Friday, March 5, 2021

General theory of aging

 



The latest link        after        before

I have worked on an actionable theory of aging with an empiricist mind so far - why should I worry about how the procedure work but to work on them as black boxes, alleviating missing information and known side effects. However, I have reached the limit and I need to have a theory of aging to proceed. The first thing is to build only the needed parts. What I am thinking is remove some proteins from the plasma, and then replace it, hoping the removed proteins will extend age. I will not try this on self, test it on mice first. How? Not simple now but let us see how that is done. Assume it is done. What then? Whatever I plan has to yield testing on mice but should work on human cell or on yeast first.


Goal is protein removal machine as adjunct to TPE machine some day. Filtering will be done by adding some chemicals to the plasma drawn.


Why not work with blood direct?


I think that cells (red, White) and platelets are likely sensitive to chemicals, far more than plasma. If the filtration is done, it will likely be on plasma.


Why focus on first and why?

CD38 and apoptosis prevention boosters. Cancer cells ignore apoptosis signals. Even senescent cells. In fact, senolysis is a brand-new method to deal with cancers and may work for aging too. The reason I am not hopeful is that the signals may be cell-specific. For cancers, depending on kind, the signal may be specific. It means targeted chemotherapy is needed specific to cancers. On the other hand, many cancers can share the signal.


Does not that talk imply an aging theory?


Yes it does! While purposely ambiguous on some matters, must admit a theory application sometimes. My current theory is some antagonist pleiotropy (All evil chemicals had youth-useful purpose) NAD+ resilience (fix, not robust against). What that means is that bio-events have two parts - damage up to a maximum, period measured by robustness and recovery period of resilience.


Where do they come from?


Robustness is largely species specific. Resilience is by specified groups of species. Similar species share resilience (I assume similar to break in DNA). That is because of my belief that resilience is a much harder property to arise by evolution! The hardest stress that a cell handles is DNA break. Unfixed cells become senescent. All life have the same break fix mechanism - never invented again by nature in a billion years. That is why animals share common methylation that happens at about the same rate. It is amazing that methylations are like annual rings in trees!


Why not expect age-extension at once but after some time?


It is my deep conviction that all best current modern medicine is dealing with the specific hallmark of aging determining the chemical fixes to specific problems found in increasingly precise chemistry. Lost in the trees are forest management ideas ignored. The fixed buggy tree is better for a while and attacked by another bug. If we assume that trees have the strength to fight bugs, a better approach is while the current problems are being fixed, simultaneous effort is being made to strengthen the immunity of trees, hopefully helping in the current problem and against subsequent infestations. Now the problem referred to. There are a small finite number of resilience chemicals. Apply them all and you solve many problems. Even if you don't fix any, those present in blood flower in dilute blood and regain strength. Eventually, all the bad ones are known and can be filtered out. No regrowth is stunted by the plasma The expected regrowth is not needed. Looks like 0ne week between procedure can be reduced to next day if all the bad chemicals were known and then the filtered same plasma is used. Not clear what is sped up by a week buys? CD38 is different as it is known bad with no known good things - it arises as an evil chemical byproduct of resilience, and hence can be filtered out. Slowly the list of evil be identified but never needed,


What is the assumption in above?


We assumed that the evil chemicals did not grow-in NB but good did. That is known true for every blood protein because this assumption is needed to explain AMBAR results. None of the oldies died while the clinical trial proceeded. In fact just boosts I have in mind comes from general TPE side effects and likely not nullify anti-aging parts of TPE. Too many protein fixes might. Protein subtraction might.

Wednesday, March 3, 2021

Aging Motivation

 


The latest link        succeeds        prior to


Where does change come from, why is Arun still a child? One answer is designing spaces with marginalized people in mind to makes them better for everyone.

 https://www.popsci.com/story/technology/curb-cut-effect-accessible-design/

IF TRULY CARRIED AWAY, 2030 IS HUGE

https://money.cnn.com/2015/06/03/technology/ray-kurzweil-predictions/index.html

Today is a change,First what caught my fancy.

https://www.youtube.com/watch?v=IEz1P4i1P7s


Why is all kinds of knowledge needed, is clear from this introduces CD38 I mentioned.

https://www.lifespan.io/news/the-intertwined-nature-of-nad-cd38-and-senescence/?mc_cid=3f733ddbf5&mc_eid=d889cad40c\

Then if you wantNMN.

https://www.youtube.com/watch?v=bUAN1Y3gFm4&feature=youtu.be

Last but is you want to join me

https://aaqg-arunarya.blogspot.com/2020/11/a-new-kind-of-startup-aastartup.html

I had a long conversation with a salesperson of uthever in China. They are ready to sell me NMN for $1600/kg. That is better than best, if I can solve transportation and customs (solved). 1 kilo is for 3 people per year. 500 gm just for me is enough under $1000. I can exceed Dr. Sinclair but might need only 500 mg/day since taking by IV. My mother and wife await my doing the procedure first, no help from them.

Tuesday, March 2, 2021

Diseases of Aging - Induced by time


The latest link        succeeds        prior to

It is not my intention to act as doctor, my knowledge is deep in very few areas of interest to me. However, certain broad area have to interned at very shallow level and these are likely to be of interest to some. Aging, understood as a universal chemical process and interventions to increase the health span, is one of the areas. Let us examine two very major diseases here - Parkinson and Alzheimer's. These are considered nonintervention, if you or loved have it then the best is to reduce the evil consequences as much possible.  But, TPE intervention makes sense in Alzheimer's. AMBAR is very cutting edge, and surprise is that the equipment is available in Delhi, due to unthinking but political move of AAP to battle Corona, made unused for NBE with cured patients, but the vaccines are unexpectedly here and usable. Means TPE is there, can be repurposed for fighting aging, a very useful disease with no recognition as one by FDA! I was amused to learn that Dr. DobriKirprov is the first doctor in the USA entitled to specialist status in TPE! The AMBAR project is old and in fact Drs. Conboy did the lessened recovery interpretation of their classic 2005 surgical hetero chronic blood exchange paper, in 1916 when funded by none other than Dr. de Grey. Naturally, Dr. Kirprov was coauthor in 1916 and also in 1920!

The blood-brain-barrier or BBB seems to defeat all improvements to brain, independent to blood. That (improvements) is a consequence of two new facts, even today not known to middle-aged Doctors in India who were taught by senior Doctors. First there is old age neurogenesis in hypothalamus, essential for short to medium term memory. Decline in neurogenesis is why all old people decline in fresh memories even though they can remember old things! The second fact is that the ratio of beta-amyloid in blood and brain is a constant. This is maintained by some beta-amyloid moving from the brain to diluted blood (where it unites with albumin). You see that aged brains show distinct beta-amyloid patches, essential to Alzheimer's! AMBAR shows that. Twin improvements in memory and reduced loss of sanity was objectively measured and showed 50-60% improvement! I attribute lack of world-wide processing as partly poor information spread and partly lack of TPE equipment.

Stupidity of doctors' about plasmapheresis, indicates a very wide open entrepreneur area with unused TPE equipment making TPE lot cheaper, hence applicable here - patient supply huge if improved self. Precisely sensible gamble, worst is no effect and minor pain! Low cost advertise-strategy will work here initially, with likely a huge wall of disincentives to overcome later. Self TPE is likely the smartest move in my life! Glutathione is a likely add to my NBE. If small lightened, will become walking ad proof! Since I intend life long NMN by IV, adding Glutathione will be trivial.

Parkinson is caused by loss of doipamine. It is fixed differently. Taget is mPTP described next which converts autphagy process to destructive. The activity of the mitochondrial permeability transition pore, mPTP, a highly regulated multi-component mega-channel, is enhanced in aging and in aging-driven degenerative diseases. mPTP activity accelerates aging by releasing large amounts of cell-damaging reactive oxygen species, Ca2+ and NAD+. The various pathways that control the channel activity, directly or indirectly, can therefore either inhibit or accelerate aging or retard or enhance the progression of aging-driven degenerative diseases and determine lifespan and healthspan. Autophagy, a catabolic process that removes and digests damaged proteins and organelles, protects the cell against aging and disease. However, the protective effect of autophagy depends on mTORC2/SKG1 inhibition of mPTP. Autophagy is inhibited in aging cells. Mitophagy, a specialized form of autophagy, which retards aging by removing mitochondrial fragments with activated mPTP, is also inhibited in aging cells, and this inhibition leads to increased mPTP activation, which is a major contributor to neurodegenerative diseases, such as Alzheimer's and Parkinson's diseases. The increased activity of mPTP in aging turns autophagy/mitophagy into a destructive process leading to cell aging and death. Several drugs and lifestyle modifications that enhance healthspan and lifespan enhance autophagy and inhibit the activation of mPTP. Therefore, elucidating the intricate connections between pathways that activate and inhibit mPTP, in the context of aging and degenerative diseases, could enhance the discovery of new drugs and lifestyle modifications that slow aging and degenerative disease.

Since CD38 is bad too, CD38-in-78C is a potent suppressor, in turn raising NAD+. No one seems to know why not used commonly. The Intertwined Nature of NAD+, CD38, and Senescence is missed.

If rapamycin strikes your fancy, please read this.

Monday, March 1, 2021

Design of Self-TPE


The latest link

So far 


www.aging‐us.com AGING 2020, Vol. 12, Advance
Priority Research Paper
Rejuvenation of three germ layers tissues by exchanging old blood
plasma with saline‐albumin
Melod Mehdipour1, Colin Skinner1,*, Nathan Wong1,*, Michael Lieb1,*, Chao Liu1, Jessy Etienne1,
Cameron Kato1, Dobri Kiprov2, Michael J. Conboy1, Irina M. Conboy1
1Department of Bioengineering and QB3, UC Berkeley, Berkeley, CA 94720, USA
2California Pacific Medical Center, Apheresis Care Group, San‐Francisco, CA 94115, USA
*Equal contribution
Correspondence to: Irina M. Conboy; email: iconboy@berkeley.edu
Keywords: blood exchange, therapeutic plasma exchange, multi‐tissue rejuvenation, rejuvenation by dilution
Received: May 13, 2020 Accepted: May 20, 2020 Published: May 30, 2020
Copyright: Mehdipour et al. This is an open‐access article distributed under the terms of the Creative Commons Attribution
License (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original
author and source are credited.

A lot of my doubts vanished when I encountered peer-reviewed government reference here.

Once TPE is decided, the next issue is replacement plasma. Since I am volunteering and paying for the procedure, I am entitled to design of replacement plasma, in consultation with the doctor who will vet it on me. Basically I am open to dangers, but not to "not done yet". My own choices have to be motivated by advantages for me.


Let us look at what I want


1. Saline, to provide for bulk. Solves Metabolic alkalosis.


2. Albumin, at concentration in blood. It is a neutral tie-in for all proteins being removed, otherwise neutral to aging, Read: experimented with mice by Conboy and Humans in AMBAR. An albumin saline solution seems to be all needed for plasma lost, buttresses by cells, platelets etc, saved and restored in plasma. Albumin is not just neutral, but AMBAR may be interpreted as setting up a fixed ratio between beta-amyloid in brain CSF and blood, and loss of it in the brain to increment in blood to form albumin binding. It is this loss that produces improvements to Alzheimer's patients, despite BBB! Several procedures are needed for cleaning to significant levels, in AMBAR was weekly six times, then monthly for 6 months. Schedule may be smaller for an age/severity-early patient as me. TPE must be, and is, free of side effects beyond tiredness, but significantly donor facts, missing in my case.


3. NMN to protect it from the liver. Special NMN needed might reach me mid-March. Much better results are expected than sub-lingual methods used. I plan of weekly NMN IV for rest of life at $1000 per year unless I venture to make it in India or convince Ramdev etc to make it, for if it works for me, many customers as me will need it. If forced into manufacture or administration, IV can be extended to other similar products as NMN.

A gradual increase in CD38 has been implicated in the decline of NAD+ with age. CD38 inhibitors may be used as therapeutics for the treatment of asthma. CD38 has been used as a prognostic marker in leukemia. Nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN) are NAD+ precursors, but when NR or NMN are administered, CD38 can degrade these precursors before they can enter cells. Diluting blood to half CD 38, is likely to help in NMN by IV.

4. Calcium, at concentration in blood (how=TBD) to avoid one side effect seen from TPE. Solves hypocalcaemia.


5. Potassium, at concentration in blood (how=TBD) to avoid one side effect seen from TPE. Solves hypokalemia.


6. ... Others to be considered like some antibiotic. Pterostilbene is a general purpose broad spectrum antibiotic used by plants for invaders. Its chemical relative, resveratrol, received FDA GRAS status in 2007,[9] and approval of synthetic resveratrol as a safe compound by the European Food Safety Authority (EFSA) in 2016. Pterostilbene differs from resveratrol by exhibiting increased bioavailability (80% compared to 20% in resveratrol) due to the presence of two methoxy groups which cause it to exhibit increased lipophilic and oral absorption.[5] Might Solve decreased immunity. Need it as companion to NMN anyway.

What if this NBE fails?

There seems to be no gerolavic reasons to K and Ca increment, but you never know! In any case, NMN by IV will improve! The exact recipe will not be disclosed but becomes a strong product for replacement plasma. I will seek funding to develop replacement plasma service if it works on me, in this or subsequent efforts' inline with self-sufficient India and a very major export to the entire world, open  to any proven solution. There is no established solution to aging, or even a candidate in trial. Only Dr Kirprov in San Francisco may be a competitor, but AMA/FDA delays will make him toothless for a while. What works on me will promise a fast FSSAI valid deserving clinical test. Sir Modi understands bureaucracy.

Is old plasma of any use?

Yes !! In many small volumes, it can be used in many experiments to pin-point the bad proteins and their removal so that eventually the plasma can be cleaned and reused without diluting it! Interesting but true, it can be added to mice-plasma!

 

 Philosophy

As someone taking the risks, I am entitled, as a non-medical scientist, of brief descriptions of my philosophy. I believe in natural evolution, rational scientific speculation, no-God and nonspiritual nature. Thus aging is simply chemistry, interesting as applicable to all mammals extending to a few hundred years as opposed to trees of a few thousand years and potentially unlimited for some reincarnating jelly fishes escaping predation. The higher end mammals survive being top predators and beating cancers. True hibernation may never happen to humans, but resuscitating intervals of up to 100 years are possible by slowing organ human processes and direct external blood processing. That claims of post-death resuscitation are pure sci-fi, not rational scientific speculation is my basis of declaration of post-death cures for killer diseases, a folly view and proud dedication of all my organs post-death in the USA or here (needs dual freeing) to reuse (here you have to pay!).

Two  bad guys in aging are mitochondrial permeability transition pore, mPTP and cluster of differentiation CD38. It will be interesting to see if TPE machine can be modified to filter them out with positive anti-aging effect.

Antagonistic Pleiotropy Theory of Aging is my belief i.e. the bad processes were once good, but changed with aging to become bad. Cellular senescence is a simple way of attracting immune system cells to "bad" chemicals in some cases! For one, you can't fix a problem by sheer elimination of villain chemicals - you have to reduce their effects. But I expect the problem to be as hard as management of wild life with many counter-intuitive blind alleys and strange unintended consequences! It essentially means low-hanging fruit for like 20-60 years and then a wall.


Saturday, February 27, 2021

Joining all the threads

 

The Latest link


What has led you to believe in your own paradigm as a fanatic?



Over the last 20 years, I have patiently and in great detail pursued every scientific (as per me)result from anyone claimed by me scientific. This has included 5 year blind paths at believing wrong interpretation of parbiosis experiment of heterochronic parabiosis by Conboy in 2005 by Stanford faculty, who saw magic proteins in young blood, isolated, productized, and packaged by their  companies. What gave me pause was wait and see of non-existent results. Why I believe in blood dilution theory to the point of experiment with myself is FTD belief in results (Dr. Sinclair re chemicals), Conboy interpretation of parbiosis, potential benefits to self and loved, and high safety of TPE. The worst is nothing exciting happens. If TPE was not FDA approved, or TPE criticized by Dr. de Grey, I would not volunteer!

In 2016, a SENS Research Foundation study in the lab of Drs. Irina and Mike Conboy at UC Berkeley gave significant support to the Dilution Solution, and they have now published a pair of new studies showing that literally diluting the aging plasma with injections of saline plus replacement of the relatively inert transport protein albumin promotes even more dramatic rejuvenation effects on body and brain

How do you know you are complete?

He [Alex Zhavoronkov, PhD, the chief scientist of the Bio gerontology Research Foundation [and the CEO of an artificial intelligence company Insilico Medicine] also proposed a strategy for re purposing known geroprotectors such as rapamycin, nicotinamide riboside, nicotinamide mono nucleotide, metformin, and other drugs with the known safety profile for prevention of SARS-CoV-2 infection. The following is the quick British paper. [he terms Cov-19 disease gerolavic, I agree]

Clinical trials of low-dose rapamycin to protect elderly from COVID-19 proposed

rapamycin is dangerous

I have discussed all except rapamycin. It is available for immune protection from transplant, by reducing immunity at 2 mg/day. Anecdotally, 1 mg/day reduction is enough to defeat immunity loss! Only proper FDA test can tell! That it is legal for something, by FDA rule, any MD can prescribe it for anything! It is controversial and doer not interest me now. Incidentally 3 pathway protein group for aging reduction are (each a protein group) Sirutins, PARP, and mTOR (proteins IN mammalian target of rapamycin), which indicates very old claims re rapamycin, solidly warned against by FDA, yet people quaff it anyway, for aging and cancers, (Hail Mary effort)!


Sirolimus - Wikipedia

This Obscure, Potentially Dangerous Drug Could Stop Aging


The first is rapamycin, which was originally developed as an immunosuppressive. But when taken at low doses, it's been found to extend the lifespans of mice by around 15%. This is accompanied by the slowing of multiple age-related changes, such as tendon stiffening and liver and heart degeneration. In other animal models, it's been shown to slow the development of Alzheimer's and Huntington's disease. In older humans it dramatically improves immune function and vaccination responses.

Rapamycin slows aging by inhibiting the protein mTOR, which regulates the process of protein production in cells. Inhibiting it allows cells to recycle damaged proteins instead of allowing these to build up. Normally, mTOR allows these damaged protein cells to build up because it requires less energy for cells to continue building more new protein over recycling the old ones. But this buildup of proteins in cells can mean cells don't function as well as they should. Inhibiting mTOR can enable cells to continue functioning properly.

So let us recount my derivations.


Dr. Sinclair is of Harvard. He is unlike all scientists, free of money concerns and safe unconcerned like them. He has a theory (not subscribed universally) for aging which justifies my NMN (not NR) and pterostilbene (not resveratrol), metformin and k2+D3. Targets are linings, mitochondria and calorie-restriction. That is my drug effort. D3 is less vitamin and a more full-fledged hormone.


There is a strong argument against any theory of damage accumulation as from the latest Horvath bomb-shell, as quoted here "Aging is often perceived as a degenerative process caused by random accrual of cellular damage over time. In spite of this, age can be accurately estimated by epigenetic clocks based on DNA methylation profiles from almost any tissue of the body. Since such pan-tissue epigenetic clocks have been successfully developed for several species, it is difficult to ignore the likelihood that a defined and shared mechanism instead, underlies the aging process. To address this, we generated 10,000 methylation arrays, each profiling up to 37,000 cytosines in highly-conserved stretches of DNA, from over 59 tissue-types derived from 128 mammalian species. From these, we identified and characterized specific cytosines, whose methylation levels change with age across mammalian species. Genes associated with these cytosines are greatly enriched in mammalian developmental processes and implicated in age-associated diseases. From the methylation profiles of these age-related cytosines, we successfully constructed three highly accurate universal mammalian clocks for eutherians, and one universal clock for marsupials (other mammals). The universal clocks for eutherians are similarly accurate for estimating ages (r>0.96) of any mammalian species and tissue with a single mathematical formula. Collectively, these new observations support the notion that aging is indeed evolutionary conserved and coupled to developmental processes across all mammalian species - a notion that was long-debated without the benefit of this new and compelling evidence."


Parbiosis paper of 2005 leads to Conboy paper of 2020 with surprising bad blood causing the age problems, rather than magic proteins in young blood. That leads to my demand for Blood dilution by TPE. Note that human results are in the pipeline and Dr. Conboy advices against precisely me. However, my loved ones can not wait and my own debilitation for 2 or more years. The risk is low and benefits huge, and I believe enough in my medicine. So the conversation with doctor uncle will decide. As expected, march is here for Covid-19 vaccination, and I must experiment with 0.5 mg rapamycin also, in conjunction with NMN.


Work in California on Yamanaka factors based medicine and supplements are essential to eventual forbid of death through brain download. I just track FDA and UC Berkeley/Stanford and other big news, but read them skeptically. Anecdotal by otherwise known people without significant controversy, not other ad tricks (specially by professional advertisers, all considered sub animal emfubar).

Risks of TPE

  • Low blood pressure

  • Shortness of breath

  • Metabolic alkalosis. This can cause a headache or seizures.

  • Bleeding

  • Increased risk for infection because your normal immune system proteins (antibodies) have been removed

  • Too little calcium in the blood (hypocalcemia)

  • When non-plasma replacement fluid is used: too little potassium in the blood (hypokalemia)

  • When donor plasma is used: Allergic reaction or disease transmission


Thursday, February 25, 2021

Prepare for advice from doctor uncle





Alzheimer's disease and dementia

 Why USA thrives


Edited quotations in NBE


Apheresis is a common procedure and usable in many illnesses, done without many consequences on the receiver, who can do it every month if one considers the same time as the donor, who loses the plasma in the usual scenario. Albumin liquid with cells and platelets saved from blood is advised to the donor to replace the lost plasma. Same is done in NBE, except that I will also add NMN.


[Merck...]

Apheresis can be used to

  • Obtain healthy blood components from a donor to transfuse to a person with a disorder

  • Remove harmful substances or excessive numbers of blood cells from the blood of a person with a disorder (termed therapeutic apheresis)

The different components of blood that can be separated include

[...]

The [...type of] apheresis that [...is done is]

  • Plasma exchange

[...]

Plasma exchange

In plasma exchange, the person's blood is removed, and the plasma is separated from the blood cells and platelets. The plasma is discarded and the blood cells and platelets are returned to the person along with a plasma-replacing fluid, such as albumin.

Plasma exchange is used to treat disorders in which the person's plasma contains harmful substances [...]

To be helpful, plasma exchange must be done often enough to remove the undesirable substance faster than the body produces it. However, apheresis is repeated only as often as necessary because the large fluid shifts between blood vessels and tissues that occur as blood is removed and returned may cause complications in people who are already ill.

--------------------------------------------------------------------------------------


Facts About Apheresis

1. How Apheresis Is Performed

A medical machine is used to draw out blood from the body – usually the arm.

The machine then separates the components of the withdrawn blood. Only the plasma or platelets components will be collected.

The rest of the blood is re-infused back to the donor’s body.

2. Why Apheresis is Performed

[...]

5. Amount of Blood Removed During Apheresis

The amount of blood removed will depend on the type of medical machine to be used in drawing out blood during the procedure.

[...no doner]

6. Time the Procedure Takes

[...no doner]

7. Apheresis Experience

The procedure is painless. Research has it that most patients who’ve underwent apheresis feel tired after the procedure.

However, it does not last long for normal body activities to resume after approximately 24 hours.

8. Side Effects

The side effects of apheresis include: dizziness and a little pain at the point where blood is withdrawn.

A person who is sensitive to anti-coagulants feels some itchiness on the lips after the procedure. The side effects are short-term and have no particular effects on the donor’s health.

9. Frequency of Performance

The advisable time period for having another apheresis procedure performed on the donor who had the same donation procedure is roughly 3-5 weeks.

[no info on receive frequency]

10. Advantages of Apheresis

[...no doner]

-------------------------------------------------------------------------------------------------------

Equipment