Tag: longevity

  • AMPK, Sirtuins, mTOR: Pathways to Longevity

    Longevity research has identified three important signaling pathways in the body that slow down the ageing process and promote health. They act as energy and nutrient sensors in the body and react to changes in our cells. Each pathway has its own mechanism that regulates bodily functions and the ageing process. All three pathways work together synergistically and are essential for our organism. However, they have different effects on the processes that influence our longevity and on different metabolic pathways. AMPK, Sirtuins, mTOR: Pathways to Longevity.

    Sirtuins – the switches of longevity
    Sirtuins are special proteins in the body that play an important role in controlling our genes. To understand how they do this, we first need to visualize how our DNA is packaged in cells.
    Imagine our DNA as an incredibly long string – if you strung the DNA of all the cells in our body together, it would cover a thousand times the distance from the Earth to the sun! Ultimately, this enormous length has to fit into our tiny cells. To make this possible, our body winds DNA onto tiny “coils” called histones. The DNA packaged in this way is then neatly stowed away in the cells.
    This is where the sirtuins come into play. They have the ability to modify the histones, which influences which genes can be read and which cannot. They act like switches that can turn certain genes on or off. This is why they are also known as “epigenetic regulators”.

    NAD – without this coenzyme, sirtuins are powerless
    However, in order to operate these switches and activate our longevity genes, the sirtuins require a special coenzyme called NAD (nicotinamide adenine dinucleotide). With increasing age, however, the amount of available NAD in the body decreases. Without this essential cofactor, the sirtuins can no longer work effectively and their activity decreases. It is assumed that this is one of the reasons why we become more susceptible to diseases as we age.

    AMPK – the energy conductor of the cell
    Finally, adenosine monophosphate-activated protein kinase (AMPK) also plays an important role. AMPK is an enzyme in our cells that influences insulin sensitivity and glucose uptake in the cells. It is like a guardian that constantly checks whether our cells have enough energy. When energy becomes scarce, AMPK kicks into action and ensures that more energy is made available.

    At the same time, AMPK inhibits the antagonist mTOR (“mechanistic target of rapamycin”), which controls energy production in our cells. If mTOR is too active, the cells use more energy to control anabolic processes. AMPK therefore ensures that our cells use their energy efficiently when food is scarce. However, AMPK does even more for our cells. It helps them extract energy from fats and promotes autophagy, a process in which cells cleanse and rejuvenate themselves.

    AMPK and health: the key role in metabolic processes
    The activation of AMPK can be influenced by various factors, and there are several reasons why many people have difficulty activating AMPK effectively:

    Sedentary lifestyle and lack of physical activity:
    An inactive lifestyle and lack of physical activity can lead to insufficient AMPK activation. AMPK is activated by muscle contractions during exercise, but people who do little or no exercise may have reduced AMPK activity.

    Unhealthy diet:
    An unbalanced diet with an excess of calories, especially carbohydrates and fats, can impair AMPK activation. High-calorie intake, especially from poor sources, can lead to an increase in ATP (adenosine triphosphate) and hinder AMPK activation.

    Insulin resistance and obesity:
    People with insulin resistance or obesity often have problems activating AMPK. Insulin resistance can disrupt the signaling pathway of AMPK, leading to decreased activity of AMPK. Obesity can also impair the function of AMPK in fat cells.

    Ageing process
    The aging process tends to lead to a decrease in AMPK activity. This can contribute to older people having difficulty activating AMPK effectively, which can have an impact on metabolism and energy homeostasis. Energy homeostasis describes the balance between supplied and released energy that the body needs for optimal performance.

    Genetic factors
    Individual genetic predisposition can also play a role in AMPK activation. Some people have genetic variations that can affect AMPK function.

    Chronic stress
    Chronic stress can disrupt energy homeostasis and inhibit AMPK activation. Stress hormones can affect AMPK signaling pathways, interfering with normal activation. Insufficient activation of AMPK can accelerate the ageing process and shorten life span and especially health span. The diabetes drug metformin and the natural plant compound quercetin can activate the AMPK signaling pathway in the body and improve insulin sensitivity.

    How you can activate AMPK
    Adenosine monophosphate-activated protein kinase (AMPK) activation can be achieved in a variety of ways, including lifestyle changes, diet, exercise and certain medications. Here are some strategies to activate AMPK:

    1. Regular physical activity
      • Aerobic training: Endurance training such as running, cycling and swimming can activate AMPK as it affects ATP and AMP levels
      • Resistance training: Strength training can activate AMPK, especially in the muscular system
    2. Calorie restriction and interval fasting
      Reduced calorie intake and intermittent fasting (interval fasting) can activate the AMPK signaling pathway as they lead to an increase in AMP relative to ATP.
    3. Healthy diet
      • Low-fat, high-fiber diet, low in saturated fat and rich in fiber, can support AMPK activation
      • Foods that promote AMPK: Green tea, curcumin (in turmeric), Resveratrol (in red grapes) and Omega-3 fatty acids (in fish) can activate AMPK
    4. Metabolic stressors
      Cold or heat therapy and sauna visits can generate metabolic stress and activate AMPK
    5. Dietary supplements
      Certain supplements can support AMPK, e.g. berberine, alpha lipoic acid and Quercetin. Nicotinamide mononucleotide (NMN) is a chemical that is approved as a dietary supplement in Germany and Europe.
    6. Medications
      Some medications, such as metformin (a diabetes medication) and AICAR (an AMPK activator), can support AMPK activation.

    However, it is important to note that any lifestyle changes, such as taking supplements or medications, should always be made in consultation with a doctor. The individual response to these interventions can vary from person to person and is always dependent on various factors such as health status, genetic predisposition, and current medications.

    Is mTOR the bad cop? Longevity requires a fine balance.
    mTOR, or “mechanistic Target of Rapamycin”, is a key player in our bodies when it comes to cell division and growth. When our body has plenty of energy, mTOR is activated and uses this excess energy to promote muscle and tissue building. An example of the effect of mTOR can be found in people who exercise regularly and consume a lot of animal protein. Through their diet and exercise habits, they increase the activity of mTOR in their bodies, which leads to an increase in muscle mass.

    This is particularly important in old age, as maintaining and building muscle mass can protect against sarcopenia, age-related loss of muscle mass, and general frailty. However, as with many things in life, there is a downside. Excessive activity of mTOR can suppress the activity of our longevity genes. From an evolutionary perspective, this makes sense: when there is enough food and therefore energy available, the body focuses on growth and reproduction rather than longevity. In times of abundance, it is more about survival than about the longevity of the individual. It is therefore important to find a balance in mTOR activity to support our health and fitness as well as our longevity.

    Plant-based proteins and intermittent fasting: finding the balance with mTOR and reaping its benefits
    We all need mTOR to build new cells and maintain our muscle mass. But: excessive mTOR activity has a negative effect on our longevity. An effective way to regulate mTOR activity is to practice moderate calorie restriction or intermittent fasting.

    Both strategies can help to temporarily inhibit mTOR and thus maintain balance in the body. It is also important to pay attention to our diet. Animal protein from meat, fish, and dairy products can stimulate mTOR and thus promote cell growth and aging. A healthier alternative is plant-based proteins, which are found in foods such as lentils, beans, and pseudocereals like quinoa. They stimulate mTOR less and should therefore be the preferred main source of protein in our diet.

    Conclusion
    AMPK, sirtuins and mTOR are the three most important longevity players. On a cellular level, their interaction determines whether or not our body is geared towards longevity. Sirtuins are important longevity switches in our cells. They work together with NAD and help to activate our longevity genes.
    AMPK and mTOR are two enzymes in the body that work as antagonists. Studies have shown that increased AMPK activity leads to an increased lifespan and healthspan, promotes autophagy and improves insulin sensitivity. Its counterpart mTOR, on the other hand, is active when there is an energy surplus and uses this to initiate anabolic processes such as muscle building. While mTOR is essential for the body, a sustained increase in mTOR activity is associated with inhibition of longevity genes.

    To promote a balance of AMPK and mTOR, moderate calorie restriction, intermittent fasting or the consumption of plant protein instead of animal protein is suitable. Micronutrients such as Quercetin also help to activate the AMPK pathway, inhibit mTOR and boost longevity processes.

  • What Is Longevity – And Why Should We Care?

    Since the very beginning of recorded history, humans have seemingly always attempted to maximise their natural lifespan. The Greek philosopher Plato, widely considered to be the founder of Western political philosophy and a pivotal figure in the development of Western religion and spirituality, was also a professional wrestler and sportsman.[1] The exact age at which Plato died is disputed, however it is thought that he lived into his early eighties.[2] Naturally, this is noteworthy given that Plato did not have access to the modern medicines we do today- and that until the industrial revolution the average life expectancy hovered around 35.[3]

    From what we know, Plato, the great thinker that he was, was clearly already practising preventative health measures, a key aspect of longevity, in his daily life. But what is longevity? In this blog post we will be explaining what longevity is, choices that can be made with longevity in mind and, most importantly, why we should care…

    What is Longevity?

    The Cambridge Dictionary definition of ‘longevity’ is ‘living for a long time’. Perhaps unsurprisingly, in modern medical academia, research into the extension of a human lifespan is referred to as ‘longevity’ (or longevity research). So how is this different to the rest of medicine?

    Modern medical advances have largely been the cause of the modern extension of average life expectancy, addressing health conditions that have previously had high mortality rates and considerably lessening child mortality rates.[4] Put short, as the length of a human lifespan has increased – the limit has not. As noted by Harvard Professor of Genetics Dr. David Sinclair in his landmark book ‘Lifespan: Why We Age and Why We Don’t Have To’, we have conceded that mortality is a reality and instead turned medicine to other directions. Most particularly, our medicine has been turned toward the treatment of diseases that afflict us as we age – ‘making mortality a medical experience’.[5]

    The main issue with how we address illness, despite the amazing work done by the medical researchers who dedicate their lives to this cause, is that simply stopping one disease does not make it less likely that a person will not be afflicted, or perhaps killed, by another. But – and there is a but – through longevity research we can not just pursue cures for individual diseases. We can instead address a shared underlying factor behind them: Aging.

    “I believe that aging is a disease. I believe it is treatable. I believe we can treat it within our lifetimes. And in doing so, I believe, everything we know about human health will be fundamentally changed.”

    Dr. David Sinclair

    So why should we care about Longevity?

    If you’ve read the above but, understandably, thought that this just sounds like the beginning of a promising development for future generations then you are easily forgiven. Myths about the extension of life have existed for thousands of years and still pervade modern culture today – you’d be hard pressed to find someone who doesn’t know about the fountain of youth or the holy grail. Yet through modern research, it is increasingly probable that we will find a way to extend the lifespan of a human life – and far, far sooner than you would think.

    It is already thought that someone who is currently alive today will live a longer lifespan than has ever been recorded in human history. The professor emeritus of developmental biology at Stanford, Stuart Kim, has stated that there are people alive today who will live to 200 – and has even made a bet with a colleague on the matter. This bet will be worth around $1 billion in 2150… if either of them live to collect it.[6] Some would say this figure itself is optimistic but Dr. Sinclair has put across a different theory. He believes that we could potentially live forever. But whatever the upper limit, it is obvious that the leading minds of longevity research are increasingly convinced that it is possible for humans to live far longer than the time we have believed is allotted to us.

    To live forever…

    At present however, until the coming gerontological breakthrough, longevity-minded individuals are acting to ensure that they benefit from the coming developments – and live long enough to benefit from each next innovation in the field. This strategy has been described as seeking ‘bridges to immortality’ by the futurist Ray Kurzweil.[7] This involves utilising preventative health choices to pre-empt health conditions, with the theory that if one is able to extend their lifespan for an additional twenty years then they will still be alive to benefit from these longevity treatments.

    Another aspect of the longevity movement is the personal effort to increase what most of us would describe as ‘the good years’. In other words, our healthy and energetic years. It was mentioned above that mortality has been made a medical experience. As we get older, and feel our mortality, we require constant visits to the hospital to deal with medical afflictions that have developed during our lives and the myriad newer health problems that develop alongside or due to these comorbidities.[8] In short, a person who does not die of acute illnesses, such as infections, and survives with chronic illnesses is more likely to develop additional chronic illnesses.[9]

    …Or, to stay forever young…

    So, a significant part of the longevity movement is encouraging individuals to take ownership of their own health – being an active subject caring for themselves, not a passive subject treated by doctors when a problem arises. Longevity is about the prevention of aging, which is the cause of diseases and pre-empting problems before they arise (as opposed to diagnosis and treatment of chronic diseases).

    Through this method, we can have a better and longer lifespan and, with the best hope, live to see gerontological advances that can prolong our lives yet further. Longevity in practice is about finding behavioural measures, healthy choices, that work for you so you can build a lifestyle around them – and by doing so prevent or lessen the severity of health problems that you may have in the future. Simply, acting now to prolong your best years and dodge prolonged hospital visits for as long as possible.

    To find out more about how to live with longevity in mind, check out the links below:

    • Practising longevity in your youth (18-30).
    • Practising longevity in your middle age (30-60).
    • Practicing longevity in later life (60+).

    In closing

    The earlier you start making the choice to build longevity-minded habits into your lifestyle, the longer and healthier you will likely live. Leading experts in the medical field already believe that living a lifespan with a length previously unrecorded is within reach. The longer we can remain healthy, the longer we can live. Plus, if aging breakthroughs arrive while we are still healthy, it is very possible that we may live energetic lives well past 100 – potentially even living young forever. By reading this blog post, you’re already making proactive steps toward building healthy habits into your life and are likely researching healthy choices that are available for you.

    Check out the links above for some basic suggestions on how to live life with longevity in mind. Also make sure to keep up to date with our blog here and sign up to all of the NOMIX social channels (Twitter and Telegram) for more news about longevity.


    [1] Some might think it strange for a blog post on the topic of longevity and how to maximise it to mention Plato, given that one of his famous quotes is ‘attention to health is life’s greatest hinderance’, however, Plato actually means that being forced to pay attention to your health – through poor health – is a hinderance.

    [2] Diogenes Laërtius, Life of Plato, II

    [3] Passarino, G., De Rango, F., & Montesanto, A. (2016). Human longevity: Genetics or Lifestyle? It takes two to tango. Immunity & ageing : I & A13, 12. https://doi.org/10.1186/s12979-016-0066-z

    [4] I write ‘largely’, as the part played by an increased, reliable food supply and clean water has also played a significant part in increasing human lifespans.

    [5] Sinclair, D., PhD & LaPlante, M.D., Lifespan: Why We Age- and Why We Don’t Have To’, (2019), pXVII.

    [6] Taylor, G. (2017). Scientist thinks that the world’s first 200-year-old person has already been born. Norway Today, 23rd March 2017. https://norwaytoday.info/everyday/scientist-thinks-worlds-first-200-year-old-person-already-born/

    [7] Adler, R. (2010). Ray Kurzweil: Building bridges to immortality. New Scientist, December 27th 2010. https://www.kurzweilai.net/building-bridges-to-immortality

    [8] ‘Comorbidity’ refers to other health problems that a patient can have, when talking about a health problem.

    [9] Divo, M. J., Martinez, C. H., & Mannino, D. M. (2014). Ageing and the epidemiology of multimorbidity. The European respiratory journal44(4), 1055–1068. https://doi.org/10.1183/09031936.00059814

  • What Is Longevity?

    The word “longevity” is sometimes used as a synonym for “life expectancy” in demography. At NOMIX, the term longevity refers only to especially long-lived, and healthy, members of a population, whereas life expectancy is defined statistically as the average number of years remaining at a given age. Longevity is best thought of as meaning ‘typical length of life’. 

    Since most theories in this field, s.a. the disrepair accumulation theory of aging, postulate that the potential for longevity of an organism is positively correlated to its structural complexity, and we human beings belong to the most complex mammals, we are widely considered to have a naturally limited longevity due to aging, which results in a life expectancy of 80-85 years for millennials in developed countries.

    The United Nations has made projections up to 2300, at which point it projects that life expectancies in most developed countries will be between 100 and 106 years and still rising, though more and more slowly than before. Gaps in life expectancy between rich and poor countries may well not exist in the future, due to the exchange of technology and the industrialization and development of poor countries, similarly to the way life expectancies between rich and poor countries have already been converging over the last 60 years as better medicine, technology, and living conditions became accessible to most people. 

    “The possible existence of a hard upper limit, a cap, on human lifetimes is hotly debated,” write Léo Belzile and coauthors in a paper to appear in Annual Review of Statistics and Its Application. “It is sustained and widespread interest in understanding the limit, if there is any, to the human lifespan.” Their own re-analysis of previously incorrectly analyzed data on extreme lifetimes indicates that any longevity cap would be at least 130 years and possibly exceed 180. And some datasets, the authors report, “put no limit on the human lifespan.” These analyses “suggest that the human lifespan lies well beyond any individual lifetime yet observed or that could be observed in the absence of major medical advances.”

    However, recent increases in the rates of lifestyle diseases, such as obesity, diabetes, hypertension, and heart disease, may eventually slow or reverse this trend toward increasing life expectancy in the developed world.