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The Peter Attia Drive

#70 - David Sinclair, Ph.D.: How cellular reprogramming could slow our aging clock (and the latest research on NAD)

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 9 September 2019

⏱️ 130 minutes

🧾️ Download transcript

Summary

In this episode, David Sinclair, Ph.D., a Professor in the Department of Genetics at Harvard Medical School and co-Director of the Paul F. Glenn Center for the Biological Mechanisms of Aging, returns to the podcast to discuss the content of his new book, Lifespan: Why We Age - and Why We Don’t Have To. This conversation focuses on the biological mechanisms involved in what David terms the Information Theory of Aging which provides insights into the “clock” that determines our aging and to what degree it can be manipulated. Our discussion on aging of course leads us into interconnected topics of epigenetics, sirtuins, cellular senescence, as well as what compounds David is personally taking for his own longevity. Additionally, we discuss the most up to date information related to NAD and longevity by looking at the potential benefits (if any) of supplemental agents (NAD precursors, NR, NMR, etc.) that pose a promise of increasing NAD.

We discuss:

  • SIR genes and cellular identity [8:45];
  • Sirtuins regulate gene expression [14:30];
  • DNA is methylated at the deepest layer of the epigenome [17:45];
  • Methylation pattern and determining cellular age [20:15];
  • Cellular reprogramming [33:45];
  • Yamanaka factors to push cells "back in time” [41:00];
  • Human cellular reprogramming viability [57:00];
  • Measuring the rate of aging [1:02:45];
  • Cellular reprogramming for longevity [1:14:45];
  • Compounds David takes for his own longevity [1:29:15]
  • NAD precursors (NR, NMN) and pterostilbene [1:40:00];
  • The current field of sirtuin activators [2:03:15];
  • David’s artistic work [2:05:15] and;
  • More.

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Transcript

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0:00.0

Hey everyone, welcome to the Peter Atia Drive. I'm your host, Peter Atia.

0:10.0

The drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,

0:15.7

along with a few other obsessions along the way. I've spent the last several years working

0:19.6

with some of the most successful top performing individuals in the world, and this podcast

0:23.8

is my attempt to synthesize what I've learned along the way to help you live a higher quality

0:28.3

more fulfilling life. If you enjoy this podcast, you can find more information on today's

0:32.5

episode and other topics at peteratiamd.com.

0:41.6

Hey everybody, welcome to this week's episode of The Drive. I'd like to take a couple of

0:45.6

minutes to talk about why we don't run ads on this podcast and why instead we've chosen to

0:50.3

rely entirely on listener support. If you're listening to this, you probably already know,

0:55.0

but the two things I care most about professionally are how to live longer and how to live better.

1:01.1

I have a complete fascination and obsession with this topic. I practice it professionally,

1:06.0

and I've seen firsthand how access to information is basically all people need to make better

1:11.0

decisions and improve the quality of their lives. Curating and sharing this knowledge is not easy,

1:16.3

and even before starting the podcast, that became clear to me. The sheer volume of material

1:20.9

published in this space is overwhelming. I'm fortunate to have a great team that helps me

1:25.7

continue learning and sharing this information with you. To take one example, our show notes are

1:31.2

in a league of their own. In fact, we now have a full-time person that is dedicated to producing

1:35.9

those, and the feedback has mirrored this. So all of this raises a natural question. How will we

1:41.9

continue to fund the work necessary to support this? As you probably know, the tried and true way

1:47.4

to do this is to sell ads, but after a lot of contemplation, that model just doesn't feel right

1:53.3

to me for a few reasons. Now, the first and most important of these is trust. I'm not sure how you

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