1 00:00:06,913 --> 00:00:10,016 THIS IS WIN ARIAS AND 2 00:00:10,016 --> 00:00:13,853 WITH MY COLLEAGUE DAN KASTNER AT 3 00:00:13,853 --> 00:00:16,122 THE NATIONAL INSTITUTES OF 4 00:00:16,122 --> 00:00:16,923 HEALTH IN BETHESDA, MARYLAND 5 00:00:16,923 --> 00:00:18,291 EMPLOY WE WELCOME YOU TO ANOTHER 6 00:00:18,291 --> 00:00:23,763 EXCITING SESSION IN THE COURSE 7 00:00:23,763 --> 00:00:25,565 CALLED DEMYSTIFYING MEDICINE 8 00:00:25,565 --> 00:00:28,768 WHICH IS NOW IN ITS 22nd YEAR. 9 00:00:28,768 --> 00:00:31,404 THIS IS A COURSE IN BRIDGE 10 00:00:31,404 --> 00:00:32,605 BUILDING. 11 00:00:32,605 --> 00:00:34,140 THE INTENT IS TO BRIDGE THE 12 00:00:34,140 --> 00:00:36,676 EXCITING DEVELOP AMS IN BIOLOGY, 13 00:00:36,676 --> 00:00:39,078 ENGINEERING AND COMPUTER SCIENCE 14 00:00:39,078 --> 00:00:39,612 WITH MEDICINE. 15 00:00:39,612 --> 00:00:43,482 IT IS NOT LAST WEEK'S RESEARCH 16 00:00:43,482 --> 00:00:46,219 SEMINAR, NOR IS IT LAST WEEK'S 17 00:00:46,219 --> 00:00:47,787 STRICTLY CLINICAL ROUNDS, IT 18 00:00:47,787 --> 00:00:52,358 BRIDGES THESE 2 MAJOR 19 00:00:52,358 --> 00:00:54,060 DISCIPLINES AS ILLUSTRATED IN 20 00:00:54,060 --> 00:00:57,563 THE LOGO IN THE UPPER RIGHT OF 21 00:00:57,563 --> 00:00:58,898 MY PRESENTATION OF THE BROOKLYN 22 00:00:58,898 --> 00:01:00,967 BRIDGE AND WE WILL DISCUSS WHAT 23 00:01:00,967 --> 00:01:02,401 THE 2 INDIVIDUALSOT CAT WALK ARE 24 00:01:02,401 --> 00:01:05,037 CONSIDERING IN A MOMENT. 25 00:01:05,037 --> 00:01:08,574 THE COURSE IS HELD ON FRIDAYS 26 00:01:08,574 --> 00:01:09,775 FROM 3-5:00 P.M. EASTERN 27 00:01:09,775 --> 00:01:10,576 STANDARD TIME FROM JANUARY TO 28 00:01:10,576 --> 00:01:12,378 THE END OF MAY. 29 00:01:12,378 --> 00:01:17,383 YOU CAN WATCH IT LIVE, YOU CAN 30 00:01:17,383 --> 00:01:21,187 ALSO ACCESS IT ON AN NIH 31 00:01:21,187 --> 00:01:24,290 VIDEOCAST WHICH IS INDICATED ON 32 00:01:24,290 --> 00:01:26,926 MY SLIDE. 33 00:01:26,926 --> 00:01:32,999 THE CME CREDIT CODE IS 58785. 34 00:01:32,999 --> 00:01:35,401 AND MOST IMPORTANTLY, WE 35 00:01:35,401 --> 00:01:37,036 ENCOURAGE YOU TO SUBMIT 36 00:01:37,036 --> 00:01:38,738 QUESTIONS DURING THE 37 00:01:38,738 --> 00:01:39,905 PRESENTATIONS AND THEY WILL BE 38 00:01:39,905 --> 00:01:41,974 GIVEN TO THE SPEAKERS AND WILL 39 00:01:41,974 --> 00:01:45,911 BE PART OF WHAT WE ALMOST ALWAYS 40 00:01:45,911 --> 00:01:47,580 HAVE A VIGOROUS DISCUSSION AND 41 00:01:47,580 --> 00:01:50,416 QUESTION AND ANSWER PERIOD AFTER 42 00:01:50,416 --> 00:01:51,250 THE PRESENTATIONS. 43 00:01:51,250 --> 00:01:55,621 AND YOU CAN SUBMIT YOUR 44 00:01:55,621 --> 00:01:56,789 QUESTIONS BY CLICKINGOT SEND 45 00:01:56,789 --> 00:02:01,327 LIVE FEEDBACK ON YOUR VIDEOCAST 46 00:02:01,327 --> 00:02:01,694 DISPLAY. 47 00:02:01,694 --> 00:02:03,195 NOW I BRING YOUR ATTENTION AT 48 00:02:03,195 --> 00:02:05,598 ALL PREVIOUS SESSIONS FROM THE 49 00:02:05,598 --> 00:02:16,275 VERY BEGINNING, ARE ARCHIVED AND 50 00:02:16,275 --> 00:02:17,410 IT IS NOTED ON THE SLIDE. 51 00:02:17,410 --> 00:02:18,778 IF YOU HAVE ANY OTHER QUESTIONS, 52 00:02:18,778 --> 00:02:20,780 GET IN TOUCH WITH US. 53 00:02:20,780 --> 00:02:21,614 THE OVERALL PURPOSE OF THE 54 00:02:21,614 --> 00:02:30,790 PROGRAM IS TO BRIDGE SILOS AT 55 00:02:30,790 --> 00:02:33,859 THE NIH -- TO CHANGE SILOS INTO 56 00:02:33,859 --> 00:02:34,126 A BRIDGE. 57 00:02:34,126 --> 00:02:37,897 MAY WE HAVE THE NEXT SLIDE. 58 00:02:37,897 --> 00:02:38,698 PLEASE. 59 00:02:38,698 --> 00:02:40,032 NEXT. 60 00:02:40,032 --> 00:02:40,533 NEXT. 61 00:02:40,533 --> 00:02:40,733 YEAH. 62 00:02:40,733 --> 00:02:42,101 ALL RIGHT. 63 00:02:42,101 --> 00:02:44,603 TODAY'S TOPIC IS AGING AND 64 00:02:44,603 --> 00:02:49,742 YOU'LL SEE THE ACTUAL TITLE IN A 65 00:02:49,742 --> 00:02:50,743 FEW MOMENTS AND I'VE LIST OFFICE 66 00:02:50,743 --> 00:02:53,212 OF DIVERSITY THIS INTRODUCTORY 67 00:02:53,212 --> 00:02:55,348 SLIDE, THE AGE OF AGING 68 00:02:55,348 --> 00:02:55,681 THEORIES. 69 00:02:55,681 --> 00:02:57,983 IT ACTUALLY GOES FROM GENESIS TO 70 00:02:57,983 --> 00:03:06,692 GENES BECAUSE IN GENESIS STATED 71 00:03:06,692 --> 00:03:09,995 THAT HIS DAYS SHALL BE 120 YEARS 72 00:03:09,995 --> 00:03:12,665 WHICH WILL BE THE LIFE THAT 73 00:03:12,665 --> 00:03:13,165 MOSES LED. 74 00:03:13,165 --> 00:03:17,937 AND EVEN TODAY IN JEWISH 75 00:03:17,937 --> 00:03:19,872 CIRCLES, IT IS SAID [SPEAKING 76 00:03:19,872 --> 00:03:23,109 HEBREW ] MAY YOU LIVE TO BE 120 77 00:03:23,109 --> 00:03:23,776 DAYS. 78 00:03:23,776 --> 00:03:27,380 SO WITH THAT'S WHERE THE 120 79 00:03:27,380 --> 00:03:29,715 DAYS -- 120 YEARS CAME FROM. 80 00:03:29,715 --> 00:03:32,451 THERE WAS MUCH WRITTEN IN THE 81 00:03:32,451 --> 00:03:34,553 ANCIENT TIMES MORE BY PHILOSOPHY 82 00:03:34,553 --> 00:03:36,255 AND SOME OBSERVATION AND I THINK 83 00:03:36,255 --> 00:03:43,362 IT REALLY WASN'T UNTIL THE 84 00:03:43,362 --> 00:03:49,201 19th CENTURY WHEN 85 00:03:49,201 --> 00:03:50,569 METCHNIKOFF TALKED ABOUT THESE 86 00:03:50,569 --> 00:03:52,438 IDEAS WITH THE DISCOVERY OF THE 87 00:03:52,438 --> 00:03:54,640 MICROBIOME AND THE DISCOVERY 88 00:03:54,640 --> 00:03:56,108 THAT THE MICROBIOME COULD 89 00:03:56,108 --> 00:03:58,144 PROLONG AGING AND IT DIDN'T WORK 90 00:03:58,144 --> 00:04:03,315 TOO WELL FOR METCHNIKOFF WHO 91 00:04:03,315 --> 00:04:05,418 DIED IN HIS 60S, I THINK. 92 00:04:05,418 --> 00:04:07,186 BUT IT WAS IN THE 20th 93 00:04:07,186 --> 00:04:11,123 CENTURY, WHEN A NUTRITIONIST 94 00:04:11,123 --> 00:04:16,462 NAMED OSBORN, INTERESTING, 95 00:04:16,462 --> 00:04:19,665 INTRODUCED THE IDEA THAT -- 96 00:04:19,665 --> 00:04:22,935 DIETARY RESTRICTION COULD 97 00:04:22,935 --> 00:04:29,909 PROLONG LIFE TO, BUT MANY HAVE 98 00:04:29,909 --> 00:04:31,544 DISCREDITED THAT, PARTICULARLY A 99 00:04:31,544 --> 00:04:33,179 PROFESSOR FROM CAME BRIDGE WHO 100 00:04:33,179 --> 00:04:35,581 LIVED TO BE NIX, AT ANY RATE, 101 00:04:35,581 --> 00:04:37,116 THE IDEA OF PROLONGING LIFE IS 102 00:04:37,116 --> 00:04:39,952 SUSTAINED UNTIL TODAY EMPLOY IN 103 00:04:39,952 --> 00:04:50,429 THE MID20th CENTURY, LEONARD 104 00:04:50,729 --> 00:04:52,231 HA YFLICK INTRODUCED IDEA OF 105 00:04:52,231 --> 00:04:56,635 LIMITED DIVISION, THAT IS THE 106 00:04:56,635 --> 00:04:58,337 CELL COULD ONLY DIVIDE 107 00:04:58,337 --> 00:04:59,171 APPROXIMATELY 50 TIMES. 108 00:04:59,171 --> 00:05:01,207 AND THIS CONCEPT HAS BEEN 109 00:05:01,207 --> 00:05:02,508 RESURRECTED IN THE 21st SEBTRY 110 00:05:02,508 --> 00:05:06,111 WITH THE DISCOVERY OF TELOMERES. 111 00:05:06,111 --> 00:05:11,150 IN ABOUT THE 1980S, LEONARD 112 00:05:11,150 --> 00:05:14,053 GUARENTE AND OTHERS, PRODUCED 113 00:05:14,053 --> 00:05:14,887 THE INTERESTING CONCEPT THAT 114 00:05:14,887 --> 00:05:22,461 PART OF A SIGNALING PATHWAY AND 115 00:05:22,461 --> 00:05:23,262 ACTUALLY PROLONGED LONGEVITY AND 116 00:05:23,262 --> 00:05:30,269 THE QUESTION HAS ALWAYS BEEN IN 117 00:05:30,269 --> 00:05:33,138 MAMMALS AND EVEN SOMEWHAT 118 00:05:33,138 --> 00:05:34,640 COMMERCIALIZED IT AND STRESSING 119 00:05:34,640 --> 00:05:39,245 THE IDEA THAT AGING IN AN 120 00:05:39,245 --> 00:05:39,778 EPIGENETIC PHENOMENA. 121 00:05:39,778 --> 00:05:44,083 AND IT WAS SHOWN THAT ACTIVATION 122 00:05:44,083 --> 00:05:47,052 OF PI3 KINASE, NAD, 123 00:05:47,052 --> 00:05:48,087 ADMINISTRATION AND MET FORMIN 124 00:05:48,087 --> 00:05:51,790 AND THE IDEA OF RESERVE TROL IN 125 00:05:51,790 --> 00:05:58,764 RED WINE COULD BE A LIFE 126 00:05:58,764 --> 00:06:00,566 PROLONGING EFFECTS. 127 00:06:00,566 --> 00:06:04,937 BUT IN 1998, THE DISCOVERY THAT 128 00:06:04,937 --> 00:06:08,307 TELOMERE SHORTENING LED TO 129 00:06:08,307 --> 00:06:10,309 SENESCENCE APOPTOSIS AND EVEN 130 00:06:10,309 --> 00:06:15,781 ONCOGENIC TRANSFORMATION WITH AN 131 00:06:15,781 --> 00:06:17,816 ALTERED LIFE SPAN, INTRODUCED AN 132 00:06:17,816 --> 00:06:22,688 ENTIRELY NEW ERA AND FOR THIS 133 00:06:22,688 --> 00:06:24,657 BLACK BURN, RIDER AND OTHERS WON 134 00:06:24,657 --> 00:06:28,761 THE NOBEL PRIZE IN 2009. 135 00:06:28,761 --> 00:06:31,163 AROUND THAT TIME MANY 136 00:06:31,163 --> 00:06:39,772 LABORATORIES PARTICULARLY THAT 137 00:06:39,772 --> 00:06:43,275 OF DOCTORS AT ALBERT EINSTEIN 138 00:06:43,275 --> 00:06:47,546 STUDYING PATIENTS WITH LONG LIFE 139 00:06:47,546 --> 00:06:56,822 SPANS, LOOKING FOR LONG 140 00:06:56,822 --> 00:06:57,089 LONGEVITY 141 00:06:57,089 --> 00:06:58,223 GENES AND IT'S INTERESTING THAT 142 00:06:58,223 --> 00:07:00,626 A LOT OF THESE STUDY VS BEEN LED 143 00:07:00,626 --> 00:07:02,361 ASTRAY, ON PROBABLY MORE 144 00:07:02,361 --> 00:07:04,296 INTERESTING 1S WHEN STORIES AGO 145 00:07:04,296 --> 00:07:06,899 OF STORIES OF LONG LIVED HILL, 146 00:07:06,899 --> 00:07:09,702 MOUNTAIN PEOPLE IN THE BALKANS, 147 00:07:09,702 --> 00:07:11,737 HAD A LARGE COMSUMPTION OF 148 00:07:11,737 --> 00:07:15,674 YOGURT, THAT THEY LIVED WAY 149 00:07:15,674 --> 00:07:16,875 BEYOND 110 YEARS OLD. 150 00:07:16,875 --> 00:07:18,844 OF COURSE, LATER IT TURNED OUT 151 00:07:18,844 --> 00:07:20,579 THAT THE GENETICS OF THESE 152 00:07:20,579 --> 00:07:22,214 FAMILIES WERE NOT QUITE AS 153 00:07:22,214 --> 00:07:25,117 PRESENTED AND SO THIS QUESTION 154 00:07:25,117 --> 00:07:29,555 WAS SORT OF UNDOUBTED. 155 00:07:29,555 --> 00:07:31,724 THERE'S NO QUESTION THESE VERY 156 00:07:31,724 --> 00:07:32,925 LARGE MEN WERE REALLY HEALTHY 157 00:07:32,925 --> 00:07:34,059 LOOKING BUT WHETHER THEY WERE 158 00:07:34,059 --> 00:07:36,595 REALLY THAT OLD WAS DEBATABLE 159 00:07:36,595 --> 00:07:37,663 AND EVEN A 120 YEAR-OLD FRENCH 160 00:07:37,663 --> 00:07:43,168 LADY WHO WAS RECENTLY DIED, AN 161 00:07:43,168 --> 00:07:45,638 AMAZING STORY, HER QUESTION HAS 162 00:07:45,638 --> 00:07:48,040 ALSO BEEN QUESTIONED THE 163 00:07:48,040 --> 00:07:50,142 ACCURACY OF HER AGE. 164 00:07:50,142 --> 00:07:52,978 THERE'S ALSO THE INTRIGUING 165 00:07:52,978 --> 00:07:56,348 CONCEPT ADVANCED BY A FAMOUS 166 00:07:56,348 --> 00:08:02,521 AMERICAN POET AND PHILOSOPHER 167 00:08:02,521 --> 00:08:06,158 DR. OLIVER WENDLE HOLMES, IN HIS 168 00:08:06,158 --> 00:08:08,627 POEM 1 HORSE SHAY, WHERE IT'S A 169 00:08:08,627 --> 00:08:10,863 1 HORSE CARRIAGE WAS BUILT OUT 170 00:08:10,863 --> 00:08:13,232 OF THE BEST OF ALL POSSIBLE 171 00:08:13,232 --> 00:08:14,867 PARTS AND THEN THEY ALL FELL 172 00:08:14,867 --> 00:08:16,935 APART AT THE SAME TIME AND THIS 173 00:08:16,935 --> 00:08:24,643 HAS BEEN CALLED THE DEACON'S 1 174 00:08:24,643 --> 00:08:25,778 HORSE SHAY SYNDROME? 175 00:08:25,778 --> 00:08:28,280 IS THAT WHAT AGE SUGGEST ALL 176 00:08:28,280 --> 00:08:28,947 ABOUT? 177 00:08:28,947 --> 00:08:30,482 IS IT PREDICTABLE AND 178 00:08:30,482 --> 00:08:30,849 ENVIRONMENTAL? 179 00:08:30,849 --> 00:08:33,018 IS 120 YEAR SURVIVAL POSSIBLE IN 180 00:08:33,018 --> 00:08:35,821 AND IT REALLY WORTH WHILE? 181 00:08:35,821 --> 00:08:37,723 AND SO TODAY WE'RE GOING TO HEAR 182 00:08:37,723 --> 00:08:40,526 FROM 2 EXPERTS ON HOW TO STUDY 183 00:08:40,526 --> 00:08:42,695 AND MAYBE EVEN HOW TO MAKE 184 00:08:42,695 --> 00:08:44,163 POLICY BASED ON THE RESULTS OF 185 00:08:44,163 --> 00:08:47,199 SOME OF THESE STUDIES BECAUSE OF 186 00:08:47,199 --> 00:08:49,435 THE BROAD IMPACT ON SOCIETY. 187 00:08:49,435 --> 00:08:52,237 SO LET ME INTRODUCE OUR 2 188 00:08:52,237 --> 00:08:54,273 SPEAKERS TODAY. 189 00:08:54,273 --> 00:08:55,174 NEXT SLIDE. 190 00:08:55,174 --> 00:08:59,411 OUR FIRST SPEAKER IS LUIGI 191 00:08:59,411 --> 00:09:01,080 FIDUCCI, WHO IS THE DIRECTOR OF 192 00:09:01,080 --> 00:09:02,681 THE NATIONAL 193 00:09:02,681 --> 00:09:04,750 EN--STRATEGIESITUTES OF AGING. 194 00:09:04,750 --> 00:09:08,020 LUIGI IS WORLD WIDE RENOWNED FOR 195 00:09:08,020 --> 00:09:10,422 HIS LONG TIEWF NADEL STUDIES AS 196 00:09:10,422 --> 00:09:11,623 REVEALING SUSCEPTIBILITY TO DEC 197 00:09:11,623 --> 00:09:14,293 AND DISABILITY PARTICULARLY IN 198 00:09:14,293 --> 00:09:14,960 ELDERLY PEOPLE. 199 00:09:14,960 --> 00:09:18,230 HE TRAINED IN MEDICINE AND 200 00:09:18,230 --> 00:09:19,832 EPIDEMIOLOGY IN FLORENCE WHERE 201 00:09:19,832 --> 00:09:22,101 HE RECEIVED BOTH AN MD AND 202 00:09:22,101 --> 00:09:25,204 Ph.D. DEGREES, CAME TO THE 203 00:09:25,204 --> 00:09:27,840 NATIONAL INNSITUTES OF AGING IN 204 00:09:27,840 --> 00:09:32,111 2002, AND IS THE SCIENTIFIC 205 00:09:32,111 --> 00:09:32,511 DIRECTOR. 206 00:09:32,511 --> 00:09:34,980 HE DOES MANY THINGS BUT IS BEST 207 00:09:34,980 --> 00:09:38,183 KNOWN FOR LEADING THE NIA 208 00:09:38,183 --> 00:09:40,352 LONGITUDINAL STUDY SECTION AND 209 00:09:40,352 --> 00:09:43,388 CONDUCTING AGING STUDIES 210 00:09:43,388 --> 00:09:46,325 INCLUDING SENTENARRIANS IN 211 00:09:46,325 --> 00:09:47,926 SARDINNIA AND THE FAMOUS WOMEN'S 212 00:09:47,926 --> 00:09:54,366 HEALTH AND AGING STUDY HERE. 213 00:09:54,366 --> 00:09:56,401 LUIGI IS AN ADVOCATE FOR THE 214 00:09:56,401 --> 00:09:58,871 HEALTHY LIFE SPAN CONCEPT, AN 215 00:09:58,871 --> 00:10:01,473 IDEA THAT ALLOWS PEOPLE TO LIVE 216 00:10:01,473 --> 00:10:04,143 HEALTHY INTO THEIR 90S AS OPPOSE 217 00:10:04,143 --> 00:10:05,978 TO MERELY EXTENDING THEIR LIFE 218 00:10:05,978 --> 00:10:06,745 EXPECTANCY. 219 00:10:06,745 --> 00:10:17,289 OUR SECOND SPEAKER, NEXT SLIDE, 220 00:10:24,897 --> 00:10:26,298 PLEASE. 221 00:10:26,298 --> 00:10:32,171 P A YEL SEN, WITH THE STADTMAN 222 00:10:32,171 --> 00:10:33,806 INVESTIGATOR AND RECEIVED HER 223 00:10:33,806 --> 00:10:37,376 Ph.D. AT GRAD YAWD OFICAL 224 00:10:37,376 --> 00:10:38,911 CUTTA UNIVERSITY IN BIOCHEMISTRY 225 00:10:38,911 --> 00:10:39,945 AND MOLECULAR BIOLOGY AND THEN 226 00:10:39,945 --> 00:10:44,149 DID A POST DOC WITH SHELLLY 227 00:10:44,149 --> 00:10:45,517 BERGER AT THE EPIGENETICS 228 00:10:45,517 --> 00:10:47,386 INSTITUTE OF UNIVERSITY OF 229 00:10:47,386 --> 00:10:49,588 PENNSYLVANIA, DURING WHICH TIME 230 00:10:49,588 --> 00:10:52,825 SHE IDENTIFIED NOVEL EPIGENETIC 231 00:10:52,825 --> 00:10:54,860 REGULATORS OF AGING. 232 00:10:54,860 --> 00:10:56,261 SHE HAS RECEIVED SEVERAL 233 00:10:56,261 --> 00:10:57,396 FELLOWSHIPS DURING THE COURSE OF 234 00:10:57,396 --> 00:10:58,530 HER CAREER. 235 00:10:58,530 --> 00:11:02,034 SHE IS A STADTMAN INVESTIGATOR 236 00:11:02,034 --> 00:11:03,869 AT THE NATIONAL INSTITUTES OF 237 00:11:03,869 --> 00:11:06,138 ANALLING WHERE SHE LEADS A 238 00:11:06,138 --> 00:11:08,974 FUNCTIONAL EPIGENOMICS UNIT IN 239 00:11:08,974 --> 00:11:10,843 THE RNA-REGULATION SECTION OF 240 00:11:10,843 --> 00:11:11,677 THAT INSTITUTE. 241 00:11:11,677 --> 00:11:14,780 HER GOAL IS TO UNCOVER 242 00:11:14,780 --> 00:11:17,015 EPIGENETIC MECHANISMS THAT DRIVE 243 00:11:17,015 --> 00:11:21,787 AGING AND SHE USES A MOUSE MODEL 244 00:11:21,787 --> 00:11:23,522 CAN COMBINES EXPERIMENTAL 245 00:11:23,522 --> 00:11:27,226 COMPUTATIONAL AND GENOME SCALE 246 00:11:27,226 --> 00:11:33,832 APPROACHES TO IDENTIFY NEW 247 00:11:33,832 --> 00:11:35,567 EPIGENETIC TARGETS WHICH 248 00:11:35,567 --> 00:11:37,970 HOPEFULLY WILL COUNTER THE 249 00:11:37,970 --> 00:11:41,673 FUNCTIONAL DECLINE AND DISEASES 250 00:11:41,673 --> 00:11:42,307 OF AGING. 251 00:11:42,307 --> 00:11:44,209 SO THESE ARE OUR 2 INDIVIDUALS 252 00:11:44,209 --> 00:11:45,544 ON OUR BRIDGE TODAY AND WE 253 00:11:45,544 --> 00:11:47,279 WELCOME YOU BOTH AND PLEASE 254 00:11:47,279 --> 00:11:50,382 SUBMIT YOUR QUESTIONS FROM THE 255 00:11:50,382 --> 00:11:51,984 AUDIENCE AND LUIGI, IF YOU WOULD 256 00:11:51,984 --> 00:11:58,390 PLEASE, BEGIN. 257 00:11:58,390 --> 00:11:58,657 THANK YOU. 258 00:11:58,657 --> 00:12:01,226 >> THANK YOU VERY MUCH FOR THE 259 00:12:01,226 --> 00:12:02,494 WONDERFUL INTRODUCTION AND FOR 260 00:12:02,494 --> 00:12:05,764 INVITING ME TO THIS FANTASTIC 261 00:12:05,764 --> 00:12:08,834 PROGRAM AND ABOUT SPEAKING ABOUT 262 00:12:08,834 --> 00:12:09,902 SOMETHING THAT I'M REALLY 263 00:12:09,902 --> 00:12:12,604 PASSIONATE ABOUT AND IT'S JUST 264 00:12:12,604 --> 00:12:15,040 NOT NOW, THAT WILL MAKE SENSE, 265 00:12:15,040 --> 00:12:16,808 BUT YOU KNOW MANY, MANY YEARS 266 00:12:16,808 --> 00:12:18,377 AGO, I WANTED TO STUDY AGING 267 00:12:18,377 --> 00:12:22,748 WHICH I WAS 15 YEARS OF AGE AND 268 00:12:22,748 --> 00:12:24,583 A LOT OF WHAT I PASSED FOR THE 269 00:12:24,583 --> 00:12:30,889 AGE THAT WAS SHOWING AND STILL, 270 00:12:30,889 --> 00:12:34,059 AN IMPORTANT ELEMENT OF AGING 271 00:12:34,059 --> 00:12:35,127 HAS GROWN STUDILY OVER TIME. 272 00:12:35,127 --> 00:12:43,702 IF I COULD HAVE MY FIRST TIME. 273 00:12:43,702 --> 00:12:45,504 >> I'M SORRY DR. FERUCCI, I 274 00:12:45,504 --> 00:12:48,373 THOUGHT 275 00:12:48,373 --> 00:12:50,375 THOUGHT YOU WERE GOING TO SHARE. 276 00:12:50,375 --> 00:12:52,811 >> I THOUGHT DIANEA WAS DOING 277 00:12:52,811 --> 00:12:52,978 IT. 278 00:12:52,978 --> 00:12:54,546 >> YOU ARE COMING ALONG, YEAH, 279 00:12:54,546 --> 00:12:55,013 GOOD. 280 00:12:55,013 --> 00:12:57,849 >> CAN YOU SEE IT. 281 00:12:57,849 --> 00:13:03,789 >> YES, PERFECT. 282 00:13:03,789 --> 00:13:04,256 >> VERY GOOD. 283 00:13:04,256 --> 00:13:06,124 SO THE TALK THAT I'M GOING TO 284 00:13:06,124 --> 00:13:11,396 GIVE IS VERY PROVOCATIVE, I 285 00:13:11,396 --> 00:13:11,930 THINK. 286 00:13:11,930 --> 00:13:13,899 THAT YOU KNOW WITH AGING 287 00:13:13,899 --> 00:13:15,734 POPULATION WE TRULY NEED TO 288 00:13:15,734 --> 00:13:17,569 CHANGE PERSPECTIVE ABOUT WHAT WE 289 00:13:17,569 --> 00:13:21,206 THINK ABOUT HEALTH AND WHAT WE 290 00:13:21,206 --> 00:13:29,681 THINK ABOUT HEALTHCARE. 291 00:13:29,681 --> 00:13:29,982 NEXT. 292 00:13:29,982 --> 00:13:34,686 SO FIRST OF ALL, WHY WE ARE 293 00:13:34,686 --> 00:13:38,357 GAINING SO MUCH FROM AGING? 294 00:13:38,357 --> 00:13:40,926 IT'S A RECENT PHENOMENA, IN 295 00:13:40,926 --> 00:13:41,126 FACT. 296 00:13:41,126 --> 00:13:43,362 IF YOU LOOK AT WHAT HAPPENED 297 00:13:43,362 --> 00:13:46,431 BETWEEN THE 1500 AND MIDDLE OF 298 00:13:46,431 --> 00:13:48,166 THE 1800S, LIFE EXPECTANCY 299 00:13:48,166 --> 00:13:51,570 DURING THE WAR WAS VERY, VERY 300 00:13:51,570 --> 00:13:53,505 LOW, 34 YEARS ON AVERAGE AND 301 00:13:53,505 --> 00:13:57,909 DIDN'T CHANGE MUCH OVER TIME 302 00:13:57,909 --> 00:14:00,512 UNTIL MAGIC HAPPENED AROUND THE 303 00:14:00,512 --> 00:14:04,583 1860 AND WE SEE THAT THE 304 00:14:04,583 --> 00:14:06,418 STARTING OF LIFE EXPECTANCY IS 305 00:14:06,418 --> 00:14:10,522 AT THE SPEED THAT WAS HIGHER AND 306 00:14:10,522 --> 00:14:12,024 HIGHER AND HIGHER. 307 00:14:12,024 --> 00:14:14,826 IT'S QUESTIONABLE WHETHER, YOU 308 00:14:14,826 --> 00:14:17,429 KNOW THEY INCREASE IN THE SPEED 309 00:14:17,429 --> 00:14:20,298 OF LIFE EXPECTANCY IS CONTINUING 310 00:14:20,298 --> 00:14:21,233 OR NOT. 311 00:14:21,233 --> 00:14:25,170 ONE IMPORTANT EVALUATION HERE IS 312 00:14:25,170 --> 00:14:27,439 THAT THE INCREASING LIFE 313 00:14:27,439 --> 00:14:30,609 EXPECTANCY, SUCH A SHORT TIME, 314 00:14:30,609 --> 00:14:33,278 NOT REALLY BE DUE TO GENETIC 315 00:14:33,278 --> 00:14:34,413 CHANGES. 316 00:14:34,413 --> 00:14:38,183 YOU KNOW GENETICS CHANGE WITH 317 00:14:38,183 --> 00:14:40,485 THE EVOLUTION AND APPLY THROUGH 318 00:14:40,485 --> 00:14:45,657 MULTIPLE GENERATIONS. 319 00:14:45,657 --> 00:14:51,063 SO 1860-2023, IT'S REALLY A 320 00:14:51,063 --> 00:14:52,464 GENETIC TIME. 321 00:14:52,464 --> 00:14:54,699 SO THE MOST IMPORTANT CAUSES OF 322 00:14:54,699 --> 00:14:56,201 INCREASING LONGEVITY AND IN 323 00:14:56,201 --> 00:15:00,372 FACT, IT'S LARGELY DUE TO BETTER 324 00:15:00,372 --> 00:15:04,309 NUTRITION, THE ABILITY OF CLEAN 325 00:15:04,309 --> 00:15:08,046 WATER, CLEAN WATER, AND SEWER 326 00:15:08,046 --> 00:15:09,648 AND UNDERSTAND, SOME PEOPLE SAY 327 00:15:09,648 --> 00:15:15,320 LESS THAN 10% IS TO INCREASE. 328 00:15:15,320 --> 00:15:16,788 NEXT SLIDE PLEASE. 329 00:15:16,788 --> 00:15:20,592 OF COURSE, THE INCREASE IN LIFE 330 00:15:20,592 --> 00:15:24,262 EXPECTANT DID NOT OCCUR 331 00:15:24,262 --> 00:15:25,297 HOMOGENIUSLY ACROSS THE WORLD 332 00:15:25,297 --> 00:15:28,700 AND IT WAS AFFECTING MOSTLY 333 00:15:28,700 --> 00:15:34,873 EUROPE AND THE U.S. AT THE 334 00:15:34,873 --> 00:15:35,774 BEGINNING AROUND THE 1800 AND 335 00:15:35,774 --> 00:15:38,009 THEN THEY AFFECT MANY OTHER 336 00:15:38,009 --> 00:15:41,713 COUNTRY, JAPAN, BRAZIL, AND 337 00:15:41,713 --> 00:15:44,916 THEN, MORE RECENTLY, HAVE REALLY 338 00:15:44,916 --> 00:15:52,224 EXPANDED AROUND THE WORLD AND IN 339 00:15:52,224 --> 00:15:53,959 AFRICA ARE STILL LINGERING 340 00:15:53,959 --> 00:15:55,794 BEHIND IN LIFE EXPECTANCY. 341 00:15:55,794 --> 00:15:58,864 SO ALSO IN THIS POPULATION, LIFE 342 00:15:58,864 --> 00:16:00,065 EXPECTANCY HAS BEEN INCREASING 343 00:16:00,065 --> 00:16:03,301 VERY, VERY RAPID LOAMACYY AND IN 344 00:16:03,301 --> 00:16:04,269 FACT, -- RAPIDLY AND IN FACT 345 00:16:04,269 --> 00:16:06,138 BECAUSE OF THE SPEED OF 346 00:16:06,138 --> 00:16:07,305 INCREASING LIFE EXPECTANCY IN 347 00:16:07,305 --> 00:16:10,709 THIS COUNTRY, YOU KNOW THE AGING 348 00:16:10,709 --> 00:16:11,910 OF THE POPULATION IS CREATING A 349 00:16:11,910 --> 00:16:13,278 LOT OF PROBLEMS THAT OCCUR 350 00:16:13,278 --> 00:16:16,648 WITHOUT THE NECESSARY TIME TO 351 00:16:16,648 --> 00:16:19,951 ADAPT THE SOCIETY OF THESE 352 00:16:19,951 --> 00:16:21,186 CHANGES. 353 00:16:21,186 --> 00:16:21,620 NEXT SLIDE. 354 00:16:21,620 --> 00:16:23,388 AND THE OTHER THING I WANT TO 355 00:16:23,388 --> 00:16:25,991 SAY, THAT WHY INITIALLY, THE 356 00:16:25,991 --> 00:16:28,493 INCREASE IN LIFE EXPECTANCY WAS 357 00:16:28,493 --> 00:16:30,595 DUE TO, YOU KNOW BETTER SURVIVAL 358 00:16:30,595 --> 00:16:33,465 OF PEOPLE IN THE FIRST FEW YEARS 359 00:16:33,465 --> 00:16:36,101 OF LIFE, YOU KNOW HIGH MORTALITY 360 00:16:36,101 --> 00:16:40,238 IN THE FIRST YEAR OF LIFE WAS 361 00:16:40,238 --> 00:16:41,940 VERY TYPICAL AROUND THE 362 00:16:41,940 --> 00:16:44,142 BEGINNING OF THE 18th CENTURY. 363 00:16:44,142 --> 00:16:46,878 YOU KNOW INCREASING LIFE 364 00:16:46,878 --> 00:16:48,847 EXPECTANCY IS NOW OCCURRING IN 365 00:16:48,847 --> 00:16:50,148 THOSE THAT ARE 70 YEARS AND 366 00:16:50,148 --> 00:16:50,515 OLDER. 367 00:16:50,515 --> 00:16:52,784 SO WE HAVE AN OLDER POPULATION 368 00:16:52,784 --> 00:16:54,219 THAT IS LIVING LONGER AND 369 00:16:54,219 --> 00:16:54,586 LONGER. 370 00:16:54,586 --> 00:16:57,722 AND THE NEXT SLIDE, THE -- TO 371 00:16:57,722 --> 00:17:00,358 SHOW A SLIDE THAT I'M VERY, VERY 372 00:17:00,358 --> 00:17:04,763 FOND OF THAT WAS PUBLISHED BY 373 00:17:04,763 --> 00:17:06,831 PROBABLY THE MOST DEMOGRAPHER IN 374 00:17:06,831 --> 00:17:10,802 THE WORLD GENE P A PEL, AND 375 00:17:10,802 --> 00:17:12,904 PAPAL TOOK ALL THE DIFFERENT 376 00:17:12,904 --> 00:17:14,739 COUNTRIES IN THE WORLD THAT HAD 377 00:17:14,739 --> 00:17:16,708 THE LONGEST LIFE EXPECTANCY AND 378 00:17:16,708 --> 00:17:19,110 PLOTTED THEM OVER TIME AND 379 00:17:19,110 --> 00:17:22,347 DISCOVERED AND SHOWED IN THIS 380 00:17:22,347 --> 00:17:24,182 PAPER THAT PROBABLY BEEN SHOWN A 381 00:17:24,182 --> 00:17:29,721 HUNDRED THOUSAND TIMES THAT THEY 382 00:17:29,721 --> 00:17:31,790 WERE ALIENATED IN A PERFECT 383 00:17:31,790 --> 00:17:31,990 LINE. 384 00:17:31,990 --> 00:17:34,626 THESE WERE SHOW SHOCKING THAT 385 00:17:34,626 --> 00:17:37,028 THEY WERE, YOU KNOW UNITED 386 00:17:37,028 --> 00:17:38,863 NATIONS MEETINGS THAT DISCUSS 387 00:17:38,863 --> 00:17:40,131 WHETHER THERE'S INCREASE IN LIFE 388 00:17:40,131 --> 00:17:42,200 EXPECTANCY WAS GOING TO CONTINUE 389 00:17:42,200 --> 00:17:47,172 TO SLOW DOWN AND OF COURSE YOU 390 00:17:47,172 --> 00:17:48,907 SEE THOSE DASH RED LINES AND 391 00:17:48,907 --> 00:17:51,176 PEOPLE THOUGHT THEY CANNOT 392 00:17:51,176 --> 00:17:52,210 REALLY BE THINKING IT'S GOING TO 393 00:17:52,210 --> 00:17:54,212 SLOW DOWN AND GO TO SENESCENCE, 394 00:17:54,212 --> 00:17:59,884 AND OF COURSE, YOU KNOW, AS THE 395 00:17:59,884 --> 00:18:01,486 DATA WILL SHOW, THIS IS NOT 396 00:18:01,486 --> 00:18:04,022 TRUE, THE LIFE EXPECTANCY HAS 397 00:18:04,022 --> 00:18:04,289 CONTINUED. 398 00:18:04,289 --> 00:18:05,757 HOWEVER, IN MOST RECENT YEARS 399 00:18:05,757 --> 00:18:09,694 THIS APPROACH HAS BEEN HIGHLY 400 00:18:09,694 --> 00:18:12,230 CRITICIZED AND AS A RESULT FROM 401 00:18:12,230 --> 00:18:14,633 THE FACT THAT, YOU KNOW IF YOU 402 00:18:14,633 --> 00:18:17,335 SELECT ALL THIS POPULATION IN 403 00:18:17,335 --> 00:18:24,075 THE WORLD, YOU CAN ARTIFICIALLY 404 00:18:24,075 --> 00:18:25,443 CREATE THIS. 405 00:18:25,443 --> 00:18:25,910 NEXT SLIDE. 406 00:18:25,910 --> 00:18:30,548 OH, OKAY, I AM ITALIAN SO I HAVE 407 00:18:30,548 --> 00:18:32,250 TO SAY THEY HAVE THE LONGEST 408 00:18:32,250 --> 00:18:32,617 LIFE EXPECTANCY. 409 00:18:32,617 --> 00:18:33,785 CAN YOU JUST GO TO THE NEXT 1 410 00:18:33,785 --> 00:18:36,721 EMPLOY I WANT TO SKIP THIS 1. 411 00:18:36,721 --> 00:18:41,693 CAN I GIVE YOU THE NEXT? 412 00:18:41,693 --> 00:18:42,560 OKAY. 413 00:18:42,560 --> 00:18:45,063 SO 1 OF THE -- YOU KNOW 414 00:18:45,063 --> 00:18:45,630 INCREASING LIFE EXPECTANCY, 415 00:18:45,630 --> 00:18:47,065 CERTAINLY SOMETHING WE HAVE 416 00:18:47,065 --> 00:18:47,766 ACCOMPLISHED AND IT'S SOMETHING 417 00:18:47,766 --> 00:18:52,604 WE NEED TO CELEBRATE. 418 00:18:52,604 --> 00:18:54,005 HOWEVER, AS YOU INCREASE THE 419 00:18:54,005 --> 00:18:55,307 TOTAL AMOUNT OF LIFE, THEY 420 00:18:55,307 --> 00:18:59,311 INCREASE IN PART OF LIFE THAT'S 421 00:18:59,311 --> 00:19:00,478 CHARACTERIZED BY DISEASE OF 422 00:19:00,478 --> 00:19:05,050 DISABILITY, SOME PEOPLE SAY THAT 423 00:19:05,050 --> 00:19:09,054 LIFE, YOU KNOW EXPAND AND THEN 424 00:19:09,054 --> 00:19:10,422 THE BEGINNING. 425 00:19:10,422 --> 00:19:11,956 SO THIS CREATED A LOT OF PROBLEM 426 00:19:11,956 --> 00:19:15,293 BECAUSE THE OLDER POPULATION 427 00:19:15,293 --> 00:19:19,030 MEANS AN ACCUMULATION OF 428 00:19:19,030 --> 00:19:19,464 MORBIDITY. 429 00:19:19,464 --> 00:19:20,632 GIVE ME THE NEXT SLIDE. 430 00:19:20,632 --> 00:19:23,034 SO WHY THIS IS HAPPENING? 431 00:19:23,034 --> 00:19:25,403 I THINK THIS IS PROBABLY THE 432 00:19:25,403 --> 00:19:31,876 MOST IMPORTANT SLIDE OF MY 433 00:19:31,876 --> 00:19:36,247 ENTIRE SHOW, SO A VERY CLEVER 434 00:19:36,247 --> 00:19:37,382 DEMOGRAPHER SUGGESTED IN 2018 435 00:19:37,382 --> 00:19:41,820 THAT THE INCREASING LIFE 436 00:19:41,820 --> 00:19:43,855 EXPECTANCY IN THE WORLD WILL NOT 437 00:19:43,855 --> 00:19:44,689 CONTINUE AND WILL SLOW DOWN 438 00:19:44,689 --> 00:19:47,425 BECAUSE OF MORE AND MORE PEOPLE 439 00:19:47,425 --> 00:19:50,328 WERE ENTERING INTO THE AREA OF 440 00:19:50,328 --> 00:19:52,931 HIGH RISK OF FRAILTY AND 441 00:19:52,931 --> 00:19:57,435 DISABILITY AND THESE ENTERING IN 442 00:19:57,435 --> 00:19:59,804 THEIR AFFECTED DISABILITY ONLY 443 00:19:59,804 --> 00:20:02,140 LEAD TO AN ARK KIEWMULATION OF 444 00:20:02,140 --> 00:20:03,875 MORE AND MORE DISABILITY AND 445 00:20:03,875 --> 00:20:04,109 FRAILTY. 446 00:20:04,109 --> 00:20:05,877 THIS IS ONLY BECAUSE OF THE PACE 447 00:20:05,877 --> 00:20:07,479 OF BIOLOGICAL AGE NOTHING OUR 448 00:20:07,479 --> 00:20:09,214 BODY HAS NOT BEEN SLOWING DOWN. 449 00:20:09,214 --> 00:20:14,052 AND SO AS MORE PEOPLE ENTER INTO 450 00:20:14,052 --> 00:20:18,156 THE AREA OF DISABILITY, THEY 451 00:20:18,156 --> 00:20:19,224 DEVELOP MORE IMMOBILITY AND THIS 452 00:20:19,224 --> 00:20:20,892 IS MORE OF A CHALLENGE FOR THE 453 00:20:20,892 --> 00:20:22,494 INDIVIDUAL AND THE SOCIETY. 454 00:20:22,494 --> 00:20:25,830 THE OTHER PART OF THIS SLIDE, 455 00:20:25,830 --> 00:20:26,297 PLEASE. 456 00:20:26,297 --> 00:20:28,233 SO SUMMARIZING OF THIS SLOW DOWN 457 00:20:28,233 --> 00:20:30,168 IN THE RISE OF LIFE EXPECTANCY 458 00:20:30,168 --> 00:20:33,438 IS A PRODUCT OF OUR SUCCESS, 459 00:20:33,438 --> 00:20:35,340 SHOULD NOT BE CONSIDERED 460 00:20:35,340 --> 00:20:36,741 FAILURE, MORE PEOPLE LIVE BEYOND 461 00:20:36,741 --> 00:20:40,912 OF AGE OF 70 AND ENTER INTO THE 462 00:20:40,912 --> 00:20:42,614 OTHER HIGH RISK OF THIS. 463 00:20:42,614 --> 00:20:48,420 SO OUR GOAL IS TO EXPAND THE 464 00:20:48,420 --> 00:20:49,721 HEALTH EXPECTANT -- DISABILITY 465 00:20:49,721 --> 00:20:53,224 LATE IN LIFE, SO THE OTHER PART 466 00:20:53,224 --> 00:20:54,959 OF THIS LIFE, THERE'S 467 00:20:54,959 --> 00:20:58,363 INFORMATION THAT SHOW WHAT WE 468 00:20:58,363 --> 00:20:58,830 NEED TO DO. 469 00:20:58,830 --> 00:21:00,665 WHAT WE NEED TO DO IS COMPRESS 470 00:21:00,665 --> 00:21:01,733 THE AREA OF DISABILITY AND I 471 00:21:01,733 --> 00:21:05,136 WILL ARGUE THAT LIVING TO 120 IS 472 00:21:05,136 --> 00:21:07,272 NOT SOMETHING MANY PEOPLE WANT. 473 00:21:07,272 --> 00:21:09,474 IF YOU ASK PEOPLE WHAT THEY 474 00:21:09,474 --> 00:21:12,677 REALLY WANT, THEY WANT TO LIVE A 475 00:21:12,677 --> 00:21:15,146 VERY SUCCESSFUL AND ENJOYABLE 476 00:21:15,146 --> 00:21:17,982 LIFE, FOR MANY, MANY YEARS AND 477 00:21:17,982 --> 00:21:19,517 THEN WHEN WE ARE SICK AND 478 00:21:19,517 --> 00:21:21,453 DISABLE, THEY DON'T WANT TO STAY 479 00:21:21,453 --> 00:21:24,422 SICK AND DISABLE FOR VERY LONG. 480 00:21:24,422 --> 00:21:26,891 SO EXPANDING THE LIFE EXPECTANCY 481 00:21:26,891 --> 00:21:27,959 FOR THE INDIVIDUAL FOR SOCIETY 482 00:21:27,959 --> 00:21:29,828 IS MORE IMPORTANT THAN 483 00:21:29,828 --> 00:21:33,231 INCREASING LIFE EXPECTANCY. 484 00:21:33,231 --> 00:21:33,598 THE NEXT SLIDE. 485 00:21:33,598 --> 00:21:38,770 AND IN FACT, YOU KNOW THE 486 00:21:38,770 --> 00:21:40,171 PREDICTION APPEARED TO BE TRUE. 487 00:21:40,171 --> 00:21:43,508 IN 2024, AT END OF 2024, THIS 488 00:21:43,508 --> 00:21:45,677 PAPER WAS PUBLISHED IN NATURAL 489 00:21:45,677 --> 00:21:48,947 AGING SHOWING THAT IN MANY, MANY 490 00:21:48,947 --> 00:21:51,082 COUNTRIES THE RATE OF INCREASE 491 00:21:51,082 --> 00:21:53,151 IN LIFE EXPECTANCY IS DECLINED 492 00:21:53,151 --> 00:21:54,986 AND THIS IS THROUGH IN 493 00:21:54,986 --> 00:21:58,356 PARTICULAR IN THE UNITED STATES 494 00:21:58,356 --> 00:22:00,558 WHERE THE INCREASE IN LIFE 495 00:22:00,558 --> 00:22:01,593 EXPECTANCE SESLOWING DOWN MORE 496 00:22:01,593 --> 00:22:05,897 THAN ANY OTHER COUNTRY IN THE 497 00:22:05,897 --> 00:22:06,898 WORLD. 498 00:22:06,898 --> 00:22:07,499 NEXT SLIDE. 499 00:22:07,499 --> 00:22:07,699 OKAY. 500 00:22:07,699 --> 00:22:13,505 SO WHAT'S HAPPENING IS THAT 501 00:22:13,505 --> 00:22:15,807 AGING, THESE AGING MAKE US LIVE 502 00:22:15,807 --> 00:22:21,412 LONGER, BUT ALSO MAKE OUR LIFE 503 00:22:21,412 --> 00:22:23,214 FOR DISEASE AND DISABILITY BE 504 00:22:23,214 --> 00:22:23,448 LONG. 505 00:22:23,448 --> 00:22:25,583 YOU KNOW I USED TO TALK TO MY 506 00:22:25,583 --> 00:22:27,886 PATIENT WHEN I WAS A PRACTICING 507 00:22:27,886 --> 00:22:28,653 GERIATRICIAN AND THEY USED TO 508 00:22:28,653 --> 00:22:31,623 SAY WHEN YOU HAVE A DISEASE, 509 00:22:31,623 --> 00:22:35,226 WHEN YOU ARE SUFFERING, IN PAIN, 510 00:22:35,226 --> 00:22:36,861 YOUR TIME SEEMS LONGER AND 511 00:22:36,861 --> 00:22:37,195 LONGER. 512 00:22:37,195 --> 00:22:39,597 SO THOSE YEARS THAT PEOPLE LIVE 513 00:22:39,597 --> 00:22:40,665 WITH DISEASES AND DISABILITY GO 514 00:22:40,665 --> 00:22:46,104 SLOWLY AND SEEM TO BE INTERM 515 00:22:46,104 --> 00:22:46,337 MINABLE. 516 00:22:46,337 --> 00:22:48,006 SO THE NEXT SLIDE IS WHAT IS OUR 517 00:22:48,006 --> 00:22:48,239 MISSION? 518 00:22:48,239 --> 00:22:49,874 WHAT DO WE NEED TO DO? 519 00:22:49,874 --> 00:22:51,509 WE NEED TO INCREASE LIFE 520 00:22:51,509 --> 00:22:51,809 EXPECTANCY. 521 00:22:51,809 --> 00:22:53,011 THE REASON WHY YOU SHOULD DO 522 00:22:53,011 --> 00:22:55,079 THAT IS ALSO ECONOMICAL. 523 00:22:55,079 --> 00:22:58,383 IF YOU LOOK AT THIS SLIDE THAT 524 00:22:58,383 --> 00:23:00,618 WAS PUBLISHED NOT MANY YEARS 525 00:23:00,618 --> 00:23:03,888 AGO, IS SHOWING THAT IF YOU LOOK 526 00:23:03,888 --> 00:23:09,627 AT THE CURRENT HEALTH EXPANDER 527 00:23:09,627 --> 00:23:13,765 PER CAPITA, COMPARE THAT WITH 528 00:23:13,765 --> 00:23:16,601 THE DISABILITY, AND MOST 529 00:23:16,601 --> 00:23:18,002 SURPRISINGLY, THE PEOPLE THAT 530 00:23:18,002 --> 00:23:21,372 HAVE LONGER LIFE EXPECTANCY CAN 531 00:23:21,372 --> 00:23:22,774 DISABILITY ARE IN THOSE 532 00:23:22,774 --> 00:23:25,276 COUNTRIES, TO SPEND MORE MONEY 533 00:23:25,276 --> 00:23:26,010 FOR HEALTHCARE. 534 00:23:26,010 --> 00:23:30,715 SO SPENDING MORE MONEY WITH 535 00:23:30,715 --> 00:23:36,254 HEALTHCARE IS ASSOCIATED 536 00:23:36,254 --> 00:23:37,722 PROLONGING SELF. 537 00:23:37,722 --> 00:23:39,457 AND ALTHOUGH IT'S NOT LOGICAL, I 538 00:23:39,457 --> 00:23:41,092 WILL SHOW YOU THIS ABSOLUTELY 539 00:23:41,092 --> 00:23:43,695 MAKES SENSE. 540 00:23:43,695 --> 00:23:44,228 NEXT SLIDE. 541 00:23:44,228 --> 00:23:47,031 WE WANT THE LIFE WE LOST. 542 00:23:47,031 --> 00:23:51,769 HOW DO WE DO THAT? 543 00:23:51,769 --> 00:23:54,906 NEXT SLIDE. 544 00:23:54,906 --> 00:23:58,610 OKAY, MANAGING THAT, THIS IS A 545 00:23:58,610 --> 00:24:00,011 PERSON AND THIS REPRESENT THE 546 00:24:00,011 --> 00:24:05,850 LIFE OF THIS PERSON AND THEN THE 547 00:24:05,850 --> 00:24:08,286 BLUE PART IS THE PART WHEN THEY 548 00:24:08,286 --> 00:24:09,887 LIVE WITHOUT DEC AND DISABILITY 549 00:24:09,887 --> 00:24:11,956 AND THEN AT SOME POINT IN THEIR 550 00:24:11,956 --> 00:24:16,094 LIFE, THEY DEVELOP THE FIRST 551 00:24:16,094 --> 00:24:17,695 DISEASE, SO SOMETIME BETWEEN 552 00:24:17,695 --> 00:24:19,297 BIRTH AND FIRST DISEASE WE CAN 553 00:24:19,297 --> 00:24:22,066 CALL THIS LIFE EXPECTANCY, OR 554 00:24:22,066 --> 00:24:23,134 HEALTH EXPECTANCY, DEPENDING ON 555 00:24:23,134 --> 00:24:24,602 THE DIFFERENT DEFINITION, AND 556 00:24:24,602 --> 00:24:26,871 THEN AFTER THE FIRST DISEASE, 557 00:24:26,871 --> 00:24:28,272 THIS PERSON WILL DEVELOP 558 00:24:28,272 --> 00:24:29,874 ANOTHER, THEN ANOTHER 1, AND 559 00:24:29,874 --> 00:24:31,042 THEN ANOTHER 1. 560 00:24:31,042 --> 00:24:34,646 AND THEN SHOW ME THE NEXT PART 561 00:24:34,646 --> 00:24:37,181 OF THIS SLIDE. 562 00:24:37,181 --> 00:24:38,783 SO THERE'S ANOTHER HYPOTHETICAL 563 00:24:38,783 --> 00:24:42,654 PERSON THAT HAS LONGER DISEASE 564 00:24:42,654 --> 00:24:46,057 LIFE EXPECTANCY OR HEALTH 565 00:24:46,057 --> 00:24:50,862 EXPECTANCY IN SPITE OF THESE 566 00:24:50,862 --> 00:24:53,531 CONDITIONS, 1, 2, 3, DISEASE AND 567 00:24:53,531 --> 00:24:56,200 AGAIN, WE HAVE 1 WITH -- SHOW ME 568 00:24:56,200 --> 00:24:58,002 THE NEXT 1 -- WITH THE SLOWER, 569 00:24:58,002 --> 00:25:00,838 WITH THE SHORTER LIFE EXPECTANCY 570 00:25:00,838 --> 00:25:06,244 AND THE SAME ACCUMULATION OF 571 00:25:06,244 --> 00:25:06,744 MOBILITY ALSO. 572 00:25:06,744 --> 00:25:08,513 SHOW ME THE NEXT PART OF THIS 573 00:25:08,513 --> 00:25:09,380 SLIDE. 574 00:25:09,380 --> 00:25:11,582 THE PROBLEM IS THAT WE ONLY 575 00:25:11,582 --> 00:25:13,651 INTERVENE BY HEALTHCARE AT THIS 576 00:25:13,651 --> 00:25:15,653 POINT OF LIFE. 577 00:25:15,653 --> 00:25:20,358 IN FACT, IN THE UNITED STATES, 578 00:25:20,358 --> 00:25:23,728 WE SPEND 97.5% OF OUR HEALTHCARE 579 00:25:23,728 --> 00:25:26,330 MONEY FOR PEOPLE THAT HAVE SOME 580 00:25:26,330 --> 00:25:30,735 DISEASE AND DISABILITY AND ONLY 581 00:25:30,735 --> 00:25:40,411 2.5% OF THAT MONEY BEFORE THAT 582 00:25:40,411 --> 00:25:40,978 PERIOD. 583 00:25:40,978 --> 00:25:42,947 BUT IN FACT, WHEN WE LOOK AT 584 00:25:42,947 --> 00:25:45,349 PEOPLE WHO HAVE DISEASE, IT DOES 585 00:25:45,349 --> 00:25:48,286 EXPAND WITH THE AGING OF THE 586 00:25:48,286 --> 00:25:50,755 POPULATION AND THIS WILL 587 00:25:50,755 --> 00:25:52,824 ACCUMULATE UNTIL IT WILL BREAK 588 00:25:52,824 --> 00:25:53,291 THE BANK. 589 00:25:53,291 --> 00:25:55,293 WE WILL NOT ALL BE ABLE TO 590 00:25:55,293 --> 00:25:56,694 AFFORD THE HEALTHCARE, THE 591 00:25:56,694 --> 00:25:57,662 BENEFIT OF THE HEALTHCARE THAT 592 00:25:57,662 --> 00:25:59,097 WE HAVE NOW. 593 00:25:59,097 --> 00:26:02,767 SO OUR GOAL IS TO EXPAND HEALTH 594 00:26:02,767 --> 00:26:08,973 EXPECTANCY. 595 00:26:08,973 --> 00:26:09,440 THE NEXT SLIDE. 596 00:26:09,440 --> 00:26:19,951 ONE WAY TO DO THAT IS TO THINK 597 00:26:19,951 --> 00:26:21,452 ABOUT THIS THRESHOLD, IT'S 598 00:26:21,452 --> 00:26:22,086 ACCUMULATING IN OUR BODY, EVERY 599 00:26:22,086 --> 00:26:24,388 YEAR I GO TO A DOCTOR AND THE 600 00:26:24,388 --> 00:26:30,328 DOCTOR LOOK AT ME, AND VISIT ME 601 00:26:30,328 --> 00:26:31,963 LOOK AT MY HEART AND MY LUNGS 602 00:26:31,963 --> 00:26:40,838 AND THEY SAY, YOU'RE FINE, 603 00:26:40,838 --> 00:26:43,174 YOU'RE OKAY AND THE PATHOLOGY 604 00:26:43,174 --> 00:26:45,710 ACCUMULATING IN MY BODY, SO I 605 00:26:45,710 --> 00:26:47,411 WANT TO KNOW WHAT'S GOING ON SO 606 00:26:47,411 --> 00:26:49,413 THAT WHEN I CAN INTERVENE MUCH 607 00:26:49,413 --> 00:26:52,416 EARLIER THAN, YOU KNOW WHEN I 608 00:26:52,416 --> 00:26:54,819 FINALLY DEVELOP A DISEASE AND 609 00:26:54,819 --> 00:26:58,556 SO, I THINK THE WAY I THINK -- 610 00:26:58,556 --> 00:27:04,061 NEXT SLIDE -- THAT IN FACT, 611 00:27:04,061 --> 00:27:11,135 THESE ACCUMULATION OF THE 612 00:27:11,135 --> 00:27:12,203 AUTOLOGY THAT HAVE THIS. 613 00:27:12,203 --> 00:27:13,371 SO THE INDIVIDUALS THAT HAVE 614 00:27:13,371 --> 00:27:15,773 FASTER PACE OF AGING AND HAVE 615 00:27:15,773 --> 00:27:17,408 SHORTER LIFE EXPECTANCY WHILE 616 00:27:17,408 --> 00:27:20,211 THE PEOPLE THAT HAVE THE SLOW 617 00:27:20,211 --> 00:27:26,250 PACE OF AGING WILL HAVE A LONGER 618 00:27:26,250 --> 00:27:26,818 HEALTH EXPECTANCY. 619 00:27:26,818 --> 00:27:29,587 NOT ONLY THAT BUT THE PACE OF 620 00:27:29,587 --> 00:27:32,356 AGING CAN BE MEASURED. 621 00:27:32,356 --> 00:27:33,691 SO IF WE COULD MEASURE THE PACE 622 00:27:33,691 --> 00:27:37,195 OF AGING, WE WILL BE ABLE TO 623 00:27:37,195 --> 00:27:38,529 DETECT WHAT ARE INDIVIDUALS THAT 624 00:27:38,529 --> 00:27:41,699 ARE AGING FASTER THAN OTHERS AND 625 00:27:41,699 --> 00:27:42,900 INTERVENE TO SLOW DOWN THE PACE 626 00:27:42,900 --> 00:27:47,471 OF AGING SO THAT WE CAN PREVENT 627 00:27:47,471 --> 00:27:49,106 A NUMBER OF DISEASE ACCORDING TO 628 00:27:49,106 --> 00:27:50,408 THE JOURNAL OF SCIENCE 629 00:27:50,408 --> 00:27:51,309 HYPOTHESIS THAT ARE LINKED TO 630 00:27:51,309 --> 00:27:53,177 THE CASE OF AGING. 631 00:27:53,177 --> 00:27:55,780 THE NEXT SLIDE REALLY SUMMARIZE 632 00:27:55,780 --> 00:27:59,851 THIS CONCEPT IN A SIMPLE WAY. 633 00:27:59,851 --> 00:28:01,986 THE WAY WE DO NOW IS WE THINK OF 634 00:28:01,986 --> 00:28:03,154 AGING ASSOCIATED WITH THE NUMBER 635 00:28:03,154 --> 00:28:06,657 OF DISEASE, NEXT SLIDE, AND THEN 636 00:28:06,657 --> 00:28:12,196 WHEN THIS DISEASE OCCURRED, WE 637 00:28:12,196 --> 00:28:13,197 INTERVENE WITH FANTASTIC 638 00:28:13,197 --> 00:28:14,498 MOMENTARIUM OF DRUGS AND 639 00:28:14,498 --> 00:28:15,566 SURGICAL PROCEDURE THAT YOU KNOW 640 00:28:15,566 --> 00:28:19,437 WE NEED TO BE HAPPY ABOUT 641 00:28:19,437 --> 00:28:20,805 BECAUSE THEY DO IT FOR THESE 642 00:28:20,805 --> 00:28:23,808 PEOPLE BUT WE DO VERY LITTLE TO 643 00:28:23,808 --> 00:28:26,978 AVOID THIS DISEASE TO OCCUR AND 644 00:28:26,978 --> 00:28:28,512 IF WE COULD -- WITH THE NEXT 645 00:28:28,512 --> 00:28:32,216 SLIDE -- SLOW DOWN, GIVE ME THE 646 00:28:32,216 --> 00:28:32,817 NEXT SLIDE. 647 00:28:32,817 --> 00:28:35,987 SLOW DOWN THE PACE OF AGING, 648 00:28:35,987 --> 00:28:38,122 THEN WE CAN PREVENT THEM, YOU 649 00:28:38,122 --> 00:28:39,657 KNOW ALL 1 AT A TIME. 650 00:28:39,657 --> 00:28:43,494 SO HOW DO WE EXPLORE THIS 1 651 00:28:43,494 --> 00:28:43,828 SEPTORS? 652 00:28:43,828 --> 00:28:46,364 THE WAY TO EXPLORE THIS CONCEPT 653 00:28:46,364 --> 00:28:50,201 IS TO CONCEPTUALIZE AGING AS A 654 00:28:50,201 --> 00:28:52,403 RATIO BETWEEN DAMAGE 655 00:28:52,403 --> 00:28:53,037 ACCUMULATION AND RESILIENCE. 656 00:28:53,037 --> 00:29:00,845 SO 1 OF THE MOST ACCEPTED THEORY 657 00:29:00,845 --> 00:29:02,880 OF AGING IS THAT, YOU LEAN FROM 658 00:29:02,880 --> 00:29:05,983 THE AREA OF DYNAMIC, WHERE EVERY 659 00:29:05,983 --> 00:29:08,953 SYSTEM IS SUBJECT TO ANTHROPY, 660 00:29:08,953 --> 00:29:11,656 SO ANTHROPY CAN DAMAGE AT THE 661 00:29:11,656 --> 00:29:12,056 MOLECULAR LEVEL. 662 00:29:12,056 --> 00:29:13,824 BUT THERE ARE A NUMBER OF 663 00:29:13,824 --> 00:29:22,266 BIOLOGICAL MECHANISMS THAT HAVE 664 00:29:22,266 --> 00:29:24,335 BEEN DEVELOPED EVOLUTIONARY AND 665 00:29:24,335 --> 00:29:30,608 P A YEL WILL MORE ABOUT THIS 666 00:29:30,608 --> 00:29:30,841 LATER. 667 00:29:30,841 --> 00:29:33,377 AND THEN WITH AGING YOU HAVE AN 668 00:29:33,377 --> 00:29:36,781 IMBALANCE THEN SO THAT YOU HAVE 669 00:29:36,781 --> 00:29:37,815 DAMAGE ACCUMULATION AND CLOSE TO 670 00:29:37,815 --> 00:29:42,219 THE END OF LIFE, YOUR ABILITY TO 671 00:29:42,219 --> 00:29:46,057 DEAL WITH STRESS AND THEY HAVE 672 00:29:46,057 --> 00:29:49,694 THE ISSUE OF RESILIENCY DO NOT 673 00:29:49,694 --> 00:29:51,362 ALLOW YOU TO LIVE EVEN THE 674 00:29:51,362 --> 00:29:53,631 NORMALLIEST OF LIFE AND THEN YOU 675 00:29:53,631 --> 00:29:56,000 CAN TRANSLATE THIS CONCEPT INTO 676 00:29:56,000 --> 00:29:58,836 SOMETHING WE CAN START 677 00:29:58,836 --> 00:29:59,203 MEASURING. 678 00:29:59,203 --> 00:30:00,604 THIS IS WHEN THE LOWER PART OF 679 00:30:00,604 --> 00:30:03,407 MY SLIDE, YOU WILL SEE THAT OVER 680 00:30:03,407 --> 00:30:06,310 THE GENETIC BACKGROUND, THERE IS 681 00:30:06,310 --> 00:30:11,282 ACCUMULATION OF DAMAGE AND THE 682 00:30:11,282 --> 00:30:15,286 MACROMOLAR LEVEL, THE CALORIES, 683 00:30:15,286 --> 00:30:16,487 THE CARBOHYDRATES, THE DNA ARE 684 00:30:16,487 --> 00:30:19,290 DAMAGED AND THEN THERE ARE A 685 00:30:19,290 --> 00:30:21,859 NUMBER OF BEAUTIFULLY 686 00:30:21,859 --> 00:30:25,663 CONCEPTUALIZED MECHANISMS THAT 687 00:30:25,663 --> 00:30:27,164 REPAIR THEM OR SOMEWHAT PICK OUT 688 00:30:27,164 --> 00:30:29,667 THOSE DAMAGED AND THAT 689 00:30:29,667 --> 00:30:31,235 BIOLOGICAL DAMAGE TRANSLATE INTO 690 00:30:31,235 --> 00:30:34,038 WHAT WE CALL THE PHENOTYPE. 691 00:30:34,038 --> 00:30:41,345 AT SOME POINT WHEN THEY BECOME 692 00:30:41,345 --> 00:30:48,853 SEVERELY LOW, THOSE CALL LOW, 693 00:30:48,853 --> 00:30:50,021 PROBABLY ACCOUNT FOR VISUAL 694 00:30:50,021 --> 00:30:58,929 ACUITY AND HEARING, AND THEN 695 00:30:58,929 --> 00:31:00,364 ALSO STARTS IMMOBILITY AND 696 00:31:00,364 --> 00:31:01,032 DISABILITY AND GAIT. 697 00:31:01,032 --> 00:31:03,701 SO 1 OF THE 3 HERE AND THAT -- 698 00:31:03,701 --> 00:31:07,338 YOU KNOW THIS IS AN EXAMPLE AND 699 00:31:07,338 --> 00:31:09,907 P A YEL WILL TALK MORE, I WILL 700 00:31:09,907 --> 00:31:11,909 JUST SHOW 1. 701 00:31:11,909 --> 00:31:16,080 THERE ARE ABOUT 10,000 DAMAGE OF 702 00:31:16,080 --> 00:31:21,952 DNA EACH CELL, EVERY DAY AND 703 00:31:21,952 --> 00:31:23,054 THIS COMPLEX NETWORK OF 704 00:31:23,054 --> 00:31:25,389 MOLECULE, THEY REPAIR THE DNA 705 00:31:25,389 --> 00:31:26,290 CONSTANT, THEY'RE CONTINUOUSLY 706 00:31:26,290 --> 00:31:28,125 AND IF THEY DON'T, THERE IS 707 00:31:28,125 --> 00:31:29,193 SEVERE CONSEQUENCE ON THE 708 00:31:29,193 --> 00:31:39,336 HEALTH. 709 00:31:43,674 --> 00:31:44,942 THE NEXT SLIDE. 710 00:31:44,942 --> 00:31:47,645 BECAUSE OUR BODIES IS REDUNDANT, 711 00:31:47,645 --> 00:31:54,018 THERE IS SOME RESILIENCE, SOME 712 00:31:54,018 --> 00:31:57,054 RESEARCH, SO YOU CAN AFFORD SOME 713 00:31:57,054 --> 00:31:59,190 BIOLOGICAL DAMAGE WITHOUT HAVING 714 00:31:59,190 --> 00:31:59,723 PHENOTYPIC MANIFESTATION. 715 00:31:59,723 --> 00:32:01,725 SO FOR EXAMPLE, YOU CAN HAVE A 716 00:32:01,725 --> 00:32:04,428 LITTLE BIT OF ACCUMULATION OF 717 00:32:04,428 --> 00:32:07,298 SOMATIC MUTATION WITHOUT ANY 718 00:32:07,298 --> 00:32:08,299 MEASURABLE REDACTION OF THE 719 00:32:08,299 --> 00:32:13,437 FUNCTION OF THE DIFFERENT 720 00:32:13,437 --> 00:32:13,671 ORGANS. 721 00:32:13,671 --> 00:32:20,878 AT SOME POINT THE ACCUMULATION, 722 00:32:20,878 --> 00:32:22,980 AND OF COURSE PHENOTYPIC AGING 723 00:32:22,980 --> 00:32:25,516 AND FUNCTIONAL AGING AND 724 00:32:25,516 --> 00:32:26,917 BIOLOGICAL AGING AND THIS IS 725 00:32:26,917 --> 00:32:29,453 IMPORTANT BECAUSE IN BIOLOGICAL 726 00:32:29,453 --> 00:32:31,422 AGING OCCUR BEFORE PHENOTYPIC 727 00:32:31,422 --> 00:32:34,425 AND FUNCTIONAL AGING OCCUR, IF 728 00:32:34,425 --> 00:32:35,526 WE CAN DETECT THE DAMAGE AT THE 729 00:32:35,526 --> 00:32:41,565 ABOUT I ONY LOGICAL LEVEL, WE 730 00:32:41,565 --> 00:32:43,400 CAN INTERVENE EARLY AND AT THE 731 00:32:43,400 --> 00:32:46,137 TIME WHEN THE INTERVENTION IS 732 00:32:46,137 --> 00:32:48,839 MORE EFFECTIVE GIVE ME THE NEXT 733 00:32:48,839 --> 00:32:49,740 SLIDE. 734 00:32:49,740 --> 00:32:54,345 SO THE GLOBAL CHALLENGE FOR THIS 735 00:32:54,345 --> 00:32:58,015 IS TO ACHIEVE LONGEVITY, THE 736 00:32:58,015 --> 00:32:59,884 STATE IN WHICH GOOD HEALTH AND 737 00:32:59,884 --> 00:33:02,019 BIOLOGICAL LIFE SPAN WITH 738 00:33:02,019 --> 00:33:04,488 PHYSICAL CONJUGATE AND SOCIALLY, 739 00:33:04,488 --> 00:33:08,759 WITH THE CROSS POPULATION EMPLOY 740 00:33:08,759 --> 00:33:10,961 THE NEXT SLIDE REALLY PUT THIS 741 00:33:10,961 --> 00:33:14,899 IN CONTEXT, WHAT ARE THE 742 00:33:14,899 --> 00:33:15,933 ADVANTAGE OF THAT INDIVIDUAL 743 00:33:15,933 --> 00:33:20,905 WILL LIVE A VERY STRONG AND YOU 744 00:33:20,905 --> 00:33:21,906 KNOW ENJOYABLE LIFE. 745 00:33:21,906 --> 00:33:25,509 THEY WILL BE INTERGENERATIONAL 746 00:33:25,509 --> 00:33:27,244 SUPPORT, IN SOCIETY, THE ABILITY 747 00:33:27,244 --> 00:33:29,880 AND THE SKILL WITH THE AGE, IT 748 00:33:29,880 --> 00:33:31,782 WILL BE USEFUL FOR SOCIETY, THEY 749 00:33:31,782 --> 00:33:33,250 WILL BE MORE SOCIAL BEHAVIOR, 750 00:33:33,250 --> 00:33:36,053 WHILE THE COST OF INACTION IS TO 751 00:33:36,053 --> 00:33:38,489 HAVE MORE PEOPLE LIVING IN POOR 752 00:33:38,489 --> 00:33:38,789 HEALTH. 753 00:33:38,789 --> 00:33:40,291 THE GDP WILL GO DOWN. 754 00:33:40,291 --> 00:33:42,560 THERE WILL BE INCREASED BURDEN 755 00:33:42,560 --> 00:33:45,062 ON MEDICAL AND SOCIAL CARE FOR 756 00:33:45,062 --> 00:33:48,465 GOVERNMENT AND AT SOME POINT 757 00:33:48,465 --> 00:33:49,867 THERE'S INCREASING FINANCIAL 758 00:33:49,867 --> 00:33:52,970 BURDEN WILL GO INTO THE STRESS 759 00:33:52,970 --> 00:33:59,009 OF INDIVIDUAL AND THE FAMILY. 760 00:33:59,009 --> 00:34:03,948 THE NEXT SLIDE. 761 00:34:03,948 --> 00:34:06,217 SO MAXIMIZING HEALTH, MINIMIZING 762 00:34:06,217 --> 00:34:07,518 MOLECULAR DAMAGE. 763 00:34:07,518 --> 00:34:09,920 NEXT SLIDE. 764 00:34:09,920 --> 00:34:12,122 WITH THE NEXT SLIDE, I WANT TO 765 00:34:12,122 --> 00:34:14,925 TELL YOU WHAT I TELL WHEN THE 766 00:34:14,925 --> 00:34:16,427 NEWSPAPER INTERVIEW ME AND ASKS 767 00:34:16,427 --> 00:34:22,700 THE QUESTION, WHAT IS THE MAGIC? 768 00:34:22,700 --> 00:34:24,868 AND I ALWAYS SAY, THEY ALREADY 769 00:34:24,868 --> 00:34:29,607 HAVE THE MAGIC, YOU KNOW, 770 00:34:29,607 --> 00:34:31,575 CERTAIN BEHAVIOR, EFFECT, DURING 771 00:34:31,575 --> 00:34:32,710 HEALTH EXPECTANCY. 772 00:34:32,710 --> 00:34:34,011 SO BEING PHYSICALLY ACTIVE IS A 773 00:34:34,011 --> 00:34:36,013 GIFT, AND THE MESSAGE WE GIVE TO 774 00:34:36,013 --> 00:34:37,514 OUR OLDER PATIENTS IS WRONG, WE 775 00:34:37,514 --> 00:34:40,351 SAY YOU NEED TO JOG AND PEOPLE 776 00:34:40,351 --> 00:34:40,884 GET DISCOURAGED. 777 00:34:40,884 --> 00:34:43,320 WHAT WE SHOULD TELL THEM IS 778 00:34:43,320 --> 00:34:45,356 THAT, WALK AROUND THE BLOCK AND 779 00:34:45,356 --> 00:34:49,193 THAT IS ALREADY MUCH, MUCH 780 00:34:49,193 --> 00:34:50,761 BETTER THAN SEDENTARY. 781 00:34:50,761 --> 00:34:58,469 WORK ON PREVENTION, TRY TO -- 782 00:34:58,469 --> 00:35:00,371 INCREDIBLY IMPORTANT FOR IT. 783 00:35:00,371 --> 00:35:02,539 LEARN SOMETHING NEW, MAINTAIN 784 00:35:02,539 --> 00:35:04,908 HEALTHY WEIGHT, USE YOUR BRAIN 785 00:35:04,908 --> 00:35:07,311 TO LEARN SOMETHING THAT YOU 786 00:35:07,311 --> 00:35:10,247 ENJOY, AVOID ALCOHOL, YOU KNOW I 787 00:35:10,247 --> 00:35:11,915 THINK THAT IT'S CONTROVERSIAL 788 00:35:11,915 --> 00:35:14,885 BUT I THINK YOU DRINK A GLASS OF 789 00:35:14,885 --> 00:35:16,320 WINE PER WEEK, I DON'T THINK YOU 790 00:35:16,320 --> 00:35:19,390 SHOULD BE CONCERNED VERY MUCH. 791 00:35:19,390 --> 00:35:22,226 AND THEN, YOU KNOW HAVE THE 792 00:35:22,226 --> 00:35:24,495 HEALTHY DIET, PROBABLY THE 793 00:35:24,495 --> 00:35:25,763 MEDITERRANEAN DIET IS THE ONLY 794 00:35:25,763 --> 00:35:27,631 DIET AND THEN USE YOUR BRAIN. 795 00:35:27,631 --> 00:35:30,734 I THINK THAT FOLLOWING THIS VERY 796 00:35:30,734 --> 00:35:33,504 SIMPLE SUGGESTION, WILL INCREASE 797 00:35:33,504 --> 00:35:35,005 HEALTH EXPECTANCY AND CREATE A 798 00:35:35,005 --> 00:35:37,808 BETTER MORE HEALTHY LIFE. 799 00:35:37,808 --> 00:35:40,311 THE TRICK HERE IS TO UNDERSTAND 800 00:35:40,311 --> 00:35:45,883 WHAT ARE THE TRANSDUCER OF THIS 801 00:35:45,883 --> 00:35:46,150 MECHANISM. 802 00:35:46,150 --> 00:35:48,285 YOU KNOW, WHY SLEEP IS AFFECTING 803 00:35:48,285 --> 00:35:49,820 YOUR ABILITY TO DEVELOP CHRONIC 804 00:35:49,820 --> 00:35:50,154 DISEASE? 805 00:35:50,154 --> 00:35:52,790 WE DON'T KNOW THAT YET BUT IF WE 806 00:35:52,790 --> 00:35:54,625 ANYHOW MORE, THE PROBLEM IS THAT 807 00:35:54,625 --> 00:35:56,727 COULD BE AN INCREDIBLE POWERFUL 808 00:35:56,727 --> 00:36:01,799 TARGET FOR INTERVENTION, THE 809 00:36:01,799 --> 00:36:02,966 NEXT SLIDE. 810 00:36:02,966 --> 00:36:04,501 SO I WILL SKIP THIS BECAUSE I'M 811 00:36:04,501 --> 00:36:05,302 A LITTLE BIT LATE. 812 00:36:05,302 --> 00:36:09,940 GIVE ME THE NEXT 1 PLEASE. 813 00:36:09,940 --> 00:36:14,778 SO I WANT TO SUMMARIZE MY TALK 814 00:36:14,778 --> 00:36:15,713 WITH A FEW THOUGHTS. 815 00:36:15,713 --> 00:36:16,914 YOU KNOW WE ALWAYS TALK ABOUT 816 00:36:16,914 --> 00:36:20,184 WHAT WE EAT, THE EXERCISE, BUT I 817 00:36:20,184 --> 00:36:22,720 THINK THAT YOU KNOW THE 818 00:36:22,720 --> 00:36:25,189 PSYCHOLOGICAL INTERVENTION THAT 819 00:36:25,189 --> 00:36:28,125 CAN AFFECT THE HEALTH SPAN AND 820 00:36:28,125 --> 00:36:31,695 HEALTHY LIFE ARE BECOMING 821 00:36:31,695 --> 00:36:33,163 EXTREMELY IMPORTANT AND EMERGE 822 00:36:33,163 --> 00:36:33,931 IN THE LITERATURE. 823 00:36:33,931 --> 00:36:39,303 FOR EXAMPLE, IN THIS PAPER, YOU 824 00:36:39,303 --> 00:36:44,675 KNOW NICOLETTI SHOWED THAT 825 00:36:44,675 --> 00:36:45,843 INDIVIDUALS ARE LESS LIKELY TO 826 00:36:45,843 --> 00:36:49,646 DEVELOP AN IMPAIRMENT, SO THAT 827 00:36:49,646 --> 00:36:52,349 CAME TO THE BALTIMORE AGENCY FOR 828 00:36:52,349 --> 00:36:55,786 AGING AND WENT TO THE BOXES, 40 829 00:36:55,786 --> 00:36:58,789 YEARS BEFORE, FOUND THESE 830 00:36:58,789 --> 00:36:59,857 INTERVIEWS AND LOOK AT WHAT 831 00:36:59,857 --> 00:37:00,824 HAPPENED TO THESE PEOPLE AND SHE 832 00:37:00,824 --> 00:37:04,395 FOUND THAT JUST HAVING A 833 00:37:04,395 --> 00:37:06,029 POSITIVE BELIEF ABOUT THE AGING 834 00:37:06,029 --> 00:37:10,501 PROCESS AS A POSITIVE EFFECT FOR 835 00:37:10,501 --> 00:37:12,069 A LONG TIME IN THIS INDIVIDUAL. 836 00:37:12,069 --> 00:37:13,604 THE NEXT SLIDE. 837 00:37:13,604 --> 00:37:15,339 AND THEN, SHE ALSO FOUND THAT 838 00:37:15,339 --> 00:37:24,448 THOSE WITH THE POSITIVE BELIEF, 839 00:37:24,448 --> 00:37:26,383 HAD LESS TANG AND HE WILL 840 00:37:26,383 --> 00:37:28,886 AMYLOID PLAQUES, SO IT'S NOT 841 00:37:28,886 --> 00:37:30,421 JUST SOMETHING THAT SOFT 842 00:37:30,421 --> 00:37:31,455 SCIENCE, IT'S REALLY, REALLY 843 00:37:31,455 --> 00:37:32,856 SOMETHING THAT SEEMS TO BE VERY, 844 00:37:32,856 --> 00:37:35,659 VERY HARD AND VERY, VERY WELL, 845 00:37:35,659 --> 00:37:41,665 YOU KNOW DEFINED. 846 00:37:41,665 --> 00:37:42,533 THE NEXT SLIDE. 847 00:37:42,533 --> 00:37:43,801 SO ANOTHER THING WE DISCOVER IS 848 00:37:43,801 --> 00:37:46,503 THAT, WE NEED TO THINK ABOUT 849 00:37:46,503 --> 00:37:49,540 HEALTH WITH THE LIFETIME 850 00:37:49,540 --> 00:37:49,840 PERSPECTIVE. 851 00:37:49,840 --> 00:37:52,409 AND THIS TIME THE EXAMPLE SHOWS 852 00:37:52,409 --> 00:37:55,345 THAT EXPERIENCING POOR ECONOMIC 853 00:37:55,345 --> 00:37:56,880 CONDITION AT YOUTH, WHILE 854 00:37:56,880 --> 00:38:02,019 LOOKING AT SOCIALIO ECONOMIC 855 00:38:02,019 --> 00:38:04,588 STATE AS ADULT WAS ASSOCIATE 856 00:38:04,588 --> 00:38:07,791 WIDE ACCELERATED AGING AND THAT 857 00:38:07,791 --> 00:38:12,095 FADED OVER TIME BUT IT WAS VERY, 858 00:38:12,095 --> 00:38:16,500 VERY EVIDENT DURING THE GREAT 859 00:38:16,500 --> 00:38:16,967 DEPRESSION. 860 00:38:16,967 --> 00:38:18,969 NEXT SLIDE. 861 00:38:18,969 --> 00:38:23,440 OKAY, SO DURING MY LAST PHASE 862 00:38:23,440 --> 00:38:23,874 SLIDE. 863 00:38:23,874 --> 00:38:28,645 SO 1 THING THAT IS BECOMING 864 00:38:28,645 --> 00:38:29,480 EVIDENT, THERE'S AN 865 00:38:29,480 --> 00:38:31,782 AUTOMECHANISM THAT AFFECT AGING, 866 00:38:31,782 --> 00:38:36,119 SO THAT YOU KNOW FOR EXAMPLE, 867 00:38:36,119 --> 00:38:38,689 EXERCISE AND FRUIT AND VEGETABLE 868 00:38:38,689 --> 00:38:40,591 COMSUMPTION WORK BECAUSE THEY 869 00:38:40,591 --> 00:38:43,293 ARE IN FACT, VERY, VERY MILD 870 00:38:43,293 --> 00:38:44,361 STRESS AND VERY, VERY MILD 871 00:38:44,361 --> 00:38:49,466 STRESS IS GOOD FOR YOU BECAUSE 872 00:38:49,466 --> 00:38:50,133 STIMULATE AND BUILD RESILIENCEY. 873 00:38:50,133 --> 00:38:51,668 GIVE ME THE NEXT SLIDE. 874 00:38:51,668 --> 00:38:55,405 EXAMPLE, I PUT HERE STRESSOR AND 875 00:38:55,405 --> 00:38:56,773 THEN POSITIVE STRESSOR, HEALTHY 876 00:38:56,773 --> 00:38:59,443 DIET, YOU KNOW SOME PHYSICALLY 877 00:38:59,443 --> 00:39:02,880 ACTIVE, GOOD SLEEP, STIMULATING 878 00:39:02,880 --> 00:39:07,050 JOB, NORMAL FAMILY, NORMAL 879 00:39:07,050 --> 00:39:08,485 FINANCIAL STATUS, LIVING IN 880 00:39:08,485 --> 00:39:10,320 NORMAL NEIGHBORHOOD, WHAT 881 00:39:10,320 --> 00:39:12,689 HAPPENS TO THIS, THE REACTIVITY 882 00:39:12,689 --> 00:39:19,963 TEND TO INCREASE AND GET 883 00:39:19,963 --> 00:39:21,231 ACCUMULATING IN INDIVIDUALS AND 884 00:39:21,231 --> 00:39:22,699 THIS MECHANISM ARE IMPORTANT TO 885 00:39:22,699 --> 00:39:25,802 AFFECT THE CASE OF AGING, 886 00:39:25,802 --> 00:39:28,171 REDUCING THEREFORE THE RISK OF 887 00:39:28,171 --> 00:39:29,907 DISABILITY, CHRONIC DISEASE, AND 888 00:39:29,907 --> 00:39:30,374 MORTALITY. 889 00:39:30,374 --> 00:39:32,109 ON THE CONTRARY, IF YOU THINK 890 00:39:32,109 --> 00:39:35,045 ABOUT THE NEGATIVE STRESSOR IN 891 00:39:35,045 --> 00:39:37,781 THE NEXT SLIDE, THE NEGATIVE 892 00:39:37,781 --> 00:39:40,050 STRESSOR DO EXACTLY THE 893 00:39:40,050 --> 00:39:41,585 OPPOSITE, THEY CONSUME THE 894 00:39:41,585 --> 00:39:45,255 ENERGY THAT IS ACCUMULATING, AND 895 00:39:45,255 --> 00:39:48,926 IF YOU ARE USING THIS, YOU KNOW 896 00:39:48,926 --> 00:39:51,028 ENERGY THAT IS ACCUMULATING 897 00:39:51,028 --> 00:39:55,098 EARLY IN LIFE, THAT YOU DON'T 898 00:39:55,098 --> 00:39:56,500 HAVE THE ENERGY LATER IN LIFE, 899 00:39:56,500 --> 00:40:00,003 SO THERE IS AN ACCELERATED 900 00:40:00,003 --> 00:40:02,973 DECLINE OF HEALTH AND 901 00:40:02,973 --> 00:40:05,242 ACCELERATED AGING IN THE END OF 902 00:40:05,242 --> 00:40:08,278 LIFE WHICH LEAD TO LONG PERIOD 903 00:40:08,278 --> 00:40:09,446 OF DISEASE AND DISABILITY. 904 00:40:09,446 --> 00:40:11,949 SO WE NEED TO START THINKING 905 00:40:11,949 --> 00:40:16,587 ABOUT HOW WE WILL AGE AT THE AGE 906 00:40:16,587 --> 00:40:16,820 OF 1. 907 00:40:16,820 --> 00:40:18,121 YOU KNOW THE EXPERIENCE WE MAKE, 908 00:40:18,121 --> 00:40:19,990 THE CHOICE WE MAKE OVER THE 909 00:40:19,990 --> 00:40:21,558 ENTIRE LIFE SPAN ARE GOING TO 910 00:40:21,558 --> 00:40:23,293 AFFECT THE QUALITY OF OUR AGING 911 00:40:23,293 --> 00:40:28,365 AND THIS IS BECOMING VERY, VERY 912 00:40:28,365 --> 00:40:31,802 EVIDENT AS THE EPIDEMIOLOGICAL 913 00:40:31,802 --> 00:40:33,303 STUDY THAT'S SPANNED MANY, MANY 914 00:40:33,303 --> 00:40:41,545 YEARS ARE BECOMING AVAILABLE. 915 00:40:41,545 --> 00:40:44,247 NEXT SLIDE. 916 00:40:44,247 --> 00:40:48,085 SO HELPFUL KEYS TO HAVING A LONG 917 00:40:48,085 --> 00:40:49,886 LIFE, WILL BE THE HEALTH AGENDA 918 00:40:49,886 --> 00:40:57,260 OF THE 21st CENTURY, I THINK 919 00:40:57,260 --> 00:41:03,200 IF YOU CAN MAKE THE 20 YEAR, IF 920 00:41:03,200 --> 00:41:05,068 YOU ARE INCREASING LIFE BY 20 921 00:41:05,068 --> 00:41:06,803 YEAR MEANS WE'RE EXPANDING THE 922 00:41:06,803 --> 00:41:08,639 PERIOD OF LIFE CHARACTERIZED BY 923 00:41:08,639 --> 00:41:10,941 THIS ABILITY AND DISEASE, I 924 00:41:10,941 --> 00:41:13,877 DON'T THINK THIS IS RELIABLE AND 925 00:41:13,877 --> 00:41:14,244 BENEFICIAL GOAL. 926 00:41:14,244 --> 00:41:16,847 THANK YOU VERY MUCH FOR 927 00:41:16,847 --> 00:41:27,357 LISTENING TO MY PRESENTATION. 928 00:41:35,365 --> 00:41:36,933 >> THANK YOU VERY MUCH. 929 00:41:36,933 --> 00:41:47,477 SO NOW P A YEL WILL YOU CONTINUE 930 00:41:51,181 --> 00:41:51,448 PLEASE? 931 00:41:51,448 --> 00:41:52,949 I ASSUME YOU CAN SEE MY SLIDES 932 00:41:52,949 --> 00:41:55,085 AND HEAR ME ALL RIGHT? 933 00:41:55,085 --> 00:41:56,987 >> YES, PERFECT, THANK YOU. 934 00:41:56,987 --> 00:41:57,487 >> OKAY, THANK YOU. 935 00:41:57,487 --> 00:41:59,022 SO FIRST I WOULD LIKE TO THANK 936 00:41:59,022 --> 00:42:00,157 THE ORGANIZERS FOR GIVING ME 937 00:42:00,157 --> 00:42:02,259 THIS OPPORTUNITY AND I'M ALSO 938 00:42:02,259 --> 00:42:02,959 INCREDIBLY GRATEFUL THAT YOU 939 00:42:02,959 --> 00:42:06,830 KNOW I GET TO SHARE THE VIRTUAL 940 00:42:06,830 --> 00:42:10,100 STAGE WITH LUIGI, SO LUIGI, JUST 941 00:42:10,100 --> 00:42:13,303 GAVE YOU AN EPIDEMIOLOGICAL 942 00:42:13,303 --> 00:42:15,338 PERSPECTIVE OF THIS PARTICULAR 943 00:42:15,338 --> 00:42:16,773 QUESTION TODAY AND BEING AN 944 00:42:16,773 --> 00:42:17,541 EXPERIMENTAL BIOLOGIST, I'M 945 00:42:17,541 --> 00:42:22,245 GOING TO GIVE YOU SOME INSIGHT 946 00:42:22,245 --> 00:42:25,348 INTO HOW, YOU KNOW, MAYBE 947 00:42:25,348 --> 00:42:26,683 BIOLOGISTS VIEW THIS QUESTION. 948 00:42:26,683 --> 00:42:31,722 SO THIS FIRST SLIDE IS GIF THAT 949 00:42:31,722 --> 00:42:34,424 TRACES THE MEDIAN AGES ACROSS 950 00:42:34,424 --> 00:42:36,393 ALL COUNTRIES OVER A SPAN OF 951 00:42:36,393 --> 00:42:37,127 ABOUT A HUNDRED YEARS. 952 00:42:37,127 --> 00:42:39,996 AND YOU CAN SEE THE COLORS 953 00:42:39,996 --> 00:42:43,967 GETTING DARKER AS THE DECADES 954 00:42:43,967 --> 00:42:46,570 PROGRESS WHICH ESSENTIALLY MEANS 955 00:42:46,570 --> 00:42:49,206 THAT YOU KNOW, WE ARE GETTING 956 00:42:49,206 --> 00:42:51,074 INTO THE DECADES WHERE WE HAVE A 957 00:42:51,074 --> 00:42:54,678 LOT OF OLDER INDIVIDUALS AMONG 958 00:42:54,678 --> 00:42:57,748 US AND THAT IS CONCERNING, NOT 959 00:42:57,748 --> 00:42:58,682 ONLY BECAUSE YOU KNOW THERE'S 960 00:42:58,682 --> 00:43:03,320 GOING TO BE A LOT OF 961 00:43:03,320 --> 00:43:04,821 SOCIOECONOMIC PRESSURE BUT ALSO 962 00:43:04,821 --> 00:43:07,758 BECAUSE THE QUALITY OF LIFE 963 00:43:07,758 --> 00:43:09,726 HASN'T REALLY CHANGED MUCH IN 964 00:43:09,726 --> 00:43:12,295 RECENT THEORIES AND WE WILL 965 00:43:12,295 --> 00:43:15,232 CONTINUE -- IN SOME SORT OF 966 00:43:15,232 --> 00:43:15,532 DISABILITY. 967 00:43:15,532 --> 00:43:18,869 SO BEFORE I DIVE INTO THE 968 00:43:18,869 --> 00:43:20,036 LECTURE, THE AGING BIOLOGY 969 00:43:20,036 --> 00:43:21,772 LECTURE ITSELF, I WOULD LIKE TO 970 00:43:21,772 --> 00:43:25,308 RECAP JUST VERY QUICKLY, A FEW 971 00:43:25,308 --> 00:43:26,777 TIMES THAT LUIGI PROBABLY 972 00:43:26,777 --> 00:43:28,645 ALREADY INTRODUCED SO, BUT I GO 973 00:43:28,645 --> 00:43:30,280 THROUGH IT VERY QUICKLY, SO THE 974 00:43:30,280 --> 00:43:33,517 FIRST 1 IS LIFE SPAN EXPECTANCY, 975 00:43:33,517 --> 00:43:37,287 THE METRIC WE NORMALLY USE IS 976 00:43:37,287 --> 00:43:38,054 LIFE SPAN EXPECTANCY AT BIRTH 977 00:43:38,054 --> 00:43:39,890 AND YOU CAN THINK OF IT AS 978 00:43:39,890 --> 00:43:42,125 SIMPLY THE AVERAGE LIFE SPAN OF 979 00:43:42,125 --> 00:43:42,459 A POPULATION. 980 00:43:42,459 --> 00:43:45,529 IT IS VERY MUCH DEPENDENT ON 981 00:43:45,529 --> 00:43:48,532 YOUR GENETICS, WHAT YEAR YOU 982 00:43:48,532 --> 00:43:50,934 WERE BORN, WHETHER YOU'RE MALE 983 00:43:50,934 --> 00:43:52,903 OR FEMALE, SO FEMALES TEND TO 984 00:43:52,903 --> 00:43:57,340 LIVE LONGER AS LUIGI SHOWED AND 985 00:43:57,340 --> 00:43:58,141 THEN DEMOGRAPHIC FACTORS 986 00:43:58,141 --> 00:43:59,009 INCLUDING WHETHER YOU'RE LIVING 987 00:43:59,009 --> 00:44:04,681 IN A WEALTHY NATION OR NOT. 988 00:44:04,681 --> 00:44:05,816 SADLY THOUGH, EVEN THOUGH THE 989 00:44:05,816 --> 00:44:07,250 U.S. IS 1 OF THE WEALTHIEST 990 00:44:07,250 --> 00:44:13,190 NATIONS IN THE PLANET, WE WILL 991 00:44:13,190 --> 00:44:15,058 SEE THAT IN 2030 THE U.S. IS 992 00:44:15,058 --> 00:44:17,961 EXPECTED TO TRAIL BEHIND A LOT 993 00:44:17,961 --> 00:44:19,763 OF RICH NATIONS BY A LOT BECAUSE 994 00:44:19,763 --> 00:44:24,267 MAIL LIFE SPAN IS AROUND 70 AND 995 00:44:24,267 --> 00:44:25,802 FEMALE IS 83. 996 00:44:25,802 --> 00:44:27,437 BUT BEYOND LIFE SPAN EXPECTANCY 997 00:44:27,437 --> 00:44:30,707 THERE ARE A FEW KEY TERMS OF 998 00:44:30,707 --> 00:44:33,476 MOST RELEVANCE DUE THAT IDENTIFY 999 00:44:33,476 --> 00:44:34,110 PRESENTATIONS TODAY, IS MAXIMUM 1000 00:44:34,110 --> 00:44:36,680 LIFE SPAN, SO THIS IS THE 1001 00:44:36,680 --> 00:44:38,448 MAXIMUM TIME THAT A MEMBER OF A 1002 00:44:38,448 --> 00:44:40,383 POPULATION HAS BEEN OBSERVED TO 1003 00:44:40,383 --> 00:44:45,989 SURVIVE IN CASE OF A HUMAN 1004 00:44:45,989 --> 00:44:48,158 POPULATION, IT IS 122 YEARS, THE 1005 00:44:48,158 --> 00:44:56,600 FATE OF A FRENCH WOMAN, SO 1006 00:44:56,600 --> 00:44:59,336 BECAUSE SHE LIVED TO 122 YEARS, 1007 00:44:59,336 --> 00:45:01,972 KEY KIND OF GENETICALLY SAY THAT 1008 00:45:01,972 --> 00:45:04,241 MAXIMUM HUMAN LIFE SPAN IS 120 1009 00:45:04,241 --> 00:45:06,109 YEARS SO REALLY IT IS JUST FROM 1010 00:45:06,109 --> 00:45:08,178 RECORDS AND IF THOSE RECORDS ARE 1011 00:45:08,178 --> 00:45:13,984 AROUND THEN WE ARE PROBABLY OFF. 1012 00:45:13,984 --> 00:45:15,685 -- ARE WRONG, THEN WE ARE 1013 00:45:15,685 --> 00:45:16,519 PROBABLY OFF. 1014 00:45:16,519 --> 00:45:18,488 I DON'T THINK SHE DIDN'T LEAD 1015 00:45:18,488 --> 00:45:19,990 THE MOST HEALTHIEST OF 1016 00:45:19,990 --> 00:45:20,290 LIFESTYLES. 1017 00:45:20,290 --> 00:45:22,726 FROM WHAT I HEAR SHE SMOKED 1018 00:45:22,726 --> 00:45:23,927 UNTIL SHE WAS 117 YEARS OLD. 1019 00:45:23,927 --> 00:45:27,664 SHE DRANK A LOT OF WINE, SO 1020 00:45:27,664 --> 00:45:29,466 THAT'S WHY MOST PEOPLE BELIEVE 1021 00:45:29,466 --> 00:45:35,105 THAT SHE PROBABLY HAD SOME KIND 1022 00:45:35,105 --> 00:45:35,972 OF GENETIC ADVANTAGE. 1023 00:45:35,972 --> 00:45:38,575 SO SHE HAD MAYBE SOME LONGEVITY 1024 00:45:38,575 --> 00:45:39,476 VARIANTS THAT ALLOWED HER TO 1025 00:45:39,476 --> 00:45:42,312 PUSH THE LIMIT AND LIVE UP TO 1026 00:45:42,312 --> 00:45:43,813 122 YEARS. 1027 00:45:43,813 --> 00:45:45,548 SO FOR LESSER MORTALS LIKE US 1028 00:45:45,548 --> 00:45:50,854 WHO PROBABLY DON'T HAVE THAT 1029 00:45:50,854 --> 00:45:53,156 ADVANTAGE, WHAT CAN BE TO LIVE 1030 00:45:53,156 --> 00:45:55,325 BETTER LIVES AND LUIGI STRESSED 1031 00:45:55,325 --> 00:45:57,160 THIS TOWARDS THE END OF HIS 1032 00:45:57,160 --> 00:45:58,495 TALK, I THINK WHAT WE SHOULD 1033 00:45:58,495 --> 00:46:02,065 REALLY PLAN TO DO IS RATHER THAN 1034 00:46:02,065 --> 00:46:04,501 CHASE THE 120 YEAR-OLD DREAM WE 1035 00:46:04,501 --> 00:46:05,335 COULD PROBABLY EXTEND THE PERIOD 1036 00:46:05,335 --> 00:46:07,604 OF TIME THAT WE ARE HEALTHY 1037 00:46:07,604 --> 00:46:10,607 WHICH IS CALLED HEALTH SPAN. 1038 00:46:10,607 --> 00:46:12,142 SO THANKFULLY HELT SPAN IS 1039 00:46:12,142 --> 00:46:14,678 DETERMINED BY BOTH GENETICS AS 1040 00:46:14,678 --> 00:46:17,113 WELL AS ENVIRONMENTAL 1041 00:46:17,113 --> 00:46:17,681 INFLUENCES, SO EPIGENETICS. 1042 00:46:17,681 --> 00:46:21,952 YOU CAN LOOK AT IT CONVERSELY, 1043 00:46:21,952 --> 00:46:24,154 MORE BIDDITY SPAN IS A STATE OF 1044 00:46:24,154 --> 00:46:26,356 BEING UNHEALTHY OR SYMPTOMATIC 1045 00:46:26,356 --> 00:46:29,526 WITH SOME DISEASE, SO THAT IS 1046 00:46:29,526 --> 00:46:31,761 ALSO OBVIOUSLY DETERMINED BY 1047 00:46:31,761 --> 00:46:33,663 GENETICS AND EPIGENETICS, SO 1048 00:46:33,663 --> 00:46:40,704 THEREFORE GIVEN THAT THAT 120, 1049 00:46:40,704 --> 00:46:43,340 YOU'RE FEELING IS A HARD 1 TO 1050 00:46:43,340 --> 00:46:46,643 BREAK, PERHAPS WE COULD FOCUS ON 1051 00:46:46,643 --> 00:46:49,813 EXPANDING OUR HEALTH SPAN AND 1052 00:46:49,813 --> 00:46:52,482 COMPRESSING MORBIDITY TO ACHIEVE 1053 00:46:52,482 --> 00:46:53,683 OPTIMUM LONGEVITY. 1054 00:46:53,683 --> 00:46:54,784 AND LONGEVITY IS JUST DESCRIBED 1055 00:46:54,784 --> 00:46:57,954 AS THE ABILITY TO LIVE A LONG 1056 00:46:57,954 --> 00:47:00,090 LIFE BEYOND THE SPECIES SPECIFIC 1057 00:47:00,090 --> 00:47:00,323 AVERAGE. 1058 00:47:00,323 --> 00:47:01,992 SO IF YOU LIVE BEYOND 79 OR 83 1059 00:47:01,992 --> 00:47:05,061 YEARS RIGHT NOW, I THINK YOU'VE 1060 00:47:05,061 --> 00:47:12,402 ACHIEVED SOME FORM OF LONGEVITY. 1061 00:47:12,402 --> 00:47:16,439 SO AM I SO ACTIVE IN PUSHING THE 1062 00:47:16,439 --> 00:47:16,806 120 CEILING? 1063 00:47:16,806 --> 00:47:18,308 AND THAT IS REALLY BASED ON 1064 00:47:18,308 --> 00:47:19,242 RECENT DATA. 1065 00:47:19,242 --> 00:47:22,679 THIS 1 IS A LITTLE OLD, THIS IS 1066 00:47:22,679 --> 00:47:24,948 PUBLISHED IN 2016 AND IN THESE 2 1067 00:47:24,948 --> 00:47:26,483 NICE FIGURES, THEY ESSENTIALLY 1068 00:47:26,483 --> 00:47:28,752 SHOWED THAT IMPROVEMENTS IN 1069 00:47:28,752 --> 00:47:32,222 SURVIVAL WITH AGE TEND TO 1070 00:47:32,222 --> 00:47:33,857 DECLINE AFTER A HUNDRED, SO YOU 1071 00:47:33,857 --> 00:47:36,159 CAN SEE THE PRECIPITOUS DROP AND 1072 00:47:36,159 --> 00:47:38,061 IN A RELATED FIGURE RIGHT HERE, 1073 00:47:38,061 --> 00:47:40,230 THEY ESSENTIALLY SAID THAT THE 1074 00:47:40,230 --> 00:47:42,532 MAXIMUM HUMAN LIFE SPAN HAS NOT 1075 00:47:42,532 --> 00:47:49,072 REALLY CHANGED MUCH FROM THE 1076 00:47:49,072 --> 00:47:53,143 1990S AND THE WOMAN DIED IN 1997 1077 00:47:53,143 --> 00:47:56,246 FROM WHAT I SAW, SO REALLY WE 1078 00:47:56,246 --> 00:47:57,414 HAVEN'T EXTENDED BEYOND THAT 1079 00:47:57,414 --> 00:47:59,115 MAXIMUM LIFE SPAN AND THEN A 1080 00:47:59,115 --> 00:48:01,684 MORE RECENT PAPER IN THIS LUIGI 1081 00:48:01,684 --> 00:48:07,557 HIGHLIGHTED AS WELL, IT WAS 1082 00:48:07,557 --> 00:48:09,392 SHOWING BY O'SHANSKI'S GROUP IS 1083 00:48:09,392 --> 00:48:10,593 THAT IMPROVEMENTS OVER LIFE 1084 00:48:10,593 --> 00:48:11,795 EXPECTANCY HAVE IN FACT DECLINED 1085 00:48:11,795 --> 00:48:13,063 AND I THINK WHAT THIS REALLY 1086 00:48:13,063 --> 00:48:15,465 MEAN SYSTEM EITHER WE ARE 1087 00:48:15,465 --> 00:48:16,733 GETTING SICKER, OR IT COULD EVEN 1088 00:48:16,733 --> 00:48:19,335 MEAN THAT YOU KNOW WE NEED SOME 1089 00:48:19,335 --> 00:48:21,938 RADICAL OUT OF THE BOX THINKING 1090 00:48:21,938 --> 00:48:26,810 ABOUT HOW TO PUSH YOU KNOW LIFE 1091 00:48:26,810 --> 00:48:27,610 SPAN EXPECTANCY FURTHER. 1092 00:48:27,610 --> 00:48:31,281 SO BASED ON THESE 2 STUDIES, I 1093 00:48:31,281 --> 00:48:34,818 THINK CHASING THAT 120 GOAL IS 1094 00:48:34,818 --> 00:48:36,986 DIFFICULT BUT MEAN WHILE WE CAN 1095 00:48:36,986 --> 00:48:40,123 FOCUS ON HEALTH SPAN EXTENSION 1096 00:48:40,123 --> 00:48:45,228 AND MORBIDITY COMPRESSION. 1097 00:48:45,228 --> 00:48:47,530 AND AS I MENTIONED BEFORE, THOSE 1098 00:48:47,530 --> 00:48:49,966 2 ARE REALLY DEPENDENT ON 1099 00:48:49,966 --> 00:48:50,700 GENETICS AND EPIGENETICS BUT 1100 00:48:50,700 --> 00:48:54,471 THEN WHAT IS THE RELEVANT 1101 00:48:54,471 --> 00:48:55,538 CONTRIBUTION TO THOSE 2 1102 00:48:55,538 --> 00:48:56,606 PARAMETERS. 1103 00:48:56,606 --> 00:49:00,110 SO THIS WAS SHOWN, THAT THIS WAS 1104 00:49:00,110 --> 00:49:03,313 INTERROGATED IN THIS STUDY BACK 1105 00:49:03,313 --> 00:49:05,748 IN 1990S, USING TWINS, SO HERE 1106 00:49:05,748 --> 00:49:07,884 THE SCIENTISTS JUST SIMPLY 1107 00:49:07,884 --> 00:49:12,322 PLOTTED LIFE SPAN OF TWIN 1 1108 00:49:12,322 --> 00:49:13,790 VERSUS TWIN 2 AND YOU CAN 1109 00:49:13,790 --> 00:49:19,529 IMAGINE IF GENETICS WAS THE SOLE 1110 00:49:19,529 --> 00:49:21,264 DETERMINANT THIS WOULD BE A 1111 00:49:21,264 --> 00:49:21,731 DISCIPLINARY NAG LINE. 1112 00:49:21,731 --> 00:49:22,599 BUT THAT IS NOT THE CASE EMPLOY 1113 00:49:22,599 --> 00:49:25,301 IT'S A CLOUD OF DATA AND 1114 00:49:25,301 --> 00:49:27,504 EPIDEMIOLOGISTS SUCH AS LUIGI 1115 00:49:27,504 --> 00:49:29,439 CAN DETERMINE WHAT'S CALLED A 1116 00:49:29,439 --> 00:49:31,274 HERITABILITY SCORE FROM THIS 1117 00:49:31,274 --> 00:49:32,675 KIND OF DATA DISTRIBUTION AND IT 1118 00:49:32,675 --> 00:49:39,282 TURNS OUT THAT THE HERITABILITY 1119 00:49:39,282 --> 00:49:41,651 SCORE HERE WAS .25. 1120 00:49:41,651 --> 00:49:43,486 WHICH ESSENTIALLY MEANS THAT 1121 00:49:43,486 --> 00:49:46,656 GENETIC CANS ONLY EXPLAIN 25% OF 1122 00:49:46,656 --> 00:49:48,992 LIFE SPAN IN TWINS SUGGESTING 1123 00:49:48,992 --> 00:49:56,099 THAT THE OVERWHELMING 75% IS 1124 00:49:56,099 --> 00:49:56,566 PROBABLY ENVIRONMENTAL 1125 00:49:56,566 --> 00:49:56,866 INFLUENCES. 1126 00:49:56,866 --> 00:49:58,902 BUT BEYOND THAT A MORE RECENT 1127 00:49:58,902 --> 00:50:09,445 PAPER LOOKEDDA THE RELATIONSHIP 1128 00:50:10,313 --> 00:50:11,548 BETWEEN THE DEVELOPMENT OF 1129 00:50:11,548 --> 00:50:19,455 GENETICS, THAT IT CONTRIBUTES 2% 1130 00:50:19,455 --> 00:50:20,957 WHEREAS YOUR EXPOSOME, IS ABOUT 1131 00:50:20,957 --> 00:50:23,126 17% AND THIS WAS A VERY RECENT 1132 00:50:23,126 --> 00:50:26,095 PAPER WHICH LOOKED AT THE I 1133 00:50:26,095 --> 00:50:29,599 THINK 500,000 INDIVIDUALS AND 1134 00:50:29,599 --> 00:50:33,203 USING THE HUMAN MORTALITY 1135 00:50:33,203 --> 00:50:34,170 DATABASE. 1136 00:50:34,170 --> 00:50:39,409 SO GIVEN -- GIVEN THESE SORT OF 1137 00:50:39,409 --> 00:50:40,777 CONTRIBUTIONS, I THINK, YOU KNOW 1138 00:50:40,777 --> 00:50:42,312 MAYBE WE CAN GET A LOT OF 1139 00:50:42,312 --> 00:50:44,948 INSIGHTS IF WE LOOK INTO GENETIC 1140 00:50:44,948 --> 00:50:45,815 MECHANISMS WHICH IS SOMETHING 1141 00:50:45,815 --> 00:50:47,517 THAT I AM GREATLY INTERESTED IN 1142 00:50:47,517 --> 00:50:49,485 BUT THAT DOESN'T MEAN THAT WE 1143 00:50:49,485 --> 00:50:51,988 SHOULDN'T BE LOOKING AT 1144 00:50:51,988 --> 00:50:52,488 GENETICS, RIGHT? 1145 00:50:52,488 --> 00:50:58,628 AND SOME PEOPLE HAVE BEEN 1146 00:50:58,628 --> 00:51:01,064 STUDYING GENE VARIANTS FROM 1147 00:51:01,064 --> 00:51:03,566 CENTENARIANS FOR EXAMPLE, AND 1148 00:51:03,566 --> 00:51:04,734 THEY'VE BEEN PUTTING THOSE CELLS 1149 00:51:04,734 --> 00:51:07,303 IN CULTURE AND SEE IF THOSE 1150 00:51:07,303 --> 00:51:08,805 CELLS HAVE INCREASED CELLULAR 1151 00:51:08,805 --> 00:51:11,341 STRESS RESISTANCE OR MAYBE SOME 1152 00:51:11,341 --> 00:51:13,643 OTHER ADVANTAGES, SUCH AS TUMOR 1153 00:51:13,643 --> 00:51:15,945 SUPPRESS AND SUCH SO THAT IS 1 1154 00:51:15,945 --> 00:51:18,881 WAY TO LOOK AT THE FUNCTION OF 1155 00:51:18,881 --> 00:51:24,420 THESE LONGEVITY GENE VARIANTS. 1156 00:51:24,420 --> 00:51:26,422 BUT ANOTHER WAY I WOULD TALK 1157 00:51:26,422 --> 00:51:28,992 ABOUT BRIEFLY IS THE COMPARITTOR 1158 00:51:28,992 --> 00:51:30,960 BIOLOGY, SO THIS IS THIS 1159 00:51:30,960 --> 00:51:31,694 INCREDIBLE POSITIVE CORRELATION 1160 00:51:31,694 --> 00:51:33,096 BETWEEN BODY MASS AND MAXIMUM 1161 00:51:33,096 --> 00:51:34,931 LIFE SPAN. 1162 00:51:34,931 --> 00:51:37,567 SO HERE, THIS IS A DIAGRAM THAT 1163 00:51:37,567 --> 00:51:39,002 ONLY SHOWS MAMMALS BUT EVEN 1164 00:51:39,002 --> 00:51:40,503 WITHIN MAMMALS, YOU CAN SEE THAT 1165 00:51:40,503 --> 00:51:43,573 YOU KNOW, ON THIS END OF THE 1166 00:51:43,573 --> 00:51:47,043 SPECTRUM, THE LONG LIFE SPAN 1167 00:51:47,043 --> 00:51:50,246 ANIMALS ARE ALL LARGE MAMMALS 1168 00:51:50,246 --> 00:51:52,849 SUCH AS THE BULL HEAD WHALE AND 1169 00:51:52,849 --> 00:51:54,917 HUMP BACK WHALE AND SO ON, AND 1170 00:51:54,917 --> 00:51:55,885 THEN ON THIS END OF THE SHORT 1171 00:51:55,885 --> 00:51:58,154 END OF THE SPECTRUM, YOU HAVE 1172 00:51:58,154 --> 00:51:58,988 THESE RODENTS LIKE SMALL MICE 1173 00:51:58,988 --> 00:52:00,590 AND RATS AND SUCH. 1174 00:52:00,590 --> 00:52:02,892 SO IF YOU NOTICE, HUMANS ARE 1175 00:52:02,892 --> 00:52:05,995 PRETTY MUCH AT THIS END OF THE 1176 00:52:05,995 --> 00:52:07,597 SPECTRUM, EVEN THOUGH WE ARE NOT 1177 00:52:07,597 --> 00:52:10,533 REALLY THAT LARGE OF AN ANIMAL. 1178 00:52:10,533 --> 00:52:13,136 SO THAT'S WHY I THINK AS HUMANS 1179 00:52:13,136 --> 00:52:14,704 MAYBE DUE TO OUR EVOLVED BRAINS 1180 00:52:14,704 --> 00:52:16,306 OR SOMETHING, WE MAY HAVE 1181 00:52:16,306 --> 00:52:18,975 ALREADY PUSHED THE LIMITS OF THE 1182 00:52:18,975 --> 00:52:21,577 LONGEVITY TO SOME EXTENT AND 1183 00:52:21,577 --> 00:52:24,347 THAT'S WHAT I BELIEVE, SO 1184 00:52:24,347 --> 00:52:24,947 COMPARATIVE BIOLOGIST THOUGH, 1185 00:52:24,947 --> 00:52:28,518 WHAT THEY DO IS THEY STUDY 1186 00:52:28,518 --> 00:52:29,986 WITHIN A PARTICULAR AND THEY 1187 00:52:29,986 --> 00:52:33,089 LOOK AT LIFE SPAN VARIATION 1188 00:52:33,089 --> 00:52:33,990 BETWEEN SPECIES WITHIN THAT 1189 00:52:33,990 --> 00:52:35,024 GROUP. 1190 00:52:35,024 --> 00:52:39,595 SO FOR EXAMPLE, A CURIOUS CASE 1191 00:52:39,595 --> 00:52:43,499 IS OF THE ORDER RODENTS, ON 1 1192 00:52:43,499 --> 00:52:45,435 END OF THE SPECTRUM LIKE MICE 1193 00:52:45,435 --> 00:52:47,837 AND RATS THAT LIVE MAYBE 5 YEARS 1194 00:52:47,837 --> 00:52:49,439 BUT ON THE OTHER END OF THE 1195 00:52:49,439 --> 00:52:52,442 SPECTRUM YOU HAVE THESE REALLY 1196 00:52:52,442 --> 00:52:54,277 STRANGE ANIMALS, THE BLIND MOLE 1197 00:52:54,277 --> 00:52:56,279 RAT AND THE NAKED MOLE RAT THAT 1198 00:52:56,279 --> 00:52:58,815 LIVE UP TO 20 OR 30 YEARS WHICH 1199 00:52:58,815 --> 00:53:03,419 IS INCREDIBLY LONG LIFE SPANS. 1200 00:53:03,419 --> 00:53:07,457 SO WHAT DO COMPARATIVE 1201 00:53:07,457 --> 00:53:09,592 BIOLOGISTS DO, IS THEY GO INTO 1202 00:53:09,592 --> 00:53:11,561 THESE ANIMALS AND THEY TRY TO 1203 00:53:11,561 --> 00:53:15,631 FIND OUT WHAT'S DIFFERENT IN THE 1204 00:53:15,631 --> 00:53:17,800 MOLECULAR COMPOSITION AS WELL AS 1205 00:53:17,800 --> 00:53:19,502 GENETIC COMPOSITION OF THESE 1206 00:53:19,502 --> 00:53:22,605 ANIMALS VERSUS THESE ANIMALS. 1207 00:53:22,605 --> 00:53:24,173 SO WHAT THEY FOUND WAS, AND THIS 1208 00:53:24,173 --> 00:53:28,244 IS JUST 1 EXAMPLE, BOTH NAKED 1209 00:53:28,244 --> 00:53:31,748 MOLE RAT AND BLIND MOLE RATS 1210 00:53:31,748 --> 00:53:41,324 HAVE THIS LONG OR THIS HIGH 1211 00:53:41,324 --> 00:53:44,026 MOLECULAR MASS, HYALLUREONIC 1212 00:53:44,026 --> 00:53:45,428 ACID, IS HELPS YOUR SKIN, JOINTS 1213 00:53:45,428 --> 00:53:46,963 AND HELPS TO RETAIN WATER, AND 1214 00:53:46,963 --> 00:53:50,867 WHAT THEY FOUND WAS THIS 1215 00:53:50,867 --> 00:53:51,601 PARTICULAR MOLECULE PREFERS 1216 00:53:51,601 --> 00:53:53,102 STRESS RESISTANCE TO THE CELLS 1217 00:53:53,102 --> 00:53:55,938 DERIVE FRIDAY THESE 2 KINDS OF 1218 00:53:55,938 --> 00:53:58,775 RATS AND THEN IN THE CASE OF THE 1219 00:53:58,775 --> 00:54:00,510 BLIND -- SORRY, THE NAKED MOLE 1220 00:54:00,510 --> 00:54:04,914 RAT, IF YOU HAVE THIS MOLECULE, 1221 00:54:04,914 --> 00:54:06,816 IT ALSO HELPS IN EARLY CONTACT 1222 00:54:06,816 --> 00:54:08,785 INHIBITION, SO IF YOU TAKE 1223 00:54:08,785 --> 00:54:10,620 FIBROBLASTS FROM THESE RATS, PUT 1224 00:54:10,620 --> 00:54:13,790 THEM IN A DISH, YOUR SOLES DON'T 1225 00:54:13,790 --> 00:54:15,458 GROW ON TOP OF EACH OTHER, SO AS 1226 00:54:15,458 --> 00:54:18,528 SOON AS THE NEIGHBORS TOUCH EACH 1227 00:54:18,528 --> 00:54:19,629 OTHER, THEY UNDERGO 1228 00:54:19,629 --> 00:54:20,596 PROLIFERATIVE ARREST. 1229 00:54:20,596 --> 00:54:23,399 SO THEY HAVE VERY POTENT EARLY 1230 00:54:23,399 --> 00:54:24,434 CONTACT INHIBITION IS THIS CAN 1231 00:54:24,434 --> 00:54:26,869 BE PART OF AS A CANCER 1232 00:54:26,869 --> 00:54:35,278 RESISTANCE MECHANISM, SO WITH 1233 00:54:35,278 --> 00:54:36,512 IMPROVED STRESS RESISTANCE, 1234 00:54:36,512 --> 00:54:38,147 CANCER RESISTANCE, THEY CAN 1235 00:54:38,147 --> 00:54:40,349 PERHAPS EXTEND THEIR LIFE SPANS, 1236 00:54:40,349 --> 00:54:41,951 BUT BEYOND THESE EXTREME 1237 00:54:41,951 --> 00:54:43,453 LONGEVITY CREATURES, YOU KNOW 1238 00:54:43,453 --> 00:54:47,423 WE'VE LEARNED A LOT FROM OUR 1239 00:54:47,423 --> 00:54:52,929 ARGUMENTS OVER THE YEARS AND I 1240 00:54:52,929 --> 00:54:58,768 MYSELF, I STARTED MY CAREER 1241 00:54:58,768 --> 00:54:59,702 LOOKING AND STUDYING YEAST. 1242 00:54:59,702 --> 00:55:02,905 SO HERE I'M SHOWING AGING AND 1243 00:55:02,905 --> 00:55:04,941 LONGEVITY STUDIES SO YEAST AND 1244 00:55:04,941 --> 00:55:06,209 WORMS AND FLIES HAVE CONTRIBUTED 1245 00:55:06,209 --> 00:55:10,179 A LOT TO OUR UNDERSTANDING OF 1246 00:55:10,179 --> 00:55:13,716 THE NUTRIENT SIGNALING LIKE THE 1247 00:55:13,716 --> 00:55:16,752 MTORE PATHWAY OR INSULIN 1248 00:55:16,752 --> 00:55:19,188 PATHWAY, SO THEN WE STARTED 1249 00:55:19,188 --> 00:55:21,390 GETTING MORE VERTEBRATE MODELS 1250 00:55:21,390 --> 00:55:24,861 OF AGING LIKE ZEBRAFISH AND THE 1251 00:55:24,861 --> 00:55:27,296 NEW KELLY FISH MODEL, AND THIS 1252 00:55:27,296 --> 00:55:29,065 KELLY FISH ONLY LIVES 6 MONTHS 1253 00:55:29,065 --> 00:55:31,701 SO VERY EASY TO DO LIFE SPAN 1254 00:55:31,701 --> 00:55:33,436 STUDIES ON, RODENTS OBVIOUSLY 1255 00:55:33,436 --> 00:55:35,338 HAVE CONTRIBUTED A LOT, AND 1256 00:55:35,338 --> 00:55:36,672 CONTINUE TO DO SO, RECENTLY, YOU 1257 00:55:36,672 --> 00:55:40,743 MAY HAVE HEARD OF THE AGING 1258 00:55:40,743 --> 00:55:43,312 PROJECT THAT WAS AT SOME POINT 1259 00:55:43,312 --> 00:55:44,547 FUNDED BY NIH, AND YOU KNOW 1260 00:55:44,547 --> 00:55:46,749 WE'VE LEARNED A LOT FROM THAT 1261 00:55:46,749 --> 00:55:50,686 PROJECT, AND YOU MAY HAVE 1262 00:55:50,686 --> 00:55:54,957 RECENTLY HEARD OF A PARTICULAR 1263 00:55:54,957 --> 00:56:00,630 MOLECULE BEING EVALUATED BY FDA 1264 00:56:00,630 --> 00:56:03,165 FOR MOLECULES TARGETING METADOLL 1265 00:56:03,165 --> 00:56:04,367 BOLLICI AND PRIMATES ARE CLOSE 1266 00:56:04,367 --> 00:56:06,669 TO HUMANS AND IF YOU WANT TO 1267 00:56:06,669 --> 00:56:08,304 STUDY HUMANS THEMSELVES, CAN YOU 1268 00:56:08,304 --> 00:56:10,573 STUDY HUMAN CELLS AND ORGANOIDS 1269 00:56:10,573 --> 00:56:12,341 AND MAYBE EVEN DIRECTLY LOOK AT 1270 00:56:12,341 --> 00:56:13,042 TISSUE BIOPSIES. 1271 00:56:13,042 --> 00:56:17,613 SO WHAT WE HAVE WE REALLY 1272 00:56:17,613 --> 00:56:19,081 LEARNED FROM ALL THOSE MODEL 1273 00:56:19,081 --> 00:56:21,384 SYSTEMS AND ORGANISMS. 1274 00:56:21,384 --> 00:56:23,219 WE HAVE LEARNED THAT THERE ARE 1275 00:56:23,219 --> 00:56:24,520 CERTAIN MOLECULAR PATTERNS THAT 1276 00:56:24,520 --> 00:56:26,255 EMERGE DURING AGE XG THESE HAVE 1277 00:56:26,255 --> 00:56:31,761 BEEN ORGANIZED INTO WHAT'S CALLS 1278 00:56:31,761 --> 00:56:32,862 FOR SPECULATIONED THE HALLMARKS 1279 00:56:32,862 --> 00:56:34,430 OF AGING AND THERE ARE 12 OF 1280 00:56:34,430 --> 00:56:36,966 THEM AND THEY ARE CATEGORIZED 1281 00:56:36,966 --> 00:56:38,167 INTO THESE 3 GROUPS. 1282 00:56:38,167 --> 00:56:39,602 IN BLUE ARE THE PRIMARY 1283 00:56:39,602 --> 00:56:42,405 HALLMARKS WHICH ARE THE MOST 1284 00:56:42,405 --> 00:56:50,713 UPSTREAM, MAYBE HER HAPPENS EVEN 1285 00:56:50,713 --> 00:56:52,381 CAUSAL CHANGES THAT OCCUR, MORE 1286 00:56:52,381 --> 00:56:54,150 CELLULAR RESPONSE TO THE PRIMARY 1287 00:56:54,150 --> 00:56:55,484 CHANGES AND FINALLY INTEGRATIVE 1288 00:56:55,484 --> 00:57:00,756 HALLMARK IS MORE OF A SYSTEMIC 1289 00:57:00,756 --> 00:57:02,725 RESPONSE TO THE PRIMARY AND 1290 00:57:02,725 --> 00:57:03,759 ANTAGONISTIC CHANGES. 1291 00:57:03,759 --> 00:57:05,294 NOW EVEN THOUGH THESE DIFFERENT 1292 00:57:05,294 --> 00:57:07,697 HALLMARKS IN THIS PICTURE LOOK 1293 00:57:07,697 --> 00:57:09,165 VERY DISCONNECTED FROM EACH 1294 00:57:09,165 --> 00:57:10,800 OTHER, THE TRUTH IS THEY ARE 1295 00:57:10,800 --> 00:57:12,768 VERY MUCH CONNECTED SO FOR 1296 00:57:12,768 --> 00:57:16,072 EXAMPLE, GENOMIC INSTABILITY CAN 1297 00:57:16,072 --> 00:57:18,841 AUSCELLULAR SENESCENCE RESPONSE, 1298 00:57:18,841 --> 00:57:19,875 AND THEN SENESCENT CELLS AND I 1299 00:57:19,875 --> 00:57:21,877 WILL TALK ABOUT THIS A LOT MORE, 1300 00:57:21,877 --> 00:57:24,914 THEY RELEASE A WHOLE LOT OF PRO 1301 00:57:24,914 --> 00:57:28,050 INFLAMMATORY CYTOKINES AND THAT 1302 00:57:28,050 --> 00:57:31,487 CAN CAUSE, YOU KNOW, CHRONIC 1303 00:57:31,487 --> 00:57:32,989 INFLAMMATION SYSTEMICALLY. 1304 00:57:32,989 --> 00:57:34,190 SIMILARLY ALL OTHER HALLMARKS 1305 00:57:34,190 --> 00:57:35,458 ARE IN SOME WAY CONNECTED TO 1306 00:57:35,458 --> 00:57:37,193 EACH OTHER FORM THANKSGIVING 1307 00:57:37,193 --> 00:57:39,028 REALLY COMPLEX NETWORK, WHICH I 1308 00:57:39,028 --> 00:57:41,397 THINK IS BOTH GOOD AND BAD. 1309 00:57:41,397 --> 00:57:45,034 IT IS BAD BECAUSE IT IS 1310 00:57:45,034 --> 00:57:46,736 IMPOSSIBLE ALMOST, TO DETERMINE 1311 00:57:46,736 --> 00:57:47,136 CAUSALITY. 1312 00:57:47,136 --> 00:57:49,572 YOU DON'T KNOW WHAT HAPPENS 1313 00:57:49,572 --> 00:57:50,606 FIRST, WHAT HAPPENS SECOND, BUT 1314 00:57:50,606 --> 00:57:54,644 IT IS GOOD BECAUSE IN CASE YOU 1315 00:57:54,644 --> 00:57:56,045 SOMEHOW DISCOVER AN INTERVENTION 1316 00:57:56,045 --> 00:57:57,446 THAT MOVES 1 OF THESE HIGH 1317 00:57:57,446 --> 00:57:59,081 MARKS, IT WILL LIKELY MOVE THE 1318 00:57:59,081 --> 00:58:03,285 OTHER HALLMARKS AS WELL IN THE 1319 00:58:03,285 --> 00:58:06,889 BENEFICIAL DIRECTION, SO WHICH 1320 00:58:06,889 --> 00:58:08,858 MEANS ESSENTIALLY THAT AGING 1321 00:58:08,858 --> 00:58:10,559 PERHAP SYSTEM TARGETABLE. 1322 00:58:10,559 --> 00:58:12,628 SO BECAUSE, YOU KNOW, WE DON'T 1323 00:58:12,628 --> 00:58:14,730 HAVE AS MUCH TIME TODAY, I WILL 1324 00:58:14,730 --> 00:58:16,799 QUICKLY, YOU KNOW DELVE A LITTLE 1325 00:58:16,799 --> 00:58:19,001 BIT DEEPER INTO 3 OF THESE 1326 00:58:19,001 --> 00:58:22,505 HALLMARKS, THE FIRST 1 WOULD BE 1327 00:58:22,505 --> 00:58:23,806 A PRIMARY 1, EPIGENETIC 1328 00:58:23,806 --> 00:58:27,309 ALTERATIONS AND THEN CELLULAR 1329 00:58:27,309 --> 00:58:29,045 SENESCENCE FROM THE CATEGORY AND 1330 00:58:29,045 --> 00:58:31,280 THEN CHRONIC INFLAMMATION FROM 1331 00:58:31,280 --> 00:58:33,315 THE INTEGRATIVE PATHWAY. 1332 00:58:33,315 --> 00:58:34,984 SO FIRST EPIGENETIC ALTERATIONS 1333 00:58:34,984 --> 00:58:37,753 AND AS I MENTIONED, THIS IS WHAT 1334 00:58:37,753 --> 00:58:40,189 I STUDY IN MY OWN LAB, SO WHEN I 1335 00:58:40,189 --> 00:58:45,861 WAS A POST DOC, WE YOU KNOW RAN 1336 00:58:45,861 --> 00:58:46,696 THIS REVIEW, ALMOST 10 YEARS 1337 00:58:46,696 --> 00:58:48,898 AGO, BUT WHAT WE DID WAS WE 1338 00:58:48,898 --> 00:58:50,833 COMBINED INFORMATION FROM 1339 00:58:50,833 --> 00:58:52,234 LITERATURE ACROSS MODEL 1340 00:58:52,234 --> 00:58:55,504 ORGANISMS TO BRING OUT CERTAIN 1341 00:58:55,504 --> 00:58:57,873 THEMEATIC CHANGES THAT ARE KNOWN 1342 00:58:57,873 --> 00:59:00,176 TO HAPPEN TO OUR EPIGENOME. 1343 00:59:00,176 --> 00:59:03,045 AND WHEN I TALK ABOUT EPIGENETIC 1344 00:59:03,045 --> 00:59:05,681 ALTERATIONS, I MEAN CHANGES IN 1345 00:59:05,681 --> 00:59:08,751 OUR NUCLEUS, IN THE CHROMATIN 1346 00:59:08,751 --> 00:59:13,189 COMPLEX, MADE UP OF HISTONE, SO 1347 00:59:13,189 --> 00:59:15,157 1 THING THAT HAPPENS WITH AGE IS 1348 00:59:15,157 --> 00:59:16,892 LOSS OF HISTONES AND THIS AS YOU 1349 00:59:16,892 --> 00:59:20,696 CAN IMAGINE OPENS UP OUR GENOME 1350 00:59:20,696 --> 00:59:23,833 AND FIRST DISCOVERED IN YEAST. 1351 00:59:23,833 --> 00:59:24,667 NEXT. 1352 00:59:24,667 --> 00:59:26,802 WE MAY HAVE IMBALANCE OF HISTONE 1353 00:59:26,802 --> 00:59:28,537 MODIFICATION, SO THERE ARE 1354 00:59:28,537 --> 00:59:29,805 CERTAIN MODIFICATIONS ON 1355 00:59:29,805 --> 00:59:32,875 HISTONES WHICH ARE ACTIVATING, 1356 00:59:32,875 --> 00:59:34,276 SOME ARE REPRESSIVE, IN VIEW, 1357 00:59:34,276 --> 00:59:36,679 THERE IS A BALANCE BETWEEN THE 1358 00:59:36,679 --> 00:59:38,581 2, BUT AS WE. 1359 00:59:38,581 --> 00:59:39,315 Q.OLDER THERE IS THIS 1360 00:59:39,315 --> 00:59:40,149 BALANCE AND THERE ARE 1361 00:59:40,149 --> 00:59:44,920 MANY STUDIES ON THIS: 1362 00:59:44,920 --> 00:59:46,055 PERHAPS THE BEST STUDY AND MAYBE 1363 00:59:46,055 --> 00:59:49,058 MOST OF YOU HAVE HEARD ABOUT 1364 00:59:49,058 --> 00:59:50,693 EPIGENETIC CLOCKS WHICH ARE 1365 00:59:50,693 --> 00:59:52,995 BASED ON DNA METHYLATION READ 1366 00:59:52,995 --> 00:59:54,463 OUTS ESSENTIALLY AND I WILL TALK 1367 00:59:54,463 --> 00:59:57,366 ABOUT THIS A BIT MORE AS WELL, 1368 00:59:57,366 --> 00:59:59,034 THEN WE HAVE CHROMATIN 1369 00:59:59,034 --> 01:00:01,771 REMODELING, NOT MUCH IS KNOWN 1370 01:00:01,771 --> 01:00:03,839 ABOUT IT BUT THESE ARE PROCESSES 1371 01:00:03,839 --> 01:00:05,474 AND IT DECLINES WITH AGE, WE 1372 01:00:05,474 --> 01:00:08,277 ALSO HAVE FOCAL AND 1373 01:00:08,277 --> 01:00:09,011 HETEROCHROMATIN FORMATION, 1374 01:00:09,011 --> 01:00:10,279 ESSENTIALLY THIS MEANS THERE ARE 1375 01:00:10,279 --> 01:00:13,149 ALTERATIONS IN THE 3D GENOME 1376 01:00:13,149 --> 01:00:15,351 THAT IS HOW THE GENOME FOLDS 1377 01:00:15,351 --> 01:00:17,987 WITHIN OUR NUCLEUS, AND ALL OF 1378 01:00:17,987 --> 01:00:19,088 THESE DIFFERENT EPIGENETIC 1379 01:00:19,088 --> 01:00:21,390 CHANGES ARE ACTUALLY TRIGGERED 1380 01:00:21,390 --> 01:00:22,725 BY 1 UPSTREAM PROCESS WHICH IS 1381 01:00:22,725 --> 01:00:25,361 THE BREAK DOWN OF THE NUCLEAR 1382 01:00:25,361 --> 01:00:30,432 LAMINA, SO YOU CAN THINK OF THE 1383 01:00:30,432 --> 01:00:33,135 LAMINA AS THIS NETWORK OF 1384 01:00:33,135 --> 01:00:35,838 PROTEINS ON THE PERIPHERY OF THE 1385 01:00:35,838 --> 01:00:37,606 NUCLEUS AND OUR GENOME ATTACHES, 1386 01:00:37,606 --> 01:00:39,375 CERTAIN PARTS OF OUR GENOME 1387 01:00:39,375 --> 01:00:43,679 ATTACHES TO THE NUCLEAR LAMINA, 1388 01:00:43,679 --> 01:00:44,713 AND THEY ATTACH BECAUSE THEY 1389 01:00:44,713 --> 01:00:46,816 WANT TO BE KEPT REPRESSED OR 1390 01:00:46,816 --> 01:00:49,819 CONDENSES AND YOU CAN IMAGINE IF 1391 01:00:49,819 --> 01:00:52,655 THE LAMINA BREAKS DOWN, THOSE 1392 01:00:52,655 --> 01:00:59,261 GENOMIC REGIONS CAN DETACH THEY 1393 01:00:59,261 --> 01:01:00,529 CAN BECOME DEPRESSED AND 1394 01:01:00,529 --> 01:01:02,298 ATTACHED TO CELLS AND ALL OF 1395 01:01:02,298 --> 01:01:04,266 THESE TOGETHER HAVE 1396 01:01:04,266 --> 01:01:05,968 TRANSCRIPTIONAL OUTCOMES THAT I 1397 01:01:05,968 --> 01:01:06,468 WILL DISCUSS. 1398 01:01:06,468 --> 01:01:09,438 SO, I THINK IF YOU WERE TO 1399 01:01:09,438 --> 01:01:13,843 SYNERGIZE ALL OF THESE 1400 01:01:13,843 --> 01:01:15,811 EPIGENETIC OLTERATIONS AND 1401 01:01:15,811 --> 01:01:18,113 PROPOSE 1 FUNDAMENTAL MODEL OF 1402 01:01:18,113 --> 01:01:19,715 EPIGENETIC OPERATIONS AND AGING, 1403 01:01:19,715 --> 01:01:21,917 I THINK THE MOST VIABLE 1 WOULD 1404 01:01:21,917 --> 01:01:25,421 BE THE LOSS OF HETEROCHROMATIN 1405 01:01:25,421 --> 01:01:25,754 MODEL IMAGING. 1406 01:01:25,754 --> 01:01:27,156 SO WHAT DO I MEAN BY THAT? 1407 01:01:27,156 --> 01:01:29,024 SO AS I TOLD YOU CERTAIN REGIONS 1408 01:01:29,024 --> 01:01:33,028 OF THE GENOME ARE CONSTITTATIVE 1409 01:01:33,028 --> 01:01:34,096 HETEROCHROMATIN AND BOUND TO THE 1410 01:01:34,096 --> 01:01:37,266 LAMINA, AND I JUST CALLED THEM 1411 01:01:37,266 --> 01:01:38,334 HETEROCHROMATIN FOR SIMPLICITY. 1412 01:01:38,334 --> 01:01:39,835 AND OTHER REGIONS OF OUR GENOME 1413 01:01:39,835 --> 01:01:42,471 WHICH ARE AWAY FROM THE NUCLEAR 1414 01:01:42,471 --> 01:01:46,342 LAMINA, AND ARE MOSTLY OPEN NOW 1415 01:01:46,342 --> 01:01:48,277 IN YOUTH, THERE'S A PERFECT 1416 01:01:48,277 --> 01:01:49,378 BALANCE BETWEEN THE 2, BUT WITH 1417 01:01:49,378 --> 01:01:52,915 AGE, WHAT HAPPENS IS THAT THE 1418 01:01:52,915 --> 01:01:55,951 HETEROCHROMATIN OPENS UP WHEREAS 1419 01:01:55,951 --> 01:01:57,786 IN THE U-CHROMATIN YOU CAN GET 1420 01:01:57,786 --> 01:01:59,788 OTHER CHANGES WHICH INCLUDES 1421 01:01:59,788 --> 01:02:01,957 SOME REGIONS OPENING AND SOME 1422 01:02:01,957 --> 01:02:02,391 CLOSING. 1423 01:02:02,391 --> 01:02:05,027 BUT THE MOST DELETEEROUS EFFECT 1424 01:02:05,027 --> 01:02:06,595 IS REALLY FROM THE 1425 01:02:06,595 --> 01:02:07,329 HETEROCHROMATIN OPENING AND WHY 1426 01:02:07,329 --> 01:02:09,365 IS THAT BECAUSE THE 1427 01:02:09,365 --> 01:02:11,800 HETEROCHROMATIN, THE 1428 01:02:11,800 --> 01:02:13,602 CONSTITTATIVE HETEROCHROMATIN 1429 01:02:13,602 --> 01:02:17,139 THEY HAVE CERTAIN VIRAL ELEMENTS 1430 01:02:17,139 --> 01:02:18,874 AND SO THIS IS A LONG TIME AGO 1431 01:02:18,874 --> 01:02:22,745 AND THESE ARE CALLED 1432 01:02:22,745 --> 01:02:23,512 RETROTRANSPOSON ELEMENTS AND 1433 01:02:23,512 --> 01:02:25,748 THESE NEED TO BE KEPT TO 1434 01:02:25,748 --> 01:02:26,348 REPRESSED AND SILENT. 1435 01:02:26,348 --> 01:02:28,017 SO IF THESE REGIONS NOW START 1436 01:02:28,017 --> 01:02:32,187 OPENING UP, YOU CAN IMAGINE THE 1437 01:02:32,187 --> 01:02:34,623 CONSEQUENCES, SO IN HIGHLIGHT 1 1438 01:02:34,623 --> 01:02:36,191 PAPER THAT STUDIED PRECISELY 1439 01:02:36,191 --> 01:02:39,728 THIS IS THIS WAS FROM JOHN'S 1440 01:02:39,728 --> 01:02:41,230 GROUP, PUBLISHED IN TWEBT 19 AND 1441 01:02:41,230 --> 01:02:42,631 THEY FOUND, THEY BASICALLY 1442 01:02:42,631 --> 01:02:45,034 LOOKED AT THIS 1 TYPE OF 1443 01:02:45,034 --> 01:02:51,140 TRANSPOSE ON, CALLED L1 OR 9-1, 1444 01:02:51,140 --> 01:02:53,108 RNA EXPRESSION WENT UP IN 1445 01:02:53,108 --> 01:02:54,476 SENESCENT CELL WHICH IS IS IN 1446 01:02:54,476 --> 01:02:57,980 GRAY HERE, THE YELLOW IS 1447 01:02:57,980 --> 01:02:59,381 PROLIFERATING CELLS OR LEAD 1448 01:02:59,381 --> 01:03:03,652 PASSAGE CELLS AND THE EXPRESSION 1449 01:03:03,652 --> 01:03:05,921 OF LINE 1 RESULT INDEED 1450 01:03:05,921 --> 01:03:09,591 EXPRESSION OF INTERFERON PATHWAY 1451 01:03:09,591 --> 01:03:14,763 GENES AND THIS WAS A LATE 1452 01:03:14,763 --> 01:03:15,497 SENESCENCE EVENT. 1453 01:03:15,497 --> 01:03:16,365 THROUGH OTHER EXPERIMENTS WE 1454 01:03:16,365 --> 01:03:18,267 DETERMINED WHICH WAS NOT REALLY 1455 01:03:18,267 --> 01:03:19,635 THE MRNA, ALTHOUGH THAT MAY 1456 01:03:19,635 --> 01:03:23,072 STILL CONTRIBUTE, IT WAS MOSTLY 1457 01:03:23,072 --> 01:03:27,009 THE L1 CDNA THAT CONTRIBUTED TO 1458 01:03:27,009 --> 01:03:27,943 THIS PROINFLAMMATORY INTERFERON 1459 01:03:27,943 --> 01:03:28,210 RESPONSE. 1460 01:03:28,210 --> 01:03:30,212 SO THEY DETERMINED IF YOU 1461 01:03:30,212 --> 01:03:33,082 SOMEHOW CAN TARGET THE REVERSE 1462 01:03:33,082 --> 01:03:34,016 TRANSCRIPT ACE THAT WAS 1463 01:03:34,016 --> 01:03:36,118 CONVERTING IT THROUGH THE CDNA, 1464 01:03:36,118 --> 01:03:40,923 CAN YOU PERHAPS MITIGATE SOME OF 1465 01:03:40,923 --> 01:03:41,790 THESE CHANGES. 1466 01:03:41,790 --> 01:03:42,992 SO HERE, THAT'S EXACTLY WHAT 1467 01:03:42,992 --> 01:03:45,828 THEY DID AND THEY DID IT IN 1468 01:03:45,828 --> 01:03:47,930 MICE, WHICH IS PUBLISHED IN A 1469 01:03:47,930 --> 01:03:51,967 HIGH IMPACT JOURNAL, SO, IN OLD 1470 01:03:51,967 --> 01:03:54,903 MICE, THEY SHOWED THE EXPRESSION 1471 01:03:54,903 --> 01:04:01,076 OF THESE ELEMENTS AND LOOKING AT 1472 01:04:01,076 --> 01:04:02,845 THE PROTEIN, AND IN THIS FIGURE, 1473 01:04:02,845 --> 01:04:04,913 THEY SHOWED IF YOU TREAT THE 1474 01:04:04,913 --> 01:04:06,315 ANIMALS WITH THE REVERSE 1475 01:04:06,315 --> 01:04:09,551 TRANSCRIPT ACE, YOU CAN GET 1476 01:04:09,551 --> 01:04:11,754 SIGNATURES 95 REDUCTIONS OF 1477 01:04:11,754 --> 01:04:14,490 SEVERAL MARKERS OF SENESCENCE 1478 01:04:14,490 --> 01:04:17,559 AND AGING PRIMARILY P16, P16 IS 1479 01:04:17,559 --> 01:04:21,930 A VERY WELL KNOWN MARKER AND 1480 01:04:21,930 --> 01:04:24,099 INTERFERON A AS WELL AS 1481 01:04:24,099 --> 01:04:25,234 INTERLEUKIN 6. 1482 01:04:25,234 --> 01:04:28,404 SO I THINK IT IS ALSO IMPORTANT 1483 01:04:28,404 --> 01:04:29,938 TO TALK ABOUT DNA METHYLATION 1484 01:04:29,938 --> 01:04:34,043 WHEN WE TALK ABOUT EPIGENETIC 1485 01:04:34,043 --> 01:04:35,744 ALTERATIONS. 1486 01:04:35,744 --> 01:04:40,215 THIS WAS PIONEERED BY STEVE 1487 01:04:40,215 --> 01:04:41,617 HARBACK PRIMARILY BUT ALSO MANY 1488 01:04:41,617 --> 01:04:44,353 OTHER PEOPLE, SO ESSENTIALLY 1489 01:04:44,353 --> 01:04:47,756 WHAT HE NOTICED WAS DNA 1490 01:04:47,756 --> 01:04:50,459 METHYLATION AT CERTAIN CPGs 1491 01:04:50,459 --> 01:04:52,628 WERE REALLY WELL CORRELATED TO 1492 01:04:52,628 --> 01:04:57,132 CHRONOLOGICAL AGE AND THEN HE 1493 01:04:57,132 --> 01:04:58,967 SORT OF MODELED VARIOUS CPGs 1494 01:04:58,967 --> 01:05:00,803 AND MADE A CLOCK OUT OF IT SUCH 1495 01:05:00,803 --> 01:05:05,441 THAT YOU COULD THEN TAKE A 1496 01:05:05,441 --> 01:05:06,975 SUBSET OF THOSE CPGs AND USE 1497 01:05:06,975 --> 01:05:15,784 IT TO ESTIMATE AGE IN OTHER 1498 01:05:15,784 --> 01:05:16,919 PEOPLE. 1499 01:05:16,919 --> 01:05:19,188 I THINK LUIGI KNOWS MORE ABOUT 1500 01:05:19,188 --> 01:05:22,825 PLOTS THAN I DO BUT VERY 1501 01:05:22,825 --> 01:05:25,894 RECENTLY AGAIN, STEVE HARVATH'S 1502 01:05:25,894 --> 01:05:28,330 GROUP DEVELOPED A MAMMALIAN 1503 01:05:28,330 --> 01:05:31,166 PLOT, SO THESE ARE LESS THAN A 1504 01:05:31,166 --> 01:05:32,234 THOUSAND CPGs BUT THIS PLOT 1505 01:05:32,234 --> 01:05:35,904 YOU CAN USE IT ACROSS MANY, MANY 1506 01:05:35,904 --> 01:05:36,839 DIFFERENT MAMMALIAN SPECIES, BUT 1507 01:05:36,839 --> 01:05:41,143 TO ME WHAT WAS MOST, AND THE 1508 01:05:41,143 --> 01:05:44,680 VERY FACT YOU CAN DEVELOP THESE 1509 01:05:44,680 --> 01:05:46,982 CLOCKS SUGGEST THAT THERE'S 1510 01:05:46,982 --> 01:05:49,551 PERHAPS A PSEUDOAGING PROGRAM 1511 01:05:49,551 --> 01:05:51,920 THAT IS PRESENT IN ALL MAMMALS 1512 01:05:51,920 --> 01:05:58,494 AND PERHAPS THAT'S WHAT WE NEED 1513 01:05:58,494 --> 01:05:59,061 TO TAP INTO. 1514 01:05:59,061 --> 01:06:03,565 SO THEN WE MOVE TO SENESCENCE, 1515 01:06:03,565 --> 01:06:07,002 SO SENESCENCE IS A STATE OF CELL 1516 01:06:07,002 --> 01:06:07,603 CYCLE ARREST. 1517 01:06:07,603 --> 01:06:10,439 SENESCENT CELLS HAVE A LOT OF 1518 01:06:10,439 --> 01:06:14,009 LYSOSOMES AND YOU CAN ADD SOME 1519 01:06:14,009 --> 01:06:17,813 CHROMOGENIC SUBSTRATE AND THESE 1520 01:06:17,813 --> 01:06:26,555 LYSOSOMES, THEY HAVE AN END ZYME 1521 01:06:26,555 --> 01:06:29,491 CALLED SENESCENCE WITH THE SO 1522 01:06:29,491 --> 01:06:32,161 THIS WAS THE TRADITIONAL RATE, 1523 01:06:32,161 --> 01:06:35,764 SENESCENT CELLS FOR SORT OF 1524 01:06:35,764 --> 01:06:36,698 FIRST ASSAYED BUT SINCE THEN 1525 01:06:36,698 --> 01:06:39,434 WE'VE COME TO KNOW A LOT MORE 1526 01:06:39,434 --> 01:06:40,569 ABOUT SENESCENT, IT'S NOT JUST 1527 01:06:40,569 --> 01:06:42,671 THE LIES STUDIES OF MULTIPLE 1528 01:06:42,671 --> 01:06:44,139 ENDOCRINAL CONTENT, BUT THERE 1529 01:06:44,139 --> 01:06:47,476 ARE MANY, MANY RPGHT FEATURES, 1530 01:06:47,476 --> 01:06:48,744 BUT PERHAPS 2 VERY IMPORTANT 1531 01:06:48,744 --> 01:06:52,181 FEATURES ARE THE RESISTANCE TO 1532 01:06:52,181 --> 01:06:54,016 APOP TOAZIS AND SENESCENT CELLS 1533 01:06:54,016 --> 01:06:59,421 DON'T DIE VERY EASILY, AND THEN 1534 01:06:59,421 --> 01:07:06,128 THE RELEASE OF A LOT OF 1535 01:07:06,128 --> 01:07:06,728 PROINFLAMMATORY PHENOTYPE. 1536 01:07:06,728 --> 01:07:17,239 BY TAPPING OR TARGETING THIS, 1537 01:07:17,973 --> 01:07:20,309 PEOPLE HAVE TARGETED CERTAIN 1538 01:07:20,309 --> 01:07:26,148 TYPES OF DRUGS FOR THERAPEUTICS 1539 01:07:26,148 --> 01:07:29,952 FOR EXAMPLE, 2 CLASS OF DRUGS, 1540 01:07:29,952 --> 01:07:38,527 CENOMORPH ICS AND THEY TARGET D 1541 01:07:38,527 --> 01:07:39,795 PREVENT THE FORMATION OF THESE. 1542 01:07:39,795 --> 01:07:44,433 SO NOW, THE QUESTION IS, YOU 1543 01:07:44,433 --> 01:07:46,735 KNOW IS CELLULAR SENESCENCE EVEN 1544 01:07:46,735 --> 01:07:47,436 RELEVANT IN PEOPLE. 1545 01:07:47,436 --> 01:07:52,140 SO I THINK THESE 2 PAPERS BY 1546 01:07:52,140 --> 01:07:54,409 DARREN'S GROUP BACK IN 2011 WHEN 1547 01:07:54,409 --> 01:07:57,613 HE FIRST POINTED OUT IT'S REALLY 1548 01:07:57,613 --> 01:07:59,147 A CRUCIAL ROLE IN VIVO, AND WHAT 1549 01:07:59,147 --> 01:08:04,886 THEY DID WAS, THIS IS A CLEVER 1550 01:08:04,886 --> 01:08:06,955 PHARMA CO GENETIC APPROACH AND I 1551 01:08:06,955 --> 01:08:08,790 WON'T GO THROUGH THIS TOO MUCH 1552 01:08:08,790 --> 01:08:12,327 BUT ESSENTIALLY JUST BY ADDING 1553 01:08:12,327 --> 01:08:17,633 THIS MOLECULE, YOU CAN INVOKE 1554 01:08:17,633 --> 01:08:19,701 APOPTOSIS IN THE CELLS, AND WHY 1555 01:08:19,701 --> 01:08:21,003 THE CELLS BECAUSE THIS CONCEPT 1556 01:08:21,003 --> 01:08:23,405 HERE IS DRIVEN BY THE P16 1557 01:08:23,405 --> 01:08:26,008 PROMOTER WHICH IS EXPRESSED IN 1558 01:08:26,008 --> 01:08:31,513 SENESCENCE AND WE CAN TALK ABOUT 1559 01:08:31,513 --> 01:08:35,250 WYOMING THEY MAY NOT BE 1560 01:08:35,250 --> 01:08:35,717 COMPLETELY TRUE. 1561 01:08:35,717 --> 01:08:39,288 ANYWAY, THIS IS A MECHANISM AND 1562 01:08:39,288 --> 01:08:43,125 IT IS IN A NATURAL AGING MODEL, 1563 01:08:43,125 --> 01:08:47,062 ADDITIONAL THE MOLECULE LOWERED 1564 01:08:47,062 --> 01:08:48,897 SEN ILLEGALSEN CESSENTS CAN 1565 01:08:48,897 --> 01:08:50,499 IMPROVE LIFE SPAN AS WELL AS 1566 01:08:50,499 --> 01:08:50,866 HEALTH SPAN. 1567 01:08:50,866 --> 01:08:55,570 SINCE THEN A LOT OF EFFORT HAS 1568 01:08:55,570 --> 01:08:58,373 BEEN DEDICATED TO FINDING THE 1569 01:08:58,373 --> 01:08:59,641 RIGHT SENESCENCE MARKERS ACROSS 1570 01:08:59,641 --> 01:09:01,143 DIFFERENT TISSUES BUT THAT HAS 1571 01:09:01,143 --> 01:09:04,980 PROVED TO BE QUITE DIFFICULT 1572 01:09:04,980 --> 01:09:06,948 BECAUSE SENESCENT MARKERS IN 1573 01:09:06,948 --> 01:09:08,984 PEOPLE ARE HIGHLY HETEROGENEOUS 1574 01:09:08,984 --> 01:09:13,355 AND IT GAVE BIRTH TO THE SENNET 1575 01:09:13,355 --> 01:09:15,357 CONSORTIUM FROM NIH THAT FIND 1576 01:09:15,357 --> 01:09:17,726 THIS IS PARTICULAR EFFORT IN 1577 01:09:17,726 --> 01:09:19,328 FINDING THE RIGHT SENESCENCE 1578 01:09:19,328 --> 01:09:29,838 MARKERS FOR DIFFERENT TISSUES. 1579 01:09:32,741 --> 01:09:34,376 FINALLY, AND WITH INFORMATION, 1580 01:09:34,376 --> 01:09:36,011 AGE IS A HALLMARK AND IT IS AT 1581 01:09:36,011 --> 01:09:37,746 THE CELLULAR LEVEL OR TISSUE OR 1582 01:09:37,746 --> 01:09:39,915 ORGAN LEVEL OR EVEN AT THE 1583 01:09:39,915 --> 01:09:41,016 SYSTEMIC LEVEL, 1 PAPER I WANT 1584 01:09:41,016 --> 01:09:49,157 TO HIGHLIGHT HERE IS FROM MATT 1585 01:09:49,157 --> 01:09:51,793 IN 2021 WHERE THE MAIN 1586 01:09:51,793 --> 01:09:53,328 TRANSGENIC MODEL MOUSE, IT'S NOT 1587 01:09:53,328 --> 01:09:57,032 A NATURAL AGING MODEL BUT THEY 1588 01:09:57,032 --> 01:09:59,668 WERE ABLE TO USE THIS MOUSE TO 1589 01:09:59,668 --> 01:10:00,736 SPECIFICALLY AGE THE IMMUNE 1590 01:10:00,736 --> 01:10:03,238 SYSTEM, AND THEN WE FOUND IF YOU 1591 01:10:03,238 --> 01:10:05,540 WILL SIMPLY HAVE AN AGED IMMUNE 1592 01:10:05,540 --> 01:10:07,509 SYSTEM, YOU CAN ACTUALLY AGE 1593 01:10:07,509 --> 01:10:09,544 YOUR OTHER ORGANS WHICH IS SHOWN 1594 01:10:09,544 --> 01:10:17,386 RIGHT HERE, MANY ORGANS AND DOWN 1595 01:10:17,386 --> 01:10:20,355 BELOW HERE, LIVER STAIN, AND 1596 01:10:20,355 --> 01:10:23,091 SENESCENT CELL MARKER AND AGED 1597 01:10:23,091 --> 01:10:25,127 CELL MARKER, AND IT IS HIGH NOT 1598 01:10:25,127 --> 01:10:28,063 ONLY IN OLD MICE BUT ALSO IN 1599 01:10:28,063 --> 01:10:31,066 OTHER MICE WITH AN AGED IMMUNE 1600 01:10:31,066 --> 01:10:31,299 SYSTEM. 1601 01:10:31,299 --> 01:10:34,236 AND ANOTHER EXAMPLE IS OF 1602 01:10:34,236 --> 01:10:36,538 COURSE, INCAS RELATED DISEASE 1603 01:10:36,538 --> 01:10:37,606 ALZHEIMERS, THIS IS MENTIONED 1604 01:10:37,606 --> 01:10:44,246 WHICH I THOUGHT WAS STRIKING, 1605 01:10:44,246 --> 01:10:45,514 USING THE AND SHOWING THESE 2 1606 01:10:45,514 --> 01:10:46,915 PEOPLE ARE HYMN THE SAME AGE BUT 1607 01:10:46,915 --> 01:10:51,620 YOU CAN SEE IT'S COMPLETELY, AND 1608 01:10:51,620 --> 01:10:54,556 THIS IS TARGETING THE ACTIVATION 1609 01:10:54,556 --> 01:11:04,032 WHICH IS A PROINFLAMMATORY 1610 01:11:04,032 --> 01:11:04,332 FEATURE. 1611 01:11:04,332 --> 01:11:05,801 SO FINALLY, I WON'T SPEND MUCH 1612 01:11:05,801 --> 01:11:07,269 TIME HERE SO WE CAN DISCUSS 1613 01:11:07,269 --> 01:11:09,671 THIS, BUT WE KNOW ALL THESE 1614 01:11:09,671 --> 01:11:11,306 DIFFERENT BIOMARKERS BUT ARE 1615 01:11:11,306 --> 01:11:12,474 THESE MOLECULAR CHANGES 1616 01:11:12,474 --> 01:11:14,609 REVERSIBLE, SO THERE IS SOME 1617 01:11:14,609 --> 01:11:17,345 EVIDENCE, SO I'LL POINT OUT 4 1618 01:11:17,345 --> 01:11:22,451 KIND OF INTERVENTIONS IF YOU 1619 01:11:22,451 --> 01:11:26,988 WILL IN ANIMALS, PARABIOSIS, 1620 01:11:26,988 --> 01:11:27,522 NUTRITIONAL INTERVENTION, 1621 01:11:27,522 --> 01:11:28,223 PHENOTHERAPY WHICH I TALKED 1622 01:11:28,223 --> 01:11:30,525 ABOUT A LITTLE BIT AND CELLULAR 1623 01:11:30,525 --> 01:11:32,027 REPROGRAMMING WHICH I THINK WE 1624 01:11:32,027 --> 01:11:35,063 ALLUDED TO DAVID SIN CLAIR'S 1625 01:11:35,063 --> 01:11:35,397 PAPER. 1626 01:11:35,397 --> 01:11:37,032 SO THESE HAVE SHOWN PROMISE BUT 1627 01:11:37,032 --> 01:11:39,034 THEY ARE NOT PERFECT OBVIOUSLY. 1628 01:11:39,034 --> 01:11:43,738 BUT IF YOU REALLY WANT TO 1629 01:11:43,738 --> 01:11:45,707 TRANSLATE THESE INTERVENTIONS TO 1630 01:11:45,707 --> 01:11:47,075 HUMANS, TELL BE DIFFICULT. 1631 01:11:47,075 --> 01:11:50,712 BUT THE VERY FACT THAT YOU KNOW 1632 01:11:50,712 --> 01:11:51,746 THERE ARE NEWS AROUND THE WORLD 1633 01:11:51,746 --> 01:11:55,183 WHERE THERE ARE A LOT OF 1634 01:11:55,183 --> 01:11:57,719 CENTENARIANS OR HIGH DENSITY OF 1635 01:11:57,719 --> 01:11:58,753 CENTENARIANS, YOU CAN SEE THAT 1636 01:11:58,753 --> 01:12:02,958 YOU KNOW THEY MUST BE DOING 1637 01:12:02,958 --> 01:12:04,693 SOMETHING AND HOPEFULLY IT'S NOT 1638 01:12:04,693 --> 01:12:06,628 JUST THE GENETICS THAT GETS THEM 1639 01:12:06,628 --> 01:12:09,164 THIS LONG LIFE SPAN, SO PERHAPS 1640 01:12:09,164 --> 01:12:11,366 WE CAN ADOPT SOME OF THE HABITS 1641 01:12:11,366 --> 01:12:13,668 AND LIFESTYLES AND IF YOU WANT 1642 01:12:13,668 --> 01:12:17,439 TO KNOW MORE, YOU CAN WATCH THIS 1643 01:12:17,439 --> 01:12:20,275 DOCUMENTARY, THANK YOU FOR 1644 01:12:20,275 --> 01:12:21,843 NETFLIX, AND SO WITH THAT, THANK 1645 01:12:21,843 --> 01:12:22,744 YOU VERY MUCH FOR YOUR 1646 01:12:22,744 --> 01:12:23,411 ATTENTION. 1647 01:12:23,411 --> 01:12:26,314 THESE ARE MY ACKNOWLEDGMENTS, 1648 01:12:26,314 --> 01:12:34,289 NIA HAS BEEN AN INCREDIBLE PLACE 1649 01:12:34,289 --> 01:12:35,924 TO BE DOING MY WORK AND I 1650 01:12:35,924 --> 01:12:37,425 COULDN'T HAVE ASKED TR MORE AND 1651 01:12:37,425 --> 01:12:39,728 I LOVE THE SUPPORT HERE AND I AM 1652 01:12:39,728 --> 01:12:50,138 HAPPY TO TAKE QUESTIONS. 1653 01:13:00,382 --> 01:13:02,117 >> OKAY, THANK YOU BOTH FOR 1654 01:13:02,117 --> 01:13:04,386 TAKING US ON 2 SOMEWHAT 1655 01:13:04,386 --> 01:13:05,754 DIFFERENT BUT HOPEFULLY AT LEAST 1656 01:13:05,754 --> 01:13:13,261 IN THE FUTURE OVERLAPPING I 1657 01:13:13,261 --> 01:13:14,896 HAVAGES I WONDER IF THEY HAVE 1658 01:13:14,896 --> 01:13:16,298 HEARD EACH OTHER'S PRESENTATION 1659 01:13:16,298 --> 01:13:17,666 AND I'M SURE NOT FOR THE FIRST 1660 01:13:17,666 --> 01:13:18,533 TIME BUT CONSIDERING THAT EACH 1661 01:13:18,533 --> 01:13:22,404 OF YOU ARE LOOKING AT THESE HUGE 1662 01:13:22,404 --> 01:13:26,007 PROBLEMS RELATED TO AGING FROM A 1663 01:13:26,007 --> 01:13:26,641 SOMEWHAT DIFFERENT PERSPECTIVE, 1664 01:13:26,641 --> 01:13:27,742 DO HAVE YOU QUESTIONS THAT YOU 1665 01:13:27,742 --> 01:13:31,947 WOULD LIKE TO ASK 1 ANOTHER TO 1666 01:13:31,947 --> 01:13:35,116 DISCUSS ANY OF THIS FURTHER? 1667 01:13:35,116 --> 01:13:37,152 PERHAPS LUIGI, DO YOU WANT TO GO 1668 01:13:37,152 --> 01:13:37,385 FIRST? 1669 01:13:37,385 --> 01:13:39,087 YOU HAVE ANY QUESTIONS YOU WISH 1670 01:13:39,087 --> 01:13:41,089 TO ASK P A YEL IN. 1671 01:13:41,089 --> 01:13:43,625 >> HAPPY TO DO THAT, YEAH, THAT 1672 01:13:43,625 --> 01:13:44,926 WAS A FANTASTIC PRESENTATION OF 1673 01:13:44,926 --> 01:13:47,429 AND COURSE, I HEARD SOME OF IT 1674 01:13:47,429 --> 01:13:51,633 BUT EVERY TIME I LISTEN TO YOU, 1675 01:13:51,633 --> 01:13:53,335 YOU KNOW I REALLY GET EXCITED. 1676 01:13:53,335 --> 01:13:58,773 ONE OF THE THINGS I WANTED TO 1677 01:13:58,773 --> 01:14:01,209 ASK YOU IS YOU KNOW, WE 1678 01:14:01,209 --> 01:14:05,847 MENTIONED IT, AND YOU KNOW, 1679 01:14:05,847 --> 01:14:07,115 BETWEEN MY PRESENTATION THAT ARE 1680 01:14:07,115 --> 01:14:13,622 A COUPLE OF MILLIONS HERE OF THE 1681 01:14:13,622 --> 01:14:16,992 EVOLUTIONARY CHANGES AND THE WAY 1682 01:14:16,992 --> 01:14:20,962 EVOLUTION WORKS IS THAT FIND THE 1683 01:14:20,962 --> 01:14:21,663 IMPERFECTION, EFFECT, AND THEN 1684 01:14:21,663 --> 01:14:27,202 CORRECT THEM SO THAT THE SPECIES 1685 01:14:27,202 --> 01:14:30,605 LIVE LONGER, AND SO THAT MEANS 1686 01:14:30,605 --> 01:14:32,340 THAT WHEN WE WORK ON ANIMAL 1687 01:14:32,340 --> 01:14:35,844 MODEL OR IN CELL MODEL, WE 1688 01:14:35,844 --> 01:14:38,580 REALLY NEED TO THINK ABOUT IS 1689 01:14:38,580 --> 01:14:40,749 THIS WHAT I'M FINDING HERE 1690 01:14:40,749 --> 01:14:43,218 ASSOCIATE WIDE AGING ALREADY 1691 01:14:43,218 --> 01:14:45,954 BEEN SOLVED FOR EVOLUTION AND 1692 01:14:45,954 --> 01:14:47,389 THE REASON I'M SAYING THAT IS 1693 01:14:47,389 --> 01:14:51,626 FOR EXAMPLE, YOU KNOW WHEN I DO 1694 01:14:51,626 --> 01:14:54,763 A LOT OF INSPECTION, IN EAST AND 1695 01:14:54,763 --> 01:14:57,265 IN C.ELEGANS, AND IT IS 1696 01:14:57,265 --> 01:14:58,566 INCREDIBLE LOAMACYY AFFECTING 1697 01:14:58,566 --> 01:15:02,237 AND THEN WHEN YOU GO UP OUT OF 1698 01:15:02,237 --> 01:15:06,741 THE GENETICALLY, THEN IN THE 1699 01:15:06,741 --> 01:15:08,143 PRIMATE, WE DON'T REALLY KNOW 1700 01:15:08,143 --> 01:15:10,445 AND IN HUMANS IT'S REALLY 1701 01:15:10,445 --> 01:15:11,846 QUESTIONABLE WHETHER IT WORKS OR 1702 01:15:11,846 --> 01:15:12,080 NOT. 1703 01:15:12,080 --> 01:15:14,716 SO I KNOW IT'S A VERY GENERAL 1704 01:15:14,716 --> 01:15:15,984 QUESTION, BUT IT'S SOMETHING 1705 01:15:15,984 --> 01:15:21,623 THAT IS CONSTANTLY IN MY MIND. 1706 01:15:21,623 --> 01:15:24,993 >> THANK YOU LUIGI, VERY THAT 1707 01:15:24,993 --> 01:15:26,394 VERY DEEP QUESTION, BUT I DON'T 1708 01:15:26,394 --> 01:15:27,595 KNOW IF I HAVE AN ANSWER. 1709 01:15:27,595 --> 01:15:29,964 BUT I THINK YOU ARE RIGHT. 1710 01:15:29,964 --> 01:15:33,134 I KIND OF MADE MENTION OF IT, 1711 01:15:33,134 --> 01:15:36,137 WHEN I SHOWED THAT, YOU KNOW THE 1712 01:15:36,137 --> 01:15:38,540 HUMANS ARE PRETTY UP THERE IN 1713 01:15:38,540 --> 01:15:40,108 THAT MAXIMUM LIFE SPAN SPECTRUM, 1714 01:15:40,108 --> 01:15:44,546 AND I DO THINK THAT WE HAVE 1715 01:15:44,546 --> 01:15:48,550 ALREADY EVOLVED MECHANISMS TO 1716 01:15:48,550 --> 01:15:50,485 LIVE LONGER AND SOMETIMES AND 1717 01:15:50,485 --> 01:15:52,454 AGAIN, I DON'T HAVE AN ANSWER 1718 01:15:52,454 --> 01:15:54,222 PER SE BUT SOMETIMES I WONDER 1719 01:15:54,222 --> 01:15:56,491 WHETHER SOME OF THE CHANGES THAT 1720 01:15:56,491 --> 01:15:59,527 OCCUR IN HUMANS WITH AGE ARE 1721 01:15:59,527 --> 01:16:03,098 EVEN GOOD FOR US, I MEAN, ARE 1722 01:16:03,098 --> 01:16:10,004 THEY ADAPTIVE AND HELPING US TO 1723 01:16:10,004 --> 01:16:14,542 CURB CANCER OR OTHER NEURO-- OR 1724 01:16:14,542 --> 01:16:15,009 DEGENERATIVE DISEASES. 1725 01:16:15,009 --> 01:16:18,646 BUT I THINK THAT YOU KNOW, AS WE 1726 01:16:18,646 --> 01:16:21,583 GET OLDER WE CAN TAKE 1 OF 2 1727 01:16:21,583 --> 01:16:21,850 PATHS. 1728 01:16:21,850 --> 01:16:24,652 ONE PATH IS CANCER WHICH IS 1729 01:16:24,652 --> 01:16:27,055 EXTREMELY DELETERIOUS, BUT THE 1730 01:16:27,055 --> 01:16:28,523 ALTERNATIVE PATH IS DEGENERATION 1731 01:16:28,523 --> 01:16:32,193 AND I THINK WE'VE EVOLVED 1732 01:16:32,193 --> 01:16:34,028 MECHANISMS TOWARDS DEGENERATION 1733 01:16:34,028 --> 01:16:35,430 RATHER THAN CANCER BECAUSE 1734 01:16:35,430 --> 01:16:36,564 DEGENERATION AT LEAST HELPS US 1735 01:16:36,564 --> 01:16:41,336 TO LIVE A BIT LONGER. 1736 01:16:41,336 --> 01:16:42,871 AND BY CURBING THOSE MECHANISMS 1737 01:16:42,871 --> 01:16:46,307 IN HUMANS, I THINK WOULD ONLY 1738 01:16:46,307 --> 01:16:48,209 ENABLE CANCER, SO, I DON'T KNOW. 1739 01:16:48,209 --> 01:16:50,612 I THINK WE'VE ALREADY REACHED A 1740 01:16:50,612 --> 01:16:57,152 LIMIT IF YOU ASK ME. 1741 01:16:57,152 --> 01:16:57,719 >> THAT'S GREAT. 1742 01:16:57,719 --> 01:17:01,756 I THINK WE THINK A LIKE. 1743 01:17:01,756 --> 01:17:04,659 >> DO YOU HAVE ANY QUESTIONS FOR 1744 01:17:04,659 --> 01:17:07,095 ME? 1745 01:17:07,095 --> 01:17:09,764 >> YES. 1746 01:17:09,764 --> 01:17:11,633 >> YES, SO, I THINK 1 OF THE 1747 01:17:11,633 --> 01:17:13,234 QUESTIONS WAS REGARDING ADAPTIVE 1748 01:17:13,234 --> 01:17:14,869 CHAIRVELGS WHICH I THINK I 1749 01:17:14,869 --> 01:17:16,805 ALREADY ASKED YOU BUT I UPONNED 1750 01:17:16,805 --> 01:17:20,675 TO GET YOUR OPINION ON HOW TO 1751 01:17:20,675 --> 01:17:23,178 STUDY THESE MOLECULAR MECHANISMS 1752 01:17:23,178 --> 01:17:27,916 IN HUMANS GIVEN THE HUGE GENETIC 1753 01:17:27,916 --> 01:17:29,884 VARIABILITY AS A LAB SCIENTISTS, 1754 01:17:29,884 --> 01:17:32,921 I FIND IT INCREDIBLY DIFFICULT 1755 01:17:32,921 --> 01:17:39,093 TO WORK WITH HUMAN SAMPLES 1756 01:17:39,093 --> 01:17:41,629 BECAUSE I MEAN THE PROJECTED 1757 01:17:41,629 --> 01:17:42,797 NUMBER OF SAMPLES I WOULD HAVE 1758 01:17:42,797 --> 01:17:44,966 TO LOOK AT IN ORDER TO REALLY 1759 01:17:44,966 --> 01:17:49,137 DETERMINE IF SOMETHING IS 1760 01:17:49,137 --> 01:17:49,771 CAUSALLY AFFECTING AGING, THERE 1761 01:17:49,771 --> 01:17:52,006 WILL BE A HUGE AMOUNT. 1762 01:17:52,006 --> 01:17:54,876 SO I FEEL MORE SAFE, I DON'T 1763 01:17:54,876 --> 01:17:58,580 KNOW, TO STUDY, YOU KNOW MICE 1764 01:17:58,580 --> 01:17:59,981 MAYBE WITH A STABLE GENETIC 1765 01:17:59,981 --> 01:18:04,018 BACKGROUND SO THAT I KNOW THAT 1766 01:18:04,018 --> 01:18:06,321 THEY'RE STUDYING THE EPIGENETIC 1767 01:18:06,321 --> 01:18:07,956 EFFECTS SO I WAS WONDERING IF 1768 01:18:07,956 --> 01:18:09,390 YOU HAVE ANY THOUGHTS ON 1769 01:18:09,390 --> 01:18:13,161 STUDYING HUMANS IN THE LAB? 1770 01:18:13,161 --> 01:18:16,931 >> YOU KNOW I THINK THAT VERY 1771 01:18:16,931 --> 01:18:19,367 GREAT, NOW ABOUT WHAT YOU CAN DO 1772 01:18:19,367 --> 01:18:20,869 IN HUMANS IS MUCH LESS THAN CAN 1773 01:18:20,869 --> 01:18:24,873 YOU DO IN ANIMAL MODELS AND THE 1774 01:18:24,873 --> 01:18:28,142 TRADE-OFF IS THAT WHAT YOU FIND 1775 01:18:28,142 --> 01:18:30,879 IS LIKELY RELEVANT FOR HUMAN, SO 1776 01:18:30,879 --> 01:18:35,116 BECAUSE, YOU KNOW WE WORK REALLY 1777 01:18:35,116 --> 01:18:36,885 TO IMPROVE THE HEALTH OF HUMANS, 1778 01:18:36,885 --> 01:18:39,187 YOU GET SOMETHING THAT MAY BE 1779 01:18:39,187 --> 01:18:40,655 IMMEDIATELY TRANALATABLE AND 1780 01:18:40,655 --> 01:18:40,989 USEABLE. 1781 01:18:40,989 --> 01:18:43,958 AND YES, YOU'RE RIGHT, IT'S 1782 01:18:43,958 --> 01:18:50,965 QUITE CHALLENGING AS YOU KNOW, 1783 01:18:50,965 --> 01:18:53,768 YOU KNOW I DO 50 TO 60 MASSIVE 1784 01:18:53,768 --> 01:18:55,703 BIOPSIES A YEAR AND IT'S QUITE 1785 01:18:55,703 --> 01:18:56,871 CHALLENGING TO DO THAT BECAUSE 1786 01:18:56,871 --> 01:19:03,177 IT'S REALLY A SURGICAL PROCEDURE 1787 01:19:03,177 --> 01:19:04,913 AND SO THE NUMBER OF SAMPLES YOU 1788 01:19:04,913 --> 01:19:07,181 CAN GET IS SMALL. 1789 01:19:07,181 --> 01:19:08,816 BUT SOMETHING WE'RE LEARNING AND 1790 01:19:08,816 --> 01:19:10,685 HAS TO DO WITH WHAT YOU SAID 1791 01:19:10,685 --> 01:19:14,088 BEFORE IS THAT MANY OF THE 1792 01:19:14,088 --> 01:19:19,227 THINGS WE SEE CHANGING, ARE 1793 01:19:19,227 --> 01:19:20,795 REALLY ACTIVE AND RECEIVING 1794 01:19:20,795 --> 01:19:21,095 MECHANISMS. 1795 01:19:21,095 --> 01:19:21,996 YOU KNOW YOU TALKED ABOUT 1796 01:19:21,996 --> 01:19:27,802 INFLAMMATION AND I'M SURE THAT 1797 01:19:27,802 --> 01:19:30,071 INFLAMMATION BY ITSELF HAS A 1798 01:19:30,071 --> 01:19:32,907 NEGATIVE EFFECT ON SOME DISEASE 1799 01:19:32,907 --> 01:19:34,909 AND SOME VASCULAR EFFECTS, 1800 01:19:34,909 --> 01:19:39,948 HOWEVER, I ALSO THINK IF OUR 1801 01:19:39,948 --> 01:19:42,283 MISSION DOESN'T START THAT WAY, 1802 01:19:42,283 --> 01:19:48,523 IF THE MEASURE STARTS WITH THE 1803 01:19:48,523 --> 01:19:49,590 RESILIENCE MECHANISM SETS WITH 1804 01:19:49,590 --> 01:19:51,392 THE ACCUMULATION OF DAMAGE. 1805 01:19:51,392 --> 01:19:53,061 AND WHEN ACCUMULATION OF DAMAGE 1806 01:19:53,061 --> 01:19:54,862 OCCUR THOSE MOLECULES NO LONGER 1807 01:19:54,862 --> 01:19:59,334 CONSIDER ITSELF, THEY ARE 1808 01:19:59,334 --> 01:20:01,736 MOLECULE THAT MAYBE STRANDULES 1809 01:20:01,736 --> 01:20:04,038 AND THOSE MOLECULES BIGGER 1810 01:20:04,038 --> 01:20:05,907 INFLAMMATORY -- TRIGGER AN 1811 01:20:05,907 --> 01:20:07,775 INFLAMMATORY RESPONSE, SO THE 1812 01:20:07,775 --> 01:20:09,110 PRIMARY MODEL IS THIS DAMAGED 1813 01:20:09,110 --> 01:20:09,978 ACCUMULATION AND THEN LATER ON 1814 01:20:09,978 --> 01:20:12,447 WHEN YOU HAVE THE INFLAMMATION, 1815 01:20:12,447 --> 01:20:15,416 DOESN'T GO OFF, YOU HAVE THE 1816 01:20:15,416 --> 01:20:16,117 DEGENERATIVE DISEASE EMPLOY YOU 1817 01:20:16,117 --> 01:20:21,689 KNOW THAT WHEN YOU HAVE THE 1818 01:20:21,689 --> 01:20:22,790 INTEGRATED RESPONSE, PROTEIN 1819 01:20:22,790 --> 01:20:24,225 RESPONSE AND INFLAMMATION, BUT 1820 01:20:24,225 --> 01:20:27,061 ALSO YOU HAVE A COMPLETE BLOCK 1821 01:20:27,061 --> 01:20:29,664 OF PROTEIN SYNTHESIS, AND WHEN 1822 01:20:29,664 --> 01:20:32,867 YOU CAN, YOU KNOW MODIFY IT, 1823 01:20:32,867 --> 01:20:35,603 WHEN YOU CANNOT RECYCLE AND 1824 01:20:35,603 --> 01:20:37,405 REGENERATE YOUR PROTEIN, THE 1825 01:20:37,405 --> 01:20:38,172 PROTEIN ACCUMULATE DAMAGE AND 1826 01:20:38,172 --> 01:20:41,442 THAT IS 1 OF THE MECHANISMS THAT 1827 01:20:41,442 --> 01:20:43,745 WE THINK IS SOMETHING YOU KNOW 1828 01:20:43,745 --> 01:20:45,113 DEGENERATIVE DEC EMPLOY NOW THE 1829 01:20:45,113 --> 01:20:50,885 REAL ISSUE IS HOW DO WE 1830 01:20:50,885 --> 01:20:52,587 DISTINGUISH BETWEEN CAUSAL EVENT 1831 01:20:52,587 --> 01:20:55,857 AND RESILIENCE EVENT. 1832 01:20:55,857 --> 01:20:57,492 AND THAT'S NOT A STUPID QUESTION 1833 01:20:57,492 --> 01:20:59,827 BECAUSE WE DON'T WANT TO TOUCH 1834 01:20:59,827 --> 01:21:02,663 THE RESILIENCE EEIVET BECAUSE WE 1835 01:21:02,663 --> 01:21:05,066 WOULD BE REMOVING WHAT IS GOOD. 1836 01:21:05,066 --> 01:21:06,467 WE WANT TO IDENTIFY THE CAUSE OF 1837 01:21:06,467 --> 01:21:10,738 CHANGE SO THAT WE CAN INTERVENE 1838 01:21:10,738 --> 01:21:12,740 ON IT AND THE EPIDEMIOLOGIST 1839 01:21:12,740 --> 01:21:15,910 STARTED TO DO A LOT OF MEN 1840 01:21:15,910 --> 01:21:17,478 DEALIAN RANDOMIZATION ON THE 1841 01:21:17,478 --> 01:21:19,313 DISEASE WHERE BECAUSE YOU'RE 1842 01:21:19,313 --> 01:21:22,817 LOOKING AT GENETIC VARIABLE, THE 1843 01:21:22,817 --> 01:21:24,986 POINT, THE PHENOTYPE AND NOW 1844 01:21:24,986 --> 01:21:26,387 WITH THE AVAILABILITY FOR LARGE 1845 01:21:26,387 --> 01:21:28,256 POPULATION SUCH AS THE UK 1846 01:21:28,256 --> 01:21:31,893 BIOBANK, THEY ARE STARTING TO 1847 01:21:31,893 --> 01:21:32,827 DISTINGUISH BETWEEN WHO IS GOOD 1848 01:21:32,827 --> 01:21:35,763 AND WHAT IS BAD. 1849 01:21:35,763 --> 01:21:38,833 AND I HOPE THAT THESE, YOU KNOW 1850 01:21:38,833 --> 01:21:42,637 WORK WITH -- THIS WORK WILL 1851 01:21:42,637 --> 01:21:45,773 CONTINUE UNTIL, IT'S THE WHOLE 1852 01:21:45,773 --> 01:21:47,909 PROBLEM OF THE WORKING BIOME 1853 01:21:47,909 --> 01:21:50,311 BIOMARKER, WE NEVER KNOW WHETHER 1854 01:21:50,311 --> 01:21:51,045 THE BIOMARK, CODED THAT. 1855 01:21:51,045 --> 01:21:54,148 SO WHEN YOU LOOK AT BIOMARKER 1856 01:21:54,148 --> 01:21:54,949 THAT'S PREDICTIVE, IT DOESN'T 1857 01:21:54,949 --> 01:21:58,352 MATTER BUT WHEN YOU LOOK AT HINT 1858 01:21:58,352 --> 01:22:00,288 FOR TARGET FOR INTERVENTION, 1859 01:22:00,288 --> 01:22:05,226 THAT BECOMES ABSOLUTELY 1860 01:22:05,226 --> 01:22:05,626 IMPORTANT. 1861 01:22:05,626 --> 01:22:05,993 >> THANK YOU. 1862 01:22:05,993 --> 01:22:08,329 SO MAYBE IF I CAN NOW COUNTER 1863 01:22:08,329 --> 01:22:13,134 QUESTION AND I DON'T QUITE 1864 01:22:13,134 --> 01:22:15,436 REMEMBER, BUT MAYBE, A GROUP 1865 01:22:15,436 --> 01:22:16,437 ATTEMPTED SOMETHING LIKE THIS 1866 01:22:16,437 --> 01:22:19,874 AND THEY TRIED TO CORRELATE WITH 1867 01:22:19,874 --> 01:22:22,810 MORETALLITY INSTEAD OF LIFE SPAN 1868 01:22:22,810 --> 01:22:24,645 OR SOMETHING LIKE THAT? 1869 01:22:24,645 --> 01:22:28,649 SO BUT THEN ANYTHING THAT 1870 01:22:28,649 --> 01:22:31,085 AFFECTS MORTALITY IS CORRELATED 1871 01:22:31,085 --> 01:22:34,255 NEGATIVELY WITH LIFESTYLE, 1872 01:22:34,255 --> 01:22:34,589 RIGHT? 1873 01:22:34,589 --> 01:22:37,358 >> YES, YES, BUT, YOU KNOW -- I 1874 01:22:37,358 --> 01:22:39,293 KNOW THAT PAPER QUITE WELL, I 1875 01:22:39,293 --> 01:22:40,695 KNOW THE WORK QUITE WELL AND 1876 01:22:40,695 --> 01:22:43,764 THAT PAPER ACTUALLY DID NOT LOOK 1877 01:22:43,764 --> 01:22:46,667 AT THE BIOMARKER PREDICTER OF 1878 01:22:46,667 --> 01:22:47,001 MORTALITY. 1879 01:22:47,001 --> 01:22:54,642 THEY CREATED A GENETIC SCORE FOR 1880 01:22:54,642 --> 01:22:55,676 THAT BIOMARKER AND THEN THEY 1881 01:22:55,676 --> 01:22:58,112 LOOK AT WHETHER THOSE GENETIC 1882 01:22:58,112 --> 01:22:59,947 SCORE, THAT VARIABLE THAT ARE 1883 01:22:59,947 --> 01:23:02,016 REALLY GENETIC THAT DON'T CHANGE 1884 01:23:02,016 --> 01:23:06,287 OVER TIME PREDICTED MORTALITY OR 1885 01:23:06,287 --> 01:23:09,991 NOT, THAT PREDICT THE LEVEL OF 1886 01:23:09,991 --> 01:23:11,859 THAT BIOMARKER THAT PREDICT 1887 01:23:11,859 --> 01:23:14,962 MORTALITY BECAUSE THEN YOU 1888 01:23:14,962 --> 01:23:17,365 BECOME ALMOST INDEPENDENT FROM 1889 01:23:17,365 --> 01:23:21,135 ENVIRONMENTAL CHANGES SUCH AS 1890 01:23:21,135 --> 01:23:22,336 THOUGH THAT TRIGGER RESILIENT 1891 01:23:22,336 --> 01:23:23,671 RESPONSE, AND IF THAT IS TRUE, 1892 01:23:23,671 --> 01:23:25,473 IT'S 1 OF THE -- OF COURSE 1893 01:23:25,473 --> 01:23:29,110 NOTHING IS PERFECT, YOU KNOW MEN 1894 01:23:29,110 --> 01:23:29,944 DEALIAN RANDOMIZATION HAS ITS 1895 01:23:29,944 --> 01:23:34,215 OWN PROBLEMS SO I THINK THAT IS 1896 01:23:34,215 --> 01:23:36,984 A GOOD START AND WE NEED TO 1897 01:23:36,984 --> 01:23:38,019 REPLICATE AGAIN A LARGER 1898 01:23:38,019 --> 01:23:39,187 POPULATION AND I THINK THAT'S A 1899 01:23:39,187 --> 01:23:42,423 MATTER THAT WILL GROW IN THE 1900 01:23:42,423 --> 01:23:43,157 FUTURE. 1901 01:23:43,157 --> 01:23:46,594 >> THANK YOU. 1902 01:23:46,594 --> 01:23:48,095 >> WELL, FEEL FREE TO ASK 1903 01:23:48,095 --> 01:23:50,231 QUESTIONS OF EACH OTHER AS WE 1904 01:23:50,231 --> 01:23:53,701 PROCEED BUT WE HAVE A LARGE 1905 01:23:53,701 --> 01:23:55,836 NUMBER OF QUESTIONS THAT HAVE 1906 01:23:55,836 --> 01:23:57,138 BEEN SUBMITTED AND IT'S 1907 01:23:57,138 --> 01:24:04,278 INTERESTING, LOOKING AT THE 1908 01:24:04,278 --> 01:24:07,148 LIST, I THINK IT'S 2 PHENOMENA, 1909 01:24:07,148 --> 01:24:09,984 1 IS THE MULTIPLICITY OF IDEAS 1910 01:24:09,984 --> 01:24:15,189 AND THE OTHER IS MORE FROM LET'S 1911 01:24:15,189 --> 01:24:20,127 CALL IT THE CLINICAL ASPECT, 1912 01:24:20,127 --> 01:24:23,531 WHAT EXPOSURES MAKE AGING WORSE? 1913 01:24:23,531 --> 01:24:27,868 OR WHAT BENEFITS SPECIFICALLY 1914 01:24:27,868 --> 01:24:30,871 CAN HELP TO SOFTEN THE DECLINE. 1915 01:24:30,871 --> 01:24:33,207 AND IT'S INTERESTING THAT THE 1916 01:24:33,207 --> 01:24:34,742 QUESTIONS ALL REFLECT THIS 1917 01:24:34,742 --> 01:24:36,344 MULTIPLE DISCIPLINE, YOU GET THE 1918 01:24:36,344 --> 01:24:40,114 FEELING THAT WE'RE DEALING WITH 1919 01:24:40,114 --> 01:24:42,850 A HUGE COMPLEX PROBLEM IN WHICH 1920 01:24:42,850 --> 01:24:45,786 FORTUNATELY, DUE TO WORK LIKE 1921 01:24:45,786 --> 01:24:47,088 BOTH OF YOU, MUCH PROGRESS IS 1922 01:24:47,088 --> 01:24:48,723 BEING MADE EMPLOY SO LET'S GET 1923 01:24:48,723 --> 01:24:52,994 ON WITH SOME OF THE QUESTIONS 1924 01:24:52,994 --> 01:24:58,699 HERE THAT HAVE BEEN ASKED AND 1925 01:24:58,699 --> 01:25:01,102 LET ME SEE, OH YES, SO WILLIAM 1926 01:25:01,102 --> 01:25:04,805 CALLS TENSION TO A REPORT FROM 1927 01:25:04,805 --> 01:25:08,409 NASA THAT WAS PUBLISHED LAST 1928 01:25:08,409 --> 01:25:14,315 YEAR, STRESSING THE IMPORTANCE 1929 01:25:14,315 --> 01:25:15,950 OF MITOCHONDRIA AS SORT OF THE 1930 01:25:15,950 --> 01:25:19,553 HUB OF VARIOUS OMICS STUDIES OF 1931 01:25:19,553 --> 01:25:22,823 SPACE FLIGHT INJURY AND 1932 01:25:22,823 --> 01:25:23,624 POTENTIALLY LONGEVITY AND THERE 1933 01:25:23,624 --> 01:25:27,094 HAVE BEEN SEVERAL QUESTIONS 1934 01:25:27,094 --> 01:25:31,766 GOING BACK TO MITOCHONDRIA IN 1935 01:25:31,766 --> 01:25:32,300 PARTICULARLY MITOCHONDRIA 1936 01:25:32,300 --> 01:25:33,200 DYNAMICS. 1937 01:25:33,200 --> 01:25:35,503 PERHAPS EACH OF YOU WOULD LIKE 1938 01:25:35,503 --> 01:25:37,371 TO TAKE A TURN. 1939 01:25:37,371 --> 01:25:40,541 P A YEL, WHAT IS YOUR VIEW ABOUT 1940 01:25:40,541 --> 01:25:41,475 THAT? 1941 01:25:41,475 --> 01:25:44,078 >> GIVEN THE QUESTION, YOU KNOW, 1942 01:25:44,078 --> 01:25:47,348 I THINK, I DEFINE MYSELF 1943 01:25:47,348 --> 01:25:47,948 MITOCHONDRIA-CENTRIC SCIENTIST 1944 01:25:47,948 --> 01:25:49,650 BECAUSE I THINK THAT 1945 01:25:49,650 --> 01:25:50,518 MITOCHONDRIA ARE REALLY THE 1946 01:25:50,518 --> 01:25:52,186 CULPRIT OF WHAT'S HAPPENING WITH 1947 01:25:52,186 --> 01:26:00,328 AGING AND THE REASON IS THAT ALL 1948 01:26:00,328 --> 01:26:01,762 THOSE THAT THEY WERE TALKING 1949 01:26:01,762 --> 01:26:04,332 ABOUT, THE DNA REPAIR, THE PHOTO 1950 01:26:04,332 --> 01:26:07,301 STATIC MICANISM, ALL OF THEM 1951 01:26:07,301 --> 01:26:08,569 REQUIRE ENERGY, MASSIVE AMOUNT 1952 01:26:08,569 --> 01:26:09,870 OF ENERGY AND YOU KNOW, YOU 1953 01:26:09,870 --> 01:26:11,605 THINK ABOUT THE IMMUNE SYSTEM, 1954 01:26:11,605 --> 01:26:14,241 YOU KNOW THEY HAVE AN IMMUNE 1955 01:26:14,241 --> 01:26:17,945 RESPONSE, YOU NEED TO HAVE A LOT 1956 01:26:17,945 --> 01:26:24,018 OF, YOU KNOW PROTEIN SYNTHESIS, 1957 01:26:24,018 --> 01:26:25,953 AND PROTEIN SYNTHESIS IS 1958 01:26:25,953 --> 01:26:27,154 REQUIRING MASSIVE AMOUNTS OF 1959 01:26:27,154 --> 01:26:27,588 ENERGY. 1960 01:26:27,588 --> 01:26:28,856 SO UNLESS YOU HAVE GOOD 1961 01:26:28,856 --> 01:26:30,925 MITOCHONDRIA YOU DON'T HAVE 1962 01:26:30,925 --> 01:26:34,595 RESILIENCYS, AND SO YOU END UP 1963 01:26:34,595 --> 01:26:37,431 WITH ACCELERATED AGING AND IN 1964 01:26:37,431 --> 01:26:40,067 OUR WORK, WE DEMONSTRATED THAT 1965 01:26:40,067 --> 01:26:42,036 THE LOW MITOCHONDRIA FUNCTION 1966 01:26:42,036 --> 01:26:44,939 MEASURED BY MRI, WE USE THE MRI 1967 01:26:44,939 --> 01:26:47,575 SPECTROSCOPY TO DO THAT, IT'S 1968 01:26:47,575 --> 01:26:49,610 PREDICTIVE OF ACCELERATED 1969 01:26:49,610 --> 01:26:53,147 DECLINE BOTH IMMOBILITY AND 1970 01:26:53,147 --> 01:26:53,781 COGNITIVE FUNCTION. 1971 01:26:53,781 --> 01:26:58,018 I WILL FINISH BY SAYING IF YOU 1972 01:26:58,018 --> 01:27:01,555 LOOK AT 1 OF THE BIG GLOBAL 1973 01:27:01,555 --> 01:27:02,890 MEASURE OF VITALITY IN PEOPLE IS 1974 01:27:02,890 --> 01:27:04,925 FITNESS, HOW FIT YOU ARE. 1975 01:27:04,925 --> 01:27:08,362 AND IF YOU LOOK AT WHAT OTHER 1976 01:27:08,362 --> 01:27:09,830 PREDICTER OF FITNESS, 1 IS 1977 01:27:09,830 --> 01:27:15,069 CARDIAC FUNCTION AND THE OTHER 1 1978 01:27:15,069 --> 01:27:17,538 IS PERIPHERAL DELIVERY OF OXYGEN 1979 01:27:17,538 --> 01:27:19,874 AND AT THE BEGINNING, THEY 1980 01:27:19,874 --> 01:27:21,742 STARTED WITH THE DECLINE IN THE 1981 01:27:21,742 --> 01:27:23,811 ANALLING BUT THE EXTRACTION OF 1982 01:27:23,811 --> 01:27:25,513 OXYGEN IN THE PERIPHERY DOES 1983 01:27:25,513 --> 01:27:29,683 SUGGEST THAT THE PROBLEM IS THAT 1984 01:27:29,683 --> 01:27:31,419 THOSE MITOCHONDRIA CANNOT BE 1985 01:27:31,419 --> 01:27:41,128 UTILIZED, ALL THAT OXYGEN THAT 1986 01:27:41,128 --> 01:27:43,130 CAN BE PUT. 1987 01:27:43,130 --> 01:27:44,632 >> I CAN CHIME IN. 1988 01:27:44,632 --> 01:27:47,668 I WAS ACTUALLY GOING TO LET 1989 01:27:47,668 --> 01:27:50,771 LUIGI GO FIRST BECAUSE HE IS 1990 01:27:50,771 --> 01:27:52,706 INDEED THE MITOCHONDRIA EXPERT, 1991 01:27:52,706 --> 01:27:55,776 I TEND TO AT A WITHIN THE 1992 01:27:55,776 --> 01:27:59,180 NUCLEUS, BUT I CAN TELL YOU VERY 1993 01:27:59,180 --> 01:28:01,816 BRIEFLY THAT, YOU KNOW IN RECENT 1994 01:28:01,816 --> 01:28:04,685 WORK, VERY PRELIMINARY DATA, NOT 1995 01:28:04,685 --> 01:28:06,387 EVEN, YOU KNOW ESTABLISHED, BUT 1996 01:28:06,387 --> 01:28:09,390 THERE ARE CERTAIN REPORTS OF YOU 1997 01:28:09,390 --> 01:28:11,826 KNOW THIS METABOLIC SHIFT WITH 1998 01:28:11,826 --> 01:28:16,263 AGE, RIGHT IN SO YOU KNOW A 1999 01:28:16,263 --> 01:28:19,066 CHANGE FROM OFF STARTS IN THE 2000 01:28:19,066 --> 01:28:20,134 MITOCHONDRIA, THE MORE 2001 01:28:20,134 --> 01:28:22,837 MITOCHONDRIA BECOME DAMAGED, THE 2002 01:28:22,837 --> 01:28:26,207 MORE THE GLYCOLYSIS, THE 2003 01:28:26,207 --> 01:28:27,475 GLYCOLYSIS PRODUCES MAYBE ACETYL 2004 01:28:27,475 --> 01:28:30,110 TAKE AWAY WHICH IS LIPID 2005 01:28:30,110 --> 01:28:32,179 METABOLISM, WHICH IS ALSO 2006 01:28:32,179 --> 01:28:33,113 PROBABLY ACETALATES THE 2007 01:28:33,113 --> 01:28:37,284 EPIGENOME AND THEN ACTIVATES 2008 01:28:37,284 --> 01:28:40,254 CERTAIN PERHAPS PRO INFLAMMATORY 2009 01:28:40,254 --> 01:28:44,658 GENES, SO THIS IS A HYPOTHESIS 2010 01:28:44,658 --> 01:28:47,094 AT THIS STAGE AND ESPECIALLY AND 2011 01:28:47,094 --> 01:28:51,699 I THINK MACROPHAGE CLASS OF CELL 2012 01:28:51,699 --> 01:28:51,966 TYPES. 2013 01:28:51,966 --> 01:28:54,802 THIS METABOLIC SHIFT IS PRETTY 2014 01:28:54,802 --> 01:28:56,937 PROMINENT DURING AGING AND MAYBE 2015 01:28:56,937 --> 01:28:59,473 DRIVES SOME OF THE PHENOTYPES 2016 01:28:59,473 --> 01:29:02,543 THAT WE SEE AND 1 OTHER LITTLE 2017 01:29:02,543 --> 01:29:06,380 THING TO SAY IS THAT, YOU KNOW 2018 01:29:06,380 --> 01:29:08,782 BOTH LUIGI AND OUR GROUP WE 2019 01:29:08,782 --> 01:29:10,150 STUDY THE SKELETAL MUSCLE WHICH 2020 01:29:10,150 --> 01:29:13,654 IS REALLY RICH IN MITOCHONDRIA 2021 01:29:13,654 --> 01:29:17,925 AND IT'S ALMOST 40-50% OF OUR 2022 01:29:17,925 --> 01:29:21,262 BODY MASS AND SARCOPENIA, WHICH 2023 01:29:21,262 --> 01:29:24,265 IS A VERY NOTICEABLE EVENT AND 2024 01:29:24,265 --> 01:29:32,106 THAT CHANGES YOUR METABOLIC 2025 01:29:32,106 --> 01:29:33,240 OUTPUT COMPLETELY, AND THAT IS 2026 01:29:33,240 --> 01:29:38,812 ALSO BECAUSE ALL OF THE 2027 01:29:38,812 --> 01:29:40,314 MITOCHONDRIA, BASICALLY THE 2028 01:29:40,314 --> 01:29:41,882 TOTAL MITOCHONDRIA OUTPUT 2029 01:29:41,882 --> 01:29:43,050 OVERALL IS DEMINNISHING AND 2030 01:29:43,050 --> 01:29:46,453 YEAH, I WILL LEAVE IT AT THAT. 2031 01:29:46,453 --> 01:29:49,223 >> SO MAY I INQUIRE ABOUT THAT. 2032 01:29:49,223 --> 01:29:52,726 YOU RAISE ESSENTIA WILY THE 2033 01:29:52,726 --> 01:29:55,195 LDKAMP1 PATHWAY AS BEING 2034 01:29:55,195 --> 01:29:57,097 INCREASINGLY DOMINANT IN AGING 2035 01:29:57,097 --> 01:30:01,001 AND IT'S IN THAT AREA THAT 2036 01:30:01,001 --> 01:30:07,308 THINGS LIKE SURTOMBIN AND SOME 2037 01:30:07,308 --> 01:30:08,842 OF DAVID SIN CLAIR'S IDEAS COME 2038 01:30:08,842 --> 01:30:10,244 INTO THE PROCESS BECAUSE OF THE 2039 01:30:10,244 --> 01:30:12,813 LINK AS YOU POINT IN WITH 2040 01:30:12,813 --> 01:30:15,015 MITOCHONDRIA AND WITH OTHER 2041 01:30:15,015 --> 01:30:15,683 ORGANELLE METABOLISM. 2042 01:30:15,683 --> 01:30:19,420 WHAT IS YOUR VIEW ABOUT THAT 2043 01:30:19,420 --> 01:30:22,456 FROM A BIOLOGICAL STANDPOINT? 2044 01:30:22,456 --> 01:30:27,595 AND PERHAPS EVEN FROM A CLINICAL 2045 01:30:27,595 --> 01:30:29,530 PERSPECTIVE WHICH LUIGI MAY WANT 2046 01:30:29,530 --> 01:30:33,067 TO COMMENT UPON, THAT'S BEING 2047 01:30:33,067 --> 01:30:35,469 PROMOTED IN CERTAIN PARTS OF THE 2048 01:30:35,469 --> 01:30:35,803 WORLD. 2049 01:30:35,803 --> 01:30:40,808 SO P A YEL, WHAT IS YOUR VIEW? 2050 01:30:40,808 --> 01:30:42,543 >> I THINK MORE STUFF FOR VIABLE 2051 01:30:42,543 --> 01:30:47,381 ISHT VENTIONS OUT THERE, SO FAR 2052 01:30:47,381 --> 01:30:50,985 THAT GAINED A LOT OF PRESS, 2053 01:30:50,985 --> 01:30:55,089 THERE'S OBVIOUSLY THE RAPOMICE O 2054 01:30:55,089 --> 01:30:57,725 SIN AND mTOR, INTAKE 2055 01:30:57,725 --> 01:30:58,492 INHIBITOR, CALORIC RESTRICTION, 2056 01:30:58,492 --> 01:31:01,161 ALL OF THESE ARE VERY 2057 01:31:01,161 --> 01:31:01,895 INTRICATELY INTERCONNECT WIDE 2058 01:31:01,895 --> 01:31:04,064 EACH OTHER AND ULTIMATELY, I 2059 01:31:04,064 --> 01:31:08,435 THINK THEY ALL IMPINGE ON 2060 01:31:08,435 --> 01:31:10,404 WHETHER -- ON ENERGY PRODUCTION, 2061 01:31:10,404 --> 01:31:12,973 RIGHT IN SO THE mTOR PATHWAY, 2062 01:31:12,973 --> 01:31:20,814 IF YOU HAVE NUTRIENT EXCESS FOR 2063 01:31:20,814 --> 01:31:23,751 EXAMPLE, THAT IS ACTIVE AND 2064 01:31:23,751 --> 01:31:25,019 TRANSLATIONAL RESEARCH PROMOTES 2065 01:31:25,019 --> 01:31:31,191 AUTOPHAGE EXPE THAT IS BIND, BUT 2066 01:31:31,191 --> 01:31:33,227 THE NUTRIENT DEPRIVATION LIKE 2067 01:31:33,227 --> 01:31:35,629 CALORIC INSTRIKS, IT INHIBITS 2068 01:31:35,629 --> 01:31:39,299 THE MTORE PATHWAY AND THAT'S 2069 01:31:39,299 --> 01:31:39,867 SOMEHOW GOOD. 2070 01:31:39,867 --> 01:31:41,602 SO MY UNDERSTANDING OF THE 2071 01:31:41,602 --> 01:31:43,337 COMPLEXITY OF THE PATHWAYS IS 2072 01:31:43,337 --> 01:31:45,673 NOT VERY GOOD BUT ALL I CAN SAY 2073 01:31:45,673 --> 01:31:49,176 IS MAYBE THE UNDERLYING MESSAGES 2074 01:31:49,176 --> 01:31:53,580 WE SHOULD LIMIT TRANSLATION AND 2075 01:31:53,580 --> 01:31:55,015 FUTILE ENERGY UTILIZATION IN OUR 2076 01:31:55,015 --> 01:31:58,752 BODY AND THAT COULD HAVE SOME 2077 01:31:58,752 --> 01:32:00,354 LONGEVITY BENEFITS. 2078 01:32:00,354 --> 01:32:02,723 >> SO LET'S LOOK AT THE SPECIFIC 2079 01:32:02,723 --> 01:32:03,791 QUESTIONS THAT HAVE BEEN ASKED 2080 01:32:03,791 --> 01:32:05,592 AND MAYBE SO WE CAN COVER MORE 2081 01:32:05,592 --> 01:32:09,329 IF WE COULD KEEP OUR RESPONSES 2082 01:32:09,329 --> 01:32:10,531 SOMEWHAT AS BRIEF AS REASONABLE 2083 01:32:10,531 --> 01:32:13,867 EMPLOY SO SEVERAL PEOPLE HAVE 2084 01:32:13,867 --> 01:32:17,004 ASKED ABOUT THE RELATIONSHIP 2085 01:32:17,004 --> 01:32:22,176 BETWEEN AGING AND COSMIC 2086 01:32:22,176 --> 01:32:25,412 BACKGROUND SO THEY PARTICULARLY 2087 01:32:25,412 --> 01:32:28,315 REFER TO DROSOPHILA EXPERIMENTS 2088 01:32:28,315 --> 01:32:33,287 WHICH WE'VE DONE MANY YEARS AGO 2089 01:32:33,287 --> 01:32:34,788 AND ALSO CONCERNED FOR EXAMPLE 2090 01:32:34,788 --> 01:32:36,690 IN NASA ABOUT PEOPLE BEING OUT 2091 01:32:36,690 --> 01:32:40,294 IN SPACE TOO LONG. 2092 01:32:40,294 --> 01:32:42,129 IS THERE SOLID EVIDENCE 2093 01:32:42,129 --> 01:32:43,297 FORCOSMIC BACKGROUND RADIATION 2094 01:32:43,297 --> 01:32:45,866 HAVING AN EFFECT? 2095 01:32:45,866 --> 01:32:48,402 LUIGI WANT TO COMMENT? 2096 01:32:48,402 --> 01:32:50,871 >> I KNOW NOTHING ABOUT IT TO BE 2097 01:32:50,871 --> 01:32:52,473 HONEST. 2098 01:32:52,473 --> 01:32:54,875 I AM ABSOLUTELY COMPLETELY 2099 01:32:54,875 --> 01:32:58,312 UNAWARE SO I AM NOT THE RIGHT 2100 01:32:58,312 --> 01:32:59,113 PERSON TO ADDRESS. 2101 01:32:59,113 --> 01:33:02,349 P A YEL, DO YOU KNOW ANYTHING 2102 01:33:02,349 --> 01:33:02,850 ABOUT IT? 2103 01:33:02,850 --> 01:33:05,586 >> ALMOST NOTHING BUT I READ IN 2104 01:33:05,586 --> 01:33:09,223 THE PRESS, THAT YOU KNOW THE 2105 01:33:09,223 --> 01:33:10,390 TELOMERES BECAME SHORTER, 2106 01:33:10,390 --> 01:33:12,493 ASTRONAUTS WHO CAME TO SPACE AND 2107 01:33:12,493 --> 01:33:13,894 THEIR TELOMERES BECAME SHORTER 2108 01:33:13,894 --> 01:33:17,164 EMPLOY I CAN IMAGINE THAT COSMIC 2109 01:33:17,164 --> 01:33:20,234 RADIATION MAY CAUSE SOME LEVEL 2110 01:33:20,234 --> 01:33:23,270 OF DAMAGE, PERHAPS ACCELERATED 2111 01:33:23,270 --> 01:33:27,741 TELOMERE SHORTENING, BUT THERE'S 2112 01:33:27,741 --> 01:33:32,646 NO EVIDENT, I THINK, NUMBERS, 2113 01:33:32,646 --> 01:33:33,947 NOT MANY PEOPLE HAVE BEEN 2114 01:33:33,947 --> 01:33:37,217 STUDIED THIS WAY BUT I DON'T 2115 01:33:37,217 --> 01:33:38,986 KNOW WHERE THAT CAN -- THOSE 2116 01:33:38,986 --> 01:33:40,954 KIND OF TRANSIENT DAMAGES CAN BE 2117 01:33:40,954 --> 01:33:43,023 REPAIRED EASILY OR NOT ONCE THEY 2118 01:33:43,023 --> 01:33:45,592 COME BACK TO EARTH. 2119 01:33:45,592 --> 01:33:47,294 SO HOW THAT HAS AN EFFECT ON 2120 01:33:47,294 --> 01:33:49,596 LIFE SPAN OR DEVELOPMENT OF 2121 01:33:49,596 --> 01:33:53,667 CANCER, I DON'T KNOW. 2122 01:33:53,667 --> 01:33:53,967 RESPIRATORY. 2123 01:33:53,967 --> 01:33:55,135 >> SO IF I MAY, I WOULD LIKE TO 2124 01:33:55,135 --> 01:33:58,038 GO BACK TO THE MITOCHONDRIA FOR 2125 01:33:58,038 --> 01:34:02,609 A SECOND, FOR A MOMENT. 2126 01:34:02,609 --> 01:34:06,480 AND YOU KNOW THE ONLY PATIENTS 2127 01:34:06,480 --> 01:34:10,384 IN HUMAN IS CALORIE, THE CALORIE 2128 01:34:10,384 --> 01:34:12,186 STUDY PUT PEOPLE ON 25%, AND 2129 01:34:12,186 --> 01:34:15,589 THEY WERE UNABLE TO DO IT, BUT 2130 01:34:15,589 --> 01:34:19,693 THEY REACHED 14% AND WE STUDIED 2131 01:34:19,693 --> 01:34:23,197 THOSE MASSIVE BIOPSY FROM PEOPLE 2132 01:34:23,197 --> 01:34:24,598 THAT WERE UNCHARACTERISTIC FOR 2 2133 01:34:24,598 --> 01:34:27,501 YEAR ANDS IN CONTROLS AND WHAT 2134 01:34:27,501 --> 01:34:30,204 WAS INTERESTING IS THAT YOU KNOW 2135 01:34:30,204 --> 01:34:34,708 OF COURSE WE'RE LOSING WEIGHT, 2136 01:34:34,708 --> 01:34:37,578 YOU LOSE MUSCLE MASS BUT THE 2137 01:34:37,578 --> 01:34:39,546 FOLDS DPENERATED BY THAT MASS 2138 01:34:39,546 --> 01:34:41,248 DID NOT CHANGE. 2139 01:34:41,248 --> 01:34:42,583 WHICH MEANS THAT THAT MUSCLE WAS 2140 01:34:42,583 --> 01:34:44,017 MUCH MORE EFFECTIVE IN 2141 01:34:44,017 --> 01:34:45,719 GENERATING FOLD, AND THEN WE 2142 01:34:45,719 --> 01:34:49,323 LOOK AT GENE EXPRESSION IN THOSE 2143 01:34:49,323 --> 01:34:52,693 MUSCLE AND WHAT WE FIND THAT IS, 2144 01:34:52,693 --> 01:35:01,034 YOU KNOW OVERREGULATED, 2145 01:35:01,034 --> 01:35:02,870 OVEREXPRESSED, SILT1, Foxp3, 2146 01:35:02,870 --> 01:35:05,405 AND PGC1 ALPHA WHICH IS THE 2147 01:35:05,405 --> 01:35:06,840 MASTER REGULATOR OF MITOCHONDRIA 2148 01:35:06,840 --> 01:35:07,608 BIOGENESIS. 2149 01:35:07,608 --> 01:35:10,010 SO I THINK THAT, THAT IS 2150 01:35:10,010 --> 01:35:12,412 EVIDENCE IN HUMANS THAT 2151 01:35:12,412 --> 01:35:14,248 SUGGESTING THAT 1 OF THE, YOU 2152 01:35:14,248 --> 01:35:15,549 KNOW INTERVENTION THAT IS 2153 01:35:15,549 --> 01:35:17,484 SUPPOSED TO BE REYOU'VEINATING 2154 01:35:17,484 --> 01:35:21,188 AND IN THAT CASE, REALLY HAD 2155 01:35:21,188 --> 01:35:25,993 POSITIVE EFFECT ON MUSCLE WAS 2156 01:35:25,993 --> 01:35:29,396 MEDIATED BY THE EXPECTED, YOU 2157 01:35:29,396 --> 01:35:31,465 KNOW TRANSCRIPTION FACTOR AND 2158 01:35:31,465 --> 01:35:31,732 MOLECULE. 2159 01:35:31,732 --> 01:35:32,900 SO I THINK THERE'S SOMETHING 2160 01:35:32,900 --> 01:35:34,134 IMPORTANT THERE AND I WILL TELL 2161 01:35:34,134 --> 01:35:38,805 YOU 1 MORE THING, THAT WITH THIS 2162 01:35:38,805 --> 01:35:41,675 WE DISCOVERED IS THAT OF COURSE 2163 01:35:41,675 --> 01:35:43,277 IF YOU EXERCISE YOU HAVE MORE 2164 01:35:43,277 --> 01:35:45,812 MUSCLE THAT, IS NOT SURPRISING, 2165 01:35:45,812 --> 01:35:48,181 YOU KNOW YOU CONTRACT THE 2166 01:35:48,181 --> 01:35:51,084 MUSCLE, AND YOUR MUSCLE ADAPT, 2167 01:35:51,084 --> 01:35:54,588 BY CREATING MORE ENERGY BUT YOU 2168 01:35:54,588 --> 01:35:56,590 ALSO HAVE MORE MITOCHONDRIA IN 2169 01:35:56,590 --> 01:35:59,826 THE SKIN, IN YOUR IMMUNE CELLS, 2170 01:35:59,826 --> 01:36:02,062 IN THE FIBROBLASTS, SO THAT 2171 01:36:02,062 --> 01:36:03,563 EFFECT ON MITOCHONDRIA IS NOT 2172 01:36:03,563 --> 01:36:05,198 LIMITED TO THE MUSCLE, NOW, WE 2173 01:36:05,198 --> 01:36:07,601 DON'T KNOW WHAT THIS MECHANISM 2174 01:36:07,601 --> 01:36:10,637 BY WHICH THE EXERCISE INCREASE 2175 01:36:10,637 --> 01:36:12,339 THE MITOCHONDRIA YOU KNOW 2176 01:36:12,339 --> 01:36:19,713 PRESENT IN THESE OTHER TISSUE, 2177 01:36:19,713 --> 01:36:21,281 PERSISTENTLY THE MITOCHONDRIA 2178 01:36:21,281 --> 01:36:23,417 ISSUE ARE TALKING TOGETHER. 2179 01:36:23,417 --> 01:36:24,051 >> VERY GOOD. 2180 01:36:24,051 --> 01:36:25,919 WELL, LET'S MOVE ON. 2181 01:36:25,919 --> 01:36:27,454 WE HAVE HERE -- 2182 01:36:27,454 --> 01:36:28,989 >> MAY I MAKE A QUICK COMMENT 2183 01:36:28,989 --> 01:36:31,291 HERE IF YOU DON'T MIND? 2184 01:36:31,291 --> 01:36:31,558 >> YEAH. 2185 01:36:31,558 --> 01:36:38,899 >> YEAH, SO I JUST WANTED TO 2186 01:36:38,899 --> 01:36:42,402 TELL LUIGI, THAT NEARBY STUDIES 2187 01:36:42,402 --> 01:36:45,138 THE TRIALS, MET FORMIN TRIALS 2188 01:36:45,138 --> 01:36:45,739 AND ALSO I HEARD HIM TALK AND 2189 01:36:45,739 --> 01:36:47,040 THERE WAS A PANEL DISCUSSION 2190 01:36:47,040 --> 01:36:48,141 WHERE HE MENTIONED THAT MET 2191 01:36:48,141 --> 01:36:53,113 FORMIN, SOME PEOPLE SAY THAT IT 2192 01:36:53,113 --> 01:36:55,916 DEACTIVATES THE TOR PATHWAY SO 2193 01:36:55,916 --> 01:36:58,518 YOU DON'T GET MUCH MUSCLE MASS 2194 01:36:58,518 --> 01:37:00,787 AND IT'S BAD BUT I THINK HE MADE 2195 01:37:00,787 --> 01:37:02,889 THE POINT THAT THE MET FORMIN 2196 01:37:02,889 --> 01:37:05,158 TREATED MUSCLE IS ABOUT THE 2197 01:37:05,158 --> 01:37:08,061 SAME, SO I WANTED TO PROVIDE IT. 2198 01:37:08,061 --> 01:37:11,198 >> YES, LET'S CONSIDER SOME OF 2199 01:37:11,198 --> 01:37:21,708 THE OTHER QUESTIONS THAT HAVE 2200 01:37:22,442 --> 01:37:22,809 BEEN ASKED HERE. 2201 01:37:22,809 --> 01:37:25,278 ALL RIGHT, WE HAVE AN 2202 01:37:25,278 --> 01:37:30,717 INTERESTING QUESTION HERE, THIS 2203 01:37:30,717 --> 01:37:36,323 IS ABOUT HYDRA, HYDRA, ABLE TO 2204 01:37:36,323 --> 01:37:38,158 LIVE FOREVER BECAUSE THEY LIVE 2205 01:37:38,158 --> 01:37:40,594 THROUGH STEM CELLS WHICH 2206 01:37:40,594 --> 01:37:41,495 REGENERATE THROUGH DUPLICATION 2207 01:37:41,495 --> 01:37:42,329 OR CLONING. 2208 01:37:42,329 --> 01:37:43,830 SO THESE ANIMALS DON'T 2209 01:37:43,830 --> 01:37:45,866 DETERIORATE AS THEY GET OLDER 2210 01:37:45,866 --> 01:37:49,836 BUT THEY DIE UNDER NATURAL 2211 01:37:49,836 --> 01:37:50,537 CONDITIONS PREDOMINANTLY ATORS 2212 01:37:50,537 --> 01:37:53,907 AND SO FORTH AND SO ON. 2213 01:37:53,907 --> 01:37:56,843 THEY KEEP GOING, ALMOST FOREVER, 2214 01:37:56,843 --> 01:37:59,312 DO YOU SEE ANY RELATIONSHIP 2215 01:37:59,312 --> 01:38:02,549 BETWEEN THIS AND MAMMALIAN 2216 01:38:02,549 --> 01:38:03,150 PHYSIOLOGY? 2217 01:38:03,150 --> 01:38:08,155 IT'S A BIT WAY OUT, BUT MAYBE 2218 01:38:08,155 --> 01:38:09,289 HAVE YOU SOME BRIEF THOUGHTS 2219 01:38:09,289 --> 01:38:09,689 ABOUT THAT. 2220 01:38:09,689 --> 01:38:11,324 I GUESS WE COULD EXPAND IT 2221 01:38:11,324 --> 01:38:13,960 BECAUSE PEOPLE HAVE ASKED ABOUT 2222 01:38:13,960 --> 01:38:17,864 OTHER SPECIES, TOO, CERTAIN 2223 01:38:17,864 --> 01:38:19,232 SHARKS, CLAMS, DIFFERENT SPECIES 2224 01:38:19,232 --> 01:38:22,903 HAVE DIFFERENT -- AS YOU POINT 2225 01:38:22,903 --> 01:38:24,438 OUT DIFFERENT LIVE SPANS AND 2226 01:38:24,438 --> 01:38:25,272 DIFFERENT ADAPTATIONS SO IN 2227 01:38:25,272 --> 01:38:30,577 BRIEF IS THAT DUE TO COMPLETELY 2228 01:38:30,577 --> 01:38:32,045 DIFFERENT EVOLUTIONARY CHANGES? 2229 01:38:32,045 --> 01:38:35,515 IS THERE SOME LINEAR 2230 01:38:35,515 --> 01:38:37,150 RELATIONSHIP TO PROCESSES IN 2231 01:38:37,150 --> 01:38:37,851 MAMMALS? 2232 01:38:37,851 --> 01:38:40,253 >> WELL AS A HUMAN SCIENTIST, I 2233 01:38:40,253 --> 01:38:42,355 DON'T KNOW VERY MUCH ABOUT IT 2234 01:38:42,355 --> 01:38:47,260 BUT I TRY AND PARTICIPATED 2235 01:38:47,260 --> 01:38:49,763 AROUND THE TABLE WITH HUMAN 2236 01:38:49,763 --> 01:38:51,798 SCIENTISTS AND BASIC SCIENCE, 2237 01:38:51,798 --> 01:38:57,037 SCIENTISTS THAT WERE DISCUSSING 2238 01:38:57,037 --> 01:38:58,338 WHETHER HY DRA, LIVE FOREVER OR 2239 01:38:58,338 --> 01:38:58,705 NOT. 2240 01:38:58,705 --> 01:39:00,774 AND THE DISCUSSION FOCUS ON, YOU 2241 01:39:00,774 --> 01:39:03,677 KNOW WHAT IS AN INDIVIDUAL. 2242 01:39:03,677 --> 01:39:09,649 ARE WE THINKING ABOUT YOU KNOW 2243 01:39:09,649 --> 01:39:10,784 BECAUSE HYDRA LIVE FOREVER BUT 2244 01:39:10,784 --> 01:39:15,322 THE CELL THAT EITHER HAS YOU 2245 01:39:15,322 --> 01:39:18,992 KNOW 4 WEEKS LATER, ARE NOT THE 2246 01:39:18,992 --> 01:39:22,329 SAME CELLS THAT THE HYDRA HAD 2247 01:39:22,329 --> 01:39:22,696 BEFORE. 2248 01:39:22,696 --> 01:39:26,633 SO THE REGENERATION THAT IS -- 2249 01:39:26,633 --> 01:39:37,177 DOES NOT IMPLY THE PARTITIONING 2250 01:39:42,682 --> 01:39:45,252 AND I WILL ARGUE, IF YOU CAN 2251 01:39:45,252 --> 01:39:47,053 THINK ABOUT MORTALITY OR NOT, 2252 01:39:47,053 --> 01:39:50,357 BECAUSE YOU CAN THINK THAT THE 2253 01:39:50,357 --> 01:39:57,697 HUMANS LIVE FOREVER BECAUSE THEY 2254 01:39:57,697 --> 01:39:59,099 HAVE GENESIS, AND THEY ARE USING 2255 01:39:59,099 --> 01:40:01,735 TO CREATE THEIR CHILDREN, AND 2256 01:40:01,735 --> 01:40:04,838 THEIR CHILDREN START FROM THE 2257 01:40:04,838 --> 01:40:07,207 SAME CELL OF THE OTHER 2258 01:40:07,207 --> 01:40:07,507 INDIVIDUAL. 2259 01:40:07,507 --> 01:40:09,209 THE FACT THAT THEY ARE 2260 01:40:09,209 --> 01:40:09,910 PHYSICALLY SEPARATED FROM THE 2261 01:40:09,910 --> 01:40:11,745 MOTHER AND THE FATHER, YOU KNOW 2262 01:40:11,745 --> 01:40:19,119 MAY NOT BE SO IMPORTANT AND SO 2263 01:40:19,119 --> 01:40:20,387 THE SAME PHENOMENON CAN OCCUR 2264 01:40:20,387 --> 01:40:26,493 WITHIN THE SAME INDIVIDUAL 2265 01:40:26,493 --> 01:40:27,661 WITHOUT SEPARATION OF WHAT WE 2266 01:40:27,661 --> 01:40:29,529 CALL INDIVIDUAL, SO I'M NOT SURE 2267 01:40:29,529 --> 01:40:30,497 THIS IS BIOLOGICAL BUT I THINK 2268 01:40:30,497 --> 01:40:32,465 THAT WAS THE CONE OF THE 2269 01:40:32,465 --> 01:40:33,633 DISCUSSION, AT SOME POINT IT 2270 01:40:33,633 --> 01:40:35,135 GENERATED A LITTLE BIT BECAUSE 2271 01:40:35,135 --> 01:40:40,607 WANE CAME INTO IT, SO IT BECAME 2272 01:40:40,607 --> 01:40:42,642 MORE CONFUSED. 2273 01:40:42,642 --> 01:40:43,710 >> LUIGI, WHILE YOU'RE 2274 01:40:43,710 --> 01:40:44,711 COMMENTING, WE HAVE A QUESTION 2275 01:40:44,711 --> 01:40:48,315 IN HERE, YOU USED THE PHRASE I 2276 01:40:48,315 --> 01:40:51,618 KIND OF DIFFERENTIATED WHAT YOU 2277 01:40:51,618 --> 01:40:58,658 CALLED THE BIOLOGICAL LIFE SPAN 2278 01:40:58,658 --> 01:40:59,826 AS DISTINGUISHED FROM LIFE 2279 01:40:59,826 --> 01:41:00,126 EXPECTANCY. 2280 01:41:00,126 --> 01:41:01,294 WHAT DO YOU HAVE IN MIEBD WHEN 2281 01:41:01,294 --> 01:41:09,502 YOU REFER TO THE BIOLOGICAL LIFE 2282 01:41:09,502 --> 01:41:10,003 SPAN? 2283 01:41:10,003 --> 01:41:11,104 LUIGI? 2284 01:41:11,104 --> 01:41:14,841 ARE YOU ON? 2285 01:41:14,841 --> 01:41:15,709 >> HE'S UNFORTUNATELY MUTED FOR 2286 01:41:15,709 --> 01:41:16,209 A SECOND. 2287 01:41:16,209 --> 01:41:22,849 HE'S TRYING TO UNMUTE NOKAY, -- 2288 01:41:22,849 --> 01:41:23,984 >> OKAY, I AM HERE. 2289 01:41:23,984 --> 01:41:25,852 I DON'T TALK ABOUT BIOLOGICAL 2290 01:41:25,852 --> 01:41:27,387 LIFE SPAN, I TALK ABOUT 2291 01:41:27,387 --> 01:41:28,922 BIOLOGICAL AGING AND WHEN I 2292 01:41:28,922 --> 01:41:33,393 THINK ABOUT BIOLOGICAL AGING, I 2293 01:41:33,393 --> 01:41:35,328 AM THINKING ABOUT THE ARK 2294 01:41:35,328 --> 01:41:36,796 KIEWMULATION OF ORGANELLE DAMAGE 2295 01:41:36,796 --> 01:41:39,132 SPECIFICALLY AND WE CAN DEMON 2296 01:41:39,132 --> 01:41:42,669 TRAIT THAT THAT MICROMOLECULAR 2297 01:41:42,669 --> 01:41:43,503 CHANGES OCCUR EVEN YOU KNOW IN 2298 01:41:43,503 --> 01:41:48,742 THE FIRST YEAR OF LIFE, SO 2299 01:41:48,742 --> 01:41:51,378 THEY'RE THERE, THEY'RE NOT 2300 01:41:51,378 --> 01:41:54,180 EVIDENT PHENOTYPICALLY BECAUSE 2301 01:41:54,180 --> 01:41:55,815 THEY DEVELOPMENT PROGRAM THAT IS 2302 01:41:55,815 --> 01:41:59,753 INSCRIBING OUR DNA IS INCREDIBLY 2303 01:41:59,753 --> 01:42:01,955 POWERFUL, REDUNDANT AND FULL OF 2304 01:42:01,955 --> 01:42:05,558 CHECK POINTS THAT MAKE IT SO 2305 01:42:05,558 --> 01:42:09,129 EVIDENT THAT WE HIDE EVERYTHING 2306 01:42:09,129 --> 01:42:11,231 UNDERNEATH BUT STEVE HORVATH, 2307 01:42:11,231 --> 01:42:13,266 SHOW THAT THE CHANGE IN 2308 01:42:13,266 --> 01:42:14,801 METHYLATION THAT CHARACTERIZE 2309 01:42:14,801 --> 01:42:16,970 AGING OCCUR EVEN FASTER IN THE 2310 01:42:16,970 --> 01:42:21,641 FIRST YEAR OF LIFE. 2311 01:42:21,641 --> 01:42:23,777 AND SO WHEN I TALK ABOUT 2312 01:42:23,777 --> 01:42:29,215 BIOLOGICAL AGING, I'M THINKING 2313 01:42:29,215 --> 01:42:29,916 ABOUT, YOU KNOW, THAT BALANCE 2314 01:42:29,916 --> 01:42:38,625 BETWEEN MACROMOLECULAR DAMAGE 2315 01:42:38,625 --> 01:42:39,292 AND RESILIENCE. 2316 01:42:39,292 --> 01:42:41,261 >> ALL RIGHT, WHILE YOU'RE ON 2317 01:42:41,261 --> 01:42:43,263 LUIGI, WHAT IS YOUR VIEW ABOUT 2318 01:42:43,263 --> 01:42:47,334 CALORIC RESTRICTION AND AGING. 2319 01:42:47,334 --> 01:42:49,903 TAKING ALL OF THE EXISTING DATA, 2320 01:42:49,903 --> 01:42:53,540 SOME OF ITS CONFUSION, PEOPLE 2321 01:42:53,540 --> 01:42:56,142 WANT SPECIFIC ADVICE AS BOTH THE 2322 01:42:56,142 --> 01:42:59,079 SCIENTISTS AND ALSO A SCIENTIFIC 2323 01:42:59,079 --> 01:43:00,380 CLINICIAN, WHAT DO YOU ADVISE 2324 01:43:00,380 --> 01:43:02,782 PEOPLE ON THAT SUBJECT. 2325 01:43:02,782 --> 01:43:04,984 >> IT'S A HARD QUESTION. 2326 01:43:04,984 --> 01:43:07,220 YOU KNOW I THINK THAT, YOU KNOW, 2327 01:43:07,220 --> 01:43:10,657 IF YOU LOOK AT THE 2328 01:43:10,657 --> 01:43:11,991 EPIDEMIOLOGICAL STUDIES, I'LL 2329 01:43:11,991 --> 01:43:13,460 START WITH THERE, WILL TELL YOU 2330 01:43:13,460 --> 01:43:16,129 THAT THE PEOPLE THAT LIVE 2331 01:43:16,129 --> 01:43:20,667 LONGER, ARE THOSE INDIVIDUALS 2332 01:43:20,667 --> 01:43:22,869 THAT DO NOT CHANGE, MINIMAL 2333 01:43:22,869 --> 01:43:24,971 CHANGE WAYS ACROSS THE LINE ANDS 2334 01:43:24,971 --> 01:43:26,873 NOW THOSE PEOPLE, THE DECLINING 2335 01:43:26,873 --> 01:43:27,907 WEIGHT, GAINING WEIGHT, THOSE 2336 01:43:27,907 --> 01:43:30,844 ARE BOTH OF HIGHER MORTALITY. 2337 01:43:30,844 --> 01:43:34,948 THE SWEET SPOT FOR LOWER 2338 01:43:34,948 --> 01:43:38,618 MORTALITY IS NOT BELOW A BMI OF 2339 01:43:38,618 --> 01:43:43,857 25, IT'S A BMI OF 26-27, SO 2340 01:43:43,857 --> 01:43:44,357 SLIGHTLY OVERWEIGHT. 2341 01:43:44,357 --> 01:43:48,027 NOW IT'S DIFFICULT TO KNOW 2342 01:43:48,027 --> 01:43:49,429 WHETHER THAT IS A BIAS DUE TO 2343 01:43:49,429 --> 01:43:52,198 THE FACT THAT THE PEOPLE THAT 2344 01:43:52,198 --> 01:43:55,602 GET SICK, YOU KNOW LOSE WEIGHT, 2345 01:43:55,602 --> 01:43:58,638 EVEN IN STUDIES LIKE THE UK BY O 2346 01:43:58,638 --> 01:44:01,174 BANK WHICH ARE HUGE, FAMILIAR 2347 01:44:01,174 --> 01:44:03,443 WITH PEOPLE, WE COULD NOT 2348 01:44:03,443 --> 01:44:04,144 DISTINGUISH MORTALITY BETWEEN 2349 01:44:04,144 --> 01:44:07,347 THE PEOPLE WITH THE BMI WITH 25 2350 01:44:07,347 --> 01:44:11,985 AND THE BMI OF 26. 2351 01:44:11,985 --> 01:44:13,453 YOU KNOW 26 IS BETTER AND THERE 2352 01:44:13,453 --> 01:44:15,855 WE HAD THE HUGE AMOUNT OF 2353 01:44:15,855 --> 01:44:18,925 CONFOUNDING VARIABLE THAT WE 2354 01:44:18,925 --> 01:44:20,794 COULD USE, FOR A VERY, VERY 2355 01:44:20,794 --> 01:44:22,028 LARGE DATABASE. 2356 01:44:22,028 --> 01:44:23,997 SO I THINK THAT YOU KNOW 2357 01:44:23,997 --> 01:44:26,366 MAINTAINING WEIGHT IS THE MOST 2358 01:44:26,366 --> 01:44:29,636 IMPORTANT NOW AND WE GO TO 2359 01:44:29,636 --> 01:44:31,805 SHAPE, IF WE TALK ABOUT PEOPLE 2360 01:44:31,805 --> 01:44:33,573 THAT ARE SERIOUSLY OVERWEIGHT OR 2361 01:44:33,573 --> 01:44:34,641 OBESE, THERE'S ABSOLUTELY NO 2362 01:44:34,641 --> 01:44:35,809 DOUBT THAT LOSING WEIGHT IS GOOD 2363 01:44:35,809 --> 01:44:38,044 FOR YOU. 2364 01:44:38,044 --> 01:44:44,284 I MEAN THAT'S BEEN DEMONSTRATED 2365 01:44:44,284 --> 01:44:47,487 HUNDREDS OF TIMES YOU NEED TO DO 2366 01:44:47,487 --> 01:44:48,288 IT PROPERLY, UNDER MEDICAL 2367 01:44:48,288 --> 01:44:49,255 CONTROL, YOU HAVE TO MAKE SURE 2368 01:44:49,255 --> 01:44:52,325 YOU HAVE THE ESSENTIAL PROTEIN 2369 01:44:52,325 --> 01:44:53,827 AND VITAMINS BUT LOSING WEIGHT 2370 01:44:53,827 --> 01:44:56,796 IS ASSOCIATE WIDE DRASTIC 2371 01:44:56,796 --> 01:44:59,933 REDUCTION OF INFLAMMATION, IS 2372 01:44:59,933 --> 01:45:02,569 ASSOCIATE WIDE REDUCTION OF THE 2373 01:45:02,569 --> 01:45:03,603 CARDIOVASCULAR MORTALITY AS AN 2374 01:45:03,603 --> 01:45:06,906 EFFECT ON THE RISK OF CERTAIN 2375 01:45:06,906 --> 01:45:08,541 CANCER, AND NOT ALL CANCER BUT 2376 01:45:08,541 --> 01:45:09,042 CERTAIN CANCER. 2377 01:45:09,042 --> 01:45:12,445 NOW THE REAL ISSUE IS, IF YOU 2378 01:45:12,445 --> 01:45:16,182 ARE NORMAL WEIGHT OR SLIGHTLY 2379 01:45:16,182 --> 01:45:16,716 OVERWEIGHT, THIS CALORIC 2380 01:45:16,716 --> 01:45:24,691 RESTRICTION GOING TO BE 2381 01:45:24,691 --> 01:45:25,058 EFFECTIVE? 2382 01:45:25,058 --> 01:45:26,759 NOW, LOSING WEIGHT IS VERY 2383 01:45:26,759 --> 01:45:27,827 DIFFICULT, VERY, VERY FEW PEOPLE 2384 01:45:27,827 --> 01:45:28,761 ARE EFFECTIVE AND WITH THE 2385 01:45:28,761 --> 01:45:32,098 NORMAL WAY WE DO WITH THE DIET, 2386 01:45:32,098 --> 01:45:34,567 IF YOU LOOK AT PEOPLE FOR A LONG 2387 01:45:34,567 --> 01:45:36,769 TIME ALMOST ALL OF THEM OVER 2388 01:45:36,769 --> 01:45:44,110 TIME REGAIN WHAT THEY LOST AND 2389 01:45:44,110 --> 01:45:45,912 THIS HAS BEEN DUE TO THE FACT 2390 01:45:45,912 --> 01:45:48,815 THAT WHEN YOU LOSE WEIGHT, YOUR 2391 01:45:48,815 --> 01:45:51,084 ORGANIZATIONSISM ADAPT, AND YOU 2392 01:45:51,084 --> 01:45:54,854 ADAPT BY REDUCING RESTING 2393 01:45:54,854 --> 01:45:55,288 METABOLIC RATE. 2394 01:45:55,288 --> 01:46:02,862 SO YOU LOSE THAT EFFECT AND SO 2395 01:46:02,862 --> 01:46:04,397 WHAT IS NOW MORE THINKING IS THE 2396 01:46:04,397 --> 01:46:07,834 MORE EFFICIENT WAY OF DOING 2397 01:46:07,834 --> 01:46:08,902 CALORIC RESTRICTION IS 2398 01:46:08,902 --> 01:46:10,837 INTERMITTENT FASTING, SO THE 2399 01:46:10,837 --> 01:46:12,739 INTERMITTENT FASTING CAN BE DONE 2400 01:46:12,739 --> 01:46:14,374 IN MANY WAYS, 2 DAYS A WEEK, 1 2401 01:46:14,374 --> 01:46:16,576 DAY A WEEK, REDUCING INTAKE FOR 2402 01:46:16,576 --> 01:46:19,579 6 TIMES THE CALORIE 2 DAYS A 2403 01:46:19,579 --> 01:46:22,115 WEEK, MANY, MANY MECHANISMS, OR 2404 01:46:22,115 --> 01:46:24,317 EVEN AND SOON TO BE 1 OF THE 2405 01:46:24,317 --> 01:46:26,452 MOST SUCCESSFUL NOT EATING FOR 2406 01:46:26,452 --> 01:46:29,255 14 HOUR FOR DAY AND EATING ONLY 2407 01:46:29,255 --> 01:46:31,858 IN THE REMAINING HOURS. 2408 01:46:31,858 --> 01:46:33,493 THAT SEEMED TO BE QUITE 2409 01:46:33,493 --> 01:46:35,528 EFFECTIVE ESPECIALLY IF YOU DO 2410 01:46:35,528 --> 01:46:39,465 RESTRICTION IN THE MORNING. 2411 01:46:39,465 --> 01:46:41,968 NOW, THOSE HAVE SHOWN THAT THESE 2412 01:46:41,968 --> 01:46:45,572 PEOPLE ARE ABLE TO MAINTAIN THIS 2413 01:46:45,572 --> 01:46:46,706 CHARACTERISTIC AND SHOWED THE 2414 01:46:46,706 --> 01:46:48,074 LOSING OF THE WEIGHT FOR A VERY 2415 01:46:48,074 --> 01:46:49,642 LONG TIME. 2416 01:46:49,642 --> 01:46:51,578 I RECENTLY HAD A DISCUSSION AT 2417 01:46:51,578 --> 01:46:57,717 THE MEETING OF THE DIETITIANS 2418 01:46:57,717 --> 01:46:59,586 WHEN I INTRODUCED THE AGING AND 2419 01:46:59,586 --> 01:47:03,990 SOME OF THEM TOLD ME THAT ALL 2420 01:47:03,990 --> 01:47:05,959 THEIR LIFE, THERE HAVE BEEN SO 2421 01:47:05,959 --> 01:47:07,827 MUCH DISAPPOINTED WITH THE 2422 01:47:07,827 --> 01:47:08,628 NORNLAL DIET BECAUSE PEOPLE LOSE 2423 01:47:08,628 --> 01:47:10,463 WEIGHT AND A YEAR LATER IT'S 2424 01:47:10,463 --> 01:47:13,967 OBVIOUS THEY HAVE REGAINED 2425 01:47:13,967 --> 01:47:14,200 WEIGHT. 2426 01:47:14,200 --> 01:47:16,469 BUT WE START THE FASTING, THEY 2427 01:47:16,469 --> 01:47:17,937 ARE SEEING SOMETHING DIFFERENT. 2428 01:47:17,937 --> 01:47:21,574 OF KOWRGS IT REQUIRE ALSO A LOT 2429 01:47:21,574 --> 01:47:22,275 OF SELF-CONTROL, BUT PEOPLE SEEM 2430 01:47:22,275 --> 01:47:29,382 TO BE ABLE TO DO IT SO I THINK 2431 01:47:29,382 --> 01:47:30,016 THERE'S SOMETHING THERE. 2432 01:47:30,016 --> 01:47:31,985 AND THERE IS A LOT OF TRIALS 2433 01:47:31,985 --> 01:47:32,418 COMING UP. 2434 01:47:32,418 --> 01:47:34,153 YOU KNOW THERE WAS 1 FAIRLY 2435 01:47:34,153 --> 01:47:35,221 RECENTLY IN THE NEW ENGLAND 2436 01:47:35,221 --> 01:47:42,729 JOURNAL OF MEDICINE SHOWING THE 2437 01:47:42,729 --> 01:47:42,962 EFFECTS. 2438 01:47:42,962 --> 01:47:45,231 >> SO I ASSUME WE WILL HEAR A 2439 01:47:45,231 --> 01:47:50,003 LOT AT SOME POINT IN THE FUTURE, 2440 01:47:50,003 --> 01:47:54,507 NOT NOW, ABOUT THE GLUE CO 2441 01:47:54,507 --> 01:47:55,775 GONZALEZ ANTAGGISTIC DRUGS WHICH 2442 01:47:55,775 --> 01:47:57,143 HAVE MULTIPLE EFFECTS AND BY THE 2443 01:47:57,143 --> 01:48:01,514 WAY WE'RE HAVING A SESSION IN 2444 01:48:01,514 --> 01:48:07,620 DEMYSTIFYING MEDICINE WITH 1 OF 2445 01:48:07,620 --> 01:48:09,088 THE DISCOVERERS OF THAT LATER IN 2446 01:48:09,088 --> 01:48:09,822 THE YEAR. 2447 01:48:09,822 --> 01:48:11,424 SO HERE'S ANOTHER QUESTION. 2448 01:48:11,424 --> 01:48:16,963 NOW, YES, P A YEL, THIS IS AN 2449 01:48:16,963 --> 01:48:20,199 IMPORTANT PROBABLY 1 OF THE MOST 2450 01:48:20,199 --> 01:48:20,967 SIGNIFICANT QUESTIONS. 2451 01:48:20,967 --> 01:48:22,969 THERE ARE REALLY 3 OF THEM AND I 2452 01:48:22,969 --> 01:48:24,570 DON'T KNOW HOW YOU CAN ANSWER IT 2453 01:48:24,570 --> 01:48:29,208 IN A SHORT PERIOD OF TIME BUT 2454 01:48:29,208 --> 01:48:29,375 TRY. 2455 01:48:29,375 --> 01:48:31,310 THIS IS REGARDING EPIGENETICS IN 2456 01:48:31,310 --> 01:48:34,514 A CAUSAL PATHWAY OF AGING. 2457 01:48:34,514 --> 01:48:37,150 DO YOU SEE IT PRIMARILY AS A 2458 01:48:37,150 --> 01:48:40,687 CAUSE, A MARKER OF WHETHER 2459 01:48:40,687 --> 01:48:41,621 UNDERLYING PROCESSES OR AN 2460 01:48:41,621 --> 01:48:50,897 EFFECT OF AGING ITSELF? 2461 01:48:50,897 --> 01:48:53,499 ADDITIONALLY HOW SIGNIFICANT IS 2462 01:48:53,499 --> 01:48:54,567 ITSELF CONTRIBUTION REGARDING 2463 01:48:54,567 --> 01:48:56,035 OTHER AGING MECHANISMS AND I 2464 01:48:56,035 --> 01:49:04,844 MIGHT THROW IN THE TELOMERE 2465 01:49:04,844 --> 01:49:06,045 CONTRIBUTION, AND LASTLY WOULD 2466 01:49:06,045 --> 01:49:10,983 YOU SAY THAT THE GENERATION IS 2467 01:49:10,983 --> 01:49:13,086 PART OF EPIGENETIC TARGET FOR 2468 01:49:13,086 --> 01:49:13,453 THERAPY? 2469 01:49:13,453 --> 01:49:15,088 YOU CAN'T ANSWER ALL OF THOSE 2470 01:49:15,088 --> 01:49:16,155 QUESTIONS BUT PLEASE DO YOUR 2471 01:49:16,155 --> 01:49:18,124 BEST IN A SHORT PERIOD OF TIME. 2472 01:49:18,124 --> 01:49:18,925 THANK YOU. 2473 01:49:18,925 --> 01:49:19,425 >> YEAH, SURE. 2474 01:49:19,425 --> 01:49:23,463 I THINK THERE'S QUESTIONS FROM 2475 01:49:23,463 --> 01:49:25,364 MIN Q, SHE'S ALSO HERE AT THE 2476 01:49:25,364 --> 01:49:26,532 NIH, SO OBVIOUSLY A VERY HARD 2477 01:49:26,532 --> 01:49:27,900 QUESTION, I THINK THAT AT THIS 2478 01:49:27,900 --> 01:49:32,038 POINT, IT IS VERY HARD TO 2479 01:49:32,038 --> 01:49:33,606 DISTINGUISH WHAT EPIGENETIC 2480 01:49:33,606 --> 01:49:36,042 CHANGES OCCURRED FIRST AND THEN 2481 01:49:36,042 --> 01:49:42,615 WHAT EPIGENETIC CHANGES OCCURRED 2482 01:49:42,615 --> 01:49:42,849 SECOND. 2483 01:49:42,849 --> 01:49:44,817 SO TO ESTABLISH CAUSALITY, THE 2484 01:49:44,817 --> 01:49:48,788 WAY WE DO IT IN THE LAB IS YOU 2485 01:49:48,788 --> 01:49:50,623 KNOW VERY SIMPLY, KNOCK DOWN AN 2486 01:49:50,623 --> 01:49:55,128 IMPORTANT FACTOR, SEE IF THAT 2487 01:49:55,128 --> 01:49:56,329 AFFECTS ALL OTHER DOWN STREAM 2488 01:49:56,329 --> 01:50:00,633 KNOWN PHENOTYPES OF AGING OR 2489 01:50:00,633 --> 01:50:02,001 OVEREXPRESSED, SAY THE OPPOSITE 2490 01:50:02,001 --> 01:50:03,069 EFFECT BUT THAT'S ALL PRETTY 2491 01:50:03,069 --> 01:50:05,571 MUCH WHAT WE CAN DO NOW 2492 01:50:05,571 --> 01:50:08,875 EXPERIMENTALLY TO GET AT 2493 01:50:08,875 --> 01:50:09,208 CAUSALITY. 2494 01:50:09,208 --> 01:50:11,744 NOW WHETHER -- HOW SIGNIFICANT 2495 01:50:11,744 --> 01:50:13,579 IS THE CONTRIBUTION RELATIVE TO 2496 01:50:13,579 --> 01:50:15,214 OTHER AGING MECHANISMS, AS I 2497 01:50:15,214 --> 01:50:20,386 SHOWED IN MY HALLMARKS OF AGING 2498 01:50:20,386 --> 01:50:21,788 SLIDE, EVERY HALLMARK IS 2499 01:50:21,788 --> 01:50:23,589 CONNECTED TO EVERY OTHER 2500 01:50:23,589 --> 01:50:25,925 HALLMARK, BUT I PERSONALLY THINK 2501 01:50:25,925 --> 01:50:27,894 THAT EPIGENETIC ALERATIONS ARE 2502 01:50:27,894 --> 01:50:29,228 PRETTY FUNDAMENTAL BECAUSE 2503 01:50:29,228 --> 01:50:32,431 THAT'S WHERE YOU KNOW YOU CHANGE 2504 01:50:32,431 --> 01:50:37,003 THAT, AND YOU KNOW, YOU CAN HAVE 2505 01:50:37,003 --> 01:50:39,539 WIDE SPREAD EFFECTS THROUGH GENE 2506 01:50:39,539 --> 01:50:40,306 REGULATION. 2507 01:50:40,306 --> 01:50:45,344 SO I WOULD SEE IF YOU REALLY 2508 01:50:45,344 --> 01:50:46,245 IDENTIFY CAUSAL TRANSCRIPTION 2509 01:50:46,245 --> 01:50:48,214 FACTOR, YOU SHOULD BE ABLE TO -- 2510 01:50:48,214 --> 01:50:52,485 YOU SHOULD BE ABLE TO YOU KNOW 2511 01:50:52,485 --> 01:50:54,253 MITIGATE SOME OF THOSE PROBLEMS 2512 01:50:54,253 --> 01:51:00,726 BUT YEAH, IT'S A VERY DIFFICULT 2513 01:51:00,726 --> 01:51:01,127 QUESTION. 2514 01:51:01,127 --> 01:51:02,895 >> IT'S A GREAT ANSWER FOR A 2515 01:51:02,895 --> 01:51:04,163 VERY COMPLEX AND IMPORTANT 2516 01:51:04,163 --> 01:51:06,432 PROBLEM WHICH NEEDS MORE 2517 01:51:06,432 --> 01:51:08,167 SCIENCE, RIGHT? 2518 01:51:08,167 --> 01:51:08,434 >> YES. 2519 01:51:08,434 --> 01:51:11,204 >> LUIGI IS THERE ANY CONNECTION 2520 01:51:11,204 --> 01:51:12,605 BETWEEN LIFE EXPECTANCY AND 2521 01:51:12,605 --> 01:51:15,508 REPRODUCTIVE AGE SPAN IN THAT'S 2522 01:51:15,508 --> 01:51:17,643 A QUESTION THAT AMEET ASKS, AND 2523 01:51:17,643 --> 01:51:19,579 THEN PRIMARILY CONCERNED BY THE 2524 01:51:19,579 --> 01:51:21,581 FACT THAT PUBERTY IS COMING TO 2525 01:51:21,581 --> 01:51:24,083 KIDS EARLIER NOW, THAN IT USED 2526 01:51:24,083 --> 01:51:26,419 TO BE WHICH DOES THIS HAVE ANY 2527 01:51:26,419 --> 01:51:29,889 POTENTIAL IMPACT ON LIFE SPAN OR 2528 01:51:29,889 --> 01:51:36,562 HEALTH SPAN, WHAT DO YOU THINK? 2529 01:51:36,562 --> 01:51:37,663 >> NOT MY STRONG KNOWLEDGE BUT I 2530 01:51:37,663 --> 01:51:41,133 READ OF COURSE ABOUT THIS 2531 01:51:41,133 --> 01:51:42,301 CONTROVERSIAL AND THERE ARE 2532 01:51:42,301 --> 01:51:48,107 DIFFERENCES OF OPINION, BUT I 2533 01:51:48,107 --> 01:51:50,443 THINK THAT 1 LINE OF THE SEARCH 2534 01:51:50,443 --> 01:51:52,511 SEEMS TO BE VERY INTERESTING, 2535 01:51:52,511 --> 01:51:54,213 THE FACT THAT THE ANTICIPATION 2536 01:51:54,213 --> 01:52:04,056 OF PUBERTY SEEMED TO BE DUE TO 2537 01:52:04,056 --> 01:52:05,091 ENVIRONMENTAL EXPOSURE AND 2538 01:52:05,091 --> 01:52:07,827 DELIVER SOME EEIVETS AND OTHERS 2539 01:52:07,827 --> 01:52:10,463 SEEM TO BE ASSOCIATED WITH 2540 01:52:10,463 --> 01:52:18,905 ANTICIPATED PUBERTY IN SOME PART 2541 01:52:18,905 --> 01:52:20,406 OF THE WORLD WHETHER THE 2542 01:52:20,406 --> 01:52:23,142 PRODUCTIVE AGE IS ASSOCIATE WIDE 2543 01:52:23,142 --> 01:52:23,910 LONGEVITY. 2544 01:52:23,910 --> 01:52:27,046 I REALLY DON'T KNOW. 2545 01:52:27,046 --> 01:52:30,850 BUT WOMEN THAT HAVE MULTIPLE 2546 01:52:30,850 --> 01:52:32,852 CHILDREN THAT ARE NOT KNOWN TO 2547 01:52:32,852 --> 01:52:42,662 PRIOR, AND LONGER, THAT WE KNOW. 2548 01:52:42,662 --> 01:52:44,630 YEAH, SO CHRISTOPHER SAYS WITH 2549 01:52:44,630 --> 01:52:45,665 ADEQUATE NUTRITION? 2550 01:52:45,665 --> 01:52:51,504 THAT'S A VERY, VERY INTERESTING. 2551 01:52:51,504 --> 01:52:57,576 YOU KNOW LIFE CAUSE STUDIES HAVE 2552 01:52:57,576 --> 01:53:00,513 SHOWN THAT GAINING WEIGHT 2553 01:53:00,513 --> 01:53:02,048 THROUGH PRIOR TO PUBERTY IS A 2554 01:53:02,048 --> 01:53:04,116 GOOD THING, IF YOU GAIN WEIGHT 2555 01:53:04,116 --> 01:53:06,252 PRIOR TO PUBERTY THAT IS 2556 01:53:06,252 --> 01:53:08,220 PREDICTIVE OF HEALTH LATE OR IN 2557 01:53:08,220 --> 01:53:08,654 LIFE. 2558 01:53:08,654 --> 01:53:11,090 BY GAINING WEIGHT AFTER PUBERTY, 2559 01:53:11,090 --> 01:53:13,993 SEEMS TO BE ASSOCIATED WITH BAD 2560 01:53:13,993 --> 01:53:14,393 OUT COME. 2561 01:53:14,393 --> 01:53:16,696 WHAT IS THE MECHANISM THERE. 2562 01:53:16,696 --> 01:53:17,363 I DON'T KNOW. 2563 01:53:17,363 --> 01:53:18,998 AND IT'S MUCH STRONGER IN WOMEN 2564 01:53:18,998 --> 01:53:21,534 THAN IN MEN, BUT IN WOMEN, THE 2565 01:53:21,534 --> 01:53:28,174 EFFECT IS REALLY POWERFUL. 2566 01:53:28,174 --> 01:53:37,616 >> THAT'S VERY, VERY 2567 01:53:37,616 --> 01:53:38,050 INTERESTING. 2568 01:53:38,050 --> 01:53:39,218 LET ME AND SEE. 2569 01:53:39,218 --> 01:53:41,921 THERE WERE SOME VERY INTERESTING 2570 01:53:41,921 --> 01:53:47,660 QUESTIONS HERE WHICH SOMEHOW I 2571 01:53:47,660 --> 01:53:48,127 HAVE. 2572 01:53:48,127 --> 01:53:58,337 -- AH, YES. 2573 01:54:01,173 --> 01:54:09,048 YOU REFERRED TO AGING PRETTY 2574 01:54:09,048 --> 01:54:15,921 MUCH AS A DISEASE OF CELLULAR 2575 01:54:15,921 --> 01:54:20,793 DAMAGE OF LIMITATION OF CELLULAR 2576 01:54:20,793 --> 01:54:26,232 RENEWAL AND REFERRED TO THE 2577 01:54:26,232 --> 01:54:29,635 APOPTOTIC CYCLE AND OTHERS AS 2578 01:54:29,635 --> 01:54:34,774 BEING ACCENTUATED IN THE AGING 2579 01:54:34,774 --> 01:54:36,976 PROCESS SO IF THAT'S CENTRAL, IS 2580 01:54:36,976 --> 01:54:44,250 THAT THE MAJOR LOCUST AT WHICH 2581 01:54:44,250 --> 01:54:45,451 BIOLOGICAL AGING BEGINS AND IF 2582 01:54:45,451 --> 01:54:45,818 SO -- 2583 01:54:45,818 --> 01:54:48,220 >> FIRST OF ALL I THINK 2584 01:54:48,220 --> 01:54:49,121 BIOLOGICAL AGING STARTS 2585 01:54:49,121 --> 01:54:49,455 IMMEDIATELY. 2586 01:54:49,455 --> 01:54:53,893 I THINK THAT WE CANNOT ESCAPE 2587 01:54:53,893 --> 01:54:56,362 YOU KNOW THE CENTRAL DYNAMIC, 2588 01:54:56,362 --> 01:54:57,096 IT'S THERE. 2589 01:54:57,096 --> 01:55:02,635 AND SO I THINK THAT YOU KNOW I 2590 01:55:02,635 --> 01:55:04,870 DIDN'T HAVE THE TIME TO EXPLAIN 2591 01:55:04,870 --> 01:55:06,605 BEFORE BUT THINK ABOUT AGING 2592 01:55:06,605 --> 01:55:08,374 SOMETHING THAT IN THE OFF SENSE 2593 01:55:08,374 --> 01:55:11,210 OF ANYTHING CONTRASTING IT, WILL 2594 01:55:11,210 --> 01:55:13,279 OCCUR VERY RAPIDLY, YOU KNOW YOU 2595 01:55:13,279 --> 01:55:15,314 HAVE DAMAGE AND THIS DAMAGE IS 2596 01:55:15,314 --> 01:55:19,718 SO STRONG THAT AT SOME POINT, 2597 01:55:19,718 --> 01:55:23,589 IT'S NOT BY CHANCE THAT MASTER 2598 01:55:23,589 --> 01:55:24,590 PROGERIATRICKIZATIONIAS ARE 2599 01:55:24,590 --> 01:55:25,991 ASSOCIATED WITH THE EFFECT OF 2600 01:55:25,991 --> 01:55:27,993 DNA REPAIR BECAUSE THE DNA, THE 2601 01:55:27,993 --> 01:55:32,364 ONLY PART OF THE CELL THAT YOU 2602 01:55:32,364 --> 01:55:32,731 CANNOT EXCHANGE. 2603 01:55:32,731 --> 01:55:34,633 IT'S NOT THAT YOU'RE LIMITED IN 2604 01:55:34,633 --> 01:55:36,035 YOUR DNA, YOUR SYNTHESIS, 2605 01:55:36,035 --> 01:55:37,436 PROTEIN, CAN YOU DO THAT, 2606 01:55:37,436 --> 01:55:40,873 ALLEVIATE, YOU CAN DO THAT, THE 2607 01:55:40,873 --> 01:55:43,809 DNA IS THERE FOREVER UNTIL THE 2608 01:55:43,809 --> 01:55:48,981 CELL DIES, AND SO I THINK THAT 2609 01:55:48,981 --> 01:55:55,154 THE PRINCIPAL IS THAT AGING IS 2610 01:55:55,154 --> 01:55:57,389 ANOTHER PHYSICAL PHENOMENON, AND 2611 01:55:57,389 --> 01:56:01,093 THE QUESTION IS HOW WE CAN SLOW 2612 01:56:01,093 --> 01:56:04,964 IT DOWN AND NATURAL POURED SO 2613 01:56:04,964 --> 01:56:07,299 MUCH EFFORT IN SLOWING IT DOWN 2614 01:56:07,299 --> 01:56:09,368 THAT IT'S ABLE TO CREATE HUMAN 2615 01:56:09,368 --> 01:56:10,836 THAT LIVE 100 YEARS, THAT IS 2616 01:56:10,836 --> 01:56:13,172 BECAUSE OF THAT, BECAUSE OF 2617 01:56:13,172 --> 01:56:15,941 THOSE MECHANISMS -- AND I WANT 2618 01:56:15,941 --> 01:56:17,943 TO POINT THE EXAMPLE FROM THIS, 2619 01:56:17,943 --> 01:56:21,780 IF WE COULD ENHANCE THE EFFECT 2620 01:56:21,780 --> 01:56:24,517 OF THOSE MECHANISMS, THAT WOULD 2621 01:56:24,517 --> 01:56:26,118 BE THE MOST POWERFUL MEDICAL 2622 01:56:26,118 --> 01:56:28,020 APPROACH TO HEALTH THAT WE CAN 2623 01:56:28,020 --> 01:56:28,654 THINK OF. 2624 01:56:28,654 --> 01:56:32,057 AND SO, I DON'T THINK AGING IS A 2625 01:56:32,057 --> 01:56:32,458 DISEASE. 2626 01:56:32,458 --> 01:56:36,962 I THINK THAT AGING IS ENOUGH OF 2627 01:56:36,962 --> 01:56:39,265 A PHENOMENON AND WE FIGHT 2628 01:56:39,265 --> 01:56:43,536 CONSTANTLY DURING OUR ENTIRE 2629 01:56:43,536 --> 01:56:45,604 LIFEY TO SLOW DOWN, THAT'S THE 2630 01:56:45,604 --> 01:56:47,406 WAY TO THINK ABOUT IT. 2631 01:56:47,406 --> 01:56:49,875 >> ALL RIGHT, P A YEL, DO YOU 2632 01:56:49,875 --> 01:56:52,912 WANT TO COMMENT ABOUT THAT? 2633 01:56:52,912 --> 01:57:02,421 WHAT IS YOUR CONCEPT OF AGING? 2634 01:57:02,421 --> 01:57:04,957 >> I WOULD AGREE WITH LUIGI. 2635 01:57:04,957 --> 01:57:08,394 I DON'T THINK AGING IS A 2636 01:57:08,394 --> 01:57:09,094 DISEASE. 2637 01:57:09,094 --> 01:57:11,597 AGING, MY NAIVE IDEA OF AGE 2638 01:57:11,597 --> 01:57:15,301 SUGGEST THAT IT'S A NATURAL 2639 01:57:15,301 --> 01:57:16,535 PROCESS LIKE LUIGI SAID AND IN 2640 01:57:16,535 --> 01:57:22,141 FACT, I ALMOST THINK OF IT AS 2641 01:57:22,141 --> 01:57:23,709 BENEFICIAL, BENEFICIAL TO 2642 01:57:23,709 --> 01:57:27,613 PREVENT CANCER AND THAT'S -- BUT 2643 01:57:27,613 --> 01:57:31,517 UNFORTUNATELY SOME SIDE EFFECTS 2644 01:57:31,517 --> 01:57:36,722 COULD BE, YOU KNOW THE ONSET OF 2645 01:57:36,722 --> 01:57:37,356 DEGENERATIVE DISEASES AS I 2646 01:57:37,356 --> 01:57:39,959 MENTIONED SO I REALLY THINK IT 2647 01:57:39,959 --> 01:57:44,563 IS A BALANCE OF PREVENTING 2648 01:57:44,563 --> 01:57:45,531 CANCER AND MAINTAINING FUNCTION 2649 01:57:45,531 --> 01:57:48,367 AND THE ONLY WAY TO DO THAT IS 2650 01:57:48,367 --> 01:57:51,303 UNFORTUNATELY GO DOWN THE 2651 01:57:51,303 --> 01:57:52,538 DEGENERATIVE ROUTE AND 2652 01:57:52,538 --> 01:57:56,475 THEREFORE, I DON'T THINK AGING 2653 01:57:56,475 --> 01:58:00,980 ITSELF IS A DISEASE, IT MAKES 2654 01:58:00,980 --> 01:58:03,249 THE CELLS MAYBE GET DISEASE AT 2655 01:58:03,249 --> 01:58:08,921 SOME POINT OR BE ASSOCIATED WITH 2656 01:58:08,921 --> 01:58:09,955 A DISEASE STATE. 2657 01:58:09,955 --> 01:58:15,794 >> SO YES, LET ME THROW IN JUST 2658 01:58:15,794 --> 01:58:17,396 A BRIEF COMMENT HERE, SOMEWHERE 2659 01:58:17,396 --> 01:58:19,398 IN DISCUSSION OF AGING AND A LOT 2660 01:58:19,398 --> 01:58:21,934 OF THINGS, ATTENTION IS DIRECTED 2661 01:58:21,934 --> 01:58:31,176 TO CELLULAR TURNOVER, TO 2662 01:58:31,176 --> 01:58:33,579 ORGANELLE TURNOVER, BUT EVERY 2663 01:58:33,579 --> 01:58:34,947 MEMBRANE, EVERY STRUCTURE WITHIN 2664 01:58:34,947 --> 01:58:36,682 THE CELL CONSISTS OF HUGE 2665 01:58:36,682 --> 01:58:38,217 NUMBERS OF PROTEINS, LIPIDS AND 2666 01:58:38,217 --> 01:58:40,386 SO FORTH EACH 1 OF WHICH HAS ITS 2667 01:58:40,386 --> 01:58:43,656 OWN INDEPENDENT RATE OF 2668 01:58:43,656 --> 01:58:45,224 DEGRADATION AND PARTICULARLY, 2669 01:58:45,224 --> 01:58:46,525 AND SYNTHESIS AND DEGRADATION, 2670 01:58:46,525 --> 01:58:48,827 SO ALTHOUGH LIKE THE MEMBRANE 2671 01:58:48,827 --> 01:58:51,797 LOOKS INTACT, IN FACT, ALL OF 2672 01:58:51,797 --> 01:58:54,033 ITS COMPONENTS INDIVIDUALLY ARE 2673 01:58:54,033 --> 01:58:55,334 RAPIDLY TURNING OVER, THERE'S A 2674 01:58:55,334 --> 01:58:57,436 WHOLE DIMENSION OF DYNAMICS THAT 2675 01:58:57,436 --> 01:59:00,039 IS NOT -- THAT IS ONLY SEEN WHEN 2676 01:59:00,039 --> 01:59:03,842 YOU BEGIN TO SEE HIGH RESOLUTION 2677 01:59:03,842 --> 01:59:05,811 MICROSCOPY FOR EXAMPLE. 2678 01:59:05,811 --> 01:59:09,381 SO I'M CURIOUS, AT ANY POINT IN 2679 01:59:09,381 --> 01:59:10,749 THE CONSIDERATION OF AGING IS 2680 01:59:10,749 --> 01:59:14,887 THIS LEVEL OF DYNAMICS 2681 01:59:14,887 --> 01:59:15,187 CONSIDERED? 2682 01:59:15,187 --> 01:59:21,560 PEOPLE WHO ARE DOING SUPER 2683 01:59:21,560 --> 01:59:22,428 RESOLUTION MICROSCOPY OF 2684 01:59:22,428 --> 01:59:30,869 MOLECULES CONCERNED WITH THE 2685 01:59:30,869 --> 01:59:32,037 AGING PROCESS? 2686 01:59:32,037 --> 01:59:34,073 >> WELL, AS FARs I KNOW, WE 2687 01:59:34,073 --> 01:59:35,341 KNOW LITTLE ABOUT THAT BUT 1 2688 01:59:35,341 --> 01:59:37,209 STUDY THAT THE NIA IS DOING IS 2689 01:59:37,209 --> 01:59:38,610 LOOKING AT THE HALF LIFE OF 2690 01:59:38,610 --> 01:59:40,446 PROTEIN, WHETHER THE HALF LIFE 2691 01:59:40,446 --> 01:59:43,415 OF PROTEIN CHANGE WITH AGING AND 2692 01:59:43,415 --> 01:59:49,722 WE DO THAT BY, YOU KNOW, 2693 01:59:49,722 --> 01:59:50,756 STUDYING HUMANS, HEAVY WATER, 2694 01:59:50,756 --> 01:59:52,725 AND THEY TAKE THE HEAVY WATER 2695 01:59:52,725 --> 01:59:55,327 FOR A CERTAIN PERIOD OF TIME. 2696 01:59:55,327 --> 02:00:02,401 OF COURSE, THAT DID MARK THE 2697 02:00:02,401 --> 02:00:05,003 SAMPLE TO SIPGHTICIZE AND THEN 2698 02:00:05,003 --> 02:00:06,405 YOU DO A SECOND SAMPLE AND YOU 2699 02:00:06,405 --> 02:00:08,474 ASSUME THAT THE SYNTH SCIZZ AND 2700 02:00:08,474 --> 02:00:10,943 DEGRADATION SHOULD BE IN THE 2701 02:00:10,943 --> 02:00:12,211 EQUILL LIP RIBIUM BECAUSE THEY 2702 02:00:12,211 --> 02:00:15,314 REMAIN CONSTANT AND YOU CAN 2703 02:00:15,314 --> 02:00:16,548 UNDERSTAND WHAT IS THE HALF LIFE 2704 02:00:16,548 --> 02:00:18,917 OF THE PROTEIN AND YOU STUDYING 2705 02:00:18,917 --> 02:00:23,155 YOU CAN IMAGINE WOULD REQUIRE 2706 02:00:23,155 --> 02:00:26,191 TIME BECAUSE IT REQUIRE A LONG 2707 02:00:26,191 --> 02:00:27,826 PERIOD OF FINDING THE HEAVY 2708 02:00:27,826 --> 02:00:30,195 WATER AND SO, WE WILL KNOW THE 2709 02:00:30,195 --> 02:00:32,965 RESULT BUT WE DON'T KNOW THOSE 2710 02:00:32,965 --> 02:00:33,899 YET. 2711 02:00:33,899 --> 02:00:34,800 >> ALL RIGHT, WELL, LISTEN, 2712 02:00:34,800 --> 02:00:37,336 WE'VE RUN OUT OF TIME BUT I WANT 2713 02:00:37,336 --> 02:00:40,539 TO THANK ON BEHALF OF ALL THE 2714 02:00:40,539 --> 02:00:42,374 PEOPLE WATCHING, AND WE ARE 2715 02:00:42,374 --> 02:00:50,182 AROUND THE WORLD, I AM TOLD AT 2716 02:00:50,182 --> 02:00:52,251 LAST, SO, THANK YOU AGAIN AND WE 2717 02:00:52,251 --> 02:00:53,952 LOOK FORWARD TO FURTHER 2718 02:00:53,952 --> 02:00:55,387 DISCUSSIONS BECAUSE ALL OF US 2719 02:00:55,387 --> 02:00:58,157 ARE AGING NTHANK YOU VERY MUCH. 2720 02:00:58,157 --> 02:00:59,491 IT'S BEEN A PLEASURE REALLY TO 2721 02:00:59,491 --> 02:01:02,828 BE HERE WITH YOU, ALL OF YOU. 2722 02:01:02,828 --> 02:01:03,195 >> THANK YOU. 2723 02:01:03,195 --> 02:01:04,563 >> THANK YOU. 2724 02:01:04,563 --> 02:01:04,930 YES. 2725 02:01:04,930 --> 02:01:15,274 >> SO WE'RE OFF.