\/www.programmed-aging.org\/theory-3\/Katcher_heterochronic_plasma_exchange.pdf\">Katcher\u2019s new paper<\/a> presents a lot of background<\/p>\n<ul>\n<li>debunking the idea that bodies simply \u00a0wear out with age<\/li>\n<li>tracing the reasoning that led him to the conclusion that aging is a<br \/>\ngenetic program, a continuation of the developmental program<\/li>\n<li>citing the Conboys\u2019 work in detail<\/li>\n<li>and continuing to present other experiments that suggest that<br \/>\nsenescent tissues might be capable of rejuvenation in response to<br \/>\nsignals in the blood.<\/li>\n<\/ul>\n<p>For example, \u201c<em>when an aged, involuted thymus gland is placed in a young body, it is rejuvenated and regains full functionality, even though it was originally in a senescent state.<\/em>\u201d (<a>ref<\/a>)<\/p>\n<p>Katcher\u2019s paper culminates in a proposal for whole-body\u00a0rejuvenation that might be practical in the near term.\u00a0 Fortuitously,\u00a0its safety in humans has already been established, so people might be\u00a0willing to try it if a course of animal experiments shows promise. \u00a0The idea is simply to transfuse older subjects with blood plasma from\u00a0a young donor, repeated often enough to sustain levels of signaling\u00a0proteins that control gene expression.There is a mature medical technology for blood separation.\u00a0 A fine\u00a0physical filter <a href=\"http:\/\/en.wikipedia.org\/wiki\/Blood_plasma_fractionation\">separates cells from plasma<\/a>.\u00a0Red and white blood cells can be returned to the donor, with the\u00a0result that the donor can safely give blood plasma up to twice weekly.\u00a0 The plasma includes dissolved hormones, including notch\u00a0signal proteins.<\/p>\n<p>The reason this technique has been tested and developed as a medical\u00a0technology is that it has been found useful for patients whose blood\u00a0does not clot.\u00a0 Hemophiliacs and others who are in danger of\u00a0excessive bleeding routinely receive plasma transfusions, which\u00a0include the clotting factors they need.\u00a0 Katcher stresses that plasma\u00a0transfusions have already been approved as safe for humans, so that\u00a0we are ready to try the additional twist of transfusing plasma from\u00a0young donors into old recipients.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>What can we expect?<\/strong><\/p>\n<p><a href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/02\/18\/dna-methylation-an-epigenetic-aging-clock\/\">I wrote in this space last month<\/a> that aging may be primarily a matter of gene expression, controlled\u00a0by chemical signals.\u00a0 Signals are of two kinds: intra-cellular and\u00a0inter-cellular.\u00a0 The former may be difficult to reprogram.\u00a0 But we\u00a0can intercept and replace the body\u2019s inter-cellular signals\u00a0without even a detailed understanding of what signals are necessary.\u00a0Katcher\u2019s proposal is a way to bypass many years of study,\u00a0disentangling a hierarchy of chemical signals, and simply transfuse the entire complement of youthful blood factors into an older\u00a0patient.<\/p>\n<p>I have tentatively adopted a paradigm in which DNA methylation is the\u00a0body\u2019s aging clock, controlling gene transcription.\u00a0 The choice\u00a0of which genes to transcribe both governs the body\u2019s metabolic\u00a0state (including aging) and also includes signals that feed back to\u00a0advance the cellular \u201cmethylation clock\u201d.<\/p>\n<p>Viewed from this perspective, Katcher\u2019s proposal is not the\u00a0holy grail of directly manipulating the methylation state of the cell. But it is a promising shortcut, addressing the inter-cellular but not intra-cellular signals that govern the \u201cmethylation clock\u201d. We don\u2019t know to what extent the inter-cellular signals by themselves might be able to turn back the clock, but Katcher\u2019s proposal is exciting because it is expected to be safe and practical in the near term, and because experiments support optimism that there will like be some rejuvenation benefit.<\/p>\n<p>In the most optimistic scenario, signals from the blood will change gene expression in ways that not only engender a more youthful phenotype, but also feed back again to methylation patterns, creating an even more youthful gene expression profile. In the pessimistic scenario, it will turn out that telomere attrition is far more important in humans than in mice, and that blood factors fail to produce a significant benefit because they don\u2019t address cellular senescence.<\/p>\n<p>Most speculation about anti-aging mechanisms and candidate treatment\u00a0modalities is quite abstract, and cannot easily be verified.\u00a0 The\u00a0beauty of Katcher\u2019s proposal is that it could be tried now in\u00a0animals, and the required procedure are already approved as safe for\u00a0humans.\u00a0 What are we waiting for?<\/p>\n<p style=\"text-align: center\">I&#8217;ll not be posting next week, not because it&#8217;s Easter, but because I&#8217;m moving.<br \/>\nSee you April 7.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr.\u00a0 Harold Katcher of the University of Maryland believes that signals in our blood tell our stem cells how old to act, and that some key disabilities of old age might be reversed by serial transfusions of blood plasma from a young donor.\u00a0 Plasma transfusion is a routine medical procedure, established to be safe for &#8230; <a title=\"Young Blood\" class=\"read-more\" href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/03\/25\/young-blood\/\" aria-label=\"Read more about Young Blood\">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-89","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>Young Blood - 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\/2013\/03\/25\/young-blood\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Young Blood\" \/>\n<meta property=\"og:description\" content=\"Dr.\u00a0 Harold Katcher of the University of Maryland believes that signals in our blood tell our stem cells how old to act, and that some key disabilities of old age might be reversed by serial transfusions of blood plasma from a young donor.\u00a0 Plasma transfusion is a routine medical procedure, established to be safe for ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/03\/25\/young-blood\/\" \/>\n<meta property=\"og:site_name\" content=\"Josh Mitteldorf\" \/>\n<meta property=\"article:published_time\" content=\"2013-03-25T02:14:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2013-03-25T03:06:08+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/4.bp.blogspot.com\/-M3D3LKqL1Bg\/ULQk5RpHEpI\/AAAAAAAACG8\/C9FfTQsam0w\/s1600\/Parabiosis.jpg\" \/>\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=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/03\\\/25\\\/young-blood\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/03\\\/25\\\/young-blood\\\/\"},\"author\":{\"name\":\"Josh Mitteldorf\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/#\\\/schema\\\/person\\\/214c5d1dad9f15c48f03128d5cfccdb1\"},\"headline\":\"Young Blood\",\"datePublished\":\"2013-03-25T02:14:15+00:00\",\"dateModified\":\"2013-03-25T03:06:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/03\\\/25\\\/young-blood\\\/\"},\"wordCount\":1418,\"commentCount\":23,\"publisher\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/03\\\/25\\\/young-blood\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/4.bp.blogspot.com\\\/-M3D3LKqL1Bg\\\/ULQk5RpHEpI\\\/AAAAAAAACG8\\\/C9FfTQsam0w\\\/s1600\\\/Parabiosis.jpg\",\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/03\\\/25\\\/young-blood\\\/#respond\"]}],\"copyrightYear\":\"2013\",\"copyrightHolder\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/#organization\"}},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/03\\\/25\\\/young-blood\\\/\",\"url\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/03\\\/25\\\/young-blood\\\/\",\"name\":\"Young Blood - 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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":"Young Blood - 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\/2013\/03\/25\/young-blood\/","og_locale":"en_US","og_type":"article","og_title":"Young Blood","og_description":"Dr.\u00a0 Harold Katcher of the University of Maryland believes that signals in our blood tell our stem cells how old to act, and that some key disabilities of old age might be reversed by serial transfusions of blood plasma from a young donor.\u00a0 Plasma transfusion is a routine medical procedure, established to be safe for ... 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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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