Longevity by Design

InsideTracker

Longevity by Design is a podcast for individuals looking to experience a longer, healthier life. In each episode, Dr. Gil Blander joins a co-host and an industry expert to explore a personalized health journey. The show helps you access science-backed information, unpack complicated concepts, learn what’s on the cutting edge of longevity research and the scientists behind them. Tune into Longevity by Design and see how to add years onto your life...and life onto your years.

  • 51 minutes 26 seconds
    The Impact of Artificial Intelligence, Machine Learning, and Large Language Models on Your Health and Wellness With Dr. Renee Deehan

    In this episode of Longevity by Design, Dr. Gil Blander talks with Dr. Renee Deehan, Senior Vice President of Science and AI at InsideTracker. They explore the world of artificial intelligence and its applications in health and wellness.

    Renee explains the differences between AI, machine learning, and large language models (LLMs). She discusses how InsideTracker has developed a specialized LLM called Ask InsideTracker. This tool allows users to interact with a vast knowledge base of health and wellness information.

    The conversation delves into the potential future applications of AI in personalized health recommendations. Renee emphasizes the importance of data privacy and security when developing these tools. She also shares her perspective on the broader impact of AI in various industries and its potential to enhance decision-making processes.

    Episode highlights:

    • Introduction: 00:00:00
    • Defining AI and Machine Learning in Simple Terms: 00:04:00
    • AI is a branch of computer science: 00:05:00
    • The Power and Limitations of Large Language Models: 00:08:00
    • Developing Specialized AI Tools for Health and Wellness: 00:25:00
    • GPT general foundational model: 00:26:00
    • The Future of AI in Personalized Health Recommendations: 00:37:00
    • A balance between nutrition, exercise, and recovery: 00:47:00
    • The best habit that you can do: 00:48:00

    Specialized LLMs Enhance Health Information Accuracy

    LLMs tailored to specific domains can significantly improve the quality and reliability of information provided to users. By constraining general AI models with specialized knowledge, such as InsideTracker's corpus of health and wellness blog posts, these tools can deliver more accurate and relevant answers. This approach helps filter out noise and misinformation often found in general internet searches. For health and wellness applications, specialized LLMs can offer personalized insights based on high-quality, expert-reviewed content. This method bridges the gap between vast amounts of available information and individual user needs, potentially revolutionizing how people access and understand health-related information.

    AI in Health: Balancing Personalization and Privacy

    The integration of AI in health and wellness platforms promises highly personalized recommendations but raises important privacy concerns. As these systems evolve to incorporate individual health data, such as biomarkers and lifestyle information, the potential for tailored advice increases dramatically. However, this advancement requires robust security measures to protect sensitive personal information. The challenge lies in creating AI systems that can access and analyze personal health data while maintaining strict privacy standards. Striking this balance is crucial for the widespread adoption and trust in AI-powered health tools, potentially transforming how individuals manage their health and make lifestyle decisions.

    Continuous Refinement Key to AI Tool Effectiveness

    The development and improvement of AI tools, particularly in health and wellness, require ongoing refinement based on user interactions and feedback. This iterative process involves analyzing user queries, identifying areas of improvement, and continuously updating the AI model. By studying how users interact with the tool and the types of questions they ask, developers can enhance the AI's ability to provide relevant and accurate information. This approach ensures that AI tools evolve to meet user needs more effectively over time. The continuous refinement process is crucial for maintaining the tool's reliability and relevance, especially in rapidly evolving fields like health and wellness.

    For science-backed ways to live a healthier longer life, download InsideTracker's Top 5 biomarkers for longevity eBook at insidetracker.com/podcast

    25 September 2024, 10:00 am
  • 1 hour 8 minutes
    The Surprising Link Between Space Travel and Aging with Dr. David Furman

    On this episode of Longevity by Design, Ashley Reaver, MS, RD, CSSD, and Dr. Gil Blander, delve into the intricate world of the immune system and its impact on aging with Dr. David Furman, Associate Professor at the Buck Institute for Research on Aging. David discusses his groundbreaking research on inflammaging— uncovering how chronic, low-grade inflammation can accelerate the aging process.

     

    Discover how David's team developed a new inflammatory age test, soon to be available from his company Edifice Health, that uses five key proteins to assess an individual's inflammatory state and predict future health risks. We also explore the surprising link between space travel and accelerated aging, examining the impact of microgravity on the body.

     

    Tune in to learn practical tips on combating inflammation and promoting longevity through lifestyle choices and a deeper understanding of your own personal health data.

    Episode highlights:

    • Introduction: 00:00:00
    • Why have you decided to be a scientist and not a painter: 00:04:00
    • 1000 Immunomes: 00:06:00
    • What is the immune system: 00:16:00
    • Biomarkers related to the immune system: 00:18:00
    • The development of frailty during the aging process: 00:21:00
    • what inflammation is: 00:27:00
    • Lifestlye dependent chronic stress: 00:31:00
    • Inflammation-related biological clock: 00:34:00
    • Epigenetic age: 00:38:00
    • Centenarians and inflammatory markers: 00:48:00
    • Space flight and inflammation: 00:51:00
    • Astronauts aging: 00:55:00
    • Microgravity as a stressor: 00:59:00
    • Future of David's work: 01:04:00
    • Summary: 01:06:00

    Not All Biological Age Clocks Are Created Equal

    While various biological age clocks exist, including epigenetic and glycan clocks, David's research highlights the benefits of protein-based clocks like his inflammatory age test. Unlike other clocks that closely correlate with chronological age, inflammatory age reveals more about an individual's biological state and potential health risks, offering valuable insights beyond simply reflecting the passage of time. Additionally, understanding how specific proteins link to inflammation allows for actionable lifestyle and dietary changes to positively impact those markers and potentially slow down the aging process.

     

    Lifestyle Choices Directly Impact Our Inflammatory Levels

    Many modern lifestyle factors, often a far cry from our evolutionary past, contribute to chronic inflammation. These include exposure to environmental toxins like plastics and pesticides, poor sleep quality, disruptions to our circadian rhythm, social isolation, and chronic stress. By minimizing these exposome factors and adopting healthier habits—such as consuming whole foods, prioritizing sleep hygiene, and managing stress—we can potentially lower inflammation and support healthier aging.

     

    Space Travel Offers a Unique Perspective on Accelerated Aging

    Astronauts, despite being otherwise healthy individuals, experience accelerated aging due to the stressors of space travel, particularly the effects of microgravity. This provides valuable data on aging mechanisms that can be applied to Earth-bound research. By studying the physiological changes astronauts undergo, scientists can gain a deeper understanding of aging processes and potentially develop interventions to mitigate age-related decline for everyone.

     

    For science-backed ways to live a healthier longer life, download InsideTracker's Top 5 biomarkers for longevity eBook at insidetracker.com/podcast

     

    11 September 2024, 10:00 am
  • 1 hour 2 minutes
    Improvements in Blood and Fitness Tracker Biomarkers in a Digital Health Platform

    In this episode of Longevity by Design, our host Dr. Gil Blander welcomes Dr. Renee Deehan and Nimisha Schneider from InsideTracker to discuss the role of personalized health and the advancements made through data science and artificial intelligence. Dr. Deehan elaborates on her background in molecular biology and how she transitioned to computational biology, emphasizing the importance of integrating large-scale biological data to develop high-resolution molecular models of diseases.

    Nimisha Schneider shares her journey from basic immunology research to computational biology, highlighting the significance of building mathematical models to understand biological scenarios better. She explains how InsideTracker uses AI and machine learning to analyze users' blood biomarkers, genetic data, and fitness tracker information to provide personalized health recommendations. The discussion includes the integration of over 7,000 clinical studies into InsideTracker's AI engine, Segterra X, to offer tailored advice based on individual health data.

    The conversation dives into the findings from a recently submitted study involving 20,000 users, showing significant improvements in key health markers like LDL cholesterol, A1c, and ApoB over several years. Dr. Deehan and Schneider stress the importance of lifestyle changes and sustained efforts to achieve long-term health benefits. They also discuss the challenges posed by genetic predispositions and how personalized recommendations can help mitigate these risks. The episode concludes with insights into future research directions and the continuous development of personalized health solutions at InsideTracker.

     

    Key Insights


    Personalized Health Interventions Show Sustained Improvements

    A study involving 20,000 users of InsideTracker demonstrated that personalized health interventions correlate with significant and sustained improvements in key health markers. Users who followed personalized recommendations for nutrition, exercise, and lifestyle changes saw notable reductions in LDL cholesterol, A1c, ApoB, and many other biomarkers related to healthspan. These improvements were observed over several years, indicating the long-term efficacy of personalized health plans. The data suggests that consistent adherence to tailored health recommendations can help manage and even reverse risk factors associated with chronic diseases. This underscores the potential of digital health platforms to drive lasting positive health outcomes.

    Genetic Risk Influences Health Outcomes

    The study explored the relationship between genetic risk scores and health outcomes, particularly focusing on cholesterol levels and metabolic health. Users with higher genetic risk for high LDL cholesterol, total cholesterol, or Ferritin levels found it more challenging to improve these markers compared to those with lower genetic risk. Despite the genetic predisposition, significant improvements were still achievable with persistent lifestyle changes. This highlights the importance of understanding one's genetic risk as a factor in personal health management and the potential benefits of personalized interventions in overcoming genetic disadvantages. It also emphasizes that genetics is not a definitive determinant, and lifestyle changes can substantially mitigate genetic risks.

    Activity Levels Correlate with Health Improvements

    Analysis of fitness tracker data revealed that increased physical activity, measured via step count, was a key differentiator between users who successfully improved their health markers and those who did not. On average, users who increased their daily step count to around 11,000 steps showed significant improvements in cholesterol levels. In contrast, those who maintained lower activity levels saw less progress. Additionally, higher quality sleep, particularly increased REM sleep, was associa

    28 August 2024, 10:00 am
  • 1 hour 14 minutes
    Parkinson's and Alzheimer's: The Gut-Brain Connection Explored with Dr. Julie Andersen

    In this episode of Longevity by Design, hosts Ashley Reaver and Dr. Gil Blander welcome Dr. Julie Andersen, a distinguished neuroscientist at the Buck Institute for Research on Aging, who discusses her groundbreaking work on neurodegenerative diseases, focusing on Parkinson's and Alzheimer's. She explains how the field of geroscience is transforming our understanding of aging, revealing that common underlying processes in various diseases could lead to universal therapeutic approaches.

    Dr. Andersen dives into the gut-brain connection, highlighting how gut health significantly impacts brain aging and the progression of neurodegenerative diseases. She also emphasizes the importance of cellular senescence, a process where aging cells stop dividing, contributing to diseases like Alzheimer's. Her research explores innovative ways to slow or prevent these processes, paving the way for new treatments.

    The episode concludes with Dr. Andersen advocating for lifestyle interventions, particularly exercise, as powerful tools in preventing neurodegenerative diseases. She underscores the potential of personalized medicine in tailoring treatments to individual aging patterns, offering hope for more effective and targeted therapies.

    Episode highlights:

    • Introduction: 00:00:00
    • Dementia as a side effect of aging: 00:06:00
    • Dementia prevalence in the population: 00:10:00
    • The environment and Alzheimer's disease: 00:15:00
    • Biological sex effect on Dementia 00:17:00
    • Ethnicity effect on Dementia  00:18:00
    • What to expect when you are diagnosed with Dementia 00:19:00
    • Biomarkers for Dementia 00:26:00
    • The connection between the hallmarks of aging and Dementia: 00:30:00 
    • Exercise and Dementia: 00:34:00
    • disruption of REM sleep as an early sign of Parkinson's: 00:37:00
    • What is the current treatment for Parkinson's: 00:38:00
    • Cellular senescence and neurodegenerative diseases: 00:42:00
    • Beta amyloid plaques and Alzheimer's disease: 00:50:00
    • Autophagy and dementia: 01:00:00
    • What would you recommend to a person who like to live better and longer: 01:08:00
    15 August 2024, 10:00 am
  • 1 hour 15 minutes
    The impact of ketones on performance and aging with Dr. Brianna Stubbs

    In this episode of Longevity by Design, hosts Ashley Reaver and Dr. Gil Blander welcome Dr. Brianna Stubbs, an expert in exogenous ketone metabolism. Dr. Stubbs shares her journey from being a competitive rower to becoming a scientist. She dives into her research on ketone biology and its implications for health and aging.


    Dr. Stubbs discusses the science behind ketones, explaining how they serve as an alternative fuel for the brain and body, particularly during periods of low carbohydrate intake. She highlights the potential benefits of ketones for cognitive function and heart health, noting their ability to act as signaling metabolites that influence oxidative stress and inflammation.


    The conversation also explores the practical applications of ketone supplements for athletes and the general public. Dr. Stubbs emphasizes the importance of personalized approaches to diet and supplementation, considering individual goals and health conditions. She provides insights into her ongoing research at the Buck Institute, aiming to translate scientific discoveries into practical tools for healthy aging.


    31 July 2024, 10:00 am
  • 1 hour 12 minutes
    The impact of ultra-processed foods and fructose on metabolic health with Dr. Robert Lustig

    In this episode of Longevity by Design, host Dr. Gil Blander talks with Dr. Robert Lustig, an emeritus professor of pediatrics at UCSF and a renowned neuroendocrinologist. Dr. Lustig dives into the impact of ultra-processed foods and fructose on metabolism, emphasizing how these contribute to obesity and metabolic diseases. He also discusses his journey from academia to public health advocacy, aiming to reform the food industry and reduce chronic diseases.

    Episode highlights:

    • Introduction: 00:00
    • The Role of Insulin in Obesity and Metabolism 00:08:00
    • The Influence of Big Food Industries on Public Health Policies 00:29:16
    • The Misconception of Dietary Fats 00:40:0
    • The Impact of Stress on Visceral Fat 00:49:27


    Key Insights:

    Ultra-processed foods are detrimental to health


    Ultra-processed foods, especially those high in fructose, have significant negative impacts on metabolic health. These foods contribute to obesity, fatty liver disease, and other chronic conditions by disrupting normal metabolic processes. They are typically high in sugar, low in fiber, and contain many additives and preservatives that harm the body's ability to regulate weight and insulin levels. The NOVA classification system highlights the degree of food processing, showing that the more processed a food is, the more it is associated with metabolic diseases. Consuming minimally processed foods (NOVA 1) is crucial for maintaining good health, as they are free from the harmful additives found in ultra-processed foods.


    A calorie is not just a calorie


    The concept that all calories are equal is misleading. Different types of calories have varying effects on the body. For example, calories from fructose and other sugars can lead to increased fat storage and metabolic problems, unlike calories from whole foods that contain fiber and other nutrients. The body's response to calories depends on factors like insulin response, satiety signals, and the presence of micronutrients. Studies have shown that ultra-processed foods cause people to consume more calories and gain weight compared to non-processed foods, despite having the same caloric content. Understanding this difference is essential for addressing obesity and metabolic diseases.


    Fructose is a major contributor to fatty liver disease


    Fructose, a type of sugar found in many processed foods and sweetened beverages, is a primary driver of fatty liver disease. Unlike glucose, which is metabolized by every cell in the body, fructose is mainly processed by the liver. Excessive consumption of fructose overwhelms the liver's ability to metabolize it properly, leading to the production of fat within the liver. This process, known as de novo lipogenesis, contributes to the development of non-alcoholic fatty liver disease (NAFLD), which is increasingly common even among children. Limiting the intake of fructose by avoiding sugary drinks and processed foods is crucial for preventing and managing fatty liver disease.

    Longevity by Design is produced by InsideTracker, your data-driven wellness guide for optimizing your healthspan. For a limited time, visit insidetracker.com/podcast for 20% off any InsideTracker plan.

    10 July 2024, 10:00 am
  • 29 minutes 55 seconds
    Ask Me Anything (AMA): Optimizing Health & Longevity with Dr. Gil Blander & Ashley Reaver, MS, RD, CSSD

    In this Longevity by Design Ask Me Anything (AMA) episode with Ashley Reaver, MS, RD, CSSD, and Dr. Gil Blander, the focus is on user questions about optimizing health and longevity. Dr. Blander discusses the rationale behind InsideTracker's shift to a subscription model, emphasizing the importance of continuous engagement for long-term health improvement. He explains how this model encourages users to maintain their health optimization practices consistently over time, enhancing the overall effectiveness of their health plans.

    Ashley and Gil also dive into the recent updates to InsideTracker’s blood work page, which now categorizes biomarkers into healthspan categories such as cognition, endurance, and gut health. This reorganization aims to simplify the complex data, making it more accessible and actionable for users. Dr. Blander highlights how these changes help users focus on the most critical health areas, guided by clear, data-driven recommendations.

    The conversation also touches on the impact of real-life data from InsideTracker’s extensive user base. Dr. Blander shares fascinating insights, such as the relationship between sleep and cardiometabolic health markers and the influence of genetics on health outcomes. He underscores the importance of prevention, citing examples like early intervention for cardiovascular health and the benefits of maintaining a healthy weight and muscle mass for longevity. The episode concludes with a discussion on the growing trend of at-home testing, highlighting its convenience and potential for expanding preventive health measures to help people live better for longer.

    26 June 2024, 10:00 am
  • 48 minutes 50 seconds
    Understanding Aging to Extend Healthspan and Longevity with Dr. Gordon Lithgow

    In this episode of Longevity by Design, hosts Ashley Reaver, MS, RD, CSSD, and Dr. Gil Blander sit down with Dr. Gordon Lithgow, a Professor and Vice President for Academic Affairs at the Buck Institute for Research on Aging. Dr. Lithgow's research focuses on understanding the mechanisms of aging and identifying genes and small molecules that can prolong lifespan. With a background in genetics from the University of Glasgow and extensive experience in biotechnology and aging research, Dr. Lithgow shares his journey from growing up in Scotland to leading a lab at the Buck Institute.

    Dr. Lithgow discusses the compelling nature of aging as a profound biological mystery, which drew him into the field. He highlights his lab's approach of following curiosity-driven research, often using the nematode worm C. elegans as a model organism due to its short lifespan and genetic similarities to humans. This unbiased method has led to significant discoveries, including genetic mutations and drug-like molecules that extend lifespan. The conversation also covers the concept of geroscience, which Dr. Lithgow helped coin, emphasizing the link between aging and chronic diseases.

    A major focus of Dr. Lithgow’s work is studying protein homeostasis, which declines with age. Protein misfolding is implicated in many age-related diseases; that discovery moved the lab’s focus from lifespan extension to efforts to understand drivers of healthspan and the causes of age-related chronic diseases, in particular Alzheimer’s and Parkinson’s. His work also includes the influence of environmental factors, such as mild heat stress, and dietary iron, vitamin D, and alpha-ketoglutarate (AKG) on aging. Dr. Lithgow's interdisciplinary collaborations aim to uncover new interventions to extend healthspan and longevity.

    Dr. Gordon Lithgow is also the host of Buck Institute for Research on Aging's podcast, "We're not getting any younger... yet" on which he speaks with some of the brightest scientific stars on the planet to search for—and actually find answers to—questions on aging. The podcast can be found at https://www.buckinstitute.org/podcasts/ and on podcast apps.

    Episode timestamps

    • Introduction: 00:00-02:42
    • What led Dr. Gordon Lithgow to become a scientist and research the biology of aging?: 02:43-06:20
    • Why are worms (C.-elegans) a good model for studying aging?: 06:21-07:55
    • Why did Dr. Gordon Lithgow transition from research investigating ways for extending lifespan to extending healthspan?: 07:56-09:24
    • What specific diseases is Dr. Gordon Lithgow researching?: 09:25-12:01
    • What does protein shape mean for aging?: 12:02-13:12
    • How does mild heat stress impact health and aging?: 13:13-16:35
    • How does vitamin D and alpha-ketoglutarate impact aging, healthspan, and lifespan?: 16:36-25:26
    • How does dietary iron impact aging, healthspan, and lifespan?: 25:27-29:57
    • Are there more genes and proteins to be discovered that influence aging, or have they all been discovered?: 29:58-34:12
    • What compound do you think has the most potential for extending healthspan and lifespan?: 34:13-35:54
    • What is the impact of calorie restriction and exercise on healthspan and lifespan in humans?: 35:55-38:51
    • What is the importance of clinical trials for aging research?: 38:52-42:09
    • What are the future directions of Dr. Gordon Lithgow’s research?: 42:10-43:38
    • Dr. Gordon Lithgow’s top tip for living better longer?: 43:39-48:50
    12 June 2024, 10:00 am
  • 1 hour 5 minutes
    The Impact of Exercise & Nutrition on Muscle, Tendons, Ligaments, & Aging with Dr. Keith Baar

    In this episode of Longevity By Design, co-hosts Ashley Reaver, MS, RD, CSSD, and Dr. Gil Blander welcome renowned professor Dr. Keith Baar. As the head of the Functional Molecular Biology Lab at UC Davis, Dr. Baar has made groundbreaking discoveries about how exercise and nutrition influence the adaptation of muscles, tendons, and ligaments. During this episode, he shares his expertise on the critical role of exercise and nutrition for musculoskeletal health, longevity, and improving quality of life.

    Dr. Baar discusses the profound impact that both strength and endurance exercise have on healthspan and longevity, emphasizing the unique benefits of strength training. He delves into the molecular biology of muscles, explaining his discovery that resistance exercise activates the mTOR pathway, which is crucial for muscle protein synthesis and muscle growth. He also shares his knowledge on the effects of the drug rapamycin, an inhibitor of mTOR, on muscle versus longevity, highlighting the nuances and complex balance needed for optimal health.

    Dr. Baar also shares his expertise and addresses common misconceptions regarding tendons and ligaments. The conversation also covers the significance of nutritional timing, the benefits of integrating protein intake with exercise for muscle, and collagen and vitamin C for tendons and ligaments.

    Listeners to this episode will be equipped with an understanding of the responses to different types of exercise and practical exercise and nutrition advice for optimizing muscle, tendon, and ligament health througout life.

    Episode timestamps

    • Introduction: 00:00-02:52
    • What led Dr. Keith Baar to become a scientist interested in exercise physiology?: 02:52-05:19
    • What is the musculoskeletal system, and can you explain why it is so vital for health, physical function and performance, and quality of life?: 05:20-12:13
    • What is the role of mTOR in health and longevity? 12:14-16:44
    • What is the role of rapamycin and metformin in health and longevity? 16:45-20:58
    • Activation of mTOR by resistance exercise and protein: 20:59-23:03
    • Is there a window of opportunity for consuming protein following exercise to increase muscle protein synthesis? Is the timing of protein consumption post-exercise important for muscle protein synthesis? 23:04-27:35
    • Is the type of protein important for muscle protein synthesis? 27:36-28:32
    • Is there a difference between young and older adults in how they respond to resistance exercise?28:33-33:49
    • What are the differences in molecular responses and longevity between resistance and endurance exercise?: 33:50-38:31
    • What are ligaments and tendons? Are there differences in ligaments and tendons between men and women? 38:32-43:26
    • What is the best way to exercise for tendons and ligaments? 43:27-49:10
    • Is there a difference between pre-menopausal and post-menopausal women in tendons and ligaments?: 49:11-51:17
    • Why is collagen important for tendons and ligaments?: 51:18-53:22
    • Why is vitamin C important for collagen synthesis and tendons and ligaments?: 53:23-55:19
    • When should a collagen supplement be consumed?: 55:21-57:07
    • What are some misconceptions about tendons and ligaments?: 57:08-58:42
    • What happens to tendons and ligaments during a joint replacement?: 58:43-01:00:50
    • What excites or interests Dr. Keith Baar the most that has the potential to extend healthspan in the next 5-10 years?: 01:00:51-01:03:36
    • Dr. Keith Baar’s top tip for health: 01:03:37-01:05:59
    15 May 2024, 10:00 am
  • 1 hour 18 minutes
    The Impact of DNA Damage & Lifestyle on Aging & Longevity Medicine with Dr. Morten Scheibye-Knudsen

    In this episode of Longevity by Design, host Dr. Gil Blander is joined by Dr. Morten Scheibye-Knudsen, a leading figure in aging research. Dr. Scheibye-Knudsen discusses his groundbreaking research on the role of DNA damage in the aging process and its implications for chronic diseases, aging research, and longevity medicine. The goal of his work is "to discover interventions leading to healthier, happier, and more productive lives."

    Dr. Scheibye-Knudsen's work is on understanding normal and premature aging, with a focus on the pivotal role of DNA damage in the aging process and interventions for healthier aging. By combining computational methods with laboratory experiments, his team explores innovative strategies to target DNA and counteract aging processes. This conversation illuminates the intricate relationship between DNA damage, aging, and chronic diseases. 

    Dr. Scheibye-Knudsen also discusses the impact of lifestyle (diet, exercise, sleep, social factors) on aging. He goes on to describe his work using data-driven approaches to better understand aging and developing interventions, including identifying novel targets and drugs, for healthier aging. Additionally, he explains what longevity medicine is and the importance of educating clinicians and politicians on this topic to translate research on aging into healthcare and improve people’s healthspan and lifespan. Dr. Scheibye-Knudsen's dedication to unraveling the mysteries of aging is advancing scientific knowledge, which has tangible benefits for global health and longevity.


    Episode timestamps

    • Introduction: 00:00-03:06
    • What led Dr. Morten Scheibye-Knudsen to become a scientist?: 03:07-04:37
    • Could please give us an overview of the research you are doing?: 04:38-05:54
    • What is DNA damage, and what causes it?: 05:55-07:54
    • What do we know about the influence of DNA damage on aging and age-related diseases?: 07:55-09:41
    • Can DNA damage be repaired? 09:42-14:14
    • What questions are your research group asking to better understand DNA damage and repair and their effects on aging?: 14:15-16:22
    • What is NAD, and why is it relevant to aging and age-related diseases?: 16:23-19:56
    • What are the benefits and risks of NR and NMN supplements in humans?: 19:57-24:50
    • What is a ketogenic diet? What are the effects of a ketogenic diet or ketones on DNA damage or repair and aging?: 24:51-31:08
    • What is the effect of a ketogenic diet on cancer?: 31:09-32:29
    • What is the Aging Research and Drug Discovery (ARDD) conference and its mission?: 32:30-40:43
    • What are the most prevalent features of aging?: 40:44-47:54
    • Are there differences in aging between females and males?: 47:55-50:21
    • Are there differences in tissue aging trajectories?: 50:22-54:01
    • Identifying compounds that target aging: 54:02-56:16
    • Can nuclear morphology predict cellular senescence and cancer?: 56:17-01:04:04
    • What is longevity medicine, and why is it so important for physicians?: 01:04:05-01:07:25
    • What pharmaceutical drugs are the most promising for targeting aging to extend human healthspan and lifespan?: 01:07:26-01:12:00
    • How important are lifestyle factors such as nutrition, physical activity and exercise, sleep, and social engagement and connections for human healthspan and lifespan?: 01:12:01-01:16:39
    • Dr. Morten Scheibye-Knudsen’s top tip for health: 01:16:40-01:18:22
    1 May 2024, 10:00 am
  • 1 hour 12 minutes
    The Effects of Cellular Senescence and Senolytics on Healthspan with Dr. James Kirkland

    Do you know what senescent (zombie) cells are and how cellular senescence and senolytics impact health? In this episode of Longevity by Design, hosts Ashley Reaver and Dr. Gil Blander are joined by Dr. James Kirkland from the Mayo Clinic, one of the world's leading figures in aging research. This episode is a deep dive into aging research, cellular senescence, and senolytics. Dr. Kirkland discusses the impact of cellular aging (senescence) on healthspan and his discovery of the first senolytic agents that remove senescent cells and extend healthspan, illuminating his pioneering work in aging research.

    Dr. Kirkland shares insights into the science of cellular senescence and how selectively eliminating these cells could revolutionize the treatment of age-related chronic diseases. He sheds light on the mechanisms behind senolytics and their promise for extending healthspan. The discussion also touches on the importance of lifestyle factors like diet and exercise in managing senescent cells. 

    Dr. Kirkland also discusses geroscience, a research paradigm that seeks to understand the mechanisms of aging and how this knowledge can be used to slow the rate of aging, reverse its effects, delay or even cure age-related diseases, and extend healthspan. T Dr. Kirkland also covers the challenges and opportunities in translating these scientific discoveries into clinical applications, emphasizing the critical role of interdisciplinary efforts in advancing our understanding and management of aging.

    This is an enlightening episode with Dr. Kirkland on aging research and the opportunities to revolutionize healthcare by combating aging-related diseases and extending people’s health span and lifespan.


    Timestamps:

    • Introduction: 00:00-03:49
    • What led Dr. James Kirkland to become a physician-scientist and become interested in aging research?: 03:50-05:24
    • What is geroscience, and what are fundamental aging processes?: 05:25-09:17
    • What are the differences between targeting aging vs. the traditional medical system of waiting to treat illnesses or diseases after they occur?: 09:18-12:39
    • What are gerotherapeutics, and what is their relevance for healthspan and lifespan?: 12:40-16:10
    • What are senescent cells? What is the impact of senescent cells on the body and aging: 16:11-26:39
    • What are senolytics? How do senolytics work to target senescent cells to remove them?: 26:40-35:05
    • How Dr. James Krikland discovered senolytics such as fisetin, quercetin, and dasatinib? What clinical trials on the effects of senolytics in humans have been done? 36:06-40:47
    • Discovering biomarkers for senescent cells: 40:48-42:37
    • What are some important factors to consider on the effects of gerotherapeutics and senolytics on lifespan and healthspan in model organisms compared to humans?: 40:38-47:39
    • The potential for geroscience and gerotherapeutics, such as senolytics, to transform healthcare. What is the importance and what are some challenges of conducting clinical trials on gerotherapeutics, such as senolytics, to improve healthspan in humans?: 47:40-56:15
    • What is the Translational Geroscience Network, and what are its goals?: 56:16-01:02:01
    • How might senolytics be used clinically in the future if proven safe and effective? What conditions might they benefit?: 01:02:02–01:05:57
    • What are the effects of lifestyle, such as diet and exercise, on senescent cells?: 01:05:58-01:06:52
    • What excites Dr. James Kirkland the most about the potential for extending people's healthspan and lifespan with therapies, drugs, or interventions in the coming years?: 01:06:53-01:07:41
    • Dr. Kirkland’s top tip for health? 01:07:42-01:12:14
    17 April 2024, 10:00 am
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