#035 Gordon Lithgow, Ph.D. on Protein Aggregation, Iron Overload & the Search for Longevity Compounds

Apr 4, 2017 Episode Page ↗
Overview

Dr. Gordon Lithgow, Professor at the Buck Institute for Aging, explores C. elegans in aging research, discussing protein homeostasis, heat shock, iron, and vitamin D. He also highlights the Caenorhabditis Intervention Testing Program for longevity compound screening.

At a Glance
7 Insights
46m 38s Duration
8 Topics
5 Concepts

Deep Dive Analysis

Introduction to C. Elegans as an Aging Model

The Role of Proteostasis in Aging

Heat Shock, Hormesis, and Lifespan Extension

Impact of Excess Iron on Protein Aggregation and Disease

Vitamin D Deficiency and Accelerated Aging

Caenorhabditis Intervention Testing Program (CITP) Overview

Challenges and Learnings from Compound Screening in Worms

Future Directions and Compound Suggestions for CITP

Gene Homology

Gene homology refers to the similarity between genes of different species. C. Elegans, for example, shares about 35% of its genes with humans, meaning a version of these genes is also found in humans, making it a relevant model for studying human biology.

Proteostasis (Protein Homeostasis)

Proteostasis is the process of maintaining the proper three-dimensional shape and function of proteins within a cell. During aging, proteins can lose their shape, become insoluble, and aggregate, a process linked to neurological diseases like Alzheimer's and Parkinson's, and also to the general aging process.

Hormesis

Hormesis is a biological phenomenon where a low dose of an otherwise harmful stressor (such as heat, fasting, or certain compounds) can induce a beneficial adaptive response. This activates cellular stress response pathways, increasing the organism's resilience against larger stresses, including those associated with aging.

Heat Shock Proteins (HSPs)

Heat shock proteins are a class of molecular chaperones produced by cells in response to various stressors, particularly heat. Their primary role is to help other proteins maintain their correct three-dimensional structure, refold misfolded proteins, and prevent harmful protein aggregation.

Caenorhabditis Intervention Testing Program (CITP)

The CITP is a multi-institution initiative, sponsored by the National Institute on Aging, designed to screen bioactive compounds for their potential to extend lifespan and enhance health. It uses nematodes (C. elegans) as a model system to rapidly and economically identify promising compounds that could later be tested in mammals.

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Why are C. elegans worms a valuable model for aging research?

C. elegans are tiny, transparent, have a short lifespan of 15-20 days, and share about 35% of their genes with humans, making them a quick and economical model to study longevity interventions compared to more expensive and time-consuming mammalian models like mice.

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How does protein homeostasis relate to aging and disease?

During aging, proteins can lose their correct three-dimensional shape, become insoluble, and aggregate. This process is observed in neurological diseases like Alzheimer's and Parkinson's, but also occurs during normal aging, potentially disrupting tissue and cellular functions.

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Can heat stress extend lifespan?

Yes, in lower organisms like C. elegans and flies, controlled heat stress (like a 'heat shock') has been shown to increase lifespan. This occurs by activating cellular defense systems against misfolded proteins, including the production of heat shock proteins and the process of autophagy.

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How does sauna use relate to heat shock proteins and human health?

Sitting in a 163°F sauna for 30 minutes can increase human heat shock proteins (like HSP70) by 50% for up to 48 hours. Regular sauna use (4-7 times a week) has been associated with significantly lower all-cause mortality and a reduced risk of Alzheimer's disease in men.

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What is the impact of excess iron on aging and neurological disease?

Excess dietary iron can accelerate aging and the accumulation of insoluble proteins, which is a molecular pathology of aging. Elevated iron levels are linked to an increased risk of neurological diseases such as Parkinson's and Alzheimer's disease.

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How does vitamin D deficiency affect aging and disease?

Vitamin D deficiency is associated with an elevated risk for many adult cancers and neurological diseases. Research suggests that vitamin D may play a role in preventing protein insolubility and regulating the aging process, with deficiency potentially leading to accelerated aging phenotypes.

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Do C. elegans worms produce vitamin D?

While C. elegans are known to move away from light, they possess the precursor (7-dehydrocholesterol) and the necessary enzymes to convert vitamin D3 into its active form, 1,25-dihydroxyvitamin D, suggesting a conserved metabolism similar to mammals and potential for natural production.

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What are the optimal blood levels for vitamin D in humans?

A large meta-analysis found that human blood levels of 25-hydroxyvitamin D between 40 and 60 nanograms per milliliter are associated with the lowest all-cause mortality.

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What is the purpose of the Caenorhabditis Intervention Testing Program (CITP)?

The CITP aims to screen a wide range of bioactive compounds for their ability to extend lifespan and enhance health using various species of C. elegans. The goal is to identify robust and reproducible candidates that can then be advanced to more expensive and time-consuming mammalian studies.

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What challenges exist in screening compounds for longevity in worms?

Standardizing experimental protocols across different laboratories is a significant challenge, as subtle variations in factors like plate preparation, bacterial food, and worm handling can lead to inconsistent results, even for basic aging measurements.

1. Sauna Use for Longevity

Engage in sauna use 2-3 times per week for a 20-24% lower all-cause mortality and 20% lower Alzheimer’s risk, or 4-7 times per week for a 40% lower all-cause mortality and 60% lower Alzheimer’s risk, as this activates heat shock proteins crucial for protein homeostasis and stress response.

2. Monitor Dietary Iron Levels

Get your iron levels measured and avoid blindly taking iron supplements, as excess dietary iron can accelerate aging and the accumulation of insoluble proteins, potentially increasing the risk of neurological diseases.

3. Optimize Vitamin D Levels

Get your 25-hydroxyvitamin D blood levels measured before and after supplementation, aiming for levels between 40-60 ng/mL, as deficiency is linked to elevated risk for adult cancers and neurological diseases, and optimal levels are associated with lower all-cause mortality and improved cognition; always discuss supplementation with your doctor.

4. Incorporate Sulforaphane into Diet

Consider incorporating sulforaphane, found in cruciferous plants like broccoli, into your diet; it’s a potent activator of the NRF2 pathway, which lowers inflammation and oxidative stress, and has shown lifespan extension in animal studies.

5. Check Iron Metabolism Genes

If you’ve done 23andMe genetic testing, use the tool at foundmyfitness.com/genetics to check for gene polymorphisms in the hemochromatosis and transferrin genes, which can indicate an increased risk for iron overload and associated neurological diseases.

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People fall in love with them, right? I mean, they actually come in and they're a little worm. But before long, they're just devoted to, you know, all the biology and all the interesting things that happen.

Dr. Gordon Lithgow

And it's really dramatic when you have a mutation or a chemical compound that stops that from happening or slows it down. And people are just kind of amazed to see down the microscope a worm that's crawling around and behaving normally when it shouldn't be, when it should be dead.

Dr. Gordon Lithgow

But if the same process is happening in the course of normal aging, it shows a connection between normal aging and disease.

Dr. Gordon Lithgow

I spent most of my career just interested in worms. I mean, I thought if we can solve worm aging, that's fantastic. But over the years, this creeping realization that actually what we're doing could be important for people as well, making all these connections to disease and all the model organism people coming to this conclusion, working on flies and mice and yeast even, that these are basic mechanisms of aging. They're likely to be playing out in humans as well. And therefore, we should do something with this knowledge we've accumulated over the last 25 years. It's really time to try and translate that and do something that might be beneficial.

Dr. Gordon Lithgow

It's beginning to join up into a sensible story. Now, that said, we should be cautious. And I'm not an MD, and I'm not prescribing vitamin D for anyone, although it's likely that if you're deficient, you really would benefit from coming up into a sensible range.

Dr. Gordon Lithgow
35%
Gene homology between C. elegans and humans Percentage of C. elegans genes that have human homologues
15 to 20 days
Lifespan of C. elegans in a lab setting Typical lifespan of the nematode worm
2 to 3 years
Lifespan of a mouse in a lab setting Typical lifespan of a lab mouse
50%
Increase in HSP70 after sauna use Increase over baseline after sitting in a 163°F sauna for 30 minutes
48 hours
Duration of elevated HSP70 after sauna use Sustained elevation after a 30-minute sauna session
23-24%
Lower all-cause mortality with 2-3 sauna sessions/week Compared to men using sauna once a week, in a 2000-men cohort study
40%
Lower all-cause mortality with 4-7 sauna sessions/week Compared to men using sauna once a week, in a 2000-men cohort study
20%
Lower Alzheimer's disease risk with 2-3 sauna sessions/week Compared to men using sauna once a week, in the same cohort study
60%
Lower Alzheimer's disease risk with 4-7 sauna sessions/week Compared to men using sauna once a week, in the same cohort study
5 times
Increased Alzheimer's disease risk with specific gene polymorphisms For individuals with a specific combination of polymorphisms in the hemochromatosis and transferrin genes
40 to 60 nanograms per milliliter
Optimal blood levels of 25-hydroxyvitamin D Associated with the lowest all-cause mortality in a large meta-analysis
4,000 IUs a day
High-dose vitamin D supplementation for improved cognition Effective dose in randomized controlled trials, unlike lower doses
400 IUs a day
Low-dose vitamin D supplementation for cognition Considered low-dose and had no effect on cognition in trials