32

Screening of anti-aging substances and supplement

combinations in world medical journals

Until August 2024

Over the years, medical journals have confirmed that there are many substances, supplements and drugs with anti-aging effects and life extension. However, it is very difficult to really determine which ones can be used for oral treatment. The following are selected from more than 100 supplements and drugs. During this period, the filtering principles used are: 1. There are clear targets and mechanisms of action, and simple observation is not accepted; 2. The goal is to extend life, excluding the general recognition of "good for health"; 3. No side effects on various basic diseases; 4. No allergic precedents have been found; 5. The price is relatively cheap and easy to buy. Rapamycin is quite special and is still on the list.

Rapamycin

Rapamycin's inhibition of mTORC1 works by suppressing normal aging and related diseases. The drug combination extended lifespan by 48%. In addition, combining lithium with rapamycin counteracted the latter's effects on lipid metabolism.

https://www.sciencedirect.com/science/article/pii/S0531556523000876

https://pmc.ncbi.nlm.nih.gov/articles/PMC6814615/

https://www.nature.com/articles/s41598-019-44106-5

Rapamycin is expensive and has significant side effects, and its analog C15:0 is also expensive. It is recommended to use alternatives.

Isoliquiritigenin

Isoliquiritigenin activates AMPK and inhibits mTORC1 signaling, and has good safety. It is expected to replace rapamycin.

https://www.sciencedirect.com/science/article/abs/pii/S0944711322000289?via%3Dihub

Astaxanthin

Astaxanthin (ATX) is a carotenoid with significant antioxidant properties[13]. It is a potent activator of Nrf2 and extends the lifespan of mice by 12%. ATX has been shown to reduce interleukin-1β (IL-1β) and interleukin-6 (IL-6) levels, as well as the expression of NF-κB (p65) and i-κ-B-alpha (IκBα) proteins. Its anti-aging effects are thought to be mediated by the activation of the Nrf2/Keap1/NF-κB pathway and subsequent antioxidant activity, as well as anti-immunogenic activity associated with the activation of multiple immune mediators such as interleukins and NF-κB.

https://link.springer.com/article/10.1007/s11357-023-01011-0

NAD +

NAD+ plays a key role in cellular metabolism and is a co-substrate for enzymes that play key roles in pathways that alter aging. Therefore, interventions that increase NAD+ may slow various aspects of the aging trajectory.

 https://www.sciencedirect.com/science/article/abs/pii/S1471491417301417

https://pmc.ncbi.nlm.nih.gov/articles/PMC7494058/

 

Quercetin

Quercetin has anti-aging and rejuvenating effects. Maintains the speed of aging and prolongs the youthful morphology of human primary fibroblasts D+Q is a combination of dasatinib (D) and quercetin (Q), an anti-aging drug that can remove senescent cells Pepper Changming + Quercetin removes senescent cells

Curcumin + Piperine

Curcumin has a positive impact on slowing down the aging process by delaying age-related changes. This compound may have anti-aging properties by altering the levels of proteins involved in the aging process, such as sirtuins and AMPK, and inhibiting pro-aging proteins, such as NF-κB and mTOR. Curcumin bioavailability, and taking it with piperine can increase bioavailability.

https://www.mdpi.com/2073-4409/13/17/1470/review_report

https://www.mdpi.com/2073-4409/13/17/1470

Vitamin D

signaling pathways associated with cell proliferation and tumorigenicity, and therefore vitamin D3 may have therapeutic use as an effective, safe, and long-term treatment option for human UF 1,25D inhibits mTORc1 activity in mouse T cells, and low 25D levels in humans are associated with reduced expression of mTORc1-inhibitory tuberous sclerosis complex 1 in CD8+ T cells. In animals with T cell-specific mTORc1 deficiency.

 

GR upregulation and in vivo therapeutic effects of 1,25D and 1,25D/GC synergy were abolished. Specific inhibition of mTORc1 by everolimus increases the efficacy of GC in EAE. 1,25D enhances GC-mediated effects in vitro and in vivo in a T cell-specific, GR-dependent manner by inhibiting mTORc1

https://www.science.org/doi/10.1126/sciadv.adi1621

Vitamin A

Of the 34 compounds screened in the high-fidelity validation screen, only VA significantly affected lifespan. Loss-of-function genetic models suggested that the SKN-1 pathway plays a key role in VA's lifespan extension. Our study thus provides new insights into the molecular mechanisms underlying the anti-aging and antioxidant effects of VA, suggesting that this micronutrient could be used to prevent and/or treat age-related diseases. Significant associations were observed between retinol metabolite concentrations and lifespan (Figs. 2 and 3). Specifically, a 10-fold increase in retinol metabolites was causally associated with a 7% increased odds of longevity (OR 1.07; 95% CI: 1.02-1.13;, Figure 2). Similarly, significantly higher lifespan years were observed for genetically predicted higher retinol metabolite levels (lifespan years per 10-fold increase: 0.17; 95% CI: 0.07-0.27;, Figure 3).

https://onlinelibrary.wiley.com/doi/10.1111/acel.14064

https://onlinelibrary.wiley.com/doi/10.1155/2022/4012603

Lutein

Lutein can inhibit IL-11: Cardiac remodeling Lutein inhibits IL-11 expression, thereby attenuating angiotensin II-induced cardiac remodeling. Overexpression of IL-11 in cardiac tissue impairs the protective effects of lutein. Cardiac fibrosis Lutein inhibits AP-1/IL-11 signaling and can reduce angiotensin II-induced cardiac fibrosis. However, one study found that treatment with LV-IL-11+lutein increased cardiac fibrosis. Osteoarthritis Lutein treatment inhibits proinflammatory cytokines such as IL-1β, which may have a bone protective effect.

https://pubmed.ncbi.nlm.nih.gov/34077894/

https://www.sciencedirect.com/science/article/abs/pii/S0167494313001143

Osmanthus herb

A research team from the University of Padova Medical School in Italy published a research paper titled "Targeting senescence induced by age or chemotherapy with a polyphenol-rich natural extract improves longevity and healthspan in mice" in the journal Nature Aging. The study found that a sage extract (HK for short) can significantly extend the lifespan of mice and improve multiple aging phenotypes in the body.

https://www.nature.com/articles/s43587-024-00663-7

lithium

The mitogen-activated protein kinase kinase (MEK) inhibitor trametinib, the mTOR complex 1 (mTORC1) inhibitor rapamycin, and the glycogen synthase kinase 3 (GSK-3) inhibitor lithium work synergistically to increase lifespan in fruit flies. Remarkably, the three-drug combination extended lifespan by 48%. Furthermore, the combination of lithium and rapamycin counteracted the latter's effects on lipid metabolism.

Lithium has been shown to extend lifespan in both fruit flies and nematodes. Lithium is an exciting frontier in aging research with its potential anti-aging effects. Its ability to protect neurons, enhance mitochondrial function, promote autophagy, and reduce senescent cell load makes it a promising candidate for extending lifespan and improving brain health,

https://www.sciencedirect.com/science/article/abs/pii/S1568163724002149?via%3Dihub

Alpha-ketoglutarate AKG

AKG can stimulate the expression of longevity genes such as FoxO, DAF-16, and SIRT, and inhibit the activation of the inflammation-related NF-κB signaling pathway, reduce the level of pro-inflammatory factors, and slow down the rate of inflammatory aging [6]. When the ATP content is too low, it will activate the AMPK signaling pathway, thereby inhibiting the expression of the mTOR signaling pathway [7]. The carboxylic acid cycle intermediate AKG can delay aging and extend the lifespan of Caenorhabditis elegans by about 50% (Figure 2A). In a concentration-dependent manner, 8 mM AKG produced the maximum lifespan extension in wild-type N2 worms (Figure 2B). Chin et al. (Chin et al., 2014) also demonstrated that AKG can not only extend lifespan, but also delay age-related phenotypes.

Retrospective analysis of DNA methylation age in 42 individuals taking Rejuvant? (an alpha-ketoglutarate based formulation) for a mean duration of 7 months. DNAm testing was performed at baseline and at the end of Rejuvant? supplementation treatment. Notably, individuals experienced an average reduction in biological age of 8 years (p-value=6.538x10-12). Furthermore, Rejuvant? supplementation was highly adaptive to individual differences, with the majority of participants experiencing a decrease in biological age. Furthermore, we found that Rejuvant? had additional benefits in individuals with older chronological and physiological age.

https://pmc.ncbi.nlm.nih.gov/articles/PMC8660611/

https://pmc.ncbi.nlm.nih.gov/articles/PMC4703346/#b17-bt-24-001

https://www.cell.com/cell-etabolism/fulltext/S1550-4131(20)30417-4?_returnURL=

CoQ10

CoQ10 is an essential component of the mitochondrial energy transfer system. When CoQ10 levels decrease, mitochondrial dysfunction increases dramatically and aging accelerates. In one case, animals that received the supplement had an average lifespan increase of 11.7% and a maximum lifespan increase of 24%. 1 Based on today’s life expectancy of 78.5 years, this increase is equivalent to more than nine years of extended human lifespan. However, the benefits of CoQ10 supplementation are not limited to increased lifespan. Lifelong dietary supplementation with CoQ10 can even reduce objective markers of aging in middle-aged animals.

https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2018.00044/full?uid=d81d98713d

 

PCC1

PCC1 is the B-type trimer epicatechin component of the GSE flavonoids and plays an important role in inhibiting SASP expression at low concentrations and killing senescent cells at high concentrations (the latter by inducing apoptosis).

Drugs that showed preliminary anti-senescence effects include GSE, quercetin, fisetin, curcumin, and piperine (Extended Data Fig. 1d, e) Given the efficacy of GSE as a senolytic inhibitor in reducing the SASP, we next investigated the potential of this natural product as a senolytic inhibitor to kill senescent cells at higher concentrations. SA-β-Gal staining showed that senescent cells were eliminated at a GSE concentration of 0.75 μg ml -1 (Fig. 1a, b). At 3.75 μg ml -1 GSE, the survival rate of senescent cells reached a plateau of 20% (Fig. 1a, b). This suggests that PCC1 triggers mitochondrial dysfunction in senescent cells

https://www.nature.com/articles/s42255-021-00491-8

Selenium

 

Supplementation with selenium and coenzyme Q10 (Se + Q10) prevents shortening of telomeres (repetitive DNA sequences at the ends of chromosomes) in elderly individuals with low selenium levels. Selenium supplementation inhibits IGF-1 signaling and confers healthspan benefits similar to methionine restriction. Feeding mice a diet supplemented with sodium selenite produces a phenotype similar to MR.

Taurine

Taurine deficiency is a driver of aging. Taurine supplementation slows down key markers of aging, such as increased DNA damage, telomerase deficiency, impaired mitochondrial function, and cellular senescence. The median lifespan of taurine-treated mice increased by 10% to 12%, and the life expectancy at 28 months increased by about 18% to 25%. Taurine supplementation slows down key markers of aging, such as increased DNA damage, telomerase deficiency, impaired mitochondrial function, and cellular senescence. Taurine inhibits mTOR1. Taurine treatment reduces mTOR activity and inhibits phosphorylation of ULK1 and ATG13 in MAC-T cells. Taurine reduced the expression of alcohol-induced TLR4/5/7/9 and its adaptor protein, MyD88, and the activation of its downstream MAPK (ERK1/2 and P38) pathway and NF-κB was also lower than that of the alcohol group. In addition, taurine also reduced the activation of alcohol-induced PI3K/Akt and P53/P21 pathways. Taurine also reduced the expression of pro-inflammatory factors TNF-α, IL-1β and IL-6 in the liver and serum induced by alcohol.

https://www.science.org/doi/10.1126/science.abn9257

Spermidine

Spermidine is a bona fide geroprotectant found naturally in food and is essential for cellular and organismal function through highly conserved pathways. Seven lines of evidence support its anti-aging properties: (i) Spermidine levels decrease during aging in most, but not all, tissues and species studied. (ii) Spermidine supplementation extends healthspan and lifespan in multiple species. (iii) Epidemiological data support the view that increasing dietary intake can mitigate, delay, or prevent age-related deterioration, including cancer, cardiovascular disease, and cognitive dysfunction. (iv) Metabolic processes within and adjacent to polyamine pathways are well known, pharmacologically targetable, and highly conserved across species, allowing for the informed use of models and development of targeted interventions. (v) Spermidine affects most hallmarks of aging. (vi) Spermidine appears to be safe in humans. (vii) The bioavailability of spermidine appears to be fairly good in mammals,

https://www.nature.com/articles/s43587-022-00322-9

Glycine

Glycine has been found to extend lifespan in genetically heterogeneous mice. This simple amino acid has similarly been shown to extend lifespan in rats and improve health in mammalian models of age-related diseases. Compelling data suggest that glycine is a pro-longevity molecule, and the anti-aging drug spermidine requires Gnmt to upregulate autophagy genes and extend lifespan. Furthermore, overexpression of Gnmt is sufficient to extend lifespan and reduce methionine levels. Sarcosine or methylglycine declines with age in multiple species and is able to induce autophagy in vitro and in vivo. In summary, the available evidence suggests that glycine extends lifespan by mimicking methionine restriction and activating autophagy.

https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fasebj.25.1_supplement.528.2

 

This simple amino acid has been associated with a variety of benefits in placebo-controlled human studies. In a group of 74 patients with type 2 diabetes, taking 5000 mg of glycine daily for three months reduced proinflammatory cytokines and glycated hemoglobin (HbA1c) (Cruz et al., 2008). In another clinical study involving 60 patients with metabolic syndrome, taking 15,000 mg of glycine daily for three months resulted in a decrease in systolic blood pressure (Diaz-Flores et al., 2013). Two hundred patients with acute ischemic stroke were treated with either 1000 mg/day or 2000 mg/day for five days, and improvements in various stroke scales were recorded (Gusev et al., 2000). Taking 6000 mg daily for 8 weeks improved the urine storage system in patients with overactive bladder (Sugaya et al., 2021), and taking 3000 mg daily for 3 days reduced fatigue in subjects with sleep restriction (Bannai et al., 2012). Recently, supplementation with glycine (100 mg/kg/day) and N-acetylcysteine ​​(100 mg/kg/day), two building blocks of glutathione, has been shown to improve biomarkers associated with several hallmarks of aging in a group of 24 older adults. As an example related to chronic inflammatory hallmarks, this supplementation regimen reduced levels of proinflammatory cytokines in plasma (Kumar et al., 2022a).

https://onlinelibrary.wiley.com/doi/10.1111/acel.12953

MAPK metabolic activators

AMPK activators can all lead to FOXO3 activation. FOXO3-activating compounds are one of the most direct candidates for extending the healthy lifespan of the elderly. In this work, we review compounds that activate FOXO3 or affect healthy lifespan or lifespan in a FOXO3-dependent manner. As a central regulator of multiple metabolic pathways, AMPK coordinates a vast network of transcription factors in the body and interacts with multiple signaling pathways involved in lifespan regulation.

https://www.sciencedirect.com/science/article/pii/S1568163722000630

Oleuropein

Activating MAPK and extending lifespan

https://pmc.ncbi.nlm.nih.gov/articles/PMC8614835/

Coumarin

The natural product coumarin can enhance lysosomal function, induce mitophagy and improve mitochondrial function. MIC administration to adult Caenorhabditis elegans for 1-7 days can extend their average lifespan by 40%. Mitochondrial dysfunction is associated with many age-related diseases. Whether in humans or in Caenorhabditis elegans, having healthy mitochondria generally predicts a longer lifespan. Mitochondria, an intracellular autophagy process, aims to remove and recycle damaged mitochondria to maintain normal cell function and metabolism.

https://www.nature.com/articles/s43587-023-00524-9

PQQ

PQQ acts on the reactive oxygen synthesis/degradation system unique to the cell membrane, generating low levels of reactive oxygen species (ROS) on the cell membrane, and this low level of ROS is the defensive response within the cell. We discovered the mechanism by which "life extension" achieves longevity by exerting important genomic functions and strengthening biological defense. The new food ingredient pyrroloquinoline quinone (PQQ) extends the adult lifespan of nematodes by more than 30%, and the life extension mechanism of PQQ. First time disclosed in the world. Extending lifespan through peroxidase/dual oxidase-mediated ROS signaling

https://www.frontiersin.org/journals/aging/articles/10.3389/fragi.2024.1351860/full

 

Sulforaphane

Activating HSF1

Daily consumption of a certain amount of cruciferous vegetables such as broccoli, cabbage or cauliflower can alleviate diseases such as cancer, inflammation, diabetes and hypertension. Studies have confirmed that the main effect on the above diseases is sulforaphane (SFN), which is generally present in cruciferous vegetables in the form of its precursor glucoraphanin (GLR). When people chew cruciferous vegetables or their extracts, the myrosinase in the vegetables can hydrolyze part of the GLR into SFN; the remaining GLR enters the human body and is hydrolyzed into SFN by intestinal flora such as Escherichia coli, Enterococcus faecalis and Streptococcus spp., and then SFN and its metabolites are mainly excreted through urine.

 

The chemical name of SFN is l-isothiocyanato-4-(methylsulfinyl)butane, which is an isothiocyanate. Studies have shown that SFN is a powerful inducer of phase II detoxification enzymes. Its antioxidant capacity is 20 times that of quercetin and 80 times that of curcumin (CUR), and it has high medicinal potential [1]. SFN is mainly absorbed by the small intestine in the human body. It acts on nuclear factor-erythroid 2-related factor 2 (Nrf2), nuclear factor κB (NF-κB), heat shock factor 1 (HSF1) and epigenetic modification [2], showing pharmacological activities such as anti-tumor [3], anti-inflammatory [4], treatment of diabetes [5] and cardiovascular disease [6].

 

nutmeg

NecB activated the AMPK enzyme in differentiated C2C12 cells and affected various signaling pathways in near-mature HDFs, including AMPK, sirtuin, and mTOR signaling pathways [36–39]. The results showed that NecB significantly extended the lifespan of wild-type flies by 42.6% compared to the control group and 11.5% compared to rapamycin (Rap). The extent of lifespan extension achieved in this experimental study is the most effective achieved by other drugs to date.

https://www.aging-us.com/article/205234/text

https://pmc.ncbi.nlm.nih.gov/articles/PMC10713431/

Threonine

Threonine Threonine can extend female lifespan, especially health. Systems biology approach identifies metabolic characteristics of dietary lifespan and healthspan in different species | Nature Communications Oral methods require special settings,

Although there are some small differences between the two fasting methods of one meal a day and calorie restriction, they generally achieve the effect of extending lifespan by activating the serine-glycine-threonine metabolic axis, enhancing detoxification, maintaining molecular synthesis turnover, repair/maintenance, and reducing oxidative stress, and maintaining liver function.

https://www.nature.com/articles/s41467-024-52909-y

Serine

Serine metabolism in aging and age-related diseases Non-essential amino acids are often overlooked in biomedical research; however, they are an essential component of the metabolism of living organisms. Serine is a metabolite that is indispensable for physiological functions. Serine is a key link connecting glycolysis to one-carbon and lipid metabolism and to pyruvate and glutathione synthesis. Interestingly, accumulating evidence suggests that serine metabolism may influence the aging process and that supplementation with serine may help prevent aging and age-related diseases. This review synthesizes recent insights into the regulation of serine metabolism during aging and its potential to promote healthy lifespan and mitigate a range of age-related diseases.

https://pubmed.ncbi.nlm.nih.gov/39585647/

 

Citrulline

 

Citrulline is a potent inhibitor of mammalian target of rapamycin (mTOR) activation in macrophages and modulates the mTOR-hypoxia-inducible factor 1α-glycolysis signaling pathway to counteract inflammation and aging. Citrulline supplementation is highlighted as a promising therapeutic intervention to counteract aging-related changes.

https://www.science.org/doi/10.1126/sciadv.ads4957

瓜氨酸调节巨噬细胞代谢和炎症以对抗小鼠衰老 |科学进展

Zingerone A

Both D+Q and zingerone A had significant effects on suppressing the senescence-associated secretory phenotype (SASP). Zingerone A selectively promoted the death of senescent cells, but had no effect on non-senescent cells.

https://pmc.ncbi.nlm.nih.gov/articles/PMC8963586/

Fisetin

The flavonoid fisetin inhibits LPS-induced inflammation and endotoxin shock through the interaction between GSK-3β/β-catenin and NF-κB signaling pathways, and fisetin inhibits the mTOR pathway. mTOR accelerates aging and can effectively remove senescent cells.

 

https://pmc.ncbi.nlm.nih.gov/articles/PMC2915634/

https://www.nature.com/articles/s41419-019-1366-y

Glucosamine + Chondroitin Sulfate

Oral supplementation with chondroitin sulfate has demonstrated high tolerability in humans, improved pharmacokinetics, a positive correlation with healthy human lifespan, and efficacy in slowing age-related diseases in randomized clinical trials

Endogenous chondroitin extends lifespan by inhibiting VHA-7-mediated tubular lysosome formation

https://www.nature.com/articles/s41598-024-80242-3

 

Omega-3

Omega-3 polyunsaturated fatty acids inhibit IL11

https://pmc.ncbi.nlm.nih.gov/articles/PMC8416141/

https://pmc.ncbi.nlm.nih.gov/articles/PMC5032683/

 

Rutin

Rutin exerts its effect on the AkT/PI3K/mTOR pathway by regulating the expression of several key proteins (including AkT, PTEN, ERK, etc.). Senolytics or Senomorphics drugs targeting senescent cells have the potential to alleviate the vast majority of age-related diseases, including but not limited to neurodegenerative diseases, cardiovascular diseases, metabolic diseases, musculoskeletal diseases, liver diseases, lung diseases and kidney diseases. However, the main challenge in developing new Senomorphics drugs is the lack of anti-aging agents with good safety.

https://pubmed.ncbi.nlm.nih.gov/33555034/

https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bph.15410

 

Resveratrol

Some of the beneficial effects of resveratrol may be attributed to the regulation of S6K1 activity. Resveratrol (3,4′,5-trihydroxy-trans-stilbene) is the most extensively studied stilbene compound and is found in grape skins, berries, peanuts, and some medicinal plants [3], [4], [6]. Hundreds of studies have shown that resveratrol has a variety of biological and pharmacological effects, including antioxidant, anti-inflammatory, carcinogenic, and antidiabetic effects, and plays a key role in human health and disease [7], [8], [9], [10], [11], [12], [13]. However, a potential problem with resveratrol is that its bioavailability is very low, which may reduce its bioavailability.

 

Resveratrol may exert its anti-aging effects by inhibiting S6K and activating sirtuins, and some researchers have suggested using pterostilbene as an alternative. Pterostilbene (along with other CR mimetics and calorie-restricted diets) has been found to naturally inhibit the mTOR pathway. 24 This reduction in mTOR provides a powerful way to modulate cell growth and metabolism and combat some of the major factors associated with aging and disease.

 

Pterostilbene modulates the activation of key anti-aging molecules called silent information regulators (SIRs) or sirtuins. Sirtuins play a role in regulating multiple cellular pathways involved in gene expression, aging, DNA repair, metabolism, and apoptosis. 32-34 Studies have also examined the important role sirtuins play in maintaining telomere length.

 

Metformin

Biguanides stimulate the biosynthesis of ether esters to extend the lifespan of organisms. However, when the ether ester biosynthesis machinery is missing, dietary restriction, rapamycin target (TOR) inhibition, and mitochondrial electron transport chain inhibition will occur, inhibiting the extension of lifespan.

Ether esters are essential for "longevity" - downstream of the conserved transcription factor skn-1/Nrf, ether esters are required for the activation of longevity promotion and metabolic stress defense. Lack of ether ester biosynthesis, isp-1, raga-1 and eat-2 mutants have inhibited the extension of lifespan

Metformin stimulates the body to produce more ether lipids (the main component of cell membranes), and increased ether lipids help to extend lifespan (healthy aging)

https://www.aging-us.com/article/204498/text

Betaine

Three anti-aging drugs (metformin, quercetin, and minocycline) were used to explore the metabolic effects of aging interventions. The expression of betaine was significantly increased under the treatment of the three anti-aging drugs. It was mainly through pathways related to the forkhead box transcription factor (FoxO) signaling pathway, the p38 mitogen-activated protein kinase (MAPK) signaling pathway, autophagy, longevity regulation pathway, and rapamycin target (mTOR) signaling pathway

https://academic.oup.com/biomedgerontology/article-abstract/79/11/glae221/7829126?redirectedFrom=fulltext#google_vignette

 

Licholic acid

Lithocholic acid (LCA) was one of the metabolites that alone recapitulated the effects of CR in mice. These effects included activation of AMP-activated protein kinase (AMPK), enhanced muscle regeneration, and restoration of grip strength and running ability. LCA also activated AMPK and induced lifespan- and healthspan-extending effects in C. elegans and D. melanogaster. As C. elegans and D. melanogaster are unable to synthesize LCA, these results suggest that these animals are able to transmit the signaling effects of LCA once administered. Knockout of AMPK abolished the LCA-induced phenotypes in all three animal models. In summary, we determined that administration of the CR-mediated upregulated metabolite LCA alone can confer anti-aging benefits to metazoans in an AMPK-dependent manner.

https://www.nature.com/articles/s41586-024-08329-5

Berberine

BBR extended the replicative lifespan, improved morphology, and enhanced regression markers of replicative senescence in human fetal lung diploid fibroblasts (2BS and WI38). BBR also rescued senescent cells from late population doublings (PD). Moreover, the rate of senescence-associated β-galactosidase (SA-β-gal)-positive cells in late PD cells grown in medium containing BBR was about 72% lower than that of control cells, and their morphology resembled that of young cells. Mechanistically, BBR improved cell growth and proliferation by promoting the entry of the cell cycle from G?0 or G?1 phase into the S/G?2?-M phase. Most importantly, BBR extended the lifespan of mice treated with chemotherapy and naturally aged mice by about 52% and about 16.49%, respectively. The remaining lifespan of naturally aged mice was extended by 80%, from 85.5 days to 154 days. Oral administration of BBR to mice significantly improved health span, hair density, and behavioral activity. Therefore, BBR may be an ideal candidate for the development of anti-aging drugs.

 

Berberine, like the anti-diabetic drug metformin, is an activator of an enzyme (AMPK) that is involved in some of the beneficial anti-aging effects of caloric restriction. Resveratrol and pterostilbene reduce the risk of inflammation, heart disease, cancer, and neurodegenerative diseases, in addition to protecting the integrity of the genome by activating enzymes called "sirtuins." Nicotinamide mononucleotide (NMN) and nicotinamide riboside (NR) supplements are effective in increasing levels of nicotinamide adenine dinucleotide (NAD), which decline with age. Some of these supplements can extend lifespan in a variety of organisms (yeast, worms, flies) and experimental animals (mice, rats), but there is currently no evidence that they have such an effect in humans.

https://onlinelibrary.wiley.com/doi/10.1111/acel.13060

AP2A1 protein inhibition

Curcumin, resveratrol, quercetin, and PCC1 can inhibit the expression or activity of AP2A1 protein. In addition, some studies have found that certain microRNAs can target AP2A1 mRNA, thereby inhibiting the translation of AP2A1 protein.

https://pmc.ncbi.nlm.nih.gov/articles/PMC8806629/

https://www.e3s-conferences.org/articles/e3sconf/pdf/2024/30/e3sconf_interconnects2024_04002.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC4436833/

Rilmenidine

Rilmenidine? This is a drug for treating high blood pressure, but long-term use can effectively extend lifespan. ? I1-imidazoline receptor agonist and prescription drug for treating high blood pressure. We then showed that treating C. elegans with limenidine in young and old age can extend lifespan, and that limenidine extends lifespan and healthspan of C. elegans via the glycoprotein I1-imidazoline receptor (do not use if you have low blood pressure)

https://pmc.ncbi.nlm.nih.gov/articles/PMC9924948/

https://onlinelibrary.wiley.com/doi/10.1111/acel.13774

 

Tyrosine inhibition

Dietary tyrosine deprivation reduces internal tyrosine levels and fecundity, affects AA sensing mechanisms, and extends lifespan.

https://www.science.org/doi/10.1126/sciadv.adn7167

 

 

Rough information

1 Restricting the intake of isoleucine and methionine in the diet can significantly improve the metabolic health of mice and prolong the healthy life span.

SGLT2 inhibition eliminates senescent cells and alleviates pathological aging

2 Healthy lifestyle and diet; regular fasting 5:3, 8:16; appropriate exercise

Reducing dietary intake can not only reduce the accumulation of fat in adipose tissue, but also affect cell signaling pathways, thereby prolonging life and inhibiting the aging process. The beneficial effects of DR may be related to the reduction in protein intake; restricting the intake of branched-chain amino acids will increase the life span and healthy life span of rodents/

5 Timely treatment of underlying diseases

6 TERT activator compound (TAC), which can enhance TERT transcription in adult somatic cells of humans and mice, restore it to the physiological expression level in young cells, promote telomere synthesis, and reduce DNA damage signals at telomeres, thereby reversing cell aging.

7 Inject young blood

8 Manipulate the gene circuit that controls aging, chemically induced reprogramming to reverse cell aging,

9 Can a certain technical means slow down the working speed of the "translator" (genetic transcription) (key enzyme RNA polymerase II for "fine-tuning"), delay aging,

Gene editing of the key cell enzyme "RNA polymerase II" can slow down the speed of information translation

10 Inject interleukin antibodies to inhibit interleukin 11

Inhibiting IL-11 signaling can extend the healthy lifespan and lifespan of mammals

 

11 Clean up senescent cells regularly once a month

Clearing senescent cells can delay aging

 

12 "Gene-encoded resilience" is identified as the "key factor" for longevity