Brain Health & Longevity
In this episode, Sinclair & LaPlante breakdown aging and the brain. They review evidence related to the speed at which the brain ages, highlight the effects of aging on cognitive function, and behavioral and lifestyle interventions for optimal brain health.
Key Takeaways
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Protocols
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Key Topics
Overview of topics covered in this episode.
Source
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Full Notes
Horvath Aging Clock
- Horvath Aging Clock is the most accurate measure of chronological age at a molecular level – it applies to all cells with DNA, tissues, organs.
- Collected through a DNA sample
- People age at different rates — some people appear older or younger than their chronological age
Cognitive decline begins in middle age — it’s not just a late stage life disease.
The neurological biological clock is ticking all the time – what you do in your 20s and 30s impacts cognition and aging later in life.
The Brain & Aging
The Paradox
- The brain ages slower than the rest of the body
- Modern medicine has succeeded in keeping the body healthy for longer
- BUT — more people are living with dementia and other age-related cognitive decline because we’re alive for a lot longer
The brain ages significantly slower than the rest of the body, because it doesn’t ex-differentiate at the same pace as other cells in the body.
For most of our history, we didn’t need to learn new things later in life, and in any case, we were rarely living long enough to lose the ability.
But now — older people need to be able to adapt to new changes in environment and technology. We need healthy brains later in life.
Longevity Pathways
By keeping the body young, we can keep the brain healthy.
Adversity signals the survival circuits in the body, and turns on specific survival genes.
Adversity mimetics: things that mimic adversity biologically, and are conducive to healthspan / lifespan.
The three longevity pathways that Sinclair often discusses are relevant for brain longevity:
- mTOR
- AMPK
- Siirtuins
High blood sugar leads to dysfunction in all tissues, and is also bad for brain activity.
High blood sugar leads to dysfunction in all tissues, and is also bad for brain activity.
Mediterranean Diet
Research has shown that the Mediterranean diet can protect against aging in the brain and even reverse some signs of aging in the brain.
The body needs fat to protect the brain against inflammation and damage.
Sirtuins + NAD
Sirtuins’ role is to repair the structure of the epigenome.
NAD activates Sirtuins.
As we age, we make less NAD, and burn more NAD. Supplementing with NAD can slow our biological clock.
Sirtuins in the brain
- Turning up Sirtuins in nerve cells of the brain extends the lifespan of mice
- Activating hippocampus with sirtuins or resveratrol improves memory in old age mice
Sleep
Quality Sleep and circadian rhythm optimization is an important component of both biological aging and brain health.
Sirtuins and NAD are important for sleep — they increase in the morning for wakefulness, and decrease at night in preparation for sleep.
If you lose NAD and Sirtuin functioning, you’ll age poorly and have poor sleep.
As you get older, you lose your ability to sleep — and if you don’t sleep well, you lose your ability to fight aging.
Study Links
The cerebellum in the brain ages slowly
Neuronal cells have a lower epigenetic age
Mediterranean diet and brain health
Mediterranean diet and dementia risk
Aerobic exercise improves executive functioning
Exercise and mouse models of neurodegenerative disease
Strength exercises elevate the expression of BDNF
Metformin enhances cognitive ability in fish
Alzheimer’s disease and metformin
Metformin use correlates with a reduced risk of dementia
NAD boosting and Alzheimer’s disease
ALS, nicotinamide riboside, and pterostilbene
Vascular aging and NAD in mice
In mice, overexpressing Sirt1 in the brain extends lifespan
Sirt1 ameliorates amyotrophic lateral sclerosis in mice
Sirt1 protects against Alzheimer’s disease in mice
Sirt1 and neuroprotection in a mouse model of Huntington’s disease
Sleep loss reduces lifespan in flies