Video summary
The discussion centers on the biological mechanisms of aging, specifically focusing on how cellular differentiation and epigenetic errors drive the aging process. Every cell in the human body contains identical DNA due to mitosis, yet cells differentiate into distinct types—such as skin or heart cells—because specific genes are turned "on" or "off." These states function like molecular switches controlled by small molecules that sit atop the DNA; when these epigenetic markers shift incorrectly over time due to damage from radiation, sunlight, diet, and alcohol, they cause wrong genes to activate while right ones deactivate. This accumulation of epigenetic errors leads to cellular dysfunction, resulting in wrinkles, organ failure, blindness, and other age-related diseases, effectively making aging a disease rooted in the mismanagement of these genetic switches rather than just wear and tear. A pivotal breakthrough occurred when Shinya Yamanaka won the Nobel Prize for discovering four proteins that could reset epigenetic markers to turn any cell back into a stem cell capable of becoming any other cell type. Building on this, subsequent research demonstrated that applying only small amounts of these factors does not fully revert cells to an embryonic state but instead resets their molecular markers to restore youthfulness without losing specialized function. This technique has successfully rejuvenated retinal cells in mice and monkeys, reversing blindness and eliminating wrinkles, with some mouse models living the equivalent of over 250 human years. These findings suggest that aging can be reversed by targeting specific tissues locally or eventually systemically through a cocktail of proteins or molecules administered as pills, shots, or oral supplements. The potential implications for medicine and society are profound, extending beyond mere lifespan extension to include significant improvements in healthspan and quality of life. Current startups like Altos Labs have raised billions to pursue these technologies, aiming first at specific diseases such as glaucoma, rheumatoid arthritis, and heart issues before moving toward systemic treatments that maintain youth indefinitely. The speaker compares this emerging field to other compounding technological forces like artificial intelligence and automation, noting that extending human life could unlock new economic drivers by allowing people to remain productive in diverse roles rather than being limited by corporate jobs or physical decline. As these technologies mature over the next decade or two, they promise a future where humans can avoid chronic pain and disease, fundamentally altering how society approaches work, leisure, and personal fulfillment. While advanced clinical trials are underway with promising results from animal models and in vitro human cell studies, experts caution that delivery methods, dosing, and molecular optimization still require refinement before widespread application. However, the concept of "longevity escape velocity" suggests a future where medical advancements outpace aging itself, allowing individuals to simply wait for treatments to keep them alive indefinitely once a certain threshold is crossed. In the interim, lifestyle factors play a crucial role in managing epigenetic health; exercise releases molecules that naturally address the epigenome and promote youthfulness, while fasting also offers benefits though less directly than physical activity. Additionally, optimizing sleep through tools like Eight Sleep's Pod 5 can enhance restorative quality by regulating temperature and monitoring vital signs during the night, providing a foundational layer of support as more potent pharmaceutical interventions become available on the market.
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Speaking of prospering, how far off are
we from age reversal, do you think?
>> That's one I'm most excited about. Um
So, have you looked at Yamanaka factors?
Have you Have you talked about this on
your show before?
>> Uh David Sinclair's been on, and I know
that he's sort of tangentially
associated with it, but assume no. Do
the 30,000-ft view of the Yamanaka
factors.
>> So, every cell in our body has the same
DNA, okay?
Uh we know that, and the DNA is
in every cell because of a process
called mitosis. Every time we make a new
cell from the time we're in the womb to
today, we're making new cells, both uh
our entire DNA gets copied over into
every cell.
But, what makes
my eye look and act differently than my
skin? If it's got the same DNA, how's it
different? How's it different than my
brain or my tongue or my feet? They're
all They're all Those are different
cells. There's different cells in
different organs in the body.
Those cells are different because the
genes in the DNA are on or off.
>> Mhm.
>> So, there's a bunch of switches, and the
switches are either on or off.
And that creates cellular
differentiation. It's It's what makes
one cell different from another cell.
The eye cell different from the heart
cell, different from the skin cell or
the lung cell.
And the switches that are on or off are
these little molecular switches. They're
molecules that sit on top of the DNA,
and they keep that gene
from working. It blocks it off. And then
the other gene is open, and when it's
open, that means that your cell is
making RNA copies of that gene and
turning it into a protein.
>> Zeros and ones.
>> Zeros and ones, and each gene makes a
unique protein.
The proteins that then come out
do a bunch of stuff. They're machines.
They're molecular machines.
And they're constantly doing all this
stuff in your cell, and that's what
makes every cell different is what genes
are on and what genes are off.
And the complexity of this is
astounding.
If you were to think about a cell being
the size of Manhattan, so imagine a cell
is a is a is a city the size of
Manhattan with 500 story tall buildings.
That's how big it would be. And every
person is a protein. There's 10 billion
people living in this 500 story tall
building island of Manhattan going in
between the buildings up and down all
day long building stuff together never
sleeping always working running into
each other having coffee making stuff
together breaking stuff together working
10 billion of us those are the proteins
in the cell
in one cell running around doing stuff
for 80 years.
That's one second in one cell.
That's how complex this is.
So the proteins that are on or off
matter a lot and then they make stuff so
that's why the eye cell does totally
different stuff than the brain cell or
the heart cell.
As we get older
this is the current science on this.
It looks like what happens is we have
DNA breaks. DNA gets damaged from
radiation and sunlight and bad eating
and alcohol and all the other
As those DNA breaks happen your cell
actually fixes the DNA. It's very good
at fixing it. Goes in there's a bunch of
proteins they're the worker proteins
that are repaired proteins they go in
and they fix the DNA.
Every time the DNA gets fixed there's a
chance that those
ones and zeros those ons and offs get
moved around a little bit.
And as they get moved around over time
they get moved to the wrong place.
So what ends up happening over time
is that the wrong genes get turned on
and the right genes can get turned off
in a cell.
And then that cell stops working right.
Stops the eye cell stops doing what it's
supposed to be doing. The heart cell
stops
getting the right electrical cascade to
flow through the other cells. All of the
cells the the skin cell becomes a little
wrinkled and eventually if enough of
those cells have those epigenetic is
what it's called epigenetic errors
you start getting wrinkles your heart
stops beating as well. You go blind all
these sorts of things happen with aging.
It looks like the root of all disease
may be aging. And aging is a disease.
So it is a disease rooted in the fact
that the epigenetic factors these little
molecules, move around in the wrong
place.
That's what we discovered is basically
aging.
In 2006, a guy named Shinya Yamanaka
found that he could take four proteins
and put them on a cell. They would go
into the cell and they would move all of
those epigenetic markers, those ones and
zeros,
to make that cell into a stem cell,
which can then be turned into any other
cell in the body. So, that was the magic
thing he won the Nobel Prize for.
In 2016, another scientist published a
series of papers showing that instead of
putting a lot of those four proteins on
the cell, you could put a small amount.
And if you put a small amount, instead
of resetting all those molecular markers
and making that cell back into a stem
cell, what it actually does it just
moves those markers back to where
they're supposed to be to make it a
young cell.
And suddenly that retinal cell becomes
like a young retinal cell. The skin cell
becomes a young skin cell. The heart
cell becomes a young heart cell. All of
these cells get reset.
And they did this in mice and they made
the mice age to like 250 plus years old.
They put it in monkeys, the wrinkles
went away. And they've done it in um
specifically applying it to retinal
cells in the eye and reversed blindness.
>> So, this is Sinclair's stuff, right?
>> Sinclair has one of these companies
that's in clinical trials now.
And there's dozens of others. Altos Labs
is like one of the most funded startups
in history that no one talks about. Um
they've raised, you know, close to
probably 10 billion dollars at this
point uh to pursue these technologies.
But basically what this means is we are
now discovering not just the four
proteins, but a whole bunch of other
little molecules that we can put into a
cocktail
either we're going to drink it, take it
as a shot,
uh uh or take it as a pill, it will get
into our cells and it will reset the
epigenetic of that cell to make it young
again. They're starting with targeting
diseases, like a particular like like
blindness or glaucoma in the eye or, you
know, rheumatoid arthritis or some other
heart issue, and they're applying these
factors to the cells in that tissue
only.
>> Locally.
>> Locally. But over time what will end up
happening is this becomes a systemic
treatment. And they're already doing it
in animal models. And then you can
either do it continuously, or what I
think will end up happening is we'll
probably have a system whereby these
factors will be continued When I say the
word factor, I mean protein. These
proteins can be continuously made and
released inside our body as they're
needed.
>> Mhm.
>> So, we maintain our youth.
And we will live, theoretically, for as
long as we want. That's where this is
headed. And the technology shows now
that we can do this in animals. We can
re- re-dose them, re-dose them, and keep
them young.
>> done systemically yet? Cuz it's You
mentioned it was
>> is the mouse the mouse model where they
made these mice the equivalent of like
having someone live like 200-plus years
old.
You know, and this is like so early.
They haven't even optimized the
molecule. They haven't optimized how you
deliver the molecule. They haven't
optimized the dosing. They haven't
optimized the method of the do- Like
there's all these techniques that are
going to be developed on top of this.
For every 1 year we can extend average
human lifespan, we're adding tens of
trillions of dollars to GDP, right? So,
this is also another big economic
driver. But it's not just how long
people live, it's how healthy they are,
and how energetic they are, and how
happy they can be, and they can now go
out and not feel all the pain and have
the disease. You know, theoretically,
this can lead to a reversal in rates of
cancer proliferation, a reversal in
diabetes, a reversal in many of these
other diseases that are fundamentally
rooted in this kind of failure of your
epigenome, the the markers that are turn
your genes on and off. So, this is a
technology category that I am like I
think it's one of these other things
that you can kind of think about the
compounding effect. Free energy, right?
Like AI, automation, um
uh and, you know, infinite labor uh for
people to do all the things they want to
do, and potentially living forever. I
mean, you start to think about how these
all kind of compound. That's why I'm
excited about the future. Like these
very quickly become these sort of
compounding effects that drive us into a
happier tomorrow. And then again, it
becomes a question of abundance. How do
you want to spend your time? You know,
again, 100 years ago, I don't think
people would have had the job option of
being a yoga instructor or being a
podcaster or being a wedding
photographer, you know, go down the
list. Like there's so many things that
people have found joy in doing with
their time and they can be productive
doing it. I think more of that starts to
happen tomorrow.
And it's less of the like you got to go
work the corporate shitty job on a
trading floor in a corporate office at a
cubicle or, you know, in a factory or
all the things that maybe we will look
back one day and say, "Hey, that was
kind of limiting human potential." Like
maybe humans could do a lot more and
maybe they should. And these
shifts to more abundance give us that
opportunity to do that.
>> How far do you think we're off from
getting to the stage where we can do age
reversal?
One decade, five decades?
>> Way less than that.
Way less than that. We are in clinical
trials now on several of these
cocktails.
And if
there's always a a risk in going from
animals to humans, but we've done it
with human cells in
um uh in vitro and in a Petri dish and
we see the effects that we are expecting
to see.
So, we have a lot of reasons to believe
that
you know, over the next 10 to 20 years
um
more of this starts to proliferate.
>> You've heard Peter Diamandis's idea of
longevity escape velocity, right? That
you need to stick about every year that
you live means that you're going to live
a little bit longer. But that when you
cross a particular threshold, you just
need to stick about until this happens
essentially or whatever the equivalent
is, whatever the technology is
>> Yeah.
>> that allows you to extend lifespan
indefinitely.
>> it's fair.
>> You just hold on. Hold on. It's it's
probably
the best long-termist view for looking
after your health.
>> Yeah.
>> That
now is not the time to it.
>> Right, totally.
>> Because
in the past, there wasn't really any
reason to think about. Yeah, you're
going to live 80 years
>> Yeah, and that's
>> 70 years or 60 years, but you you know,
you're playing around with fives and
tens.
>> Yeah.
>> Whereas if the difference is between 80
and 100 or
80 and 120,
>> Yeah, you're like, "Hey, keep it
together." And by the way, a lot of like
the number one thing you can do to fix
your epigenome, which you can do without
taking these drugs, is exercise.
>> Fasting.
>> Ex- Well, fasting helps.
>> Yeah.
>> Uh fasting does have an effect, but
exercise like exercise releases
molecules that in many cells in your
body will go in and start to address the
epigenome and make you more youthful.
And then there's other things that you
can start to take. Some of this peptide
stuff that people are crazy about has
shown that it has an effect. Um some of
the I I don't want to be prescriptive on
these things. Um
but there's a lot of ways that uh you
can start to kind of edge your way
>> Mhm.
>> before all the big clinical stuff is
done and and the big, you know, products
come out to market.
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