prospects for defeating aging altogether aubrey d.n.j. de grey, ph.d. chairman and cso, methuselah...

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Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK

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Page 1: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Prospects for defeating aging altogether

Aubrey D.N.J. de Grey, Ph.D.Chairman and CSO, Methuselah Foundation

Lorton, VA, USA and Cambridge, UK

Email: [email protected]

Website: http://www.mfoundation.org/

Page 2: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Semi-technical book

Out now: $17.79 at Amazon

Page 3: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Structure of this talk- Repair versus retardation

- Specifics: the seven types of damage

- Intracellular junk/medical bioremediation

- Longevity escape velocity: concept

- Some evidence that LEV is realistic

- The Methuselah Foundation

Page 4: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Structure of this talk- Repair versus retardation

- Specifics: the seven types of damage

- Intracellular junk/medical bioremediation

- Longevity escape velocity: concept

- Some evidence that LEV is realistic

- The Methuselah Foundation

Page 5: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

What is aging?

Metabolism always causes “damage”

Damage eventually causes pathology

Page 6: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Strategies for intervention

Gerontology Geriatrics

Metabolism Damage Pathology

Page 7: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Problem 1:this is the pathology

• Alzheimer’s

• Stroke

• Sarcopenia

• Osteoarthritis

• Hormonal Imbalance

• Kidney Failure

• Cancer• Heart Disease

• Diabetes• Incontinence• Osteoporosis• Macular

Degeneration

• Parkinson’s• Pneumonia• Emphysema• Sex Drive

… and LOTS more

Page 8: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Problem 2: this is metabolism

Page 9: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:
Page 10: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

If VW Bugs were built to last

Page 11: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Maintained to last

Page 12: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Strategies for intervention

Gerontology Engineering Geriatrics

Metabolism Damage Pathology

Claim: unlike the others, the engineering approach may achieve a large extension of

human healthy lifespan quite soon

Page 13: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Structure of this talk- Repair versus retardation

- Specifics: the seven types of damage

- Intracellular junk/medical bioremediation

- Longevity escape velocity: concept

- Some evidence that LEV is realistic

- The Methuselah Foundation

Page 14: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Reasons for the engineering approach

- it targets initially inert intermediates (“damage”)

Page 15: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Reasons for the engineering approach

- it targets initially inert intermediates (“damage”)

- damage is simpler than metabolism or pathology

Page 16: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

This is the damage

No new type of damage identified since 1982!

Seven Deadly Things

1. Junk - Inside Cells

2. Junk - Outside Cells

3. Cells - Too Few

4. Cells - Too Many

5. Mutations - Chromosomes

6. Mutations - Mitochondria

7. Protein Crosslinks

Page 17: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Giving the middle-aged 30 years of extra healthy life: Robust Human Rejuvenation

Damage rising with age It or its effects reversible by

Cell loss, cell atrophy Cell therapy, mainly

Extracellular junk Phagocytosis by immune stimulation

Extracellular crosslinks AGE-breaking molecules/enzymes

Death-resistant cells Suicide genes, immune stimulation

Mitochondrial mutations Allotopic expression of 13 proteins

Intracellular junk Transgenic microbial hydrolasesNuclear [epi]mutations (only cancer matters)

Telomerase/ALT gene deletion plus periodic stem cell reseeding

Page 18: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Structure of this talk- Repair versus retardation

- Specifics: the seven types of damage

- Intracellular junk/medical bioremediation

- Longevity escape velocity: concept

- Some evidence that LEV is realistic

- The Methuselah Foundation

Page 19: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Giving the middle-aged 30 years of extra healthy life: Robust Human Rejuvenation

Damage rising with age It or its effects reversible by

Cell loss, cell atrophy Cell therapy, mainly

Extracellular junk Phagocytosis by immune stimulation

Extracellular crosslinks AGE-breaking molecules/enzymes

Death-resistant cells Suicide genes, immune stimulation

Mitochondrial mutations Allotopic expression of 13 proteins

Intracellular junk Transgenic microbial hydrolasesNuclear [epi]mutations (only cancer matters)

Telomerase/ALT gene deletion plus periodic stem cell reseeding

Page 20: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Autophagy in Alzheimer’s Disease

Calnexin

Dystrophic Neurites IEM

Cat D

Page 21: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

EndothelialCells

Lipid-engorgedLysosome

FoamCell

Page 22: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Bioremediation: the concept

- Microbes, like all life, need an ecological niche

- Some get it by brawn (growing very fast)

- Some by brain (living off material than others can't)

- Any abundant, energy-rich organic material that is hard to degrade thus provides selective pressure to evolve the machinery to degrade it

- That selective pressure works. Even TNT, PCBs…

Page 23: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Xenocatabolism: the concept

Graveyards: - are abundant in human remains…

- accumulate bones (which are not energy-rich)…

- do not accumulate oxysterols, tau etc...

- so, should harbour microbes that degrade them

- whose catabolic enzymes could be therapeutic

Page 24: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Environmental decontamination in vivo

Page 25: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

7KC over time in enrichment cultures

0

50

100

150

200

250

300

350

400

450

500

0 2 4 6 8 10

day

HPLC area [arbitrary

units]

7-ketocholesterol degradation - a promising start

Page 26: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

First MF-funded paper published

Page 27: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

O O

OH

O OOH O

7-ketocholesterolM = 400M13C = 401

Dione metabolite ?M = 398M13C = 399

Hydroxylated dione ?M = 414M13C = 415

Culture growing on7-ketocholesterol:

Culture growing on13C-labeled7-ketocholesterol:

Stable isotope labeling and LC/MS reveal 7-ketocholesterol metabolites in the culture supernatant

Page 28: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Steps to biomedical application

1) Isolate competent strains; select by starvation

2) Identify the enzymes (mutagenesis, chemistry, genomics)

3) Make lysosome-targeted transgenes, assay cell toxicity

4) Assay competence in vitro (more mutagenesis/selection)

5) Construct transgenic mice, assay toxicity in vivo

6) Assay competence in disease mouse models

7) Test in humans as for lysosomal storage diseases

Page 29: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Structure of this talk- Repair versus retardation

- Specifics: the seven types of damage

- Intracellular junk/medical bioremediation

- Longevity escape velocity: concept

- Some evidence that LEV is realistic

- The Methuselah Foundation

Page 30: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Only 30 years?!

Hardly “defeating aging”…Damage rising with age It or its effects reversible by

Cell loss, cell atrophy Cell therapy, mainly

Extracellular junk Phagocytosis by immune stimulation

Extracellular crosslinks AGE-breaking molecules/enzymes

Death-resistant cells Suicide genes, immune stimulation

Mitochondrial mutations Allotopic expression of 13 proteins

Intracellular junk Transgenic microbial hydrolasesNuclear [epi]mutations (only cancer matters)

Telomerase/ALT gene deletion plus periodic stem cell reseeding

Page 31: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Reasons for the engineering approach

- it targets initially inert intermediates (“damage”)

- damage is simpler than metabolism or pathology

- repairing damage buys time

Page 32: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Age

Reserve

00

max

frail

Progress avoids diminishing returns

Fixing half the damage, then 3/4, then 7/8…. - outpaces the so-far-unfixable damage…

- maintains healthspan indefinitely

Page 33: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Longevity escape velocity (LEV)

The rate at which rejuvenation therapies must improve (following the achievement of RHR) in order to outpace the accumulation of

so-far-irreparable damage

Page 34: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Structure of this talk- Repair versus retardation

- Specifics: the seven types of damage

- Intracellular junk/medical bioremediation

- Longevity escape velocity: concept

- Some evidence that LEV is realistic

- The Methuselah Foundation

Page 35: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

What rate of progress is realistic?

Data1903 1927

1949 1969

Page 36: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Simulating aging(Phoenix & de Grey, AGE 2007; 29:133)

Metabolism ongoingly causes “damage”

and

Damage eventually causes pathologySo….

Simulations of aging (and intervention) should simulate damage accumulation

Page 37: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Results: LEV is very easyTherapies double efficacy only every 42y

0 50 100 150 200 250 300 350

Page 38: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Data

Page 39: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

What this means:

The first 1000-year-old is probably less than 20 years younger than the first 150-

year-old

Page 40: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Structure of this talk- Repair versus retardation

- Specifics: the seven types of damage

- Intracellular junk/medical bioremediation

- Longevity escape velocity: concept

- Some evidence that LEV is realistic

- The Methuselah Foundation

Page 41: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

The Methuselah Foundation- $4.5M in Mprize pot

- $7M donated/pledged for research

- Current research support ~$2M/year

- Growth >2x/year since MF’s formation

- Ideal budget $100M/year (500 scientists)

- Proof of concept (mice) probably <10y away

Bottom line:

It’s going well, and it’s pretty cheap!

Page 42: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Why I am doing this

Page 43: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Fun Not fun

Why I am doing this

Page 44: Prospects for defeating aging altogether Aubrey D.N.J. de Grey, Ph.D. Chairman and CSO, Methuselah Foundation Lorton, VA, USA and Cambridge, UK Email:

Semi-technical book

Out now: $17.79 at Amazon