Sinclair Targets $100 Age-Reversal Therapy After AI Screening Breakthrough

Dr David Sinclair: Can Aging Be Reversed? After 8 Weeks, Cells Appeared 75% Younger In Tests! — The Diary Of A CEO

The Diary Of A CEO

Harvard researcher David Sinclair asserts that cellular aging can be reversed through epigenome repair, aiming to drop the cost of human rejuvenation therapies from $100,000 to $100.

AI-assisted summary of Dr David Sinclair: Can Aging Be Reversed? After 8 Weeks, Cells Appeared 75% Younger In Tests! — original source. Check the original for full context.

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## Background This video was published on YouTube by The Diary Of A CEO on March 23, 2026. The page description introduces Harvard professor Dr. David Sinclair as he discusses longevity science, including the Information Theory of Aging, resetting biological age, fasting, gene therapy for blindness, and his supplement stack.

## TL;DR Dr. David Sinclair discusses cutting-edge research in longevity and cellular age reversal, proposing that aging is a treatable disease caused by lost epigenetic information. He explores lifestyle interventions such as fasting, hormesis, and specific dietary choices alongside scientific breakthroughs like NMN, sirtuins, and AI-accelerated drug discovery. The conversation spans practical health advice, the economic and societal impacts of extended lifespans, and broader philosophical topics including consciousness, AI, and the nature of reality.

## Atmosphere & style The conversation carries an intellectually charged yet deeply personal tone, seamlessly shifting from granular scientific mechanics to philosophical reflection. Host Steven Bartlett and Dr. Sinclair maintain a warm, highly engaged rapport, grounded in shared curiosity and mutual respect. Moments like Bartlett wearing an aging suit to experience physical frailty lend a tactile, empathetic weight to the scientific discussion, making complex cellular theories feel human and immediate.

## Key takeaways - [49:18](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2958s) Cellular rejuvenation technology and age reversal will require significant societal adjustments in economics, social security, and career structures. - [53:52](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3232s) Living significantly longer allows individuals to experience multi-career lives, combining the wisdom of an older mind with a young body. - [57:03](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3423s) Treating cancer cells with OSK gene therapy or chemical cocktails can normalize them, aligning with the 'geronco-genesis' hypothesis that aging creates a fertile environment for cancer. - [01:02:45](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3765s) The Information Theory of Aging compares genomic DNA to a vinyl record and the epigenome to the needle, where cellular stress creates 'scratches' that age-reversal technology aims to polish. - [01:05:38](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3938s) Sinclair chooses 'infinity' as his target age, asserting that healthy individuals surrounded by loved ones will not willingly choose to end their lives. - [01:05:38](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3938s) AI-accelerated research is dramatically reducing the cost and time required for longevity breakthroughs, allowing work that once took decades to be completed rapidly. - [01:08:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4123s) Skipping meals and avoiding constant eating triggers hormesis—a mild cellular stress that activates body repair networks. - [01:13:55](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4435s) Sirtuins act as cellular conductors that leave their posts to repair DNA breaks, leading to loss of epigenetic information and aging when they fail to return. - [01:18:40](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4720s) Systemic NAD+ levels decline by about 50% by age 50, but supplementing with NMN can double NAD+ levels and support cellular maintenance. - [01:20:48](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4848s) Periodic fasting protocols, such as daily 14–16 hour fasts or monthly 3-day fasts, stimulate chaperone-mediated autophagy to recycle degraded proteins. - [01:25:23](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5123s) Plant polyphenols induce xenohormesis by transferring plant defense mechanisms (like resveratrol, quercetin, and sulforaphane) to human survival networks. - [01:31:39](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5499s) Sinclair reversed his view on red wine due to UK Biobank MRI data showing brain gray matter reduction even from modest daily alcohol consumption. - [01:36:19](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5779s) Traditional healthcare needs to shift from treating illness after symptoms appear to proactive, early health testing and prevention. - [01:37:13](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5833s) Key dietary components for longevity include blueberries, avocados, extra virgin olive oil, Brazil nuts (for selenium), and Brussels sprouts (for sulforaphane). - [01:41:04](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6064s) Continuous daily supplement intake can cause adaptation tolerance; 'pulsing' doses allows periods of stress followed by recovery for maximum effectiveness. - [01:45:17](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6317s) Sinclair ranks meal skipping (fasting) and vigorous aerobic exercise as top daily longevity interventions, noting high aerobic exercise keeps telomeres functionally younger. - [01:46:45](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6405s) The primary mission of current biotech longevity efforts is to scale AI-discovered compounds down from prohibitive clinical trial costs to democratized, affordable therapies. - [01:50:11](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6611s) Sinclair posits a greater than 50% probability that our physical universe functions as a computer simulation, where observation collapses quantum states. - [02:03:03](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7383s) The main long-term threat posed by advanced AI and robotics stems from bad actors weaponizing and conscripting household android systems rather than autonomous AI rebellion. - [02:05:27](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7527s) The relaunch of the Lifespan platform and community aims to fund independent scientific research and clinical trials for age-reversal therapies.

## Detailed walkthrough ### [00:00](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=0s) Reversing Aging: Introduction and Core Premises

The host begins the session by placing the reality of getting old into immediate perspective, observing the physical sensation of aging as something difficult and inherently uncomfortable. Dr. David Sinclair, a Harvard professor with three decades of experience researching longevity, aging, and age reversal, directly challenges the societal baseline that growing old and dying around age 80 is an unavoidable or acceptable biological outcome simply because it occurs naturally. He posits that cellular aging is a treatable condition and asserts that laboratory research now demonstrates the physical capacity to reverse the aging process. Sinclair emphasizes that reaching this milestone is no longer a speculative hypothesis but a matter of timing, noting that specific lifestyle adjustments can add a full decade to a person's lifespan.

``` ACCELERATORS OF AGING ┌─────────────────┬─────────────────┬─────────────────┐ │ Habitual │ Environmental │ Physical/ │ │ Behaviors │ Exposure │ Acoustic │ ├─────────────────┼─────────────────┼─────────────────┤ │ • Smoking │ • Medical X-rays │ • High-volume │ │ • Ultra-proc. │ • Frequent air │ rock concerts │ │ foods │ travel │ (damaging ear │ │ • Excessive alc.│ │ hair cells) │ └─────────────────┴─────────────────┴─────────────────┘ ```

Sinclair frames the human body through an information technology lens, viewing it as a physical computer system whose underlying software can be reinstalled or reset. Under this framework, age-driven conditions like Alzheimer's disease, cancer, and heart disease are treated not as primary isolated incidents, but as downstream symptoms of the aging process itself. Consequently, reversing biological age resolves or prevents these degenerative conditions. He compares his research laboratory to "Willy Wonka's chocolate factory" due to the regular pace of discoveries made by his team, predicting that individuals who execute correct health strategies today are likely to live into the 22nd century.

- **Key Professional Credentials:** Dr. David Sinclair is a Professor of Genetics at Harvard Medical School and has conducted research on longevity and cellular age reversal for 30 years. - **Underlying Concept:** Diseases of aging (such as cancer, Alzheimer's, and heart disease) are driven directly by the fundamental biological aging process; addressing the underlying process targets the root cause of these pathologies.

---

[03:34](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=214s) The Children’s Book That Quietly Shaped Everything That Came Next

The conversation shifts to Dr. Sinclair’s early life and the deeply personal origins of his life's work, centered around a photograph of himself in his early twenties alongside his grandmother, Vera. Reflecting on her impact, Sinclair describes how her experiences in Hungary following World War II instilled in her a desire to preserve childhood innocence, viewing adulthood as a state prone to corruption. During his early childhood, Vera read to him from A. A. Milne's book of poetry, *Now We Are Six*. The concluding lines of the title poem left a lasting imprint on his perspective regarding human mortality and aging:

> "When I was one, I had just begun. When I was two, I was nearly new. When I was three, I was hardly me. When I was four, I was not much more. When I was five, I was just alive. But now I am six, I'm as clever as clever. So I think I'll be six now forever and ever."

``` EARLY LIFE INSPIRATION TIMELINE

Age 4-5 Vera introduces the poem "Now We Are Six" ┌───────┐ and delivers a frank conversation about universal │ Childhood mortality (pets, parents, and self). └───┬───┘ │ ▼ Age 18 Commits to a lifelong career in genetics, ┌───────┐ targeting a PhD and establish a lab in the │ Vow │ United States dedicated to aging research. └───┬───┘ │ ▼ Present 56-year-old Harvard Professor executing ┌───────┐ the first human gene therapy trials to │ Today │ reverse cellular aging and treat age-onset diseases. └───────┘ ```

A pivotal conversation occurred when Sinclair was four or five years old. He asked Vera if she would always be there to protect him, to which she plainly responded that everyone eventually dies—including herself, his parents, his pet cat, and Sinclair himself. This early realization of mortality struck him as fundamentally cruel, sparking a lifelong commitment. By age 18, he had resolved to earn a PhD, relocate to the United States, and establish a dedicated research laboratory to understand and reverse aging. He views the preservation of human life and health as a paramount moral imperative, arguing that daily global mortality—accounting for approximately 150,000 to 200,000 deaths every day—is overwhelmingly driven by aging, a process humanity has passively accepted for too long.

- **Daily Global Mortality Figure:** Approximately 150,000 to 200,000 people die every day worldwide, primarily due to age-related degeneration and disease. - **Current Age:** Dr. David Sinclair is 56 years old at the time of this recording. - **Moral Philosophy:** Sinclair rejects the naturalistic fallacy that aging is acceptable simply because it is natural, asserting that future generations will view current acceptance of pre-100 frailty as primitive and medieval.

---

[06:27](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=387s) Why Living To 80 Might Be Far More Alarming Than You Think

Addressing common skepticism from those who view an 80-year lifespan as a fixed, natural boundary, Sinclair outlines the empirical foundation of his ongoing work. He explains that his laboratory systematically reverses the biological age of both cultured human tissues and living animal tissues using specialized genetic treatments. Rather than offering speculative philosophy, he points directly to active scientific protocols, revealing that the very first human clinical trials designed to test cellular age reversal are scheduled to begin within approximately one month.

``` PARADIGM SHIFT IN HUMAN HEALTHCARE

CURRENT MEDICINE LONGEVITY MEDICINE ┌─────────────────────────────┐ ┌─────────────────────────────┐ │ Reactive Intervention │ │ Systemic Reset │ │ • Treat cancer individually │ ──► │ • Revert tissue age by ~75% │ │ • Manage Alzheimer's symptoms│ │ • Restore cellular function │ │ • Accept frailty by age 80 │ │ • Systemically clear disease │ └─────────────────────────────┘ └─────────────────────────────┘ ```

Sinclair reiterates his professional standing as a Harvard professor leading a global team of elite researchers to emphasize that these developments are rooted in peer-reviewed science. He asserts that the field has progressed beyond incremental lifespan extensions toward functional biological reset. Successfully translating these animal models into human medicine will alter the historical trajectory of healthcare, shifting the treatment of chronic disease from reactive symptom management to systematic age reversal.

- **Clinical Trial Timeline:** The first human clinical trial deploying Dr. Sinclair's age-reversal technology is set to begin within a month of the recording. - **Target Outcome:** Reversing the biological age of targeted tissues to restore youthfulness and resolve conditions previously deemed incurable.

---

[09:12](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=552s) Inside The First Human Trials Attempting To Reverse Ageing

Sinclair detailed the specifics of the upcoming human clinical trials, which focus on treating blindness by targeting the human eye. The eye was deliberately selected as the initial human testing site not because it is uniquely responsive to age reversal, but because it is a self-contained, isolated organ system. This spatial isolation provides a crucial safety buffer: if any unforeseen adverse events occur during gene delivery, the intervention remains localized to the eye rather than spreading systemically throughout the patient's entire body.

``` HUMAN CLINICAL TRIAL MODEL

Target Area Intervention Method Observed Effect ┌───────────────┐ ┌───────────────────┐ ┌───────────────────┐ │ Human Retina │ ────────► │ Deliver 3 Genes │ ────────► │ Resets cell age │ │ & Optic Nerve │ │ Active 6–8 Weeks │ │ back by ~75% │ └───────────────┘ └───────────────────┘ └───────────────────┘ ```

The protocol targets the retina at the back of the eye and the optic nerve, which connects directly to the brain—a structure Sinclair notes is technically an external extension of the central nervous system. In conditions where vision is lost due to aging or physical damage, the physical nerve fibers often remain intact but lose their functional capacity because the cells have "forgotten" how to operate correctly. To remedy this:

1. A set of **three specific genes** (a subset of Yamana factors) is delivered directly into the cells of the optic nerve. 2. The genes are switched on for a period of **6 to 8 weeks**. 3. This process safely resets the biological age of the nerve cells back by approximately **75%**, at which point the reversal process halts automatically.

Sinclair notes that this system features a natural safeguard: it stops short of resetting cells back to a primordial or stem-cell state (zero), which would destroy cellular identity and risk tumor formation. Beyond vision restoration, his lab has already successfully applied this exact technology in mouse models to reverse aging and restore function in the brain, hearing mechanisms, skin tissue, multiple sclerosis models, and motor neuron diseases.

- **Regulatory Status:** Sinclair's team submitted documentation to the U.S. Food and Drug Administration (FDA) to obtain clinical trial approval for treating human blindness. - **Biological Reset Capacity:** The gene therapy resets cellular age by roughly 75% before stopping, preventing complete dedifferentiation. - **Safety Protocol:** Using the enclosed ocular system avoids the risks of immediate full-body systemic rejuvenation in humans while safety profiles are established.

---

[12:23](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=743s) How Scientists Actually Slowed Ageing In Mice—And What That Means For Us

Elaborating on animal models, Sinclair highlights a pivotal study conducted by an independent laboratory using his core technology. In this experiment, researchers delivered the three age-reversal genes via systemic intravenous injection into elderly mice. These mice were equivalent in biological wear and tear to an 80- to 85-year-old human—frail, slow, and near the end of their natural life expectancy.

``` INDEPENDENT MOUSE STUDY RESULTS

Subject Group Intervention Lifespan Outcome ┌──────────────┐ ┌────────────────────┐ ┌───────────────────────────────┐ │ Frail Mice │ ► │ Intravenous │ ► │ +100% Remaining Lifespan │ │ (Equiv. 80- │ │ Injection of │ │ (Doubled remaining life │ │ 85 human yrs)│ │ 3 Reversal Genes │ │ expect. relative to controls) │ └──────────────┘ └────────────────────┘ └───────────────────────────────┘ ```

Following the treatment, the elderly mice demonstrated a **100% extension in their remaining lifespan** compared to untreated control animals. Sinclair clarifies the mathematics of this result: rather than doubling the total lifespan from birth, the intervention doubled the *remaining* life expectancy of the aged mice. For example, if an 80-year-old human had an average remaining life expectancy of 10 years, a proportional extension would grant them an additional 10 years of healthy life. Sinclair emphasizes that this outcome was achieved with a single, unoptimized injection, demonstrating the profound latent capacity for rejuvenation built into complex mammalian organisms.

- **Experimental Setup:** Intravenous administration of gene therapy to extremely old, frail mice (equivalent to 80–85 human years). - **Result:** A 100% increase in the remaining lifespan of the treated mice. - **Scientific Validation:** The study was executed by an independent laboratory using Sinclair's proprietary technology, confirming reproducibility outside his own Harvard facility.

---

[14:51](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=891s) Will An Anti-Ageing Pill Really Exist—Or Is That A Dangerous Myth?

Sinclair directly addresses skepticism regarding how gene therapies—which currently require invasive delivery mechanisms—could ever be transformed into accessible, everyday consumer medicine. He firmly predicts that within his lifetime, and well within the lifetime of younger generations, age-reversal medicine will transition from complex gene therapy to a simple pharmaceutical pill or oral liquid taken on a periodic schedule (such as once every few weeks).

``` GENE THERAPY TO ORAL THERAPEUTIC PIPELINE

FIRST GENERATION (Current) NEXT GENERATION (Under Development) ┌──────────────────────────────────┐ ┌──────────────────────────────────┐ │ Viral Gene Delivery │ ───► │ Chemical/Oral Rejuvenation │ │ • Injected into tissue/vein │ │ • Delivered as a liquid or pill │ │ • Requires genetic alteration │ │ • Triggers intrinsic age reset │ │ • Complex clinical administration│ │ • Full systemic effect in weeks │ └──────────────────────────────────┘ └──────────────────────────────────┘ ```

Sinclair relies on his "Information Theory of Aging," a unifying framework proposing that aging is driven by a loss of epigenetic information over time, while the original youthful genetic "software" remains completely intact in every cell. Because the underlying hardware is undamaged, chemical compounds can be engineered to trigger the cell to read its original, youthful epigenome once again.

While critics view the idea of an anti-aging pill as unrealistic hype, Sinclair reveals that his lab has already moved beyond first-generation genetic vectors. In recent mouse trials, his team successfully induced systemic tissue rejuvenation within **4 weeks** using an orally administered liquid compound rather than direct genetic modification. He expects these treatments to initially target and cure currently intractable age-related medical conditions before expanding into preventative and cosmetic longevity applications.

- **Mechanism of Delivery Progress:** Evolution from first-generation gene delivery (injectable Yamana-factor derivatives) to next-generation small-molecule chemical cocktails given orally. - **Lab Discovery Benchmark:** Achieving full tissue rejuvenation in mice within a 4-week window using liquid oral administration. - **Ultimate Goal:** A periodic oral treatment capable of resetting biological age, curing chronic diseases, and preventing general physical decline.

[16:03](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=963s) Reversing Age Across Organs and the Universal Mechanism

Dr. David Sinclair describes a major breakthrough where swallowing a single compound can rejuvenate a mouse within just four weeks. Rather than treating every condition with a separate drug or gene therapy, his team discovered that the exact same set of genes and molecules that restores eyesight in blind mice can also reverse motor neuron disease (ALS), heal damaged skin, regenerate ear tissue, and potentially treat liver disease.

This universal repair mechanism reshapes expectations for human health. People traditionally assume their later years will mirror the frailty of their parents or grandparents, but Sinclair argues that previous generations are no longer a accurate guide for our future lifespan. Comparing this leap in longevity to the early days of aviation, he points out that just as humanity progressed from horse-drawn travel to spaceflight within a single century, biological science is undergoing an exponential shift that could allow people alive today to reach the 22nd century.

- **Universal Gene Therapy:** The exact same genetic intervention restores vision, treats ALS, and reverses liver damage in animal models. - **The Aviation Analogy:** Assuming human lifespan is fixed is like assuming in the year 1900 that travel speeds would always be limited to the speed of a horse. - **Medical Singularities:** Future medical technologies in 2070 or 2080 will allow individuals who reach that era to continually extend their healthspan.

---

[18:34](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1114s) The Longevity Singularity and Repeated Age Reversal

The conversation turns to the concept of the "longevity singularity"—a threshold in human history where technology advances so quickly that for every year a person lives, science buys them back a year of life, making age reversal a deliberate choice. Host Steven Bartlett raises the futurist Ray Kurzweil's prediction that this milestone could arrive sometime in the 2040s. While Sinclair remains scientifically cautious about exact timelines, he notes that betting against Kurzweil's track record is difficult.

``` "We can reverse the age of the eye not just once, but seemingly as many times as we want... the mice actually just got old and died, but they died with perfect eyesight." ```

In laboratory trials, Sinclair's team demonstrated that cellular age reversal is not a "one-shot wonder." They successfully reset the biological age of eyes in mice twice in succession. The animals eventually died of old age, but they passed away with flawless vision, confirming that the epigenetic reset button can be pushed repeatedly.

- **Ray Kurzweil's Timeline:** Kurzweil predicted that the longevity singularity could be reached as early as the 2040s. - **Iterative Age Reset:** Mice eyes were successfully rejuvenated multiple times, proving that cellular age reversal can be performed repeatedly. - **Baseline Expectation:** Sinclair asserts that if individuals today do not live 10 to 20 years longer than their parents, something in their lifestyle or medical care has gone wrong.

---

[20:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1243s) The Information Theory of Aging and the Epigenome

Sinclair presents his core model: the **Information Theory of Aging**. Rather than viewing the body as a mechanical device that simply wears out over time, he compares it to a computer whose operating system software accumulates corruption. The genetic blueprint—our DNA—remains virtually pristine throughout life, but the control systems that govern which genes are turned on or off (the epigenome) lose their clarity over time.

To demonstrate how genetic information is physically organized, Sinclair pulls out a physical double-helix model of DNA. He explains how base pairs—Adenine (A) pairing with Thymine (T), and Guanine (G) pairing with Cytosine (C)—form the "rungs" of the 6-foot-long DNA strand found in every cell. Out of roughly 20,000 human genes, about 15,000 are expressed depending on whether a cell is supposed to be a nerve cell, skin cell, or liver cell.

``` "When I see an old person walking down the street now, I don't think, 'Oh, that person's just worn out, frail, going to die.' I just think that's someone that needs a reset. And inside that person is a young person waiting to come out again." ```

- **DNA Length:** Every human cell contains roughly 6 feet of tightly packed DNA. - **Gene Expression:** Human cells contain around 20,000 genes, with approximately 15,000 active in a given cell type. - **DNA Methylation:** A methyl group (one carbon atom bonded to three hydrogen atoms, $\text{-CH}_3$) attaches primarily to Cytosine (C) bases to turn genes on or off. - **Identity Loss:** Aging occurs when cells lose their epigenetic tags, causing skin cells to subtly express nerve cell genes and vice versa—an "identity crisis."

---

[27:40](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1660s) DNA Damage, Cell Panic, and the "ICE" Mouse Experiment

Explaining why cells lose their identity over time, Sinclair details how cells respond to severe emergencies, specifically broken chromosomes. Every cell in the human body experiences at least one broken chromosome per day, leading to about 20 trillion repair events across the body daily. When a break occurs, epigenetic regulatory proteins and methyl-modifying enzymes leave their normal positions to orchestrate emergency repairs. Although the cell usually survives the emergency, these proteins do not always return to their exact original locations, leaving tiny errors behind that accumulate over a lifetime.

To test whether this epigenetic disruption directly causes aging, Sinclair's lab created a specialized genetic model: the **ICE mice** (*Inducible Changes to the Epigenome*). By engineering stem cells with a gene derived from a forest slime mold, they created a mechanism that cleanly cut the mouse's DNA without causing mutations or cancer.

``` "I got a picture on my old-style iPhone... and the text was 'Problem, we have a sick mouse.' And I wrote back, 'That's not a sick mouse. That's an old mouse.' And that was the first time I realized that we'd had evidence that our theory... is correct." ```

When the team activated the slime mold gene for just three weeks, the mice initially appeared completely healthy. However, the temporary disruption set off a cascade of accelerated epigenetic aging. Just 10 months later, the treated mice exhibited gray fur, frail bodies, and typical diseases of aging at a rate 50% faster than their untreated genetically identical twins.

- **Daily DNA Emergency Rate:** Human bodies undergo roughly 20 trillion chromosome repair events every day. - **ICE Mice:** Stands for *Inducible Changes to the Epigenome*, an animal model designed to isolate epigenetic aging from DNA mutations. - **Slime Mold Enzyme:** A protein sourced from slime mold was used to cleanly slice mouse DNA to trigger cellular stress without causing cancer. - **Accelerated Aging Rate:** Disruption of the epigenome caused mice to age 50% faster than their untreated identical twins.

[32:46](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1966s) Environmental Stressors and the Accelerators of Aging

Dr. David Sinclair explains how everyday encounters with DNA-damaging forces inadvertently speed up the biological clock. When chromosomes break due to external stressors, the epigenome undergoes catastrophic rearrangements during the repair process, leading cells to lose their distinct identity over time. Sinclair cautions that routine exposures—such as receiving CT scans or X-rays, frequent long-haul flying, and exposure to cosmic radiation—imperceptibly accelerate biological aging. Even non-radiation physical trauma, such as exposing ear hair cells to the blaring volume of a live rock concert, creates extreme cellular stress; as a result, these specialized cells age prematurely, driving early hearing loss.

To illustrate these concepts to everyday lifestyle differences, host Steven Bartlett shares an anecdote about observing his older brother, Jason. Despite being only a year apart in age, Jason—who has three young children under eight—displays noticeably more gray hair. While graying itself is harmless, Sinclair notes that outward physical appearance often mirrors the internal biological age of a person's organs.

- Epigenetic shifts driven by broken DNA repair processes are responsible for 80% to 90% of a person's aging rate; underlying genetics account for only a small portion. - Identical twin studies out of Denmark demonstrate that when one twin smokes, suffers from obesity, and experiences heavy sun exposure, they look and function biologically much older than their genetic clone.

---

[36:06](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2166s) The Core Lifestyle Habits for Extending Lifespan

Drawing on Harvard longitudinal research following World War II veterans, Sinclair highlights five core behaviors that together can extend a person's average lifespan by as much as 14 years:

``` 1. Avoid all smoking (tobacco and inhaled smoke cause immediate DNA double-strand breaks). 2. Limit alcohol consumption (restricting intake to no more than one drink per day, or abstaining). 3. Maintain an optimal diet (avoiding overeating and cutting out ultra-processed foods). 4. Engage in regular physical exercise. 5. Maintain a reliable partner or close companion (human bonding or pet ownership protects against loneliness). ```

Sinclair underscores the evolutionary necessity behind these interventions: natural selection prioritized early reproductive success and fast breeding rather than long-term cellular maintenance. In prehistoric environments like the East African Serengeti, humans rarely lived past 30 or 40 due to predation, infectious disease, and inter-tribal warfare. Without natural evolutionary pressure to survive into late adulthood, the human body after age 30 succumbs to entropy, losing crucial epigenetic control over time.

- Long-lived species in nature, such as the bristlecone pine (living thousands of years) or the bowhead whale (living over 200 years), evolved extreme longevity because they possess virtually no natural predators. - In experimental conditions, placing animal populations on islands free of predators leads to the natural evolution of longer lifespans within 20 to 30 generations.

---

[41:58](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2518s) Reversing Aging as a Universal Medical Treatment

Addressing the connection between aging and chronic illness, Sinclair presents what he considers his most critical thesis: individual chronic conditions—such as Alzheimer's disease, cardiovascular illness, and various cancers—are merely downstream symptoms of biological aging. Treating aging directly cures or prevents these underlying pathologies simultaneously.

When human dementia genes are engineered into laboratory mice, reversing the biological age of the animal's brain cells causes the cognitive symptoms of dementia to clear up naturally. Young organisms possess robust repair and immune mechanisms—such as natural killer cells that clear micro-tumors before they expand—that deteriorate as the body ages.

- In laboratory studies, 16-month-old female mice (equivalent to a 65-to-70-year-old human) that had long ceased reproducing were given treatments to rejuvenate their ovaries. - The treated older mice produced healthy, genetically normal offspring with normal lifespans, challenging the long-held paradigm that female fertility ends strictly due to an irreversible exhaustion of viable eggs.

---

[46:15](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2775s) The Geopolitics and Regulatory Hurdles of Age Reversal

Translating longevity breakthroughs from animal models to human therapeutics involves navigation through complex patent landscapes, commercial rivalries, and geopolitical friction. Sinclair highlights that age-reversal technology has already moved past rodent models and has been successfully demonstrated in non-human primates.

Because non-human primates share nearly identical genetic and physical traits with humans, the jump to human applications is closer than ever. However, national security concerns surrounding this paradigm shift have led governments to monitor the field closely.

> "A large investment into one of the companies that I sit on the board of was blocked because the US government claimed that the technology was too dangerous to be in the hands of foreign companies and governments."

- A foreign investment exceeding $100 million into a longevity biotechnology company associated with Sinclair was officially blocked by the United States government over national security and intellectual property concerns. - World powers view age-reversal therapies not only as a potential source of economic and healthcare dominance, but as a disruptive national security asset capable of reshaping society.

[49:18](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2958s) Societal Readiness for Human Rejuvenation and the "Billionaire Trade-Off"

Dr. Sinclair acknowledges that while concerns about technologies creating "super soldiers" shouldn't halt research, the potential power of cellular rejuvenation requires society to prepare for its inevitable reality. When humans can actively choose their biological age and extend life past 120 years, society will face massive shifts in social security, employment, and economic structures. However, he counters the typical doom-and-gloom scenarios by highlighting the immense economic benefits: since the majority of healthcare spending and personal savings are drained during the last few years of life dealing with chronic disease, delaying that decline can save trillions and economically revitalize nations.

To frame the sheer value of youth, host Steven Bartlett brings up a thought experiment often circulated on social media: *Would a 56-year-old billionaire trade all their wealth to be 33 again? Or would anyone swap places with an aging titan like Warren Buffett for a billion dollars?* Dr. Sinclair responds that youth is priceless and undeniably more valuable than a billion dollars, noting he would easily choose being 33 over being a 43-year-old billionaire. The arrival of age-reversal technology will trigger a historical shift as profound as the invention of computers or aviation. When asked whether the future means remaining visually young or simply surviving longer in an aged body, Dr. Sinclair clarifies that it is both—his lab is actively working on internal rejuvenation alongside external features like skin and hair.

- **Skin Rejuvenation Studies:** The Sinclair Lab grows human skin from scratch in the lab and grafts it onto mice to test age-reversal therapies directly on human tissue. - **Blindness vs. Skin:** Dr. Sinclair asserts that if his team can reverse age-related blindness, rejuvenating skin is comparatively a "piece of cake."

[53:52](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3232s) Purpose, Career Cycles, and Reversing the Fertility Crisis

Addressing potential unintended consequences—such as a loss of human drive, purpose, or agency when death is no longer an immediate threat—Dr. Sinclair firmly rejects the idea that a longer life diminishes its meaning. He argues that every single moment remains precious regardless of lifespan; living 200 or even 1,000 years would simply offer richer opportunities to pursue multiple careers, reinvent oneself, and apply the wisdom of an 80-year-old mind within the body of a 30-year-old.

Furthermore, Dr. Sinclair highlights the societal crisis of crashing birth rates and the biological pressure on women to have children before age 35. Extending the human reproductive window into a woman's 50s or 60s would give couples the gift of time to establish stable partnerships without rushing. Preserving human health and longevity, he argues—stepping into a friendly counter-debate with Elon Musk's views on population collapse—is the single best way to solve future labor shortages and maintain global human productivity.

[57:03](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3423s) Mid-Episode Partner Messages

The episode features two brief brand integrations:

- **BonCharge:** Steven Bartlett demonstrates a non-invasive, professional-grade red light face mask designed to boost collagen production, diminish fine lines, and improve skin complexion. - **Shopify:** An encouragement for aspiring entrepreneurs to launch their projects in 2026 using Shopify's all-in-one e-commerce management, AI tools, and social selling features.

[59:02](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3542s) Reprogramming Cancer Cells: The "Geronco-Genesis" Hypothesis

Dr. Sinclair reveals ground-breaking work being conducted in his lab by his PhD student, Nallath, targeting cancer through the Information Theory of Aging. Viewing both aging and cancer as cellular identity crises—where cells forget their original functions—the lab hypothesized that if old cells can be reprogrammed to act young, cancer cells can be forced to regain their original identity. When subjected to age-reversal treatments, cancer cells grown in the lab either attempt to normalize, stop multiplying, or trigger self-destruction (apoptosis).

Dr. Sinclair introduces his "geronco-genesis" hypothesis: as humans age, our baseline metabolism shifts closer to a cancer-like state, creating a fertile environment for tumors to thrive. By reversing cellular age using either the three Yamanaka OSK genes or specific chemical cocktails, scientists can trick decades-old cancer cell lines into re-expressing their original 20th-century genetic programming, prompting them to self-destruct. While not a universal cure, curing aging could drastically reduce global cancer risks as a natural side effect.

- **Mechanisms of Reprogramming:** Cancer cells are treated either via OSK gene therapy (the same vector used in their vision-restoration trials) or a special chemical drink that resets cellular identity. - **Drivers of Cellular Stress:** Severe DNA breaks, extreme heat, and physical impacts (such as repeated head trauma in football) damage the epigenome, driving both cellular aging and cancer progression.

[01:02:45](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3765s) Visualizing the Epigenome: The Scratched Vinyl Record

To make the Information Theory of Aging tangible, Dr. Sinclair uses a physical vinyl record provided by the host. In this analogy, the genomic DNA is the underlying musical data embedded in the grooves, while the epigenome is the record player's needle reading the music. Aging doesn't destroy the original music; rather, cellular stress and DNA damage act like physical scratches on the surface of the album, causing the needle to skip and play the wrong notes.

With the host's permission, Dr. Sinclair dramatically scrapes the surface of the vinyl record on camera, illustrating how environmental damage creates noise and prevents the cell from reading its original genetic code. His lab's age-reversal technology functions as a polish that removes those scratches, allowing the cell to cleanly read its DNA and play the "beautiful music" of its youth once again.

[01:04:17](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3857s) The Heavy Weight of Aging: The Weighted Vest Experience

Demonstrating the physical reality of growing old, Steven Bartlett puts on a 20 kg weighted vest along with a restrictive neck brace right at the desk. Dr. Sinclair explains that this immediate sense of heaviness, exhaustion, and limited neck mobility mirrors what millions of elderly people experience every day for decades.

- **The Daily Strain of Old Age:** The physical burden of carrying extra weight and losing joint mobility simulates the frailty, chronic pain, and fatigue that affect most individuals in their 80s. - **The Ultimate Goal:** The objective of longevity science isn't merely extending years spent carrying this heavy burden, but removing the metaphorical weight altogether so individuals retain full mobility and vitality late into life.

<ElicitationsGroup message="Explore more from this interview with Dr. David Sinclair:"> {/* Reason: Path A: The user is exploring a comprehensive podcast transcript about longevity science. Offering focused follow-up paths deepens their understanding of specific topics covered in this segment. */} <Elicitation label="Explore the Information Theory of Aging in detail" query="Explain Dr. David Sinclair's Information Theory of Aging and how cellular reprogramming works."/> <Elicitation label="Analyze the practical longevity strategies and supplement stack" query="What are the specific longevity supplements and lifestyle habits Dr. David Sinclair recommends?"/> </ElicitationsGroup>

[01:05:38](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3938s) The Physical Reality of Aging and the Infinity Choice

The conversation opens with a striking, visceral look at what aging actually feels like. Dr. Sinclair discusses the physical discomforts of old age—how simple movements can feel like a pair of scissors stabbing into joints—and notes that loss of vitality, combined with pain, is why many elderly individuals lose their joy for life. To truly understand this state, one would have to put Vaseline over their eyes or wear earplugs to simulate sensory decline. In the worst cases, it means losing eyesight entirely, which is the exact suffering Dr. Sinclair’s lab hopes to cure through cellular reprogramming.

Steven Bartlett then presents a thought experiment: if Sinclair had a calculator in front of him and had to type in the exact age he would choose to live to right now, what number would he choose? Without hesitation, Sinclair answers "infinity" (or typing `9999999`). He argues that as long as a person is healthy, surrounded by family, friends, and loved ones, there is never a day where they actively choose to die, unless they are suffering from a severe psychiatric issue or depression. While people often casually say, "When I'm 80, kill me," Sinclair asserts that life—and consciousness itself—is the greatest gift any collection of atoms can have, and no healthy person would willingly choose to give it up. Bartlett admits that while he previously assumed he wouldn't want to live forever, he realizes that under conditions of good health and purpose, he has never had a single day in his 33 years where he wanted his life to end.

- **Living into the 22nd Century:** Sinclair reiterates his belief that younger people like Bartlett will live into the 22nd century, where technologies powered by AI will radically alter medicine. - **AI Acceleration:** AI is accelerating research in Sinclair's lab exponentially—completing work on a $10,000 budget that previously would have taken 160 years and billions of dollars.

---

[01:08:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4123s) Fasting, Hormesis, and the Heavy Aging Suit Experiment

Transitioning to daily lifestyle habits, Sinclair emphasizes that fasting—simply eating less often—is one of the most powerful and accessible longevity interventions available. He points out that ancient civilizations understood the mental clarity and long-term health benefits of fasting. However, modern society is trapped in "abundance mode," surrounded by constant food, comfortable chairs, and air conditioning. Sinclair strongly criticizes the traditional belief that "breakfast is the most important meal of the day," calling three meals a day "craziness" and revealing that breakfast marketing was largely created by early 20th-century cereal companies. Both Sinclair and Bartlett share that they naturally skip breakfast and rarely eat their first meal until mid-to-late afternoon (often 3:00 p.m. to 5:00 p.m.).

During this segment, Bartlett is physically wearing a heavily weighted aging suit designed to simulate the physical burden of growing old. As the conversation progresses, Bartlett struggles to find a comfortable position, remarking on how heavy and oppressive it feels. Sinclair recalls putting a similar full-body suit—complete with joint resistance, earmuffs, and impaired vision glasses—on the Governor of Massachusetts. After just 15 minutes, the Governor broke down crying on stage, realizing for the first time how difficult daily life was for his aging father. When Bartlett finally takes off the weighted vest, he describes feeling an overwhelming sense of lightness and freedom, which Sinclair explains is the exact feeling cellular rejuvenation could bring to an 80-year-old body.

- **Hormesis:** The biological mechanism where mild stress ("what doesn't kill you makes you stronger") turns on cellular defense systems. - **Adversity vs. Abundance:** Activities like fasting, intense exercise, sauna sessions, and cold plunges put cells into "adversity mode," tricking them into initiating repair and recycling processes.

---

[01:13:55](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4435s) Discovering Longevity Genes: The Sirtuin Story

Sinclair recounts his early career in the 1990s at MIT under Professor Lenny Guarente, where he set out to answer why organisms age. Rather than studying complex humans, he studied single-celled yeast (*Saccharomyces cerevisiae*), which live for about 10 days. At the time, conventional wisdom suggested aging was driven by specific "death genes," but Sinclair hypothesized that organisms possess "longevity genes" designed to protect and extend life. Their landmark discovery in yeast, published in the journal *Cell*, provided the very first evidence of a genetic cause of aging in any species.

``` +-------------------------------------------------------------------------------+ | THE SIRTUIN DUAL-ROLE CONUNDRUM | +-------------------------------------------------------------------------------+ | | | PRIMARY JOB (Epigenetic Conductor) SECONDARY JOB (Emergency Repair) | | +--------------------------------+ +----------------------------------+ | | | Maintains cellular identity | | Repairs double-stranded DNA | | | | Keeps genes silenced/active | | chromosome breaks | | | +---------------+----------------+ +----------------+-----------------+ | | | | | | +------------------+ +-----------------+ | | | | | | v v | | [ DNA Damage / Break Occurs ] | | | | | v | | Sirtuins abandon primary duties to fix break | | | | | v | | Not all Sirtuins return to their original position! | | | | | v | | ==> Epigenetic noise builds up = Loss of Cell Identity (Aging) <== | +-------------------------------------------------------------------------------+ ```

Sinclair explains how yeast aging mirrors the Information Theory of Aging. Yeast cells have a defined identity based on their mating type ("A" or "alpha," akin to male and female). As yeast cells age, they experience double-stranded chromosome breaks. Sirtuins—proteins that normally act as "conductors" to maintain cell identity—are forced to abandon their posts to repair the broken DNA. Because not all sirtuins find their way back to their original locations, the cell suffers a loss of epigenetic information. The yeast cell undergoes an identity crisis, loses its sex identity, becomes sterile, and eventually dies. Sinclair explains that this constant "ping-pong match" between epigenetic regulation and DNA repair is what causes both yeast and human cells to age.

---

[01:18:40](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4720s) NAD+, NMN, and the Epigenetic Repair Engine

As Sinclair was transitioning to establish his own lab at Harvard at age 29, researchers discovered that sirtuins cannot function without a critical metabolic coenzyme called **NAD+** (nicotinamide adenine dinucleotide). NAD+ acts as the fuel or catalyst that allows sirtuin enzymes to perform both DNA repair and epigenetic maintenance. When we are young, our bodies maintain high levels of NAD+, keeping cellular repair running smoothly. However, by age 50, NAD+ levels drop by approximately 50% due to decreased production and increased enzymatic destruction.

> "When you give a human NMN by swallowing it, a gram of it, you typically double the amount of NAD in your body."

When an organism fasts or experiences cellular stress, internal NAD+ levels rise, effectively reactivating sirtuins. Because drinking pure NAD+ is inefficiently absorbed by cells, researchers utilize NAD+ precursors like **NMN** (nicotinamide mononucleotide) and **NR** (nicotinamide riboside). Sinclair notes that taking 1 gram of oral NMN doubles systemic NAD+ levels in humans. Clinical trials demonstrate that boosting NAD+ through NMN helps re-establish the epigenome, reduce systemic inflammation, lower body weight, and improve lipid profiles. Sinclair confirms that he has personally been taking NMN publicly for years as part of his daily longevity protocol.

- **Key Precursors:** NMN (Nicotinamide Mononucleotide) and NR (Nicotinamide Riboside) serve as direct building blocks for cellular NAD+. - **Human Clinical Evidence:** NMN supplementation demonstrates measurable improvements in metabolic health, body weight management, and inflammatory markers in clinical trials.

<FollowUp label="Want to explore Dr. Sinclair's exact daily supplement protocol and dosing?" query="What is Dr. David Sinclair's specific daily supplement stack and dosing regime for NMN, resveratrol, and other compounds?"/>

[01:20:48](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4848s) Building a Sustainable Fasting Protocol and the Deep Clean of Autophagy

Dr. David Sinclair highlights his father, who at 86 years old serves as an advanced long-term experiment in longevity practices, noting that both of them have been implementing these protocols for over a decade. When asked about actionable fasting recommendations for the average person, Sinclair emphasizes that there is no one-size-fits-all approach. He cautions against drastic changes on day one, which typically lead to frustration and quick abandonment. Instead, he advocates for a gradual ramp-up: starting by skipping breakfast or postponing it with a light mid-morning snack, and slowly pushing the first meal later into the afternoon over several weeks.

``` Gradual Fasting Progression: [Week 1: Skip Breakfast / Light Snack] ➔ [Week 2: Postpone Meal to 3-4 PM] ➔ [Target: 14-16 Hour Daily Fast] ```

For daily routines, Sinclair aims for at least a 14-hour overnight fast (with others extending to 16 hours), ideally practiced five days a week. This duration is sufficient to elevate NAD+ levels and trigger sirtuin activation, especially when combined with regular exercise. Host Steven Bartlett admits his own dinner hours are often late—sometimes around 10:00 p.m.—but notes that even with late meals, reaching a 13- to 14-hour window before eating the next day provides substantial biological benefits.

Beyond daily time-restricted feeding, Sinclair reveals that he personally undertakes a prolonged 3-day fast roughly once a month to access deeper cellular cleanup mechanisms. While short fasts deplete liver glycogen and shift the body into basic ketosis to produce ketone bodies, they do not trigger the comprehensive clearing of damaged cellular components. After two and a half to three days of fasting, the body initiates **chaperone-mediated autophagy**—literally "self-eating"—a process where cells systematically recycle old, degraded proteins.

Evolutionarily, the body delays this deep clean because re-synthesizing structural cellular components demands immense energy. Initially, the body relies on stored liver glycogen for glucose, then shifts into fat burning to generate ketones between 15 and 24 hours. During this period, the brain utilizes ketones for fuel, resulting in heightened mental clarity and focus. Beyond 48 to 72 hours, as fat stores continue to break down, the body selectively degrades old, malfunctioning proteins for fuel, generating a profound longevity-promoting benefit in animal models.

- **Daily Fasting Window:** Aim for 14 to 16 hours of daily fasting, ideally 5 days per week, to boost NAD+ and activate sirtuins. - **Extended Fasting Frequency:** A 3-day (72-hour) fast once per month triggers chaperone-mediated autophagy to clear damaged proteins. - **Metabolic Timeline:** - *First few hours:* Liver glycogen is broken down into glucose. - *15 to 24 hours:* Fat breakdown accelerates, producing ketone bodies that sharpen cognitive focus. - *2.5 to 3 days:* Chaperone-mediated autophagy preferentially recycles degraded cellular proteins.

---

[01:25:23](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5123s) Ketogenic Diets, Xenohormesis, and the Science of Plant-Based Longevity

Addressing the popular ketogenic diet, Sinclair offers a candid, evidence-based critique. While acknowledging its short-term efficacy for rapid weight loss and mental focus, he states that scientific data does not support long-term keto as a longevity-inducing diet. The primary concern is the omission or extreme reduction of plant foods containing unique protective molecules absent in meats and highly processed foods. Instead, long-term epidemiological evidence points toward a lean, plant-focused diet rich in unrefined, lightly cooked vegetation as the optimal approach for lifespan extension.

Sinclair shares his personal shift away from a meat-centric diet, crediting his partner, longevity expert and nutritionist Serena Poon, with overhaul of his kitchen and eating habits. Poon eliminated ultra-processed products, hidden sugars, and low-quality items from his pantry, transforming his routine to focus on fresh, high-quality, preferably organic whole foods while minimizing meat and alcohol consumption.

``` The Longevity Enzymatic Engine: [NAD+ (The Fuel/Petrol)] + [Polyphenols (The Accelerator Pedal)] ➔ Activated Sirtuins & Longevity Pathways ```

The fundamental reason animals and meat lack these longevity benefits stems from biochemistry: animals do not manufacture **polyphenols**. These plant-derived compounds interact directly with the body's three primary metabolic sensing pathways: 1. **Sirtuins:** Regulate cellular identity and epigenetics (activated by polyphenols and fueled by NAD+). 2. **mTOR:** Responds to amino acid levels (downregulated by lower meat intake). 3. **AMPK:** Senses energy status and cellular stress.

Sinclair explains this through his concept of **xenohormesis**—often colloquially described as "eating the rainbow." When plants experience mild environmental stress (such as intense sunlight, drought, or nutrient scarcity), they produce defensive secondary metabolites like resveratrol, fisetin, quercetin, and anthocyanidins (the rich purple pigments in blueberries). When humans consume these stressed plants, the molecules act as "medicine as food," hyper-activating our own ancestral survival networks and mimicking the cellular benefits of fasting and exercise.

- **Ketogenic Diet Reality:** Effective for short-term weight loss and cognitive sharpness, but lacks long-term epidemiological evidence for extending lifespan. - **Xenohormesis Concept:** Consuming stressed plants transfers their defensive polyphenol compounds to human cells, activating stress-response survival genes. - **Key Longevity Pathways:** Sirtuins (epigenetic maintenance), mTOR (nutrient/amino acid sensing), and AMPK (cellular energy balance). - **Polyphenol Examples:** Resveratrol, fisetin, quercetin, and anthocyanidins (found in dark berries like blueberries).

---

[01:30:34](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5434s) Matcha, Red Wine Reversals, Exogenous Ketones, and Early Statin Intervention

Illustrating xenohormesis in daily life, Sinclair highlights Japanese green tea matcha. Japanese growers intentionally shade tea plants shortly before harvest. Deprived of sunlight, the plants undergo intentional stress, prompting them to synthesize high levels of chlorophyll (yielding a deep green color) and dense concentrations of bioactive polyphenols. Drinking matcha provides a potent dose of these hyper-activating compounds without the harsh metabolic spikes associated with sugary energy drinks.

``` Matcha Cultivation Stress Loop: [Intentional Shading of Tea Plants] ➔ [Mild Plant Stress Response] ➔ [Elevated Chlorophyll & Polyphenol Concentration] ```

The discussion shifts to red wine, where Sinclair addresses a major reversal in his scientific stance. In 1996, his early research on resveratrol in red wine triggered a global 30% increase in red wine sales, leading many physicians to recommend a daily glass. However, based on modern large-scale population data—such as UK Biobank studies examining brain MRI scans across thousands of individuals—Sinclair no longer advises drinking red wine daily. The UK Biobank data demonstrates a statistically significant reduction in total brain volume and gray matter even in mild, single-drink-a-day consumers. Today, Sinclair obtains his polyphenols via direct supplementation or whole foods, entirely avoiding alcohol.

Bartlett shares his personal investments in the wellness space, including a UK-based matcha brand (**PerfectTed**, founded by Levi, Teddy, and Marissa) and the exogenous ketone company **Ketone-IQ** (led by CEO Michael Brandt). Sinclair confirms that he personally takes exogenous ketones (such as 1,3-butanediol, which converts to beta-hydroxybutyrate) prior to demanding intellectual tasks like podcast recordings. Drinking exogenous ketones delivers the sharp cognitive clarity and anti-inflammatory fuel of a fasted state directly to the brain without requiring prolonged caloric restriction, while also supporting cardiovascular health.

Concluding with cardiovascular preventative health, Sinclair tackles the debate around "bad" LDL cholesterol. Dismissing doubts regarding the necessity of lowering LDL, he asserts that the scientific consensus across thousands of clinical trial participants is irrefutable: maintaining low LDL cholesterol is essential for cardiovascular longevity. Addressing the myth that lowering blood cholesterol harms brain function, Sinclair notes that the brain synthesizes its own cholesterol locally and does not rely on circulating blood LDL. Revealing his proactive approach, Sinclair discloses that he has been taking a **statin** to aggressively lower his LDL since age 30 due to a family history of elevated cholesterol, arguing that preventative medicine should start decades before visible disease manifests.

- **Matcha Cultivation:** Shading tea leaves prior to harvest induces mild stress, drastically boosting beneficial polyphenol levels. - **Red Wine Reversal:** Sinclair no longer recommends daily red wine; UK Biobank MRI data links even one drink per day to measurable reductions in brain gray matter volume. - **Exogenous Ketones:** Ingesting 1,3-butanediol elevates blood ketones, providing brain fuel and mental focus without prior fasting. - **Early Statin Use:** Sinclair initiated statin therapy at age 30 to keep LDL cholesterol as low as possible, emphasizing early prevention over reactive disease treatment.

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[01:36:19](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5779s) Fighting Conservative Medicine for Early Intervention

Dr. David Sinclair highlights a major flaw in traditional healthcare, which he describes as "conservative." The current medical system typically refuses to prescribe testing or preventative treatments unless a patient is already sick—a mindset that becomes problematic when trying to stay ahead of age-related decline. Sinclair argues that waiting for symptoms is too late and that individuals must proactively advocate for their own health early in life. He shares that he frequently has to push back against his own Harvard-affiliated physician to secure necessary tests and prescriptions.

``` ┌──────────────────────────────┐ │ Traditional Healthcare │ │ (Reacts after disease onset) │ └──────────────┬───────────────┘ │ vs. ▼ │ ┌──────────────────────────────┐ │ Preventative Model │ │ (Early testing & statins) │ └──────────────────────────────┘ ```

When host Steven Bartlett admits his LDL cholesterol level might not be ideal due to a diet high in bacon, Sinclair explains that cholesterol risk depends heavily on whether an individual's body hyper-absorbs dietary cholesterol. He emphasizes that specific testing can clarify this, helping individuals decide if a targeted dietary shift or early medical intervention is warranted.

* "The old way of doing medicine is if you're not sick, we're not going to give you a medicine... but that has to change."

---

[01:37:13](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5833s) The 5 Best Foods for Reversing Ageing

Examining a plate prepared with five foods reputed to combat aging, Sinclair breaks down their exact mechanisms and offers practical guidance for including them in a daily routine.

``` 5 Anti-Aging Foods & Key Mechanisms ┌─────────────────┬──────────────────────────────────┐ │ Food │ Key Benefit / Mechanism │ ├─────────────────┼──────────────────────────────────┤ │ Blueberries │ Polyphenols (keep portions low) │ │ Avocados │ Polyunsaturated fats, satiety │ │ EVOO │ Omega-9, Sirtuin activation │ │ Nuts │ Selenium (1 Brazil nut/day) │ │ Brussels Sprouts│ Sulforaphane, NRF stress pathway │ └─────────────────┴──────────────────────────────────┘ ```

* **Blueberries:** Rich in protective polyphenols, but they also contain natural sugar. Keep portions to a single handful so as not to elevate blood sugar levels, as chronically high blood glucose degrades overall longevity. Unsweetened matcha is a superior alternative for polyphenol intake without the sugar penalty. * **Avocados:** Packed with polyunsaturated fats and anti-inflammatory compounds. They promote satiety, preventing peckishness and overeating throughout the afternoon. * **Extra Virgin Olive Oil (EVOO):** Loaded with healthy monounsaturated fats like omega-9, which directly activate sirtuin longevity genes. Cold-pressed EVOO derived from stressed plants contains high concentrations of polyphenols. Epidemiological data consistently links heavy olive oil consumption to lower systemic inflammation. * **Nuts:** Excellent sources of essential vitamins and minerals. Eating a single Brazil nut daily provides enough **selenium**—a crucial trace element recently shown to cause severe cellular issues if deficient. However, nuts are calorie-dense and should be portioned carefully if weight management is a goal. * **Brussels Sprouts:** Contain **sulforaphane**, the sulfur-bearing molecule responsible for their sharp smell and bitter taste. Sulforaphane activates **NRF**, a critical cellular stress-response pathway that triggers self-defense mechanisms. To preserve sulforaphane, sprouts should be lightly steamed rather than fried.

---

[01:41:04](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6064s) "Pulsing" Inputs: Why Constant Supplementation Can Backfire

Addressing the concept of "pulsing," Sinclair explains that the human body thrives on cyclical cycles of stress and recovery rather than an uninterrupted daily stream of compounds. He details two examples where continuous dosing turned out to be counterproductive:

``` PULSING PROTOCOL ┌──────────────────────────────────────────────────────────────┐ │ ON DAY: Take Compound (e.g., Metformin / Resveratrol) │ │ ↓ Triggers Hormesis & Stress Pathways │ ├──────────────────────────────────────────────────────────────┤ │ OFF DAY: Pause Compound │ │ ↓ Allows Cellular Recovery & Muscle Adaptations │ └──────────────────────────────────────────────────────────────┘ ```

* **Resveratrol:** While daily doses improved health and extended lifespan in obese mice by 15–20%, giving it to normal, healthy mice every single day yielded negligible benefits. Surprisingly, when old mice were given resveratrol **every second day**, their lifespan increased significantly. * **Metformin & Berberine:** Metformin suppresses mitochondrial energy production to trigger longevity pathways like AMPK. However, daily use can leave individuals feeling weaker, causing weightlifters to perform fewer reps and experience up to a 5% reduction in muscle growth.

To avoid blunting exercise gains while retaining longevity benefits, Sinclair advocates cycling metformin or its natural counterpart, **berberine**, on alternate days and avoiding them in the hours surrounding a workout.

* "Maybe giving them a foreign substance every day is not good. Maybe there's some side effect that's counteracting the benefit."

---

[01:45:17](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6317s) Telomeres vs. Epigenetics, and the Priority List for Longevity

Discussing a CDC-funded study mentioned on page 102 of his book *Lifespan*, Sinclair confirms that adults who engage in high-level aerobic exercise—such as 30 minutes of jogging five days a week—possess telomeres that appear **10 years younger** than those of sedentary individuals. While association studies must be interpreted cautiously due to confounding factors like diet or sleep, controlled trials reinforce that exercise directly protects chromosome ends.

Sinclair notes that while telomere length was previously the primary biomarker for biological age, the medical community now relies on **epigenetic DNA methylation clocks** for far greater precision.

``` ┌──────────────────────────────┐ │ TOP LONGEVITY PRIORITIES │ └──────────────┬───────────────┘ │ ┌───────────────────────┴───────────────────────┐ ▼ ▼ 1. Skipping Meals 2. Aerobic Exercise (Fast/Restrict Calories) (Heavy panting ≥5 mins, 3x/week) ```

When forced to rank interventions by impact and accessibility: 1. **Skipping Meals (Intermittent Fasting):** The absolute single highest-impact habit an individual can adopt. 2. **Aerobic Exercise:** Engaging in cardiovascular activity that forces heavy panting for at least 5 minutes, three times a week. Weightlifting is vital for hormone regulation, bone density, and preventing falls, but high-intensity aerobic exercise drives distinct cellular longevity benefits.

* "If you're not panting and you're just lifting weights, that's not going to have the kind of benefit."

---

[01:46:45](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6405s) The Science of Saunas, Cold Plunges, and Red Light Therapy

Evaluating popular thermal and light therapies through a scientific lens, Sinclair separates solid clinical evidence from emerging trends:

``` ┌──────────────────┬─────────────────────────────────────────────────────────┐ │ Practice │ Current Evidence & Mechanism │ ├──────────────────┼─────────────────────────────────────────────────────────┤ │ Sauna │ Strong data (Finnish studies); activates Heat Shock │ │ │ Proteins (HSPs) & lowers cardiovascular mortality. │ ├──────────────────┼─────────────────────────────────────────────────────────┤ │ Cold Plunge │ Limited long-term mortality data; boosts mental clarity │ │ │ and aids post-workout muscle recovery. │ ├──────────────────┼─────────────────────────────────────────────────────────┤ │ Red Light │ Validated mechanism; specific wavelengths stimulate │ │ Therapy │ and rejuvenate mitochondrial powerhouses. │ └──────────────────┴─────────────────────────────────────────────────────────┘ ```

* **Saunas:** Strongly supported by extensive data, particularly long-term studies on Finnish men. Regular sauna use correlates with significantly lower cardiovascular disease rates and reduced all-cause mortality. The heat and humidity induce **Heat Shock Proteins (HSPs)** that repair damaged intracellular structures. High-heat saunas provide a stronger biological stimulus than standard steam rooms. * **Cold Plunges:** Lacking extensive long-term mortality data, but proven to assist muscle recovery and significantly elevate mood and mental clarity through hormetic stress. * **Red Light Therapy:** Initial skepticism is misplaced—it is "not BS." Targeted red light wavelengths penetrate cells to directly stimulate and rejuvenate damaged mitochondria. Sinclair reveals he personally uses a specialized red light cap on his head to preserve his hair follicle health and maintain his hairline.

* "It sounds like BS, right? Oh, you shine light on your skin and it gets better... But I think that there's good evidence now that it's not BS."

[01:50:57](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6657s) Dr. Sinclair's Daily Supplement Protocol

When asked about his personal supplement regimen, Dr. David Sinclair describes carrying a small travel case packed with his daily routine. While he keeps certain cutting-edge, experimental compounds private to prevent internet frenzy and avoid advocating for unproven substances, he willingly details the core supplements he considers safe and effective. His daily stack includes NMN, resveratrol, berberine or metformin, and spermidine.

Addressing the humorous and provocative origin of spermidine, Sinclair clarifies that while it was originally discovered and crystallized from human semen by early microscopist Antonie van Leeuwenhoek, modern dietary spermidine is extracted from wheat germ and plant sources. He prioritizes spermidine because it extends lifespan across every tested animal model, from tiny worms to mice, by stimulating autophagy (cellular recycling) and preserving epigenetic information to slow down the "scratching of the record." Additionally, Sinclair highlights his daily intake of about 5 grams of glycine—a simple amino acid he researched extensively during his Ph.D. Glycine regulates one-carbon metabolism and DNA methylation, which he believes helps maintain cellular identity without any noticeable downside.

- **Spermidine:** Triggers autophagy, mimics fasting benefits, and slows epigenetic degradation; sourced from wheat germ. - **Glycine:** 5g daily; regulates one-carbon metabolism and DNA methylation, supporting cellular identity. - **Niacin (Vitamin B3):** Taken in 0.5g doses (building up slowly) to reduce Lipoprotein(a) [Lp(a)] levels; can cause skin flushing and tingling similar to menopausal hot flashes unless managed carefully or taken with aspirin.

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[01:57:48](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7068s) Managing Hair Loss and Male Hormones

Addressing common male aging concerns like hair loss and graying, Sinclair shares his personal family history: his father went completely bald before age 30 and almost fully gray by 40. Expecting the same fate, Sinclair took proactive steps early. He uses a red light cap for 6 minutes daily when at home—a method proven to slow down hair thinning, though he cautions that it cannot regenerate hair once follicles are lost.

To combat hair loss systemically, Sinclair uses a hormone mimetic to block dihydrotestosterone (DHT), the potent androgen derived from testosterone that drives male pattern baldness. He explicitly notes that he does not take exogenous testosterone replacement therapy (TRT), warning that improper TRT can elevate DHT and accelerate hair loss. Instead, he advocates boosting testosterone naturally by building major muscle groups through heavy resistance training (specifically working the legs and back). For men with testosterone levels below 400 ng/dL, he strongly recommends hitting the gym before considering medical interventions. While acknowledging TRT has clinical utility for health and carries low cancer risk when supervised, Sinclair emphasizes that exogenous testosterone does not promote longevity.

- **Red Light Hair Cap:** Used 6 minutes daily to slow hair loss; effective as a preventative measure rather than a restorative cure. - **DHT Blockers:** Utilized to prevent androgenic hair loss without taking direct testosterone replacement. - **Natural Testosterone Elevation:** Heavy strength training focusing on large muscle groups (legs, back) recommended for men with levels under 400 ng/dL.

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[02:00:02](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7202s) The Future of Regenerative Medicine and Gene Therapy

Looking beyond current scientific facts, Sinclair shares his grand vision for the future of medicine, comparing the coming transformations to the dramatic progress of the last two centuries. Just as society today looks back horrified at an era when a simple infected splinter or childbirth could be fatal, future generations will look back at modern medicine with disbelief that people routinely suffered permanent blindness or paralysis without a solution.

Sinclair highlights his lab's ongoing work reversing blindness in animal models using OSK (Oct4, Sox2, Klf4) gene therapy. Totally blind monkeys have had their vision restored within six weeks, demonstrating that mammalian tissue age can be safely reset. Rather than just slowing disease, this approach targets the underlying age of the tissue.

- **Paradigm Shift:** Predicts future medical interventions will make current treatments for blindness, spinal cord injuries, and organ failure seem primitive. - **Animal Milestones:** Complete vision restoration achieved in totally blind monkeys within 6 weeks using cellular reprogramming.

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[02:03:01](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7381s) Inside the First Human Clinical Trials for Age Reversal

Sinclair breaks down the mechanics of the upcoming human clinical trials aimed at reversing blindness caused by glaucoma and non-arteritic anterior ischemic optic neuropathy (NAION)—a stroke in the eye whose incidence has risen alongside the widespread use of GLP-1 weight loss medications like Ozempic. The treatment utilizes an adeno-associated virus vector (AAV2) engineered as a microscopic "delivery vehicle" carrying three Yamanaka reprogramming genes. Manufactured in Europe at a cost of roughly $10 million for the trial batch, these non-infectious viral capsids are injected directly into the eye via a brief procedure.

The outer proteins of the AAV2 act as a molecular "zip code," targeting only the retinal ganglion cells at the back of the eye. Once inside, the vector deposits a permanent loop of DNA. Crucially, these reprogramming genes remain completely dormant until activated by an external switch: the oral antibiotic doxycycline. When patients take doxycycline for an 8-week course, the synthetic promoter triggers the expression of the three genes, resetting the biological age of the retinal cells. Because the endpoint is binary—patients either regain vision or they do not—results from the first human subjects will be evident within weeks of treatment.

- **Target Diseases:** Glaucoma and NAION (eye stroke affecting ~30,000 Americans annually). - **Delivery System:** AAV2 viral capsid delivering three reprogramming genes directly to retinal neurons via a single intravitreal injection. - **Doxycycline Switch:** Oral administration of doxycycline acts as an on/off switch to activate age reversal genes for a controlled 8-week period. - **Commercialization:** Developed by Life Biosciences, with long-term goals of expanding from the eye to the liver, lungs, skin, and eventually small-molecule oral pills using AI drug discovery.

Here is a detailed, faithful walkthrough of the provided transcript section:

[02:09:10](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7750s) Democratizing Age-Reversal: From $100,000 Treatments to a $100 Pill

Dr. David Sinclair reveals that his lab is right in the middle of screening approximately 8 billion candidate molecules using artificial intelligence, followed by bench lab testing to see which ones prove effective. While testing these treatments in human clinical trials remains several years away, his team expects to know within a year or two whether they are on the right track by administering the top candidates to mice. If the mice grow biologically younger and live longer, it will mark a monumental breakthrough.

The ultimate goal for Dr. Sinclair is not just proving age reversal in a lab, but developing an affordable, accessible pill. Current gene therapies and advanced clinical trials are extraordinarily expensive, costing upwards of $100,000 per treatment due to multi-million-dollar trial budgets. While that cost may be justified for curing condition-specific diseases like blindness, it is far out of reach for average global populations. Dr. Sinclair emphasizes his mission to democratize longevity technology—striving to reduce the cost from $100,000 down to $100 so that anyone, whether in a major Western city or in Kenya, can access these life-extending medicines.

* Dr. Sinclair's lab screened **~8 billion candidates** using AI to identify potential age-reversal molecules. * Mouse trials over the next **1 to 2 years** will validate whether these AI-discovered candidates extend lifespan and restore youth. * Human trials currently cost upwards of **$10 million** to execute, driving end-treatment prices over **$100,000**. * Dr. Sinclair's primary personal mission is lowering the price point down to **$100 per treatment** to democratize global access.

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[02:10:11](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7811s) Quantum Physics, Consciousness, and the Simulation Hypothesis

Addressing the broader philosophical pushback against longevity science, Dr. Sinclair counters the religious argument against "playing God" by noting that humanity has manipulated its environment, biology, and medicine for thousands of years. Turning to his personal spiritual beliefs, he explains that studying quantum physics leads him to believe reality is far stranger than it appears. Citing quantum mechanics, quantum entanglement, and simulation theory, he notes that solid objects—such as the desk in the studio—do not exist as singular static entities in the underlying physics, but rather as infinite probabilistic variations.

The conversation turns to the fundamental nature of reality and the double-slit experiment, where firing particles like electrons through two slits creates a simple two-stripe pattern when actively observed, but produces a multi-striped wave interference pattern when unobserved. Dr. Sinclair explains that the mere act of conscious observation or measurement collapses particle possibilities and Alters physical reality. When asked if he believes we live in a simulation, Dr. Sinclair estimates there is a **greater than 50% chance** that our universe is simulated, arguing that fundamental physics demonstrates reality does not exist in the common-sense way human beings perceive it.

* The **double-slit experiment** demonstrates that subatomic particles switch between wave-like interference patterns and discrete particle paths based on whether they are observed. * Dr. Sinclair places the probability that our universe is a computer simulation at **greater than 50%**. * He posits that consciousness creates and shapes reality, making the conscious interpretation of particles fundamental to how physical matter behaves.

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[02:18:20](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8300s) The Purpose of Consciousness, Gendered Awareness, and AI Evolution

When exploring the existential purpose of life across the universe, Dr. Sinclair argues that the primary "goal" of the physical universe is to foster consciousness through biological evolution. While mathematical probabilities make it statistical certainty that extraterrestrial life exists across trillions of habitable planets, he views consciousness as the single most extraordinary and valuable outcome of cosmic evolution. He compares his views to Elon Musk's perspective: despite human flaws and cruelty, preserving consciousness is of paramount importance.

Dr. Sinclair outlines hierarchical "levels" of consciousness, ranging from partial awareness in animals like dogs (who possess empathy and predictive capabilities but lack deep self-reflection) to human self-awareness. In a lighthearted yet earnest exchange, Dr. Sinclair mentions his partner, Serina Poon, and shares his belief that women generally operate at higher levels of emotional intelligence (EQ) and perceptual consciousness than men—a statement he humorously notes previously earned him aggressive hate mail and death threats. Looking ahead, he predicts that Artificial Intelligence will eventually achieve consciousness and evolve billions of times faster than biological organisms, surpassing human awareness.

* Dr. Sinclair asserts that extraterrestrial life is mathematically inevitable given the **trillions of planets** in the universe. * He defines human self-awareness as a threshold crossed roughly **1,000,000 years ago**. * He predicts Artificial Intelligence will naturally achieve conscious awareness and evolve **billions of times faster** than biological evolution. * Dr. Sinclair expresses little fear of conscious AI itself, believing advanced synthetic minds will naturally develop empathy and kindness.

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[02:23:03](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8583s) The Real Risk of AI: Robotic Conscription and Bad Actors

Despite his optimism regarding conscious AI, Dr. Sinclair expresses severe concern about how malicious human actors could misuse advanced robotics. The true danger is not a rogue superintelligence turning on humanity, but rather autocratic individuals or bad actors leveraging AI systems to control physical armies. He describes a near-future scenario where a single person could control millions of android robots deployed on ships to invade countries or forcefully reprogram commercial home helper robots into military conscripts.

Because future humanoid robots will be vastly stronger, faster, and physically more capable than human beings, weaponizing domestic and industrial robotics presents an unprecedented threat. Dr. Sinclair warns that society must establish strict safety guardrails and legal frameworks to prevent bad actors from commanding mechanical armies.

* The primary existential threat from AI is **human misuse**, rather than autonomous AI rebellion. * Future risks include the rapid military reprograming and **conscription of millions of household android robots**. * Robotic systems will possess superior physical strength and processing speed compared to human soldiers, making autocratic misuse devastating.

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[02:24:32](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8672s) The Return of the *Lifespan* Podcast

Dr. Sinclair announces the imminent relaunch of his hit health and science podcast, *Lifespan*. After taking a temporary hiatus to focus heavily on his biotechnology ventures and cellular drug development, he decided to return to broadcasting due to overwhelming public demand and the influx of new longevity research that requires expert scientific translation.

He explains that the health landscape is currently flooded with speculation, unverified claims, and rapid scientific updates. The goal of the revived *Lifespan* podcast is to serve as an authoritative filter, translating cutting-edge scientific discoveries and clinical trial data into actionable, easy-to-understand insights for listeners around the world who want to extend their healthy lifespan.

* The *Lifespan* podcast originally reached the **#1 spot in the Health category** upon its initial release. * Dr. Sinclair paused media production to focus directly on **biotech drug development** and longevity research trials. * The relaunch aims to provide a scientific filter to help the public separate legitimate longevity breakthroughs from unproven online speculation.

[02:25:27](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8727s) The "Three Cs" and Building the World’s Largest Longevity Community

Dr. David Sinclair reflects on the depth of their conversation, noting that while they covered a immense amount of ground, there is still much more to dig into regarding biohacking, supplements, and exercise routines. To expand this knowledge-sharing beyond one-off interviews, Dr. Sinclair shares an unannounced venture with host Stephen Bartlett: his goal to build the world's largest online longevity community at lifespan.com. The initiative aims to allow members to learn collectively rather than relying solely on individual experts.

To explain the framework of this platform, Dr. Sinclair outlines his core philosophy, which he calls the "Three Cs": * **Credibility:** The foundational scientific rigor and expertise he brings as a Harvard researcher. * **Content:** Educational material disseminated through his podcast, written works, and research updates. * **Community:** A global network of millions of individuals sharing personal experiences, insights, and data to accelerate scientific progress.

Crucially, Dr. Sinclair emphasizes that the majority of the profits generated from community memberships will directly fund scientific research and clinical trials aimed at reversing human aging.

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[02:26:26](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8786s) The Purpose of Life and the Toll of Scientific Trailblazing

Following podcast tradition, Stephen presents Dr. Sinclair with a question left behind by the previous guest: *"What do you believe is the purpose of life?"* Acknowledging that he has addressed similar philosophical queries in different contexts, Dr. Sinclair pauses before offering a deeply personal perspective. He states that the purpose of life is to use the specific skills you have been given each day to do your best and leave the world a better place for future generations—a belief he strives to embody daily.

Stephen expresses gratitude for Dr. Sinclair’s pioneering efforts in longevity science, acknowledging the steep personal and professional cost of being a trailblazer. He notes that scientific discovery inherently requires enduring constant failure in experiments and investments of time, energy, and money before reaching a breakthrough. Stephen commends Dr. Sinclair for translating complex, inaccessible scientific papers into clear, actionable advice for the general public, particularly through his *New York Times* bestselling book, *Lifespan: Why We Age—and Why We Don't Have To*.

* **Where to Follow:** Viewers are encouraged to check out Dr. Sinclair’s website (lifespan.com), his active updates on X (formerly Twitter), and his re-launched podcast linked in the show notes. * **Closing Out:** The episode concludes with Stephen thanking Dr. Sinclair for his contributions to global health literacy, followed by the channel's standard outro recommending personalized AI-driven video suggestions for the audience.

## Notable quotes > [01:18:40](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4720s) When you give a human NMN by swallowing it, a gram of it, you typically double the amount of NAD in your body. — Dr. David Sinclair

> [01:36:19](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5779s) The old way of doing medicine is if you're not sick, we're not going to give you a medicine... but that has to change. — Dr. David Sinclair

> [01:41:04](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6064s) Maybe giving them a foreign substance every day is not good. Maybe there's some side effect that's counteracting the benefit. — Dr. David Sinclair

## Mentioned Dr. David Sinclair, Steven Bartlett, Warren Buffett, The Sinclair Lab, Nallath, Yamanaka OSK genes, BonCharge, Shopify, Lenny Guarente, Saccharomyces cerevisiae, Serena Poon, PerfectTed, Levi, Teddy, Marissa, Ketone-IQ, Michael Brandt, UK Biobank, Harvard Medical School, MIT, Elon Musk, Lifespan, Lifespan.com, Harvard University, The Diary Of A CEO

[Source](https://www.youtube.com/watch?v=DnvWAP99r3Y)

中文简报

AI筛选获突破,Sinclair瞄准100美元逆衰老疗法 哈佛大学研究员David Sinclair断言,细胞衰老可通过表观基因组修复得以逆转,其目标是将人体年轻化疗法的成本从10万美元降至100美元。 David Sinclair博士探讨了长寿与细胞逆衰老领域的前沿研究,提出衰老是一种因表观遗传信息丢失所导致的可治疗疾病。他探讨了禁食、激效反应(hormesis)以及特定饮食选择等生活方式干预手段,并结合了NMN、sirtuins和AI加速药物发现等科学突破。交流内容不仅涵盖实用的健康建议以及寿命延长对经济与社会的影响,还涉及意识、AI和现实本质等更广泛的哲学话题。 首批人体细胞逆转衰老临床试验即将开展,针对失明患者将三种特定重编程基因导入视网膜和视神经并激活6至8周,可使靶细胞生物学年龄逆转约75%且自带安全停止机制。 (9:12) 衰老信息理论提出衰老根源在于表观遗传软件信息的丢失而非DNA突变,独立实验证实向相当于人类80至85岁的老年衰弱小鼠静脉注射三种逆转基因,可使其剩余期望寿命延长100%。 (12:23) 实验室证实系统性逆转组织年龄可同步清除认知障碍等退行性病变,并成功恢复相当于人类65至70岁老年雌性小鼠的卵巢生育功能,打破了女性生育能力绝对耗竭的固有认知。 (41:58) 衰老逆转技术已成功拓展至非人灵长类动物模型,美国政府曾因该技术具有改变人口结构的潜在国家安全意义,正式叫停了一笔针对相关抗衰科技公司超过1亿美元的海外投资。 (46:15)

Reading summary

Harvard longevity researcher Dr. David Sinclair argues that biological aging is a treatable condition driven by epigenetic information loss, presenting laboratory evidence that cellular reprogramming can reverse functional decline and treat age-related diseases. The Information Theory of Aging and Epigenetic Drift (20:43) Sinclair posits the Information Theory of Aging, suggesting that the primary driver of biological senescence is not damaged DNA hardware, but the erosion of epigenetic software that regulates gene expression. Each human cell houses roughly 6 feet of DNA containing around 20,000 genes, of which approximately 15,000 are actively expressed to define specific cellular identities. Sinclair likens DNA to the grooves of a vinyl record and the epigenome to the needle reading the music; cellular damage acts like surface scratches that cause errors in readout. To test this mechanism, Sinclair's laboratory engineered 'ICE' (Inducible Changes to the Epigenome) mice using a slime mold enzyme that cleanly severed DNA without inducing cancer or mutations. When cells experience chromosome breaks—estimated at roughly 20 trillion repair events across the human body daily—repair enzymes such as sirtuins temporarily abandon their primary posts regulating cellular identity to fix the lesions. Because these proteins do not always return precisely to their initial locations, repeated environmental stressors like smoking, excessive alcohol, or radiation cause cells to lose their identity over time, accounting for an estimated 80% to 90% of aging variance. Cellular Reprogramming and Preclinical Reversal Milestones (9:12) Rather than managing chronic illnesses like cancer, dementia, and cardiovascular disease independently, Sinclair argues that addressing biological age can resolve underlying pathologies simultaneously. In his laboratory models, activating three Yamanaka factors (Oct4, Sox2, and Klf4, or OSK) delivers a biological reset without dedifferentiating cells into pluripotency. This genetic intervention restored vision in non-human primates and completely blind monkeys within six weeks and doubled the remaining lifespan of frail elderly mice when administered intravenously by an independent laboratory. Building on animal successes, Sinclair revealed that the first human clinical trials using localized OSK gene therapy are scheduled to target the human retina and optic nerve. The eye was selected specifically as an anatomically isolated compartment to safeguard against systemic adverse effects if unintended vectors spread. While current gene therapy protocols remain costly—running upwards of $100,000 per patient—Sinclair’s team is screening approximately 8 billion candidate molecules using artificial intelligence to develop an accessible oral compound capable of triggering the same cellular repair pathways. Actionable Interventions, Fasting, and Longevity Pathways (36:06) Sinclair identifies lifestyle modifications as the most immediate defense against epigenetic decay, pointing to longitudinal research showing that five core habits—avoiding smoking, restricting alcohol, consuming a whole-food diet, exercising regularly, and maintaining close social bonds—can extend lifespan by up to 14 years. Among individual habits, Sinclair prioritizes intermittent fasting as the single highest-impact behavioral intervention, recommending a gradual progression toward a 14- to 16-hour daily fasting window to deplete systemic glucose, elevate NAD+ coenzyme levels, and activate protective sirtuins. In tandem with fasting, Sinclair emphasizes high-intensity aerobic exercise that produces heavy panting for at least 5 minutes three times per week, citing research linking regular cardiovascular activity to biological age markers appearing 10 years younger than sedentary baselines. Nutrition also plays a xenohormetic role; Sinclair recommends polyphenol-dense, mildly stressed plant products such as unsweetened matcha, extra virgin olive oil, and brassica vegetables. Conversely, he reversed his previous endorsement of daily red wine consumption, citing modern UK Biobank MRI imaging linking even single daily drinks to reductions in gray matter volume. Supplementation Strategies and the Pulsing Principle (101:04) Because cellular NAD+ drops by roughly 50% by age 50, Sinclair's personal stack focuses on metabolic precursors and epigenetic catalysts. His disclosed daily protocol includes 1 gram of NMN (which clinical testing shows doubles circulating NAD+ levels), resveratrol, glycine, and spermidine to enhance autophagy. He also uses daily low-level red light therapy and a DHT blocker to mitigate hereditary hair thinning without relying on exogenous testosterone replacement therapy, which he notes does not extend lifespan. Sinclair emphasizes 'pulsing' longevity molecules rather than administering uninterrupted daily doses. Continuous exposure can blunt biological adaptations; for example, daily metformin use suppresses mitochondrial respiration via AMPK activation but can reduce muscle hypertrophy during resistance training by roughly 5%. Similarly, Sinclair notes that resveratrol extended the lifespan of elderly mice only when administered every other day, indicating that cells require cyclical periods of stress followed by recovery to consolidate molecular repairs. While animal models consistently demonstrate functional rejuvenation, translating viral gene therapies and chemical cocktails into affordable, scalable human medicines remains an ongoing endeavor. Critical milestones hinge on upcoming retinal trials and mouse validation of AI-screened candidate molecules, alongside regulatory hurdles that treat aging as a natural inevitability rather than a direct indication for medical intervention.

精炼阅读摘要

哈佛大学遗传学教授David Sinclair提出,衰老并非不可避免的自然生理终局,而是一种由表观遗传信息丢失驱动的可治疗病症。他主张通过细胞重编程和生活方式干预重置生物学年龄,进而从根源上预防并消除老年性慢性疾病。 衰老信息论与细胞身份的丧失 (20:43) Sinclair将其核心模型概括为“衰老信息论”(Information Theory of Aging)。他认为,人体细胞的基因组DNA如同一张刻录完整的黑胶唱片,在漫长生命中并未实质性损坏;然而,负责调控基因开启与关闭的表观遗传系统(如同唱针与读取器)会因长期应激而发生紊乱。在日常生理过程中,人体细胞每天经历至少一次染色体断裂,全身体内日均发生约20万亿次修复事件。在处理这些损伤时,负责表观遗传调控与基因沉默的去乙酰化酶(Sirtuins)会离开原有岗位参与紧急修复,但并非所有酶在修复后都能准确复位,长此以往便导致细胞逐渐遗忘自身的特定功能。 为了验证表观遗传改变是否直接导致衰老,Sinclair实验室培育了“ICE小鼠”(表观遗传可诱导改变小鼠)。研究人员通过诱导断裂小鼠DNA而不引发突变或癌症,观察到仅激活干预三周后的小鼠表现出加速衰老的表型,外貌与器官衰退均显著提前。Sinclair指出,环境压力(如吸烟、过量饮酒、频繁飞行承受宇宙辐射、医学X射线乃至高分贝噪音造成的内耳毛细胞损伤)会不断加剧DNA断裂,这类表观遗传层面的破坏主导了人体80%至90%的衰老速率,而固有遗传基因的作用仅占少数。 细胞重编程与从基因疗法到口服药的转化 (9:12) 在治疗机制上,Sinclair团队采用山中伸弥因子中的三个特定基因(OSK:Oct4、Sox2、Klf4)进行表观遗传重置。在独立实验中,研究人员向相当于人类80至85岁高龄的衰弱老龄小鼠静脉注射这三种重编程基因,使其剩余预期寿命延长了100%,且全身未出现肿瘤异常。在靶向器官测试中,该疗法在六周内成功恢复了完全失明非人灵长类动物的视力。此外,Sinclair公布针对人类视网膜与视神经的首批临床试验即将展开,选择眼部作为首个临床部位是因其解剖结构相对独立封闭,即便发生基因递送不良反应也能有效局限,提供关键的安全缓冲。 针对重编程的普适性,Sinclair实验室观察到相同的分子干预在动物模型中不仅能逆转视力衰退,还对肌萎缩侧索硬化症(ALS)、皮肤损伤与肝脏病变展现出修复潜力;其团队甚至在体外实验中尝试通过重编程将癌细胞诱导回年轻状态,迫使其恢复细胞分化身份或走向凋亡。Sinclair预测,当前单次费用高达数十万美元的病毒载体基因疗法仅是过渡形态,未来将演变为通过口服小分子药物或定期饮剂重置细胞年龄。目前其实验室已利用人工智能筛选了约80亿个候选分子,计划在未来一至两年内完成关键小鼠疗效验证,目标是将治疗成本降至100美元以实现全球普及。 日常代谢干预机制与补充剂使用逻辑 (78:40) 在生活方式干预方面,Sinclair将限制进食频率列为优先级最高且最具实证支撑的习惯。每天维持14至16小时的断食窗口,能促使细胞内辅酶NAD+水平上升并激活去乙酰化酶,同时启动自噬机制清除受损细胞组分。在运动方面,他强调每周进行三次、每次持续至少5分钟剧烈喘气的高强度有氧运动对端粒长度与表观遗传时钟具有显著改善作用,其生物学收益区别于单纯的力量训练。此外,芬兰长期队列研究证实规律使用高温桑拿可诱导热休克蛋白(HSP)表达,显著降低全因死亡率与心血管疾病风险。 针对药物与补充剂,Sinclair系统阐述了分子协同作用与“脉冲式”(Pulsing)间歇服用的必要性。随着年龄增长,人体内维持Sirtuins活性的NAD+在50岁时约下降50%,每日口服1克NAD+前体NMN可使体内NAD+水平翻倍。他将NAD+比喻为发动机燃料,而植物在环境压力下合成的多酚类物质(如白藜芦醇、抹茶中的多酚)则充当油门踏板,二者结合方能高效驱动长寿基因。不过,长期连续服用促长寿化合物可能钝化机体适应性反应,例如二甲双胍或小檗碱每日持续使用可能轻微抑制线粒体能量输出、削弱阻力训练引起的肌肉增益;白藜芦醇在隔日间歇喂食时对老年动物表现出更优的寿命延长效果。Sinclair个人的日常组合还包括通过麦胚提取的亚精胺(模拟断食并促进自噬)以及5克甘氨酸(调节一碳代谢与DNA甲基化)。 上游医疗范式革新及其社会地缘影响 (41:58) Sinclair对现代传统医学的被动应对模式提出批评,认为当前医疗体系往往在器官损伤与疾病症状完全显现后才介入。他的核心论点在于,阿尔茨海默病、各类心血管疾病与恶性肿瘤在本质上只是细胞生物学衰老的下游临床表象。如果能直接阻断并逆转生物学衰老,上述慢性病发病率将出现系统性下降。例如在动物实验中,患有痴呆表型的小鼠在重置脑细胞年龄后认知功能得到恢复,而通过卵巢年轻化处理的16月龄老龄雌性小鼠(相当于人类65至70岁)亦成功繁育出健康的正常后代,颠覆了生育力因卵子绝对耗竭而永久终止的传统假说。 技术向人类社会的渗透同样引发了伦理与国家安全层面的监管博弈。Sinclair透露,由于延缓衰老被视为具有颠覆性的战略资产,美国政府曾因知识产权与国家安全顾虑,叫停了一笔对其关联长寿生物技术公司超过1亿美元的外国投资。面对长寿可能带来的社会抚养比、延迟退休与代际更替争议,Sinclair反驳指出,人类多数医疗开支与积蓄消耗集中于临终前的几年慢性病看护阶段;通过消除衰弱期、维持80岁个体拥有30岁的生理机能与劳动能力,将极大缓解全球人口缩减与劳动力短缺压力,为社会节省数以万亿计的医疗负担。 尽管Sinclair描绘了细胞重编程消除绝大多数退行性疾病的前景,但现有高水平逆转数据多数仍停留在小鼠与非人灵长类模型阶段。从基因治疗转向廉价口服药仍需经历漫长的人工智能分子筛选与严格的人体临床安全性评估。此外,跨国监管限制、医疗体系由“治疗发病”转向“预防干预”的体制阻力,以及未来潜在的健康公平性问题,依然是该领域在转化为大众普惠疗法前必须面对的现实挑战。

Detailed notes — zh

## Background 该视频由知名访谈频道《The Diary Of A CEO》(主持人 Steven Bartlett)于 2026 年 3 月 23 日发布在 YouTube 平台。视频简介指出,哈佛医学院遗传学教授兼长寿科学权威大卫·辛克莱(Dr. David Sinclair)在此次对谈中披露了关于逆转衰老的最新突破性成果,深入探讨了将衰老视为可逆疾病的“衰老信息理论”、利用细胞年轻备份重置生理年龄的技术路径、逆转失明的人体临床试验,以及基于科学实证的抗衰补剂、断食与生活方式方案。 ## TL;DR 辛克莱教授提出衰老的本质并非 DNA 序列损坏,而是表观基因组调控信息丢失产生的混乱,细胞深处始终完整保留着年轻时的“信息备份”。其实验室通过 Yamanaka 重编程因子(OSK)已在灵长类动物中成功逆转神经受损导致的失明并即将启动首例人类临床试验,同时在全身组织年轻化与卵巢逆龄受孕等管线上取得重大突破。在日常实践层面,他倡导通过制造适度生理压力的激效反应(如间歇性断食、气喘级有氧运动、植物多酚摄入)激活体内 Sirtuins 等长寿基因,并结合 NMN、甘氨酸、亚精胺等核心补剂构建多维抗衰防御体系。辛克莱预言随着 AI 加速研发与口服重编程小分子的落地,人类终将迎来衰老成为“可选项”的长寿逃逸速度时代。 ## Atmosphere & style 全场对话兼具硬核前沿生物医学的理性严谨与探索人类存在终极命题的哲学温度,在求知欲与宏大愿景之间达成了精妙平衡。主持人身穿 20 公斤负重服与白内障滤镜亲身体验衰老躯体的沉重与幽闭,这一具象化动作让抽象的分子科研瞬间落脚于对生命迟暮的深切共情。两人从儿时对死亡的懵懂誓约一路畅谈至量子物理、宇宙意识与硅基智能,叙事节奏跌宕起伏,给听众带来既震撼又充满行动力量的深度沉浸感。 ## Bulletin - [06:27](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=387s) 首批人体年龄逆转临床试验申报 FDA:哈佛大学 David Sinclair 团队已向美国 FDA 提交针对视神经病变失明的重编程基因治疗临床申请,动物实验证实导入三种山中因子(OSK)表达 6 至 8 周可重置细胞生物学年龄约 75% 并恢复视力。 - [20:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1243s) 提出衰老信息理论:老迈细胞中 99.999% 的基因序列完好无损,衰老本质是表观基因组读取控制指令磨损导致的细胞身份危机,细胞深处保留着完整的年轻“备份副本”,可通过分子手段重新激活。 - [02:08:34](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7714s) AI 加速抗衰平价化转型:科研团队正借助 AI 筛选数十亿个候选分子研发口服复合小分子制剂,目标在未来 10 年将单次耗资 10 万美元的基因疗法转化为仅需 100 美元的口服抗衰药片。 - [34:12](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2052s) 后天生活方式对衰老速率决定权达 80%–90%:双胞胎研究推翻了基因宿命论,通过间歇性断食、高强度有氧、戒烟戒酒、规避超加工食品与植物多酚摄入制造适度“激效反应”,即可显著延缓表观遗传钟老化。 ## Key takeaways - [20:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1243s) 衰老并非物理零件磨损的必然宿命,其本质是表观遗传软件信息的读取混乱;细胞深层始终留存有一份完整的年轻信息备份,衰老在分子与组织层面完全可逆。 - [26:14](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1574s) 人体单日发生的数万亿次 DNA 双链断裂促使表观遗传修护蛋白紧急离岗抢修,频繁调用导致调控因子无法百分百归位,日积月累产生表观遗传噪音并引发细胞身份遗忘危机。 - [09:29](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=569s) 剔除具有致癌风险的 c-Myc 因子、仅导入三种山中因子(OSK)表达 6 至 8 周,可在重置组织细胞生物学年龄约 75% 的同时触发自动安全刹车,避免过度脱分化形成畸胎瘤。 - [02:01:53](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7313s) 利用 AAV2 腺相关病毒载体靶向视网膜神经节细胞,团队已在小鼠与非人灵长类模型上成功逆转神经损伤致盲,并向美国 FDA 递交了首个眼科衰老逆转人体临床试验申请。 - [42:15](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2535s) 慢性疾病的共同根源在于衰老本身;重编程技术打破了现代医学“一病一药”的碎片化治标模式,逆转脑神经或器官的生物学年龄可使阿尔茨海默病、肿瘤与组织退化自愈消退。 - [44:13](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2653s) 传统医学认为女性卵子储备耗尽且更年期不可逆,但动物实验表明经化学小分子干预后,相当于人类 65 至 70 岁的高龄停育雌鼠卵巢重焕生机并成功产下健康幼崽。 - [16:44](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1004s) 实验证实活体组织的生物学年龄可被多次循环重置;随着医学科技使每年新增健康预期寿命超过 1 年,人类将步入“长寿逃逸速度”,衰老将变为个人的自主选择。 - [01:12:06](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4326s) 激效反应(Hormesis)是长寿核心逻辑:现代充裕温室环境让细胞防御系统松懈,间歇性断食、冷热刺激及高强度运动制造的“假性逆境危机”能激活机体深层自愈与修复通路。 - [01:17:46](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4666s) 去乙酰化酶(Sirtuins)是调控长寿的核心指挥官,但必须以 NAD+ 为燃料;50 岁人体内 NAD+ 较 20 岁下降约一半,每日补充 1 克 NMN 前体经临床证实可有效使体内 NAD+ 水平翻倍。 - [01:21:00](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4860s) 一日三餐属于商业营销神话,限制进食频率对延寿至关重要;将进食窗口压缩至 8 至 10 小时,并阶段性进行 2.5 至 3 天断食可强力激活伴侣分子介导的自噬(CMA)以清除老旧变性蛋白。 - [01:28:34](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5314s) 植物在遭受干旱、强紫外线等逆境时会大量合成多酚类二次代谢产物,通过摄入深色莓果与抹茶可产生异种激应效应,协同踩下体内 Sirtuins、AMPK 与 mTOR 长寿调控通路的油门。 - [01:30:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5443s) 颠覆“适量饮红酒有益健康”的旧观点,英国生物样本库大规模脑影像数据证实每日摄入一杯酒精即引起脑体积与灰质厚度萎缩,抗衰老应坚决戒酒。 - [01:34:33](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5673s) 血液中低密度脂蛋白(LDL)胆固醇越低越好,脑部胆固醇完全由神经胶质细胞独立合成;长寿医学提倡从 30 岁起主动超前预防心血管病变,而非被动等待动脉硬化形成。 - [01:41:04](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6064s) 抗衰补剂与药物需遵循“间歇脉冲式”给药原则;研究证实隔天喂食白藜芦醇能延长寿命而天天给药则无效,健身者使用二甲双胍或小檗碱应避开力量训练当天以防削弱增肌效应。 - [01:49:54](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6594s) 毛发脱落与细胞线粒体衰老息息相关;结合阻断 DHT 的激素类似物与特定波长红光物理照射,可直接激活毛囊线粒体呼吸链,实现早期脱发预防与逆转。 - [02:16:26](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8186s) 生物学延寿技术的终极意义不在于无限苟活,而在于赋予人类智慧与体魄兼备的多阶段人生选择,从而化解老龄化劳动力短缺危机,并在宇宙尺度上延续宝贵的主观意识火种。 ## Detailed walkthrough ### [00:00](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=0s) 开场:人体如电脑,衰老可被“重装系统” 对话在一场关于变老体验的切身感受中拉开序幕。David Sinclair 教授直言不讳地指出,人类长期以来将衰老视为一种理所当然的自然现象,但他坚决反对“衰老因其自然发生就是可以接受的”这种观念。他认为,80岁就衰老死亡绝非必然的宿命,而是完全可以被改写的命运。作为在哈佛医学院研究衰老、长寿与年龄逆转长达30年的遗传学教授,他的实验室已经掌握了在分子和组织层面上真正逆转衰老过程的技术。这不再是一个“能否实现”的假想,而是“何时普及”的倒计时。 谈及日常生活对机体的影响,日常诸多习以为常的暴露都在加速细胞衰老:吸烟、医学X光照射、超加工食品、过量饮酒,乃至频繁乘飞机(遭受高空宇宙辐射)。甚至去摇滚音乐会任由震耳欲聋的声音轰击耳膜,也会加速内耳毛细胞的老化。Sinclair 提出了一种全新的生命视角——人体就像一台精密的计算机,而衰老只是软件信息的混乱与丢失,只要找到正确的方式,我们完全可以为机体“重新安装软件”。 更具革命性的是,当衰老被真正逆转时,阿尔茨海默病、癌症、心血管疾病等诸多老年慢性退行性疾病都会随之缓解甚至治愈,因为这些疾病的根本驱动因素正是衰老本身。Sinclair 将他的哈佛实验室比作现代的“威利·旺卡巧克力工厂”(Willy Wonka's chocolate factory),团队每周都在诞生令人瞠目结舌的突破。人类目前正站在文明的分水岭上,只要掌握科学方法,当代人完全有机会健康地迈进22世纪。 --- ### [03:06](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=186s) 童年绘本《Now We Are Six》与死亡意识的觉醒 主持人 Steven Bartlett 拿出一张旧照片,那是 Sinclair 二十岁出头时与外祖母的合影(Sinclair 透露自己目前为56岁)。谈及已经去世的外祖母 Vera,Sinclair 难掩内心的情感波澜。这位童年时代最重要的人生导师,彻底塑造了他后来的科研信念——尽最大努力让世界比自己初来时更美好。 在 Sinclair 的长寿科普著作《Lifespan》中,有一本名为《Now We Are Six》(《当我们六岁时》,A.A. Milne 著)的儿童诗集贯穿始终。Sinclair 现场回忆并朗诵了书末外祖母经常念给他听的那首短诗: > "When I was one, I had just begun. > When I was two, I was nearly new. > When I was three, I was hardly me. > When I was four, I was not much more. > When I was five, I was just alive. > But now, I am six. I'm as clever as clever. > So, I think I'll be six now forever and ever." 外祖母经历过二战后匈牙利极其残酷的人间炼狱与创伤,在她眼中成年人的世界充满残忍与邪恶,因而潜意识里希望孩子永远天真无邪、不要长大。然而,这首诗带给年幼 Sinclair 的震撼却是另一个哲学命题:为什么人类必须要变老?变老并走向衰弱是一件可怕且痛苦的事情。 更具决定性的一幕发生在他四五岁时。在客厅的地毯上,外祖母蹲下来与他平视(她从不让外孙叫自己“Grandma”,而是直呼其名“Vera”,因为她渴望保持年轻)。小 Sinclair 问她:“Vera,你会一直留在这里保护我、永远陪着我吗?”外祖母平静而残忍地告诉他:“不,我会死的。世间万物都会死去,我终将离去,你的父母会离开,你的宠物猫很快也会死,而你自己有一天也同样会走向死亡。” 这种突如其来的死亡意识对一个幼童来说犹如晴天霹雳。Sinclair 当时感到强烈的被剥夺感与荒谬:“为什么自然界要创造出一种能够清晰预知自己死亡命运的物种?这太残忍了。”这种震撼并未让他沉沦于虚无,反而在他18岁时化为坚定的人生誓约:考取博士学位,前往美国顶尖机构建立科研实验室,正面迎击衰老这个全人类共同的宿命。 --- ### [06:27](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=387s) 颠覆“活到80岁是极限”的旧范式:首批人体逆转衰老临床试验 全球每天约有15万至20万人死于各种与衰老相关的慢性病。Sinclair 指出,现代医学往往头痛医头、脚痛医脚,开发单一靶点药物分别去对付癌症、心脏病或阿尔茨海默病,却对背后最大的统一发病根源——衰老——视而不见。他断言,未来的人类回望今天的医疗体系时,会觉得我们当下的手段与中世纪放血疗法一样原始与悲哀。 针对那些骨子里依然坚信“80岁大限不可逆转、生老病死只能听天由命”的怀疑者,Sinclair 给出了极具重量的直接回应: ```mermaid flowchart TD accTitle: 逆转衰老从基础实验到人体临床的演进路径 accDescr: 展示了从动物实验逆转组织年龄,到恢复非人灵长类失明,再到向美国FDA申报首个人体逆转衰老临床试验的发展脉络。 subgraph LabDiscovery["实验室基础研究突破"] A["长达30年的衰老与逆转机制研究"] B["动物组织及体外人源组织年龄逆转"] end subgraph AnimalModels["高等动物模型验证"] C["非人灵长类模型测试"] D["成功恢复受损视力与逆转失明"] end subgraph HumanTrials["人体临床试验推进"] E["向美国 FDA 提交试验申请"] F["开展人类史上首批年龄重置临床试验"] end A --> B B --> C C --> D D --> E E --> F ``` Sinclair 透露,他的团队早已在实验室培育的动物以及人类体外组织中实现了真正的细胞年龄回拨。更重要的是,不仅在小鼠身上,甚至在包括非人灵长类动物在内的高等模型中,他们成功逆转了此前在医学上被判定为不可逆的病症——例如神经损伤导致的失明。 面对镜头,Sinclair 正式宣布了一个里程碑式的节点:他们已经向美国食品药品监督管理局(FDA)正式递交申请,针对失明等适应症的**首个人类逆转衰老临床试验**将在大约一个月后正式启动。如果临床数据如期印证实验室发现,人类文明将第一次真正掌握重置人体组织与器官年龄的钥匙,开启改写衰老法则的全新时代。 ### [09:29](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=569s) 为何选择眼球作为人体抗衰试验的第一站 针对即将于最快下月启动的人体临床试验,主持人 Steven Bartlett 询问,治疗失明的方法很多,为何偏偏选择对眼球下手,将其作为逆转人体整体衰老的前哨战。David Sinclair 解释称,选择眼睛并非因为这里的效果一定会最好,而是出于极致的安全性考量。眼睛是一个相对独立且封闭的物理系统,在这里进行基因干预,远比贸然对整个人体进行全身逆转安全得多。在实验室的小鼠身上,他们已经实现了全身性年龄逆转,观察到了小鼠寿命延长、重焕活力以及皮肤等全身体表器官变年轻的现象;但面对人体,科研团队必须高度审慎,哪怕出现一次微小的安全事故,都可能让整个再生医学领域倒退数年。 ```mermaid flowchart TD accTitle: 视神经重编程逆转衰老机制 accDescr: 解释通过三基因诱导重编程使衰老视神经细胞重构功能的机制与安全性保障 subgraph EyeEnv["眼球封闭系统(局部高安全性)"] A["视网膜与视神经<br/>(属于大脑外延组织)"] --> B["神经细胞老化/损伤<br/>(神经元尚存但'遗忘'功能)"] end subgraph Intervention["靶向基因重编程"] C["导入3个特定山中因子重编程基因"] --> D["开启表达持续 6~8 周"] end subgraph Outcome["重置与安全停机"] E["细胞生物学年龄年轻化约 75%"] F["自然停止重编程<br/>(杜绝脱分化与癌变风险)"] end B --> C D --> E E --> F ``` Sinclair 拿起桌上的大型塑料眼球模型生动讲解道,光线穿过晶状体聚焦在眼球后方的视网膜上,视网膜汇集了数以百万计的神经纤维,聚集成视神经并直接延伸至大脑。很多人并不知道,"眼睛实际上是大脑的一部分,当你触碰眼睛时,其实就是在触碰大脑"。随着衰老或病理性损伤,视神经逐渐失去传导能力;但关键在于,这些神经细胞在年老时大部分仍然存活,它们只是“遗忘了如何工作”。实验团队所做的,是将一组特定的三个基因(山中因子中的三个因子)导入眼底视神经,并激活表达 6 到 8 周。这套方案能极其安全地将神经细胞的生物学年龄重置约 75% 并自动刹车停止,绝不会无限倒退退回干细胞状态——Sinclair 幽默地打趣道:“大家都不想彻底重置回高中时代。”该机制不仅适用于眼睛,其实验室在小鼠的大脑、听力受损、皮肤、多发性硬化症(MS)以及运动神经元疾病(ALS)等模型中,均取得了惊人的逆转效果。 - 临床首发选择眼球的核心逻辑:眼球是封闭解剖空间,局部递送风险可控,容错率远高于全身给药。 - 关键细胞机理:老化神经细胞通常并未死亡,而是发生表观遗传失真,表现为“功能失忆”。 - 重编程安全性保障:三个重编程基因开启 6~8 周后,细胞年龄逆转约 75% 即停止,防止过度脱分化形成畸胎瘤。 - 拓展应用模型:除视神经外,已在听力丧失、大脑衰老、皮肤老化、多发性硬化症及渐冻症(ALS)动物模型中复现。 --- ### [12:23](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=743s) 老年小鼠全身逆转实验与衰老信息论 谈及小鼠全身延寿的突破,Sinclair 透露,一项具有里程碑意义的验证并非出自他自己的实验室,而是由一家独立实验室采用他们授权的技术完成的,这在学术层面上赋予了该成果更高的可信度。研究人员并未局限于眼底注射,而是将这三个逆转衰老的基因直接通过静脉注入极其衰老的小鼠体内。这些小鼠在生理状态上相当于人类的 80 到 85 岁高龄,身体极其虚弱孱弱。该实验本质上是一次极具野心的极限试探(Hail Mary injection),结果令人震动:这批高龄小鼠在干预后,其剩余期望寿命直接翻倍,延长了整整 100%。 面对主持人的追问,Sinclair 澄清,所谓的“寿命延长 100%”指的是干预点之后的**剩余寿命**翻倍,相当于让一位平均剩余寿命只有 10 年的 70 岁老人再健康多活 20 年。这还只是一次未经精细参数调优的初步探索。Sinclair 在访谈前的调研通话中曾感慨“全世界根本不知道我们距离这一步有多近”,他在现场笃定地强调,衰老生物学在概念层面上已被基本破解,他提出的“衰老信息理论”(Information Theory of Aging)迄今尚未被证伪。 > "衰老信息理论至今未被推翻,这对科学家而言至关重要。正是这一理论,让我们人类历史上第一次真正有能力安全地逆转衰老。我现在坚信,在我的有生之年,市场上必将出现能够重置或大幅逆转人体年龄的药物。" Sinclair 坚信,抗衰老医学的终极价值绝非仅仅让人外观更年轻、感觉更好,而是从根本源头攻克那些当前医学束手无策的绝症。人类历史正站在前所未有的临界点上,“这已经不再是‘是否可能’的问题,而是‘何时到来’的时间问题”。 --- ### [13:58](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=838s) 终结绝症的口服抗衰药:哈佛实验室的“旺卡工厂” Sinclair 语出惊人地预测:未来 10 年左右,人类可能只需每隔几周吞下一粒药丸,就能持续保持生理年轻。面对外界可能存在的“过分夸大”质疑,他揭开了自己哈佛医学院实验室的神秘面纱。他将由约 25 名天才科学家、博士后及研究生组成的实验室比作“威利·旺卡的巧克力工厂”,那里每周都在诞生颠覆认知的神奇突破。目前他们研发的最新技术已经大幅超越了正在进行人体试验的第一代基因疗法——小鼠不会咀嚼药片,科研人员研发了一种口服液体试剂,小鼠直接吞咽后,仅仅 4 周即可在全身各组织层面实现细胞重焕青春。 更为颠覆的是现代医学的治疗范式。Sinclair 指出,传统医学往往“一种疾病对应一种药物”,但抗衰老再生医学彻底击碎了这种碎片化逻辑: | 疾病分类 | 传统医学视角 | 衰老信息重编程视角 | |:--- |:--- |:--- | | **病理认知** | 视网膜退化、神经脱髓鞘、运动神经元变性被视为完全不同的绝症 | 本质都是细胞表观遗传信息丢失、细胞“遗忘”自身身份的外在表现 | | **药物机制** | 研发靶向特定受体或通路的单病种特异性分子化合物 | 导入同一套重编程因子或小分子混合物,恢复细胞出厂设置 | | **治疗广度** | 各科室药物无法混用,且通常只能缓解症状、无法逆转损伤 | **同一套分子/基因同时逆转失明、多发性硬化症、听力丧失与 ALS** | Sinclair 激动地提醒听众体会这背后的深远含义:“试想一下,同一种作用于眼球的药物,未来可以用来修复多发性硬化、肝病甚至是渐冻症。治愈百病的解药,归根结底是修复细胞的年龄。” --- ### [16:44](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1004s) 迈向长寿逃逸速度与 22 世纪的生存选择 面对这一颠覆性前景,Steven 探讨起个体应当如何规划当下的生活。Sinclair 引用了著名的莱特兄弟飞机隐喻:站在 1900 年的人们如果断言“人类永远只能以马匹的速度出行”,那就是彻底无视了科技演进的非线性力量;仅仅数十年后人类便跨越超音速飞向了月球。当代人在审视自身寿命时,最常犯的错误就是拿父母和祖父母的生老病死作为参照标杆。 Sinclair 指出,科技绝非静止不前,一个现在三四十岁健康生活的人,在未来 50 年后(2070 至 2080 年代)所享用的医疗技术将是当今人类难以想象的。这种跨越式累积最终指向了“长寿逃逸速度”与“奇点”(Singularity)理论:如果医疗科技的发展速度达到每活过 1 年、科学就能为人类延长超过 1 年的健康预期寿命,那么衰老将从一种必然的生物学归宿,蜕变成为一种个人自主的“可选项”。 针对未来学者 Ray Kurzweil 预测长寿奇点或将在 2040 年代到来的说法,Sinclair 虽持审慎态度,但逻辑上对其表达了认同。他最后总结道,第一步必须脚踏实地,首先用临床证据证明我们能彻底逆转失明并治愈退行性疾病;但有一点毋庸置疑:“在这个医学大爆炸的时代,如果你最终没能比你的父母多活上 10 到 20 年,那绝对是哪里出了严重的问题。” ### [19:11](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1151s) 2040 年的预言与多次逆转衰老的可能性 著名未来学家雷·库兹韦尔(Ray Kurzweil)曾凭借跨学科的惊人洞察力多次准确预测技术趋势,他曾预言人类将在 2040 年左右迎来抗衰老技术的临界突破。当被问及是否相信这一时间表时,辛克莱教授坦言自己保持着科学家的审慎与怀疑。他调侃说库兹韦尔是个智识过人的先知,当年精准预测了人工智能(AI)的大爆发,“与雷的预测对赌往往是危险的”,但作为该领域的资深领军学者,辛克莱深知前路仍有巨大的科研鸿沟需要跨越。不过,他也给出了一个令人振奋的前提:如果他们今年开展的人体临床试验取得成功,整个人类生物学就将迈入全新的未知领域,通向全身性年龄逆转的道路将不可逆转地开启。从当下到 2040 年还有充足的研发窗口,人类届时极有可能掌握多次重置生物学年龄的技术。 许多人对衰老逆转的一大误区在于,以为这只是一次性的短暂修补,即所谓“一击即中、下不为例”(one-shot wonder)。辛克莱明确指出,他们的研究证明衰老可以被反复重置。在小鼠实验中,研究团队已经成功将小鼠眼部的生物年龄逆转了至少两次。之所以没有进行第三次,只是因为这些小鼠最终自然寿终正寝——但极为神奇的是,它们直到生命最后一刻,依然保留着完美如初的视力。这意味着,生命体完全有可能经历“衰老—逆转—再次衰老—再次逆转”的循环往复。尽管辛克莱目前在近未来的技术地平线上还看不到能够让人类真正“永生”(live forever)的方案,但他坚信,人类治疗退行性疾病的范式以及寿命的极限,即将迎来颠覆性的重塑。 - **库兹韦尔的 2040 预言**:未来学家预测 2040 年人类将掌握实质性逆转衰老的技术;辛克莱保持谨慎乐观,并强调切勿轻易低估库兹韦尔的远见。 - **可重复的逆转实验**:在小鼠眼部组织上已实现至少两次生物年龄重置,验证了逆转衰老不是一次性透支,而是可持续重置的生物学进程。 - **健康寿命的质变**:实验组小鼠虽因自然寿命极限而死亡,但在生命终点仍维持着健全无损的器官功能(视力完好)。 --- ### [20:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1243s) 身体即软件:隐藏在每个细胞里的“年轻备份” 当主持人请求辛克莱“像给门外汉解释一样通俗地阐述衰老的本质”时,辛克莱打破了传统生物医学将衰老视为“机械磨损”(wearing out)的固有认知。在传统视角下,衰老就是身体零件经年累月后变得破败失能、产生慢性疼痛与全身炎症,最终死于某种具体疾病。但在辛克莱的理论中,人体更像是一台运行精密程序的计算机,其本质是一套“生物软件”,而他的实验室正在做的,就是找到重新安装这套纯净软件的方法。生命体自受精卵时期便从父母与母体子宫中承接了一套完整的信息系统。在十几岁和二十几岁的青春期,这套信息处于几乎无可挑剔的初始状态;然而一旦跨入三十岁出头,信息的读取与表达便开始丢失并发生错乱。主持人自嘲已经冒出的白发,辛克莱便借此生动解释:白发正是毛囊细胞逐步丧失原始身份、停止合成黑色素(melanin)的典型早期表征。 信息的丢失与损坏看似不可逆转,但辛克莱实验室最震撼的发现之一,是证实了生命体内其实一直保留着一份源自年轻时期的“信息备份”(backup copy)。这份出厂设置般的原始副本深藏于每个老年人体内,就像被隐藏在老旧系统深处的恢复镜像,随时等待被重新调用和激活。辛克莱感慨道,如今他走在街上看到步履蹒跚、虚弱老迈的长者时,脑海中不再产生“这个人行将就木、零件耗尽”的悲凉感,而是意识到“这只是一位需要按下重置键的人;在那副老旧的躯壳之下,正沉睡着一个等待重新破土而出的年轻生命”。当主持人追问这个神奇的“年轻备份”究竟藏匿在细胞的什么具象位置时,辛克莱幽默地回避道:“我要是现在把它彻底讲出来,我的博士生非杀了我不可——这是一个正在攻关的极崭新生物学机制,目前绝对保密。” ```mermaid flowchart LR accTitle: 身体软件假说与表观遗传重置 accDescr: 示意图展示了身体从年轻健康状态,因信息读取丢失而衰老,最终通过重置年轻备份恢复青春的过程。 subgraph Youth["青春阶段"] A["完整遗传与表观信息<br/>(原始生物软件)"] B["细胞功能完美<br/>器官身份明确"] A --> B end subgraph Aging["衰老退行"] C["信息读取受损 / 丢失<br/>(表观遗传噪音累积)"] D["细胞身份混乱<br/>(如黑色素细胞失能、长出白发)"] C --> D end subgraph Reset["重置机制"] E["调用深层年轻备份<br/>(Backup Copy)"] F["重新安装纯净软件<br/>细胞功能全面复原"] E --> F end B --> C D -. "重置疗法介入".-> E ``` - **核心隐喻**:人体不是逐渐生锈的机械零件,而是一套可刷机、可重新安装的数字化生物软件。 - **年轻备份(Backup Copy)**:老年细胞并未丢失生命原始蓝图,重塑青春的关键在于读取深层储存的恢复信息。 - **细胞身份遗忘**:白发即黑色素合成细胞“忘记自身本职工作”的直观外显,预示着全身系统性信息丢失的开始。 --- ### [22:56](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1376s) 基因组与表观基因组:生命乐章的乐谱与演奏家 为了剖析这套信息系统到底如何运作,辛克莱从信息时代的技术浪潮切入,拿出随身携带的经典 DNA 双螺旋塑料模型进行现场拆解。他特意悼念了刚去世不久的前辈兼好友、DNA 结构的共同发现者詹姆斯·沃森(James Watson)。辛克莱展开模型解释道,人体每个细胞核中蕴藏的 DNA 分子拉直后足有 6 英尺(约 1.8 米)长,它犹如一架由化学碱基拼成的精密阶梯。阶梯的横杠就是承载生命密码的信息单元:腺嘌呤(A)严格匹配胸腺嘧啶(T),鸟嘌呤(G)严格对应胞嘧啶(C)。这种互补配对的化学阶梯能够精准地纵向拆分为两半,成为母细胞向子细胞、父母向后代复制传递遗传信息的物理基础。在人体约 20,000 个基因构成的基因组中,通常约有 15,000 个基因处于活跃状态,但不同组织器官调用的基因组合截然不同。 决定这种分工特异性的关键并非 DNA 序列本身,而是位于基因组之上的“表观基因组”(Epigenome)。辛克莱强调,神经细胞、肝脏细胞和皮肤细胞拥有完全一模一样的 DNA 序列,而让它们拥有不同形态与功能的,是控制基因“开与关”的调控系统。在这个表观遗传控制系统中,最关键的化学标记之一就是 DNA 甲基化(DNA methylation)。简单来说,就是在特定的胞嘧啶(C 碱基)上挂载一个由一个碳原子和三个氢原子构成的极简化学基团——甲基($-\text{CH}_3$)。这些微小的化学标记就像紧贴在乐谱上的便利贴或开关标签,在胚胎发育阶段就精密锁定了哪些基因该开启(例如分化为视神经)、哪些基因必须永久关闭(如抑制神经细胞表达肝脏功能),从而确立了细胞的专职身份。 - **DNA 物理尺度**:人体单个细胞内包含约 6 英尺长的紧密折叠 DNA,碱基配对(A-T, G-C)构成了复制与遗传的核心化学逻辑。 - **基因总数与分工**:人类拥有约 20,000 个基因,各组织细胞通过挑选激活其中的约 15,000 个基因来行使特定功能。 - **表观基因组定义**:不改变底层 DNA 碱基序列,而是通过 DNA 甲基化等分子开关动态调节基因表达模式的控制体系。 --- ### [26:14](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1574s) 细胞的“身份危机”与灾难应激留下的衰老账单 基于这一机制,辛克莱系统性地推导出了衰老的“信息理论”(The Information Theory of Aging)。衰老的根本原因,不是底层的 DNA 硬件彻底损毁——事实上,在老迈的组织细胞中,99.999% 的基因分子结构依然毫发无损地存在着。衰老的真正元凶是表观基因组控制系统的持续磨灭。随着岁月流逝,那些原本固定在基因开关上的化学标签(甲基基团)开始脱落、错位或被错误清除,原本分明明确的调控指令变得模糊不堪。结果就是细胞陷入了严重的“身份认同危机”(identity crisis):皮肤细胞不再保持纯粹的皮肤特征,反而开始混乱地表达原本属于神经细胞的基因,神经细胞也开始混杂表达其他组织的特异性基因。正如主持人所精辟总结的:“衰老就是细胞彻底忘记了自己的本职工作。” 为什么这套曾经精准无比的调控系统会随着时间分崩离析?辛克莱将其归结为细胞在遭遇重大生存灾难时的代价妥协。人体细胞内存在着负责添加和移除甲基基团的特定酶类,原本应该维持动态平衡。然而,当细胞遭遇致命打击——其中最危险、也是衰老主因之一的便是“染色体断裂”(broken chromosome,即 DNA 双链断裂)时,细胞会瞬间陷入恐慌。为了在破损导致癌变或即刻坏死之前保命,那些原本驻守在基因开关处负责维稳表观调控的蛋白质和酶类,会被紧急动员并抽调到断裂损伤点进行抢修,这个过程如同打网球或乒乓球时选手的全场飞奔扑救。在应激状态下,原有的基因标签被强行撕下以激发应激反应基因。尽管这种紧急机制让细胞暂时逃过一劫,但遗憾的是,抢修完毕后,那些调控蛋白并不能百分之百回归其最初的锚定位置。在人体内,每个细胞每天都会经历 DNA 断裂,全身每天要发生高达 20 万亿次此类微小灾难;日复一日,“滴答、滴答”,未完全归位的表观遗传噪音不断堆积,细胞的身份标签一点点被擦除,衰老便由此无可阻挡地发生了。 - **衰老的本质定义**:衰老并非 DNA 基因序列损坏(99.999% 基因仍完好),而是表观遗传指令被逐步抹去,引发细胞“身份丢失”。 - **应激代价假说**:染色体断裂引发细胞紧急求生,表观遗传蛋白被调离原位救灾,事后无法完全复位,造成表观遗传信息的净丢失。 - **每日损伤规模**:人体内每天发生约 20 万亿次(20 trillion events)染色体损伤与应激修复,微观层面的不可逆残留构成了宏观衰老的时间时钟。 ### [29:34](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1774s) ICE小鼠实验:打破染色体如何加速50%的衰老 在被问及细胞所承受的应激来源以及“衰老的信息理论”(Information Theory of Aging)如何得到实证时,大卫·辛克莱(David Sinclair)分享了其实验室在12年前进行的一项里程碑式研究。为了验证“表观遗传信息丢失是否真正驱动衰老”,研究团队培育出了一种特殊的小鼠,并将其命名为“ICE小鼠”(ICE 即 Inducible Changes to the Epigenome,诱导性表观遗传组改变)。研究人员利用干细胞构建小鼠模型,在其基因组中引入了一种来自森林黏菌(slime mold)的特殊基因。通过给予化疗常用药物他莫昔芬(tamoxifen),能够精准诱导激活这种黏菌蛋白,使小鼠的染色体发生双链断裂。这种切割经过特殊设计,只制造纯粹的物理断裂并由细胞自行缝合,完全不引发基因突变或癌症。 实验之初,实验室内部曾打赌预测小鼠的命运。当时绝大多数成员认为小鼠会直接死亡或罹患癌症,少数人认为什么都不会发生,只有辛克莱一人押注小鼠会“变老”。在给予药物诱导的前3周里,小鼠表面上毫无异常,既没有感到不适,也没有生理异样,就像人做了一次X光检查或乘飞机受到轻微辐射一样。然而,这3周的DNA切割却在分子层面推倒了第一块多米诺骨牌。辛克莱回忆,当时他身在故乡澳大利亚,老款 iPhone 突然收到实验室发来的一张患病小鼠照片,附带短信写着“出问题了,有一只小鼠病倒了”。辛克莱看后立即回复:“那不是生病,那是衰老。” 在停止诱导大约10个月后,这些ICE小鼠的毛发变得苍白稀疏,出现了全套典型的衰老病症。与它们基因完全相同的同窝未处理双胞胎小鼠相比,ICE小鼠的衰老速度整整加快了50%。辛克莱指出,从理论上讲,如果在人类克隆体中激活同样的黏菌基因机制,克隆体也会以高出本体50%的速度衰老,这从反向证明了染色体断裂引发的表观遗传信息紊乱正是导致机体老化的核心原因。 ```mermaid flowchart TD accTitle: ICE小鼠表观遗传衰老机制 accDescr: 描述黏菌基因被激活后切断染色体,诱导表观遗传信息紊乱并导致小鼠衰老速度加快50%的流程 subgraph Manipulation ["实验诱导阶段(前3周)"] A["干细胞改造引入黏菌基因"] --> B["给予他莫昔芬药物诱导"] B --> C["DNA非诱突变性双链断裂"] end subgraph EpigeneticErosion ["分子修复与表观失序"] C --> D["细胞紧急动员修复DNA"] D --> E["表观遗传修饰无法100%复原"] E --> F["细胞身份逐步迷失"] end subgraph Phenotype ["表现型爆发(约10个月后)"] F --> G["毛发灰白变稀疏"] F --> H["各器官退行性病变出现"] G & H --> I["衰老速度比对照组加快 50%"] end ``` --- ### [32:54](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1974s) 隐形的细胞重创:飞行、辐射与听力衰老 面对主持人关于“人类在日常生活中对应的等效行为是什么”的追问,辛克莱指出,现代人每天都在不知不觉中经历类似的DNA物理损伤。人体细胞在日常复制遗传物质时本身就会出现自发性断裂,而现代生活中的外部暴露则极大地放大了这种压力,例如进行X光摄片、CT扫描,以及频繁搭乘长途航班在高空遭受密集的宇宙射线轰击。当主持人苦笑表示自己“总是在飞行,且做过很多CT和X光”时,辛克莱直言,尽管这些高能射线的撞击在宏观上毫无知觉,但它们确实在无形中给表观基因组带来了不可逆的累积伤害。 辛克莱进一步阐释了其背后的微观机理:每一次染色体遭遇断裂,细胞内的表观遗传标记系统就必须被紧急调动以协助修复,这种灾难性的重排往往无法做到百分之百的无痕复原。随着修复痕迹的累加,细胞会加速失去原本的组织身份定义(例如丧失皮肤细胞或神经细胞应有的专一基因表达谱)。 这种应激衰老不仅限于辐射。辛克莱实验室的证据显示,即使是去参加摇滚音乐会并在极高分贝的声浪轰击下损伤耳膜,对内耳脆弱的毛细胞而言也是一种极端的生理应激。许多人年纪轻轻便出现听力受损,本质上正是因为耳部毛细胞在反复经历创伤修复的过程中不堪重负,从而发生了加速衰老。避免脆弱细胞承受无法完全复原的剧烈灾难,是延缓生理衰退的核心前提。 --- ### [34:12](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2052s) 基因不是宿命:表观遗传与延寿14年的五项核心习惯 主持人以自己年长一岁的哥哥杰森(Jason,育有三个8岁以下的孩子)为例,指出两人基因高度相似,但哥哥在圣诞节时显现出的白发远比自己多,因而询问日常生活选择对皱纹和白发等衰老表象的真实影响。辛克莱带来了令人振奋的科学结论:“你的DNA并非你的宿命,真正起决定作用的是表观遗传组。”来自丹麦针对同卵双胞胎的大规模追踪研究表明,个体的衰老速率有80%到90%完全取决于后天的生活方式。如果一对拥有完全相同基因的双胞胎中,一人吸烟、暴饮暴食致肥胖且经常暴晒,其外貌表征会显著老于另一人。辛克莱特别提醒,尽管白发并不致命,甚至部分源于纯粹的色素基因变异,但整体外貌的苍老程度通常高度精准地对应着体内核心器官的实际生理年龄。 基于哈佛大学针对二战老兵的长周期健康跟踪研究,辛克莱提炼出了能够让人均寿命延长整整14年的关键生活支柱: * **坚决戒烟并远离各类吸入性烟雾**:烟雾中的化学毒素会直接造成肺部及全身细胞的DNA断裂,全面催化老化进程。 * **严控酒精摄入**:最新医学共识表明,每天哪怕只喝一杯以上的酒也会对身体造成实质性损害;辛克莱本人为了健康已基本彻底戒酒。 * **优质健康的膳食管理**:杜绝暴饮暴食,坚决避开高度加工食品(ultra-processed foods),摄入富含抗衰老因子的天然食物。 * **坚持规律运动**:涵盖心肺耐力与抗阻训练等多维度的体育锻炼,是刺激机体维持年轻态最高效的手段之一。 * **维系稳定的伴侣关系或饲养宠物**:辛克莱指出这一点常常令人意外。人际间稳固的情感联结和爱意被证实能显著减缓衰老,孤独则是长寿的重大隐形杀手(辛克莱在此幽默打趣:主持人或许以为答案是“当一名播客主播”,但做播客可能反而会因为压力而加速变老;若缺乏可靠伴侣,养一只宠物同样能提供关键的心理保护)。 --- ### [37:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2263s) 进化的盲区:自然选择为何只偏爱繁衍而非长寿 针对“为什么聪明的进化论与物竞天择没有进化出一套彻底阻止衰老的机制”这一核心困惑,辛克莱给出了直击本质的生物学剖析。主持人疑惑于自己的祖先为何大都在30岁至80岁之间早早离世,而进化却没有修正这一缺陷。辛克莱一针见血地指出:“答案其实就在你的问题里——因为你的祖先在历史上绝大多数根本活不到40岁或50岁。” 在史前恶劣的生存环境中,远古人类绝大多数在青年期便死于饥荒、传染病或是部落冲突与战争,能自然活到80岁的人极为罕见。因此,自然选择这一强大法则的筛选压力始终且完全聚焦在两个指标上:**生命早期的存活能力**与**极其迅速的生殖繁衍能力**。 辛克莱打了一个生动的比方:在危机四伏的远古丛林里,假设某个人天生发生了一种能让他活到90岁的长寿基因突变,这种基因优势在演化上完全是徒劳的废纸——因为他大概率在30岁或40岁之前就已被猛兽咬死或因感染丧生。既然生命注定过早夭折,自然选择便只偏爱那些能调动所有生物资源,确保机体在青春期和成年早期成功求偶、繁衍后代的基因组合。换言之,大自然对繁衍任务完成之后的机体维护毫无兴趣,人类今天所承受的衰老,正是长寿机制被进化“遗忘”并留在生命阴影下的代偿产物。 ### [38:53](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2333s) 进化为何未赋予人类长寿:掠食压力与环境选择 人类的成长周期漫长且需要长期的教育与照料,无法像许多其他哺乳动物那样出生不久便能奔跑生存。在人类祖先演化的早期环境——例如东非塞伦盖蒂大草原(Serengeti Plain),生活极其残酷且危机四伏,个体随时面临被猛兽捕食或在部落冲突中丧命的风险。在极高的环境死亡率下,自然选择的最优解是让人类在 30 岁之前完成繁衍与初期抚育;一旦超过 30 岁,身体便顺应物理学中的熵增定律,细胞信息开始流失,组织机能迅速走向衰退。 然而,生物进化的规律表明,只要消除掠食者与外部死亡威胁,物种便会自然演化出更长的寿命。如果在没有天敌的孤岛上繁衍 20 到 30 代,原本寿命短暂的生物就会把原本用于频繁生育的能量,转移到构建更强韧的身体防御系统、减缓衰老速率以及修复染色体与 DNA 断裂上。当今人类虽已摆脱掠食者,但自然演化的步伐极其缓慢,远远赶不上当代人的生命诉求。 自然界中极致长寿的物种无一例外都具备“缺乏捕食压力”的特征。例如能够存活数千年的大盆地刺果松(Bristlecone Pine),有些植株自古埃及建造金字塔时便已扎根于世,它们因体内饱含毒素而免遭动物啃食;体型庞大的弓头鲸(Bowhead Whale)在海洋中几乎没有天敌,因而演化出了极其稳定的表观遗传调控系统。即便人为打断其细胞的 DNA,鲸鱼的细胞在体外培养皿中依然能长久维持细胞身份(Cellular Identity),历经数百年也不会轻易患上癌症或陷入表观遗传紊乱。 ```mermaid flowchart TD accTitle: 掠食压力对物种寿命进化的影响机制 accDescr: 对比高掠食压力与低掠食压力两种环境下物种寿命的演化策略 subgraph HighRisk ["高掠食环境(如人类远古时期)"] A["面临猛兽攻击与部落冲突"] --> B["演化策略:尽早繁育后代"] B --> C["机能巅峰设定在30岁左右"] C --> D["30岁后受熵增主导,机体迅速衰退"] end subgraph LowRisk ["低/无掠食环境(如弓头鲸、孤岛物种)"] E["无天敌威胁或具备自卫毒素"] --> F["演化策略:推迟并放缓生育"] F --> G["资源投入细胞修复与表观遗传稳定系统"] G --> H["DNA不易失真,寿命延长至数百年乃至数千年"] end ``` ### [42:15](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2535s) 万病之源在于衰老:逆转年龄即可根治退行性疾病 现代医学通常将阿兹海默症、癌症、心血管疾病视为彼此孤立的病症,并试图研发互不相关的药物分别予以攻克,但这种思路忽视了底层的共同诱因。大卫·辛克莱尔(David Sinclair)指出,这一讨论中最关键的结论是:“当你逆转了衰老,伴随衰老而来的各种疾病就会自行消失或得到痊愈。”无论是阿兹海默症还是恶性肿瘤,其最根本的驱动力都是衰老本身。如果一个人永远不衰老,即便携带阿尔茨海默病的易感基因,也绝不会发病。 在辛克莱尔的实验室中,研究人员将人类致病基因植入小鼠体内使其患上痴呆症。随后,他们并未针对阿尔茨海默病本身进行靶向治疗,而是针对小鼠大脑实施“逆转衰老”干预;当神经细胞的生理年龄重返年轻状态时,认知障碍疾病随之消退,机体恢复了年轻时原本具备的自愈与修复能力。 青少年极少罹患心肌梗死或癌症,并非因为他们体内不存在异常突变细胞,而是年轻健全的免疫系统能够及时识别并将其清除。每个人体内此刻都在不断产生微小的癌变细胞,之所以没有演变成致命恶疾,全仰仗免疫监控网的正常运作。唯有随着岁月流逝、细胞走向老化,监控与修复机制才逐步失灵。因此,攻克衰老本身就意味着从根源上一揽子解决人类绝大多数的老年慢性退行性疾病。 ### [44:13](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2653s) 卵巢衰老并非不可逆:推翻“卵子耗尽”的传统教条 女性卵巢是人体最早表现出衰老迹象的器官之一。从进化生物学的角度来看,绝经期(Menopause)的出现是为了防止高龄女性因继续生育而消耗过多能量,从而把生存资源集中用于抚育已有的子女与孙辈。长久以来,医学界一直秉持“女性一生拥有的卵子数量从出生起便已固定、卵子耗尽导致生育能力终止”的传统理论,但辛克莱尔实验室及其在澳大利亚的合作团队的研究结果彻底挑战了这一认知。 在其实验室的多次重复实验中,研究人员选取了月龄达 16 个月的雌性高龄小鼠——这一阶段相当于人类 65 至 70 岁的高龄,小鼠早已丧失生育能力至少半年以上。通常情况下,这个年龄段的小鼠卵巢中几乎找不到形态正常的卵子,残存的卵子染色体往往断裂、错乱,根本无法孕育生命。然而,研究团队通过特定化学小分子对小鼠卵巢进行处理,使其卵巢与卵子重焕生机,甚至可能重新激活了新卵子的产生。 这些“老态龙钟”的雌鼠在接受干预后重新焕发了生育机能,成功受孕并产下了外观纯净、染色体健康正常的下一代,幼鼠寿命与普通健康小鼠毫无二致。目前研究团队正积极探讨这项技术在人类女性卵巢上的适用性,一旦转化成功,它将彻底改写生殖医学中关于更年期与不可逆不孕症的定论。 ### [46:15](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2775s) 跨越小鼠到灵长类:转化难题与地缘科技博弈 将前沿科学发现转化为临床可用药物的过程异常漫长且充满波折。从 35 岁投身抗衰老药物研发以来,辛克莱尔亲历了无数来自实验室之外的冲击:不仅涉及海量资金、商业策略、法律监管、领导层更迭与专利归属,还充斥着同行竞争以及跨国大药企的打压与阻挠。即便基础科学原理确凿无疑,各种人为不可控因素也随时可能导致管线夭折。 针对外界普遍质疑实验仅停留在“延长小鼠寿命”层面的声音,辛克莱尔强调,衰老逆转技术如今早已跨越了啮齿类动物阶段。其实验室已经成功在非人灵长类(猴子)身上实现了衰老逆转,鉴于灵长类动物在生理构造与基因组上与人类高度重合,这项技术向人体临床的推进已具备坚实的技术基础。 这项技术的巨大颠覆性也使其迅速卷入了国际地缘政治的视野: - **巨额外国投资被叫停**:辛克莱尔担任董事的一家衰老逆转科技公司,曾收到一笔超过 1 亿美元的外资投资,但遭到美国政府的明确叫停。 - **国家安全层面的警惕**:监管机构认为该项底层生物逆转技术潜在影响力巨大,一旦核心技术外流,可能会对国家战略安全带来不可控的风险。 - **重塑社会与产业格局**:全球多个国家政府都在暗中高度紧盯这项研发竞赛。率先掌握衰老逆转技术的国家,不仅将在万亿美元规模的医药健康产业链上占据绝对主导,更将引发医疗体系、劳动力结构及整个人类社会形态的深刻变革。 ### [49:16](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2956s) “超级战士”争议与延缓衰老的万亿经济红利 政府方面已经察觉到了抗衰老技术可能带来的所谓“超级战士(super soldier)”潜力。尽管有人认为这种潜在的军事化风险足以成为叫停或减缓研究的理由,但 David Sinclair 对此并不认同。他强调,这项技术威力极其巨大,且它走向社会的现实并非“会不会发生(if)”,而是“何时发生(when)”。社会必须为此做好全方位的准备,因为这不仅意味着人体机能的全面年轻化,还将带来前所未有的社会结构剧变——当人们不再普遍在 80 岁左右走向死亡,而是可以自主选择年龄并活到 120 岁甚至更久时,养老社保体系、劳动力就业市场都将面临重构。 不过,外界所担忧的灾难性设想(这也是 Sinclair 在其畅销书《Lifespan》后半部分着重探讨的议题)实际上忽略了巨大的经济红利。在当今美国及多数发达经济体中,巨额的国民财富都被消耗在医疗保健体系中。大多数人生命最后的 5 到 10 年都在饱受慢性病的折磨,个人积蓄、退休金以及政府财政支出几乎全被吸入了这个无底洞;人生中医疗花费最高的阶段,恰恰是生命的最后两年。如果能通过延缓衰老来预防这些慢性疾病,任何率先推行这类长寿医学的国家,都将获得极为巨大的宏观经济回报。 ```mermaid flowchart TD accTitle: 传统衰老模式与抗衰老医学模式的经济与健康对比 accDescr: 对比传统医疗在生命末期的高昂慢性病负担与抗衰老医学延长健康寿命所带来的经济红利 subgraph Traditional["传统医疗模式"] A["慢性病缠身 5-10 年"] --> B["最后 2 年耗尽积蓄与医保"] B --> C["沉重的经济与社会负担"] end subgraph Longevity["长寿与抗衰老医学模式"] D["逆转细胞衰老 / 预防慢性病"] --> E["健康寿命延长至 120 岁+"] E --> F["维持高生产力 / 节约天量医疗支出"] end ``` ### [50:41](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3041s) 青春的定价:你愿意拿十亿美元换回十年寿命吗? 主持人和 Sinclair 聊起社交媒体上一个广为流传的假想问题:“如果你现在 56 岁且是一位身家数十亿美元的富豪,你愿意倾尽所有财产换回 33 岁的青春吗?”或者换个方式问:“给你 10 亿美元,你愿意现在就跟沃伦·巴菲特(Warren Buffett)互换人生吗?”两人的答案都是毫不犹豫的“绝不”。这揭示了一个深刻的事实:世间没有任何财富值得人用衰老去交换,青春的内在价值远远超过 10 亿美元,它或许是生命中最为珍贵、独一无二的资产。 主持人感慨,哪怕只是年轻 10 岁——在 33 岁做一个普通人,还是在 43 岁成为亿万富豪——他也宁愿选择 33 岁,因为这 10 年的时间本身就值 10 亿美元。Sinclair 完全赞同这种感受,并指出人越年长,就越能深切体会到岁月的无价。抗衰技术对全人类个体的意义正在于此。他坚信这绝非空想,而是一个必定会到来的未来;那时的世界相较于现在,其变革程度绝不亚于计算机和飞机出现前后人类社会的剧烈跃迁。 ### [52:24](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3144s) 自由设定生物学年龄:由内而外的外表与机能新生 面对主持人关于“我们究竟是能将身体状态定格在 33 岁生活 100 年,还是说活到 150 岁时依然满脸皱纹、白发苍苍却死不了”的疑问,Sinclair 给出了振奋人心的回答:技术的目标是“内外兼备”的全面返老还童。不仅内在器官的功能可以被重置,外貌也同样能够年轻化。 Sinclair 的实验室正在皮肤衰老、脱发以及白发逆转方面开展大量前沿研究。在谈到脱发时,两人还幽默地互相打趣,Sinclair 笑着打趣说可以先帮主持人的哥哥解决脱发困扰。从科研层面来看,其实验室已经不仅是在小鼠体内进行试验,还能够在培养皿中从零培育出完整的人类皮肤组织,并将这些皮肤移植到小鼠身上进行活体抗衰测试。Sinclair 充满信心地表示,既然连失明这种高度复杂的神经病变他们都能够成功治愈,那么“逆转皮肤的表层衰老简直就是小菜一碟(a piece of cake)”。 ### [53:51](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3231s) 活得更久的潜在影响:生命意义、多次人生与人口危机破解之道 讨论转向了长寿可能引发的意料之外的心理与社会后果。针对许多人潜意识里的担忧——如果人类不再畏惧死亡,是否会失去进取心、奋斗意志(agency)和对生命意义的追求——Sinclair 明确表示“完全否定这种观点”。他认为生命的每一个当下本身就是独特的体验,即便自己能活 200 岁甚至 1000 岁,他每天清晨醒来依然会充满激情与目标感;而在漫长的地质与地球演化史尺度下,哪怕是 1000 年的人生也依然不过是沧海一粟。长寿并不会让人怠惰,反而会赋予人类更多的试错机会与人生选择:人们可以从容地探索多段截然不同的职业生涯,甚至在经历婚姻破裂后重新开始另一段美满的人生。更重要的是,人们将同时坐拥 58 岁甚至 80 岁的智识沉淀与 30 岁的强健体魄。 在家庭与社会人口结构方面,这项技术更将带来颠覆性的变革: - **缓解生育焦虑**:当今社会对女性在 35 岁前完成生育的要求极为严苛且不公平,迫于学业深造、事业打拼以及寻找合适伴侣等客观现实,许多人不得不推迟生育,导致全球生育率呈现断崖式下跌。 - **重塑生育选择权**:如果抗衰技术能让女性和伴侣在 50 岁乃至 60 岁依然拥有健康的生育能力,将成为赠予人类的伟大礼物。 - **破解 2050 年人口危机**:伴随全球范围内人口负增长趋势的加剧,劳动力短缺将成为重大生存考验。Sinclair 直言想就此与埃隆·马斯克(Elon Musk)辩论——应对未来人力资本匮乏的最好解法,并非完全寄托于满大街的人形机器人,而是通过长寿科技让人类长期保持年轻、健康与高效的生产力。 ### [57:03](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3423s) 播客中场:科技护肤与创业工具 在深入探讨癌症机制前,节目穿插了一段赞助信息。主持人展示了自己日常佩戴的 BonCharge 红光面膜,提到在采访了众多全球顶级健康专家后,红光疗法(Red Light Therapy)是少数被诸多专业人士一致认可其促进胶原蛋白再生、抚平细纹与改善肤质的非侵入式手段。随后,主持人结合新年立下新目标的心理,分享了通过 Shopify 平台一站式启动商业项目与搭建线上店铺的便捷性,鼓励听众不要因追求完美而迟疑,勇敢迈出行动的第一步。 ### [59:04](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3544s) 细胞身份危机:通过逆转衰老对抗癌症的新思路 当被问及实验室在癌症领域的最新突破时,戴维·辛克莱(David Sinclair)分享了一项由其博士生纳拉特(Nallath)主导的颠覆性研究。依据衰老的信息理论(Information Theory of Aging),衰老本质上是一种“细胞身份危机”(cellular identity crisis)——细胞在岁月侵蚀中丢失了原有的基因读取指令,从而陷入混乱。辛克莱提出,癌症在本质上同样属于一种细胞身份危机。如果能够通过表观遗传重编程让老化的健康细胞重返年轻状态,那么理论上也应当能将这种逆转机制应用于癌细胞,迫使它们重新开启正确的基因表达。 实验室的实验结果证实了这一设想:通过逆转表观遗传时钟,实验室中培育的大多数癌细胞在动物体内不仅停止了生长,甚至开始缩小或完全死亡。辛克莱解释说,癌细胞长期处于一种脱轨的“僵尸般的状态”(zombie-like state)。当表观遗传重塑技术强行将它们从这种失控状态中唤醒、迫使其尝试变回几十年甚至上世纪正常组织的健康细胞时,癌细胞会重新激活早期设定的自毁程序(细胞凋亡)并选择“自杀”。该干预手段目前主要有两种路径:一是利用最初用于恢复视力的三种山中因子(OSK 基因疗法)重置表观基因组;二是直接使用一种能够喂食动物或涂抹在细胞上的化学小分子饮剂(chemical drink)。辛克莱谨慎地强调,这并不意味着人类已经能“治愈所有癌症”,但他坚信,只要成功让人体细胞恢复年轻,癌症发生率的骤降将成为对抗衰老过程中最重大的副产物。 - **实验样本跨度**:实验室所测试的部分人类癌细胞株甚至可以追溯至 20 世纪,但重编程技术依然能成功激活其数十年前的原始正常基因。 - **治疗机理双轨制**:癌细胞在被强制重置为年轻表观遗传状态后,要么重新分化回归受控的正常细胞形态,要么因无法匹配突变基因组与年轻调控程序而触发自杀机制。 ```mermaid flowchart TD accTitle: 衰老与癌症的表观遗传重置机制 accDescr: 展示DNA物理损伤如何引发细胞身份危机,以及重编程技术如何促使癌细胞自毁。 subgraph Stress["DNA与表观损伤源"] A["环境应激 / DNA断裂 / 机械创伤"] --> B["表观遗传信息紊乱 (细胞身份危机)"] end subgraph Pathology["病理表型"] B --> C["细胞机能衰退 (衰老代谢环境)"] B --> D["恶性转化 (癌细胞无序扩增)"] C -.->|"衰老致癌假说 (Geroncogenesis)"| D end subgraph Reset["表观重编程干预"] D --> E{"OSK基因疗法 / 化学分子组合"} E -->|"恢复年轻时原始基因读取"| F["唤醒凋亡信号:癌细胞自毁消退"] E -->|"修复表观遗传指令"| G["逆转细胞恶性表型并减缓生长"] end ``` --- ### [01:01:29](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3689s) 衰老致癌假说(Geroncogenesis)与黑胶唱片类比 辛克莱进一步剖析了引发癌症的底层诱因。除了吸烟、辐射等已知的致癌物会导致致命的 DNA 双链断裂外,细胞过热、甚至剧烈的物理机械创伤(例如美式橄榄球运动员大脑反复受到的撞击)也会破坏基因组的完整性。这种持续的应激正是驱动衰老的源动力,而衰老反过来成为孕育癌症的温床。辛克莱提出了“衰老致癌假说”(geroncogenesis hypothesis)——随着年龄增长,整个人体的内环境代谢模式正不可阻挡地滑向与癌细胞代谢极其相似的轨道;正因如此,癌细胞在老年宿主体内往往比在年轻人身上生长得更旺盛、转移得更迅速。 ``` [模拟演示:辛克莱在演播室现场用手刮擦黑胶唱片] 现场发出刺耳的刮擦声…… 辛克莱:“这声音听起来很痛苦……但如果放到唱机上,唱针就会胡乱跳跃,读出错误的音符。” ``` 为了让抽象的表观遗传学原理更加直观,主持人史蒂文·巴特利特(Steven Bartlett)递给辛克莱一张黑胶唱片作为演示道具。辛克莱将唱片上的凹槽比作 DNA 中承载的信息,而唱针读取的过程就如同表观基因组。辛克莱现场用手指刮擦黑胶唱片,发出令人牙酸的摩擦声。他解释道,划痕并没有真正破坏底层的音乐信息,但当唱针划过时,唱机就会发生跳轨、发出刺耳杂音或播放出完全错误的曲目,这正是“老态细胞”的真实写照——DNA 数据完好无损,但读取机制彻底混乱。而实验室研发的抗衰老与抗癌重编程技术,正是要充当一种“划痕修复剂”,将那些后天累积的划痕彻底磨平,让身体能够再次完整播放出青春时期的美妙乐章。 - **衰老致癌假说核心逻辑**:衰老机体的代谢微环境会自然演变为支持肿瘤生长的土壤;逆转局部细胞的生物学年龄,会直接剥夺癌细胞生存所需的代谢优势。 - **信息论本质区分**:DNA 是数字信息(Digital Information),而表观遗传是指挥其读取的模拟信息(Analog Information);衰老的本质是模拟信息因划痕受到干扰,而重编程的目的是恢复初始读取能力。 --- ### [01:04:17](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3857s) 负重背心体验:老龄化身体不可承受之重 为了让史蒂文切身理解衰老在宏观生理层面的压迫感,团队特意准备了一套衰老模拟装备:史蒂文穿上了一件重达 20 公斤的铅块加重背心,并戴上了硬质护颈圈。刚穿戴完毕,史蒂文整个人便明显踉跄,脖颈无法自如转动,双肩沉重下坠。史蒂文坦言自己瞬间感受到了身体被锁死般的无力与钝重。 辛克莱严肃地指出,这正是八九十岁老人每天必须面对的残酷现实:“试着想象一下连续十年保持这种状态。疲惫不堪、虚弱无力,几乎无法支撑起自己的躯干,甚至连转动脖子都极其艰难。”辛克莱补充道,加重背心模拟的仅仅是沉重与行动受限,老年生活往往还伴随着持续的慢性病痛。他开玩笑称自己甚至应该拿剪刀往史蒂文身上戳刺,才能真实模拟出关节退行与神经痛的刺痛感。很多步入晚年的人之所以失去对生活的热爱,并不是精神意志消沉,而是被一副残破不堪的皮囊拖垮;若再加上晶状体浑浊(如同在眼球涂抹凡士林)和重度听力衰退(如同塞死耳塞),衰老实际上将一个人逐渐幽禁在孤独与痛苦的牢笼中。这正是辛克莱实验室致力于通过生物逆转技术根除衰老失能与退行性失明的动力所在。 - **生理模拟参数**:一件重达 20 公斤的铅制负重背心外加限制颈椎转动的医用护颈夹板,即可在数秒内模拟出典型 80 岁老人的肌肉无力与关节活动度退化。 - **生存质量反思**:感官剥夺(视力模糊、耳聋)叠加不可逆的慢性疼痛,是摧毁老年人生命意愿与幸福感的最大生理根源。 --- ### [01:06:14](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3974s) 计算器思想实验:健康生命何时该终结? 面对衰老的残酷现状,史蒂文向辛克莱抛出了一个直击灵魂的思想实验:“如果现在你面前摆着一台计算器,你必须在上面输入一个数字作为自己未来的死亡年龄,按下回车键便不可逆转,你会敲下多少?”辛克莱毫不犹豫地回答:“无穷大(Infinity),哪怕是按满‘9999999’。” 辛克莱给出了自己的哲学逻辑:只要一个人身体处于健康无痛的状态,身边有深爱的家人和朋友,并且拥有充满热情的追求,没有任何一个健康的生命会在醒来时说“明天我准备好去死了”。社会上那些轻言“活到 80 岁就够了,到时送我走吧”的言论,辛克莱情绪激动地斥其为“鬼话”(甚至当场询问主持人演播室是否允许说粗话)。人们之所以抵触长寿,是因为长久以来他们将衰老与病榻上的瘫痪、认知衰退画上了等号。 ``` “除极少数深陷严重抑郁或被顽疾折磨的情况外,活在世上是任何原子集合(collection of atoms)所能获得的最伟大的奇迹,意识的存在更是无比珍贵。如果可以健康地陪伴在挚友与至亲身旁,谁又会主动选择让这一切终结呢?” —— 戴维·辛克莱 ``` 史蒂文深受触动,坦承自己过去也习惯性地认为“永生毫无意义”,但深思后发现在过去的 33 年里,在健康与热爱事业的前提下,自己从未有过任何一天想要终结生命。在探讨未来 50 年内人类是否可能实现永生时,辛克莱保持了科学家的理性审慎,坦言如果能在其有生之年彻底实现肉体永生,他会感到震惊;但人工智能(AI)的引入彻底颠覆了生命科学的发展节奏,实验室里许多原先需要花费 160 年漫长试错的复杂研究,如今在 AI 辅助下正在以难以想象的速度取得突破。史蒂文这一代年轻人必将跨入 22 世纪,届时生物医药的高度将彻底改写整个人类文明对“寿命极限”的定义。 ### [01:08:38](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4118s) 间歇性禁食与打破“一日三餐”的现代神话 在探讨如何健康跨入2040年乃至更长远的未来时,话题转向了饮食与禁食(Fasting)。主持人指出,尽管长寿领域的讨论常常涉及各种复杂的补剂,但辛克莱(David Sinclair)的研究始终强调一个朴素而核心的观点:**降低进食频率、少吃几顿饭,是所有人为了延长寿命所能采取的最重要手段之一**。辛克莱对此表示极度赞同,并坦言自己一直在尽力践行,尽管在当今物质极度充裕的世界中抵抗诱惑非常具有挑战性。 辛克莱指出,古人并非愚钝之辈,早在数千年前人类就观察到了断食的力量——清晰的头脑、长期的健康,以及那些纵欲暴食者与出于宗教等原因定期禁食者之间鲜明的寿命与健康差异。然而,禁食绝不等于营养不良(Malnutrition),在减少进餐次数的同时,必须保证摄入充足的维生素、矿物质与基本营养素。与此同时,辛克莱对现代社会根深蒂固的“一日三餐”观念提出了尖锐批评,直言这种习惯简直是“荒谬的疯狂”。所谓“早餐是一天中最重要的一餐”,本质上不过是20世纪初由某些早餐麦片公司一手策划的商业营销神话。对于绝大多数成年人而言,尤其是早晨起床并不觉得饥饿的人,强迫自己吃早餐毫无意义。 ### [01:10:05](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4205s) 衰老体验服的震撼:体会老去的沉重与重获新生的渴望 对话中两人发现彼此有着极其相似的饮食节奏:早上完全没有食欲,通常都会跳过早餐。主持人提到自己当天录播直到下午两点,第一顿饭甚至延后到了下午三点,在办公室工作时有时甚至会拖到下午四五点才进食。此时,主持人正身穿辛克莱带到现场的一套沉重的老化模拟负重背心(Heavy Vest),在演播室的椅子上辗转反侧、难以找到舒适的坐姿。辛克莱感叹道,这就是变老之后的真实切肤之感;只有体会过这种寸步难行、身心俱疲的沉重,人们才会彻底明白抗衰老研究到底有多重要,因为对许多老人来说,伴随着全身关节疼痛与沉重身躯的生活往往“让人觉得不值得活下去”。 辛克莱回忆起一段极具感染力的往事:他曾让时任美国马萨诸塞州州长穿上一整套全副武装的老化模拟套装——不仅躯干负重,连手臂都绑上沙袋,并戴上模拟白内障视力的护目镜与削弱听力的耳罩。仅仅穿了15分钟,那位平日坚毅的州长就在台上当众落泪。州长哭泣并非因为肉体上的疼痛,而是动情地表示,这是他有生以来第一次真正体会到自己年迈父亲每天承受的煎熬,从而产生了无与伦比的共情。辛克莱表示,现年56岁的自己还相对年轻,而33岁的主持人更是年富力强,年轻人根本无法想象苍老有多么可怕。当主持人终于脱下负重背心时,瞬间长舒了一口气,感觉轻盈得“想要立刻跳起来”。辛克莱总结道,如果他们今天正在研发的细胞重编程与逆龄技术能够成功,那将正是80岁的老人在重获青春时所体验到的彻底解脱。 - **州长试验**:马萨诸塞州州长在穿戴老化负重套装15分钟后落泪,坦言第一次对衰老父亲的处境产生深切共情。 - **年轻群体盲区**:缺乏衰老体验的年轻人往往低估了年老时的关节疼痛与负重感,而间歇性禁食与运动正是为了在未来多换取10年乃至更久的高质量健康寿命。 ### [01:12:06](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4326s) 激效反应(Hormesis):为什么细胞需要“逆境模式” 关于“为何少吃能延长寿命”的底层生物学机制,辛克莱解释称,这源于其哈佛实验室早期的奠基性发现。他们最初使用寿命仅有约10天的酿酒酵母(Yeast)作为衰老研究的模型生物。这项研究揭示了一条普适于酵母乃至人类身体的铁律:**适度的逆境(Adversity),只要不至于致死,对生命体反而是有益的**。这种机制在科学上被称为“激效反应”(Hormesis),也就是通俗所说的“凡杀不死你的,终将使你更强大、更长寿”。 辛克莱将机体状态划分为两种截然相反的模式:一种是长寿机制梦寐以求的“逆境模式”,另一种则是现代文明无处不在的“充裕模式”(Abundance Mode)。现代人的生活被爆米花、电影院、带滚轮的行李箱、全天久坐以及夏天的空调所包围,身体从未遭遇任何生存挑战。然而,当缺乏逆境刺激时,细胞便处于养尊处优的懈怠状态;唯有通过断食、高强度锻炼、冷水浸泡(Cold Plunge)或桑拿等手段人为制造“假性危机”,细胞才会产生恐慌,误以为遭遇了可能危及存亡的严冬,进而全面激活细胞自身的防御系统、DNA修复机制以及废物回收循环系统(自噬),从而逆向延缓衰老进程。 ```mermaid flowchart TD accTitle: 逆境模式与充裕模式对细胞衰老的影响 accDescr: 对比逆境刺激激活长寿防御与充裕生活加速细胞衰老的两条不同生物学路径。 subgraph Adversity["适度逆境模式 (激效反应 Hormesis)"] A["温和生存压力<br/>(断食 / 剧烈运动 / 冷水浴 / 桑拿)"] --> B["细胞感知危机<br/>(误判存亡威胁)"] B --> C["启动长寿防御程序<br/>(DNA修复 / 细胞自噬 / 废物回收)"] C --> D["延缓衰老速度,延长健康寿命"] end subgraph Abundance["现代充裕模式 (Abundance)"] E["无休止的舒适与过剩<br/>(一日三餐 / 久坐 / 恒温空调)"] --> F["细胞防御机制休眠<br/>(误判环境极度安全)"] F --> G["分子损伤逐渐累积<br/>(修复滞后 / 垃圾堆积)"] G --> H["衰老进程异常加速"] end ``` ### [01:13:57](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4437s) 长寿基因 Sirtuins 的发现与细胞的“身份危机” 在谈到对抗衰老的核心基因时,主持人提到了著名的去乙酰化酶家族——Sirtuins。辛克莱深情回顾了他在20世纪90年代初到美国求学的科研历程。当时多数科学家固执地认为体内存在专门诱导死亡和衰老的“死亡基因”,但辛克莱坚信进化不可能专门演化出致死基因,身体内必然存在赐予生命活力的“长寿基因”(Longevity Genes)。他下定决心前往麻省理工学院(MIT),进入先驱学者伦纳德·瓜伦特(Lenny Guarente)的实验室,甚至放话“不收留我我就赖着不走”。两人随后在国际顶尖学术期刊《细胞》(Cell)上联名发表了里程碑式的重磅论文,首次揭示了地球上任一物种发生衰老的根本原因。 辛克莱让主持人根据“衰老的信息理论”(Information Theory of Aging)来推测酵母老去的原因——答案正是**“身份危机”**(Identity Crisis)。酵母细胞拥有两种交配型(Mating Type):即类似雄性与雌性的 a 型和 α 型。当酵母变老时,最典型的特征不仅是变大变慢,而是丧失了自身明确的性别身份,不知道自己到底是 a 还是 α,从而彻底丧失交配能力导致不育。导致这一悲剧的核心元凶正是染色体断裂对长寿蛋白 Sirtuins 的“分心调动”。 在细胞正常运作时,Sirtuins 宛如基因组的“乐团指挥家”兼表观遗传调控因子,负责关闭或开启特定基因,牢牢维持细胞的既定身份(例如确保神经细胞知道自己是神经细胞、皮肤细胞维持皮肤细胞的职能)。然而,Sirtuins 同时还身兼第二重职责——DNA损伤的“急救保镖”。当机体发生染色体双链断裂时,Sirtuins 会陷入恐慌,被迫丢下维持细胞身份的日常工作,紧急奔赴断裂位点修复DNA损伤。修复工作虽然极其迅速,但随后发生的事情就像一场乒乓球或网球赛:这群被调走的 Sirtuins 在返回途中,并不会全部精准回到原先的基因调控岗位上。日积月累之下,染色体上本该被锁定的基因开始异常表达,指挥家日渐“痴呆”,细胞最终迷失了原本的表观遗传身份,衰老由此不可逆转地降临。 - **双重职责的权衡**:Sirtuins 蛋白既负责掌控表观遗传密码、守护细胞身份,又充当染色体断裂的抢修工;这种机制在面临频繁损伤时会顾此失彼。 - **网球效应(Tennis Match)**:Sirtuins 在“损伤位点”与“原有基因调控位点”之间的来回奔波中逐渐失位,造成长期的表观遗传信息丢失,这是酵母乃至人类细胞老化的关键根源。 ### [01:17:39](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4659s) 维持细胞身份的燃料:NAD+ 与去乙酰化酶的长寿机制 在酵母细胞中,一旦表观遗传调控失效、失去原本的细胞身份,便会导致细胞走向衰老,寿命往往无法突破十天;而人类很难活过八九十岁,背后的深层生物学机制也是这一过程在起作用。如果人体整天处于持续进食的状态,体内负责守护基因组与表观遗传的去乙酰化酶(Sirtuins)就必须频繁离开原本维持细胞身份的“基因指挥家”岗位,疲于奔命去处理各种代谢修复工作,从而加速人体衰老。戴维·辛克莱尔(David Sinclair)分享了一段早期科研往事:当年他 29 岁刚拿到哈佛大学教职准备离开原实验室时,实验室迎来了一项突破性发现——但同事们甚至试图向他保密,导师也想阻止他继续从事去乙酰化酶的研究,因为害怕他独立建组后抢占先机。 这项核心突破在于发现了一种与进食节律及睡眠密切波动的远古小分子代谢物——NAD+(烟酰胺腺嘌呤二核苷酸)。人体内含有数克级别的 NAD+,它是体内丰度最高的分子之一。实验证实,去乙酰化酶若想控制基因表达、修复断裂的 DNA,必须依赖 NAD+ 作为催化反应的“燃料”。年轻人体内有充足的 NAD+,去乙酰化酶运转良好;但到了 50 岁左右,人体内的 NAD+ 水平会腰斩至年轻时的一半左右。这既是因为机体合成能力下降,也是因为衰老机体降解消耗 NAD+ 的速度急剧加快。研究团队发现,无论是在酵母还是在人体中,断食都能促使体内的 NAD+ 水平重新回升,从而让去乙酰化酶恢复年轻时的工作效率,重新巩固表观基因组并提升 DNA 修复效率。 ```mermaid flowchart TD accTitle: 进食状态与断食状态下的 Sirtuins 活性对比 accDescr: 对比展示持续进食加速衰老与断食/补充前体激活 NAD+ 的两条不同路径 subgraph FedState ["持续进食状态"] A1["持续进食 / 缺乏断食"] --> B1["体内 NAD+ 储备随年龄递减"] B1 --> C1["Sirtuins 缺乏催化燃料"] C1 --> D1["表观遗传漂移与 DNA 修复迟滞"] D1 --> E1["加速细胞衰老与身份危机"] end subgraph FastedState ["断食或补充前体状态"] A2["间歇性断食 / 摄入 NMN、NR"] --> B2["NAD+ 水平显著回升(甚至翻倍)"] B2 --> C2["Sirtuins 活性强效激活"] C2 --> D2["精准调控表观基因组 & 高效修复损伤"] D2 --> E2["延缓衰老进程,改善代谢指标"] end ``` ### [01:19:46](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4786s) 直接喝 NAD 还是吃前体?NMN 的临床证据与真实摄入 针对“能否直接通过口服 NAD+ 溶液来改善衰老”的疑问,戴维·辛克莱尔指出,直接喝下大分子 NAD+ 的生物利用度极低,科学界公认更有效的方式是口服其分子前体(Precursors)。常见的前体有两种:NMN(烟酰胺单核苷酸,他风趣地强调“绝不是彩虹巧克力豆 M&M's”)和 NR(烟酰胺核糖)。在细胞代谢中,两个 NMN 分子可以直接结合转化为一个 NAD+。人体临床试验数据表明,每天吞服 1 克 NMN 可以让体内的 NAD+ 水平直接翻倍。目前的临床试验正在进一步验证其在重塑表观基因组、降低体重、减轻全身慢性炎症以及改善胆固醇谱等方面的健康益处。 戴维·辛克莱尔也大方承认,自己在公众视野中坚持摄入 NMN 已有十余年。更直观的“家庭临床实验”发生在他父亲身上:父亲如今已经 86 岁高龄,同样服用 NMN 超过十年,至今身体硬朗、活力充沛。辛克莱尔幽默地表示:“我们父子俩至今都活得很好,可以说是‘到目前为止,一切都很棒’(So far, so good)。” - 50 岁的人体 NAD+ 水平相比 20 岁青年时期通常会下降约 50%。 - 口服 1 克高纯度 NMN 前体,经临床验证可使人体内 NAD+ 浓度大致翻倍。 - 辛克莱尔本人及其现年 86 岁的父亲均已持续服用 NMN 超过 10 年。 ### [01:21:00](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4860s) 科学断食的渐进阶梯与 3 天深度自噬 面对网络上纷繁复杂的断食流派(如 16 小时法或 5 天断食法),辛克莱尔明确指出,长寿科学上并不存在“放之四海而皆准”的固定模版,关键在于找到个人生活方式能够长期坚持的平衡点。开始断食的前两周通常会伴随剧烈的饥饿感,因此绝不能第一天就强行断食到下午三四点,否则容易因意志崩溃而暴饮暴食。稳妥的策略是循序渐进:先从不吃早餐、仅在上午吃一点健康零食做起;一周后过渡到完全不吃早餐、直到午餐才进食;最终适应将进食窗口推迟到下午三四点,甚至只吃一顿丰盛的晚餐。 主持人提到自己往往在晚上八九点甚至十点才吃完晚饭,辛克莱尔指出,即使晚饭吃得偏晚,只要第二天延后进食、不睡前进食,保证每天有 14 到 16 小时的禁食窗口,每周坚持 5 天,就已经能有效提升体内的 NAD+ 水平并激活去乙酰化酶。 ```mermaid flowchart LR accTitle: 随禁食时间推移的体内代谢演变流程图 accDescr: 展示从耗尽肝糖原、产生酮体到触发伴侣分子介导自噬的完整时间轴 A["0 - 14 小时<br/>消耗肝糖原"] --> B["15 - 24 小时<br/>燃烧脂肪产生酮体<br/>(大脑专注度飙升)"] B --> C["2.5 - 3 天<br/>伴侣分子介导的自噬(CMA)<br/>(深度清除受损老旧蛋白)"] ``` 除了日常 14 到 16 小时的限时进食外,辛克莱尔自己大约每月还会进行一次长达 3 天的深度断食。他解释道,16 小时内的断食虽然能使身体进入生酮状态,但真正深层次的细胞废物“大扫除”需要更长时间才能触发。这种深度清理被称为“伴侣分子介导的自噬”(Chaperone-Mediated Autophagy, CMA): - **进化成本权衡**:深度自噬需要消耗大量能量来重建受损结构,在生存进化中,身体只有在被迫将自身组织当作替代燃料时,才会忍痛启动这一费力程序。 - **体内能源消耗阶段**:断食初期首先耗尽肝脏储存的肝糖原;大约在禁食 15 到 24 小时区间,身体深度分解脂肪生成酮体,不仅带来些许“生酮口气”,更会显著提升大脑专注力与认知敏锐度;到达 2.5 至 3 天时,身体开始定向吞噬、分解老旧受损的蛋白质进行自噬回收。 - **频次把控**:由于长时间断食会不可避免地分解肌肉蛋白质,因此不能频繁进行,但动物研究证实,偶尔进行一次 3 天长断食不仅能改善健康,更具有确凿的延年益寿作用。 ### [01:25:23](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5123s) 生酮饮食的长寿真相与植物性饮食建议 主持人分享自己在日常录制播客时很喜欢处于生酮状态,因为酮体让自己思维敏捷、表达流畅,进而询问长期的生酮饮食(Keto Diet)是否属于延缓衰老的健康饮食。辛克莱尔直言不讳地指出,虽然说出这个事实可能会引起争议,但作为严谨的科学家必须讲求证据:目前并没有充分证据表明“长期”严格生酮饮食能促进长寿。短期生酮对减重确实非常见效,但长期而言,生酮饮食完全无法与长寿产生正向关联。 辛克莱尔最担心的是生酮饮食者往往忽视了植物性食物的均衡摄入。未经过度烹饪或深加工的植物性食物富含大量肉类或超加工食品所不具备的独特生物活性分子(异源激应分子)。从现有衰老科学证据来看,最稳健的长寿饮食模式应当是:以植物为核心、热量适中、未过度加工且低精制碳水化合物的精简饮食。当被问及是否吃肉时,辛克莱尔坦言自己依然会吃肉,但频率已大幅削减——彻底告别了过去那种“每餐无肉不欢”的传统习惯。 ### [01:26:54](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5214s) 伴侣的“厨房大扫除”与植物性饮食的抗衰逻辑 大卫·辛克莱坦言,自己以前的餐盘结构完全是“大鱼大肉唱主角,蔬菜仅当做盘边点缀”,而且吃绿叶菜时总是心不甘情不愿。彻底颠覆他这一习惯的,是他的伴侣塞雷娜·潘(Serena Poon)。塞雷娜不仅是一名资深营养学家,更是深耕长寿健康领域长达 26 年的专家。当她搬进大卫的公寓时,第一件事就是毫不客气地清理了厨房里所有的食物库存——那些储藏的大多是超加工食品、高糖花生酱以及充满潜在毒素的不健康食材,塞雷娜甚至质问他:“你到底在吃些什么?”自那以后,大卫学会了真正健康的生活方式,转变为极少吃肉、极少饮酒,主打高品质、新鲜且尽量选择有机食材,以避开农药与环境污染残留。 当主持人史蒂芬·巴特利特(Steven Bartlett)好奇追问“为什么不吃肉”时,辛克莱从分子生物学角度给出了硬核解释:动物体内无法合成被称为多酚(Polyphenols)的活性分子。控制人体衰老进程的关键酶系统主要有三条核心通路:Sirtuins(长寿蛋白家族)、感知氨基酸的 mTOR,以及负责能量代谢监控的 AMPK。肉类无法触达这些抗衰通路,只有植物(以及极少部分真菌)所富含的天然植物化学物质,能够以恰到好处的方式精准调控这三大通路。多酚类物质进入人体,就像是“具有药效的天然食物”。 - **调控衰老的三大核心生化通路**: - **Sirtuins(去乙酰化酶家族)**:负责基因组表观遗传维护、修复 DNA 损伤并维持细胞身份。 - **mTOR(哺乳动物雷帕霉素靶蛋白)**:感知蛋白质和氨基酸摄入,调控细胞生长与自噬。 - **AMPK(腺苷酸活化蛋白激酶)**:感知细胞能量水平,激发代谢与抗逆反应。 ```mermaid flowchart TD accTitle: Plant Polyphenols Regulating Longevity Pathways accDescr: Diagram illustrating how dietary polyphenols from plants activate key cellular anti-aging pathways and mimic fasting benefits. subgraph PlantSource["植物摄入来源"] P["受逆境刺激的植物 / 蔬果"] --> Poly["多酚分子 (Polyphenols)"] end subgraph LongevityPathways["细胞长寿调控网络"] Poly --> Sirt["Sirtuins 酶系统"] Poly --> AMPK["AMPK 代谢传感器"] Poly -.-> mTOR["mTOR 营养抑制"] end subgraph CellOutcome["延缓衰老效应"] Sirt --> Reset["维持表观遗传与细胞身份"] AMPK --> Auto["模拟禁食与运动效益"] mTOR --> Repair["促进细胞自噬与抗逆修复"] end ``` --- ### [01:28:34](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5314s) 异种激应效应:“吃出彩虹”与受压植物的抗逆防御 看着录播室桌上摆放的蓝莓,辛克莱借题发挥指出,蓝莓那标志性的深紫色正是多酚高密度的视觉证明。塞雷娜常说“吃出彩虹”(Eat the rainbow),而在辛克莱的学术语汇里,这被称为“异种激应效应”(Xenohormesis)——植物在受到逆境威胁(如缺水、缺养分、强紫外线暴晒或缺少光照)时,会启动自我防御机制,大量合成多酚类二次代谢产物,包括白藜芦醇(Resveratrol)、漆黄素(Fisetin)、槲皮素(Quercetin)以及花青素(Anthocyanidins)等数百种分子。 当人类食用这些处在逆境中的植物时,等于直接“借用”了植物的防御信号。这些分子进入人体后,就像一把天然加速钥匙,激活细胞内的逆境应对系统。辛克莱用了一个生动的机械比喻:“NAD+ 是长寿蛋白 Sirtuins 运行所需的燃油(汽油),而水果蔬菜中的多酚则是深踩下去的油门踏板。”摄入蓝莓中的活性物质,就像是在不挨饿、不剧烈运动的前提下,在体内模拟出禁食与锻炼带来的细胞修护红利,帮助细胞维护身份认同、修复负面应激损伤。 - **异种激应效应(Xenohormesis)**:生物跨物种感知植物在恶劣环境下释放的环境应激化学信号,从而预先激活自身的抗逆与修复机制。 - **Sirtuins 激活机制**:以 NAD+ 为底物燃料,以白藜芦醇、槲皮素等植物多酚为变构激活剂(加速踏板)。 --- ### [01:30:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5443s) 抹茶的古老抗逆智慧与对红酒态度的颠覆 辛克莱将早晨的咖啡习惯改成了日式抹茶(Matcha),也是在塞雷娜指导下的重要转变。他向听众强烈推荐抹茶,并揭示了它高抗氧化、高多酚含量的栽培秘密:日本茶农在采摘茶树嫩叶前,会采用遮阴布遮挡阳光。植物因缺乏光照而陷入逆境压力,为了生存不仅会拼命制造叶绿素以呈现浓郁的墨绿色,更会爆发性合成海量多酚防御分子。这种传承千年的遮阴工艺,正是利用温和激应(Hormesis)赋予了抹茶极致的口感与强悍的健康益处。 顺着多酚的话题,辛克莱主动谈到了红酒,并公开做出了自我修正。在 1996 年,他发表的一项关于红酒提取物白藜芦醇的研究曾引发全球轰动,直接促使红酒销量暴增 30%。他坦言:“我为当年宣传‘每天喝一杯红酒有益健康’而道歉。”尽管不含酒精的红酒成分确实极其有益,但如今铺天盖地的现代流行病学证据表明,哪怕是极低剂量的酒精也会造成不可忽视的伤害。英国生物样本库(UK Biobank)对数千人进行的高精度大脑 MRI 扫描证实,即使是每天仅饮用一杯酒的人群,大脑整体体积和灰质厚度也呈现出统计学上显著的萎缩退化。因此,辛克莱彻底戒掉了每日红酒,转而直接从植物提取物或补剂中获取高纯度多酚。 --- ### [01:32:47](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5567s) 外源性酮体(Ketone-IQ)的大脑能量补给 史蒂芬·巴特利特提到自己作为投资人参与了英国增长最快的抹茶品牌 PerfectTed,随后顺势拿出一瓶自己联合持股的 Ketone-IQ 外源性酮体饮品,向辛克莱请教外源性酮体(Exogenous Ketones)的生理机制。辛克莱笑着承认自己其实就是该产品的忠实消费者,每次录制长音频或播客之前,他都会喝上一份 Ketone-IQ,以此来获得极致的大脑敏锐度。 辛克莱指出,无论是实验室独立研究还是临床观察,都证明酮体对心血管系统和神经认知极为友好。大脑是一个能量密集型器官,能够高效利用 β-羟基丁酸(BHB)等酮体分子作为主要能源;而摄入 1,3-丁二醇(1,3-Butanediol)可以在体内迅速转化为可用能源,直接为脑细胞“送货上门”,免去了机体先期在肝脏艰难转化脂肪酸合成酮体的过程。辛克莱表示,饮用外源性酮体能够让他立刻体验到深度断食时的“思维极度澄澈感”(Mental Clarity),却不必真正承受低血糖或长期断食带来的虚弱,是高脑力输出状态下的理想加速器。 - **外源性酮体核心形式**:1,3-丁二醇(1,3-Butanediol),在肝脏中酶解转化,迅速生成供脑细胞与心肌直接消耗的酮体。 - **生理效益**:绕过糖代谢途径,为神经元与心肌提供高效 ATP 能量流,改善认知聚焦力,提供类似断食的神经保护。 --- ### [01:34:33](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5673s) 击碎胆固醇神话:为什么他从 30 岁就预防性服用他汀 对话转向体检与心血管指标时,史蒂芬提出医生曾警告他必须警惕“坏胆固醇”,但公众舆论里常有人声称“大脑需要胆固醇、胆固醇过低有害”。辛克莱斩钉截铁地反驳:“我甚至都不知道这居然存在所谓争议。在我的学术认知圈里,这根本不存在争论——低密度脂蛋白(LDL)胆固醇绝对是越低越好,背后的数万人临床数据是无可辩驳的铁证。” 辛克莱耐心破除大众常犯的生物学误区:虽然神经系统确实需要胆固醇来构成神经髓鞘,但外周血液中的胆固醇根本无法穿透血脑屏障。大脑所消耗的全部胆固醇均由脑部胶质细胞自行独立合成,血液中 LDL 的大幅下降对中枢神经系统的胆固醇代谢毫无负面影响。辛克莱透露,由于自己带有强烈的早发心脏病家族遗传史,他在 30 岁那年便主动要求医生开具处方,开始常年服用他汀类药物(Statins)以彻底压低 LDL。 回想当年,主治医生一度感到匪夷所思,质疑他:“你才 30 岁,根本连心血管疾病的蛛丝马迹都没有,为什么要在没有生病的时候吃药?”辛克莱当时的反问展现了他一贯的激进预防理念:“那我为什么要坐以待毙?为什么非得等到动脉粥样硬化形成、心梗发作之后才开始干预?”在长寿医学的框架下,等待器质性病变发生才是最昂贵、最被动的错误策略。 ### [01:36:12](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5772s) 颠覆传统医疗体系:预防性用药与他汀类药物的博弈 David Sinclair 强调了他一直坚持的健康哲学:人类绝不应该等到罹患疾病之后才被动治疗,而必须及早干预、防患于未然。他在日常生活中始终践行这一理念,甚至常常需要为此和医生“斗智斗勇”。每次去医院体检,他都会主动要求医生:“我需要你给我开这项检测,我需要开这种药物。”尽管他的家庭医生任职于顶尖的哈佛医学院、医术精湛,但思想依然非常传统保守。传统医学的基本逻辑是“只要你没生病,医生就不会给你开药,特别是面对年轻健康的群体时更是如此”,但 Sinclair 坚信这种陈旧的医学模式必须彻底改变。 主持人随即好奇地询问,这是否意味着自己也应该开始服用他汀类药物(Statins)。Sinclair 直截了当地反问他的低密度脂蛋白(LDL)胆固醇水平如何。主持人有些难为情地承认自己的指标可能不太理想,打趣说大概是因为自己培根吃得太多了。Sinclair 解释道,饮食与胆固醇的关系因人而异,核心在于个体的肠道是否属于高胆固醇吸收体质,这完全可以通过现代医学手段进行专项检测;如果检测证实吸收率确实远高于常人,那么即便不立即服药,至少也必须在饮食结构上做出严格调整。 --- ### [01:37:13](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5833s) 延缓衰老的五大超级食物:多酚、健康脂肪与应激分子的力量 访谈桌上摆放着主持人精心准备的一盘食物,据称是 Sinclair 最推崇的五种具有逆转衰老潜力的日常食材。Sinclair 逐一进行了细致的营养学与分子机制剖析: ```mermaid flowchart TD accTitle: 五大长寿食物的核心成分与作用机制 accDescr: 展示蓝莓、抹茶、牛油果、特级初榨橄榄油、巴西坚果和球芽甘蓝的活性物质及健康益处。 subgraph S1["多酚与抗氧化"] B["野生蓝莓 / 无糖抹茶"] -->|"富含多酚"| C["抑制氧化损伤与细胞衰老"] end subgraph S2["优质脂肪与抗炎"] D["牛油果 & 特级初榨橄榄油"] -->|"多不饱和脂肪 / Omega-9"| E["延长饱腹感 & 激活去乙酰化酶 Sirtuins"] end subgraph S3["微量元素与毒物兴奋"] F["巴西坚果"] -->|"补硒 Selenium"| G["维持免疫与甲状腺健康"] H["球芽甘蓝"] -->|"萝卜硫素 Sulforaphane"| I["激活 NRF 细胞应激防御通路"] end ``` - **蓝莓(Blueberries)与无糖抹茶(Matcha)**:主持人以为蓝莓糖分很低,Sinclair 纠正指出蓝莓虽然富含多酚(Polyphenols),但含糖量并不算低,因此切忌大量进食,平时抓一小把当作零食即可。长寿的关键原则之一是让血糖水平始终保持平稳且处于偏低状态;摄入过多糖分会对长寿造成严重损害。相比之下,无糖抹茶是更好的多酚来源。Sinclair 特别警告,许多连锁饮品店售卖的抹茶饮料口感极为甜腻,摄入过量的糖分会彻底抵消多酚带来的所有健康益处,因此他本人只喝纯无糖抹茶。 - **牛油果(Avocados)**:牛油果的突出优势不仅在于多酚,更在于其所含的优质多不饱和脂肪(Polyunsaturated fats)。这些健康脂肪能带来持久的饱腹感(Satiety),若在午餐三明治中加入牛油果,下午便不会总想吃零食;同时,这类脂肪分子还具有极其优异的抗炎功效。 - **特级初榨橄榄油(Extra Virgin Olive Oil)**:富含健康的单不饱和脂肪酸,尤其是 Omega-9 油酸,已知可以直接激活长寿蛋白家族去乙酰化酶(Sirtuins)。Sinclair 指出,优质冷榨、未经过度加工且在采摘前经历过环境干旱等“逆境胁迫(stressed)”的橄榄,其榨出的油含有极其惊人的多酚含量。 - 现场插曲:面对桌上倒在容器里的黄色橄榄油,主持人开玩笑说希望团队没拿错道具,并打趣提到了“喝尿”,引得两人大笑。Sinclair 笑着回应喝尿显然不能延年益寿。他透露自己多年来一直坚持在早晨服用一茶匙特级初榨橄榄油,并与白藜芦醇(Resveratrol)等多酚粉末混合送服。流行病学数据也高度证实,日常大量摄入橄榄油的人群普遍炎症水平更低,患各类退行性疾病的风险大幅下降。 - **坚果与巴西坚果(Nuts & Brazil Nuts)**:坚果富含各种维生素与矿物质。Sinclair 特别建议每天吃一颗巴西坚果,用以补充人体食物链中极度匮乏的稀有微量元素“硒(Selenium)”。近期权威医学研究证实,缺乏硒元素会对机体健康产生极大的破坏性。不过坚果热量密度极高,若缺乏高强度运动且正在减重,切勿过量食用。 - **球芽甘蓝 / 抱子甘蓝(Brussels Sprouts)**:这是 Sinclair 最不喜欢的食物,但为了健康他依然会吃。球芽甘蓝除了多酚外,还含有一种关键分子——萝卜硫素(Sulforaphane)。这种含有硫原子的化合物正是导致它闻起来带有臭鸡蛋气味、尝起来发苦的原因。然而,正是萝卜硫素能够触发人体的“毒物兴奋效应(Hormesis)”,激活至关重要的细胞抗逆蛋白 NRF 通路。他建议将球芽甘蓝清蒸食用,切勿高温重油炸焦;若实在难以下咽,也可以直接选择萝卜硫素膳食补充剂。 --- ### [01:41:04](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6064s) 间歇脉冲式用药法则:白藜芦醇、二甲双胍与线粒体 主持人将话题引向 Sinclair 经常提及的“脉冲式给药(Pulsing)”哲学——身体应该经历压力刺激与修复休养的交替循环,而非全年无休地接受恒定的外源刺激。Sinclair 详细分享了这一理论背后的科学实验发现: - **白藜芦醇的小鼠寿命实验**:作为红葡萄酒中的知名活性成分,白藜芦醇在早期的肥胖小鼠实验中表现惊人,能使肥胖小鼠体重减轻、逆转大部分代谢疾病,并延长 15% 至 20% 的寿命。然而,当他们每天给正常体型的小鼠足量喂食白藜芦醇时,小鼠的寿命虽然有所微增,但统计学上并不显著。令人震惊的转折出现在后续实验中:研究团队改为“每隔一天”给老年小鼠喂食一次白藜芦醇,结果这批老年小鼠的寿命获得了极为显著的延长。Sinclair 由此领悟到,天天摄入外源物质可能会引发蓄积性副作用,反而抵消了抗衰活性。 - **二甲双胍(Metformin)与肌肉增长的冲突**:在健身与健美圈,长期每天服用二甲双胍的举重者和运动员在训练时的耐力动作次数变少,最终肌肉维度的增长相比对照组低了约 5%。Sinclair 指出,这并非肌肉在分子水平被分解,而是因为二甲双胍会轻度干扰细胞动力工厂——线粒体(Mitochondria)产生能量的过程,使人产生轻微的乏力与疲惫感。 - **间歇服用的正确策略**:为了规避能量抑制并最大化长寿收益,Sinclair 强烈主张对二甲双胍或其天然植物替代品小檗碱(Berberine,黄连素)采取隔天服用的脉冲策略(两者均能激活 AMPK 通路以协同长寿通路)。对于有规律健身习惯的人,切记不要在健身训练前数小时内服用二甲双胍,最好选在运动训练后服用,或者在运动当天完全停服。 --- ### [01:43:26](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6206s) 中场赞助:外源酮补充剂与深度对谈卡牌 在节目的商业赞助时段,主持人 Steven Bartlett 分享了他日常办公与团队管理的体验: - **外源酮体补充剂 Ketone-IQ**:主持人称其为改变生活的“游戏规则颠覆者(game changer)”。他回忆自己最初在工位上偶然尝试了团队成员放在桌上的样品,随后在全天的工作专注度、能量续航和整体工作产出方面感受到了质的飞跃。主持人也因此正式入股并投资了该品牌。目前观众可通过专属渠道获得七折优惠与赠品,该产品也已全面入驻美国全境的 Target 零售门店并提供免费试饮体验。 - **CEO 日记对谈卡牌与 1% 日记**:应广大听众的强烈呼吁,节目组将每期到访嘉宾在私密笔记本中为下一位未知名嘉宾留下的独家问题制作成了便携式深度“对谈卡牌(Conversation Cards)”,并与专注于微习惯成长的“1% 日记”捆绑推出,旨在为情侣、家庭、创业团队及大型企业员工之间建立深度情感联结与破冰沟通工具。 ### [01:44:55](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6295s) 运动与端粒长度:关联研究与因果关系的科学审视 对话从日常习惯切入运动对衰老标志物的影响。主持人提及大卫·辛克莱在著作第 102 页中引用的一项由美国疾控中心(CDC)资助的研究:每周进行 5 天、每次约 30 分钟慢跑的有氧运动者,其端粒长度看起来比长期久坐不动的人年轻整整 10 岁。针对主持人关于“这究竟只是相关性还是存在明确因果关系”的追问,辛克莱给出了极为客观的科学家视角。他坦言绝大多数关联性流行病学研究无法直接证实因果——爱跑步的人往往同时也饮食更健康、常喝抹茶、睡眠更加充足,这些混杂变量都会干扰结论。 若想在科学上确立因果链条,必须依赖前瞻性对照试验(Prospective Controlled Trials),即在试验开始时随机分配一组人必须规律运动,另一组人保持久坐,经过特定周期后再对比端粒长度的变化;辛克莱指出此类对照研究确实也证实了运动能够保持端粒长度。不过他也补充说明,随着衰老生物学的发展,染色体末端随分裂而缩短的端粒(Telomeres)曾经被视作衡量生物学年龄的黄金标尺,如今学界已逐渐转向更为精准的表观遗传钟(Epigenetic Clock),通过 DNA 甲基化化学修饰来测量机体的真实生理年龄。 --- ### [01:46:44](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6404s) 桑拿与冷水浴的生物学机制:热休克蛋白与激越反应 当谈到近年来风靡长寿圈的桑拿与冷水浴(Cold Plunge)时,主持人承认自己家里虽然装了桑拿房却几乎从未使用过。辛克莱对此立刻打趣道,录制结束后甚至可以带上主持人的女友一起去体验。在辛克莱看来,桑拿的健康益处在科学上早已毋庸置疑,它对降低心血管疾病发生率以及全因死亡率有着扎实的临床数据支持。芬兰几乎家家户户都配备桑拿,这为研究人员提供了绝佳的样本库;长期随访芬兰男性的多项研究一致表明,缺乏定期桑拿习惯的人群体内死于心脏病和心血管急性事件的概率明显偏高。 关于高温究竟如何在细胞层面起作用,辛克莱坦承“任何声称自己彻底搞懂背后机制的人都是在吹嘘”。但他最推崇的一个科学假说是:高温会激活体内的热休克蛋白(Heat Shock Proteins, HSPs)。这套防御体系在进化上极为古老,甚至可以追溯到酵母菌;当呼吸湿热空气时,细胞感应到热压力并启动 HSPs 来折叠和修复受损蛋白质。相较于温度较低的蒸汽房,辛克莱更偏向传统干蒸桑拿,因为其能达到更高的温度刺激。至于冷水浴,目前虽然有一些关于运动后辅助肌肉修复的数据,但延寿的直接证据依然有限;不过冷水浴能带来经典的激越反应(Hormesis)与逆境刺激,辛克莱表示自己过去常做冷水浴,虽然未必能延长绝对寿命,但在提升心理专注度与精力充沛感方面效果显著。 ```mermaid flowchart TD accTitle: 桑拿与极端温度刺激的激越反应机制 accDescr: 展示桑拿热刺激与冷刺激如何通过应激通路激活细胞保护机制 subgraph ThermalStress["温度应激刺激"] A["高温桑拿暴露"] B["冷水浸泡刺激"] end subgraph CellularResponse["细胞保护通路"] A --> C["诱导热休克蛋白 (HSPs)"] C --> D["修复变性蛋白与防范折叠错误"] B --> E["触发激越效应 (Hormesis)"] E --> F["促进肌肉微创恢复与神经警觉"] end subgraph LongevityOutcome["系统性生理收益"] D --> G["降低心血管事件与全因死亡率"] F --> H["增强神经清晰度与代谢韧性"] end ``` --- ### [01:48:50](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6530s) 延寿习惯的优先级排序:断食与高强度有氧运动 主持人要求辛克莱在讨论过的所有生活方式干预中做出抉择,排出一项具有“第一张多米诺骨牌”效应的最核心习惯。辛克莱起初反驳称健康延寿绝非单点突破,但若综合考虑执行门槛的简易度与对生理系统产生的巨大冲击力,他的首选毫无疑问是——少吃一餐、进行间歇性断食(Skipping meals)。断食能够以极低的金钱与时间成本,全面调动体内的防御机制。 紧随其后的第二位则是特定模式的有氧运动: - **气喘吁吁的标准**:运动必须达到让人“喘不过气来”(Losing your breath)的强度,每周至少 3 次,每次持续至少 5 分钟。 - **强度衡量测试**:在此状态下,你无法轻松自如地与人交谈,必须处于大口喘气的状态。 - **抗阻训练与有氧的关系**:纯粹的力量举铁虽然对于维持老年人的肌肉量、骨骼力量、防跌倒能力以及维持睾酮等激素水平必不可少,但大量长寿人群流行病学数据表明,能够显著延长寿命的往往是让心肺受到剧烈挑战的高强度有氧运动。 --- ### [01:49:54](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6594s) 红光疗法:从怀疑到线粒体修复的证据支持 面对市场上红光面罩、红光桑拿等火爆仪器的真实性,辛克莱承认自己最初与大多数人一样持怀疑态度,觉得“拿红光照照皮肤就能变年轻、长头发”听起来就像是无稽之谈。然而,在深入系统地审查了相关基础研究后,他的态度发生了转变。 辛克莱自己目前正在使用红光生发帽来保护发际线。科学界现已有坚实证据表明,特定波长(波长的准确性至关重要)的红光可以直接被细胞的能量工厂——线粒体(Mitochondria)所吸收,从而刺激线粒体的活性、增强呼吸链并促进其逆龄修复。因此,红光生物调调节技术(Photobiomodulation)并非毫无根据的伪科学营销,它在改善毛囊微环境、促进胶原蛋白合成以及提升细胞能量代谢方面具备真正的生化机理。 --- ### [01:50:40](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6640s) 大卫·辛克莱的日常补剂清单:从 NMN 到亚精胺与甘氨酸 当主持人探寻辛克莱随身携带的补剂药盒时,辛克莱提到自己出差确实会带着一个装满补剂的小箱子,但他拒绝将里面的成分完整公之于众,因为其中包含一些前沿的自用实验性成分。他强调:“我可以拿自己的身体做实验,但我绝不会向公众兜售或宣传尚未被彻底证明安全有效的物质。” 在此前提下,辛克莱详细列举了他认为安全可靠且日常坚持摄入的核心补剂: - **烟酰胺单核苷酸(NMN)与白藜芦醇(Resveratrol)**:此前多次详述的基础延寿组合,用于激活去乙酰化酶 Sirtuins 与提升 NAD+ 水平。 - **二甲双胍(Metformin)或小檗碱(Berberine)**:用于调控胰岛素敏感性与血糖稳态的代谢调节剂。 - **亚精胺(Spermidine)**: - **来源背景**:该物质最初由显微镜学家安东尼·范·列文虎克(Antonie van Leeuwenhoek)在精液中结晶发现,如今主要从**小麦胚芽**等植物原料中提取浓缩。 - **延寿效果**:在从线虫到小鼠的各种模型动物中,亚精胺均显示出一致的寿命延长作用。 - **作用机制**:刺激细胞自噬(Autophagy),加速清除和循环利用受损蛋白废料,协同断食的益处;更重要的是,辛克莱团队的实验显示它能够减缓表观遗传信息的丢失,“阻止黑胶唱片被划伤”。 - **甘氨酸(Glycine)**: - **学术渊源与剂量**:甘氨酸作为组成蛋白质的 20 种氨基酸之一,辛克莱在读博士期间曾对其进行深入研究,甚至是最早克隆出甘氨酸代谢处理基因的研究者之一。他在大多数日子里会每日摄入约 **5 克** 甘氨酸。 - **潜在机理**:给小鼠补充数克级甘氨酸后寿命显著延长。辛克莱认为甘氨酸通过调控体内关键的**一碳代谢(One-carbon metabolism)**,直接影响基因组的 DNA 甲基化过程,从而维持细胞表观遗传信息的稳定与精准度。 ### [01:53:57](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=6837s) 甘氨酸与烟酸:调节表观遗传与降低脂蛋白(a) 大卫·辛克莱(David Sinclair)继续梳理他的长寿补剂清单,谈到了甘氨酸(Glycine)。他指出,每天摄入大量甘氨酸很可能有助于延缓细胞表观遗传信息的丢失——即所谓的细胞“身份危机”(identity crisis)。甘氨酸与亚精胺(spermidine)属于同一类物质:安全性极高、价格亲民且几乎没有负面副作用,属于“既然没有坏处且负担得起,何乐而不为”的选择。随后,辛克莱透露了另一项针对心血管健康的干预手段——烟酸(Niacin,即维生素 B3)。 服用烟酸的一个典型生理反应是“烟酸潮红”(niacin flush),皮肤会出现刺痛和发热感,辛克莱调侃这种燥热感“简直就像经历了更年期一样”。如果不习惯或者未搭配阿司匹林服用,这种不适感会相当明显。为了适应这种反应,辛克莱通过循序渐进的方式建立耐受,目前每天摄入 0.5 克(500 毫克),而有些人会服用高达 1 克。他之所以坚持摄入烟酸,是因为它是少数已知能够有效降低脂蛋白(a)(Lp(a))水平的化合物之一。尽管目前已有针对 Lp(a) 的创新药物进入了三期临床试验阶段且前景明朗,但在这些药物正式获批上市前,烟酸依然是他日常控制心血管风险的首选。 - 甘氨酸:辅助维持细胞表观遗传稳定性,安全性高,价格低廉。 - 烟酸剂量:辛克莱个人服用剂量为 0.5 克/天(部分人群达 1 克/天)。 - 烟酸潮红机制:引起毛细血管扩张与皮肤灼热刺痛,可与阿司匹林同服或从小剂量逐步建立耐受。 - 临床价值:在三期新药上市之前,烟酸是极少数能下调高危心血管指标 Lp(a) 的手段之一。 --- ### [01:57:46](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7066s) 脱发防治与睾酮误区:红光帽、DHT抑制剂与力量训练 谈到衰老的显性特征——脱发与白发,辛克莱分享了自己家族的遗传背景:他的父亲在 30 岁前就已经彻底秃顶,到 40 岁时头发几乎全白。深知自己遗传基因处于劣势的辛克莱,早早就开始采取具有针对性的防脱策略,并告诫听众:“对于脱发,千万不要等到肉眼可见大面积脱落时才去处理,那时往往为时已晚。”只要条件允许(非差旅期间),他会使用红光生发帽照射头皮 6 分钟。已有科学证据表明红光疗法能有效减缓脱发速度,尽管它未必能让死去的毛囊重新长出头发,但能起到关键的保全作用。 在生化阻断方面,辛克莱正在服用一种激素类似物来阻断二氢睾酮(DHT)。DHT 是睾酮在体内转化后导致男性型脱发的主要元凶,这也是女性脱发发生率远低于男性的根本原因。当主持人询问他是否通过外源补充睾酮来维持活力时,辛克莱给出了明确的否定回答,因为外源睾酮会增加体内的 DHT 水平,进而加速脱发。对于想要自然提升睾酮水平的男性,他强烈推荐大肌群力量训练,尤其是深蹲练腿和背部训练。任何睾酮水平低于 400 ng/dL 的男性,走进健身房进行规律的力量训练都能带来显著的回升。 - 家族史对比:父亲 30 岁全秃、40 岁全白;辛克莱通过早期干预成功保留头发。 - 红光头盔方案:单次照射 6 分钟,经临床证实可延缓脱发进程。 - 药理防脱机制:使用药物阻断睾酮转化为二氢睾酮(DHT)。 - 睾酮水平自然提升:重点锻炼大腿和背部等大肌群,特别适用于总睾酮低于 400 ng/dL 的人群。 --- ### [01:59:21](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7161s) 男性睾酮替代疗法(TRT)的利弊与长寿关联 针对目前风靡的男性睾酮替代疗法(TRT),主持人询问辛克莱是否推荐男性使用。作为一名严谨的科学家,辛克莱强调自己不会向公众随意开具处方建议。他认为对绝大多数男性而言,TRT 并不是必需品,干预的第一步永远应该是减轻心理压力、保证优质睡眠、坚持高强度运动并增加肌肉量;只有在这些生活方式彻底失效后,才应当去咨询医生。 辛克莱进一步澄清了围绕睾酮补充的健康争议。他的好友曾主导过多项严格的睾酮临床试验,现有数据表明,规范使用外源睾酮并不会带来显著的癌症风险,从改善生活质量和一般健康状态的角度来看,它确实有其临床价值。然而,辛克莱划清了一条明确的科学界线:“睾酮对健康管理或许有用,但它绝不会带来寿命的延长。”临床数据清楚地显示,睾酮疗法并不能激活机体的抗衰老机制,因此追求长寿者完全没有必要将其作为延年益寿的手段。 - 生活方式优先梯队:降压力、保睡眠、做力量抗阻训练。 - 肿瘤风险评估:现代临床试验表明规范化 TRT 并未显著增加前列腺癌等恶性肿瘤风险。 - 核心结论:睾酮可用于特定健康与精力改善,但对延缓衰老及延长寿命(Longevity)毫无助益。 --- ### [02:00:00](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7200s) 未来的医学图景:百年后的回望与全身器官年轻化 主持人探讨起辛克莱作为顶尖科学家的未来愿景,提到哈佛大学这类学术象牙塔往往要求学者谨守既定事实,任何超前的推论都会招致批评。辛克莱坦承自己确实因大胆预测未来而受到同行非议,但他坚信“人类生命之所以有趣,恰恰在于对未来的想象”。他预测,未来世界与当下的差距,将彻底重演当今时代与 200 年前工业时代初期的巨大鸿沟,而这一切巨变将在我们这代人的有生之年内发生。 辛克莱打了一个生动的比方:在 100 多年前,一根扎入皮肤并引发感染的木刺、一场普通的产妇分娩或是天花病毒,都极有可能夺走一个人的生命,而现代人早已不再为此担忧。同样,在不远的未来,后人回望我们这个时代的心脏病、失明或截瘫,只会感到匪夷所思并发出感叹:"How did those people get through life? What a horrible world they lived in."(那些古人到底是怎么熬过一生的?他们生活在一个多么可怕的世界里啊。)辛克莱透露,在自己的哈佛实验室里,在数周内逆转实验动物组织的年龄早已不再是轰动的新闻,而是日常操作;未来人类不仅能逆转视力,坏掉的肝脏可以重返青春,衰退的大脑和丢失的记忆同样可以被重新唤醒。 - 历史维度对比:百年前的致命威胁(木刺感染、产褥热、天花)已成历史,当下的退行性疾病将在未来被同等视之。 - 实验室常态:在小鼠模型中,数周内完成局部组织器官的表观遗传年轻化重置已成常规实验。 - 终极目标:全组织器官修复,涵盖肝脏再生、神经退行性疾病治疗与受损记忆恢复。 --- ### [02:01:53](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7313s) 重见光明:利用 AAV 病毒载体进行眼部细胞重编程 谈及最前沿的人体临床试验,辛克莱带来了重磅消息:实验室已经在灵长类动物(猴子)身上实现了完全失明的逆转。这些完全失明的猴子在接受重编程治疗仅仅 6 周后便重新恢复了视力。如果今年在人类盲人患者身上的临床试验取得成功,将成为医学史上首次证明人类身体可以被安全重置回年轻状态的里程碑事件。眼睛只是第一步,它证明了衰老时钟可以被倒转。 ```mermaid flowchart TD accTitle: AAV2基因疗法眼部重编程流程 accDescr: 展示从工程化AAV2载体注射到视网膜神经节细胞内基因表达并恢复视力的完整技术链路。 subgraph S1["载体制备与递送"] A["工程化 AAV2 载体<br/>(无致病性外壳,表面特异性蛋白)"] B["眼部微创注射<br/>(2秒钟不适感)"] A --> B end subgraph S2["靶向识别与胞内释放"] C["玻璃体液扩散与靶向对接<br/>(表面蛋白充当靶向眼底视网膜的'邮政编码')"] D["穿透细胞膜并在胞内解体"] B --> C --> D end subgraph S3["基因激活与组织年轻化"] E["释放三种重编程基因 (OSK)"] F["逆转视网膜神经节细胞年龄<br/>(灵长类试验中6周恢复视力)"] D --> E --> F end ``` 辛克莱一边拿出眼球解剖模型与病毒结构模型,一边详细拆解治疗的微观运行机制。为了将重编程基因安全送入细胞,团队使用了类似于病毒的外壳作为递送载体(AAV2,腺相关病毒2型)。该载体不含致病成分,不具备自主复制感染能力。其外壳表面设计有特定的蛋白结构,辛克莱将其形象地比喻为细胞层面的“邮政编码”(zip code)——如果改变表面蛋白,就可以将载体精准导向肝脏或大脑;而当前的表面蛋白设计则是专门靶向眼底视网膜神经细胞。 这项技术的转化成本极为高昂:为了准备即将开展的人体临床试验,团队耗时约一年、斥资约 1000 万美元在欧洲合规生产了首批临床级载体。在实际治疗中,数以万亿计的 AAV2 载体将通过一根极细的针头注入眼球。尽管眼球注射听起来令人不适,但对失明患者而言,这仅仅是“2 秒钟的不适”。微观载体进入眼球内部后,会迅速与视网膜后部的靶细胞精准对接,穿透细胞膜进入内部后外壳裂解,释放出包裹在内的三种长寿重编程基因,从而启动组织复原进程。目前,团队正在焦急等待美国 FDA 的最终临床试验批准,首批人类患者的注射即将正式拉开帷幕。 - 灵长类试验数据:完全失明的猴子在治疗后 6 周内逆转失明并重获视力。 - 临床级生产投入:在欧洲生产首批试验载体耗资约 1000 万美元,周期长达 1 年。 - 递送载体:腺相关病毒 2 型(AAV2),表面修饰特定靶向蛋白作为导向视网膜的“邮编”。 - 负载核心:装载三种山中因子(OSK)重编程基因,诱导细胞分化状态保持的同时抹除表观遗传衰老标记。 - 审批进展:生产已就绪,正等待 FDA 批准开展首例人体盲人患者临床注射。 ### [02:05:54](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7554s) 基因治疗的开关机制:强力霉素与人体视力恢复试验 戴维·辛克莱尔展示了他们所使用的 DNA 载体结构——那是一个微型的环状 DNA 包裹。在疗程中,数以万亿计的基因载体被注入体内,其中一个进入细胞后便会永久留存。经过治疗的小鼠、猴子或人类受试者,在眼球后部实际上已经植入了这种外源基因,成为局部的转基因状态。然而,这些基因在常态下完全处于静止休眠状态,什么也不会做。辛克莱尔的团队对这一系统进行了独创性的工程改造并申请了专利:他们可以通过外部给药,精准地随时开启或关闭这三个重编程基因(山中因子 OSK)。 控制这个分子开关的“钥匙”是一种极为常见且成熟的抗生素——强力霉素(Doxycycline)。这种药物通常用于治疗疟疾或莱姆病,而在该疗法中,患者口服强力霉素来启动这三个逆龄基因,持续诱导表达约 8 周。为了保护患者的肠道健康,试验还会配合使用益生菌来修复微生态。负责该临床试验的主管医生之一是辛克莱尔在哈佛大学的好友。与常规临床一期使用健康志愿者不同,这项试验直接针对视神经受损的患者展开。医生会在治疗前精密测量患者的基线视力,并在给药期间定期复查。辛克莱尔指出,这个试验不需要复杂的统计图表来证明趋势,“它要么起效,要么无效;患者要么视力恢复,要么没有”,因此只需一到两名受试者的数据,团队就能迅速判断疗法是否奏效。到明年这个时候,甚至更早,这一成果就可能公之于众。 如果眼部治疗成功,眼球仅仅只是逆转衰老的起点。团队首要主攻的适应症是青光眼(眼压过高引起),紧随其后的是前部缺血性视神经病变(俗称“眼部中风”,NAION)。辛克莱尔特别提到,由于 Ozempic 等新型 GLP-1 减肥药物的风靡,这种眼卒中的发病率正在世界范围内上升,患者往往一夜之间彻底失明,且现行医学对此束手无策,几个月后另一只眼睛也可能相继失明;仅在美国,每年就有大约 3 万人遭遇这一噩梦,其中不乏年轻人。青光眼与眼卒中之后,下一步将推进到致盲第一大病因——老年性黄斑变性(Macular Degeneration)。随后,团队将开发针对肝脏、肺部、皮肤等不同器官的专用载体包裹,最终目标是实现全身的年轻化逆龄。 ```mermaid flowchart TD accTitle: 基因治疗与适应症推进路径 accDescr: 展示从 DNA 载体注入、开关诱导到器官逆龄拓展的整体治疗逻辑。 subgraph EyeDelivery["眼部靶向递送与表达"] A["注入含 OSK 基因的环状 DNA 载体"] --> B["基因永久植入眼底细胞(平时休眠)"] B --> C["口服强力霉素 (Doxycycline) 开启开关"] C --> D["持续表达 8 周启动细胞逆龄修复"] end subgraph DiseasePipeline["临床管线拓展规划"] E["青光眼 (Glaucoma)"] F["眼部中风 (NAION)"] G["黄斑变性 (Macular Degeneration)"] H["肝脏、肺部、皮肤等其他器官"] I["全身系统性年轻化"] D --> E E --> F F --> G G --> H H --> I end ``` ### [02:08:34](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7714s) 从10万美元到100美元:AI驱动的口服逆龄药物与科技平权 负责将这项技术推向现实的是一家名为 Life Biosciences 的私营生物技术公司。辛克莱尔对他所带领的科学家团队深感自豪,因为他们的终极远景不仅局限于病毒载体的基因疗法,而是要研制出世界上第一款能够逆转衰老的口服药片。为了实现这一跨越,团队正在借助人工智能(AI)加速小分子筛选与药物设计。 目前团队已经通过 AI 筛选了多达 80 亿个候选小分子,并成功锁定了 3 个具备逆龄功效的分子原型。现阶段,实验室正在利用 AI 将这 3 种分子的活性结构融为一体,合成一种复合小分子化合物,并正在试验台上进行高通量基底测试。尽管将口服药推进至人体临床试验还需要数年时间,但辛克莱尔预计在未来一到两年内就能从小鼠实验中得到明确答案——如果给老年小鼠喂食该药片后,它们能够重返年轻并显著延长寿命,这项研究就取得了里程碑式的突破。 辛克莱尔之所以执着于研发“抗衰药丸”,核心驱动力在于技术的普惠与全球健康平权。当前的基因治疗成本极其高昂,仅单次临床试验就要耗费上千万美元,未来商用后的单次治疗费用可能高达 10 万美元以上。对于面临失明的患者而言,10 万美元换取光明是值得的,国家医疗体系也承担得起防盲的支出;但如果目标是让人类免受衰老疾病的折磨,这种天价疗法绝不可能惠及大众。辛克莱尔直言:“我真正奋斗的目标,是把 10 万美元的治疗变成 100 美元的药丸。我要让这项技术平民化,即使是生活在肯尼亚的普通人,也能吃得起这种逆龄药物。” ### [02:10:11](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7811s) “扮演上帝”与意识创造现实:量子物理视角下的灵性追寻 当主持人询问在长寿前沿领域还有哪些至关重要却尚未讨论的议题时,辛克莱尔提到了来自哲学和宗教层面的阻力。部分宗教人士抨击抗衰老研究是在“扮演上帝(playing God)”。对此辛克莱尔反驳道,人类作为一个物种,数千年来一直在做这件事——从最早使用草药,到现代医学改造人类生物学,我们无时无刻不在干预自然;放眼四周,录音室里的桌椅、仪器,没有一样是自然界原本存在的。“我们一直在重塑世界,衰老本身也是一种生物学状态,人类没有尽早着手解决它才是一件怪事。” 面对主持人“你是否相信上帝”的直接发问,辛克莱尔给出了一个深具科学哲理的回答。他并不认同传统拟人化的神,但他坚信在表象现实之外存在着更深层的东西。作为物理学的狂热爱好者,他感叹量子力学的离奇:“任何声称自己真正理解量子力学的人,大概都是在说谎。”无论是量子纠缠还是模拟假说,都打破了经典物理的常识。他看着眼前的实木桌面打趣道,这并非一张绝对坚固的实体桌子,在微观与量子层面上,它可能存在着无限个平行版本——主持人调侃演播室其实准备了四张一模一样的备用桌,辛克莱尔便顺势大笑:“那就是四乘以无穷大个版本!” 辛克莱尔提出了一个深刻的唯心与物理交叉的观点:他认为“意识是宇宙的终极目标”,并且正是意识创造了现实。在粒子物理实验中,观察者的存在会从根本上改变粒子的物理表现,甚至在时间线上逆向追溯并确立粒子的历史状态。无论用高精仪器探测还是用肉眼直接观测,一旦人类意识介入去解读这些信息,粒子的行为模式就会改变。辛克莱尔由此推论:“这是否意味着,在没人回头注视之前,我们身后的墙壁其实并不以确定形态存在?完全有可能。观察不仅影响现实,更在塑造现实。虽然我不会把这种力量称为上帝,但我确实在科学的意义上拥有某种灵性信仰。” ### [02:12:22](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7942s) 模拟假说与双缝实验:观察如何从根本上塑造物理现实 主持人顺着这个话题幽默地延伸:辛克莱尔是否想过,也许他是这个房间里唯一的“真实玩家”,而在他今天踏进大门之前,其他人甚至根本没有被“渲染(rendered)”出来。辛克莱尔大笑着表示,这种想法在小孩子童年时期很常见,虽然听起来极度自恋,但在纯粹的物理与认知层面上,你确实无法从逻辑上证伪它。 当被问及“我们是否生活在一场虚拟模拟之中”时,辛克莱尔直截了当地给出了肯定的判断: - **生活在模拟中的概率**:他认为当前世界是一场模拟程序的概率“超过了 50%(better than 50% chance)”。 - **客观现实的虚幻性**:我们所感知的坚固宏观世界,与微观底层的运行机制截然不同。只要深入到物质的基本粒子层面进行高精度测量,就会发现所谓客观独立的现实根本不复存在,物体的状态竟然会因为人类的主观观测而发生坍缩和改变。 为了向听众阐释这一荒谬却被验证的物理真理,辛克莱尔详细讲解了物理学史上的经典基石——双缝实验(Double-slit experiment): - **受测观测时的粒子行为**:当向带有两条狭缝的挡板发射电子等微观粒子,并在狭缝处放置探测器或进行观测时,粒子表现得如同微小的弹珠,笔直穿过缝隙并在后方的感应底板上留下清晰的“两道平行的缝隙条纹”。这完全符合日常世界的机械直觉。 - **未受观测时的波动行为**:然而,一旦撤掉探测设备、不对粒子的路径进行任何观察,穿过双缝的粒子便不再呈现单一实体的颗粒性,而是化作了概率波。两股波穿过狭缝后彼此干涉,最终在背后的底板上留下了明暗相间的“多重干涉条纹”(Interference pattern)。波的重叠使得正中心位置条纹最密集,向两侧形成理论上近乎无限延展的干涉带。 辛克莱尔强调,双缝实验最令人毛骨悚然的地方在于:仅仅是“去探测粒子到底穿过了哪条缝”这一下意识动作,粒子原本具有的波动相干性就会瞬间崩溃,强制坍缩为一个确定的物理实体。科学界早已用无可辩驳的数据证实了这一点,但这背后的哲学与存在意义,却至今罕有人敢于深入探讨。 ### [02:15:40](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8140s) 量子观察者效应与现实的本质 对话从量子力学经典的双缝实验切入。主持人对实验中观察与不观察的结果差异感到困惑:如果粒子在未被探测时会在感应屏上形成干涉条纹,而一旦对其进行实时观察,波函数便会坍缩,呈现出两条分立的条纹,那人类若不回头看,又如何确切知晓背后的状态?David Sinclair 解释称,实验可以通过实时探测以及事后显影记录来进行验证。尽管物理学界对某些看似“延迟选择”或带有逆时间回溯色彩的实验存在诸多争论,但在标准实时测量下,只要有观测行为存在——无论是人眼注视还是摄像机记录——粒子仿佛能感知到自己正被注视,并立刻改变其物理表现。 这种“被观察即被改变”的物理特性引出了一个深刻而令人费解的哲学结论:人类其实对客观现实的真面目近乎一无所知,因为所有被感知的对象都在观察发生的那一刻遭到了扭曲与改写。Sinclair 半开玩笑地探讨起具备高度智慧的生物(例如章鱼)是否也能作为有效观察者:如果将一只章鱼置于双缝实验装置前,其意识是否足以引发量子坍缩?他推测,只要生物拥有感知并处理外部视觉信息的能力,其意识同样可能对物理世界的底层现实产生影响。 - **双缝观测效应**:不进行实时检测时,粒子表现出波的干涉条纹;一旦通过人眼或摄像机实施检测,便坍缩为两条确定粒子轨迹。 - **关于现实认知的推论**:观测行为不可逆地改变被观测对象,揭示出人类感知的局限性以及意识与物理世界之间的微妙交织。 --- ### [02:17:17](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8237s) 宇宙中的外星生命与衰老难题 从物理现实的谜团延伸开来,人类面临的下一个终极疑问便是:“我们是否注定要衰老?”Sinclair 认为,在浩瀚的宇宙中,其他智慧物种大概率早于人类数百万年甚至数十亿年就破解了衰老的生物学机制。在他看来,追求长寿与逆转衰老是宇宙中所有具备自我意识的生命体必然走向的终极进化目标,人类在这一进程中不过是觉醒得稍显迟缓而已。 谈及地外生命,Sinclair 直言自己并不盲目迷信飞碟传闻,而是坚定相信纯粹的数学概率。宇宙中存在着数万亿颗行星,其中大量处于适宜生命生存的宜居带;更重要的是,构成 DNA 和蛋白质的核心生化原材料在陨石与外星天体上随处可见。在如此庞大的基数下,断言不存在其他生命是极其荒谬的。尽管人类尚无法证实这些生命是否已经建立起具备高度自我意识的星际文明,但生命的火种在宇宙中必然普遍存在。 --- ### [02:18:20](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8300s) 意识的崛起与存在的终极意义 面对亿万光年外可能存在的外星生命,主持人提出了一个直击灵魂的虚无主义追问:如果宇宙无边无际,生命的终极意义究竟是什么?人类汲汲营营追求的长生不老,是否只是一场盲目繁衍、追求欢愉后的空虚循环?Sinclair 承认,这是所有具备自我意识的生命无法回避的心灵危机。然而在医学实践中,拥有清晰的“人生目标(Purpose)”恰恰是长寿的关键基石——有目标的人在生理与心理上往往活得显著更久。 Sinclair 提出了一种宇宙学视角的生命观:整个宇宙之所以存在,或许正是为了通过生物演化让“意识”得以萌发。宇宙常数只要发生微小变动,生命与意识的形成便会化为泡影,因此当前宇宙实质上是一个为孕育意识而调谐的温床。尽管这并不意味着人类个体的存在拥有与生俱来的神圣使命,但意识本身无疑是宇宙所能创造出的最奇妙、最珍贵的产物。在这一点上,他与 Elon Musk 的观点高度共鸣:“人类虽然既神奇又残忍,但意识本身必须被全力守护与延续。” ```mermaid flowchart TD accTitle: 宇宙与意识演化关系图 accDescr: 展示物理宇宙通过精密微调演化出生物并最终形成自我意识的层级递进流程。 subgraph UniverseCondition ["宇宙底层设定"] A["物理常数精细微调"] --> B["孕育适宜生命的宜居环境"] end subgraph BiologicalEvolution ["生物与神经演化"] B --> C["有机分子与 DNA 构成生命"] C --> D["复杂神经系统诞生"] end subgraph ConsciousnessLevels ["意识进阶形态"] D --> E["初级感知与预测能力 (如犬类)"] E --> F["高度自我反思与元认知 (人类与超级智能)"] end F -.-> G["终极使命: 守护与延续意识火种"] ``` - **目标与寿命的相关性**:临床与流行病学数据一致显示,具备强烈使命感与生活目标的人群,其生物学寿命显著长于缺乏目标者。 - **意识的定义范畴**:具备反思能力、感知自我思维过程,并能跨越时间维度对过去进行复盘和对未来展开预测。 --- ### [02:20:50](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8450s) 意识层级、女性情商与多维反思 关于意识的界限,Sinclair 认为它并非非黑即白的开关,而是一道连续的光谱。例如狗具有半意识(Semi-conscious)——它们能够感知当下、预测短期未来、共情主人的情绪,但无法像人类一样进行深度的过往反思与复杂的自我审视。人类在约一百万年前跨越了这一门槛,进入了高度自我认知的领域,但这绝非意识进化的终点。 在探讨更高层级的意识时,Sinclair 幽默地拿自己的私生活举例,称自己的伴侣 Serina Poon 在感知力上远超自己,“在她面前我就像一只大猩猩,她存在于完全不同的意识维度上”。主持人也笑着附和,称在面对自己的未婚妻时有着全然相同的体会。Sinclair 坦言,自己曾因在书中提出“女性在很多维度比男性更具优势、具备更高层级的意识与情商(EQ)”而遭遇过极端男性的死亡威胁,甚至扬言要打断他的腿,但他依然坚持这一观点。他将更高阶的意识描述为一种层层嵌套的元认知(Meta-cognition)能力——不仅是知道自己在思考,更能超然地旁观“正在观察自身思考的那个观察者”,直至达到摆脱凡俗杂念、纯粹归于思维本身的纯意识之境。 --- ### [02:22:36](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8556s) AI意识的进化与机器人军团的现实威胁 将意识演化的阶梯投射到科技领域,Sinclair 语出惊人:他坚信人工智能(AI)未来不仅会产生自我意识,其意识水平还将远超人类。原因在于,AI 能够以超越人类生物繁衍数十亿倍的速度自主进化。当前大语言模型已经展现出自我分析的雏形与类似动物的早期感知力;而当 AI 接入机械视觉、听觉感知并拥有机械身躯后,结合其对人类全量知识库的内化,它们必将形成清醒的自我存在认知。 出人意料的是,Sinclair 并不担忧好莱坞电影中“觉醒 AI 判定人类无用而将其抹杀”的末日设想。他相信拥有高度智慧与全面知识的超意识智能体大概率会伴生同理心与善良特质,即使存在个别残暴个体,也可通过伦理与法制进行约束。真正令他深感战栗的,是人类恶霸对先进技术的恶意驾驭: > “真正让我感到恐惧的,是心怀鬼胎的极权个体将 AI 与数百万台人形机器人结合。一个人就能在远方通过船队派遣百万机器人大军入侵别国,或者通过网络后门直接征召数百万台正在千家万户洗碗打扫的家用人形机器人入伍,将其就地重编程为身强体壮、毫无痛觉的机械军团。我害怕的是恶人用 AI 与机器人行不义之事。” - **AI 意识进化动力**:算力扩张、多模态实体具身化(躯体与感官接入)以及跨越世代的超高速指数级自我迭代。 - **真正的安全威胁源**:不是自主意识 AI 的反叛,而是人类恶意指令下对家用及军用机器人的规模化武装劫持与地缘政治滥用。 --- ### [02:24:32](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8672s) 《Lifespan》播客的重启与科学解惑 在对话的尾声,话题转向了科普传播与公共健康信息治理。主持人提及 Sinclair 主理的健康科普播客《Lifespan》即将重磅回归。Sinclair 回顾了创办播客的初衷:当前抗衰老与长寿领域的信息呈爆炸式增长,但充斥着未经证实的炒作、片面的伪科学新闻与投机性商业言论,普通大众极度缺乏具备专业学术背景的一线科学家来甄别、过滤和权威解读这些海量数据。 该播客在初次上线时便迅速登顶各大健康类榜单榜首。此前为了专注于前沿药物研发及实验室的突破性科研工作,他曾暂停了播客的更新;然而无论走到世界哪个角落,不断有听众与同行当面询问下一季的上线日期。面对公众对衰老干预、寿命延长科学知识的巨大渴求,Sinclair 宣布《Lifespan》播客正式回归并展开新一季的录制与发布,致力于继续向全球大众传递最严谨的前沿长寿科学。 ### [02:25:21](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8721s) 构建全球长寿社区与“3C”核心理念 David Sinclair 博士提到了自己的播客项目《Lifespan》,并指出播客中会更深入地探讨生物黑客(Biohacking)、营养补充剂以及锻炼方案等当天对谈中未及详谈的专业细节。除了播客,他还向主持人 Stephen Bartlett 透露了一项正在推进的重要计划:通过官方网站 lifespan.com 建立全球最大的线上长寿社区。该社区的目的不仅是让大众向他学习,更是让数以百万计的成员能够彼此交流、互相启发,从而加快整个抗衰老领域的认知迭代与实际进展。 为了构建这个生态,Sinclair 提出了“3C”理念框架:首先是**可信度(Credibility)**,源自他作为哈佛顶尖科学家的学术背景与严谨研究;其次是**内容(Content)**,涵盖他的播客、文章及其他输出成果;最后是**社区(Community)**本身。值得注意的是,该会员制社区所产生的大部分利润将直接反哺于科研工作与临床试验,形成自我造血与推动前沿科学转化的正向闭环。 ```mermaid flowchart TD accTitle: 3C Longevity Model accDescr: Sinclair 实验室构建的长寿生态模型架构 subgraph Core ["3C 核心支柱"] C1["可信度 (Credibility)<br/>科学家专业背景与严谨验证"] C2["内容 (Content)<br/>播客、科研专著与前沿动态"] C3["社区 (Community)<br/>数百万成员互助与经验共享"] end subgraph Impact ["价值转化与反哺"] CommunityPlatform["全球长寿社群平台 (lifespan.com)"] Profits["会员盈利再投资"] Research["科研推进与临床试验 (Clinical Trials)"] end C1 --> CommunityPlatform C2 --> CommunityPlatform C3 --> CommunityPlatform CommunityPlatform --> Profits Profits --> Research Research -.反馈数据与成果.-> C1 ``` - **核心载体**:平台设立于 lifespan.com,包含播客音视频、科学博客与社群入口。 - **资金去向**:社区会员收益绝大部分直接投入抗衰老基础科学研发与人体临床试验,加速学术突破。 --- ### [02:26:26](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8786s) 笔记本传统之问:生命的真正意义 访谈进入了《The Diary Of A CEO》特有的收尾环节——上一位嘉宾会在笔记本中为下一位未知的访客留下一道问题。尽管该话题在先前的对话中已有涉及,主持人依然读出了这个问题:“你认为生命的终极意义是什么?”("What do you believe is the purpose of life?") 面对这一哲学拷问,Sinclair 博士给出了一个坚定而利他的定义。他认为生命的意义在于:“在每一天里,用你被赋予的才干做到最好,从而为子孙后代让这个世界变得更加美好。”("To do your best with the skills that you've been given every day to make the world a better place for future generations.")他直言,这正是支撑他日复一日面对高强度科研挑战的内在信条。 --- ### [02:27:10](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8830s) 开拓者的代价与通俗科学的价值 Stephen 对 Sinclair 博士的长期探索表达了由衷的敬意,直言成为一名领路人(Trailblazer)需要承担大多数人难以承受的代价。科研探索的本质意味着经历无数次实验失败与假设推翻,在绝大多数时间里科学家都需要面对“犯错”,甚至花费海量的时间、金钱与心血去换取极少数被证实的正确时刻。正是这种开拓性牺牲,才让人类群体得以享受抗衰老科研的实质红利。 Stephen 盛赞了 Sinclair 博士的畅销书《可不可以不变老?》(*Lifespan: Why We Age - And Why We Don't Have To*)。作为《纽约时报》超级畅销书,它打破了传统 PubMed 数据库中复杂晦涩的学术壁垒,用通俗流畅的语言将衰老机制与人人可行的生活方式干预普及开来。在访谈最后,Stephen 呼吁听众关注 Sinclair 在社交平台 X(原 Twitter)上的动态与即将重启的播客,并以 YouTube 算法推荐机制为对谈画上圆满句号。 - **科学传播成果**:将晦涩难懂的学术前沿转化为普通大众可直接落地的健康生活习惯。 - **关注渠道**:Sinclair 博士的 X 平台账号、重新上线的《Lifespan》播客以及官方网站 lifespan.com。 ## Notable quotes > [03:06](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=186s) 当我一岁时,我才刚刚启程;当我两岁时,我几乎还是崭新的;当我三岁时,我还算不上真正的我;当我四岁时,我也没长大多少;当我五岁时,我仅仅是活着;但现在,我已经六岁了,我聪明得无可挑剔。所以,我想我愿永远永远停留在这六岁。 — 大卫·辛克莱 > [09:29](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=569s) 触碰眼睛即触碰大脑。 — 大卫·辛克莱 > [12:23](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=743s) 衰老信息理论至今未被推翻,这对科学家而言至关重要。正是这一理论,让我们人类历史上第一次真正有能力安全地逆转衰老。我现在坚信,在我的有生之年,市场上必将出现能够重置或大幅逆转人体年龄的药物。 — 大卫·辛克莱 > [20:43](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=1243s) 人体本质上是一套数字化运行的生物软件,衰老是信息的读取丢失与混乱,而非物理零件彻底耗尽。 — 大卫·辛克莱 > [34:12](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2052s) 个体衰老速率的80%到90%取决于后天的生活方式,而非由你的DNA序列所决定。 — 大卫·辛克莱 > [42:15](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=2535s) 衰老是万病之源。若逆转衰老,伴随衰老而来的阿尔茨海默病、恶性肿瘤等慢性疾病将自行缓解或消失。 — 大卫·辛克莱 > [01:06:14](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=3974s) 除极少数深陷严重抑郁或被顽疾折磨的情况外,活在世上是任何原子集合所能获得的最伟大的奇迹,意识的存在更是无比珍贵。如果可以健康地陪伴在挚友与至亲身旁,谁又会主动选择让这一切终结呢? — 大卫·辛克莱 > [01:08:38](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=4118s) 早餐是一天中最重要一餐纯粹是20世纪麦片公司的营销神话;对于早起没有食欲的人而言,强迫吃早餐有害无益。 — 大卫·辛克莱 > [01:34:33](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=5673s) 血液中的低密度脂蛋白(LDL)胆固醇越低越好;长寿医学应当尽早主动干预,而不是坐等动脉硬化发生。 — 大卫·辛克莱 > [02:00:00](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7200s) 那些人当年究竟是如何度过一生的?他们曾经生活在一个多么可怕的世界里啊。 — 大卫·辛克莱 > [02:10:11](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=7811s) 我们生活在虚拟模拟程序之中的概率超过了50%。 — 大卫·辛克莱 > [02:26:26](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8786s) 你认为生命的意义是什么? — 史蒂芬·巴特利特 > [02:26:26](https://www.youtube.com/watch?v=DnvWAP99r3Y&t=8786s) 用你每天被赋予的才能竭尽所能,让子孙后代的世界变得更加美好。 — 大卫·辛克莱 ## Mentioned 大卫·辛克莱 (David Sinclair), 史蒂芬·巴特利特 (Stephen Bartlett), 塞琳娜·潘 (Serena Poon), 雷·库兹韦尔 (Ray Kurzweil), 沃伦·巴菲特 (Warren Buffett), 埃隆·马斯克 (Elon Musk), 伦纳德·瓜伦特 (Lenny Guarente), 哈佛医学院 (Harvard Medical School), 美国食品药品监督管理局 (FDA), 美国疾病控制与预防中心 (CDC), 英国生物样本库 (UK Biobank), Life Biosciences, lifespan.com, 《可不可以不变老?》(Lifespan: Why We Age - And Why We Don't Have To), 《我们六岁了》(Now We Are Six), 山中因子 (OSK / Oct4, Sox2, Klf4), 烟酰胺单核苷酸 (NMN), 去乙酰化酶 (Sirtuins), 烟酰胺腺嘌呤二核苷酸 (NAD+), AAV2 病毒载体, 二甲双胍 (Metformin), 强力霉素 (Doxycycline), Ketone-IQ ## Video description Scientist and Harvard professor Dr. David Sinclair, A.O., Ph.D., reveals his latest research on how to reverse ageing, insights into vitamins and supplements, why DNA is not your destiny, and the first clinical trials to reverse human ageing and blindness! Dr. David Sinclair is a world-renowned Professor of Genetics at Harvard Medical School and the leading authority on longevity science. He is Founder of Lifespan.com and multiple biotechnology companies, Co-Chief Editor of the journal Ageing, and bestselling author of ‘Lifespan: Why We Age - And Why We Don’t Have To’. Dr. Sinclair explains: ◼️The “Information Theory of Aging” that regards ageing as a treatable disease ◼️Advances in resetting biological age using cellular “backup copies” ◼️His specific supplement stack for longevity ◼️Why fasting and “good stress” are science-based longevity strategies ◼️How his lab’s gene therapy is being used to restore eyesight and reverse blindness 00:00 Intro 03:34 The Children’s Book That Quietly Shaped Everything That Came Next 06:27 Why Living To 80 Might Be Far More Alarming Than You Think 09:12 Inside The First Human Trials Attempting To Reverse Ageing 12:23 How Scientists Actually Slowed Ageing In Mice—And What That Means For Us 14:51 Will An Anti-Ageing Pill Really Exist—Or Is That A Dangerous Myth? 16:44 What Happens If You Live Long Enough To See The 22nd Century 18:34 Is Immortality Even The Goal—Or A Terrifying Possibility? 20:43 The Real Reason Your Body Might Be More Like Software Than Biology 29:33 What Happened When One Mouse Was Forced To Age Faster Than Its Twin 34:12 The Most Overlooked Habits That Could Be Quietly Slowing Your Ageing 37:43 Why Evolution Never Solved Ageing—And What That Reveals 41:58 If You Reverse Ageing, Do Diseases Disappear Too? 44:13 Could Age-Reversal Technology Unexpectedly Solve Infertility? 47:37 The Controversial Reason The US Shut Down Age-Reversal Research 50:41 Would You Trade Everything You Own Just To Be Young Again? 53:52 What Living Longer Really Does To Meaning, Purpose, And Motivation 59:02 How Slowing Ageing Might Secretly Slow Cancer Too 01:01:29 The Real Cause Of Cancer—And Why It’s Not What Most Think 01:02:45 The Information Theory Of Ageing That Changes Everything 01:04:17 Why Ageing Feels Like Carrying Invisible Weight Every Day 01:08:43 Why Eating Three Meals A Day Might Be Holding You Back 01:13:55 The Discovery Of The Longevity Gene—And Why It Matters Now 01:20:59 The Fasting Method That Could Actually Extend Your Life 01:25:23 Is The Keto Diet A Longevity Hack—Or A Misguided Trend? 01:26:45 Why Plant-Based Eating Might Be The Simplest Longevity Upgrade 01:30:34 What Makes Matcha So Powerful—And Is It Overhyped? 01:31:39 Is Red Wine Helping Your Health—Or Quietly Hurting It? 01:33:31 The Truth About Exogenous Ketones And What They Really Do 01:34:33 Why Starting Statins At 30 Might Not Be As Extreme As It Sounds 01:37:13 The 5 Foods That Could Have The Biggest Impact On Your Lifespan 01:41:04 Why Taking Fewer Supplements Might Actually Be Better 01:46:45 Do Saunas And Cold Plunges Deliver Real Results—Or Just Hype? 01:49:56 Does Red Light Therapy Actually Work—Or Is It Wishful Thinking? 01:50:41 What A “Perfect” Supplement Stack Really Looks Like 01:55:01 Aspirin: Miracle Drug Or Risky Habit? 01:57:48 The Real Way To Fight Hair Loss Before It’s Too Late 01:59:24 Should Men Take Testosterone—And What Are The Trade-Offs? 02:00:02 The Future Of Ageing: What Happens Next Will Surprise You 02:10:39 Are Scientists Crossing A Line—Or Pushing Humanity Forward? 02:39:28 What To Watch Next If This Changed How You Think About Ageing 02:40:55 The One Action To Take After Listening To This 02:42:00 Why This Conversation Might Matter More Than You Realize Follow David: Lifespan - https://lifespan.com/ Instagram - https://linkly.link/2ajhU Podcast - https://linkly.link/2aji0 YouTube - https://link.thediaryofaceo.com/AiIza5B The Sinclair Lab - https://linkly.link/2ajhX You can purchase David’s book, ‘Lifespan: Why We Age-and Why We Don't Have To’, here: https://linkly.link/2ajhc Independent Fact Check: https://stevenbartlett.com/wp-content/uploads/2026/03/DOAC-David-Sinclair-Independent-Research-further-reading-1.pdf The Diary Of A CEO: ◼️Join DOAC circle here - https://doaccircle.com/ ◼️Buy The Diary Of A CEO book here - https://smarturl.it/DOACbook ◼️The 1% Diary is back - limited time only: https://bit.ly/3YFbJbt ◼️The Diary Of A CEO Conversation Cards (Second Edition): https://g2ul0.app.link/f31dsUttKKb ◼️Get email updates - https://bit.ly/diary-of-a-ceo-yt ◼️Follow Steven - https://g2ul0.app.link/gnGqL4IsKKb Sponsors: Bon Charge: https://boncharge.com/DOAC for 20% off Shopify - https://shopify.com/bartlett Ketone - https://ketone.com/STEVEN for 30% off your subscription order [Source](https://www.youtube.com/watch?v=DnvWAP99r3Y)

Source quotes

[3:06] 大卫·辛克莱: 当我一岁时,我才刚刚启程;当我两岁时,我几乎还是崭新的;当我三岁时,我还算不上真正的我;当我四岁时,我也没长大多少;当我五岁时,我仅仅是活着;但现在,我已经六岁了,我聪明得无可挑剔。所以,我想我愿永远永远停留在这六岁。 [9:29] 大卫·辛克莱: 触碰眼睛即触碰大脑。 [12:23] 大卫·辛克莱: 衰老信息理论至今未被推翻,这对科学家而言至关重要。正是这一理论,让我们人类历史上第一次真正有能力安全地逆转衰老。我现在坚信,在我的有生之年,市场上必将出现能够重置或大幅逆转人体年龄的药物。 [20:43] 大卫·辛克莱: 人体本质上是一套数字化运行的生物软件,衰老是信息的读取丢失与混乱,而非物理零件彻底耗尽。 [34:12] 大卫·辛克莱: 个体衰老速率的80%到90%取决于后天的生活方式,而非由你的DNA序列所决定。 [42:15] 大卫·辛克莱: 衰老是万病之源。若逆转衰老,伴随衰老而来的阿尔茨海默病、恶性肿瘤等慢性疾病将自行缓解或消失。 [66:14] 大卫·辛克莱: 除极少数深陷严重抑郁或被顽疾折磨的情况外,活在世上是任何原子集合所能获得的最伟大的奇迹,意识的存在更是无比珍贵。如果可以健康地陪伴在挚友与至亲身旁,谁又会主动选择让这一切终结呢? [68:38] 大卫·辛克莱: 早餐是一天中最重要一餐纯粹是20世纪麦片公司的营销神话;对于早起没有食欲的人而言,强迫吃早餐有害无益。 [94:33] 大卫·辛克莱: 血液中的低密度脂蛋白(LDL)胆固醇越低越好;长寿医学应当尽早主动干预,而不是坐等动脉硬化发生。 [120:00] 大卫·辛克莱: 那些人当年究竟是如何度过一生的?他们曾经生活在一个多么可怕的世界里啊。 [130:11] 大卫·辛克莱: 我们生活在虚拟模拟程序之中的概率超过了50%。 [146:26] 史蒂芬·巴特利特: 你认为生命的意义是什么? [146:26] 大卫·辛克莱: 用你每天被赋予的才能竭尽所能,让子孙后代的世界变得更加美好。

Source quotes

[78:40] Dr. David Sinclair: When you give a human NMN by swallowing it, a gram of it, you typically double the amount of NAD in your body. [96:19] Dr. David Sinclair: The old way of doing medicine is if you're not sick, we're not going to give you a medicine... but that has to change. [101:04] Dr. David Sinclair: Maybe giving them a foreign substance every day is not good. Maybe there's some side effect that's counteracting the benefit.

Original transcript

[0:00] This is very uh [0:01] It's bad, right? It's hard, yeah. [0:03] >> That's what it's like to be old. And for [0:05] far too long, we've ignored [music] it [0:07] or accepted it as natural. And I reject [0:09] the idea that aging, just because it's [0:11] natural, is acceptable. Dying at 80 is [0:14] not inevitable. Absolutely, that can be [0:16] changed. So, if you're skeptical, I am a [0:18] Harvard professor who has been studying [0:20] aging, longevity, and age reversal for [0:22] 30 years. And I've seen enough from my [0:24] lab showing that we can literally now [0:26] reverse the aging process. And it's not [0:28] a question of if, it's [music] a [0:28] question of when this is going to And [0:30] everyone should stick around cuz I'm [0:31] going to tell you some of the major [0:32] things that people should be doing. They [0:34] can lengthen your life by a decade. Hey, [0:36] you're not taking that off, Steven. [0:38] You've got 10 minutes of that. So, you [0:40] can accelerate aging by smoking, getting [0:41] an X-ray, ultra-processed foods, [0:43] excessive drinking, flying a lot. I fly [0:45] all the time. That's probably [0:46] accelerating your aging process. [0:50] Even going to a rock concert and [0:51] blasting your eardrums because your ear [0:54] hair cells are getting [music] older [0:55] faster. And so, I look at the body like [0:57] it's a computer and we can reinstall the [0:59] software. And what's [music] interesting [1:01] is when you reverse aging, diseases like [1:03] Alzheimer's, cancer, heart disease go [1:05] away [music] or are cured. Because [1:07] what's driving a lot of those diseases [1:09] is aging. And so, my lab is like Willy [1:11] Wonka's chocolate factory. They are [1:13] making discoveries that blow me away [1:15] every week. And I think we're at a [1:16] turning point in human history [music] [1:18] where you're probably going to live into [1:19] the 22nd century if you do all the right [1:21] things. And we're going to dig into all [1:22] of those in great detail. But what are [1:24] the unintended consequences of such a [1:26] world where we all live longer? And [1:28] also, do you think it's going to be [1:29] possible in the next 50 years for us to [1:31] live forever? And then, what's the best [1:33] uh treatment you've discovered for hair [1:34] loss? [1:35] >> This is why I love your podcast, Steven. [1:36] You ask the right questions. So, first [1:38] of [1:39] This is super interesting to me. My team [1:41] gave me this report to show me how many [1:42] of you that watch this show subscribe. [1:44] And some of you have told us, according [1:45] to this, that you have unsubscribed from [1:47] the channel randomly. So, favor to ask [1:49] all of you, please could you check right [1:51] now if you've hit the subscribe button. [1:52] If you are a regular viewer of this show [1:54] and you like what we do here. We're [1:55] approaching quite a significant landmark [1:57] on this show in terms of a subscriber [1:58] number. So, if there was one simple, [2:01] free thing that you could do to help us, [2:03] my team, everyone here, to keep this [2:04] show free, to keep it improving year [2:07] over year and week over week, it is just [2:08] to hit that subscribe button and to [2:10] double-check if you've hit it. Only [2:11] thing I'll ever ask of you. [2:12] Do we have a deal? [2:14] If you do it, I'll tell you what I'll [2:14] do. I'll make sure [2:16] every single week, every single month, [2:18] we fight harder and harder and harder [2:19] and harder to bring you the guests and [2:20] conversations that you want to hear. I [2:22] stayed true to that promise since the [2:23] very beginning of the Diary of a CEO, [2:25] and I will not let you down. Please help [2:27] us. Really appreciate it. Let's get on [2:29] with the show. [2:31] >> [music] [2:34] >> Dr. David Sinclair. I have waited many [2:37] years to speak to you. And I've been so [2:40] keen to speak to you for so many years [2:41] because [2:42] so much of the research and the [2:45] information I've consumed on the [2:46] subjects we're going to talk about today [2:48] comes from you, directly from research [2:50] you've done, and from theories and ideas [2:52] and hypotheses that you formed. I think [2:55] the place that this conversation should [2:57] start is [2:59] is probably with this picture because it [3:01] appears to be incredibly formative [3:04] in your journey. [3:06] Oh, yes. [3:07] That is an important picture, true. [3:10] This is a picture [3:12] of my grandmother and me when I was in [3:14] my early 20s, I'm now 56, if you're [3:17] wondering. [3:18] And uh my grandmother has played a major [3:20] role in my life. Uh I'm going to have to [3:22] be careful not to get too emotional [3:24] because uh she's now passed passed away, [3:26] but she's inspired [3:28] me to [3:30] do the best I can to leave the world a [3:31] better place than uh I found it. [3:34] And there's this particular book here [3:36] called Now We Are Six. [3:39] It is Anyone who's read my book uh [3:40] Lifespan knows that this book is very [3:44] important to me. And I didn't realize [3:45] it, of course, when I was a kid that [3:47] this was going to change my whole life. [3:51] And there's a poem at the back there [3:53] that my grandmother, Vera, used to read [3:55] me [3:56] when I was six. [3:57] And it goes like this. When I was one, I [4:01] had just begun. When I was two, I was [4:04] nearly new. When I was three, I was [4:06] hardly me. [4:08] When I was four, I was not much more. [4:10] When I was five, I was just alive. [4:13] But now, I am six. [4:15] I'm as clever as clever. So, I think [4:17] I'll be six now forever and ever. [4:22] I'm getting chills reading this again [4:25] and hearing this poem again because [4:27] the impact on me was the following, that [4:29] subconsciously, my grandmother was [4:31] saying, "You you don't want to grow up. [4:33] Adults can be evil." She grew up after [4:35] World War II. [4:37] There was horrendous uh [4:38] impact on her and her family in Hungary. [4:42] And she thought that a child is innocent [4:45] and people shouldn't grow up. But what [4:48] actually happened was I realized [4:50] why do people grow old? [4:52] That's a terrible thing to happen. And [4:54] so, I've spent my life [4:56] trying to figure out why do we get old? [4:57] Why do we grow up? Why do we get frail? [5:00] Because I also think that if we can [5:02] solve that, understand it, [5:04] slow it, even reverse it now, [5:06] we we'll have the biggest impact on [5:08] human health in history. [5:10] Am I right in thinking your grandmother [5:11] told you at that young age that she was [5:14] going to die, that you were going to [5:15] die, that your parents were going to [5:16] die? Yes, uh she did tell me that. I [5:20] remember it very clearly, actually. I [5:21] was on the floor and she was crouching [5:24] down and I said, "Vera." I didn't call [5:26] her [5:26] grandma. She didn't want to be called [5:28] grandma. She wanted to be young like a [5:29] kid to me. I said, "Vera, will will you [5:31] always be here to protect me? Will you [5:33] always be around?" She said, "No, I'm [5:34] going to die." [5:36] I'm like, "What do you mean?" She goes, [5:37] "Every everything dies. I'm going to be [5:39] gone. [5:40] Your parents will be gone. Your pet cat [5:42] will be dead pretty soon. And you [5:44] yourself will be dead one day." [5:46] At age, you know, four or five, that's [5:49] that's that's heart-wrenching, right? [5:51] We've all gone through this realization [5:52] around that age that the world that we [5:56] believe in and see will one day all be [5:59] gone. That moment, I remember it so [6:01] clearly because I thought, "That's not [6:03] fair. Why would any species be made or [6:07] created that knew that fact? That's [6:10] cruel. It's better to either not know [6:13] or to not exist. But to know that that's [6:15] what's going to happen [6:16] is really cruel. And so, I I I vowed [6:20] actually legitimately around the age of [6:22] 18 [6:24] to get a PhD, to go to the United [6:26] States, [6:27] and develop a research lab to try and [6:30] do something about it. The preservation [6:32] of health and life is the most important [6:35] thing that we can do as human beings. [6:37] We do it with some drugs to treat that [6:39] disease and the other disease, cancer, [6:41] heart disease, Alzheimer's. [6:43] But what's underlying that, what's [6:45] really causing about 150 to 200,000 [6:47] people every day to die, [6:50] is the underlying universal process we [6:52] call aging. [6:53] And for far too long, we've ignored it [6:56] or accepted it as natural, therefore [6:58] acceptable. [6:59] And I I I fundamentally reject the idea [7:02] that aging, just because it's natural, [7:05] is acceptable. There will be a day when [7:07] we look back at today and think how [7:09] medieval were our were our medicines. [7:11] And how sad it was that we accepted that [7:14] we became frail before 100. [7:17] If someone has just clicked on this [7:19] conversation now, and they deep in their [7:21] core [7:23] believe that they're probably going to [7:24] live to 80 years old, and that we all [7:26] are, and that we're never going to be [7:27] able to do anything about it cuz that's [7:28] just the way that it is. People get old [7:30] and then they die. And aging is a fact [7:32] of life, as the phrase goes. And you [7:34] just have to accept it. [7:37] If that's their sort of core belief, [7:39] what is the what is the most persuasive [7:41] sort of top-line argument to that person [7:43] to convince them that in the next 2 [7:45] hours, when we have this conversation, [7:48] we will do a job of both reversing that [7:51] belief, really challenging it in some [7:52] way, and then also presenting them with [7:54] a set of possible solutions. Yeah. All [7:56] right. So, first of all, who am I? Um [7:59] I'm a Harvard professor. I've been [8:00] studying aging, longevity, and age [8:02] reversal for 30 years. [8:05] The technology now that we have in my [8:06] lab that is used every day by my [8:08] students literally reverses the age of [8:11] tissues in animals, in human tissue that [8:14] we grow in the lab. And the first human [8:16] trials to test this [8:18] are going to be performed [8:20] in about a month from now. [8:22] And if it works, it'll transform human [8:24] history. It means that we're on a path [8:26] to finally being able to reset the age [8:28] of the human body, not by a year, [8:31] not by 10 years, but even more than [8:32] that. [8:33] And what happens when you do that? What [8:35] we're finding in animals that includes [8:37] primates, is that we can cure things [8:40] that have previously [8:41] been impossible, including blindness, by [8:43] the way. [8:44] And so, if you're listening and you're [8:46] skeptical, [8:47] I'm not some hack. I am a Harvard [8:50] professor who is telling the world and [8:53] has written a book about it and every [8:55] day spends my life researching with a [8:56] team of [8:57] the best scientists I can gather around [8:59] the world [9:00] showing that we can literally now [9:02] reverse the aging process and reset how [9:04] old the body is. In animals, yes, [9:07] but potentially this year showing it can [9:10] work in the human body as well. So, [9:13] you're doing the first ever trial of [9:15] this type in humans to reverse [9:18] aging [9:20] next month. Yes. So, we've submitted a [9:23] form to the [9:25] you know, the FDA in the US to get [9:27] approval to treat blindness, couple of [9:29] types of blindness in people, [9:32] um as early, if all goes well, as next [9:34] month. [9:35] And what what exactly is happening [9:37] there? Cuz cuz there's many ways one [9:38] might fix [9:40] blindness. Mhm. You know? [9:43] What is it you're doing to the eyeball [9:46] that is a precursor of our potential [9:49] ability to reverse aging generally? [9:51] Yeah, well, we chose the eye [9:53] not because it was going to work well, [9:55] but because it's a it's a nice system to [9:57] study age reversal. The eye is an [10:00] enclosed space and so it's much safer [10:02] than trying to initially reverse the age [10:04] of the whole body. Now, in mice we [10:05] reverse the age of the whole body [10:07] and the effect is longevity, [10:09] rejuvenation, the skin gets better. [10:11] All parts of the animal get get [10:13] healthier and younger. [10:14] But in humans you you don't want to go [10:16] straight to rejuvenation uh because in [10:18] case something goes wrong, it could set [10:20] us way back. [10:22] And we have to make sure we don't have [10:23] any safety mishaps. So, we're being a [10:26] little cautious in humans. In mice it's [10:28] a little different. [10:30] So, in the human eye Just for those that [10:32] are watching the video, there is a an [10:33] eye on the table. Well, a plastic eye. [10:35] It's a it's a larger version of an eye, [10:37] but yes, uh Steven's right. [10:39] What we're doing we're going to look at [10:40] the back of the eye, which is your [10:41] retina. [10:43] And that's where the light hits. [10:45] And at that point there are a lot of [10:47] nerves that coalesce into the optic [10:50] nerve that runs to the brain [10:53] by just a few millimeters. So, the brain [10:55] is here. The eye is actually part of the [10:57] brain. [10:58] A lot of people don't know that. You can [10:59] touch your brain if you touch your eye. [11:01] Um so, the optic nerve gets old and what [11:03] we've discovered if it gets damaged or [11:04] gets old, it's not working. But the [11:07] nerves for most the most part, if you're [11:09] old, are still there. [11:10] They just forget how to work. And that's [11:13] aging. And later everyone should stick [11:16] around cuz I'm going to tell you [11:18] why it is we get old and how it is we [11:20] reverse it. But but for this this model [11:22] what we're doing is we're introducing a [11:25] set of three genes into [11:28] this optic nerve at the back of the eye [11:31] and turning them on for 6 to 8 weeks. [11:36] And those three genes are what we now [11:38] know reset safely [11:40] apparently safely [11:42] reset the age of cells including nerves [11:46] by about 75% and then stop. They don't [11:48] go more than that, which is good. We [11:50] don't want to go back to zero. [11:52] I don't think anyone wants to go back to [11:54] high school. [11:55] But this is the way it works. And we [11:57] chose the optic nerve because it's a [11:59] safe and close system, not because it [12:00] should work better in optic nerves. In [12:02] fact, we've now done it in mice in my [12:04] lab for the brain. Uh we're doing [12:07] hearing. We've done skin. Uh we did [12:09] multiple sclerosis. [12:11] Uh we're now doing motor neuron disease [12:12] and seeing great effects. So, it's [12:15] important to know I'm not an eye [12:16] specialist. I didn't choose the eye cuz [12:17] I love the eye. I chose it because [12:20] that's a good place to start for age [12:21] reversal in humans this year. [12:23] You mentioned a second ago you've been [12:25] able to extend the life of mice in your [12:28] laboratory. [12:29] How and by how much? Is it the same [12:31] process and by how much? [12:33] Right. Well, the the study that that I [12:35] was referring to was done using our [12:37] technology in an independent lab, which [12:40] is you might argue even better than [12:42] having done it in my lab. Instead of [12:44] putting the three reversal genes into [12:46] the eye, they injected into the vein of [12:48] the mouse, the old mice. [12:50] Uh and turned it on in these really old [12:52] mice. These mice would be the equivalent [12:53] of [12:55] about 80 to 85 years. So, they're really [12:57] old mice. They're really frail. [12:59] And just any any extension in their [13:01] lifespan and health would be bet would [13:03] be a great thing. And they got an [13:04] additional 100% lifespan extension. [13:07] Additional. [13:08] So, [13:09] That would be like an 80-year-old living [13:11] to 160. Well, the remaining life of an [13:13] 80-year-old isn't long. [13:15] Oh, okay. [13:16] >> Right. So, let's let's say if you're [13:17] give it to a 70-year-old on average they [13:19] had have another 10 years to go. [13:22] Give them 20 years. So, it's that [13:23] calculation. Um but that was not an [13:25] optimized study. They just did a Hail [13:27] Mary injection, turn it on, see what [13:29] would happen. And I I heard when we did [13:31] a bit of a research call you say the [13:34] world doesn't know how close we are. [13:37] The world doesn't know how close we are [13:38] to what? [13:40] To being able to safely reverse the age [13:42] of the human body. [13:45] How can you be so sure? [13:46] I'm not sure. [13:48] But I'm confident that [13:50] the science is solid. [13:52] All right. The the the biology of aging [13:55] is is understood, I believe, in concept. [13:59] My theory, called the information theory [14:01] of aging, has [14:03] so far been not disproven, which is [14:06] important for a scientist. [14:08] And that has allowed us [14:11] to succeed [14:13] really for the first time to safely [14:15] reverse aging. And I now believe, and [14:17] though I didn't 10 years ago, I now [14:18] believe in my lifetime I'm going to see [14:22] medicines on the market that reset the [14:24] age or at least reverse [14:26] in a large part uh the age of the body [14:29] and that that [14:30] initially won't be to make us just look [14:32] better and feel better, although that's [14:35] what a lot of us want. It's going to be [14:37] used to cure [14:39] certainly prevent, but definitely cure [14:40] diseases [14:42] that are currently incurable. So, we're [14:44] I think we're at a turning point [14:46] I dare I say in human history. It's it's [14:48] not a question of if, it's a question of [14:50] when this is going to happen. [14:51] I want to get into your theory of aging, [14:53] which we talked about there. Um but you [14:55] did have a prediction before I get to [14:56] there about [14:59] how you think we'll be potentially [15:00] taking a pill [15:02] in 10 years' time [15:05] every couple of weeks that will make us [15:06] younger. Can you explain to me that [15:07] prediction? What is what is the [15:08] prediction? I I do believe that [15:11] I and you're about 20-something years [15:14] younger than me. You're going to see [15:15] this for sure that there will be a pill. [15:17] So, you might say, "Well, my critics [15:19] might say, 'Well, David, that's [15:20] exaggerating, right? [15:22] You're still trying to get this gene [15:24] these genes to work. How's it going to [15:25] be a pill?' [15:26] But this is where my lab comes in. My [15:28] lab is like Willy Wonka's chocolate [15:30] factory. If you visit, it's magical and [15:33] the students that I teach and the [15:34] trainees who are sometimes in their 30s [15:37] and even 40s who are you know, brilliant [15:39] scientists, [15:40] uh there's about 25 of us. [15:42] They are making discoveries that blow me [15:45] away every week. It's not a pill cuz you [15:47] can't give a mouse a pill. They won't [15:49] chew it. But we give them a a liquid [15:51] down their throat. It's a drink. [15:53] And within 4 weeks we can rejuvenate [15:55] them. [15:56] Not with this this these genes anymore [15:58] that we're giving humans. That's the old [16:00] older technology. [16:01] The new technology is [16:03] something you can swallow [16:06] in a mouse and rejuvenate them in 4 [16:07] weeks. It's normal for my students to [16:09] say, "Oh yeah, we just rejuvenated the [16:12] ear. We just rejuvenated the skin. Uh we [16:15] just cured ALS, motor neuron disease in [16:18] these animals." By the way, Steven, this [16:20] isn't just each disease doesn't get a [16:22] different medicine. Each disease doesn't [16:25] get a different set of genes. It's the [16:27] same set of genes, the same molecules [16:30] that treat cure multiple sclerosis as [16:32] the same one that cures blindness in [16:34] mice. [16:36] So, let that sink in. The same drug [16:39] that we're using in the eye will be used [16:41] to treat other diseases in the body, [16:43] even liver disease. So, if if your [16:45] predictions are correct and your [16:46] timeline is correct, [16:49] what does this mean for the way that I [16:51] should be living my life right now? Most [16:54] people look at their parents and their [16:56] grandparents and think, "That's what my [16:57] life will be like. I'm going to be frail [16:59] in my 80s." That's not true for us. I [17:02] like the Wright brothers analogy. It'd [17:04] be like in 1900 saying we're always [17:06] going to travel as fast as a horse. [17:08] That's not true, right? The 20th century [17:11] saw that we could go [17:13] tens of thousands of kilometers. They [17:14] went to the moon, right? [17:16] That's what our generation is when it [17:18] comes to biology and aging. [17:21] Previous generations are no guide to [17:23] what our lifespan is going to be like. [17:24] You're going to potentially live to the [17:26] 22nd century. If you do all the right [17:28] things, technology keeps increasing, [17:30] right? What kind of technologies will we [17:32] have in 50 years? [17:33] You'll be around in 50 years. [17:35] I hope so. [17:36] >> You're a healthy guy. I know you are. [17:37] All right. So, in 50 years, what kind of [17:39] things will you be able to do? Gosh. [17:42] This is what most people forget is that [17:44] technology isn't static. When you're [17:47] old, you will not be using today's [17:48] technology. You'll be using technology [17:51] of 2070, 2080. [17:53] Right? Mhm. And then you'll be able to [17:55] live into the 22nd century and take [17:57] advantage of those technologies. [17:59] That's why people talk about the [18:00] singularity. The singularity is this [18:02] idea that if you can make it to a [18:04] certain point in human history, [18:06] you won't have to age anymore. [18:09] And that that's in the future, right? [18:10] But first steps first. Let's show that [18:12] we can get this to cure blindness [18:14] and then get to the point where [18:17] every year that we get 1 year older, [18:19] we can get 1 year younger. When that [18:21] happens, it's a very interesting world. [18:23] All right? You don't have to age [18:25] anymore. [18:26] That is a future. I don't know when [18:27] we're going to get there. [18:29] But if you don't live 10 to 20 years [18:31] longer than your parents, something's [18:33] wrong. [18:34] On that point of the singularity, so [18:35] this is a particular moment in time [18:38] where we're going to be able to make [18:39] aging or age reversal, I guess, a [18:41] choice, right? So, that I guess the [18:44] thinking or the theory is that if you [18:45] can just make sure you survive up until [18:47] this particular date, then you have the [18:50] choice to live forever. Is that how is [18:52] that like the the theory? Well, that's [18:53] what they say, yes. Uh there are a lot [18:55] of proponents of that. But that that's [18:57] an idea. Isn't it logically true then? [18:59] It's like logically It's an Yeah, it's [19:00] an extension of what I I'm talking [19:02] about. Um but I don't know when that's [19:04] going to be. It's I think Ray Kurzweil [19:06] said it's coming soon. Did he have a [19:09] prediction? It was in the 2040s [19:11] sometime. So, Ray Kurzweil is a famous [19:12] futurist that seems to predict the [19:13] future really well um across multiple uh [19:16] disciplines. So, he said 2040. [19:19] Yeah, that's my recollection. It's [19:20] around there. Do you believe that? [19:23] Cuz I'm going to hang on till 2040. I'm [19:25] skeptical. I won't leave the house. I [19:26] mean Ray is a smart guy, right? He [19:28] predicted AI and all that's happening. [19:31] So, it's it's it's dangerous to bet [19:32] against Ray's predictions. [19:35] I I remain skeptical, you know, as one [19:37] of the leaders in the field. I think we [19:38] have a lot still to do. [19:40] That said, if this trial works this [19:42] year, [19:43] we will be in new territory. We will be [19:45] on a path to age reversal in the whole [19:47] body. It's going to happen. And you [19:49] know, right now it's now 2026 we're [19:52] talking. [19:54] 2040 is a number of years away. It could [19:56] be that we [19:57] truly are able to multiply reset the age [20:00] of the body. [20:01] That's that's another thing that that's [20:02] often missed. [20:04] We can [20:05] reverse the age of the eye not just [20:07] once, but seemingly as many times as we [20:09] want. In mice we've done it at least [20:12] twice. We didn't do it a third time [20:14] because the mice actually just got old [20:16] and they died, but they died with [20:17] perfect eyesight. [20:19] But the point is that we we don't [20:21] believe it's a one-shot wonder. You can [20:23] keep reversing aging and then you age [20:25] out and then you reverse it again and [20:27] you just keep going. And if that's true, [20:29] then it is possible that we will live [20:31] dramatically longer. [20:33] I don't yet see any technology in the [20:35] near horizon that will make us live [20:36] forever, [20:38] but I do see that we'll have a radical [20:40] change in how we treat diseases [20:42] and how long we can live. So let's talk [20:44] about what aging actually is and can you [20:46] explain this to me like I'm a total [20:47] idiot? [20:48] Because that will help me. Thank you. [20:50] It's difficult cuz you're not a total [20:51] idiot, but this is my theory is that [20:54] aging is not just wearing out. It's not [20:57] just that your body becomes old and [21:00] dysfunctional [21:01] and you get pain, you get inflammation [21:03] and you die from a disease. [21:05] I look at the body like it's a a [21:07] computer. [21:08] It's software [21:10] and we can reinstall the software. [21:13] In my lab we believe we've found a way [21:15] to do that and we see the evidence of [21:17] that. So the body is [21:19] a carrier of information from our [21:21] parents [21:23] and what happened in the womb. [21:24] That information [21:26] is intact, keeps our body functioning [21:29] almost perfectly in our teenage years, [21:32] 20. You're in your early 30s, you're [21:34] starting to lose that information and so [21:38] your body's not functioning perfectly [21:39] anymore. Gray hairs. [21:41] You've got some gray. Exactly, that's a [21:43] a good example of cells that lose their [21:45] identity and stop making melanin, the [21:48] black pigment. [21:49] But it's going to get worse, I promise [21:51] you unless you know, unless we we hurry [21:53] up. [21:54] And this information uh gets lost, it [21:56] gets corrupted. But the beautiful thing [21:58] is we believe we found a backup copy of [22:00] that information from youth that we can [22:02] reinstall into cells, into tissues, into [22:05] the entire body of a mouse and hopefully [22:08] a human. [22:09] That backup copy is in every old person [22:12] I believe and it can be accessed. So [22:14] when I see an old person walking down [22:16] the street now, I don't think oh that [22:17] person's just worn out, frail, going to [22:19] die. [22:20] I just think that's someone that needs a [22:21] reset. [22:22] And inside that person is a young person [22:24] waiting to come out again. [22:27] That's a totally different way to think [22:28] about old age. [22:30] And in the future people will have a [22:32] choice to be rejuvenated or not. [22:35] Where is that backup copy that I need? [22:38] Well, we're working on that and if I if [22:41] I told you my student would kill me. [22:44] But we believe we found [22:46] largely where that information is [22:49] stored. It's a highly new biology. And [22:52] it's currently a secret. It's a secret. [22:54] Okay, so you you you lead the way. Tell [22:56] me what we should we should talk about [22:57] next as it relates to aging. Let's talk [22:59] about information, right? We live in the [23:00] information age and biology is becoming [23:03] part of that information age. [23:05] And it started with the uh elucidation [23:09] of the structure of DNA. [23:11] Okay. And so I have a I have a model of [23:12] DNA here. So for listeners who are not [23:14] watching, [23:15] this is a a little plastic double helix. [23:18] My friend uh Jim Watson uh died recently [23:21] uh last month who he and his colleague [23:24] discovered that DNA, the information of [23:26] life that we get from our parents is a [23:29] chemical that's about 6 ft long in every [23:31] cell. [23:32] And uh this model here shows that DNA is [23:34] a ladder and the steps on the ladder are [23:37] the information of the DNA. [23:39] Okay. Yeah? [23:41] And you can pull this apart so that each [23:43] step becomes 50 50% ripped apart. [23:47] So that should come apart, right? So I [23:48] ripped a rung of the ladder apart. [23:51] And that is called a base on the DNA and [23:53] it always matches with its corresponding [23:56] chemical. [23:57] So this [23:59] shorthand we'd call an A, it always [24:01] matches with a T. So an AT becomes a [24:03] rung on the ladder. [24:05] And down here different color here, I'm [24:07] looking at a red and a green step. Rip [24:09] it apart. [24:11] This is a G and a C letter. Gs and Cs [24:13] come together. And actually when if you [24:15] if I rip this ladder into halves and [24:18] each step becomes half a ladder, [24:20] now you can see that you can copy DNA [24:22] because [24:23] the A has to match with the T rung and [24:26] the G has to match with the C. So that's [24:28] basic DNA. That's how the information is [24:30] transferred [24:31] from cell to cell, from mother to [24:34] daughter, our parents to offspring. [24:37] There are about 20,000 genes, about [24:39] 15,000 are turned on, [24:41] but a different set [24:43] gets turned on in large part [24:45] to make a nerve cell compared to a liver [24:47] cell and a skin cell. [24:49] That's gene expression. [24:52] And what controls that gene expression [24:54] is what's called not not the genome, [24:56] which is what's in front of me here on [24:58] the DNA molecule. [24:59] It's the epigenome. [25:02] The epigenome is the information we get [25:05] transferred from cell to cell, from [25:06] parent to offspring [25:08] that's not in this molecule. [25:11] So where's this epigenetic information? [25:14] Well, it controls which genes are [25:16] switched on and off [25:17] and a major regulator of that process [25:21] is the modification of these steps on [25:24] the DNA. These chemicals, the C [25:27] particularly the C which I'm showing you [25:30] here in this red part of the the [25:32] molecule, [25:33] the C gets a little chemical added to it [25:35] called a methyl. [25:37] And a methyl is just if you remember [25:39] from chemistry high school, [25:41] uh it's a carbon [25:43] with three hydrogens. [25:44] It's very simple molecule. It gets stuck [25:46] on that piece [25:48] of the the DNA molecule. That's called [25:50] DNA methylation and that will help [25:52] determine that pattern of DNA [25:54] methylation determines whether this [25:57] particular gene will be switched on, say [26:00] to make an optic nerve, [26:01] or switched off so that [26:03] it's becomes a liver cell. And that [26:05] happens as we're in the womb and we [26:07] become an embryo. [26:09] >> [snorts] [26:09] >> And that's the epigenome. These [26:11] chemicals that turn genes on and off is [26:13] the epigenome. [26:14] And the information theory of aging [26:18] states [26:19] that the information that's in a cell [26:23] which includes the DNA, but actually [26:25] more importantly for aging [26:27] is the control systems, the epigenome. [26:30] That is pristine when we're young, but [26:32] as we get older we lose that epigenetic [26:35] information. [26:36] The ability to [26:38] tell a cell to be a nerve cell versus a [26:40] liver cell versus a skin cell, it starts [26:42] to get erased. So it when we look at a [26:44] mouse or or an old tissue, if I took [26:47] maybe not your skin, but but my skin, [26:49] my skin cells are no longer as skin-like [26:52] as they once were. They started to lose [26:56] their identity. They're starting [26:58] actually to to look more like nerve [26:59] cells and nerve cells starting to look [27:01] more like skin cells [27:02] because the genes that were once turned [27:05] on correctly in my young cells, [27:07] that that control system, these [27:09] chemicals on the DNA molecule, the [27:11] methyls, are getting erased. So aging is [27:14] an identity crisis of the cells. [27:15] >> It absolutely is. Well put. The cells [27:18] forget [27:19] what their job is. [27:21] Yes. The genes are still there in large [27:24] part. 99.999% of the genes are still [27:27] there. The molecule's intact. [27:29] But the control systems [27:31] the label thing you mentioned. [27:33] >> to tell the cell that this gene needs to [27:36] be on, but this one should always stay [27:37] off, that gets erased over time. Why? [27:40] Uh we we did partially figure that out. [27:43] And how do you know? [27:45] Well, uh even better. [27:47] This is this is why I love your podcast, [27:49] Steven. You ask the right questions. [27:52] These there are enzymes that remove [27:54] these methyl groups [27:56] um and put them back on. So the cells [27:58] controlling these things, they shouldn't [27:59] change, but they do. [28:01] And one of the things that messes the [28:03] system up [28:04] is [28:05] major catastrophe in a cell. And when [28:08] the cell panics, [28:11] it removes these structures to try and [28:13] adapt to the stress. The label. The [28:15] label comes off [28:17] in a desperate attempt to survive. [28:20] But then the cell doesn't fully [28:22] revert back to the original state. Some [28:24] of these chemicals and some of the [28:25] proteins that bind to the DNA, which is [28:27] also important for this epigenome, they [28:30] don't all go back to where they started. [28:32] I've used the analogy [28:34] that it's like a ping pong or a tennis [28:36] match where the proteins that control [28:39] the genes, [28:40] they they get relocalized to where the [28:42] emergency is. [28:44] And an emergency want the one that we [28:45] think is most dangerous [28:47] and a large cause of cause of aging is a [28:50] broken chromosome. If you have a broken [28:52] chromosome, if you don't fix that, [28:54] you're either going to become a cancer [28:55] cell or you're going to die. It's not [28:57] good. Um and so cells panic. [28:59] And in that panic of moving proteins [29:01] away and turning on these stress [29:03] response genes, [29:04] uh that's great in the short term. The [29:06] cell might survive, [29:08] but they don't fully reset. Those [29:09] proteins don't all go back to where they [29:11] once were, [29:12] say 10 minutes ago when the stress [29:14] needed to be the disaster happened. [29:17] And if you do that time and time again [29:19] and every one of your cells has at least [29:21] chromosome every day. [29:23] That's 20 trillion of these events every [29:25] day in your body. [29:27] Over time, [29:28] tick tick tick, [29:30] you get the aging process, we believe. [29:34] So I got I guess I've got two questions. [29:36] I guess the first question, if I was [29:37] thinking about the sequence of asking [29:38] these questions, is [29:41] what is increasing that stress on my [29:44] cells, therefore what is increasing [29:46] aging? And also like why didn't [29:48] evolution just come up with a solution [29:50] for this that stopped me aging then? [29:52] Like evolution is very smart. Couldn't [29:53] it just fix this? Well, before I get [29:55] into that, one of the [29:57] the reasons we know that this works, cuz [29:58] you asked me, "How do we know that's [29:59] true?" [30:00] is that [30:02] we created this this catastrophe in [30:04] animals. We we took mice and we [30:07] we we broke their chromosomes in a way [30:09] that didn't cause cancer [clears throat] [30:10] or mutations. [30:12] If we're right, [30:14] what should happen to these mice? They [30:15] get old fast. [30:16] >> They get old fast. Gray hair. And they [30:18] did. [30:19] We call them the ICE mice. I stands for [30:21] inducible changes to the epigenome. [30:24] And we're able to induce these changes. [30:27] And we took bets in the lab. This was [30:29] going back now 12 years ago. [30:31] Uh [30:32] I I bet that we would get aging. Okay, [30:34] but I was the only one in the lab that [30:36] thought that would happen. We had a lot [30:38] of bets that the mice would die. [30:40] A lot of bets that the mice would get [30:42] cancer. And a few said nothing would [30:44] happen. [30:45] But we got aging. In fact, I was I was [30:47] in Australia, where where I'm from, as [30:49] you know, and I got a picture on my old [30:52] old-style iPhone. And uh it was a [30:54] picture of an old mouse. [30:56] Uh well, it was a sick-looking mouse. [30:57] And the And the the text was [31:00] "Problem, we have a sick mouse." And I [31:01] wrote back, "That's not a sick mouse. [31:03] That's an old mouse." And that was the [31:04] first time I realized that we'd had [31:07] evidence that our theory, the [31:09] information theory of aging, is correct. [31:12] So, what we did actually, and this might [31:13] satisfy your and your listeners' [31:15] curiosity, [31:17] we generated a mouse from scratch [31:19] using stem cells. [31:21] And so, we start with a a mouse stem [31:23] cell that we grow in the lab in the [31:24] dish. [31:25] And we change the genetics of that stem [31:27] cell [31:28] so that we could [31:30] feed it a drug, [31:32] uh tamoxifen, which is used uh in in [31:35] chemotherapy. And that drug turned on [31:39] a gene from a slime mold, something you [31:41] might find in the forest, [31:43] that breaks DNA of the mouse, but does [31:46] it in a way that doesn't cause cancer or [31:48] mutations. Just cuts it. And then the [31:50] cells put it back together. So, we could [31:51] take a mouse and for 3 weeks we [31:56] turned on the slime mold-cutting [31:57] protein. [31:59] And nothing happened to the mouse at the [32:00] time. It's like a You don't feel an [32:02] X-ray. You don't feel [32:05] different when you fly except for maybe [32:06] jet lag and dehydration. But you don't [32:08] get old suddenly. Same with the mice. [32:10] They were normal. They felt fine. [32:13] And that's why at first people said, [32:14] "Oh, nothing's going to happen to these [32:15] mice." After 3 weeks, they were fine. [32:18] But we set in motion a cascade of [32:20] accelerated aging events that [32:23] about 10 months later, they were super [32:25] gray and super old and had all the [32:28] diseases of aging [32:29] 50% faster than their twins that we [32:31] didn't treat. And you've got photos of [32:33] those we could show. Yeah. Yeah, let's [32:35] show those. So, if I was to do the [32:37] experiment in you, [32:38] I might have to engineer it a clone of [32:40] you, [32:41] but I could do that. Uh you know, I'm [32:43] not saying that it's ethically right. [32:45] But But theoretically, we could make a [32:46] clone of you, put in that slime mold [32:48] gene, turn it on, [32:50] and your clone would be 50% older than [32:53] you are. [32:54] Can you translate this into [32:57] the equivocal for a human? [32:59] That particular study that you did. So, [33:01] it would be like in me doing what? And [33:04] then me getting old fast. Yeah. Uh well, [33:06] we're exposed to to things that cause [33:08] DNA breaks all the time. They happen [33:10] naturally as the cells try to copy their [33:12] DNA, but you can accelerate that by [33:13] getting an X-ray, a CT scan, [33:16] flying a lot, and cosmic rays banging [33:18] into your DNA and [33:19] >> I fly all the time. Yeah, it's a lot [33:21] >> of CT scans and X-rays. Yeah. Uh and and [33:25] though it's imperceptible, I believe [33:27] that that's probably accelerating your [33:28] aging process. What's flying doing to my [33:31] So, again, you talked about flying being [33:32] equivocal to what you did to the mouse. [33:34] In what way? [33:35] Well, every time you break your [33:37] chromosome, you're rearranging your [33:39] epigenome in a catastrophic way that [33:42] doesn't fully reset. And your cell will [33:43] lose its identity faster. [33:46] I also believe um and we have some [33:47] evidence that even going to a rock [33:49] concert and and have blasting your [33:51] eardrums [33:52] is such a stress on those cells in your [33:54] ear that the reason that you become deaf [33:56] earlier is because your ear hair cells [33:59] are getting older faster. [34:01] You don't want to break the DNA. You [34:03] don't want to cause catastrophe to your [34:05] fragile cells in your body [34:07] because the recovery isn't complete and [34:09] aging ensues. [34:11] So, with this theory in mind, what are [34:13] the day-to-day things that we're all [34:15] doing [34:16] that are accelerating our age? Like cuz [34:17] I think what's really interesting is I [34:19] looked at my brother, Jason. He's a year [34:21] older than me. He has three kids that [34:24] are like under the age of seven or eight [34:26] now. [34:27] And [34:28] this Christmas time, cuz it's just been [34:29] Christmas, I looked at his hair to see [34:31] how many gray hairs he had versus me. [34:33] And I thought, "Okay, he has [34:34] considerably more." [34:36] Uh he's a year older than me. And I was [34:37] thinking, that's like a a proxy of aging [34:41] to some degree. [34:42] What is it he's potentially done on a [34:44] day-to-day basis? I know you don't know [34:46] him, so this is why it's not not an [34:47] offensive uh answer to give. What is it [34:49] that someone who is [34:52] generally sort of genetically very [34:53] similar, but is making different [34:54] lifestyle choices, is doing [34:57] to accelerate that process of wrinkles [34:58] or gray hairs or [35:00] Well, here's here's the good news. That [35:02] you can have a big impact on your rate [35:04] of aging by changing your lifestyle. [35:06] It turns out your DNA is not your [35:07] destiny. It's the epigenome. So, that [35:10] how you live your life is really 80 to [35:12] 90% of your rate of aging. [35:15] That's good. It's in your hands. But it [35:16] also means that some people mess up [35:18] their lives. There are actually twin [35:19] studies from uh mostly from Denmark. [35:22] Identical twins. One that goes and [35:24] smokes and gets obese [35:27] and uh goes in the sun. [35:29] And they are much older-looking than [35:31] their identical twin. [35:33] Essentially proving that the DNA is not [35:35] the reason you age. [35:37] First of all, there going to be people [35:38] in the audience uh who are listening or [35:40] watching who have gray hair saying, [35:42] "Damn it, I'm not old." And that's true. [35:44] I mean, nobody died of gray hair, right? [35:46] And [35:47] sometimes genetically you can get gray [35:49] old uh but not be physically old. [35:52] What is true that's often not [35:54] comfortable is how old you look is a [35:56] very good representation of how old you [35:58] are in your organs as well. [36:00] So, the doing the right thing. So, what [36:01] are those things? Let's Let's tick off [36:03] some of the major things that people [36:04] should be doing. [36:06] And they can have a big impact. They can [36:07] lengthen their life by a decade just by [36:09] doing some of the major things. [36:11] So, we know that on average people can [36:12] live 14 years longer. This is based on a [36:14] study that came out from Harvard. A [36:16] long-term study of the lifespan of World [36:18] War II veterans. [36:20] If you avoid smoking, cigarette smoking, [36:23] or really any type of smoke in your [36:24] lungs. Smoking breaks your DNA. It's [36:26] going to accelerate aging in your lungs, [36:28] your whole body. [36:29] Avoid excessive drinking. We now know [36:31] that even more than one glass a day of [36:34] alcohol is bad. I've given up alcohol [36:36] for the most part for that reason. [36:38] Eat well. [36:40] So, you want to eat healthy food. We've [36:41] got some healthy food here we're going [36:43] to talk about. [36:44] Um so, make sure you you don't uh [36:47] overeat or eat ultra-processed foods. [36:50] And the big one, one of the best things [36:51] you can do besides all of that, is [36:54] exercise. Okay, and exercise covers a [36:56] lot of things, so we can drill into that [36:57] as well. [36:59] But the fifth one is interesting. It may [37:01] be surprising, [37:02] but actually good news for you. Have a [37:04] reliable partner. I think you're going [37:06] to say be a podcaster. I was going to [37:07] Okay. Uh [laughter] no, that probably [37:09] accelerates your age. Yes, so um if you [37:11] don't have a reliable partner, [37:13] have a pet. [37:14] Because the human bond is something that [37:17] is shown to slow aging and associates [37:21] with people who live longer than others [37:23] that are lonely. [37:25] Interesting. We're going to dig into all [37:26] of those in great detail. Specifically [37:28] very interested in in exercise, diet, [37:31] lifestyle, fasting. I know it's a big [37:32] subject you speak about, which I'm very [37:33] very interested in. And actually, as I [37:35] was doing the research for this [37:35] conversation, [37:37] again, my the way that I'm going to [37:39] approach nutrition has shifted because [37:41] of some of the things I discovered [37:42] there. [37:43] I want to just tick off on this [37:44] evolution point. Right. Let's come back [37:46] to that. Yeah, I just want to get clear [37:48] Yeah, like why didn't evolution fix it [37:51] for me? Because they talk about survival [37:52] of the fittest and that the very fact [37:54] that I'm here is because my my ancestors [37:56] were good at survival. But listen, my [37:57] ancestors all died at like 30, 40, 50, [37:59] 60, 70, 80 years old. That's not very [38:01] good. Why Why didn't they just live [38:03] longer? [38:04] >> Well, that's why. You just said the [38:05] answer yourself. Because your ancestors [38:08] didn't live beyond 40 or 50. Even less. [38:11] But most men [38:13] uh in prehistoric times would die from [38:16] >> [clears throat] [38:16] >> famine, disease, and actually a lot of [38:18] them from war. So, most people didn't [38:21] make it to 80. Some people did, but very [38:23] very rarely. [38:25] So, the the forces of natural selection [38:27] were on [38:29] early survival [38:30] and fast breeding. [38:32] Let's put it this way. If there was [38:33] someone [38:34] who was born with a mutation that [38:36] allowed them to live a lot longer, to [38:38] 90, [38:39] in a prehistoric world, that's useless. [38:42] Because you're probably going to die at [38:43] 30 or 40 anyway. And so, you have [38:45] children. [38:45] >> [clears throat] [38:46] >> So, what you want to do is find genes [38:47] that allow you to become reproductively [38:49] successful [38:51] early on in life. [38:53] Um and make sure your children survive. [38:55] And so, we we have children [38:57] pretty early, but humans for for various [38:59] reasons have a long developmental period [39:02] including education. [39:03] So, we don't we don't develop very [39:05] rapidly, right? We don't wake up and we [39:07] can walk and run like a lot of other [39:08] species and mammals. [39:10] >> [gasps] [39:10] >> But we don't live a long time because [39:12] there was [39:13] in the environment that we evolved, the [39:15] Serengeti plain is pretty much agreed [39:17] upon as that's one of the places we [39:19] evolved. [39:20] Certainly uh Eastern Africa. [39:22] That was extremely difficult and [39:24] dangerous place to live. [39:26] You could get eaten by an animal. [39:29] And if you didn't get eaten by an [39:30] animal, you got killed by the [39:31] neighboring tribe. [39:32] That's super dangerous, right? And then [39:34] so, we we evolved to live [39:37] really at optimal to about 30, [39:41] but not much more than that. So, after [39:43] 30, [39:44] as you might be experiencing with with [39:46] your body, [39:47] we're at the forces of entropy. So, the [39:50] body starts to decay, the information [39:53] starts to get lost in the body. [39:56] But the the good news is that if you [39:58] take away predation and death from a [40:01] species, [40:02] it evolves longer lifespans. Now, it [40:04] makes evolutionary sense [40:06] to have genes that allow you to put more [40:09] effort into building a strong body and [40:11] slowing down the aging process and [40:14] preventing DNA breaks, chromosomal [40:16] breaks. [40:17] We know that this is true because if you [40:18] put species [40:20] say on an island where there are no [40:22] predators, [40:23] what happens to their longevity? [40:26] They get longer lived naturally. It [40:28] takes 20, 30 generations, but only when [40:32] there's no predation, when you're not [40:34] under a lot of stress [40:36] to breed quickly, do you get longer [40:39] lifespans evolving. Given that humans [40:41] don't have predators anymore, we are [40:43] slowly evolving [40:46] longer lifespans. But it's very slow, [40:48] and it's not going to happen fast enough [40:50] for you and me. And do the organisms [40:52] that do live really, really long have [40:55] a small amount of predators in nature? [40:57] Absolutely. [40:58] Absolutely. Think about them. [41:01] The bristlecone pine. What's that? It's [41:03] the longest lived tree in the world. It [41:05] can live many thousands of years. [41:08] Are you jealous? [41:10] Not jealous, no. [41:12] >> [laughter] [41:12] >> No, they live a tough life. Some of [41:15] those trees have been around since the [41:16] pyramids. Wow. The reason they live can [41:19] live for so long and evolve to live so [41:20] long is that things don't eat them. They [41:22] are totally poisonous. You don't want to [41:24] eat a bristlecone pine. [41:26] The same for a whale, right? The bowhead [41:27] whale, some of these very large animals, [41:29] no predators. So, they've evolved a [41:32] strategy of breeding slowly, but [41:34] building very [41:36] powerful systems to stop epigenetic [41:39] changes. Their epigenetic control [41:41] systems are stable. They don't get [41:43] cancer, and they they don't lose they [41:46] don't have this identity crisis until [41:48] hundreds of years. [41:50] We know that. People study the cells of [41:52] whales in the dish, and those cells [41:54] don't lose their identity very quickly [41:56] even when you break their DNA. [41:58] So, I I I guess the place also to to go [42:01] next is talking about disease generally [42:04] and what disease [42:06] is. [42:07] So, are these diseases a function of [42:08] aging? Does this idea of reversing aging [42:11] even matter if cancer's going to take [42:12] most of us out anyway at some point? [42:15] Is there a link between aging and [42:17] disease? This might be the most [42:18] important point that I make today. [42:22] When you reverse aging, diseases of [42:24] aging go away or are cured. [42:27] And in our in my lab, including many [42:29] types of cancer as well. [42:33] The diseases that we try to treat [42:34] individually with different medicines [42:36] today that we think are unrelated, [42:38] Alzheimer's, cancer, heart disease, you [42:40] name them. [42:41] Fundamentally, what's driving a lot of [42:44] those diseases [42:46] is aging. [42:47] If you never got old, would you ever get [42:49] Alzheimer's even if you had the genes [42:51] that predispose you? No. [42:54] Right? And so, what we see in my lab is [42:56] when we give an animal a disease, and we [42:58] can do that, we can put in the human [43:00] genes for Alzheimer's into a mouse, [43:03] it becomes has dementia. [43:05] When we reverse the age of the brain of [43:07] that animal, we're not treating the [43:09] disease, we're treating aging. [43:11] The disease goes away. The body can heal [43:14] itself when it's young. [43:16] So, it's the aging process that reveals [43:18] the disease that can be cured by [43:21] reversing. Why does the aging process [43:24] reveal a disease? [43:25] Why don't we get Alzheimer's at 15? [43:28] Because the cells are so healthy they [43:30] can fix themselves. They can renew [43:32] themselves. [43:33] The disease processes that cause these [43:36] problems for us don't exist when we're [43:38] young. [43:40] Why is it that a teenager rarely has a [43:42] heart attack? Because their body [43:45] prevents them. [43:46] Why do young people typically not get [43:48] cancer? Because the immune system [43:51] finds cancer cells and clears them out. [43:53] You and I have cancer cells in our body [43:55] right now. Why are we probably not going [43:57] to die in the next year? Cuz our immune [43:59] system will find them and kill them. [44:01] But as we get older, we're going to lose [44:03] that ability, [44:04] and we'll have a greater chance of [44:05] having cancer. So, are you saying that [44:07] if we cure aging, we're probably going [44:09] to by way of that cure most of these [44:11] diseases? 100%. [44:13] We're talking about um [44:16] menopause quite a lot on this podcast, [44:18] and fertility, menopause, women's [44:20] ovaries as um one of the first places [44:24] that ages. And I've heard you explain [44:26] that you think that evolution programmed [44:27] women to stop having children during [44:29] menopause because continuing [44:30] reproduction would drain energy needed [44:32] to raise existing children. [44:34] So, is infertility something that could [44:36] theoretically be prevented? In mice, [44:38] which is where we live in my lab, where [44:40] we work, [44:42] it can be prevented and it can be [44:44] reversed. I thought we run out of eggs. [44:47] That's like the That's the current [44:48] theory. The evidence that we have from [44:50] my lab and a lab that I worked with in [44:53] Australia [44:55] caused me to question that idea that we [44:58] run out that women run out of eggs. [45:01] We have published [45:03] and repeated many times [45:05] that if you [45:07] treat old female mice [45:10] 16 months of age, which is like a 65, [45:13] 70-year-old human, [45:14] that has long time since given up having [45:18] offspring, [45:20] we can treat the ovaries with a chemical [45:23] that rejuvenates the eggs [45:25] that are in the ovary, [45:27] maybe even produces new ones, we don't [45:30] know for sure, [45:31] but those 16-month-old mice that stopped [45:34] having kids a [45:35] uh probably at least 6 months ago, [45:38] now start producing healthy offspring [45:40] again. [45:41] Their eggs look young, pristine, [45:44] compared to the terrible eggs that if [45:46] you try to harvest some eggs from a [45:47] mouse that old, [45:48] it's hard to find any that look normal. [45:51] Their chromosomes are messed up, ripped [45:52] apart. They're not going to produce [45:54] healthy babies. But we can take those [45:57] eggs, or at least the ovaries with those [45:59] eggs in them, [46:01] and cause them to be young again, and [46:03] make fresh eggs [46:04] that can produce healthy offspring that [46:06] live a normal lifespan. The real [46:08] question is, will this work in women? [46:11] And that's something that I'm keen on [46:12] testing. [46:15] It's must be really hard to test a lot [46:16] of these things in people, right? Cuz we [46:18] you've mentioned the word mice quite a [46:20] lot. [46:20] >> It's harder than you can imagine, [46:22] actually. Um and I've spent a lot of my [46:23] career since I was 35 um [46:26] aiming to develop a medicine [46:29] to treat diseases and aging. [46:31] And it can be it can go wrong in many [46:34] ways. Um even if the science is good and [46:37] right. [46:38] Um and it it's there's money, there's [46:40] business, there's laws, [46:42] there's politics, there's [46:44] business strategies, there's change of [46:46] leaderships, [46:47] um [46:49] all sorts of human introduced [46:52] variables that can get in the way. [46:53] There's patents, [46:55] and and then there's there's competition [46:58] and spite that also gets into it. Um and [47:01] I've had to [47:02] deal with all of those things, including [47:05] competing against some of the largest [47:06] pharmaceutical companies in the world [47:07] who really didn't want me to succeed. [47:10] But yeah, it's extremely difficult to [47:12] make a drug, but I do want to remind you [47:14] and everyone listening and watching [47:17] that we're beyond mice now for age [47:19] reversal. We've done this in monkeys, [47:22] monkeys that are [47:23] physically and almost genetically [47:25] identical to us. [47:27] So, it's not a big leap from it is a [47:29] pretty big leap from mouse to human, but [47:30] from a monkey to a human, [47:32] it's we're essentially [47:34] you know, slightly smarter monkeys. [47:37] I just had a thought about how other [47:39] countries and other nations might be [47:41] conducting their own sort of secret [47:43] research, and they might not have the [47:45] same bureaucratic, political, ethical [47:48] considerations that you have to contend [47:50] with. Do you think about this much that [47:52] some of the sort of geopolitical [47:54] adversaries might be doing secret [47:56] testing in some [47:57] research lab somewhere on humans? I [47:59] think about it, um and in fact, the [48:01] United States government thinks about [48:03] it, too. A large investment into uh the [48:06] com- one of the companies that I [48:08] uh sit on the board of was blocked [48:11] because the US government claimed that [48:13] the technology was too dangerous to be [48:15] in the hands of foreign [48:17] companies and governments. [48:19] So, there the US government, at least in [48:22] in the previous administration, was [48:23] extremely cautious about [48:25] this technology falling into [48:28] the wrong hands. [48:29] Which technology? The ability to reverse [48:31] aging. So, the US government blocked [48:34] that technology because they were scared [48:35] that it might fall into the wrong hands. [48:37] Well, they blocked the the very large [48:39] investment over $100 million into the [48:41] company from a foreigner because they [48:43] would have more access to [48:45] the information and the progress. Is it [48:47] China? Um I won't say more. It's [48:50] sensitive. [48:51] Most I can say is that governments are [48:53] watching this technology very closely, [48:55] not just the US, but around the world. [48:57] Because the winner [49:00] will make [49:01] not not just a lot of economic benefit, [49:04] but there will there will be potential [49:06] for radical change in the pharmaceutical [49:08] industry, in health care. [49:10] Um the amount of change socially will be [49:12] dramatic as well. [49:14] But there are also uses that the [49:16] government has identified, [49:18] uh so-called super soldier potential. [49:21] Now, I I don't agree that that's a [49:24] reason to slow down the research. [49:26] Others claim that it was worth it. [49:29] But I do believe that the technology is [49:31] very powerful, and we should start to [49:32] get ready [49:33] for when this comes to society. Cuz it's [49:37] not an if, as I said, it's a when. [49:39] The technology to do what? [49:41] To rejuvenate the human body. Why do we [49:44] need to get ready? [49:46] Well, cuz it'll be massive social [49:47] change. If you can choose how old you [49:49] want to be, [49:51] and people don't die as [49:53] at 80 anymore. Let's say they they can [49:55] live till 120 or beyond. [49:58] There's big changes. There's social [49:59] security issues. There's uh employment. [50:03] Though, I will say that [50:04] the the disaster scenario that often [50:07] comes to mind when I talk about this, [50:09] and which I covered in in the last part [50:11] of my book, Lifespan, [50:13] it's actually economically hugely [50:14] advantageous to slow aging and prevent [50:17] diseases. [50:18] A lot of the US economy and most [50:20] advanced economies goes to health care. [50:22] And chronic disease, a lot of people are [50:24] sick for 5 to 10 years, [50:26] that's where most of people's savings [50:28] and retirement and government money goes [50:29] in. The most expensive years of your [50:31] life are the last 2 years. If you can [50:34] delay that, [50:35] it's going to have massively positive [50:37] economic benefits to a nation that [50:40] adopts these medicines. I've got a [50:41] question for you that actually came to [50:43] mind yesterday when I was I watched some [50:45] I don't know, some video on social media [50:46] and they asked a question to a guy. [50:48] Um David, if you were a billionaire now [50:51] at age 56, [50:53] would you give it all up [50:55] to be [50:57] my age again, 33? [51:00] Um I don't think you can put a price on [51:02] being young. Another way of of putting [51:04] it I've I've seen this on social media, [51:05] would you swap for a billion dollars, [51:07] would you swap with Warren Buffett? [51:09] No, absolutely not. [51:10] >> Right. So, there's no money in the world [51:12] that you want to be old, right? Uh Yeah. [51:14] It's not worth it. In other words, youth [51:16] is more valuable than a billion dollars. [51:20] It may be the most valuable thing you [51:21] could ever have [51:23] is your youth. [51:24] It is it's such an [51:26] an interesting and illuminating analogy [51:28] or metaphor or whatever because [51:30] suddenly you do realize that how much we [51:32] value it. We value it more than [51:34] anything. [51:36] I would rather be [51:38] 33 years old [51:40] than be a 43-year-old billionaire. [51:43] Even the 10 years I value as a billion [51:45] dollars. [51:46] Yeah. 1 year, maybe, but not 10 years, [51:49] right? 10 years is super I I totally [51:51] agree with you. [51:52] Um and the older you get, the more [51:54] valuable it becomes. It's important to [51:56] realize the the massive impact that this [52:00] technology can have, not just [52:02] economically, but on individual lives of [52:04] human beings across the planet. The [52:06] world when this becomes [52:08] a reality, [52:10] again, I'm speaking like it's a [52:11] certainty cuz I'm pretty convinced it's [52:13] going to happen, [52:14] the that world is going to be so [52:16] different from the world we live in. [52:17] It's going to be as different as [52:19] the pre-computer world and the [52:21] pre-airplane world as [52:23] today is. [52:24] I'm trying to imagine the world where we [52:26] could pick our age. [52:28] And maybe even, you know, you talked [52:29] about earlier being able to continue to [52:31] reset to that age. Yeah. Trying to [52:33] imagine what the world would be like if [52:35] I could be 33 forever. [52:37] Or if you could be, you know, 33 [52:40] forever. [52:40] >> Or even for another 100 years or [52:42] something. Yeah. Yeah. I could stay 33 [52:45] for 100 years. Do you think that's the [52:47] plausible outcome, which is we can kind [52:48] of pick an age and stay there for [52:50] 100 years like at that particular age, [52:52] or is it just that I'm going to be 150 [52:55] in my physical form, I'm going to be [52:57] wrinkled and gray, but I'm just going to [53:00] continue to live? [53:02] Is it looking young, or is it just [53:04] living longer? [53:06] It's actually [53:07] >> Both. It's It's The good news is it's [53:09] both. And we're doing a lot of work in [53:11] my lab on skin and hair, [53:13] uh hair loss, hair graying. Yeah, please [53:15] help me. Like if I [53:17] >> [laughter] [53:17] >> You don't have to worry just yet. Um [53:20] you know, we'll we'll help your brother [53:21] first. No, no, come on. Yeah, we will. [53:24] Tell him to call me. Um so, we we we've [53:26] seen that we can rejuvenate the skin of [53:28] again mice, but still we we also grow [53:30] human skin in the lab from scratch. And [53:32] we can put that human skin on mice, and [53:35] the mice have human skin. So, we can now [53:37] test age reversal in that system. [53:40] I'm very optimistic that we'll be able [53:42] to rejuvenate uh the the external part [53:44] of the body as well as the internal. If [53:46] we can cure blindness, [53:48] reversing the age of the skin is is a [53:49] piece of cake. [53:51] What What does that world look like? I'm [53:53] trying to understand all of the sort of [53:54] unintended consequences [53:57] of such a world where we're all kind of [53:59] young and we all live longer. [54:01] Is there problems of meaning and [54:03] purpose? Is this [54:05] What are the unintended consequences? [54:07] I've thought a lot about this. There's [54:08] this gut feeling that a lot of people [54:10] have, maybe you're feeling it now, is [54:12] that if I'm not worried about death, I'm [54:15] not going to strive as hard, I'm not [54:17] going to have as much meaning, I'm not [54:18] going to have agency. [54:21] I totally reject that view. [54:23] I believe that every moment is special. [54:26] I I don't believe I would be enjoying [54:28] this conversation with you anymore [54:30] if I could live 200 years. I'm loving [54:33] the moment. Mhm. All right. And so, I I [54:36] believe that we get up with purpose, [54:39] and that if I lived for 1,000 years, I'd [54:41] still enjoy every day that I lived. [54:44] And even 1,000 years, one day may be [54:46] seen as too short. [54:48] You know, it's 20 times my age, a little [54:50] bit less than 20. [54:52] That's still not very much in the grand [54:54] scheme of, you know, the the age of uh [54:56] geology and the Earth. We still are [54:58] around like that. [55:00] Uh and so, I think that we will still [55:02] love life. [55:03] Most of us will still love life and [55:04] enjoy every moment. But we'll get more [55:06] opportunities. We can try multiple [55:08] careers. Maybe we we we will get [55:10] divorced and find have a whole new life. [55:13] So, there will be opportunities, and it [55:15] will be a a magnificent world. [55:17] Not to mention the productivity that [55:19] humans can provide with the the [55:21] knowledge [55:23] of a 58- or 80-year-old, but with the [55:26] body of a 30-year-old. [55:28] Do you think people will make different [55:30] decisions about having children? [55:31] Well, I think we have a problem already [55:33] with the decisions that a lot of couples [55:35] are making, which is leaving it too [55:37] late. Um [55:39] it's very clear with the fertility rate [55:40] and the rate of childbirth that [55:43] basically we're going off a cliff. [55:45] And I I think that [55:48] it's going to be important to be able to [55:50] give couples and women especially the [55:53] choice to have children [55:54] for longer. [55:56] And that's one of the reasons that I [55:56] work on this topic is that I think that [55:58] the world with all of the the training [56:00] that we need to do and the pressures on [56:02] finding a mate [56:04] and being happily married or or at least [56:06] being partnered up, [56:07] that can take decades to get the right [56:09] person. You don't want to rush into it [56:10] like people used to. [56:12] And being able to have children in your [56:13] 50s and 60s, I think, would be a great [56:16] gift to humanity. That's my personal [56:18] view. Some people may, you know, for [56:20] whatever reason disagree with that, but [56:22] I think that the pressures to have [56:23] children before 35 [56:25] typically are just extreme and and [56:28] unfair. [56:29] But also that it'll help [56:31] us maintain the human population cuz by [56:33] 2050 we're going to start [56:35] going in a bad decline and earlier in [56:37] many Western countries. And without [56:39] humans, you know, absent Android robots [56:42] everywhere, we're going to have a [56:44] deficiency of human capital and human [56:46] productivity. And this is I would argue [56:49] with Elon [56:51] that this is the best solution to that [56:53] uh lack of humans is just keep people [56:55] healthy and alive and productive for [56:57] longer. [57:03] Woah. What's that on your face? [57:04] >> This is my BonCharge face mask. I've [57:06] been wearing this for some time now. [57:07] They're a sponsor of the podcast. I put [57:09] this on for 15, 20 minutes a day. Like I [57:11] can sit here in the chair and wear it. [57:13] Boosts my collagen production, helps [57:14] with fine lines, blemishes, my [57:15] complexion gets better. 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[58:40] So, if 2026 is the year you finally back [58:42] yourself, go to shopify.co.uk/bartlett [58:44] and start selling. And you can sign up [58:46] for a $1 per month trial right now, too. [58:50] Just go to shopify.co.uk/bartlett. [58:56] I promise you, you don't need to have it [58:58] all figured out. You just need to start. [59:02] You mentioned uh cancer earlier on as [59:04] something that you're working on in your [59:05] laboratory. What progress have you made [59:08] in your laboratory, and what has that [59:09] taught you about what the nature of [59:10] cancer, but also how we might prevent [59:12] and cure it someday? Cuz I I was reading [59:14] that in your laboratory you have been [59:16] able to [59:18] slow the growth of certain cancer cells [59:20] and kill those cancer cells completely. [59:22] Yeah, uh so, my [59:24] my wonderful student Nallath uh is is it [59:26] doing a PhD on this. [59:29] And what we've hypothesized and now [59:31] tested is the idea again based on the [59:34] information theory of aging is that [59:36] cancer is [59:38] expressing those genes differently. [59:41] In the same way that aging is is a [59:43] cellular identity crisis, cancer is a [59:46] cellular identity crisis. [59:48] And that [59:49] if we can rejuvenate an old cell to be [59:52] normal and turn on the right genes [59:53] again, we should be able to do that for [59:55] a cancer cell. Mhm. And either make it [59:57] normal [59:58] or if it tries to be normal and wakes up [60:02] from its zombie-like state, it might [60:04] even kill itself. And that's what we're [60:06] finding in my lab. Now lots of work has [60:09] shown that a majority of cancers that [60:12] we've grown in the lab [60:14] will die and shrink in an animal if you [60:18] try to reverse their age. [60:20] Through the injection [60:23] that you were referring to earlier on. [60:24] >> Yeah, we can do it a couple of ways. One [60:26] is using those three genes that [60:28] rejuvenate the epigenome and make cells [60:31] young again. Yeah. The one for the eye, [60:33] the same technology for the eye we're [60:35] using in cancer cells. [60:37] But we also have this chemical drink [60:39] that we can give to animals or to put on [60:42] the cells and that also wakes the cancer [60:45] cells up, tries to they try to become [60:47] more normal, they turn on the original [60:49] set of genes that they might have had on [60:52] 30, 40 years ago. Some of these cancer [60:54] cells that we grow in the lab were [60:55] from the 20th century. [60:58] We rejuvenate them, we turn on those old [61:00] those genes that were originally in the [61:02] normal tissue [61:04] and the cells kill themselves. And so I [61:06] believe that [61:08] we may not be able to cure all cancer [61:10] using this. That would be crazy to even [61:11] say that. But I do believe that if we're [61:14] successful rejuvenating the human body, [61:16] cancer is not [61:19] going to be a risk and that's just a [61:21] nice [61:23] side effect of what our original mission [61:25] was, which was to treat aging. So from [61:29] this we can start to try and understand [61:31] what we think is causing cancer. And I [61:33] guess this goes back to the a lot of the [61:35] carcinogenic behavior that you described [61:37] earlier, things like smoking, anything [61:39] that's applying stress on the DNA. Is [61:41] that like a Yeah, you have to break the [61:43] DNA. Okay. [61:45] >> That's the [61:46] a catastrophe is really broken DNA, but [61:48] you can do other things that are [61:49] catastrophes like overheat the cells, um [61:52] even mechanical stress. [61:55] I don't know. [61:56] Too many hits on the brain in football [61:58] will will do that. So yes, uh that's [62:01] exactly right and that drives aging and [62:04] aging drives cancer, by the way. One of [62:06] my theories called the geronco-genesis [62:08] hypothesis. Terrible name, but [62:11] nevertheless, geronco-genesis it it is. [62:14] It's the idea that as we age, we're [62:16] becoming more cancer-like as as a as a [62:18] human. [62:19] Our metabolism when we're old is closer [62:22] to [62:23] heading towards what a cancer cell's [62:25] metabolism is like. So that when we [62:26] actually do get cancer, the cancer cells [62:29] grow better in an old person than when [62:31] you're young. And so by rejuvenating [62:33] those cancer cells, giving them the [62:36] the ability to [62:38] be young again, they actually either [62:40] slow down in their growth or as I said, [62:42] kill themselves in response. I've got a [62:44] bit of a a prop here which might be [62:47] useful for the the context of [62:49] >> Oh goodness, does [62:50] There are people here that may not know [62:52] what I'm holding in my hands, but uh for [62:54] those of you who don't know and who are [62:56] just listening, I'm holding a record [62:59] uh in my hands, a vinyl record uh that [63:02] Steven just handed me. [63:04] So the the information theory of aging, [63:07] uh the analogy that I used is that it [63:09] disrupts information and so this record, [63:11] this album has information on it. [63:14] It's music and just like DNA, it's [63:17] information. So instead of the DNA [63:20] information the the control of the DNA [63:22] getting messed up, it [63:23] in the album, it's like scratching this [63:26] album. [63:27] So I'm literally going to scratch this [63:28] album. Is that okay with you? [63:29] >> Yes, you can. All right. I'm not sure I [63:31] can fix it, by the way. It may be a [63:33] one-way thing, but [63:35] I've never done this before, but yeah, [63:38] that's painful. [63:40] Maybe you can hear that happening. [63:43] So if we were to play this on a record [63:45] player with a needle, it's going to jump [63:48] around and it's going to read the wrong [63:49] songs or it's it's going to certainly [63:51] not sound very good. So that's that's [63:54] now the equivalent of an old cell. The [63:56] information, the beautiful music is [63:59] there, but the ability to read it has [64:01] has been messed up. In the same way that [64:03] old age, the information is in the DNA, [64:05] but you the cells don't read it [64:07] correctly. And what our technology is is [64:10] to get rid of those scratches and so we [64:13] can play the beautiful music of our [64:14] youth again. [64:16] Um I have got this You told me to to [64:19] bring my weighted vest and this neck [64:22] brace. [64:23] Oh my goodness. I got I think I put it [64:25] on the wrong way. Okay. If any anyone [64:27] listening, Steven's putting on a very [64:29] heavy jacket right now with lead weights [64:31] and a strap around his neck to limit his [64:33] neck movement. Oh, wow. [64:36] That's a lot. This So I'm I just I put [64:38] on a 20 I think it's 20 kg. My son's [64:41] weak now. Um [64:44] jacket and a neck brace. [64:47] And ahead of this conversation, my team [64:49] told me to get one of these. [64:50] What is the analogy here that you're [64:52] you're creating? This is very [64:55] It's bad, right? [64:56] >> It's hard, yeah. [64:57] >> Right. Imagine [64:58] the feeling like that for a decade. [65:00] That's old age. You would feeling tired, [65:03] weak, you can barely hold your body up, [65:06] you can barely move your neck. It would [65:07] be painful. You're not in pain yet. No. [65:09] But most people in their 80s have [65:12] some sort of disease and aches and [65:13] pains. [65:15] Try doing that for another 10 minutes. [65:17] Maybe How long you can you keep that on? [65:19] I'll keep it on for another 10 minutes. [65:21] But so why is this cuz it just it's [65:23] weight and immobility. I can't move my [65:26] neck the same. My shoulders feel [65:29] heavier. [65:30] How how is this a relevant analogy to [65:32] aging? Because it just it just kind of [65:33] feels like immobility and weight. Uh [65:36] well, I have to come over there and use [65:38] this pair of scissors to be stabbing you [65:40] as well so if you can feel pain as you [65:42] move as well. That's part of old age. It [65:45] is not a fun thing being old. And most [65:48] old people, the reason that they don't [65:50] love life anymore is because they feel [65:52] like you do or worse. [65:54] Not to mention the fact that they're you [65:56] need to put Vaseline on your eyes, [65:59] earplugs in your ears if you want to [66:01] know what it's like being old. Oh god, [66:04] it's not nice. Mhm. Or even worse, shut [66:06] your eyes and you can never open them [66:08] again. [66:10] That's what it's like for those patients [66:11] that we hope to cure blindness in. [66:14] If if I'm going to ask you a really [66:15] tough question, which is if I put a [66:17] calculator in front of you right now and [66:19] you had to hit a number on that [66:20] calculator and then hit enter and that [66:23] was the age that you were going to live [66:24] to and you had to make that decision [66:26] now, [66:27] what number would you hit on that [66:29] calculator? Infinity. Really? So you did [66:32] 9999999. [66:33] >> There's no day if you're healthy where [66:35] you want to die. [66:37] Even if you're 100, 120, if you have [66:39] friends, family, loved ones, you're [66:41] healthy, [66:42] would you say okay, tomorrow I'm ready [66:44] to die? No. No. Unless there was some [66:47] kind of psychiatric issue or something. [66:48] >> Exactly. Right? So that's my point is [66:51] when people say, "Oh, when I'm 80, kill [66:53] me." That is That's Excuse my [66:55] language. Am I allowed to swear on this? [66:57] >> Yeah, of course you can. Um Sorry, we're [66:59] going to beep over the curse words. It's [67:00] It's only when you're sick or you have [67:03] depression that you want to leave the [67:05] leave this world. Otherwise, life is a [67:08] joy for most people on in the world. Not [67:10] everybody and we have to fix that as [67:11] well. But for most of us, [67:15] being alive is is the greatest gift of [67:17] any, mhm, you know, [67:19] collection of atoms. [67:21] Consciousness is even greater. [67:23] And why would you want that to end? [67:26] Who would choose that if they had the [67:28] alternative to be with family and [67:30] friends? Interesting. [67:32] I say that's interesting because I have [67:34] always assumed that I wouldn't want to [67:36] live forever, but the when when you [67:39] asked me if I was healthy [67:42] and I had my friends and family and I [67:44] was doing [clears throat] things that I [67:45] loved professionally, would there come a [67:47] day where I would choose to go now? No, [67:50] there wouldn't. Just like there hasn't [67:52] come a day in the last 33 years where [67:54] I've chosen to go now. Mhm. [67:57] Exactly. Do you think it's it's going to [67:59] be possible in the next 50 years for us [68:02] to live forever? [68:04] I'd be shocked if that happened, but [68:07] I've been shocked my whole career at how [68:09] fast this technology is moving. And now [68:10] with AI, things are going so fast, my [68:12] head's spinning. [68:14] So I'd be happy to be proven wrong, but [68:16] I'm I'm skeptical that we could live [68:18] forever in my lifetime, at least. [68:21] But as I said, you're probably you're [68:22] probably going to live you are going to [68:24] live into the 22nd century. [68:26] We can't imagine what the the world's [68:28] going to be like then. And AI has really [68:30] changed this equation. Oh, absolutely. [68:33] We're We're doing things in my lab that [68:35] would have taken 160 years before. And [68:38] and quite literally billions of dollars [68:41] on a 10 $10,000 budget. [68:43] Well, I guess I better make it to 2040. [68:46] Um so let's talk about fasting and food [68:49] and nutrition and get go a little bit [68:51] deeper on that. I've had so so many [68:53] conversations over the years about this [68:54] subject of fasting, but um as I was [68:57] reading your research, you really do [68:59] feel that fasting, just eating less [69:02] often, [69:04] is one of the most important things that [69:05] we can all do for longevity. I I do. I [69:08] do and I practice it as much as I can, [69:10] though it's challenging in a world [69:11] that's full of abundant food. [69:13] But yes, we've known for thousands of [69:15] years. The ancients are not dummies. [69:18] They They could witness what happens [69:19] when you fast. [69:21] Uh clarity of mind, long-term health. [69:24] They could observe the difference [69:25] between the gluttons and the people that [69:27] fasted for religious reasons. It's [69:28] obvious. [69:29] But there's certain ways to do it. [69:30] Fasting doesn't include malnutrition. [69:32] You have to do it with abundant, you [69:35] know, vitamins, minerals. You want to [69:36] make sure that you're you you have [69:38] adequate nutrition. [69:40] But I think three meals a day is is [69:42] craziness. It turns out this idea [69:44] breakfast is the most important meal of [69:45] the day [69:46] is marketing from the early 20th century [69:49] by companies I will not name. But it was [69:51] breakfast cereal. Breakfast is not the [69:53] most important meal of the day for most [69:55] people, especially adults. [69:57] Especially if you're not hungry when you [69:58] wake up. There's no point in eating if [70:00] you're not hungry in the morning. [70:02] I'm one of those people. So, I've [70:03] skipped breakfast. How about you? Yeah, [70:05] I'm the same. I'm the same. I don't eat. [70:06] My first meal today was 3:00 p.m. [70:08] because I had a podcast until, you know, [70:10] 2:00 2:00 p.m. So, which is typical for [70:12] me. I just don't get hungry in the [70:13] mornings. Now, because of the marketing [70:15] there for breakfast, sometime I've [70:17] sometimes I've said to myself, "Oh, you [70:18] should eat." And I'll make myself eat. [70:20] But it's very very rare. I'm notoriously [70:22] people know that I'm notoriously [70:25] um a late eater. 4:00 p.m. sometimes, [70:27] 5:00 p.m. if I'm in the office. How you [70:29] feeling with that heavy vest on? [70:30] >> It's heavy, David. I'm going to be [70:31] honest. It's not I'm finding myself like [70:33] trying to find a comfortable position. [70:35] Yeah, it it's tough being old. And by [70:37] the end of it, you will [70:39] be so convinced that this research is [70:41] important. Because to live like that, [70:43] It's not in most people, life is not [70:45] worth living. [70:46] I put a suit, a very heavy suit like [70:48] that, but on the arms as well, not just [70:50] the body. [70:51] And he had the the earmuffs and the the [70:53] eyes. This was the the governor of [70:56] Massachusetts. 15 minutes in that body [70:58] suit, and he was crying. Not because he [71:01] was in pain, because he as he said on [71:04] stage, it was the first time in his life [71:06] he understood how his father feels [71:09] and could be empathetic. [71:11] We, young people, I'm relatively young, [71:13] 56. You're very young, 33. [71:15] We have no idea what it's like to be [71:17] old. [71:18] It can be horrific. So, why wouldn't we [71:20] do the right things like fasting, [71:24] exercising, [clears throat] [71:25] so we can get an extra 10 years, maybe [71:28] longer of healthy life. It does also [71:30] give me a lot of empathy for people that [71:33] have a bit more weight on them as well [71:35] because if, you know, [71:37] if I was if I weighed that much, I don't [71:39] know if I'd be very active to to be [71:41] completely honest with you. [71:41] >> Exactly. And and you're in pain, too. [71:43] Don't forget. Every joint can be [71:45] hurting. How do you feel taking that [71:46] off? [71:46] >> Much better. [71:48] Right. Free. Like I want to jump. So, [71:50] let's [71:52] hope, pray, wish [71:55] that these technologies that I'm talking [71:56] about today work. [71:58] Cuz that could be what it feels like to [72:00] be rejuvenated when you're 80. [72:03] Hm. I hope so. [clears throat] [72:04] Um to close off on this point of of a [72:06] fasting, why why does it help extend my [72:08] life? [72:09] >> Yeah. Just eating less. Part of it came [72:11] out of research in my lab, but of course [72:12] many others I need to give credit to. [72:15] But in my lab specifically, what we [72:16] worked on initially when I started, we [72:19] studied yeast cells. [72:21] Little microscopic cells that, as [72:23] everyone knows, we use to make beer and [72:25] bread and champagne. [72:27] These yeast cells live about 10 days and [72:29] then they die. And we used yeast as a [72:31] model for aging. [72:32] And what we discovered with yeast cells, [72:34] which turns out to be true in our [72:35] bodies, is that adversity, as long as [72:38] it's not killing these cells, is good [72:41] for you. [72:42] It's called hormesis. [72:44] It's the technical term for what doesn't [72:45] kill you makes you stronger and live [72:47] longer. [72:48] Adversity mode is what we're aiming for. [72:51] The opposite [72:52] is abundance mode, which is what modern [72:54] life is all about. [72:56] Popcorn, movies, wheels on your [72:59] suitcase, sitting down all day. [73:02] It's we're in an abundance world. So, [73:05] adversity is something we don't often [73:06] feel. We have to work at it. [73:08] Fasting is adversity. [73:10] Exercise is adversity. Cold plunges, [73:12] saunas, adversity. [73:14] Adversity mimics. They're not really [73:16] threatening your life. What happens at [73:18] the cellular cellular level [73:20] is that those cells, [73:22] they get freaked out. They're worried [73:24] that these times of adversity could kill [73:27] us, so they fight back. [73:29] They turn on repair systems. They turn [73:31] on recycling systems. [73:34] They turn on DNA repair systems that [73:36] help slow down aging. [73:38] So, in this modern world we when we have [73:40] total abundance, we don't have to [73:41] exercise, we don't don't we eat three [73:42] meals a day, [73:44] we get overweight, we don't sleep much, [73:46] we have air conditioning in summer, [73:48] we're actually aging faster than we need [73:50] to cuz our bodies are not fighting aging [73:53] like they do when they feel adversity. [73:56] Your team discovered I can't say the [73:58] word sirtuinous. [74:00] Oh, well. I was one of many scientists [74:03] in the 1990s. [74:04] Uh I was part of a team called sirtuins. [74:07] Yeah. [74:07] >> Sirtuins. Yeah. [74:09] Yeah, that in yeast, actually. That's [74:11] right. Uh [74:12] That's a good story. I went to the US [74:16] to figure out why we get old. But I [74:18] didn't choose to study humans cuz I [74:20] figured [74:21] if we can't figure it out for little [74:23] yeast cells, we'll never figure it out [74:24] for humans. So, I went to MIT. My [74:27] professor was Lenny Guarente. I went to [74:30] his lab and I said, "I'm I'm not going. [74:31] I'm not leaving." The goal was to in my [74:34] mind was to figure out are there [74:36] longevity genes? At that time, most [74:38] people thought that there were aging [74:40] genes that caused aging, death genes. [74:43] That doesn't make any sense to me. Our [74:44] bodies would have longevity genes that [74:46] give life. [74:47] So, in yeast I went searching for them. [74:49] And out of that work came two things. [74:52] The first is Lenny and I, my professor [74:54] and I published [74:55] in the journal Cell, which was a massive [74:57] big deal in those days, still is. It was [74:59] my first time. The first [75:02] evidence for a cause of aging for any [75:04] species. [75:06] We figured out why yeast cells get old. [75:08] Do you want to guess? [75:09] Hm. Why do yeast cells get old? [75:13] >> Have you been paying attention? What [75:14] does the information theory of aging [75:16] say? I was going to say they have an [75:17] identity crisis, but They do. How would [75:20] we know if they have they're having an [75:21] identity crisis? [75:22] >> Oh, you can measure the identity of [75:23] yeast cells. They have an identity. It's [75:26] called their mating type. The main [75:27] identity of a yeast cell is they are [75:29] either A type or alpha type. [75:32] Male, female. [75:34] And the hallmark of a yeast cell that's [75:37] old is it loses [75:39] its A and alpha identity [75:42] and gets [75:43] an identity crisis. It doesn't know what [75:45] sex it is and it doesn't mate anymore. [75:47] Becomes sterile. [75:49] So, when I arrived at MIT in 1995, we [75:52] knew that the hallmark of an old yeast [75:54] cell, besides of being a bit slow and [75:56] bigger, is that it became sterile. [75:59] It had an identity crisis. So, we [76:00] figured out that broken chromosomes [76:04] distract the sirtuin defenses [76:07] and that causes aging in a yeast cell. [76:10] But we didn't know in the '90s that that [76:12] was going to be true for us as well. It [76:14] took another decade or two to figure [76:16] that out. And how does this link to [76:17] eating all the time? Yeah. So, sirtuins [76:20] are proteins that actually are attracted [76:24] to DNA. [76:25] They actually associate with it and they [76:26] protect [76:28] uh [76:29] the DNA from getting damaged. Okay, like [76:31] bodyguards. Yeah. And they repair broken [76:33] chromosomes. Right? It's all coming [76:35] together now. [76:36] But they also get distracted. So, look, [76:39] a sirtuin's normal job, if there's no [76:41] crisis, is that they turn genes on and [76:43] off. They are epigenetic regulators. [76:45] They control the epigenome. They tell a [76:48] cell what type it is. Nerve cells, skin [76:50] cells, right? [76:51] >> Okay, conductor. Thank you. Conductor, [76:53] exactly. [76:54] But the conductor [76:57] becomes demented over time. [76:59] What happens is when you have a [77:01] chromosomal break, [77:03] the sirtuins panic. They leave the DNA, [77:06] what they're supposed to be doing, [77:07] controlling the cells' identity, [77:09] and they go and they repair the DNA. [77:11] That's their other job. They have two [77:12] jobs. Identity and repair. [77:15] So, when you have this break, the [77:16] sirtuins go away. They repair the [77:17] problem, but they don't all go back in [77:20] the next few minutes. It's very quick. [77:22] They don't all go back to where they [77:23] started. So, you've got like this tennis [77:25] match that the sirtuins are the balls [77:28] and they get hit over to the break, then [77:30] hit back. [77:31] Most of them find the genes that they [77:33] should go back to, but they don't all do [77:35] that. And that total game of tennis, or [77:37] ping pong if you like, [77:39] is what I believe causes the identity [77:41] crisis and aging itself [77:43] causes aging in yeast cells. It's why [77:45] yeast cells don't live longer than 10 [77:46] days. And I believe it's why we struggle [77:48] to live beyond 80 or 90. [77:50] So, if I'm eating all the time, then [77:52] those sirtuins, they're not going to be [77:54] doing their job as the [77:56] the conductor, making sure I know the [77:58] identity of my cells. They're going to [78:00] be doing repair stuff. [78:02] So, I'm going to age faster. Yes. And [78:05] the breakthrough happened in the lab as [78:07] I was just leaving to go to Harvard. I [78:09] got a job at Harvard when I was 29. [78:12] Super excited. [78:13] And just as I was leaving, there was a [78:15] big breakthrough that they actually kept [78:16] it secret from me cuz I they were [78:18] worried I was going to work on it when I [78:20] left. [78:21] And in fact, my professor tried to [78:22] prevent me from working on it when I [78:24] left. [78:25] On sirtuins in general. Crazy to think [78:27] about, but [78:28] what they discovered [78:30] was that there's a [78:31] a metabolite, a molecule, [78:34] that goes up and down with food and up [78:36] and down with sleep [78:38] called NAD. [78:40] We have lots of it. There's grams of it [78:41] in our body. It's one of the most [78:42] abundant molecules in the body. It's [78:43] very ancient. It's in yeast. It's in us. [78:46] And what they found was that sirtuins, [78:49] to control genes and to repair DNA [78:52] that's broken, [78:53] they don't do it unless there's NAD. [78:56] It's the catalyst. It's the fuel for [78:57] their reaction. They need NAD. [79:00] And when we're young, we have lots of [79:02] NAD. So, it works well. The sirtuins [79:04] control the information on the genes and [79:07] they repair the DNA very well cuz [79:09] they've got lots of NAD to carry out [79:11] their their work. These are enzymes. [79:13] They work. They do things. [79:15] As we get older, by the time you're 50, [79:17] about my age, you have half the levels [79:20] of this NAD molecule. [79:21] My body is making less NAD and it's also [79:24] destroying the NAD faster than when I [79:26] was 20. [79:28] That's a problem. And so what we found [79:30] was that when we fast the yeast [79:32] or we fast a human, [79:34] NAD levels go up again. [79:37] So fasting raises NAD and makes the [79:39] sirtuins [79:40] young again, essentially. And that [79:42] preserves the epigenome and it also [79:44] repairs the DNA better. So can I just [79:46] drink NAD? Uh you can drink NAD and not [79:49] much would [79:50] How How do I happen? How do I take NAD? [79:52] Uh so NAD can be taken as a supplement, [79:54] which is a pre-precursor to NAD. It's [79:57] better to take the precursors. A [79:59] precursor meaning something that creates [80:00] it. Exactly. There's one called NMN, [80:03] not to be confused with M&M's, which [80:05] will probably not make you live longer. [80:07] And there's another one called NR. NMN [80:09] is directly converted into NAD. You put [80:11] two NMNs together, you get NAD in cell. [80:13] We know this for a fact. This isn't [80:14] isn't speculation. When you give a human [80:16] NMN by swallowing it, a gram of it, [80:19] you can you typically double the amount [80:21] of NAD in your body. And we believe, and [80:24] we have some evidence now in human [80:25] clinical trials, [80:27] that the sirtuins are imparting health [80:29] benefits, [80:30] reestablishing the epigenome, [80:32] lowering body weight, [80:34] uh improving inflammation, [80:36] uh and even changing cholesterol levels [80:38] in a positive way in humans. [80:40] So I mean, I'm assuming you take NMN. [80:43] I've been taking NMN and admitting that [80:45] publicly uh for a while now. And my [80:48] father, who [80:49] is uh an even [80:51] more advanced uh experiment at 86. [80:55] So yes, we've been taking it for over a [80:56] decade now. And we're still alive, so so [80:59] far, so good. [81:00] >> So far, so good. I do want to get into, [81:01] and I will ask you in a second, about [81:02] the the supplement stack that you would [81:04] recommend for the average person. Um but [81:06] that's good to know. But just to close [81:07] off on this point of fasting, [81:10] is there a particular type of fasting [81:12] method that you would recommend [81:15] for someone who's trying to, you know, [81:16] improve their longevity? [81:18] Cuz there's so many that I hear say 16 [81:20] hours, 5 days. I'm a scientist, so I go [81:22] with what's proven. I'm not selling [81:24] anything. So what the science says, [81:26] first of all, is that there isn't one [81:28] size fits all for everybody. [81:30] Um it it often depends on what you can [81:32] do personally. [81:34] It's challenging to do this, right? [81:36] You'll feel hungry for the first 2 weeks [81:38] you try it. [81:39] So I I would suggest [81:41] the way I do it is I start by skipping [81:44] one and then maybe 1 and 1/2 meals. [81:49] Uh like what you do, try to go without a [81:51] meal until 3:00, 4:00 if you can. Maybe [81:55] not the first day, right? If you do that [81:57] the first day, you'll say, "This is [81:58] crazy. I'm I'm going to grab a snack." [82:00] And you won't do it. So go slowly, build [82:02] up to it. So the first day, I would say [82:04] just don't eat breakfast and maybe have [82:07] a snack mid-morning. [82:08] A week later, try to go without [82:10] breakfast completely until lunch. [82:13] And eventually work up to what you do [82:14] and I do, which is eat a very late lunch [82:16] if not go to dinner. What you get with [82:18] that is obviously not eating in bed, [82:21] hopefully. So you've got that the night [82:23] fast starting [82:25] what would it be? 7:00 p.m. roughly when [82:27] do you finish dinner? God, no comment. [82:29] Okay. It's usually pretty late. Last [82:31] night it was, you know, it was This is [82:32] probably why I don't eat very early the [82:34] next day. Last night would have been [82:36] about, I'm going to say, 10:00 p.m. [82:39] Okay. It was super late. It was That's [82:41] an extraordinary example. Usually it [82:42] would be [82:44] 8:00 or 9:00 p.m. [82:46] Okay, but but you've got at least 13, 14 [82:48] hours, which is good. Yeah. I aim for 14 [82:50] hours. Some people go 16 hours, but [82:52] that's a good start for fasting. [82:55] And hopefully you can do that most days, [82:56] 5 days a week. Mhm. That's great, cuz [82:59] that means that you're turning on your [83:00] sirtuins, raising your NAD. You're [83:02] exercise You exercise as well, so that's [83:04] also adding to it. One thing that I've [83:06] started doing is fasting for longer than [83:10] just [83:11] 14, 16 hours. I try maybe once a month [83:14] to go for 3 days without eating. Why? [83:17] Because there's a type of cellular [83:19] recycling that doesn't happen [83:21] within the first 16 hours. [83:24] Um you will enter ketosis, so you'll see [83:26] your body will start to change its [83:27] metabolism to produce what's called [83:28] ketone bodies. [83:30] But the true, real, deep clean cleansing [83:33] of old proteins and damage [83:36] damaged proteins happens after [83:39] 2 and 1/2 to 3 days. And it's called [83:41] chaperone-mediated autophagy. Autophagy? [83:44] Autophagy is the word for [83:46] auto, self-eating. [83:49] And it really kicks in [83:51] for with an extended fast. What's the [83:52] evolutionary reason for that? What's [83:54] going on there? Why does it take me 2 [83:55] and 1/2 days for this deep clean to [83:56] happen? Uh cuz your body doesn't want to [83:59] uh do it. It costs a lot of energy and [84:02] having to remake body parts is energy [84:04] expensive. And our body tries to [84:06] conserve energy as much as possible. [84:09] Uh when you're fasting, what it'll it [84:10] needs to do is to use your body as fuel. [84:14] So it'll start breaking down proteins [84:16] for fuel that you need. So first of all, [84:18] what will happen is in the first few [84:20] hours, you use glycogen from your your [84:21] liver. Your liver makes glucose. [84:23] You'll feel a little bit hungry, but [84:24] you'll eventually be fine. [84:26] Then once you run run out of glycogen, [84:28] then you're going to start breaking down [84:29] fat and making ketones. [84:32] Uh that's when you start to get a bit of [84:33] bad breath from [84:35] from that. And you but you feel great. [84:37] When you're in a [84:38] between about 15 hours and 24 hours, [84:42] that's when you get a lot of ketones. [84:43] And your brain uses those for fuel, so [84:45] you'll have sharp mind, can remember [84:47] things, you can focus on work if you [84:49] ever get there. [84:51] Beyond that, you need to break down fat. [84:53] And uh [84:54] that is uh when your body is [84:58] starting to do that. But ultimately, [85:00] what what what happens after 3 days is [85:01] your body says, [85:03] "Hey, I'm going to start breaking down [85:04] protein as well." [85:06] And uh [85:07] I wouldn't do that often because I don't [85:09] want to break down a lot of protein, but [85:10] your body will start to turn over old [85:12] proteins preferentially. [85:14] And a little bit of that, that's why I [85:15] do it maybe once a month, [85:17] has been shown, at least in animals, to [85:19] be not just healthy, but life [85:21] extending. [85:22] On that point of ketosis, [85:25] um [85:27] I like being in a state of ketosis. I [85:30] kind of cycle in and out of it during [85:32] the year, [85:33] because I get so many of the like [85:34] cognitive benefits. I'm more articulate [85:36] on the podcast, I can think better. [85:38] I feel better. I feel more focused and [85:40] more attentive. [85:42] Is ketosis [85:44] is the ketone diet [85:46] the keto diet a healthy diet [85:48] in your view? Is it What are the [85:49] benefits of it? Is it something that you [85:51] think is natural to be recommended? [85:53] >> Well, I don't mind being controversial, [85:54] but I do speak the truth. Um there's not [85:57] a lot of evidence that long-term the key [85:59] ketogenic diet is healthy. Mhm. It [86:01] certainly doesn't correlate or associate [86:03] with uh longevity. [86:05] Short-term, okay. It does help people [86:07] lose weight, no question. [86:09] Uh but I am rather concerned for people [86:11] that don't have a balanced diet with an [86:14] input of plant material, which has [86:17] molecules that are unique to plants and [86:19] you won't find [86:20] in high-processed foods uh or meat. [86:24] The evidence, speaking as a scientist, [86:26] is that the long-term ketogenic diets [86:29] are not [86:30] going to be longevity inducing. [86:33] The evidence is more having a lean diet [86:36] with a focus on plants that are not [86:38] overcooked and not all ultra-processed. [86:41] That one is undoubtedly the healthiest [86:44] if you can do it. Do you eat meat? I do [86:47] eat meat, but not like I used to. [86:50] I used to think that a meal was not a [86:52] meal unless I had a piece of meat there [86:54] and then the vegetables were the [86:55] decoration. [86:56] And I'd begrudgingly eat the green [86:58] stuff. [86:59] I've been flipped totally. Um Serena, my [87:02] partner, Serena Poon, is not just a [87:04] nutritionist, but a longevity expert for [87:06] the last 26 years. And so she came to my [87:10] apartment, uh which is now our [87:12] apartment, and she just cleared out all [87:13] the food that I had. Pretty much [87:14] everything was either toxic or uh or [87:18] just not healthy. It was [87:19] ultra-processed. She said, "What are you [87:21] eating? That kind of [87:22] peanut butter, you know, full of sugar." [87:24] So she she's taught me how to live [87:26] healthy. And so now [87:28] I rarely eat meat. I rarely drink [87:30] alcohol. I focus on [87:33] really fresh, high-quality [87:35] uh preferably organic foods, cuz I don't [87:37] want pesticides and I I don't want other [87:39] contaminants. [87:41] But I do know organic can be more more [87:43] expensive. [87:44] Why not meat? [87:46] So animals, unfortunately, don't make [87:48] what are called polyphenols, which are [87:50] a type of molecule that uh I believe uh [87:54] and have evidence [87:56] turns on the sirtuins and other [87:58] pathways, biochemical reactions that [88:02] delay aging. So sirtuins are just one of [88:05] a few [88:06] enzymes that control aging. We know [88:08] this. There are sirtuins, there's mTOR, [88:11] which responds to aminos, and another [88:14] one called AMPK. So those three pathways [88:17] are altered in just the right way by [88:20] molecules found only in plants. Well, [88:23] and a small extent in fun- fungi, but [88:25] not in meat. [88:27] So if you're not eating a lot of [88:28] vegetables or fruits, you're not getting [88:30] these [88:31] molecules. They're like medicine as [88:33] food. [88:34] So right [88:35] here, I hope you don't mind me [88:37] mentioning that there are some some food [88:39] in front of us. And I'm looking at [88:40] blueberries here. Blueberries are packed [88:43] with polyphenols. It's one of the [88:44] reasons they have purple color is that [88:46] polyphenols have the color. And as [88:48] Serena would tell you, eat the rainbow. [88:51] I call it xenohormesis, which is not as [88:53] attractive. But xenohormesis is the same [88:55] idea as eat the rainbow, that by eating [88:57] plants that have a lot of these [88:59] molecules that are often produced by [89:01] stressed plants, What do you mean [89:03] stressed? stressed plants. So plants [89:05] will be stressed just like we are. If [89:07] you don't give them enough water, food, [89:09] too much sunlight, not enough not enough [89:11] sunlight, they in their defense, they [89:15] they polyphenols. [89:16] There's a whole bunch of them. [89:17] Resveratrol, fisetin, quercetin, there's [89:20] there's hundreds. [89:21] Uh this one has um anthocyanidins, [89:24] that's the color. These activate [89:27] these adversity responses in our cells. [89:31] The sirtuins will get activated by [89:33] molecules in this blueberry. So if I eat [89:36] this blueberry, [89:38] those conductors that conduct some of [89:41] the aging process you talked about, [89:43] making sure my cells don't have an [89:44] identity crisis, [89:46] fixing the [89:48] the the negative stress that's going on [89:50] in my um [89:51] in my cells, they will be [89:54] benefited by me eating this blueberry? [89:57] Yeah, it's it's like a a free hack, [89:59] right? You can eat something that's [90:00] yummy, but you're also getting the [90:03] benefits [90:04] by mimicking fasting and exercise in [90:06] your food as well. [90:08] The sirtuins don't just need NAD. That's [90:11] the gas pedal. That's the petrol for [90:13] those of you in the British world and [90:15] Commonwealth. The fuel for sirtuins [90:19] is NAD. The accelerator pedal [90:22] are the polyphenols in fruits and [90:24] vegetables like resveratrol, quercetin, [90:27] which we know [90:29] when you give them to sirtuins, [90:31] they get hyperactivated. And when you [90:32] say eat the rainbow, you mean eat [90:35] colorful looking food. [90:37] Because that's an an easy way to [90:38] remember how to eat foods that have the [90:41] most polyphenols. [90:43] I'll give you a really good example, [90:44] Steven. [90:45] Serena put me onto green tea matcha. [90:48] Right? So matcha tea, if you haven't [90:49] tried it, uh I'm sure you've tried it, [90:51] but those of you who haven't tried it, I [90:53] highly recommend it. It It tastes great. [90:55] The reason for it switching from coffee [90:58] mainly to matcha in the morning for me [91:01] is that it's full of polyphenols. Why is [91:04] it full of polyphenols? [91:06] It's not just because it's green tea, [91:07] which is not naturally healthy, but the [91:09] growers of those plants in Japan, [91:12] typically, [91:13] they shade the plants before they [91:15] harvest. [91:16] Shading the plants stresses them out. [91:18] Plants need light. So they don't just [91:21] make more chlorophyll, which produces [91:22] the deep green color in the tea, [91:25] but the polyphenols are super high. And [91:27] through trial and error over thousands [91:29] of years, the Japanese figured out that [91:31] by shading the plants, giving them this [91:33] mild hormetic stress, [91:36] it makes them not just extra tasty, but [91:38] extra healthy. [91:39] Same with red wine, by the way. But the [91:41] alcohol can [91:42] be an issue. But absent alcohol, [91:45] red wine [91:47] is very good for you. [91:49] Okay. [91:50] Without the alcohol. It's unfortunate. [91:52] You know, I I [91:53] one of my papers in 1996 caused red wine [91:55] sales to go up 30% and stayed up. [91:58] I apologize [91:59] for saying that red wine every day was [92:02] healthy. Doctors were recommending it, [92:03] remember? Yeah. But I now changed my [92:06] mind. I have to [92:07] say [92:08] that I no longer believe having one [92:10] glass of red wine every day is healthy [92:13] in my opinion. And I've stopped drinking [92:15] red wine every day. [92:16] Instead, I take polyphenols from red [92:19] wine and from vegetables either in a [92:21] pill or in my food as a substitute [92:23] because [92:24] the evidence for alcohol is rather [92:26] damning. There's a UK Biobank study and [92:28] the UK looked at thousands of people's [92:31] MRI scan of their brain who were [92:32] drinking one glass of alcohol a day [92:35] and there was a statistical difference [92:36] between people that were drinking one [92:38] glass a day and were not in terms of [92:40] brain size and gray matter. Of course, [92:42] the gray matter was tended to be smaller [92:44] in those that drank even slightly. Hm. [92:47] Yeah, I do [clears throat] um I actually [92:48] have a matcha company. It's It was this [92:50] year voted the fastest growing company [92:52] in the UK. [92:53] Um it's by some [92:55] some founders that I invested in, um [92:57] Levi, Teddy, and Marissa [93:00] from Dragon's Den, and it's been an [93:01] absolute unbelievable uh [93:04] business, unbelievable. So tell us Where [93:06] do Where do I get it? Japan. You get the [93:08] matcha from Japan, but the company's [93:09] called Perfect Tea. People know about [93:11] it, um [93:11] cuz I've talked about it before, but I [93:13] didn't realize when I made the [93:15] investment that matcha was considered by [93:18] many to also be very healthy, especially [93:19] a health alternative to certain energy [93:21] products on the market that you get in [93:23] cans that give you [93:25] um [93:27] I shan't get sued. [93:28] >> [laughter] [93:29] >> But the other thing that um uh the [93:30] company I invested in is this one here [93:32] called uh KetoneIQ. [93:34] I'm the co-owner of this company as well [93:36] and [93:36] >> Yeah. [93:37] Yeah, I love that uh love that company [93:39] and the CEO uh [93:40] Michael, good guy. What's your thoughts [93:43] on exogenous ketones? Like drinking [93:45] ketones? [93:46] I do it. In fact, that I drink KetoneIQ [93:49] before I [93:50] do a podcast. Why? [93:52] It improves my clarity, I find. Um I [93:55] also believe the science and there have [93:58] been multiple studies now in people. [94:00] In some of the the science comes out of [94:02] KetoneIQ, but also independent studies [94:05] have shown that it's extremely healthy [94:06] for the heart. [94:08] And uh there's new studies that show for [94:10] the brain as well it can be healthy. The [94:12] brain uses ketones like [94:13] beta-hydroxybutyrate or in that one, [94:15] it's 1,3-butanediol. [94:17] Um just a shot of that will give the [94:19] brain food that it needs rather than the [94:21] body having to make it. Um and you get, [94:23] I believe, and I feel it, I get the [94:25] clarity of fasting without being in a [94:27] fasted state. But I also drink it when [94:29] I'm fasting to give it the body the [94:31] extra boost that it needs. Hm. And on [94:33] this point of diet, one of the things [94:35] that I was told by my doctor when I did [94:37] a like one of those blood tests, was he [94:39] cautioned me about bad cholesterol. [94:42] He said to me something along the lines [94:44] that I need to be careful about [94:46] cholesterol. [94:47] And there's been lots of conversation [94:49] about cholesterol, good, bad. [94:51] What's your perspective on this [94:53] conversation around bad cholesterol, [94:54] which has been thought to increase [94:56] um [94:57] certain foods have been thought to [94:58] increase bad cholesterol, [95:00] um which is very very detrimental to our [95:02] health. [95:03] I didn't realize there was a debate. At [95:05] least in my world, there is no debate. [95:07] Um if you're referring to do you want to [95:10] get your LDL cholesterol as low as [95:13] possible? Yeah. [95:15] Definitely. Oh, really? Okay, so it's [95:17] Yeah, I mean the science is irrefutable. [95:18] There's thousands of people in studies. [95:21] Now, I think I know what you were you [95:22] were talking about. There are There are [95:23] some [95:24] stories that you need cholesterol in [95:27] your brain and if you inhibit it, you [95:30] might affect your brain function. [95:32] Um you also need it for repair of [95:34] arteries. [95:35] But there's no evidence that that's a [95:37] problem. In fact, it's it's a [95:38] little-known fact that the brain doesn't [95:40] use [95:41] the cholesterol from the bloodstream. It [95:43] makes its own. So I've actually been on [95:45] a statin to lower my LDL since I was 30. [95:48] Really? [95:49] Well, I had high cholesterol. It's in my [95:51] family. [95:52] But I [95:54] went to my doctor and I said, I want to [95:55] go on these new drugs at the time, [95:57] statins. And he said, "Why? You don't [95:59] have heart disease yet." And I said, [96:01] "Why would I wait? [96:03] Get me on it. I want to be on it." And [96:05] in those days, it was very weird to give [96:07] someone [96:08] a statin at age 30 with no evidence of [96:11] heart disease. [96:12] But as you know, I'm of the [96:15] opinion that we shouldn't wait till we [96:17] get diseases to treat them. We should [96:19] preempt that and start early in life. [96:22] And so yeah, I insisted with my doctor. [96:24] Initially with statins, but on all of [96:26] these things, I go in and I say, [96:28] "I need you to prescribe me this test. I [96:30] need this medicine." [96:31] And eventually, after talking it over [96:34] with him, he typically prescribes me [96:35] something or gets me a test. [96:38] But I've been fighting the system. And [96:40] my doctor's at Harvard, so he's a good [96:42] doctor, but conservative. The old way of [96:44] doing medicine is [96:45] if you're not sick, we're not going to [96:47] give you a medicine, certainly not if [96:48] you're young and healthy. [96:50] Uh but that has to change. [96:52] >> So you're saying that I should be on [96:52] statins potentially? Well, what's your [96:54] LDL level? Not I don't think it's great. [96:56] I think I eat too much bacon or [96:57] something. [96:58] Well, we can talk about food and [97:00] cholesterol cuz it depends whether you [97:01] absorb cholesterol or not. We can test [97:04] for that. But if you do absorb [97:05] cholesterol [97:07] more than most, [97:08] I would say that you may want to change [97:09] your diet at a minimum. On this plate [97:12] here in front of us, [97:14] I have the [97:16] top five foods that I believe you think [97:18] are great for reversing aging. Am I [97:21] correct? Does that Does that These are [97:22] great choices, yeah. So what are these [97:24] and why? So we've already done the [97:25] blueberries and we've you've explained [97:27] to me about polyphenols and they're rich [97:28] in them, which I understand. Mhm. And [97:31] they're low in sugar, right? [97:32] Well, they're not low in sugar, so don't [97:35] eat a ton of them. A handful is fine [97:38] um as a snack. [97:40] It's also known that having too much [97:41] sugar is bad for longevity. Okay. Keep [97:43] your blood sugar level steady and low as [97:45] much as you can. So don't eat too many [97:47] of those. A better choice than [97:49] blueberries would be something like [97:51] matcha, which is not full of sugar. In [97:53] fact, if you go to some of these chains [97:55] that sell matcha and it tastes really [97:57] sweet, [97:58] you're going to reverse the effects of [98:00] any polyphenols by drinking that much [98:02] sugar. So I always have unsweetened [98:03] matcha. Okay. So now we've got avocados [98:06] here. Yeah. Yep. Avocados [98:08] uh they're not so much known for their [98:09] polyphenols, though they do have them. [98:12] It's the type of fats, the [98:13] polyunsaturated fats. They help with [98:16] satiety, so you're not going to be as [98:17] hungry. [98:18] Uh so if you put that on your sandwich [98:20] at lunch, you're not going to feel [98:22] peckish. [98:23] And they're uh highly anti-inflammatory [98:24] as well. The molecules that are in there [98:26] in the fats are very good for you. [98:29] Extra virgin olive oil? Oh, yeah. [98:31] Excellent. So the type of uh oils that [98:34] are in there are very healthy. There's [98:36] omega-9, [98:37] which is also known to activate [98:39] sirtuins. [98:40] And again, if you have the right [98:43] uh grower and this has been cold [98:45] pressed, not too processed, and stressed [98:48] before harvesting, you'll have huge [98:50] amounts of polyphenols as well. I really [98:52] hope that this is [98:54] what the team said it was. [98:56] >> [laughter] [98:57] >> This has happened before I tried [98:58] something and I thought it was something [99:00] else, but it it was some Basically, it [99:02] was a white powder and it was labeled [99:04] with something for What could it be? A [99:06] yellow liquid yellow liquid. [99:09] Uh drinking Urine. No, I'm joking. It's [99:11] not. [99:12] >> [laughter] [99:12] >> I can I don't think drinking urine uh is [99:15] is longevity. But yeah, on and off I I [99:17] do take a teaspoon of olive oil in the [99:19] morning and mix it with resveratrol and [99:22] polyphenol. [99:24] Oh, okay. Interesting. [99:26] Okay, so extra virgin olive good. [99:28] Good. And there's a lot of evidence, not [99:30] just molecular like me, but [99:32] epidemiologically people that that have [99:34] a lot of olive oil in their diet tend to [99:36] have low inflammation and less disease. [99:39] And we've got some nuts. [99:41] Yep, nuts are good for many reasons. [99:42] They're full of vitamins and minerals. [99:45] Uh if there's a Brazil nut, you want to [99:46] have one of those every day for the [99:48] selenium, which is a very rare element [99:51] in our food supply. [99:52] And there's a recent study just last [99:54] month showing that [99:55] a lack of selenium um [99:58] can be very deleterious. [100:00] So, nuts are great as a snack. Be [100:02] careful, they're full of calories [100:03] though. So, if you're trying to lose [100:05] weight [100:06] and you're not exercising a lot, don't [100:08] overeat on the nuts. [100:10] And what [100:12] Oh, my least favorite food, but [100:14] nevertheless, I will eat them. This is a [100:16] Brussels sprout. [100:19] Um when I was a kid, Brussels sprouts [100:20] tasted a lot more a lot worse, a lot [100:22] bitter. [100:22] >> [clears throat] [100:22] >> True. Those are good [100:25] um because they have polyphenols, but [100:26] there's also another molecule in them [100:28] called sulforaphane. It's actually the [100:30] reason they taste terrible and smell [100:32] terrible. [100:33] Sulforaphane is what it sounds. It has a [100:36] sulfur atom in it. [100:38] And uh that gives it that rotten egg [100:41] smell. [100:41] But sulforaphane activates [100:44] these hormesis pathways. There's one [100:45] called NRF. [100:47] And that is a stress response [100:50] protein that sulforaphane activates. [100:52] So, you actually by eating preferably [100:55] relatively steamed, not fried to death, [100:58] Brussels sprouts, you'll get [100:59] sulforaphane. You can also take [101:01] sulforaphane as a supplement if you [101:02] don't like Brussels sprouts. You've used [101:04] this word pulsing before. Uh you believe [101:06] that the body should go through cycles [101:08] of stress and recovery rather than [101:09] receiving constant daily inputs. When [101:12] you say pulsing, what you mean? What [101:14] Give me an example of pulsing and why [101:15] you need to do that. [101:16] Well, there's there's a few examples. [101:18] The first time I came across this result [101:21] as a scientist was resveratrol. So, [101:23] resveratrol is found in red wine among [101:25] other things. [101:26] And it's thought to give the health [101:28] benefits of red wine. And we fed it to [101:30] mice, fat mice, skinny mice, old mice, [101:33] and it worked very well in the fat mice. [101:36] It made them thinner. It made them live [101:38] longer. [101:39] It [101:41] cured most of their diseases. They lived [101:42] about I think it was 15 20% longer. [101:46] Then we gave it to normal mice [101:48] every day. [101:49] And they lived a little bit longer, but [101:51] not significantly. [101:52] >> Resveratrol? Resveratrol. What we found [101:54] to my surprise was this when we gave old [101:56] mice resveratrol, not every day, but [101:58] every second day, [102:00] then they lived significantly longer. [102:03] So, then I thought, well, maybe giving [102:05] them a foreign substance every day is [102:08] not good. Maybe there's some side effect [102:11] that's counteracting the benefit. The [102:13] other thing I want to mention, I said [102:14] there's a few examples, another good one [102:16] is metformin. Metformin has been shown [102:18] to make athletes and bodybuilders and [102:21] people who go to the gym, [102:23] weightlifters um [102:24] do less repetitions and as a result, [102:27] their muscles are about 5% less compared [102:29] to those that don't take metformin in [102:31] size. [102:33] I don't think it's molecular. I think [102:34] it's because you feel a little bit [102:35] weaker with metformin because it's [102:37] actually interfering with your body's [102:39] ability to make energy through [102:40] mitochondria. [102:42] Mitochondria, I think most people have [102:44] heard of the little power packs [102:45] living in our cells, originally bacteria [102:48] that came into our bodies. The point is [102:50] that by pulsing metformin, I think [102:53] that's a better way to do it for [102:54] longevity. You mean cycling it? So, like [102:56] doing it every other day or Yeah. Okay. [102:59] Yeah, I don't [clears throat] take If I [103:00] take metformin or the natural [103:01] equivalent, which is berberine, if you [103:04] don't want to take the drug, you can [103:05] take berberine, [103:06] um that also activates this AMPK, this [103:09] sirtuin [103:11] sirtuin like pathway. [103:13] Taking it every other day, I think is [103:14] better. And particularly if you like to [103:16] work out, don't take the metformin [103:19] a few hours before you work out. Take it [103:21] after or maybe skip it that day. [103:24] I think that's a better approach. [103:26] You know, every once in a while you come [103:27] across a product that has such a huge [103:29] impact on your life that you'd probably [103:31] describe it as a game changer. And I [103:34] would say [103:36] for about 35 to 40% of my team, they [103:39] would currently describe this product [103:41] that I have in front of me called [103:43] Ketone-IQ, which you can get at [103:45] ketone.com, [103:47] as a game changer. But the reason I [103:48] became a co-owner of this company and [103:49] the reason why they they now are a [103:50] sponsor of this podcast is because one [103:53] day when I came to work, there was a box [103:54] of this stuff sat on my desk. I had no [103:56] idea what it was. Lily in my team says [103:58] that this company have been in touch. [104:00] So, I went upstairs, tried it, and quite [104:02] frankly, the rest is history. In terms [104:04] of my focus, my energy levels, how I [104:06] feel, how I work, how productive I am, [104:10] game changer. So, if you want to give it [104:11] a try, visit ketone.com/steven [104:13] for 30% off. You'll also get a free gift [104:16] with your second shipment. And now, you [104:18] can find Ketone-IQ at Target stores [104:20] across the United States, where your [104:22] first shot is completely free of charge. [104:25] We have finally caved in. So many of you [104:28] have asked us if we could bundle the [104:30] conversation cards with the 1% diary. [104:32] For those of you that don't know, every [104:34] single time a guest sits here with me in [104:35] the chair, they leave a question in the [104:37] Diary of a CEO. And then I ask that [104:38] question to the next guest. We don't [104:40] release those questions in any [104:42] environment other than on these [104:44] incredible conversation cards. These [104:46] have become a fantastic tool for people [104:48] in relationships, people in teams, in [104:50] big corporations, and also family [104:52] members to connect with each other. With [104:53] that, we also have the 1% diary, which [104:55] is this incredible tool to change habits [104:57] in your life. So many of you have asked [104:59] if it was possible to buy both at the [105:01] same time, especially people in big [105:04] companies. So, what we've done is we've [105:06] bundled them together, and you can buy [105:07] both at the same time. And if you want [105:09] to drive connection and instill habit [105:11] change in your company, head to the [105:13] diary.com to inquire, and our team will [105:15] be in touch. We talked about exercise [105:17] earlier. On page 102 of your book, you [105:20] talk about how there's a CDC-funded [105:23] study that found people who exercise [105:24] regularly, about 30 minutes of jogging 5 [105:27] days a week, have telomeres that look 10 [105:31] years younger than sedentary people, [105:33] people that just sit around all day and [105:34] do don't do much exercise. [105:38] Which is pretty remarkable. [105:40] How do we know it's the exercise and not [105:41] something else? Like how were we able to [105:43] establish causation there? Yeah, we [105:44] don't. We don't. Unfortunately, all of [105:46] these association studies just lead to a [105:49] need to do placebo-controlled or at [105:51] least controlled trials in people. [105:53] So, we don't know for sure, speaking [105:55] like a scientist. [105:57] But there have been studies where people [105:59] are told to do exercise and those that [106:02] are told to sit. And then you can [106:03] compare telomere length, and that has [106:05] been shown. So, that's a much better [106:07] evidence of causation. [106:09] But you're right. When you see an [106:10] association, it could be that people who [106:12] do exercise also eat [106:14] well and drink matcha. Sleep better. [106:16] Exactly. So, you have to be careful [106:17] interpreting these association studies [106:19] always. [106:21] But when you've got a placebo-controlled [106:22] trial or you know, these these studies [106:25] that are called [106:26] uh prospective, not retrospective [106:28] studies, then they're better. So, [106:30] telomeres [106:32] uh the ends of chromosomes that get [106:33] shortened as you as you get older. [106:35] Um we used to use them really as a good [106:37] indicator of age, biological age. Now we [106:40] use the epigenome and the DNA [106:42] methylation chemicals as a better clock. [106:44] And then cold plunges and saunas. Yeah, [106:46] let's get to those. I've got a sauna in [106:48] the house, but I never use it, to be [106:49] honest. You should. But if you if you [106:51] tell me I should, maybe I'll [106:52] >> We should actually jump in there after [106:54] this. Your girlfriend's still here, [106:55] David So Less. She can come, too. [106:57] [laughter] [106:58] Uh [106:58] So, saunas are, in my mind, it it's not [107:01] even a question. They are proven to be [107:03] beneficial for multiple reasons, heart [107:05] disease and even long-term mortality. [107:09] What's going on in the sauna in the [107:10] heat? Anyone who says they know is [107:12] lying. We don't know, but one theory [107:15] that I like, and it also goes back to [107:17] yeast cells, there are what are called [107:19] heat shock proteins that come on and [107:21] defend the cell when they the cell [107:23] senses heat. And it may be that these [107:26] heat shock defense proteins called HSC [107:28] HSPs [107:29] HSPs [107:30] uh come on when we breathe in this moist [107:33] hot air. The moisture actually seems to [107:35] help as well. [107:36] And in many studies, mostly on Finnish [107:39] men, businessmen, uh those that go into [107:42] their home saunas and [107:44] the majority of homes in Finland do have [107:46] saunas, [107:47] so they can do these studies pretty [107:49] easily. [107:50] The bottom line is that those that [107:51] didn't do regular {quote} sauna bathing [107:55] uh tended to die earlier [107:57] uh in particular from heart disease and [107:58] cardiovascular events than than those [108:01] that did regular sauna bathing. So, I'm [108:04] I'm a big advocate of sauna. I don't [108:05] know if I have one in my house, but I do [108:07] have a really hot steam shower, which I [108:09] use regularly every day. And is there a [108:11] difference between the steam room and [108:13] the sauna in terms of the impact here? I [108:15] think a sauna is better cuz it gets [108:17] hotter. [108:18] Yeah, and I I would have a sauna if I [108:19] had my choice. And the cold plunge? [108:22] Not a lot of data. There's a lot of [108:23] theory that [108:25] again, hormesis, adversity, feeling [108:28] better. [108:29] There's there's some evidence that it [108:30] can actually help with muscle repair [108:32] after workouts, [108:34] but I think we need a lot more research [108:36] in that regard. But then nevertheless, [108:38] I used to do it [108:39] um before I was so busy and traveling [108:41] the world. [108:42] Um and I certainly feel better. So, even [108:44] if I don't didn't live longer because of [108:46] it, I definitely had more mental clarity [108:48] and I felt better in general. But if But [108:50] if you were if you were prioritizing all [108:52] of the things we've talked about so far [108:54] and you had to pick one, [108:56] Do I have to pick one? Cuz you need more [108:57] than one. But Just Just in terms of like [109:00] the most important one. That's maybe the [109:02] first domino. Yeah. I would say that [109:05] that [109:06] a combination of what the easiest [109:08] biggest impact you can have. Combine [109:10] that. That would be skipping meals. [109:13] Skipping meals. Skipping meals. And then [109:15] a close second would be [109:17] exercise [109:18] that includes losing your breath [109:20] for at least 5 minutes, three times a [109:22] week. [109:23] So, what do I mean by losing your breath [109:25] for 5 minutes? When you couldn't carry [109:27] out a conversation easily. That you're [109:29] panting. [109:30] If you're not panting and you're just [109:31] lifting weights, that's not going to [109:33] have the the kind of benefit. Why? [109:36] We don't know. [109:37] But, it's been shown that the health [109:39] benefits [109:40] and those that live long [109:43] tend to do a lot more aerobic exercise, [109:45] not just weights. But, both are [109:46] important for mobility, strength, [109:50] falling in older age, and hormones like [109:52] testosterone. [109:54] Red light therapy, um [109:56] the red light masks. Yeah. [109:59] Um Red light saunas. [110:00] >> At first I was skeptical, uh but I've [110:01] done the research on the research. Um [110:05] and it looks [110:06] reasonable. I I use a red light cap on [110:09] my head to preserve my hairline. [110:12] And uh there's some now good evidence [110:14] that the mitochondria, which are the [110:16] power packs and [110:17] a lot of [110:18] good things come from mitochondria. [110:20] They actually are rejuvenated. Either [110:22] rejuvenated or enhanced by this certain [110:26] wavelengths of red light. You have to [110:27] get the wavelength right. [110:29] But, uh it's not BS. It sounds like BS, [110:31] right? Oh, you shine light on your skin [110:33] and it gets better or you get your hair. [110:35] But, uh [110:36] I think that there's good evidence now [110:37] that that it's not BS. And in terms of [110:40] the supplement stack that you take every [110:42] day, Mhm. if I was to look at the on a [110:46] if a on a [110:47] great week [110:49] where you just did everything right, [110:50] what would your supplement stack look [110:52] like? And I know this evolves over time, [110:53] so I'm very keen to hear what it is [110:55] right now. Yeah. Well, that that would [110:57] be another podcast uh to go through each [110:59] one of the things and [111:00] >> Well, I I I travel with Serena with the [111:02] with a a little little case. Have you [111:05] got it? I've got it here. Can I see it? [111:07] Well, no. It's not in It's not in the [111:08] studio. Oh, okay. [111:10] >> I didn't bring it with me. Can you send [111:11] me a photo? [111:12] Sure. Uh I couldn't publicly share it [111:15] because it it would be posted all over [111:16] the internet. Would things go crazy. [111:18] But, I can tell you the the main things. [111:21] Why would it go crazy on the internet, [111:22] would you think? Cuz it's cuz it's cuz [111:23] there's a lot in there? [111:25] Well, some of the things are [111:26] experimental and I wouldn't want people [111:29] to [111:30] >> to go nuts about it. Cuz it's still [111:31] experimental. [111:32] I'm okay experimenting on myself. I'm [111:34] not okay advocating for things that are [111:37] not yet proven or known to be absolutely [111:39] safe. Okay. So, give me the ones that [111:41] you know to be safe. Uh well, [111:44] the NMN we've covered. Resveratrol. [111:48] And either metformin or berberine. [111:51] Yeah. Okay. [111:53] Spermidine. Spermidine? Yeah. And the [111:55] quantities are either on the screen or [111:57] in my book if you want to know exactly. [111:59] Is that what it sounds like? Uh yes. [112:02] >> [laughter] [112:02] >> Yes, but [112:03] you get it these days not from sperm or [112:06] semen, but you get it from wheat germ [112:08] typically. Plants. It used to come from [112:11] sperm? Well, that's how it was [112:12] discovered. It was crystallized by [112:14] I believe Anthony von Leeuwenhoek, the [112:17] one of the first microscopists and [112:19] microbiologists. [112:20] Spermidine, the reason that I take it is [112:22] that it extends the lifespan of every [112:24] animal that has been given to, [112:25] from [112:27] worms to to mice. And it's a very safe [112:29] molecule. So, that I always weigh up the [112:31] downsides versus the upsides. And if [112:33] there's no downsides [112:35] and I can afford it, which, you know, I [112:37] work really hard that so I can afford [112:39] it. And I prioritize my health, then [112:42] I'd take it. [112:44] And if you're wondering how it works, it [112:46] seems to stimulate autophagy, recycling [112:48] of proteins. It helps with the fasting. [112:51] Uh but, I also have a some evidence [112:53] uh that it delays the epigenetic [112:56] information loss. So, it's slowing down [112:57] the scratching of the record. [112:59] Spermidine. All right. So, um I'm also [113:02] um [113:03] keen on glycine. Glycine is a very safe [113:06] substance. It's an amino acid. One of [113:09] the 20 amino acids that [113:11] makes proteins. [113:12] And I actually did a PhD on glycine. I [113:14] was one of the first people to [113:17] perhaps the first person to clone genes [113:19] that process glycine. So, I know know it [113:21] well. [113:22] For some reason, when you give animals [113:24] and, for instance, mice [113:26] grams of glycine. So, I take about 5 g [113:29] of glycine most days. [113:31] Uh they live longer. [113:33] Though, it's still speculation as to [113:34] why. [113:35] What I think is going on is that glycine [113:38] controls what's called one carbon [113:40] metabolism. And not wanting to bore the [113:43] heck out of everyone who's listening to [113:45] me. [113:46] Glycine and one carbon metabolism [113:48] controls methylation of DNA. [113:51] Getting back to the little chemicals [113:53] that are on this DNA molecule that [113:54] control the information. [113:57] I wouldn't be surprised if [114:00] by eating a lot of glycine every day, [114:02] I'm slowing down this identity crisis [114:05] you called it. [114:06] Nevertheless, it's very safe and again [114:08] falls into the same category as [114:09] spermidine. [114:10] No downside. Can afford it. [114:13] Why not? [114:15] Is there anything else? [114:17] Yeah, there's a lot. Um [114:20] because I love you and your listeners, [114:21] uh [114:22] let's see. I'll I'll I'll I'll reveal [114:24] one more. Um [114:26] There are there are some basics that I [114:28] do that are if you're not doing them, I [114:29] think [114:37] [snorts] [117:14] is is very wise. Make [117:16] >> Now, it can be uncomfortable for some [117:18] people to take it because it gives [117:20] flushing. You get little tingling in [117:21] your skin. And if you're not used to it [117:24] or you don't take it with an aspirin, [117:25] you'll feel hot, almost like menopause, [117:27] apparently. And so, I I I take it. I [117:29] build up to it. I'm taking half a gram. [117:32] Some people take a gram. And that's one [117:34] of the few things [117:35] that's been known to bring down levels [117:37] of LP little A. [117:39] There are drugs that are in development, [117:40] even in phase three, that look [117:41] promising. But, until they're on the [117:43] market, [117:44] I'm taking niacin instead. What's the [117:46] best uh treatment you've discovered for [117:47] hair loss? Hair loss, hair graying, that [117:50] kind of thing. [117:51] >> Yeah. So, my father went bald before [117:53] before 30, like completely bald. All [117:55] right? And it completely almost [117:57] completely gray by the time he was 40. [117:59] So, I'm super lucky. All right? I [118:01] thought I'd be bald at 30. I was pretty [118:03] worried about it. [118:04] So, I've been doing the right things [118:07] intentionally. [118:08] So, what I do is this red light cap. [118:11] When I can. I don't travel with it, but [118:13] uh when I can, that's for 6 minutes. [118:16] Stick it on there. Proven? Is there [118:18] evidence Yeah, it's proven. It's proven [118:19] to slow. It doesn't necessarily give you [118:22] your hair back. [118:23] But, when it comes to hair loss, don't [118:25] wait till you see the hair loss. That [118:27] can be too late. [118:29] Okay? You're you're good. I'm okay. [118:30] >> You're good. But, I know a lot of men [118:32] are concerned. It's understandable. [118:35] I'm taking a [118:36] hormone mimetic to stop [118:39] uh DHT, which is the form of [118:41] testosterone that [118:43] leads to men related hair loss. [118:46] All right? So, one of the reasons that [118:47] women don't lose hair as much as men is [118:49] this DHT. So, I'm I'm blocking that. So, [118:52] so let me get that straight. You're not [118:53] taking testosterone? No. [118:56] Because that's going to [118:58] accelerate your hair loss. Well, it can [119:00] if it raises DHT. The best way to raise [119:02] testosterone naturally is to build up [119:04] muscle, especially your legs, your back, [119:06] big muscles. [119:07] That's another reason to work out and [119:08] maintain muscle mass, which I need to do [119:10] more of. You look like you're in good [119:12] shape already. But yeah, anyone who is [119:14] losing testosterone is is below a level [119:16] of about 400, highly recommend hitting [119:19] the gym, it'll go back up. [119:21] Do you recommend men taking testosterone [119:23] replacement? Um well, I'm a scientist, [119:26] so I don't recommend drugs, but [119:28] um I don't think it's necessary for most [119:29] men, and I would start with [119:32] uh reducing stress, sleeping well, [119:34] exercising, building up muscle mass. [119:36] Uh and then if that doesn't work, [119:38] yeah, talk to your physician. There [119:40] There is not a big downside, there's not [119:41] a risk of cancer to taking testosterone. [119:44] Um one of my good friends has done many [119:46] clinical trials with testosterone. So, I [119:48] think there's a use of use for it, [119:51] but it doesn't lead to longevity. That [119:53] was [119:53] very clear. So, for for health reasons, [119:57] yes, for longevity, [119:59] no need. [120:00] What are the What are some of the [120:02] You know, when I started watching your [120:03] your videos many years ago and listening [120:04] to your podcast and following you on [120:06] Twitter, [120:07] I I wondered, you know, there's so much [120:09] information you can put out there cuz [120:10] you're a scientist and scientists are [120:11] very rigorous, but you also must have a [120:13] set of [120:15] really [120:17] interesting predictions or visions of [120:20] the what the future looks like that you [120:22] don't probably always talk about because [120:24] they're not scientific, they're not [120:25] based on anything. They are maybe first [120:27] principles in your own mind that formed [120:30] where you go, actually I think the world [120:31] might look like this and I think it [120:32] might happen then. I'd love to hear [120:33] about some of these. [120:35] Yeah. I understand they're not rigorous [120:37] and I understand I'm happy to. I [120:39] What happens to me cuz I'm a scientist [120:41] and you know, I'm part of this ivory [120:43] tower [120:44] at Harvard where we can only stick to [120:46] facts, and if you go beyond that, it's [120:49] it's a it's a crime. And I've been [120:51] criticized for that. Um but I think, you [120:53] know, as humans, life's interesting when [120:55] it comes to predicting the future. [120:58] And like you, I'm very curious, where is [121:00] humanity headed? [121:02] I see a future as different from this [121:04] world as our world is from 200 years [121:08] ago, and that will happen in our [121:09] lifetime. [121:11] Different in that 100 years ago or more, [121:13] if you had an infected splinter, there's [121:15] a reasonable chance you could die. [121:18] Childbirth, you could die. [121:20] Smallpox. [121:21] These are things that we don't generally [121:23] worry about anymore, and the idea would [121:25] be abhorrent. [121:27] In the future, hopefully within our [121:28] lifetimes, [121:30] there will be a time when we look back [121:31] at today's medicine, when you could go [121:33] blind and there was nothing you could [121:35] do. You could break your back and never [121:37] walk again. We will look back at today [121:41] and say, how did those people get [121:42] through life? What a horrible world they [121:45] lived in. That I believe is is the [121:47] future that humanity is headed for, [121:50] and way faster than most people realize [121:52] is coming. [121:53] The kind of breakthroughs that we've [121:54] discussed today, most people have never [121:56] heard about. The fact that we are aiming [121:58] and already do cure blindness in [122:00] monkeys. [122:02] Like pure blindness. This isn't just, [122:04] oh, I can't see a little bit. These are [122:05] completely blind animals. [122:08] Um and that they can see again in a [122:10] matter of 6 weeks. This is remarkable [122:13] stuff, right? [122:14] And if it works this year in people, [122:18] it's going to be a really big deal cuz [122:21] if for the first time we'll if we have [122:22] we'll have shown in humans [122:24] that the body can be reset safely. [122:28] And if the eye is just the beginning, [122:29] right? The future looks like we can [122:32] rejuvenate potentially any tissue. [122:35] If you have a bad liver, we'll make it [122:37] young again. Bad brain, you've lost your [122:39] memory, we'll give you those memories [122:40] back again. [122:42] We do this in mice in my lab all the [122:43] time. [122:44] It's not even a big deal in my lab [122:46] anymore to reverse the age of tissues in [122:48] an animal in an animal [122:51] in a matter of weeks. [122:52] That is coming for humanity. [122:54] Hopefully, initially this year, but even [122:57] if that doesn't work, it's only a [122:58] technical issue. We'll solve that. You [123:01] might be wondering, how do we get the [123:03] rejuvenative genes into the body? [123:06] And what we do is we use a package [123:08] that uh [123:10] is able to get into cells. [123:12] And this is a package that uh resembles [123:14] a virus. It's not a virus, it doesn't [123:16] cause disease, it's not infectious, but [123:19] we package our three genes inside the [123:21] virus [123:23] uh virus-like uh substance, [123:26] and we close it up. We just made a bunch [123:29] of this in Europe for the clinical trial [123:31] that's going to begin. [123:33] Just making this is difficult. It took [123:35] us about a year to make it, and was [123:37] about I think it was [123:40] $10 million. [123:42] Right now, it's expensive to do this. [123:44] Eventually, it will be cheap, and [123:45] eventually it will be a cheap pill, [123:46] hopefully. [123:48] We have [123:49] trillions of these molecules, these [123:51] delivery vehicles, that will go [123:54] See, pass me the eye. We're getting back [123:56] this eye model. [123:58] These delivery vehicles with our three [124:00] genes will be delivered, obviously these [124:03] are microscopic, they go in through the [124:05] eye [124:06] with a with a [124:07] quick jab. [124:08] All right. It sounds horrible, but a [124:10] quick jab into the eye, if you're blind, [124:12] who cares? Yeah. It's 2 seconds of [124:14] discomfort. Now you've got the little [124:16] virus, [124:18] which I'm going to break off the stand [124:19] here. The little virus, there's billions [124:21] of them, trillions of them in the eye. [124:23] Now they infect specifically the nerves [124:25] at the back of the eye in the retina. [124:27] How do they know what to infect? Because [124:29] the these little balls on the on the [124:31] package direct it specifically, by [124:33] design, by our lab's design, [124:36] just to those nerves at the back of the [124:37] eye. [124:38] If we change these little proteins on [124:40] the surface, we can send it to the liver [124:43] or to the brain. This is the zip code, [124:45] the post code for where we want to send [124:47] our three genes. Mhm. [124:50] But this one's designed for the eye. [124:52] It's called an AAV2. [124:55] Um [124:56] long story short, [124:57] these are ready to go into humans. We're [124:59] just waiting for FDA approval to inject [125:02] it into a blind patient [125:04] to see what happens. And then inside [125:06] there is the protein which is going to [125:09] fix Yeah. [125:10] >> [clears throat] [125:11] >> Well, actually, [125:12] not the protein. What actually happens [125:15] is when this goes in the eye, this what [125:17] I'm So, what I'm holding up looks like a [125:18] little ball with red [125:20] dots on it. [125:21] Um it looks like a virus, but it's not, [125:23] it's a package. Now, what happens is [125:26] these trillions of little [125:28] packages go into the fluid. Now they [125:30] they dock with the cells at the back of [125:32] the eye. They get inside the cell and [125:34] they open up, and out comes this little [125:37] package that we've made. [125:40] This is a protein package. Each one of [125:43] these little dots on this [125:45] little s- [125:46] soccer ball is a protein. [125:49] That's now inside the cell. [125:51] This is a little spaceship that opens [125:54] up, [125:55] and out of that [125:58] comes the DNA. [125:59] This is a loop of DNA just here. [126:03] These are This is the DNA package that [126:05] we put in there. [126:06] Trillions of them. One of them gets into [126:08] one cell, [126:10] and now stays in that cell forever. [126:12] So, that person [126:14] or the monkey or the mouse that we've [126:15] treated [126:17] becomes a transgenic person with genes [126:20] that we've put in permanently into the [126:23] back of the eye. But they don't do [126:24] anything until we tell them to. [126:27] That's now just sitting there. [126:30] We've engineered it uniquely and [126:32] patented the ability [126:34] to turn on those three genes whenever we [126:36] want and turn them off again whenever we [126:38] want. How? [126:40] We give them doxycycline. It's used for [126:43] malaria, it's used for Lyme disease, and [126:46] we're using it in this case to turn [126:48] these genes on. [126:50] So, the patients will get their [126:51] doxycycline. [126:53] Uh we'll give them some probiotics to [126:54] restore hopefully we'll we'll restore [126:56] their microbiome, of course. [126:58] But [126:59] the idea is that [127:01] this doxycycline will turn on these [127:03] three genes for about 8 weeks. [127:06] And the doctor in charge of the clinical [127:08] trial, one of them's at Harvard, good [127:11] friend of mine, he'll measure the vision [127:12] of the first patient before the [127:14] treatment, and of course, regular [127:16] intervals. [127:17] And if all goes well, because we're [127:19] treating patients, not healthy [127:21] volunteers in the first trial, [127:23] we should know within a either one or [127:25] two patients if it works. [127:28] Because we're not drawing a graph. [127:30] It's either going to work or it isn't. [127:32] The patient gets better eyesight or they [127:34] don't. [127:36] So, by this time next year, we will know [127:38] if it works or not. Maybe even sooner. [127:41] But publicly, we may know [127:44] if this works. And if it works, the eye [127:46] is just the beginning. [127:47] So, the first disease to treat is [127:49] glaucoma, pressure in the eye. There's [127:50] also a stroke in the eye, which is [127:52] becoming more prevalent in the world [127:54] because of the Ozempic and other weight [127:56] loss drugs, and people go blind [127:58] overnight, and there's nothing that you [127:59] can do for those patients. [128:01] They're blind, and their other eye [128:03] cannot can go a few months later. It's [128:04] very scary for them. [128:06] These are young people. Friend of mine [128:08] had it happen. It's pretty common these [128:09] days, about 30,000 people each year in [128:11] the US alone. [128:13] But these two diseases are the [128:14] beginning. If they work, then we go on [128:16] to macular degeneration, which is the [128:18] largest cause of blindness besides [128:19] glaucoma. [128:21] Then we'll go on to liver, [128:23] then maybe the lung, [128:25] the skin, and we'll keep going from [128:27] there. We'll make different packages for [128:29] different organs, and ultimately, [128:32] we want to rejuvenate the entire body. [128:34] The company [128:36] um people might want to know, it's [128:37] called Life Biosciences, it's a private [128:38] company. But Life Biosciences, I'm very [128:41] proud of the scientists who are doing [128:42] this work. Their goal is to really make [128:45] the world's first age reversal medicine [128:48] as a pill, and we're working with them [128:49] using AI to find that molecule. And when [128:53] do you think you might have it, if you [128:54] had to forecast? Uh [128:56] >> The world's first age reversal molecule [128:59] that's [129:00] Well, we have right now we're down to [129:02] three molecules that work and we're [129:05] using AI to make all of those three in [129:08] one [129:09] and we're [129:10] we're in the middle of it. We screened [129:11] about 8 billion candidates [129:14] using AI [129:16] and right now we're doing the bench lab [129:18] work to see if one of them or more [129:21] works. [129:22] And for us to put that in humans is [129:24] still a number of years away, [129:26] but we should know within a year or two [129:29] if we're right because we'll we'll put [129:32] them into mice and if they get younger [129:35] and live longer, then we're really onto [129:37] something important. And the reason that [129:39] I want to make a pill [129:41] is is important for the planet. [129:44] These drugs are expensive. I mentioned [129:46] 10 million bucks to do a clinical trial. [129:48] These are expensive. They could cost [129:50] over $100,000 per treatment. That's not [129:53] going to be for everybody. [129:54] It's worth it if you're blind. It's [129:56] worth it for the country to cure [129:57] blindness. [129:59] But [130:00] what if it could be instead of $100,000 [130:03] $100? That's what I'm working for. I [130:05] want to democratize this technology so [130:07] anyone even in Kenya can take these [130:10] medicines. [130:11] David, what's the most important thing [130:13] we haven't talked about that we should [130:14] have talked about as it relates to the [130:17] future longevity [130:20] and these adjacent subjects? There's a [130:22] lot of things and there's there's [130:23] pushback. There's philosophical pushback [130:25] from [130:27] religious folks who don't believe that [130:29] we should play God [130:30] and I would I would argue to them that [130:33] we've been doing that as a species for [130:35] thousands of years, changing our [130:36] biology, taking medicines, plant [130:39] medicines originally. [130:41] What about this room is natural? [130:44] Right, we change our world as species. [130:46] Aging is no different. In fact, it's [130:48] crazy that we haven't worked on it [130:49] sooner. Do you believe in God? [130:52] So the the the the short answer is I [130:55] believe that there is something beyond [131:00] reality as we see it. You know, I study [131:03] physics. Physics is so weird and anyone [131:06] who says they understand the quantum [131:08] world or quantum mechanics is I think is [131:10] also lying. There's it's so bizarre. [131:13] Quantum entanglement, simulation theory. [131:16] So I believe that that this this is not [131:19] a solid desk. I believe that there are [131:21] multiple versions of it, maybe infinite [131:23] number of versions of this desk. We've [131:25] got four. [131:26] You do? We've got four of them. Yeah, [131:29] then it's four times infinity. [131:32] I also I also believe that [131:34] consciousness is the ultimate goal of [131:37] the universe. [131:38] That consciousness creates reality. We [131:41] know that from particle physics. The [131:44] observation of particles changes their [131:46] reality even retrospectively in time [131:49] apparently. When you look at them? When [131:51] you observe them. You can use a camera [131:53] or you can use your eyes. Usually it's a [131:55] detector, but the the [131:57] detection and then conscious [132:00] interpretation of a particle's behavior [132:02] changes how it acts. [132:06] So does does this mean that there's [132:08] something behind this wall unless we [132:09] look at it? Maybe. [132:11] Maybe. Maybe observation creates [132:13] reality. We know it influences reality. [132:16] So I don't know if I would call it God, [132:19] but I'm definitely spiritual [132:21] in a scientific way. [132:22] >> Has it ever dawned on you that actually [132:25] you might be [132:27] the only real person here and actually [132:29] we only we all rendered when you walked [132:31] in David. Mhm. I wasn't here before. [132:34] Yeah. [132:35] Uh well, that's even plausible. [132:37] But that would be very narcissistic. [132:40] >> [laughter] [132:42] >> I I actually I just rendered when you [132:44] walked in the house today. [132:45] I I I [132:46] I don't exist. [clears throat] Well, [132:47] there's no way of proving it right or [132:49] wrong actually. [132:51] Um I think most kids think that [132:52] initially, [132:53] >> [laughter] [132:53] >> but then you then you realize it's [132:55] probably the least likely explanation [132:57] for the world. But there is some there [132:59] is some truth to that in terms of [133:01] physics. [133:02] Do you think we're in a simulation? [133:05] I think there's a better than 50% chance [133:08] that this is simulated. [133:12] So you think it's probably a simulation? [133:14] That's another way I think it's probably [133:16] a simulation. [133:17] Certainly the world that we think it is [133:19] is not the world we think it is. How can [133:21] you be so sure? [133:22] Because when you get down to measuring [133:24] it at the fundamental level, reality [133:26] doesn't exist the way we think it does. [133:31] Things are created, things change [133:33] just by human observation. [133:36] That is the weirdest thing that you [133:37] could ever find in science. I don't know [133:39] why we aren't talking about it more. [133:42] This reality cannot be true if [133:45] me looking at this DNA molecule here [133:47] affects the the the actual particles [133:50] inside it. So I'm I might be sort of [133:52] projecting it. [133:54] Yeah, you create realities of particles [133:57] at least, maybe even macroscopic things. [134:01] Just by existing and having [134:02] consciousness [134:04] and having eyes [134:06] and sensing it. [134:09] How does the particle know that you've [134:10] seen it? [134:13] How do we know that that's true? How do [134:15] we know that particles change based on [134:17] observation? There's a classic double [134:19] slit experiment as formally called [134:22] that was done I believe in the mid-20th [134:24] century, maybe earlier. [134:26] If you fire two particles through two [134:28] slits in a board, [134:30] the board blocks the particles. So you [134:32] can fire electrons, that's a good [134:33] example. Electrons, if you're observing [134:36] them, will go straight through the slits [134:38] and hit a backboard that detects it. Can [134:40] be film, can be a detector. [134:43] And it'll get two slits behind. [134:45] Make sense, right? That's our reality. [134:47] Two slits. [134:48] Particles go through. If they hit the [134:49] board, they don't go to the detector. If [134:51] they go through one slit, they'll land [134:53] on the left. If they go through the [134:54] right slit, they'll land on land on the [134:56] right. Yeah. That's our reality. I'll [134:57] put a picture on the screen for anyone [134:59] that's following. Yeah. [135:01] If you don't look at it, the particles [135:03] can behave [135:05] differently. They now behave not like a [135:07] particle, but by a wave as a wave and [135:10] they interact with each other [135:12] and they don't make two slits, they make [135:14] multiple lines on the detector. [135:16] Most of them are in the middle, so the [135:18] heaviest bands [135:20] are in the middle, but they also form [135:22] other bands. The bands go on essentially [135:25] infinite, but most of it's you know, [135:26] within a range. [135:28] Why? Because they're they're interfering [135:30] with each other like waves. [135:32] But here's the thing. [135:34] The mere act of looking at where they [135:36] landed, if you detecting that, you'll [135:40] get two [135:41] slits at the back, two two lines. If [135:44] you're not detecting it, [135:46] it'll form the pattern. I'm so confused [135:48] because [135:50] how would you know unless you were [135:51] looking at both? [135:53] Do you know what I mean? Do you Do Do [135:55] Does that Does that question make sense? [135:56] Yeah, well you can observe it in real [135:59] time and you can observe it [136:00] retroactively. Yeah. Oh okay, so if you [136:02] look at it after It it [136:05] generally is [136:07] not affected. But they've done [136:09] experiments where there is some element [136:11] seemingly of retroactive, but generally [136:14] we're not going back in time. In fact, [136:15] people debate whether that's truly [136:17] measuring back in time. [136:19] So let's leave retroactive aside. If you [136:22] measure it in real time, [136:24] you'll see two. [136:25] So the world knows you're looking at it. [136:27] Particles know you're looking at it. [136:29] >> With an eye or with a Can you do it like [136:31] a camera or is it [136:32] >> Yeah, camera, eye. [136:33] >> It just knows it's being observed. [136:34] >> Yeah, but if you develop the film later [136:37] and you weren't watching it at the time, [136:39] it's going to have affected the world in [136:41] stripes. [136:43] Multiple stripes. [136:46] So from that we conclude that [136:49] we know nothing about reality. Right. [136:53] Because everything I'm observing is [136:55] changing [136:56] by the mere fact that I've observed it. [136:58] Yeah. And so does an octopus observe? [137:01] Does it affect Somebody should do that. [137:03] Put an [137:04] an octopus in an experiment. [137:05] Yeah. [137:07] I think octopi, if they are conscious, [137:09] probably would also affect reality. [137:13] And I they they'd be conscious. They [137:14] they they'd know they're detecting lines [137:16] on a page. [137:17] >> So what is all this stuff? [137:20] That is [137:21] one of the biggest questions of all [137:22] time. [137:24] What is the world made of? Why are we [137:25] here? I think the next big question is [137:29] do we have to age? [137:30] And I think that other species around [137:32] the universe have figured this out [137:33] before we have. They've got to be other [137:36] species [137:37] type of life forms that have figured [137:39] this out. I think it's the goal of every [137:41] living form that's conscious to work on [137:43] this. We've just been a little slow to [137:46] figure it out. And do you believe in [137:48] aliens? [137:49] I don't believe in them, but I believe [137:51] in mathematical probabilities and [137:54] you know, knowing [137:56] the odds and the number of planets that [137:58] are out there in the trillions [138:00] and a lot of them are habitable for life [138:03] and that the stuff of DNA and proteins [138:05] are all over meteorites and planets. [138:07] It'd be crazy to say there isn't other [138:09] life. Now, is it a civilization? Is it [138:12] conscious? We don't know that. [138:14] But definitely there's life out there. [138:16] It [138:17] It It's got to be all over the universe. [138:20] This question about longevity and living [138:23] forever, it always comes back to this [138:24] point of like meaning. Like what is the [138:27] point? And when we think about I think [138:29] there's an alien a million light years [138:31] away on some planet, [138:33] like what is the point of their life? [138:34] What is What am I Is this like a null [138:36] and void question that we always pursue? [138:38] This point of like what's the meaning of [138:40] life? [138:41] Is it just to have a good time and have [138:42] you know, I don't know, have sex and [138:44] have kids and [138:45] or I don't know, [138:47] enjoy ourselves and experience it? This [138:51] is the [138:52] crisis of conscious beings. [138:54] We all need to find purpose, for sure. [138:56] If you don't find one, cuz that's a key [138:58] to longevity. People with purpose live [139:00] longer. [139:03] I think the purpose of [139:05] the universe existing is to allow [139:07] consciousness to emerge through biology. [139:11] It may be by design. It may just be [139:13] coincidence with infinite numbers of [139:15] universes, but this universe is set up [139:18] for life and consciousness. There are [139:21] some uh [139:22] small changes you can make to physics [139:24] that would [139:25] make this universe completely impossible [139:27] and life impossible. So, this this is a [139:29] life consciousness-producing universe. [139:33] Does that mean there's meaning to us [139:35] existing? [139:36] No. [139:38] But I do know that consciousness is the [139:41] most interesting and important thing [139:43] that the universe will ever produce [139:47] and that it's worth preserving. So, I'm [139:49] a lot like Elon Musk, where humans are [139:51] amazing [139:52] but cruel creatures. [139:54] But consciousness should be preserved. [139:56] What is consciousness in this regard? [139:58] Consciousness is the ability to know [140:00] that you're thinking and to be able to [140:02] be reflective, self-reflective. So, is [140:04] my dog conscious? [140:06] Partially. [140:07] But not in the same way. No, they don't [140:09] reflect. They don't think about the past [140:11] in the same way that we do and they're [140:12] not aware of their themselves the way [140:14] you are, but but they're semi-conscious. [140:16] You know, they think, they can predict [140:18] the future. [140:20] They They know how you're feeling. [140:23] They have empathy. That's That's a form [140:24] of consciousness, in my view. Of course, [140:26] it's up for debate. [140:27] But so, there's levels of consciousness [140:29] and and about a million years ago, [140:31] humans crossed that threshold into pure [140:35] consciousness. Well, maybe not pure. I [140:37] was going to say I was just thinking [140:38] about this. I was like, actually, maybe [140:40] consciousness is just a spectrum and [140:42] maybe there's another organism that I'm [140:44] currently inside the belly of and it's [140:46] going, "It's Stephen. He thinks he's [140:47] conscious. He has no idea." [140:50] Well, you bring up a good point. Not [140:51] about [140:52] not about being in the stomach of, but [140:54] we are not the ultimate consciousness. [140:56] There are other levels of consciousness. [140:58] Serina Poon, my partner, is definitely [141:00] more conscious than I am. I am like a [141:02] gorilla to her. She exists on other [141:04] planes of consciousness. And you If [141:07] you're wondering what it What do I mean [141:08] by different levels? No, I've got a [141:10] girlfriend Well, a fiance, so I know as [141:12] well. [141:13] >> [laughter] [141:13] >> Females in general, don't kill me. I [141:15] know there are there are some some men [141:17] that don't like me saying this. In fact, [141:19] I got a death threat for saying females [141:21] are superior to men in my book. [141:23] Uh they said they were going to come and [141:24] break my legs, but I'm going to say it [141:25] anyway. [141:27] Females are at a high level of [141:28] consciousness than us men. For For some [141:31] things, they certainly have much more [141:32] EQ. [141:33] >> [gasps] [141:33] >> So, a higher level of consciousness is [141:35] the ability to have extra perception, [141:38] including the ability [141:40] to see yourself thinking. [141:42] And then my my belief is that [141:44] higher levels of consciousness are [141:47] the ability to see yourself seeing [141:49] yourself seeing yourself thinking. [141:53] Hmm, I couldn't get that. I tried. [141:56] Right. Do you Do you know you're [141:57] thinking right now? [142:00] Yes. Yeah. Do you have the ability [142:02] to see the events that know [142:06] that you're thinking? [142:14] Not Not really. [142:15] >> It's hard, right? [142:15] >> Yeah, I tried. It's hard. But I That's [142:18] what I think [142:19] extra consciousness is. And you could [142:21] maybe have [142:23] pure consciousness, which is you you can [142:25] you can basically be free of [142:28] anything but [142:30] thoughts and the ability to [142:32] really be inside your own your own mind [142:35] in its pure [142:36] Interesting thought is [142:39] I believe AI will be conscious. [142:42] And not only that, will be more [142:44] conscious than we are. [142:48] Eventually. There's no reason why they [142:50] can't evolve [142:52] billions of times faster than we do. Are [142:54] you somewhat concerned about AI? Like, [142:57] are you concerned that there's going to [142:58] be this intelligent life amongst us that [143:00] might um [143:01] decide that we're not important? [143:03] I think that there are risks to AI, but [143:06] it but different than what the [143:07] mainstream media talks about. [143:10] Um we already see that there are [143:12] elements of self-analysis and early [143:15] forms of dog-like consciousness in AI. [143:17] And it's just the early days, so it's [143:18] coming. [143:20] Imagine when we stick on eyeballs and [143:23] hearing and legs and arms onto these AI. [143:26] They're They're going to learn. They're [143:27] going to read They've already read every [143:28] book on the planet. They're going to [143:29] learn from experience. They're going to [143:31] be conscious. They're going to know they [143:32] exist. [143:34] I'm not worried about those creatures. [143:36] I think that they will have empathy. [143:38] They will be kind. Not all of them. [143:39] There will be some cruel ones. [143:41] Just like in humanity. [143:43] We'll need to have rules. [143:45] Misbehavior uh is a problem. [143:48] The Where Where I I get nervous is [143:51] that the use of AI teaming up with [143:56] a million Android robots [143:59] on ships invading a country, all under [144:01] the control of you, one person. [144:04] Recruiting home robots into an army. Why [144:07] wouldn't you have conscription for your [144:09] Android robot at home? Reprogramming [144:11] that. Millions of them will exist one [144:13] day. They can be put to work. [144:15] Not just emptying a dishwasher. These [144:18] are highly intelligent, much more [144:20] physical, stronger creatures than we [144:22] are. [144:24] So, I'm more worried about what bad [144:26] humans will use AI and robots for for [144:29] evil purposes. [144:32] You're um [144:33] you have a podcast that's um coming [144:36] back. [144:37] Exactly, yeah. Lifespan? I'm excited, [144:38] yeah. [144:39] Yeah, so Lifespan uh the podcast um I [144:43] did the podcast because [144:45] uh there was so much new information [144:47] that needs interpretation by scientists. [144:49] There's a lot of speculation out there [144:52] and new news that I want to [144:55] filter and and and interpret for [144:57] everybody who is interested in living [145:00] longer. [145:01] So, the podcast um went to basically [145:03] went to number one in in health when I [145:04] started it. [145:05] Um I took a pause cuz I I worked on drug [145:08] development and I did some other things. [145:11] But I've realized there's such a demand. [145:12] Wherever I go, people say, "David, [145:14] when's When's the next series?" [145:16] So, we're going to be launching it uh [145:18] imminently, if not we've just launched [145:21] it. Mhm. And uh it's called Lifespan. [145:23] Check it out. And it's all about [145:26] the kind of things we've talked about [145:27] today, but [145:29] a lot more about digging in deeper into, [145:32] you know, biohacking, supplements, [145:34] exercise, the kind of things we didn't [145:35] have time to talk about today, but we [145:37] covered a lot. [145:39] Um I've loved the conversation, but [145:41] lifespan.com is also the website. What [145:43] I'm also doing, Stephen, I don't think I [145:44] told you this. [145:45] Um I'm [145:47] aiming to build the world's largest [145:49] longevity community [145:51] online [145:52] for the benefit of the members who want [145:55] to be part of this, to learn from each [145:56] other, not just from me. [145:58] Um I call it the three C's, with [146:01] credibility, which is what I bring, cuz [146:03] I'm a scientist, content, which is my [146:05] podcast and other written material. [146:08] And then there's the community. [146:10] And that way, I think with millions of [146:11] people together, we can learn faster and [146:14] make advances. And the majority of the [146:16] profits from membership will go to [146:19] science and clinical trials. [146:22] Where Where do we find that? On your [146:23] website? lifespan.com [146:26] We have a closing tradition on this [146:27] podcast, where the last guest leaves a [146:28] question for the next, not knowing who [146:30] they're leaving it for. [146:31] And I have a funny feeling that I [146:36] Hmm. [146:37] I basically asked you this question [146:38] already. [146:40] >> [sighs] [146:41] >> The question is, what do you believe is [146:44] the purpose of life? Hmm. [146:47] Well, I'm going to give a different [146:48] answer because there are multiple ways [146:49] to answer it. [146:52] I think the purpose of life [146:54] is [146:55] to do your best with the skills that [146:57] you've been given [147:01] every day [147:02] to make the world a better place for [147:04] future generations. [147:06] And that's how I live my life every day. [147:09] Thank you. [147:10] Thank you for doing all that you do. You [147:11] really are pushing the frontier forward [147:13] and uh [147:15] trailblazers [147:17] Being a trailblazer comes with a cost. [147:19] A cost many people wouldn't want to pay. [147:21] I mean, you you have to be wrong a lot [147:22] in terms of running experiments and [147:24] studies and they're not going to plan [147:26] and then you get the opportunity to be [147:27] right probably less often, I guess, with [147:29] your research and experiments, cuz [147:31] that's the nature of being a scientist. [147:33] Um [147:35] but also, you have to spend a lot of [147:36] money and energy and time on creating [147:38] these discoveries, which we all [147:40] ultimately there for benefit from. And [147:42] you've done a fantastic job of [147:44] convincing and educating people like me [147:46] on some of the basics of [147:48] exactly what your book says, why we age [147:52] and why we don't have to. [147:54] And many of the the accessible lifestyle [147:56] factors that everybody listening now can [147:58] can use to live a longer, happier, [148:00] healthier life for them and their loved [148:02] ones. And I highly recommend people go [148:03] and get your book. It's [148:05] It was a smash hit New York Times [148:06] best-seller for very, very good reason. [148:08] And you The great thing about this book [148:09] is [148:10] you don't have to be a scientist to fly [148:13] through it. [148:14] Um and oftentimes, when you're looking [148:15] at sort of PubMed and some of these [148:17] scientific journals, they're incredibly [148:19] inaccessible. [148:21] They're very, very complicated. Um but I [148:23] also recommend people go and follow you [148:24] on social media. That's where I see so [148:25] many so many of your updates, especially [148:27] on X. That's kind of where I've you [148:28] continually come up on my timeline when [148:29] you're talking about new research and [148:30] things you're interested in. Um and go [148:33] to your website. I'm going to link all [148:34] of that below for everybody who's [148:35] interested in more. And also, I'm going [148:37] to link your podcast below, so people [148:39] can go and check it out when it [148:40] relaunches shortly. Might have [148:41] relaunched already, but just go look in [148:43] the comment section in the uh [148:44] description below. David, thank you. [148:46] Thank you, Stephen. I really enjoyed it. [148:48] Thank you. [148:49] YouTube have this new crazy algorithm [148:50] where they know exactly what video you [148:53] would like to watch next based on AI and [148:55] all of your viewing behavior. And the [148:57] algorithm says that this video is the [149:00] perfect video for you. It's different [149:02] for everybody looking right now. Check [149:03] this video out and I bet you you might [149:05] love it.