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Beyond blood, factors in the cerebrospinal fluid (CSF) of young mice have potent rejuvenating effects. In a challenging experiment, infusing young CSF into old mice for a month regenerated the brain, improved cognitive function, and specifically targeted myelin-producing cells (oligodendrocytes).
Nobel Prize-winning research identified genes (Yamanaka factors) that revert specialized adult cells back into their embryonic, stem-cell state. This discovery proves cellular differentiation and aging are not irreversible, opening the door for regenerative therapies by "rebooting" cells to an earlier state.
A medical procedure called therapeutic plasma exchange, where a person's plasma is removed and replaced with albumin, shows anti-aging potential. In small placebo-controlled trials, this process led to epigenetic markers indicating that some organs and the body overall looked biologically younger.
Physical activity stimulates the release of Brain-Derived Neurotrophic Factor (BDNF), crucial for neuron growth, via two mechanisms. Muscles release a protein (a myokine) and the liver, in response to exercise stress, releases a ketone (beta-hydroxybutyrate). Both cross the blood-brain barrier to stimulate BDNF production.
The cognitive benefits of exercise can be transmitted molecularly. In lab studies, blood from exercised mice, when transfused into sedentary mice, conferred the same improvements in brain function. This proves specific blood-borne factors, not just physical activity, are at play.
In a process called parabiosis, surgically joining a young and old mouse to share circulation revealed that factors in young blood can reverse key aging markers in the brain. This led to reactivated stem cells, reduced inflammation, and improved memory in the older mice.
The composition of proteins in blood changes so dramatically with age that it can accurately predict a person's age. Crucially, these blood-borne factors are not just passive markers; they actively influence how cells and organs function, acting as a form of internal medicine.
The next frontier in aging diagnostics is measuring the age of individual cell types from blood proteins. The biological age of specific cells, like astrocytes or muscle cells, is a much stronger predictor for diseases like Alzheimer's and ALS than the age of the whole organ.
Each workout releases a cocktail of neurochemicals, including dopamine, serotonin, and the growth factor BDNF. This "bubble bath" for the brain directly stimulates the growth of new cells in the hippocampus, making it larger and more resilient, which improves long-term memory and can delay dementia.
Dr. Levin argues that aging, cancer, and regeneration are not separate problems but downstream effects of one fundamental issue: the cognition of cell groups. He suggests that mastering communication with these cellular collectives to direct their goals could solve all these major medical challenges as a side effect.
Exercise does more than build strength; contracting skeletal muscle releases compounds called myokines. These cross the blood-brain barrier, promoting neurogenesis (the creation of new neurons) and effectively fertilizing the brain for healthier function and sharper thinking.