Speaker 8: Christiaan Leeuwenburgh - Is Aging due to Oxidative Stress,
Inflammation and Apoptosis? What we have Learned from Long-life CR and
Life-long Wheel Running Studies
Why do we age - lots of theories. Glycation, oxidative stress, inflammation,
etc.
Among others, CR has following good effects (in animals):
- Reduced oxidative stress
- Improves calcium homeostasis
- Reduces inflammation
- Reduces DNA damage
- Alters gene regulation
Some or all could be important for "aging".
Will it work in humans?
Supportive evidence: Okinawans + Japanese lifespan
Preview of take home message - 10% CR in humans may get you most of the
benefits. May not need 30-40% CR to see LE benefits
Moderately CRed, voluntary wheel running not as powerful as strict CR, but
does have positive effect on mean lifespan in rodents. No effect on max
lifespan.
Free radical theory of aging
Lets look at evidence if important. Looks
promising...
Mitochondria are major source of free radicals (ROSs)
General Free Radical Theory of aging says damage from ROSs on lipids,
proteins and nuclear DNA result in aging.
Mitochondrial free radical theory of aging says important damage from free
radicals is in mitochondria - mitochondrial DNA gets messed up.
CR reduces exposure of muscles to free radicals during aging. Free radical
exposure usually goes up w/ aging.
Very Moderate CR (8% restriction) is all it takes to reduce free radical
production.
Exercise + very moderate CR leads to greater reduction in free radicals than
CR alone.
Both CR and wheel running reduce free radical exposure. Together they do
better than either alone.
When mitochondria messed up, a lot can go wrong...
- Skeletal muscle oxidative damage reduced by CR
- CR reduces mitochondrial and nuclear DNA damage in muscle as well.
In mammals - animals that exhibit high mitochondrial DNA damage have shorter
lifespan on a species by species basis. Long-lived animals (e.g. horses)
have less accumulation of mitochondrial DNA damage than short-lived ones
(e.g. mice and rats).
Recent refinements/findings:
Mitochondrial "age" differently BETWEEN organs and may age differently
WITHIN organs as well.
In other words, free radical impact on aging may be more complicated than we
thought.
Skeletal muscle shows less mito damage in CR rats, but heart shows no
difference.
There are several types of mitochondria in skeletal muscles and heart - each
reacts differently to CR. Further complications...
Previous literature may be clouded because of these recently discovered
complexities.
Previous literature only looked at one type of mitochondria, or used other
crude methods to measure mitochondrial damage w/o discriminating two types.
Recent work in his lab paints complicated picture. Subtle stuff going on w/
two different types of mitochondria.
Inside one type of mitochondria, he saw dramatic increase in very specific
oxidative damage with age. But not in the other mitochondria.
Bottom Line: Two types of mitochondria appear to age differently.
Probably will require modifications to free radical theories of aging, but
we need a lot more data/info.
He's going to look at CR's effects on each mitochondria type.
Looked at effects of 8% dietary restriction on diaphragm muscle.
Striking result - only 8% CR increased key antioxidant enzymes. Very
interesting.
Inflammation Theory of Aging:
Let's look at it.
Muscles very important for health longevity. Very metabolically active
tissue.
General theory - specific chemicals associated with inflammation and
inflammation response increase w/ age - TNF-alpha, NF-beta, CRP, oxidized
LDL. Body's response to inflammation creates problem - heart disease etc.
CR reduces this increase. Aspirin reduces them as well.
CR dramatically reduces CRP level in rodents, and does it very quickly (only
a couple months of CR required).
Exercise + CR drops CRP even further.
But Exercise + CR doesn't increase max LS. He's looking into why...
TNF-alpha is a double edged sword. Can do good things, but also nasty things
- depending on level and tissue. Can induce cell death (apoptosis).
Inflammation marker TNF-alpha goes up w/ age, and doesn't go up in aged CR
animals.
Impact of aging on muscles depends on muscle fiber type. Some fiber types
get damaged w/ age. Others don't. CR prevents damage to those that do.
Muscle fibers don't die on CR.
Aging and Protein Aggregation - Cross linking
- Messed up proteins could be important for aging.
- Heat shock proteins and proteases help clean up this "garbage".
- CR increases the "garbage disposal" enzymes. Effects subtle, but could be
important over long run.
Apoptosis Theory of Aging
Cells die (kill themselves) over time, and this may contribute to aging.
Apoptosis: Cell suicide that occurs when cell gets messed up enough.
Such orderly death helps to prevent death of these cells from messing up its
neighbors.
Apoptosis important in humans - as we age, cells in our muscles undergo
apoptosis and lead to dysfunction (e.g. incontinence in men).
But sometimes apoptosis is a good thing - don't want to prevent it
completely. Helps clean things up as we age.
What triggers apoptosis?
There is link between mitochondria and apoptosis.
When messed up, mitochondria release chemicals that trigger apoptosis. They
are the trigger for programmed cell death. But not quite so simple (again).
CR blocks apoptosis - prevents programmed cell death.
But perhaps CR prevents damage that would trigger apoptosis - so you don't
need to kill off your cells via apoptosis.
Important: In short lived tissue (liver) - apoptosis INCREASES with CR - a
good thing to prevent cancer in liver. But in heart and skeletal muscles
(post-mitotic), CR results in DECREASED apoptosis - preserving the cells
that can't be replaced. Isn't CR a nice thing...
Not just muscle fiber count improved with CR, CR also improves muscle
FUNCTION. CR'ed muscles in aged animals are stronger, once animal's size is
controlled for.
Neurons in brain die from apoptosis more with age. CR attenuates this
effect. Again we see long lived cells (brain cells) dying less frequently
with CR.
Some studies show rodent behavioral benefits of CR (e.g. maze running) -
could be a result of cognitive benefits or physical benefits.
He's investigating genetically long- and short-lived mice to see how
apoptosis impacted by genetic changes.
Christiaan practices CR by occasionally skipping meals - feels transient CR.
Also involved in pole vaulting.
Primary Interventions for people to consider:
- Diet - practice CR
- Exercise -
- VERY important to maintain muscle mass as we age
- Keep cardiovascular system healthy
- Be careful w/ supplements - antioxidants - maybe?
- One serving of wine
- Aspirin - if you're not taking care of yourself. GI + liver damage
exaggerated.
- Age-breakers (amino guanidine)?
- Be VERY cautious about statins, ace-inhibitors, hormone therapy
Cold therapy (cold swimming) and saunas stress cells and can be good - e.g.
heat shock proteins go up. But you can go too far...
His Intuition - start CR later. In your 30s.
Doesn't suggest aerobic exercise unless to avoid obesity in middle age, and
not in elderly. Perhaps walking. But need to maintain muscle mass - focus on
resistance training. Too much aerobic exercise (e.g. marathon runners) can
be bad. Moderation is the right thing to do. Don't overemphasize aerobics.
Evolutionary - we're not designed to run long distances - short bursts to
escape predators.
He has hunch that only 10% CR may be sufficient to get most of CR longevity
benefits. But only a hunch...
Q: Michael Rae - Is apoptosis a cause of "aging", or a downstream symptom of
aging?
A: We don't know. Could be.
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