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Having longer telomeres is associated with better health and longer lifespan. Some research suggests that dietary supplements might offer a means to lengthen telomeres. Candidates include vitamin D, omega-3 fatty acids, and TA-65, a product that purportedly contains extracts of astragalus membranaceus, a plant-based compound that demonstrates anti-aging effects. Other research suggests that nutrition, exercise, sleep, and stress management may lengthen telomeres. Identifying the mechanisms that drive these correlations has proven challenging, but a few candidates stand out, including immune function and metabolic health. In this clip, Dr. Elissa Epel discusses potential concerns about supplementation and describes some of the studies that demonstrate the links between healthy lifestyle behaviors.
Rhonda: People ultimately that are concerned about the aging process and about living healthier and increasing their health span and wanting to, you know, basically, hold on to their telomeres, you know, what sort of factors in the lifestyle not only can delay but even possibly reverse, so activating telomerase for example?
Elissa: So there are supplements out there, they haven't been studied much.
Rhonda: TA-65.
Elissa: That's one of them, you know, I think there's always... I mean, telomerase is also pro-cancer. So there's always that kind of... you want to see...
Rhonda: I've been concerned about that.
Elissa: You want to see the long term studies. Cancer doesn't just take one year, they follow people on one of those telomerase activation supplements. And one year later, telomeres look good, better. So that's exciting except for that's only one year, you don't know what's brewing, right? Cancer takes a long time to develop. So there's that worry. There's the Omega supplements, which of course seem healthy for so many reasons, depression, inflammation. They appear to affect telomeres in a dose-response way depending on how much we absorb them. So a colleague, Janice Kiecolt-Glaser, did a study on high dose and low dose omegas. And it wasn't the dose, it was how much omegas people actually had in the blood cells that predicted telomere lengthening over four months. So it can't hurt. It's one of the few supplements that we think is good for telomeres and safe.
Rhonda: Oh, that's interesting. I take omega three for a variety of reasons, you know.
Elissa: Yeah, me too.
Rhonda: Brain health. So basically, I think I remember the study. The blood levels omega three did seem to positively correlate with longer telomeres.
Elissa: Yeah.
Rhonda: That's right.
Elissa: Exactly.
Rhonda: I remember that. I think vitamin D...there was another one also with vitamin D correct where there was a sweet spot of vitamin D levels. I think it was something like 40 to 60 nanograms per mil which was associated with better telomere length as well.
Elissa: Important hormone, yeah. Rhonda: What about exercise and meditation, so telomerase activation.
Elissa: So these lifestyle things...and Liz I wrote a book summarizing all of the different things we know about telomeres from their biology and genetics to the lifestyle factors. And it's interesting, I would say that there's a pretty big literature on nutrition, exercise, sleep, showing healthier levels, longer telomeres. But of course, these are correlational. So what we really want are these intervention studies in humans. How much can we really move these things around? Is it just that they're all correlated at birth? You're born with disadvantage, you have shorter telomeres, you're less likely to do all these health behaviors. So we really need to experiment and move these things.
So one study that I believe you just read maybe just came out was a study by Eli Puterman, who took sedentary high-stress caregivers. So men and women caring for a partner with dementia and he had them exercise for six months. At the end of six months, their stress was lower, their telomeres were longer compared to the control group. And so that's a hint, you know, it's just one study but it's a hint that we can improve our circulating immune cell telomere length. Exactly how that happened, we don't know. Is it per cell? Is it a refreshing of naive cells in the immune system?
It's very crude when we do this in humans and we look at blood. We don't know exact mechanisms but we see telomere lengthening and that's probably a good thing. So another study, Ashley Mason just published this, we did a weight loss trial. And we found that, first of all, no one really keeps off a lot of weight a year or two later, right? The handful of people who kept off 10% of their weight a year later had telomere lengthening. So that was pretty exciting. And then we had the same thing for the people who kept at least 5% off, it was just less dramatic.
So a proof of concept study, if you change your set point of weight, that's probably very good for a lot of your metabolic health but including your telomere length. So that was pretty exciting because there's many meta-analyses showing higher BMI, shorter telomere length. So what? Can we change that? Can we move that? What is it? Is it insulin sensitivity? Is it really adiposity? I personally think forget about weight, don't get on the scale. Just look at your metabolic health, your levels of glucose and insulin.
A medicinal herb commonly used in traditional Chinese medicine. More than 200 distinct components of the dried roots of AM have been identified, the majority of which are polysacharrides, flavonoids, and saponins. In 2000, cycloastragenol, a small molecule extract of the herb, was found to exhibit telomerase activating properties.[1] Extracts of the plant have also demonstrated immunomodulatory, anti-oxidative stress, and anti-aging effects, the latter of which are associated with the lengthening of telomeres. AM is purportedly a prominent component of an "anti-aging" supplement known as TA-65.[2, 3, 4]
[1] Salvador, Laura, et al. "A natural product telomerase activator lengthens telomeres in humans: a randomized, double blind, and placebo-controlled study." Rejuvenation research 19.6 (2016): 478-484. [2] Liu, Ping, Haiping Zhao, and Yumin Luo. "Anti-aging implications of Astragalus Membranaceus (Huangqi): a well-known Chinese tonic." Aging and disease 8.6 (2017): 868.( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758356/) [3] Blackburn, Elizabeth H., Elissa S. Epel, and Jue Lin. "Human telomere biology: a contributory and interactive factor in aging, disease risks, and protection." Science 350.6265 (2015): 1193-1198.( http://science.sciencemag.org/content/350/6265/1193) [4] Shahzad, Muhammad, et al. "The antioxidant effects of Radix Astragali (Astragalus membranaceus and related species) in protecting tissues from injury and disease." Current drug targets 17.12 (2016): 1331-1340.
A measurement that serves as a proxy for body fatness. BMI is calculated by dividing an individual’s body weight in kilograms (kg) by their height in meters, squared (m2). It is often considered a flawed measurement, however, because it does not measure overall fat or lean tissue content. BMI is interpreted as follows:
• ≤ 18.49: Underweight
• 18.5 - 24.99: Normal weight
• 25 - 29.99: Overweight
• ≥ 30: Obese
A general term referring to cognitive decline that interferes with normal daily living. Dementia commonly occurs in older age and is characterized by progressive loss of memory, executive function, and reasoning. Approximately 70 percent of all dementia cases are due to Alzheimer’s disease.
A mood disorder characterized by profound sadness, fatigue, altered sleep and appetite, as well as feelings of guilt or low self-worth. Depression is often accompanied by perturbations in metabolic, hormonal, and immune function. A critical element in the pathophysiology of depression is inflammation. As a result, elevated biomarkers of inflammation, including the proinflammatory cytokines interleukin-6 and tumor necrosis factor-alpha, are commonly observed in depressed people. Although selective serotonin reuptake inhibitors and cognitive behavioral therapy typically form the first line of treatment for people who have depression, several non-pharmacological adjunct therapies have demonstrated effectiveness in modulating depressive symptoms, including exercise, dietary modification (especially interventions that capitalize on circadian rhythms), meditation, sauna use, and light therapy, among others.
A critical element of the body’s immune response. Inflammation occurs when the body is exposed to harmful stimuli, such as pathogens, damaged cells, or irritants. It is a protective response that involves immune cells, cell-signaling proteins, and pro-inflammatory factors. Acute inflammation occurs after minor injuries or infections and is characterized by local redness, swelling, or fever. Chronic inflammation occurs on the cellular level in response to toxins or other stressors and is often “invisible.” It plays a key role in the development of many chronic diseases, including cancer, cardiovascular disease, and diabetes.
A peptide hormone secreted by the beta cells of the pancreatic islets cells. Insulin maintains normal blood glucose levels by facilitating the uptake of glucose into cells; regulating carbohydrate, lipid, and protein metabolism; and promoting cell division and growth. Insulin resistance, a characteristic of type 2 diabetes, is a condition in which normal insulin levels do not produce a biological response, which can lead to high blood glucose levels.
A type of polyunsaturated fat that is essential for human health. Omega-3 fatty acids influence cell membrane integrity and affect the function of membrane-bound cellular receptors. They participate in pathways involved in the biosynthesis of hormones that regulate blood clotting, contraction and relaxation of artery walls, and inflammation. They have been shown to help prevent heart disease and stroke, may help control lupus, eczema, and rheumatoid arthritis, and may play protective roles in cancer and other conditions. Omega-3 fatty acids include alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA). ALA is found mainly in plant oils such as flaxseed, soybean, and canola oils. DHA and EPA are found in fish and other seafood. The human body can convert some ALA into EPA and then to DHA, but the efficiency of the process varies between individuals.
An enzyme that extends the telomeres of chromosomes. Telomerase adds specific nucleotide sequences to the ends of existing chromosomes. Telomerase activity is highly regulated during development, and its activity is at an almost undetectable level of activity in fully developed cells. This lack of activity causes the cell to age. If telomerase is activated in a cell, the cell will continue to grow and divide, or become "immortal," which is important to both aging and cancer. Telomerase enzyme activity has been detected in more than 90 percent of human cancers.
Distinctive structures comprised of short, repetitive sequences of DNA located on the ends of chromosomes. Telomeres form a protective “cap” – a sort of disposable buffer that gradually shortens with age – that prevents chromosomes from losing genes or sticking to other chromosomes during cell division. When the telomeres on a cell’s chromosomes get too short, the chromosome reaches a “critical length,” and the cell stops dividing (senescence) or dies (apoptosis). Telomeres are replenished by the enzyme telomerase, a reverse transcriptase.
A fat-soluble vitamin stored in the liver and fatty tissues. Vitamin D plays key roles in several physiological processes, such as the regulation of blood pressure, calcium homeostasis, immune function, and the regulation of cell growth. In the skin, vitamin D decreases proliferation and enhances differentiation. Vitamin D synthesis begins when 7-dehydrocholesterol, which is found primarily in the skin’s epidermal layer, reacts to ultraviolet light and converts to vitamin D. Subsequent processes convert D to calcitriol, the active form of the vitamin. Vitamin D can be obtained from dietary sources, too, such as salmon, mushrooms, and many fortified foods.
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