I’m not convinced that taking a pill like rapamycin once a week, an immunosuppressant known to increase cancer risk, will ultimately increase lifespan. If rapamycin truly worked this way, we should see strong, real-world evidence by now. For example, Alan Green and Blogosklonny, who were major proponents, both died at relatively young ages, with Blogosklonny passing from cancer.

Also, how does rapamycin directly address DNA damage, one of the primary causes of aging? If it had such an effect, wouldn’t we already see clear signs of longevity in those currently taking it? Instead, I’ve seen several people who are on rapamycin struggle with various health issues. Honestly, I’m starting to think rapamycin may reduce lifespan rather than extend it.

I disagree.

For the past 20 years rapamycin has been given to typically very sick people (people who have had diabetes for many years for example, who have kidney disease and have had to get a kidney transplant, and are on a bunch of different medications for many issues). So the fact that rapamycin given at high daily doses to these people really tells us nothing about what it does in healthy humans.

You cite N=2 of sick people (one a long time smoker, another with other health issues, and which we really know very little about their health status) and try to draw some conclusions is a fool’s errand. These guys both took many things, and trying to create a “cause/effect” chain of reasoning doesn’t hold any water.

We have a study of 60+ monkeys in a well-conducted scientific study (primates that are virtually identical genetically to humans), and you disregard it for n=2 of sick people who among many supplements and drugs, also happen to take rapamycin? That seems like you’re putting far too much weight on anecdotal evidence, while ignoring all the scientific data.

Has there ever been a drug that has worked in every organism and mammal tested… from yeast, to worms, to flies to mice to primates (over a billion years of evolution) and somehow stopped working in humans? I don’t think there is.

And, I also don’t think we can say that DNA damage is necessarily “one of the primary causes of aging” - when you look at the Hallmarks of Aging, which is the leading guidebook of factors that contribute to aging, they don’t give a rating and ranking of these to say which are the biggest causes and which are minor causes; I don’t think they know which of these hallmarks contribute what percent of the totality of causes of aging…

And while rapamycin targets many of the hallmarks of aging, nobody is saying it hits ALL the hallmarks of aging. I don’t know if it does or doesn’t but if it hits enough to typically increase lifespans in every animal model tried, by 15% to 30% - who cares if it targets DNA damage or not? Why is that relevant?

Hallmarks of Aging

Resources:

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Well, human beings are far less subject to life shortening in their environment than most animals. So the extension of life of a mouse in a lab is going to be dramatically greater than a human who f.ex. lives in a bubble like the bubble boy. Microorganisms as causes of death are still a minority of deaths in developed countries, and even taking into account morbidity, that’s at most a handful of years. How do we know this? Because human beings age. That is not affected by microbes as such. A 90 year old man, is pretty impaired system wide - the quality of skin, muscles, pulmonary reserve, kidney function and so on. That wasn’t caused by microbes. If microbes kill him, how much longer did he have to live otherwise? He was already suffering from age-related decline uncoupled from any microbial impact. You could abolish all deaths and diseases caused by microbes and barely move the needle on average human lifespan. Even in the best germ free environment, you would have very little life extension. A person who is 100 or 110 is not going to gain 30 years because of microbes. I personally think microbes are probably relatively a non-factor of impact, certainly not any magnitude.

The key insights as far as what human lifespan limit is the state in which we find supercentanarian. They are all severely impaired by aging. Many systems are marginal by then (especially things like eyesight and hearing), kidney function, pulmonary function, CV, neurological. The biological reserve left is rather small. Any tiny adversity is liable to lead to death. It simply isn’t plausible to say, here is this fellow, Christian Mortensen (115, almost 116), examine his body - he’s easily got another 15 years in him, if only he had eaten better veggies and exercised more cleverly. There isn’t that much reserve left. The design of the human body, its repair systems are just not specced for that length of time.

Now add another variable here to illuminate what is going on - the enormous variety of diets and lifestyle of the supercents and the almost complete absence of lifestyle optimizers. If lifestyle optimizing were a big factor in reaching extreme old age, you would find almost exclusively THOSE folks among the supercents - that closes the book on lifestyle interventions as the key factors in extreme longevity. Instead, it argues for the supremacy of genes as determinative, not lifestyle.

And that’s where we look at the other factor - genetic differences between humans. You have outliers, like Christian Mortensen (not a health nut, btw.), and you have masses and masses of health conscious folks who, live not nearly as long and all in the same environment laden with the same risk factors (pollution, microbes etc.). It’s genes. It’s not lifestyle as the decisive factor. If unlucky genes, no lifestyle will help you. If lucky genes, amost any lifestyle will let you keep on ticking. That’s why in f.ex. animals, the very best husbandry (lifestyle) will simply get you the greatest number of animals reach their old age, with a few genetically lucky exceeding it, and some unlucky coming up short. Bad husbandry, and the whole lot comes up short, with again genetic exceptions at both ends of the bell curve. Meanwhile throw in drugs or CR in animals and suddenly that max is extended - those interventions succeed where lifestyle does NOT.

Anyhow, as we all know, it is better to be lucky than good, but engaging in good lifestyle practices is still beneficial, because that allows healthspan and allows us to reach our lifespan potential. You and I may disagree as to where that potential falls, but keep one thing in mind: it is individual. Just because the human organism has a design that can take 120-130 years, doesn’t mean that the vast, vast, vast majority of us can reach it no matter our lifestyle - we are limited by the genetic cards we were dealt individually, never mind what the species is theoretically capable of. Christian Mortenson was an extreme freak of nature - almost none of us is.

And the scientific, technological and medical developments that will become available along the course of one’s life. That is the biggest variable when I consider the scenarios for how my health and longevity may transpire.

What are your thoughts on that we may experience bridges to new bridges to new bridges - if we stay healthy long enough?

For example in the thought experiment @Dr.Bart put forward - as a healthy person in his early 50s he may be able to intercept several waves of new biotechnology developments and therapies

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There is claims (not confirmed) of various people (in single digits) that may have lived to 130 and little beyond, plus we do have one fact at 122. My theory is, who knows how much longer she could have lived if she specifically did things to extend her life. My understanding is that she/Calment didn’t necessarily have a healthy lifestyle (at least in her early part of her life). So, your prediction of a person reaching 130 and beyond is not far-fetched. I don’t think it can go much further than 140 though without major scientific breakthrough.

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It depends obviously on whether the new drugs/techs “bridges” address your particular vulnerabilities, your particular weak links, your particular genetic profile. Analogy: if you have a car, and it’s a good car except the breaks are faulty from the factory, a recall can fix those breaks and so on for many problems, more recalls and more fixing and you keep on driving. But if you have a lemon, there is a lot more wrong with your car than breaks and the recall items. In which case your engine might seize and off to the junkyard with you, never mind recalls which will do you no good. For many people those bridges will work, for some they won’t as they have a different fault than the recall addreses, some especially unlucky have a lemon, and some especially lucky don’t need recalls and bridges, and have one of those million mile toyotas.

I think people overestimate the effect size of lifestyle interventions and underestimate genetic impact. It is currently believed that we can control about 60%-70% of all cancer causes. That still leaves some 30%, and no lifestyle choices will affect that 30% - that right there is a hard genetic/epigenetic limit impervious to lifestyle interventions we have currently. Calmet had lucky genes, and lifestyle interventions were irrelevant. Mr. Perfect Diet-Exercise had unlucky genes and pancreatic cancer got him at 70. Case closed. Drugs, screening and other tools may in time take care of cancer.

But that leaves an almost endless list of things that can go wrong. We are all a collection of genes that represent how long we’ll last. There are those flashy single genes that can cut your life short at 40 and no amount of lifestyle interventions will help. But those are the exceptions, and some of them we can affect to some degree (f.ex. ApoE4/4). The vast majority are far less flashy and work in groups to subtly lessen (or strengthen!) this system or another. I may have subtly less efficient mitochondria by 15% and there is nothing I can do about it, it’s genetically set. And literally thousands and thousands of such cases. It’s not just addressing the known diseases of modern era CVD, cancer, etc. which we may take care of (and as the stat goes, if you abolished all cancer and CVD, the population would gain on average about 3 years, lol). There are thousands of vulnerabilities that very slightly affect a given system to degrade it and make it not last as long, and there is no way we are going to address it all by some future drug without fundamentally re-desiging our genetic blueprint. The superpower of Calment or Mortenson, was that they won the genetic lottery - they managed to get gene set after gene set after gene set all just right. It’s staggering odds. Like a cueball that knocks all the balls into pockets and then from sheer momentum jumps over to the next table and does the same to the balls there and so on for all the 12 tables in the bar. Odds of billions to one. No odds maker would bet that if they only ate healthier and exercised better they too can hit 122. These are not achievable aims. You are too limited by your genes. You’d have to find ways of changing their expression by the thousands - ain’t gonna happen. And no bridges on the horizon - the bridges that will come, will be the big ones addressing CVD, cancer, immune system and so on. But there are thousands of others.

Let me try for an analogy one more time. Imagine a ship and we have contol of one part of the hull, and that part of the hull we call “lifestyle”. If that part of the hull is weak, then through excellent lifestyle we can make it last. But it will not affect the basic construction of the ship and furthermore, you have no access to the other parts of the hull (genes), so if those have a weakness somewhere, you, being limited to only operating in your part of the hull cannot repair, and you sink. Lifestyle is not going to affect all faulty collections of genes - that’s not a tool that can do it, it’s set, like the color of your eyes, no amount of diet optimizing and pushups is going to change the color of your eyes. That’s why when somebody says “gee, if only Calment had a better lifestyle, perhaps she’d last to 130” that’s a misunderstanding of the effect size of lifestyle interventions. Lifestyle cannot affect the genes that would’ve allowed her to live to 130 rather than 122. It’s not a part of the hull that you have access to. You only have access to the “lifestyle” portion. Furthermore, we often overestimate the power we have even with the lifestyle portion. If you have particularly strong genes, you could be a heavy lifelong smoker and still hit 100. That part of the hull, that is affected by lifestyle just so happens to be super robust in your case, lucky genes. So the fact that you polish that part of the hull, your lifestyle is meaningless, because it will last regardless. Meanwhile, if your fatal vulnerability is in a different part of the hull, no amount of polishing and strengthening your lifestyle part of the hull will have any effect on your sinking right on schedule. That’s why Camet, Mortenson and any number of supercents don’t have to have particularly good lifestyles, but are sailing regardless, whereas the lifestyle polishers who have a faulty hull on the other side sink no matter how much they polish their undamaged part. Lifestyle modifications would’ve made no difference to Camet’s 122 years (though, perhaps improved healthspan - she was blind toward the latter part of her life). She’d have perhaps died seeing where she is, but still right on schedule at 122. We like to think that lifestyle can definitely determine lifespan because we like the feeling of control, even if it’s illusory, and we do have a great deal of difficulty dealing with the unintuitive disconnect between healthspan and lifespan.

It’s all luck of the draw. We hope that rapamycin addresses the parts of the hull that is vulnerable on our ship. Same for other drugs. And we hope that our cancers are the 70% ones that can be addressed by lifestyle interventions. And so on. Better to be lucky than good, because if you don’t have luck, no matter what you do, you will come a cropper.

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I thought I’d read somewhere that if you abolished all aging disease (CVD, Cancer, diabetes etc…), and NOT count accidental, infant, and substance abuse deaths (in other words natural occurring deaths alone) the average goes up to over 90 or so in US.

“She’d have perhaps died seeing where she is, but still right on schedule at 122. We like to think that lifestyle can definitely determine lifespan because we like the feeling of control, even if it’s illusory, and we do have a great deal of difficulty dealing with the unintuitive disconnect between healthspan and lifespan”

all sounds good but it is hard to believe that the difference in maximum life span for humans can differ that much where one is predisposed to die at 80 years old and another at 122 (barring any genetic abnormalities, that can’t be in majority). There are simply no mammals we know of where the maximum lifespan would differ by 40% within a species/breed (natural occurring deaths), unless humans happened to be totally different. For example, if you have a dog breed that has an average lifespan of 15 you won’t see your dog die at 10 years old (of old age). Most likely it will be 14-16.
I also think the genetic predisposition or “gene lottery pool” is important to determine if you will make it to old age or not. I doubt there is scientific proof that if you lived say to 80, there is a gene somewhere within you that says that’s it you are done now. LOL

In other words, once you are gifted with the “gene luck” to live to old age say 80, then the rest is taken care off by lifestyle choices (if you will make it to 100 or not).

A 2012 study found non-smokers without diabetes who had optimal cholesterol and blood pressure lived an average of 14 years longer than people with two or more of those risk factors

I take this to mean that for MOST of us in these forums that we are doing exactly that (keeping BP, glucose, and LDL at optimal levels) the least we can expect is an increase in lifespan of about 14 years, without counting any RAPA effect.

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Abolishing CVD adds 2.5 years. I doubt that the other aging diseases including cancer add only an additional 0.5 years if they are cured.

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FWIW:

https://www.washingtonpost.com/archive/politics/1990/11/02/major-longevity-gains-termed-unlikely/1eeffaef-b2fb-4e2c-b17d-3c487208f25b/

Quote:

“Olshansky and his colleagues calculated that even if major diseases were eliminated, average life expectancy would increase little. If all cancer and all heart disease were eliminated, the average life expectancy would grow by about three years. Even eliminating all deaths from cancer, diabetes and circulatory disorders would only increase average life expectancy 15 years, but most people would probably not realize that gain because their bodies would succumb to normal aging.”

Absolutely untrue. You are not accounting for the fact, that Calmet is an extreme, outlier, in fact so extreme, she is unique, one and only one (reasonably documented) who ever broke 120. The next longest lived is 3 years less:

That is a huge, huge spread. If a substantial part of humanity had the genetic capacity to live to 122, Calmet wouldn’t be a sole single solitary one unique example and by such an insane margin. Just by chance alone others should have made it, many tightly bunched around 121, 122, etc, if it depended at all, at all on behaviour… which we know was not in any way special by Calmet’s lifestyle. CLEARLY, it’s genes, not behaviour. All those billions of humans made bad choices, but Calmet hit it out of the park with her wine chocolate and occasional cigarette? Absurd. It had NOTHING to do with her behaviour. Extreme longevity is incredibly, incredibly, insanely rare. One 122, out of billions. Two 119. One 118. Because they really tucked into their veggies and Peter Attiaesque exercise? Complete nonsense. It’s genes, full stop.

And totally, totally wrong on dogs:

Verifying dogs is even harder than humans, but FWIW, we see the same pattern as with humans, and by percentage even more extreme - here we have an even larger percent difference between #1 at 29 (unique, just like Calmet) and #2 at 27… 2 years, a much bigger percentage for a dog than Calmet’s 3 years for a human. Dogs are a particularly bad example, because there the impact of genes is even more extreme, since genes differ so very much by breed - no matter how you lifestyle an Irish Wolfhound, you will never get it to live half as long as many chihuahuas. They are all dogs, and all capable of interbreeding and they all share our human environment intimately on a family daily level (unlike wild dogs). The fact that dogs still display such spreads is very damning to the “lifestyle” thesis. It’s genes. Human populations don’t have such spreads in lifespan by ethnic/racial groups, genes. Dogs are truly counter to your thesis. And that is absolutely true of other animals, by far, with much more spread of natural lifespan than humans.

I’m afraid, that you are also wrong about reaching 80 means lifestyle will pull you to 100. Nope. Cents remain incredibly rare. Much more rare than what could reasonably be put down to lifestyle. If you examine the lifestyles of cents, their behaviour is not correspondingly rare by how “good” it is, lol, in fact it does not differ from the average person who keels over at 80. What they differ by is genes. And what drives the final nail into the coffin of the “it’s lifestyle” hypothesis is the fact that longevity is strongly heritable, i.e. it is genes, as countless studies of cent offspring prove. The offspring of cents are far more likely to reach oldest old ages. Case closed. Genes. It is not that lifestyle doesn’t matter, (and for healthspan it clearly does!), just the effect size is limited by the genetic potential. And as I alluded to before, lifestyle interventions themselves are internally limited in addition. Exercising “enough” (not that much!), and eating “well enough” (no extreme diets necessary), will get you all of the life extension your genetic potential allows and more exercise and better yet diet buys you not a second more (healthspan, yes).

Sorry, but the case of genes over modifiable lifestyle factors for extreme longevity is unassailable. You will simply not reach 100, no matter how you eat and exercise if you don’t have centenarian genes. And incredibly few of us do. It is better to be lucky than good. This is the sad reality, and all these elaborate lifestyle prescriptions cannot change this reality. Only hope is pharma in the short term, and genetic engineering longer term, even pharma is somewhat gene dependant - if lucky, your weak links will be impacted by rapa, if not lucky not, that’s how you get nonresponders and superresponders (even in the ITP some mice didn’t respond or responded badly). Genes, which is why if you want to do for humans what nature has done for the naked molerat compared to their rodent relatives mice, 10x+ lifespan, it is genes all the way, genetic engineering, because no lifestyle or drugs will get you to a 1000 year human, just as no lifestyle or drugs will get you a 30 year old mouse a la molerat. Genetic engineering is the holy grail. Pharma is just a stopgap, but the only thing likely available within our lifetimes.

The theory of Gompertz is that there is a very small tail of really long lived individuals.

I appreciate your points, but many, many, many drugs have shown promising results in all animal models only to fail in humans. Here are just a few examples:

  • TGN1412
  • Vioxx (Rofecoxib)
  • Fialuridine (FIAU)
  • Interleukin-2 (IL-2)
  • Zelmid
  • BIA 10-2474
  • Cathepsin K inhibitors (Odanacatib)
  • Torcetrapib
  • Flosint (Isoprinosine)
  • Cerivastatin (Baycol)
  • Avandia (Rosiglitazone)
  • CP-690,550 (Tofacitinib)

In the specific context of anti-aging, while rapamycin may be promising as the only molecule to work across all tested animal models, we should recognize that a very small percentage of all medical molecules are tested for anti-aging—likely less than 0.01%.

Yes - many compounds fail after showing promise in mouse models, but the problem (for example, in Alzheimer mice models) is that the genetically modified mice do not accurately represent the disease process, so the problem is frequently in the mouse model, not the drug.

As Richard Miller has stated - the aging seen in the mice used in the longevity studies are not “mouse models of aging” - they are not genetically manipulated mice designed to “age”, the mice are suffering from real aging, just like every other animal. Aging is pretty similar across all animals - though the pace of aging varies. This suggests that compounds / small molecules that slow aging in one mammal has a pretty good chance of slowing it in another mammal. If a compound slows aging in every mammal it is tested … an even better probability if also works in humans.

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We have plenty of counterexamples. For instance, aspirin extended lifespan in male mice but has not shown the same effect in humans.

I’m unaware of any long-term human clinical trials using aspirin for longevity - can you please point towards some?

https://www.nia.nih.gov/news/daily-low-dose-aspirin-found-have-no-effect-healthy-lifespan-older-people

There is a 0.0000001% chance — that’s a one in a billion chance — that the medication will allow people to live to 130.

Ah yes, the Aspree study. I would argue that aspirin was a poor prospect anyway; it only increased lifespan of male mice in the ITP study, and only by 8%, so a low efficacy compound at the best of times:

“Median survival for control mice was 786 days, compared to 881 days (12% increase) for NDGA and 849 days (8% increase) for aspirin.”

With rapamycin we’ve had over 30 labs replicate the longevity studies successfully, with upwards of 30% lifespan improvement. So I think we’re talking about very different success profiles when comparing aspirin and rapamycin. Also - rapamycin has a very simple and clear pathway of efficacy (mTOR) which is evolutionarily conserved, whereas aspirin is a very “dirty drug” hitting many different pathways, so the translation to humans has to be much more risky.

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What evidence do you have to support this statement?

I don’t think you understand the burden of microbe’s role in pathogenesis of multiple chronic diseases in the Western Countries. Here are some examples.

  • Epstein-Barr virus (EBV): EBV is a herpesvirus that is linked to the development of several autoimmune diseases, including systemic lupus erythematosus (SLE). EBV is thought to trigger autoimmunity through a process called molecular mimicry, where the virus presents antigens that are similar to the body’s own antigens.
  • Streptococcus pyogenes: This bacteria is linked to rheumatic fever (RF). Molecular mimicry is also thought to be a trigger for this disease.
  • Trypanosoma cruzi: This parasite is the cause of Chagas’ disease, which can affect the digestive, nervous, and cardiac systems. Molecular mimicry is also thought to be a trigger for Chagas’ disease cardiopathy.
  • Cytomegalovirus (CMV): CMV is linked to type 1 diabetes (T1D).
  • Proteus mirabilis: This bacteria is linked to rheumatic disease.
  • Pseudonocardia: This bacteria is linked to erosive RA.

Other pathogens that have been linked to autoimmune diseases include: Hepatitis C virus, Hepatitis E virus, Campylobacter jejuni, and Klebsiella bacteria.

Several viruses have been associated with Type 1 diabetes, but one type of virus, called Human Enteroviruses (HEVs) , have the strongest body of evidence.

Superantigens are proteins produced by microorganisms that can cause a variety of diseases by overactivating the immune system. Diseases that may be caused by superantigens include:

Rheumatic fever, Arthritis, Kawasaki syndrome, Atopic dermatitis, Guttate psoriasis, Multiple sclerosis, and Lupus erythematosus.

Superantigens work by binding to major histocompatibility complex II on antigen-presenting cells, which activates T cells and causes the release of immune cytokines. This can lead to cytokine storms and inflammation in the lungs, intestines, and other areas where the bacteria have colonized.

Some examples of superantigens include:

  • Pyrogenic toxins
  • Streptococcal scarlet fever toxins
  • Toxic shock syndrome toxin 1
  • Staphylococcal enterotoxin serotypes A, B, Cn, D, E, and G
  • Streptococcal M protein
  • Staphylococcal exfoliative toxin

Researchers have tried to develop ways to combat superantigen-mediated diseases, but these approaches have not been entirely successful.

The nervous tissue of AD patients also contains fungal proteins and DNA which are linked to bacterial infections, suggesting that polymicrobial infections also occur in the brains of those with AD. Both immunohistochemistry and next-generation sequencing (NGS) techniques were employed to assess fungal and bacterial infections in the brain tissue of AD patients and non-AD controls, with the most prevalent fungus genera detected in AD patients being Alternaria, Botrytis, Candida, and Malassezia. Interestingly, Fusarium was the most common genus detected in the control group. Both AD patients and controls were also detectable for Proteobacteria, followed by Firmicutes, Actinobacteria, and Bacteroides for bacterial infection. At the family level, Burkholderiaceae and Staphylococcaceae exhibited higher levels in the brains of those with AD than the brains of the control group. Accordingly, there is thought to be a viscous cycle of uncontrolled neuroinflammation and neurodegeneration in the brain, caused by agents such as the herpes simplex virus type 1 (HSV1), Chlamydophila pneumonia , and Spirochetes, and the presence of apolipoprotein E4 (APOE4), which is associated with an increased proinflammatory response in the immune system. Systemic proinflammatory cytokines are produced by microorganisms such as Cytomegalovirus, Helicobacter pylori , and those related to periodontal infections. These can then cross the blood–brain barrier (BBB) and lead to the onset of dementia. Here, we reviewed the relationship between the etiology of AD and microorganisms (such as bacterial pathogens, Herpesviridae viruses, and periodontal pathogens) according to the evidence available to understand the pathogenesis of AD. These findings might guide a targeted anti-inflammatory therapeutic approach to AD.

Infection and autoimmune diseases - Autoimmunity - NCBI Bookshelf.

https://www.sciencedirect.com/science/article/pii/S2666354624000218

https://www.alz.org/news/2021/covid-19-may-damage-the-brain-in-older-adults

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I thought it was a pretty uncontroversial statement, but OK. Mice in the wild are subject to heavy predation. Predation and a variety of accidents is the #1 cause of death for mice by a wide margin in their natural environment, whereas for humans that’s pretty far down the list. Which means that a lab is going to be far more protective for a mouse than a human. Humans “in the wild” had it pretty rough, as Hobbes put it, lives that were nasty, brutish and (ahem!) short. Which is what a mouse has in the wild. But humans developed civilization (something mice should try!) and today, at least in developed countries, our environment is not far away in safety and convenience than what you can get in a lab, so you are not getting much of a jump in longevity transferring a human to a lab compared to a mouse to a lab. There are countless advantages to a modern human environment, note the massive jump in longevity achieved by the introduction of convenient hygiene and sewage/plumbing. The hygiene arrangements for mice in the wild are deplorable. We can complain about the healthcare system, especially in the USA, but look at what wild mice get - if a mouse falls sick, becomes frail and cannot run as fast, the first healthcare intervention is from Dr. Owl, whose patients, spoiler alert, inconveniently always end up dead on the operating table. The necessity to engage in risky foraging for food, with no assurance of consistency or quality is something mice face daily, whereas the days of humans fighting off lions and hyenas for scraps has been abolished by civilization. A lab is a huge boon in this respect for wild mice compared to humans who in their environment have access to nutrition with little risk and effort.

But the dead giveaway of the vast chasm between wild and lab for a mouse vs human in his civilized environment and a lab is one simple fact: mice almost never reach advanced old age in the wild, whereas they regularly do so in a lab. The moment a mouse falters whether by illness or first whiff of age-related disability, they cannot survive in the highly competitive and hostile environment. So they almost never get the chance to be old and frail and putter along. A lab, is a godsend and paradise in comparison. Humans by contrast, by their majorities reach old age and many very advanced old age right in their civilized environment of developed countries. Mice have much more to gain by being in a lab than a human would - like in at least reaching old age; humans reach old age, and extreme old age just fine outside a lab.

And how do we know that our developed world enviroment is almost as good as a lab for a human? Because we see that by the evidence in animals. A feral cat in an urban environment lives longer on average than in the wild as their food supply is often supplemented by humans and they are less subject to predation, but yet, an urban feral cat lives on average only about 6 years or so. Meanwhile the same species of cat, in the human environment as a pet, with protection, access to quality food and vet care, live 15 years, or more than twice as long, and regularly even 20+. They share our environment, our homes, and they max out their lifespans - they don’t gain much if anything in lifespan from being put in labs, and we have those stats. It’s not like cats break longevity records in labs the way mice do. Our human environment in developed countries is pretty optimized for human lifespan, because that’s what civilization has focused on for thousands of years - prolonging life, minimizing risk, upping the quality and convenience. A feral cat - 6 years, a cat pet in human environment 15-20, or a boost of 200%-400%. Putting a human in a lab is not going to give us a 200%-400% boost in longevity, because our civilized environment is already pretty human adapted. Which is why my uncontroversial statement was that mice have vastly more to gain from a lab than a human. We die in old age, often extreme age, wild animals rarely do.

Wrt. microbes. No doubt there is microbe related morbidity and mortality. But my contention is that microbes are not the primary driver of the rate of aging. If you eliminated all microbes, humans would not suddenly age more slowly. Look at that chart posted by RapAdmin a few posts up - Hallmarks of Aging. How many of those do you think are affected to any great degree by microbes? Dysbiosis - OK… which incidentally is a consequence of aging not as much a cause of aging as immune senescence makes us vulnerable to disbiosis. Otherwise it’s hard to see where in these hallmarks of aging microbes have any substantive role: stem cell exhaustion, genomic instability, loss of proteostasis, telomere attrition, altered intercellular communication, disabled macroautophagy, mitochondrial dysfunction, cellular senescence, chronic inflammation. We started this discussion over whether lifestyle interventions that you outlined can slow the rate of aging to give us 130-150 lifespans. I don’t think microbes measurably affect the rate of aging. Healthspan - sure. Lifespan - I can’t see it.

Look, it’s clear you have a passionate belief in your model of aging where lifestyle measures have a central role in affecting the very rate of basic aging in humans and can potentially give us a very substantial lifespan boost on the level of 130-150 years. I have a different view of how aging works, and believe that the role of lifestyle interventions is limited to healthspan and fulfilling what really limits us, our genetic blueprint and therefore that limit cannot be impacted and extended by lifestyle interventions alone.

That’s our fundamental disagreement. We do agree on pharma! I think we’ve presented our views as clearly as we could, and unless new facts and arguments emerge, our positions are pretty set. I propose that we leave it here until there are further developments, perhaps amazing new studies or whatnot.

Thank you for your vigorous presentation - peace!

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Yes - its fine agree to disagree. Its unlikely that we will all share exactly the same beliefs - discuss it as long as it makes sense, but no need to go on forever.

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