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Medical Forum / General / General / March 2004

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"Never  Say  Die"

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Leonid Gavrilov - 21 Mar 2004 02:28 GMT
-- Greetings,

Here is the SECOND piece of the recent media coverage of the
International Conference on Longevity held in Sidney, Australia this
month:

-----------------------
Sydney Morning Herald, Australia - Mar 5, 2004

Never say die

March 6, 2004

Yes, you can have eternal youth, but you will probably have to give up
the cake, writes Deborah Smith.

Worms that crawl around in the soil are usually associated with death,
not life. But mutant earthworms created late last year could hold the
key to how to delay decay and live for a very long time.

By tinkering with genes, American researchers were able to extend the
life span of the worms to six times the normal length, a record for
any creature. "In human terms, these animals would correspond to
healthy, active 500-year-olds," the University of California team who
made them estimated.

Worms and people share a surprising amount of body chemistry in
common. And these slimy Methuselahs are a good example of the promise
of longevity research, and its early stage of development.

Despite a flourishing anti-ageing industry, major scientific successes
have so far been restricted to worms, fruit flies and rats. Only three
ways of extending life span in animals have worked so far - breeding
programs, semi-starvation and genetic modification, none of them great
options for humans.

This vacuum between desire for a fountain of youth and the reality
makes for lively debate.

Dr Michael Fossel, one of the leading experts on ageing attending the
inaugural International Conference on Longevity in Sydney this
weekend, believes that within a decade ways to "reverse" ageing, by
resetting genes to the way they operated when a cell was young, will
become available.

We may even be able to live for a "couple of centuries" longer, until
we're 300, predicts Fossel, of Michigan State University.

An Australian ageing expert, Dr Robin Holliday, disagrees. "It's
totally irresponsible nonsense," says Holliday, formerly of the CSIRO.

Other experts at the conference are setting their sights on an
industry that has burgeoned in the US, selling unproven pills and
potions to slow ageing. Professor Thomas Perls, of Boston University,
claims it "engenders a pernicious societal bias against older people".

Scientific advances in understanding longevity are beginning to be
made. But "any responsible pursuit of therapies has been completely
overshadowed by a greedy, amoral and dangerous industry".

He singles out the use of human growth hormone as an anti-ageing
treatment as "the most blatant and organised instance of quackery
today".

In the next 20 years the number of people aged 60 or over will double
to 1.2 billion and the figure will be more than 2 billion by 2050.

Given the seriousness of the issue, the longevity conference has
backing from the World Health Organisation. But its unlikely
organisers are a Byron Bay criminal lawyer, John Weller, and his son
Noah, a naturopath.

The Weller family have spent $1 million on the conference and the
launch of the Sydney-based non-profit International Research Centre
for Healthy Ageing and Longevity, which will run annual conferences
for the next 10 years.

John Weller says he was moved to action by the frustration of seeing
his parents and grandparents in old age move in and out of hospitals
and nursing homes. "Our philosophy is to bring together world experts
in healthy ageing and longevity for the betterment of humankind," he
says. This includes alternative approaches, and presentations by
scientists are interspersed with sessions on yoga, complementary
medicine, Eastern longevity strategies and even a performance on a
Native American flute. Clown doctor Patch Adams and environmentalist
Dr David Suzuki are also attending.

"We wanted a conference with a warm-hearted environment," says Weller,
who adds that formal presentations of non-orthodox medicine are
evidence-based.

Holliday says the misconception that ageing is a mysterous process
persists. But it is now well understood.

In mammals at least 10 maintenance mechanisms have been identified
that help repair damaged DNA or the immune system, or other problems.
The better the maintenance system, the longer-lived the creature.

Our system is relatively good. But it's not perfect. "Eventually
maintenance becomes less capable of dealing with accumulation of the
multiplicity of defects in organ systems which have not evolved to
last more than a life span," he says.

Holliday says doctors tend to treat diseases as different entities,
but they are all part of the ageing process. Better understanding of
the cellular mechanisms that cause diseases will help delay their
onset. "That's the challenge of the 21st century," he says.

People wouldn't live that much longer as a result, he says. Some
experts put the gain at only 15 years. But health costs would be much
reduced.

In animals, breeders have been able to select for longevity genes to
produce long-lived varieties of dogs, horses and cattle. "People say
you should choose your parents wisely," says Fossel. "But you can't,
of course."

A conference speaker, Dr Natalia Gavrilova, of the University of
Chicago, has shown that if you want to live beyond 80 you had better
hope you have other close long-lived relatives, because genes, rather
than environment, are most influential in survival into the ninth
decade.

Having a mature dad is bad news for girls. "Daughters conceived to
older fathers live shorter lives, while sons are not affected," she
says.

Dr Nir Barzilai in New York has also studied 300 Ashkenazim Jews who
have lived to 100. The 70- and 80-year-old children of centenarians
inherit significantly better health, he has found, with 50 per cent
less diabetes and 60 per cent fewer heart attacks than normal.

He has also recently identified a genetic mutation in a gene that
controls levels of good cholesterol that triple the chance of getting
from 70 to 100. The research could lead to new drugs to help everyone
live longer, says Barzilai, of Albert Einstein College of Medicine.

The extraordinarily long-lived worms in California were made by
reducing the activity of a gene called daf-2, as well as removing the
worms' reproductive tissues. In humans, similar genes are involved in
the production of insulin and control of growth and metabolism. And
studying this pathway, and possible drugs that could regulate it, is
becoming a major area of ageing research.

Fossel's preferred approach is to reset genes. Genes in an old cell
are the same as those in a young cell, except that over time some have
become more or less active. It's like an orchestra playing the wrong
score, he says.

Substances such as telomerase could be used to make the genes play the
right young tune again, he says. It's been done to turn old skin cells
into new ones in the lab. The approach could be tried now in a dozen
or so people, for example, to repair ulcered skin, he says. "It just
takes money, about $3-$4 million."

The scepticism of people like Holliday doesn't worry him.

Eating less also works, says George Roth, of the US National Institute
of Health. "Calorie restriction is the only intervention conclusively
shown to slow ageing and maintain health and vitality."

People on the Japanese island of Okinawa, for example, who consume 40
per cent fewer calories than Americans, live an average four years
longer. The life spans of mice have been extended by as much as 50 per
cent, simply by restricting food intake.

Roth says people would find it difficult to stick to a diet that
reduces calories by the 30-40 per cent necessary. Holliday adds that
animals on caloric restriction also shut down their reproduction
systems. "They become infertile and have no sexual drive. That's not
very desirable."

Roth, however, says there is now fierce competition to develop drugs
and dietary supplements that mimic the effects of caloric restriction,
without limiting food restriction. Hopefully, one day, it will be a
case of "having one's cake and eating it too", he says.

In the meantime, just give up the cake, if you want to live longer,
says molecular biologist Professor Brian Morris, of the University of
Sydney.

This story is available at:
http://www.smh.com.au/articles/2004/03/05/1078464645918.html
and at:
http://longevity-science.org/smh-2004.pdf
DZ - 21 Mar 2004 08:58 GMT
[...snip...]
> Having a mature dad is bad news for girls. "Daughters conceived to
> older fathers live shorter lives, while sons are not affected," she
> says.

My understanding of this observation and then the question:

I suppose the explanation is that first of all, the number of cell
divisions leading to a sperm is dependent on age, while the number of
egg divisions is always 22 (although some recent reports are casting
doubt). The number of divisions for a 65 years old male would be about
30 until he is 12 years old plus about 23 divisions for the each
consequent year, (65 - 12)*23. That is 30 + 23*(65 - 12) = 1249
divisions in total.

Next, the fact that it is daughters who have shorter lives implies
X-linked non-recessive inheritance (perhaps rather some mechanism with
an additive component), where a paternal copy of X has a higher total
number of mutations as a consequence of the higher number of cell
divisions.

My question is: do you need to assume quite large number of
specifically X-linked potential mutation sites that could affect the
life-span? Since the inheritance is X-linked, these have to be
confined to some small number of specific genes. When Haldane studied
this problem in general, he assumed the total probability of
deleterious mutations to occur is appreciably higher in males. But
that's across the whole genome, not just regarding few genes happened
to be linked to X. Problem is, if the probability of at least one
mutation in that specific set of genes is low for a single cell
division (e.g. on the level of 1e-5), then the cumulative probability
of one or more mutations is still quite low for either 22 (female) or
1249 male-specific cell divisions.

DZ
Leonid Gavrilov - 23 Mar 2004 01:39 GMT
> > My question is: do you need to assume quite large number of
> specifically X-linked potential mutation sites that could affect the
[quoted text clipped - 9 lines]
> 1249 male-specific cell divisions.
> DZ

***
Thank you for your question and your interest!

A short answer to this question is "No".

More detailed explanation is provided at page 41 (the first top paragraph)
of the following publication:

Gavrilov, L.A., Gavrilova, N.S.
Early-life factors modulating lifespan. pp.27-50.
In: Rattan, S.I.S. (Ed.). Biology of Aging and its Modulation.
Vol. 5: Modulating Aging and Longevity. Kluwer Academic Publishers,
Dordrecht, The Netherlands, 2003  

Full text of this book chapter is available at:
http://longevity-science.org/Early-Life-Factors-2003.pdf

Hope it helps,

Once again, thank you for your interest.

Kind regards,

-- Leonid Gavrilov
Author of the book "The Biology of Life Span"
http://longevity-science.org/index.html#Book
Robert W. McAdams - 22 Mar 2004 09:18 GMT
> Eating less also works, says George Roth, of the US National Institute
> of Health. "Calorie restriction is the only intervention conclusively
[quoted text clipped - 10 lines]
> systems. "They become infertile and have no sexual drive. That's not
> very desirable."

An interesting question is whether it is the shutdown of the animals'
reproductive systems that causes the extension of their lives.  It is
obviously essential to the preservation of a species that its members
reproduce before dying.  A species would therefore be more likely to
endure if the processes that caused its members to deteriorate and die
were biochemically inhibited prior to puberty.  If caloric restriction
caused the shutdown of an organism's reproductive systems, this might
biochemically mimic a prepubertal state, thereby reactivating
processes that helped to preserve the organism's health.

Bob
 
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