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Elixir of Life

by Steven Novella, Oct 11 2010

In an SGU interview with Christopher Hitchens he commented that journalists tend to have a limited pallet of story themes from which they choose, and then they conform the story to the chosen theme. Stories always need to be about something, such as corporate greed or government malfeasance, so that is the story that is told – regardless of the pesky facts.

Bad science journalism works that way also. That is why we can joke about common cliches, such as “Missing Link Discovered,” “Scientists Baffled,” and “It turns out everything we thought we knew was wrong.”

One such science journalism meme is the “Elixir of Life” – a scientific “breakthrough” (there are no advances, only breakthroughs) that offers the hope of extended life or a panacea of sorts. These stories often follow another theme – taking an esoteric bit of research that is very preliminary and/or has very narrow implications, and then pulling from that research the most extreme speculative future application. That is why every basic life-science “breakthrough” could “potentially lead to a cure.”

To make matters worse, science press releases are increasingly engaging in this kind of rhetoric, and there seems to be a proliferation of lazy science journalists who are happy to pass along these press releases without further investigation.

All of this might explain why a small mouse study is being hailed in the press as the latest elixir of life discovery. The study involved giving mice either water or a diluted mixture of three branched-chain amino acids (leucine, isoleucine, and valine). They found that the mice fed the amino acids lived 12% longer than the control mice.

This is an interesting result. The researchers were testing this hypothesis because the same effect was found in yeast and they wanted to see if it could be replicated in a mammal. The theory is that increasing mitochondrial biogenesis can lead to extended lifespan, and these amino acids will lead to this increased biogenesis, which did occur in skeletal and cardiac myocytes (muscle cells), but not liver or fat cells.

What does this mean?  It is too early to say. First, this study needs to be replicated in order to confirm that it is a real effect and not a fluke, error, or result of some other variable that was not adequately controlled. For example, how sure are we that the control mice were not undernourished, even by a little, and the extra amino acids in the study mice just improved their nutritional intake?

Interpreting this study is not straightforward either. Amino acids are building blocks for proteins, and muscle is largely made of protein. So what this study is showing is that amino acids increased muscle building, but did not have the same effect in non-muscle tissue. Perhaps all it is showing is the well-known ability of protein supplements to enhance muscle building, and the greater muscle mass (including in cardiac tissue) lead to greater longevity. There may not be a separate effect on longevity.

Further, it is not clear how to (or if we can) extrapolate this research to larger mammals, or specifically to humans. Longevity studies in mice are always plagued by the fact that mice live for a few years in the lab, while we are trying to push human life expectancy past 80 years.

This, of course, has not stopped the most irresponsible of such extrapolation in some of the media. The Indian Express went so far as to report that body builder protein powders “adds 10yrs to life.” That's right, they went ahead and made a direct linear comparison between the mouse lifespan to the human lifespan.

Conclusion

This study is interesting, but it is one small study. It is not clear what it really means, if anything. It takes dozens of such studies, looking at a question from multiple angles and in multiple models, before scientists are reasonably sure they are onto a specific effect. And then the application of that effect needs to be tested in humans. We are a decade away, at least, from knowing if this study means anything for human longevity.

From a plausibility point of view, it is doubtful that anything as simple as just a dietary supplement with amino acids would have a huge impact of longevity. This is especially true in developed nations where access to protein is generally not limited, and not a limiting factor on biological function.

Human aging is complex. This does not mean it is an insurmountable problem (if you are inclined to see it as a problem), but with life-expectancy approaching 80 years, we have already picked the low-hanging fruit and have started to get diminishing returns from further improvements in lifestyle and health care. This is a further reason to be skeptical of claims that a simple dietary change could significantly extend longevity beyond 80.

This is why I would add “elixir of life” to the list of phrases in science reporting that would automatically trigger a skeptical response.

11 Responses to “Elixir of Life”

  1. Max says:

    Reporting on new studies confuses the general public. Bad reporting overstates the results, while good reporting concludes that we shouldn’t conclude much from a single new study. Meanwhile, the public doesn’t even know the current consensus or guidelines, which are more relevant than some small new mouse study.

  2. citizen wolf says:

    Well, personally I’m convinced. Arnold Schwarzenegger is at least 10 years older than he should be.

  3. Ug, this reminds me of an hour long conversation I had recently with someone who was telling me “how close they were to a cure for cancer,” and I kept interrupting with silly questions like “which cancer,” and “who are they.” And making ridiculous comments about how “slightly more effective treatment,” might be a better wording than “cure.”

    ~Rhaco

  4. feralboy12 says:

    This is old news. I discovered the elixir of life in 1966, the first time I added chocolate to milk.

  5. tmac57 says:

    My take-away: Wow! Where can I get this stuff!!! Er…it’s for my mouse(looks down at shoes sheepishly).

  6. MadScientist says:

    Ah the Aqua Vitae, fountain of youth, instant weight loss pills, instant cures for any type of cancer, and of course divine cures. The crap currently being broadcast in Australia about “saint” McKillop is awful; there is not a single person interviewed who has any sense and would say that there is no evidence of miraculous interventions and that disease should be treated by qualified medical personnel and not left to the whims of nonexistent gods. Oh no, the only view being promulgated is that there is a loving fairy in the sky who will miraculously cure some people (while damning many innocents – but they leave that part out).

  7. Trimegistus says:

    Ben Goldacre put it best: news media are on an endless quest to sort all substances in the Universe into those which cause, and those which cure, cancer.

  8. JakeR says:

    We must hope that a gremlin stole the final “e” from the interviewer’s “palette,” else the sadly ill Hitch will have to do with a straw mattress on the floor for his inspiration.

  9. Gene says:

    Steve, why do you want to prevent us from living longer?

    Besides, everyone knows the elixir of life is Cherry Kool-Aid.

  10. Angora Rabbit says:

    Thanks for pointing out this article. There could be multiple explanations ranging from the preferential deamination of BCAAs by muscle to BCAA’s ability to modulate insulin signaling to effects on mitochondrial activity and its AA transporters. A clue might reside in Figures 1D and 1F – the BCAA supplemented mice do have slightly reduced body weight and food intake, both of which are players in life span / caloric restriction work. Not a significant difference but the trend holds across the 12 months. Makes me a bit suspicious. I wonder if the BCAAs aren’t causing a modest adjustment in food intake with the subsequent effects of caloric restriction. I will need to read the paper in greater detail. As a side note, 18.8 kcal % protein isn’t limiting for mice, so that is probably not the explanation.

    On the other subject, the media are sadly in it to sell papers, not to report accurate facts. The more sensational, the better. As a scientist who has been quoted by the media, it is challenging to get them to report the story accurately. Nuance is not a word recognized by most media.

  11. Ken Hercher says:

    There are both over-the-counter and prescription glandular supplements.