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These are the user uploaded subtitles that are being translated: 1 00:00:00,920 --> 00:00:06,340 Health is the most valuable thing we have in life, but we tend to forget that until we lose it. 2 00:00:06,800 --> 00:00:09,580 We're living longer than ever before, which is great, 3 00:00:09,580 --> 00:00:15,960 but an unforeseen consequence of this is that we also spend a larger and larger portion of our lives being sick. 4 00:00:16,900 --> 00:00:20,440 Getting old currently means spending more time in pain. 5 00:00:21,360 --> 00:00:29,260 So scientists are trying to shift the attention of the medical community from optimizing lifespans to optimizing healthspans, 6 00:00:29,340 --> 00:00:31,920 the part of our lives during which we're disease free. 7 00:00:32,820 --> 00:00:38,200 To do this, we need to attack the root cause of almost all bodily defects: aging itself. 8 00:00:39,220 --> 00:00:43,800 Unbeknown to most people, the science of aging has made enormous progress In the last few years, 9 00:00:43,800 --> 00:00:46,440 with human trials about to begin in the near future. 10 00:00:47,400 --> 00:00:52,720 Let's look at three examples of discoveries that might benefit people who are alive right now 11 00:00:54,140 --> 00:01:01,620 INTRO 12 00:01:02,780 --> 00:01:04,780 1: senescent cells. 13 00:01:06,740 --> 00:01:09,340 Your cells have an expiration date. 14 00:01:10,020 --> 00:01:13,360 Each time one of your cells divides, it copies its chromosomes. 15 00:01:13,620 --> 00:01:17,820 Because of the way this works, they lose a tiny bit of DNA at the ends. 16 00:01:18,180 --> 00:01:24,020 This could be catastrophic, so to protect themselves we have long segments of DNA called telomeres 17 00:01:24,120 --> 00:01:29,460 that sort of act like the stiff bits at the end of shoelaces, but they shrink with every cell division. 18 00:01:29,920 --> 00:01:36,900 In some cells, after a number of divisions the telomeres are gone, and the cell becomes a zombie, a senescent cell. 19 00:01:37,560 --> 00:01:43,760 Senescent cells stay around and don't die. The older you get the more of them are inside you. 20 00:01:44,100 --> 00:01:51,200 They harmed tissue around them and are linked to many diseases that accompany old age like diabetes and kidney failure. 21 00:01:51,720 --> 00:01:53,720 But what if you could kill them off? 22 00:01:54,640 --> 00:02:00,000 Scientists genetically engineered mice so that they could destroy their senescent cells as they pleased. 23 00:02:00,440 --> 00:02:07,200 Older mice without senescent cells were more active. Their hearts and kidneys worked better, and they were less prone to cancer. 24 00:02:07,820 --> 00:02:12,340 Overall, they lived up to 30 percent longer and in better health than average mice. 25 00:02:13,160 --> 00:02:19,780 Since we can't genetically engineer all the cells in the human body, we need to find another way to get rid of our senescent cells. 26 00:02:20,180 --> 00:02:22,940 But how do we kill them without harming healthy cells? 27 00:02:23,660 --> 00:02:30,200 Most cells in the body commit a programmed cell suicide when they're damaged, but senescent cells don't. 28 00:02:30,780 --> 00:02:35,140 It turns out that they underproduce a protein that tells them when it's time to die. 29 00:02:35,840 --> 00:02:40,420 So in a late 2016 study, mice were given an injection of this protein. 30 00:02:40,580 --> 00:02:46,280 It killed 80 % of all their senescent cells, while causing almost no harm to healthy cells. 31 00:02:46,880 --> 00:02:51,340 The treated mice became generally healthier and even regrew lost hair. 32 00:02:51,900 --> 00:02:59,440 As a result, there are a number of new companies looking at treatments involving senescent cells and the first human trials will start soon. 33 00:03:01,060 --> 00:03:03,080 2: NAD+ 34 00:03:03,980 --> 00:03:06,780 Cells are made of hundreds of millions of parts. 35 00:03:07,120 --> 00:03:12,360 They're the structures, machines, messages, and the catalysts that make reactions happen. 36 00:03:13,260 --> 00:03:17,260 All these parts constantly need to be destroyed, cleaned up, and rebuilt. 37 00:03:17,640 --> 00:03:23,120 As we age, this process becomes less effective and so parts become crumpled, bunched up, 38 00:03:23,120 --> 00:03:28,140 or are removed slower, or they are no longer produced in the quantities we need. 39 00:03:28,740 --> 00:03:34,100 One of these parts is NAD+, a coenzyme that tells ourselves to look after themselves. 40 00:03:35,200 --> 00:03:40,380 At age 50, we only have about half as much in our bodies as we do at age 20. 41 00:03:40,700 --> 00:03:48,520 Low amounts of it are linked to a whole bunch of diseases from skin cancer to Alzheimer's, cardiovascular disease, and multiple sclerosis. 42 00:03:49,420 --> 00:03:53,160 But NAD+ can't enter cells so we can't get it as a pill. 43 00:03:53,600 --> 00:04:00,480 But scientists notice that other more flexible substances could enter cells and would then turn into an NAD+ inside. 44 00:04:01,140 --> 00:04:08,100 In 2016, multiple trials on mice showed that they boosted the multiplication of skin, brain, and muscle stem cells. 45 00:04:08,720 --> 00:04:14,820 They were rejuvenated, had a higher ability to repair their DNA, and had a slightly increased lifespan, 46 00:04:15,320 --> 00:04:17,480 This even got NASA interested, 47 00:04:17,480 --> 00:04:24,020 which is looking for a way to minimize the DNA damage astronauts would be exposed to from cosmic radiation on Mars missions. 48 00:04:24,570 --> 00:04:26,959 There are human trials being planned right now, 49 00:04:26,960 --> 00:04:31,220 but it's too soon to say if this will boost our healthspan or even lifespan. 50 00:04:31,400 --> 00:04:37,060 But NAD+ is a serious candidate and could become the first human anti-aging pill. 51 00:04:38,820 --> 00:04:40,820 3: stem cells 52 00:04:41,700 --> 00:04:49,540 Stem cells are like cell blueprints that sit at various places in the body and copy themselves to produce a steady flow of fresh young cells, 53 00:04:49,620 --> 00:04:53,360 but they decline as we age and so we decline too. 54 00:04:53,980 --> 00:04:56,820 Without new parts, human bodies break. 55 00:04:57,700 --> 00:05:04,020 In mice, scientists observed that as the stem cells in their brains disappeared, they started to develop diseases 56 00:05:04,480 --> 00:05:11,180 So they took stem cells from baby mice brains and injected them directly into the brains of middle-aged mice, 57 00:05:11,520 --> 00:05:17,300 more specifically the hypothalamus, a polyp that's involved in regulating a lot of bodily functions. 58 00:05:17,980 --> 00:05:24,569 The fresh stem cells reinvigorated older brain cells by secreting micro RNAs that regulated their metabolism. 59 00:05:25,140 --> 00:05:32,180 After 4 months, brain and muscles worked better than those of untreated mice and on average, they lived ten percent longer. 60 00:05:32,780 --> 00:05:39,080 Another study took stem cells from mice embryos and injected them directly into the hearts of older mice. 61 00:05:39,840 --> 00:05:48,320 As a consequence, they had improved heart function, could exercise 20% longer, and weirdly enough their hair regrew faster. 62 00:05:48,600 --> 00:05:52,020 Conclusion 63 00:05:52,640 --> 00:05:57,560 What all of this tells us is that there is not a single magic bullet with which to cure aging. 64 00:05:58,020 --> 00:06:00,960 It requires a complex array of different therapies. 65 00:06:01,320 --> 00:06:04,300 We can kill off senescent cells to clear away the junk, 66 00:06:04,540 --> 00:06:10,800 give ourselves fresh new stem cells to fill the gap, all while regulating the metabolism of the other cells using medication. 67 00:06:11,860 --> 00:06:17,540 This video comes with a big caveat. After all, these studies have been carried out on mice. 68 00:06:17,900 --> 00:06:23,840 There's no guarantee the same therapies would work in us to the same extent, but they are proof of concepts. 69 00:06:24,380 --> 00:06:29,120 To learn more about how we can modify our own healthspan, we need human trials. 70 00:06:29,740 --> 00:06:35,640 We've only covered a tiny part of the research that's being done right now, and only scratched the surface of these ideas. 71 00:06:36,260 --> 00:06:39,420 The field of healthspan extension needs more attention and funding. 72 00:06:39,700 --> 00:06:44,360 If it gets it, all of us might enjoy growing old without pain 73 00:06:48,680 --> 00:06:53,700 If you now want to support the research on aging directly, you can do so at lifespan.io, 74 00:06:53,820 --> 00:06:57,880 a community of people actively supporting the scientists working to cure aging. 75 00:06:58,640 --> 00:07:03,560 Check them out to learn about the latest advances and visit their blog or group on Facebook. 76 00:07:04,260 --> 00:07:09,940 The lifespan team also kindly supported the creation of this video with a donation and their expertise. 77 00:07:10,700 --> 00:07:15,680 If you want to help us make more of our videos, you can do so on patreon.com.9081

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