David Sinclair Profile picture
Oct 29, 2024 7 tweets 2 min read Read on X
Effect of longevity interventions on epigenetic clocks:

Strongest:
1. Arthritis therapy/anti-TNFa
2. Metformin
3. HBOT
4. AC-11
5. Bypass
6. Ketamine
7. Vegan/Mediterranean

No effect:
1. Rapamycin
2. Omegas
3. Exercise
4. Vitamin B
5. CR/IF
6. Ozempic
7. Follistatin
More ⬇️ Image
DNA methylation (DNAme) age reductions. Red asterisks represent statistical significance
* P<0.05; ** 0.01; *** 0.001 Image
No effect on DNAme age: Image
Negative effect on DNAme age: Image
Blood biomarkers that serve as proxies for DNAme age and diets:

CystatinC - kidney function
HBA1c - glucose / diabetes
CRP - inflammation/ heart disease
ALK - liver / bone health
Triglycerides - serum fat / heart disease Image
From the Longevity Interventional Studies Community & lab of Albert Higgins Chen @YaleMed. The manuscript can be accessed @biorxivpreprint and has not yet been peer reviewed and might change during this process - like defining what “ART” is 🙏
biorxiv.org/content/10.110…
@YaleMed @biorxivpreprint Why might ketamine change DNAme? Ketamine can reduce methylation at specific sites within the BDNF gene, potentially improving brain health, which might positively affect other cells and blood biomarkers. Or maybe it acts via peripheral nerves 💪

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More from @davidasinclair

Jan 18
Amazing! Placing mice in low air pressure every other day slows hair loss, weight gain, osteoporosis & extends median lifespan by 12%. Ascribed to the killing of senescent, zombie cells

Could exercise, high altitude, or a drug have similar benefits? Let’s dig in🧵 Image
Firstly, hypobaric (low) pressure should not to be confused with hyper-baric oxygen therapy (HBOT), which is also studied by longevity researchers, though there may be overlapping hormetic mechanisms between the two @NaturePortfolio
I’ve always wondered if living at a high altitude is healthier, but the evidence is weak. Maybe it needs to be pulsed: high pressure -> low pressure -> high pressure -> low pressure to induce hormesis Image
Read 19 tweets
Jan 14
New study indicates that a decrease in nerve cell cholesterol caused by cortisol, inflammation & low SIRT1 activity may be a cause of major depression.

So, do statins exacerbate depression?

And since SIRT1 is NAD⁺-dependent, could NAD⁺ boosters treat or prevent depression? …🧵Image
Around 5–5.7% of adults worldwide experience depressive disorders at any given time. >280 million people! Image
Lifetime depression diagnoses in the U.S. have risen. ~29% report ever being diagnosed, up from ~20% a decade ago Image
Read 16 tweets
Jan 4
Cannabidiol (CBD) does amazing things. According to a new study it:

* Increases SIRT1 & autophagy ✅
* Decreases mTOR ✅
* Upregulates SOX2 & OCT4 ✅
* Preserves telomeres ✅
* Reduces inflammatory NF-kB ✅
* Slows stem cell aging ✅

🧵 Image
CBD, or cannabidiol, is the second most prevalent active ingredient in marijuana, with no effects indicative of any abuse or dependence potential
Mesenchymal stem cells (MSCs) are used to treat various degenerative diseases. Their therapeutic potential is limited by their aging in the dish as they are expanded in number. The researchers tested if CBD could help
Read 10 tweets
Oct 7, 2025
Statistically, you should not exist:

– Life-friendly universe: 1/10⁶⁰
– Earth + moon: 1/10⁹
– Multicellular life: 1/10⁴
– Intelligence & civilization: 1/10⁹
– Your genome: 1/70 trillion

You’ve already won the lottery 10 times in a row. Ignore small people & enjoy!
Equivalent odds: winning the Powerball jackpot 10 times in a row
Flipping 272 heads in a row
Read 7 tweets
Oct 4, 2025
DNA breaks from cosmic rays disrupt the epigenome and release virus-like retrotransposons. Not wild theory. Fact

X-rays and CT scans probably do too but no one talks about it
This study in 2008 was the first evidence for the information theory of aging in mammals - the idea that DNA breaks and other major stresses cause chromatin modifiers like SIRT1 to relocate, which disrupts the epigenome & changes the expression of genes in ways that cause aging Image
Just re-read this paper and I’ve realized it was 15 years ahead of its time. Still is
Read 4 tweets
Oct 2, 2025
Some plant polyphenols (resveratrol, quercetin & berberine) turn out to be dual modulators of both SIRT1 & GSK3b - important pathways for neuroprotection & epigenetic age resets... 🧵Image
In 2008, we showed movement of the NAD-dependent enzyme SIRT1 away from regulated genes to DNA breaks (which happen every day in every cell) is a key process in the loss of epigenetic information that we have proposed leads to aging and diseases
cell.com/fulltext/S0092…Image
And in 2023, we showed GSK3b inhibitors are a key component of epigenetic age reversal cocktails, in vitro
aging-us.com/article/204896Image
Read 5 tweets

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