THE METHUSELAH COCKTAIL - MAX-PLANCK-GESELLSCHAFT
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The fruit fly Drosophila melanogaster only grows to a size of two to three millimeters. Scientists use a brush to separate individ- ual insects with differing characteristics. Pho t o: F r a n k V i n k e n 56 The Methuselah cocktail Text: Kl aus Wilhelm Max Planck Research · 1 | 2020
Knowledge From Biology & Medicine Linda Partridge and her colleague Sebastian Grönke at the Max Planck Institute for Biology of Ageing in Cologne can’t promise eternal life – but 57 they are at least discovering ways to lead a healthier one. The researchers’ findings in fruit flies and mice have In addition to a daily dose of rapamycin, ing how cells, tissues, and organisms their food contains two other drugs: age. She now heads research teams at revealed astonishing new insights into lithium, known as a mood stabilizer the Max Planck Institute in Cologne aging that will also benefit us humans. to treat depression, and the drug tra- and at University College London. metinib, which is used to treat can- Numerous biological mechanisms cer patients. “The triple cocktail ex- are conserved across species, and tends the usual lifespan of the fruit that’s why scientists usually perform The fruit flies of Sebastian Grönke that flies by almost 50 percent,” explains research on flies and mice. “Time made it into the tubes marked “Rapa” Linda Partridge, who heads the De- isn’t on our side; life expectancy is have won the lottery. They reach an partment of Biological Mechanisms continuing to rise in many west- age of two months – an advanced age of Ageing at the Max Planck Insti- ern industrialized countries,” Par- for flies – and are still fit and healthy. tute in Cologne. The drugs have en- tridge says. It has been calculated “Rapa” stands for “rapamycin”, a drug abled some of the insects to live for that in 2060, there will be more than that’s one of the most promising anti- as long as four months – the highest ten million people over the age of 80 aging substances of our time. age ever attained through the admin- living in Germany. Every fifth baby istration of drugs. Typically, the flies born today could live to be 100. Flies exposed to rapamycin – up to now die between two and three months prescribed as an immunosuppressive of age. When it comes to aging, genes only play drug following kidney transplant – a minor role. “Their contribution to don’t just live considerably longer, On the strength of such results, life expectancy is less than 20 per- they also stay healthier. The Max Partridge is optimistic that such ad- cent – perhaps even less than ten,” Planck researchers can measure such vances will also enable humans to re- the biologist explains. Environmen- improvement by means of a specially main generally healthy into very old tal factors, individual behavior, and devised fitness test for flies: “When age. “We won’t be able to do away a person’s social and economic status rapamycin is added to their food, with death,” she says, “but we can are far more important. Unhealthy they still perform at the same level at certainly reduce illness and infirmity habits such as overeating, seden- 60 days old as they did when they in old age.” Her life as a researcher tary lifestyle and smoking have been were young,” Grönke explains. has mostly been devoted to unravel- proven to reduce life expectancy. Max Planck Research · 1 | 2020
knowledge from Experiments on different animal spe- flies fed on a diet with less protein cies are continually revealing new live longer. And this comes at the ways in which the biological clock cost of reduced growth and lower can evidently be turned back. Two fertility. years ago, for example, a discovery by Dario Valenzano, a colleague of Par- The scientists, however, wanted more tridge at the Institute, caused a stir. detailed information. “Our re- He had found that fish fed micro- sults show that not all amino organisms from the guts of younger acids are equally important. Essen- fish of the same species live longer. tial amino acids such as leucine, iso- In another study, colleagues in the leucine, or valine are particularly Pho t o S: F r a n k V i n k e n U.S. discovered that replacing the important for longevity,” Grönke blood plasma of older mice with that explains. Essential amino acids are of younger animals had an astonish- those that the body can’t synthesize ing effect on the aging process. itself; they have to be ingested with food. They regulate a signaling path- In many animals, exercise and diet are way known as “TOR,” which is in- the primary factors influencing the volved in important aging processes speed of aging. Mice that are allowed in cells. to consume only 60 percent of their normal diet live considerably lon- The researchers observed the same phe- ger and remain healthier than mice nomenon in mice. One study has re- fed a standard ration. Rhesus mon- vealed that consuming lower quanti- keys have also been to live longer ties of certain essential amino acids 58 under dietary restriction when the can actually have a positive effect on diet contains sufficient quantities health – including in humans. Howe- of vitamins and minerals. In recent ver, it’s still unclear whether this also years, however, Partridge and her results in longer life. The scientists team have come to suspect that the also used the genome information of key to living a longer and health- the fruit flies to define their dietary ier life into old age isn’t calorie re- amino acid requirements. “This al- striction; instead, it’s the particular lowed us to develop a specialized diet nutrients in an animal’s diet. It is for fruit flies that contains neither eating too many of these, they sug- too few nor too many amino acids,” gest, that will reduce life expectancy says Grönke. “Animals fed this food and increase the risk of age-related feel full earlier and therefore eat less. The fruit flies in Linda Partridge’s diseases. Nevertheless, they grow faster, be- and Sebastian Grönke’s laboratory live come larger, and lay more eggs than in finger-length tubes sealed with a In the laboratory, Sebastian Grönke other fruit flies fed with standard gas-permeable stopper. points to an ordinary-looking shelf food. And, despite this, they live just lined with dozens of cans. These as long,” Grönke explains. contain chemicals for the flies’ food. In a time-consuming process, Reducing the quantity of essential Partridge’s colleagues in London de- amino acids has an impact on a net- veloped a fly food with a chemically work of cellular signaling pathways defined formulation. This allows the known as the “IIT network.” This scientists to modify the diet of the network is active in a wide range of flies at will. This enabled Grönke organisms, from fruit flies to hu- to discover which nutrients pro- mans, and controls development, long lifespan and improve health in cell proliferation, growth, reproduc- old age. Fruit flies fed on a diet high tion, and the stress response. The in protein and amino acids die ear- network includes “insulin/IGF-1” lier. To compensate, the insects lay and “mTOR” signaling pathways, a large number of eggs. Conversely, each with a large number of differ- Max Planck Research · 1 | 2020
Biology & Medicine Fitness test for flies: only physically fit flies can climb up the tubes quickly. When the first ones have reached the top of the left-hand tube, the upper section is moved to the right, and the next round begins. Gently tapping the tube sends the flies back to the bottom and then they have to repeat their climb to the top. This procedure is repeated five times, until the fittest flies have reached the far right section. 59 ent signaling molecules, the most individual substance extends the study in the U.S. involving several important of which are IGF-1 and longevity of the flies by an average thousand participants. People who mTOR. Flies and mice that have the of eleven percent. A combination of are unable to prolong their lives even modified genes for these molecules two of them increases life expectancy with optimal nutrition could bene- age more slowly and become genuine by around 30 percent, while all three fit from such drugs. Most of us, af- Methuselahs. Like a precise sensor, increase life expectancy by nearly 50 ter all, find it difficult to stick to a di- the IIT network measures the nu- percent. At the same time, they com- etary regimen for decades on end. trient status in the body and adjusts plement each other when it comes to metabolic processes as required, reducing side effects. Rapamycin on The researchers have also searched for based on the demand for and avail- its own induces adiposity, while lithi- other anti-aging candidate drugs. ability of food. Reduced food con- um appears to negate this. They trawled through a database of sumption evidently puts a brake on active agents with known effects and the activity of the network. Drugs that can slow down and promote performed computer simulations to healthy aging, it seems, are no longer find out whether these bind signal- The drugs lithium, trametinib, and a mere pipe dream. Metformin, used ing molecules in the IIT network. rapamycin also have an effect on va- to treat diabetes, is another possibili- rious signaling molecules of the IIT ty. Its impact on life expectancy will They soon discovered what they were network, reducing its activity. Each soon be investigated in a large-scale looking for. A drug known as tane- Max Planck Research · 1 | 2020
knowledge from spimycin had already proven its po- “mitochondria”, the power genera- and measured the impact on life ex- tential in the model organism most tors of the cell, and, this was also suf- pectancy. In the young animals, the frequently studied by researchers on ficient to extend the lifespan of the results were as expected. The mice aging: the nematode Caenorhabditis animals. The IIT network therefore on a restricted diet lived to a very elegans. It blocks the heat shock pro- controls various life-extending pro- old age and were still comparatively tein Hsp90 and reduces the number cesses in different tissue types. healthy even at an advanced age. In of “senescent cells.” These are ma- contrast, animals fed a restricted ture cells that increase in number in diet only later in life experienced lit- old age and emit substances that fa- tle or no benefit. cilitate chronic infection. As a result, they contribute to diseases associ- Analyzing gene activation in various ated with old age, such as heart at- tissues showed that the liver adapted tack and cancer. In young people, the quickly to the new diet. By contrast, immune system removes these cells. in adipose tissue, the researchers ob- In the elderly, however, they are pro- served a memory effect of the previ- tected from destruction by precisely SUMMARY ous diet. Activation of fat metabolism the Hsp90 protein. genes in the precursor cells of the The IIT network has a major actual fat-storing, adipocyte cells impact on how organisms age. Tanespimycin is associated with severe Pharmacological and genetic can be influenced by lifestyle in side effects, however, and needs to be inhibition of this cellular youth, but not later on. As a result, administered with caution. “Even so, signaling network results in the mice that only began to fast later it might be feasible to combat old increased life expectancy. in life did indeed lose weight, but the age-related diseases with short-term Dietary restriction and genes in the adipose tissue remained localized administration, such as reduced consumption of active at a similar level to that of ani- 60 in cases of macular degeneration of essential amino acids mals with a normal diet. In addition, the eye, the commonest cause of age- decrease the activity of the the changes in the composition of IIT network. Fruit flies related blindness,” Partridge ex- and mice therefore live lipids in old mice were less marked. plains. This prompted the resear- longer in laboratory tests The various lipid molecules have chers to investigate whether drugs tar- when they are given a different functions: triglycerides, geting the IIT network might delay restricted diet. for example, are used by the body to aging throughout the body, even store fat, phospholipids are compo- A combination of rapamycin, though they are activated only in cer- lithium, and trametinib nents of cell membranes, and choles- tain tissues. They analyzed whether significantly increases the life terols act as signaling substances. the brain, muscle, gut, and adipose expectancy of fruit flies. tissues of a fruit fly produce the same The drugs also reduce acti- Adipose tissue therefore has an impor- vity of the IIT network. proteins when the IIT network is less tant part to play in the body’s active. “That clearly wasn’t the case, The adipose tissue possesses aging process. There, dietary habits as we discovered. The various cell a type of memory for environ- chiefly affect the mitochondria. If types respond differently,” Partridge mental influences and life- the animals consume less food, these style. For this reason, dietary explains. Of the 6,000 proteins stu- modification in mice only cellular power generators are pro- died, 2,400 are synthesized at differ- extends life expectancy if it is duced in greater numbers – but only ing levels in the brain, muscle, gut, implemented at young age. if the animals eat less early on in life. and fat. The gut, for example, pro- In the case of mice, “early on” means duces more enzymes that control the after just a few months, as a further quality of protein synthesis when the study by the researchers in Cologne IIT network is less active. has shown. This memory effect may be based on “epigenetic” alterations “That local factor alone can prolong of genes, in which DNA is tagged by an organism’s overall lifespan,” small molecular groups, switching Partridge explains. On the other External influences also have varying genes on or off. In this way, environ- hand, if the IIT network is sup- effects on different tissue types, de- mental factors can have a relatively pressed in a fly’s fat tissue, entirely pending on age. For example, the rapid impact on genes, and their ef- different proteins are synthesized. Max Planck researchers put young fects can even be passed on to the These improve the quality of the and older mice on a restricted diet next generation. Max Planck Research · 1 | 2020
Biology & Medicine Probability of survival in percent Maximum lifespan of a fruit fly 98% 84% 64% 54% 28% 14% ALL Rapamycin 100% 98% 90% 72% 62% 48% 20% ALL Lithium 100% 99% 98% 82% 62% 48% 20% Gr a ph ic: G CO M e di e nage n t u r ALL Trametinib 100% 99% 97% 83% 72% 56% 30% ALL Combination of rapamycin, lithium, and trametinib 100% 100% 100% 100% 98% 95% 82% 21% 18% ALL 30 40 50 60 70 80 90 100 110 120 Lifespan in days 61 Studies in the U.S. have shown that that anyone who wants to live a long to employ these biomarkers in age some epigenetic changes are age-re- time needs to start early. “Our re- research on animals and in clinical lated. On the basis of around 350 search shows that such dietary hab- studies on humans. However, blood such DNA modifications, scientists its need to be adopted at an early age. biomarkers may eventually help can determine the biological age The foundations for a healthy old age young people find out, with a high of a person with astonishing accu- are already laid in early adulthood,” degree of certainty, whether they racy. The epigenetic clock ticks at Linda Partridge explains. will suffer from certain illnesses the same pace in all the cell types in old age. Then everyone would studied – whether in cells that are A further discovery made in the labo- be able to decide for themselves continuously being regenerated or ratory by the researchers in Cologne whether they should exercise more in those that originally developed might offer an incentive to start and eat a healthier diet, or whether in the embryo. The precise impact thinking about your own aging pro- they should even take preventive of these DNA modifications is still cess early on. medication to improve their health unknown. in old age. Together with colleagues from Leiden Dietary restriction clearly has an effect University Medical Center in the on age-related epigenetic changes. Netherlands, they took blood sam- It also stimulates lipid metabolism ples from tens of thousands of people reprogramming. This protects the and searched for molecules that indi- body from the harmful effects of cate the remaining lifespan a person fat deposition in the liver, as well is likely to have. Following exten- as against insulin resistance – a sive analysis, the scientists identified typical sign of age-related, type-2 14 biomarkers, including various diabetes. amino acids, the ratio of “good” to “bad” cholesterol, fatty acids, and If the results of the studies on mice are signaling molecules involved in in- transferred to humans, it is clear fections. Initially, the scientists aim Max Planck Research · 1 | 2020
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