Podcast notes – David Sinclair and Matthew La Plante on brain health and brain aging

Hosts: David Sinclair and Matthew LaPlante

6.2M Americans over 65 living with dementia
This number will continue to grow

If you reverse aging, Alzheimers and dementia can go away, you can recover memories

Epi-genome – computer that reads the genome (genetic) software
Ex differentiation – when a cell begins to malfunction, forgets its proper role

Horvath clock – your biological (aging) clock
Measures DNA methylation
Can measure this for a dollar
Measured 112 yo woman, and brain organs were much younger than all others

Brain ages slower than rest of body
Partially due to protective barrier (skulls)
Brain cellular turnover is low
Volume of brain after 40 reduces 5% per decade

For most of history, we only really needed brain until 40s / 50s – but now we live until 70s / 80s
Our fast changing world – need to constantly learn and adapt, need more brain plasticity

3 longevity pathways that respond to adversity
1. M-tor
2. AMPK – low glucose
3. Sirtuins
They all work together, protect body
Proper lifestyle changes generally benefit all three

M-tor role in autophagy – recycling and garbage collection

Sirtuins – 7 genes in body
Sirt1 (sp?) seems most important for brain aging
Need to up-regulate sirtuins, can do it with NAD boosters, resveratrol

Diet and exercise
Mediterranean diet – very clear benefits to brain aging, proven to reverse mild cognitive impairments, in fact its a spectrum the more Mediterranean your diet the better the outcomes
Olive oils (oleic acid, also in avocados), red wine (polyphenols, resveratrol), less red meat
Standard Western diet has much more fat and red meat

B-vitamins are important – especially vegetarians can be deficient
Aging is accelerated when lacking B-vitamins

Alcohol, smoking, also harmful – related to homo-cysteine

Doctors can see blood vessel lining in back of retina – if they see a lot of plaque, high chance of imminent heart attack / death

“Your eyes are your brain” – when you look at someone’s eyes, you’re looking at their brain

Fatty acids
Normal diets often lack omega3 fatty acids (like in fish) – help with wound healing, depression
Eat salmon, mackerel, sardines
If plant based, find ALA high foods – flax seeds, walnuts, linseed
Oleic acid in olive oil and avocados is important too
Seaweed

Why omega 3s?
Important fat compound in brain, insulating material for brain, protects against inflammation

Exercise
Even walking can > better memory and cognition
Activate sirtuins pathways
Relates to executive function
Study: 6 months of cardio exercise for 55+ showed dramatic improvement in aging indicators
Study: 10 weeks of strength exercise increased BDNF, marker of new nerve cells, brain re-growth
“Get moving before it’s too late”

Supplements
Metformin – AMPK activator (which also affects sirtuin pathway)
Fish study: metformin in their food > better performance on memory tests
Cells make more mitochondria, lower blood sugar in bloodstream
High blood sugar is bad for all tissues, especially cardiovascular system
2019 study: Metformin > 55% prevention in diabetes incidence
Metformin might directly impact NAD too
NAD levels go down over time, increasing degradation as we age
NAD boosters to help cognitive functioning, brain repair
2004 study: NAD-H treatment slowed Alzheimers

Sleep
Hypothalamus controls your daily rhythms
Sirt1 and NAD important role in your wake / sleep cycle
If you lose Sirt1 / NAD functioning, you won’t sleep well, age prematurely
As you get older, you lose ability to sleep
Intervene with diet, exercise, supplements
How to sleep well?
Supplements: MNN (sp?), magnesium, l-theanine
Get light right when you wake up
Can supplement with blue light machines
One night of sleep deprivation increases amyloid beta production by 5% (bad)
If you deprive rats of sleep, get diabetes in 2 weeks

Podcast notes: David Sinclair on the science of looking younger (Longevity Podcast)

David Sinclair – Science of looking younger
Co-host Matthew LaPlante

We’ve evolved to have children up to ~30yo – after that risks increase
Infertile ~40yo – menopause – lots of physical changes
Estrogen + progesterone / HRT treatment can be beneficial
Most women don’t know their baseline levels especially during menstrual cycles

Truth to “you’re as old as you look” – subjective physical appearance is correlated with longevity

Importance of skin health
Skin is body’s largest organ
Simple skin test – palm on table, pinch back of hand, skin should return to place in <2 seconds when young – by 40s to 50s it’s <10 seconds
Problem of epidermal thinning – menopausal women, older men
Bruising, ripping, tearing – becomes life or death especially when older
Health of skin cells is very correlated with measured biological age

Skin is full of dying cells (senescent cells)
The dying cells secrete bad chemicals, and if you kill these cells it can improve health

Prevention –
Avoid UV light
Wear sunscreen – 10-20 mins of sun can be good but don’t overdo it
Other bad things – smoking, alcohol, processed foods

Cures / Treatments –
Collagen supplements (jury still out on benefits, but likely no harm)
Vitamin C
Retin A / Retinol (short-term benefits, but unclear on long-term)
Anti oxidants (literature is not good for longevity, except resveratrol in certain applications)
HA (hyaluronic acid)
Botox – very effective at reducing wrinkles for 6-9 months; it’s cosmetic not medical

Nails
Rate of nail growth is good indicator of aging
Decreases 0.5% per year

Hair loss
It’s strongly genetic – 600 genes involved – carried on X-chromosome
Hair follicles shrink with age
Treatments – RetinA; Rogaine; Propecia
Laser treatment has proven benefit (low laser light therapy) – likely causes hormesis and rejuvenates stem cells – similar to how infra saunas are growing in popularity

Gray hair as evolutionary indicator of experience, status – stress can induce it, and gray hair is reversible (especially in early stages)
Believes there will be products to naturally restore hair color before long

Hair starts growing in wrong places as you get older
Likely due to gene expression going awry

Eunuchs – no testes – live 14-19 years longer than the normal man (!)
In a study of 81 eunuchs, 3 became centenarians (100x greater rate than baseline)
Smaller people live longer too

All cells have fundamental same causes of aging, and similar treatment pathways

“If you keep yourself looking good, you’ll probably live longer too”

Podcast notes: David Sinclair’s Lifespan podcast on longevity benefits of exercise, heat, and cold

David Sinclair (DS)
Lifespan podcast

Notes from last episode:
-Too much iron can accelerate aging
-Typically long lived have low iron levels
-So limit meat intake – red meat high in iron
-Also multivitamins w/ iron

Recs from last episode:
-Plant-based diet
-Low iron levels
-Eat less often
-DS eats one meal / day

Found mutant worm living 2x longer – single gene mutation – was insulin receptor gene
Start of revolution in manipulating genes for health and longevity
It’s related to stress resistance

Modern society is too comfortable
Need to find more of the right stressors
Examples: fasting / IF, exercise
Sitting down is bad for you – muscles atrophy, testosterone decreases

Get moving!
Exercise can slow down and even prevent cancer
Reduces all cause mortality
Walking after meal controls glucose
Both low and high intensity exercise

High intensity = hypoxia = panting and can’t carry on a chat
Turns on helpful genes
Generates free radicals
Mitochondrial hormesis

Aging reduces glucose sensitivity – and exercise increases it

Can measure biological age now (Horvath Clock) – exercise slows down this clock
Insight Tracker blood test to do this test

Standard sex isn’t aerobic / intense enough, and only lasts on average 5 minutes

Recommends 75 minutes of vigorous exercise a week = ~10 minutes / day

Less than 50 resting heart rate is good target

Benefits of weight training
-DS does it every other day or more
-Maintains hormones (eg, testosterone), posture, aesthetic
-Lose muscle mass as you get older – breaking hip is major risk to mortality
-Thighs, butt, back muscles – large muscle groups – most impact on testosterone

Senescent cells – zombie cells, can secrete damaging chemicals and don’t have any benefits
Exercise kills senescent cells

Overall takeaways
1. Low intensity exercise – “get off your butt” – 4K steps / day
2. High intensity exercise – 10 mins / day, lose your breath
3. Muscle building – weights, pushups + situps

Hyperbaric chambers = low oxygen environments, mimicking hypoxia
Study of daily sessions ~90 minutes
Showing cognitive improvements
Improve dementia / Parkinson’s
Seems to work similar to exercise
Impact on telomere length (anti-aging)

Benefits of COLD exposure
Production of brown fat (beige fat) – found in babies, helps them stay warm
Adults have brown fat, mostly on back
When cold, this revs up metabolism, burns white fat, and improves overall health
Reduces free radical load

Dwarf mice living 3x longer than normal mice
They were shivering (didn’t have companion)
With buddy, the life extension went away (!) – because they weren’t shivering (no longer cold)
Old mice don’t make brown fat as well as young mice – why you shouldn’t wait to do it

Ways to get cold therapy
-Cold showers
-Sleep with little or no clothes / covers
-Ice baths

Benefits of HEAT exposure
One of most ancient therapies
Now in Finland, Scandinavia

Men who sauna bathe a few times a week have dramatic reduction in heart attacks and cardio disease
Activates heat shock proteins
Not sure what dosing is right – but no evidence so far you can over do it

DS used to do heat sauna + ice bath cycles multiple times (reader beware)

Some evidence that infrared sauna can have additional benefits (over dry sauna)