This episode will make a great companion for a long drive.
A blueprint for choosing the right fish oil supplement — filled with specific recommendations, guidelines for interpreting testing data, and dosage protocols.
Resveratrol, a plant-based compound found in red grapes and peanuts, exerts beneficial effects on the human brain. Clinical trials have unearthed evidence that is suggestive of the possibility that amyloid-beta build-up in the brain may be being attenuated, as well as an improvement in cognitive function in people with Alzheimer’s disease. One of the mechanisms associated with resveratrol's actions is the activation of autophagy, a cellular defense program that targets old, damaged proteins for destruction and recycling. Other molecules – nicotinamide riboside and nicotinamide mononucleotide, known as NAD+ boosters – have similar beneficial effects on the brain, especially in the setting of vascular dementia. These boosters enhance cerebral blood flow, mimicking exercise and promoting regrowth of the aging cerebral vascular system. In this clip, Dr. David Sinclair and Dr. Rhonda Patrick discuss the brain health benefits associated with resveratrol and NAD+ boosters.
Rhonda: There was a couple of studies, as you know, there's phase one and two clinical studies on Alzheimer's disease where they were given 500 milligrams or 1,000 milligrams of resveratrol a day and both of these studies found that there was a reduction in amyloid-beta 42 in cerebral spinal fluid. There was an improvement in cognitive function and a couple of other parameters. So it was kind of interesting because I recently had Dr. Dale Bredesen on the podcast and he has this whole protocol where he's able to, with certain, you know, diet and lifestyle factors, you know, improve cognitive function and also by MRI, like, have shown to, like, reverse some of the atrophy in the hippocampus. And so resveratrol was on his... He's got this long list and I kind of like, everything in the kitchen sink where I was like, "Geez, like, what is all..." And resveratrol was on there. I never really knew why until I, very recently, was reading a little bit of the clinical studies. I thought that was super interesting as well. And then the other thing that was interesting, as you know, was the autophagy because resveratrol seems to be activating autophagy and I also interviewed Guido Kroemer on the podcast.
David: Oh, you did? Okay.
Rhonda: And he talks about these three signals that are important for autophagy, and one of them is the increase in protein... Oh, wait, decrease in protein acetylation?
David: Yeah.
Rhonda: Yeah. Because sirtuins are histone deacetylases. So that would lead to, right? A decrease in protein acetylation.
David: That's exactly right. So that's how these Pac-Man enzymes are working. And one of the enzymes that they work on is an autophagy protein that goes and destroys bad protein. So it's perfectly reasonable to think that if you take resveratrol, it might be clearing the body of those proteins.
Rhonda: Yeah. I have seen the study with resveratrol, so that's...
David: Yeah, Richard Turner, I believe. That's the study I think you're referring to and it looked really promising. And he did what looked like a very convincing study, but he actually is still trying to raise the money to do his larger trial. And I'm trying to help him with that, but I would love to see that repeated in women and more people.
Rhonda: Yeah. I know that Dr. Kroemer has published a study looking at biomarkers of autophagy in humans after they've been fasted. And I think one of those was looking at, like, the acetylation on lysine or something. So, it seemed to be working. So it's all very interesting.
David: The NAD boosters also help the brain. So, at least in mice, a couple of labs have published now in top journals like "Cell" that raising the NAD levels in the brain also improves memory and slows down the advancement of Alzheimer's. In mice, admittedly, I know we've cured Alzheimer's in mice [inaudible 00:51:23]...
Rhonda: Well, both nicotinamide riboside and nicotinamide mononucleotide have been shown to do that in animal studies, right?
David: Yeah. You've been... Yeah, I'm amazed how much you know. So that's true. I would love to do a human study. Actually, one of the benefits that we might see is also improved blood flow and that might be helpful for vascular dementia because, as I'm sure you know, we've shown that NMN and others have shown for NR that it also helps with blood flow and actually mimic exercise and regrow the vascular system. And we've done that for muscle. We've got some early results that it also helped restore blood flow in the brain, which is badly needed for a lot of elderly people.
Rhonda: Right. Yeah, I know that's a big... I mean, that's a big thing for cognitive function. So NMN was able to do that.
David: In mice, yeah.
A neurodegenerative disorder characterized by progressive memory loss, spatial disorientation, cognitive dysfunction, and behavioral changes. The pathological hallmarks of Alzheimer's disease include amyloid-beta plaques, tau tangles, and reduced brain glucose uptake. Most cases of Alzheimer's disease do not run in families and are described as "sporadic." The primary risk factor for sporadic Alzheimer's disease is aging, with prevalence roughly doubling every five years after age 65. Roughly one-third of people aged 85 and older have Alzheimer's. The major genetic risk factor for Alzheimer's is a variant in the apolipoprotein E (APOE) gene called APOE4.
A toxic 42 amino acid peptide that aggregates and forms plaques in the brain with age. Amyloid-beta is associated with Alzheimer's disease, a progressive neurodegenerative disease that can occur in middle or old age and is the most common cause of dementia. Heat shock proteins have been shown to inhibit the early aggregation of amyloid beta 42 and reduce amyloid beta plaque toxicity [1].
The shrinking or wasting away of cells, organs, or tissues that may occur as part of a disease process, trauma, or aging.
An intracellular degradation system involved in the disassembly and recycling of unnecessary or dysfunctional cellular components. Autophagy participates in cell death, a process known as autophagic dell death. Prolonged fasting is a robust initiator of autophagy and may help protect against cancer and even aging by reducing the burden of abnormal cells.
The relationship between autophagy and cancer is complex, however. Autophagy may prevent the survival of pre-malignant cells, but can also be hijacked as a malignant adaptation by cancer, providing a useful means to scavenge resources needed for further growth.
A measurable substance in an organism that is indicative of some phenomenon such as disease, infection, or environmental exposure.
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.
Any of a group of complex proteins or conjugated proteins that are produced by living cells and act as catalyst in specific biochemical reactions.
Important for the endocrine enhancing properties of exercise. Exerkines are exercise-induced hormonal-like factors which mediate the systemic benefits of exercise through autocrine, paracrine, and/or endocrine properties.[1]
A small organ located within the brain's medial temporal lobe. The hippocampus is associated primarily with memory (in particular, the consolidation of short-term memories to long-term memories), learning, and spatial navigation. Amyloid-beta plaque accumulation, tau tangle formation, and subsequent atrophy in the hippocampus are early indicators of Alzheimer’s disease.
The chief protein components of chromatin found in eukaryotic cell nuclei that package and order the DNA into structural units called nucleosomes acting as spools around which DNA winds, and playing a role in gene regulation.
An essential mineral present in many foods. Iron participates in many physiological functions and is a critical component of hemoglobin. Iron deficiency can cause anemia, fatigue, shortness of breath, and heart arrhythmias.
A chemical that causes Parkinson's disease-like symptoms. MPTP undergoes enzymatic modification in the brain to form MPP+, a neurotoxic compound that interrupts the electron transport system of dopaminergic neurons. MPTP is chemically related to rotenone and paraquat, pesticides that can produce parkinsonian features in animals.
A precursor molecule for the biosynthesis of nicotinamide adenine dinucleotide (NAD+), a coenzyme that participates in the production of cellular energy and repair. NMN helps maintain cellular levels of NAD+, thereby facilitating NAD+-dependent cellular activities, such as mitochondrial metabolism, regulation of sirtuins, and PARP activity. Animal studies have demonstrated that NMN administration is effective in increasing NAD+ levels across multiple tissues while improving the outcome of a variety of age-related diseases. Although NMN administration has proven to be safe and to effectively increase NAD+ levels in rodents, the safety and efficacy of NMN supplementation in humans remain unknown. NMN is available in supplement form and is present in various types of food, including broccoli, avocado, and beef. It is also an intermediate compound in the NAD+ salvage pathway, the recycling of nicotinamide into NAD+.
A precursor molecule for the biosynthesis of nicotinamide adenine dinucleotide (NAD+), a coenzyme that participates in the production of cellular energy and repair. NMN helps maintain cellular levels of NAD+, thereby facilitating NAD+-dependent cellular activities, such as mitochondrial metabolism, regulation of sirtuins, and PARP activity. Animal studies have demonstrated that NMN administration is effective in increasing NAD+ levels across multiple tissues while improving the outcome of a variety of age-related diseases. Although NMN administration has proven to be safe and to effectively increase NAD+ levels in rodents, the safety and efficacy of NMN supplementation in humans remain unknown. NMN is available in supplement form and is present in various types of food, including broccoli, avocado, and beef. It is also an intermediate compound in the NAD+ salvage pathway, the recycling of nicotinamide into NAD+.
One of four nitrogen-containing molecules that comprise DNA. A nucleotide consists of one of four chemicals, called a “base,” plus one molecule of sugar and one molecule of phosphoric acid. Nucleotides are typically identified by the first letter of their base names: adenine (A), cytosine (C), guanine (G), and thymine (T). They form specific pairs (A with T, and G with C), and their bonds provide the helical structure of the DNA strand.
A chemical reaction that removes an acetyl functional group from a chemical compound. The presence of the acetyl functional group plays an important role in the synthesis, stability and localization of about 85% of human proteins.[1] During fasting, falling acetyl CoA levels in the cytosol initiate protein deacetylation and initiates autophagy. In general, protein deacetylation, whether from so-called caloric restriction mimetics or nutrient deprivation, is an important general inducer of autophagy.
A chemical reaction in which an atom, molecule, or ion gains one or more electrons.
A polyphenolic compound produced in plants in response to injury or pathogenic attack from bacteria or fungi. Resveratrol exerts a diverse array of biological effects, including antitumor, antioxidant, antiviral, and hormonal activities. It activates sirtuin 1 (SIRT1), an enzyme that deacetylates proteins and contributes to cellular regulation (including autophagy). Dietary sources of resveratrol include grapes, blueberries, raspberries, and mulberries.
Resveratrol Autophagy ↑ Deacetylases (especially SIRT1) → ↓ Protein Acetylation → Autophagy
A class of enzymes that influence that influence aging and longevity through multiple molecular pathways. Sirtuins regulate a variety of metabolic processes, including release of insulin, mobilization of lipids, response to stress, and modulation of lifespan. They also influence circadian clocks and mitochondrial biogenesis. Sirtuins are activated when NAD+ levels rise. The dependence of sirtuins on NAD+ links their enzymatic activity directly to the energy status of the cell via the cellular NAD+:NADH ratio, the absolute levels of NAD+, NADH or nicotinamide or a combination of these variables. There are seven known sirtuins, designated as Sirt1 to Sirt7.
The highest level of intake of a given nutrient likely to pose no adverse health effects for nearly all healthy people. As intake increases above the upper intake level, the risk of adverse effects increases.
A progressive worsening of memory and other cognitive functions that is thought to be due to chronic reduced blood flow to the brain which is commonly due to the accumulation of cholesterol and other substances in the blood vessel walls that obstruct the flow of blood to the brain.
Learn more about the advantages of a premium membership by clicking below.
Every other week premium members receive a special edition newsletter that summarizes all of the latest healthspan research.