Living things maintain their order by taking in fuel to run chemical reactions. the fuels are protein, fat & carbohydrate. in common parlance, we burn these fuels to generate ATP that runs chemical reactions, to make everything in our bodies, repair everything, move & think. /1
Fully oxidized, the carbon in the fuels is exhaled as CO2. /2
The energy in the fuels consists of high energy electrons, whose energy is derived from the sun (that lesson for another day). /3
The difference between living things & locomotive machines that imparts the ability to build ourselves is that we have NAD coenzymes that capture the energy associated with fuel oxidation in a nearly lossless manner. /4
When fuels are burned in a steam engine, the engine is designed to capture as much of the heat as possible to do work. /5
But when fuels are burned in cells, the high energy electrons are captured on NAD+, forming NADH, which can hand off electrons to other intermediate compounds that sustain chemical reactions in ways that minimize the production of heat. /6
Less heat generated means more of the energy in the food we eat is available to do chemistry that makes us & keeps us running. /7
One of the coolest things our cells do is simultaneously flow electrons from food to NAD+ to then form NADPH to build DNA, RNA & lipids. The reactions are literally cool to the touch: they can happen in organisms that live in the refrigerator. /8
Take home message: living things evolved cool chemistry that directs the flow of high energy electrons by capturing them on NAD coenzymes to build and repair every part of every living thing. /end
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Defining age reversal via a score on an aging clock rather than a functional measurement would constitute the single biggest scam in the entire tawdry history of anti-aging scams. let me explain /1
There's a buyer for the promise of anti-aging of course. this person wants to maintain functions for a longer period of time. maybe they run 7 min miles with their grandson, maybe they play competitive chess, maybe they skateboard and need to be able to recover from scrapes /2
Those are functional metrics: running, playing chess, wound repair. in all of animal history, every animal has declined in its motility, mental ability and repair capacity after it reaches some level of maturity. people want to prolong their mastery or better: reverse aging /3
Valproate is a potentially dangerous drug used for ppl with seizures. Abbott was penalized $1.6 billion for off-label marketing this drug in nursing homes as a sedative /1 nytimes.com/2012/05/08/bus…
The data in the paper David cites do not show that valproate restores swimming ability of fish--fig. 1D shows that most low dose valproate-treated fish swim WORSE than control. High dose was clearly much worse /2 molecularbrain.biomedcentral.com/articles/10.11…
The SIRT1 western blots in Fig. 4 are some of the worst I've ever seen published. With respect to swimming, rather than look at dozens of fish as they did in Fig. 1 (already a fishy result), they decided to look at only 3 fish with valproate + EX527 /3 molecularbrain.biomedcentral.com/articles/10.11…
I'll defend model organisms. However, the proposal that something is conserved for longevity needs to be specifically examined. It's time to explain something about yeast that ppl haven't thought about enough and yes, this concerns SIR2 /1
there are two assays one can use to analyze lifespan in yeast. The 1st one is called chronological lifespan. It's simple. Grow a culture of yeast and see how long the cells are viable to form a colony. Chronological lifespan is measured in days or weeks /2
it might surprise you that sir2 DELETION lives longer in this assay. the work was done by Valter Longo and was published in Cell cell.com/fulltext/S0092… ... let that result sink in a minute /3
scicomms is very important. if we are making progress on matters related to human health, we should do our best to explain the developments to the general public. however, it must be remembered that the entirety of human history has been marked by false & exploitative claims /1
with respect to longevity. plants & their extracts have always been claimed to have essentially magical properties of age reversal. extraordinary claims require extraordinary proof. journals have repeatedly failed us & have legitimized overblown claims, exciting- /2
sounding mechanisms & nonreproducible results that were heavily biased by models, expectations & the subsequent exploitation of the resulting stories. the longevity field has assuredly been fouled by this stuff. publication & defense of bad science undermines real progress. /3
The Gross Clinic by Thomas Eakins is one of the most important paintings from the 19th century & the history of medicine. It depicts Samuel Gross, teaching surgery to Jefferson Medical College students prior to the use of white coats /1
The black suits were what the students and Gross wore outside on the dirty streets of Philadelphia. Gross gesticulates with a bloody scalpel. The patient’s mother cannot bear to watch /2
This painting was owned by Jefferson and on display in Jefferson Alumni Hall when I was an assistant prof—it was subsequently sold & is on display at the Philadelphia Museum of Art. It is breathtaking.
One of the urban myths of NAD metabolism is the idea that NAD+ is good, while NADH is bad. NAD+:NADH are a redox couple that differ by a hydride group (a proton with 2 electrons) /1
NAD+ picks up the hydride when small molecules are oxidized, forming NADH. NADH donates the electrons to generate ATP and/or heat at the inner mitochondrial membrane. NADH is also the source of electrons in ketone body formation and gluconeogenesis /2
Thus, ketogenesis and gluconeogenesis are run in a reducing environment while fuel oxidation to produce ATP and/or heat requires oxygen as the ultimate electron acceptor to maintain a high NAD+/NADH ratio /3