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Aging & Longevity

Over-the-Counter Wonders: New Research Highlights Two Compounds for a Longer Life

A consortium that examines longevity interventions in mice has found that the anti-nausea compound meclizine as well as the antioxidant astaxanthin extend male mouse lifespan.

(A long-lived mouse surrounded by potential lifespan-extending compounds | NAD.com)
By Bennett M. Sherman

Key Points:

  • Meclizine extends male mouse lifespan by ~8%.
  • Astaxanthin prolongs the lifespan of male mice by ~12%.
  • Interestingly, fisetin, a compound known for eliminating aging-related dysfunctional cells (senescent cells), confers no effects on either mouse lifespan or tissue senescence.

A consortium of researchers that test longevity interventions in mice uses a large number of mice to enhance the statistical power of their findings. Moreover, they perform their tests at three different locations — the University of Michigan, the Jackson Laboratory in Maine, and the University of Texas Health Science Center at San Antonio — to assure the replicability and reliability of their results.

In the past, this consortium has only found seven interventions that prolong mouse lifespan. These include the anti-diabetes drugs acarbose and canagliflozin, the antioxidant compounds nordihydroguaiaretic acid and protandim, a weaker form of the sex hormone estrogen called 17-α-estradiol, the immunosuppressant rapamycin, and the anti-inflammatory compound aspirin. More recently, however, researchers from this group have identified two more compounds that can be easily attained over-the-counter.

Published in GeroScience, Richard Miller and colleagues show that the anti-motion sickness drug meclizine and the antioxidant compound astaxanthin moderately extend male mouse median lifespans. Meclizine extends the male mouse median lifespan by ~8%, while astaxanthin prolongs median lifespan by ~12%. Interestingly, these researchers also tested fisetin, a senolytic compound. Senolytics are known to eliminate aging-related dysfunctional cells (senescent cells). Fisetin has been shown in previous studies to extend mouse lifespan, and this study found that it had no such lifespan-extending effects. Furthermore, fisetin did not show evidence of eliminating senescent cells. These findings, deriving from rigorous and meticulous experimentation techniques, suggest that the over-the-counter compounds meclizine and astaxanthin could be candidates for future human trials testing their potential pro-longevity benefits.

Meclizine and Astaxanthin Significantly Extend Male Mouse Lifespan

The new, highly anticipated data showed that meclizine increases male, but not female, median lifespan by ~8%. Miller and colleagues chose to test this antihistamine, anti-nausea, and anti-vertigo drug, because it suppresses the activation of a cell growth-regulating protein complex — mTORC1. Rapamycin, a drug shown to prolong both male and female lifespan also inhibits mTORC1 but has immunosuppressive and red blood cell production inhibiting side effects. Because meclizine suppresses mTORC1 similar to rapamycin but is not known for having rapamycin’s side effects, the researchers found it to be an attractive candidate for lifespan enhancement effects.

(Harrison et al., 2023 | GeroScience) Astaxanthin and meclizine increase male median lifespan. The median lifespan of male mice (Survival at .5) given astaxanthin (green line) increased ~12%, while males given meclizine (blue line) displayed ~8% extended median lifespan compared to control mice (Cont_19).

The other over-the-counter supplement shown to extend median lifespan in male mice by ~12% was the antioxidant astaxanthin. Interestingly, astaxanthin has a pink or light reddish hue, and it is produced in algae. Trout, krill, shrimp and crayfish that eat astaxanthin-containing algae thus attain a pinkish coloration. Because astaxanthin had been shown to extend lifespan in other animal models such as yeast, worms, and flies, Miller and colleagues chose to test its effects on lifespan in mice.

Interestingly, a plant-derived compound that has been shown to have senolytic effects and extend mouse lifespan in other research, fisetin, did not prolong lifespan in Miller and colleagues’ study. Moreover, the researchers did not find that it reduces a protein marker often used to identify senescent cells — p16 — in the liver, kidney, or brain tissues of mice. These findings suggest that fisetin may not be all that it has been cracked up to be related to eliminating senescent cells and extending mouse lifespan.

(Harrison et al., 2023 | GeroScience) Gene activity for a senescence-related gene, p16, significantly increases with age, yet fisetin, a purported senolytic, does not suppress it. For liver (A), kidney (B), and brain (C) tissues, gene activity (p16 mRNA) significantly increases with age. However, neither fisetin fed for three days and then not given for the subsequent 11 days repeatedly (Fis_Cyc) nor fisetin given on each day (Fis_On) suppressed p16 gene activity in aged mice for either males (blue triangles) or females (red triangles).

“Positive results, like those reported here for [astaxanthin] and [meclizine], are important contributions to the literature, providing new clues about mechanisms of aging and pathways to prevent age-related disease and disability,” say Miller and colleagues. “Ultimately, this will suggest clinical treatments.”

Following Up with Human Trials Testing Meclizine and Astaxanthin

The lifespan extension effects of meclizine and astaxanthin in male mice may pave the way for human trials testing whether these compounds confer pro-longevity benefits. Because of Miller and colleagues’ rigorous testing, their identification of potential lifespan-extending compounds elicits excitement among the aging research community. As such, it seems likely that follow-up research testing the effects of these two compounds on aging will ensue in the next few years.

One caveat is that the lifespan-promoting effects of meclizine and astaxanthin did not occur in females. This is not a new phenomenon in mouse research since numerous molecules tested in mice have greater benefits for one sex compared to the other. For example, rapamycin was shown to have a greater lifespan extension effect in females.

The reasons for these sex differences remain unclear, but there are some clues. In the experiment showing that rapamycin works better in females, females had more rapamycin in their blood. In the same regard, Miller and colleagues showed in this study that males, with longer median lifespans, had higher concentrations of meclizine and astaxanthin in their blood. Since higher doses of a compound usually increase blood levels, the possibility looms that the sex with lower blood concentrations of a given compound requires higher doses to increase their blood levels and for a longevity-related effect to occur.

The results showing that fisetin did not extend mouse lifespan or reduce senescent cells are also intriguing. As research has demonstrated fisetin to be a potent senolytic with potential mouse lifespan-extending effects, Miller and colleagues’ findings derived from rigorous and meticulous testing techniques run counter to prevailing classifications of this molecule. Nonetheless, these researchers were not able to reproducibly detect fisetin in the mice’s blood plasma. Along those lines, using higher doses of fisetin may be necessary for this compound to confer pro-longevity benefits. For this reason, Miller and colleagues’ group may not necessarily stop testing fisetin for longevity-related benefits.

Anyone interested in taking meclizine and/or astaxanthin can easily find and order both compounds online. The long-term effects of ingesting these compounds are not well-understood. Therefore, it is advisable for anyone considering their extended use to consult with a physician beforehand.

Model and Dosage

Model: UM-HET3 mice

Dosage: Astaxanthin was fed at 4,000 ppm in the diet beginning after weaning

Meclizine was fed at 800 ppm in the diet beginning after weaning

Administering fisetin started at 20 months old and was fed continuously or a repeated cycle of three days on and 11 days off at a target of 600 ppm in the diet

Source

Harrison DE, Strong R, Reifsnyder P, Rosenthal N, Korstanje R, Fernandez E, Flurkey K, Ginsburg BC, Murrell MD, Javors MA, Lopez-Cruzan M, Nelson JF, Willcox BJ, Allsopp R, Watumull DM, Watumull DG, Cortopassi G, Kirkland JL, Tchkonia T, Choi YG, Yousefzadeh MJ, Robbins PD, Mitchell JR, Acar M, Sarnoski EA, Bene MR, Salmon A, Kumar N, Miller RA. Astaxanthin and meclizine extend lifespan in UM-HET3 male mice; fisetin, SG1002 (hydrogen sulfide donor), dimethyl fumarate, mycophenolic acid, and 4-phenylbutyrate do not significantly affect lifespan in either sex at the doses and schedules used. Geroscience. 2023 Dec 2. doi: 10.1007/s11357-023-01011-0. Epub ahead of print. PMID: 38041783.

References

Harrison DE, Strong R, Allison DB, Ames BN, Astle CM, Atamna H, Fernandez E, Flurkey K, Javors MA, Nadon NL, Nelson JF, Pletcher S, Simpkins JW, Smith D, Wilkinson JE, Miller RA. Acarbose, 17-α-estradiol, and nordihydroguaiaretic acid extend mouse lifespan preferentially in males. Aging Cell. 2014 Apr;13(2):273-82. doi: 10.1111/acel.12170. Epub 2013 Nov 19. PMID: 24245565; PMCID: PMC3954939.

 

Harrison DE, Strong R, Sharp ZD, Nelson JF, Astle CM, Flurkey K, Nadon NL, Wilkinson JE, Frenkel K, Carter CS, Pahor M, Javors MA, Fernandez E, Miller RA. Rapamycin fed late in life extends lifespan in genetically heterogeneous mice. Nature. 2009 Jul 16;460(7253):392-5. doi: 10.1038/nature08221. Epub 2009 Jul 8. PMID: 19587680; PMCID: PMC2786175.

 

Miller RA, Harrison DE, Allison DB, Bogue M, Debarba L, Diaz V, Fernandez E, Galecki A, Garvey WT, Jayarathne H, Kumar N, Javors MA, Ladiges WC, Macchiarini F, Nelson J, Reifsnyder P, Rosenthal NA, Sadagurski M, Salmon AB, Smith DL Jr, Snyder JM, Lombard DB, Strong R. Canagliflozin extends life span in genetically heterogeneous male but not female mice. JCI Insight. 2020 Nov 5;5(21):e140019. doi: 10.1172/jci.insight.140019. PMID: 32990681; PMCID: PMC7710304.

 

Strong R, Miller RA, Antebi A, Astle CM, Bogue M, Denzel MS, Fernandez E, Flurkey K, Hamilton KL, Lamming DW, Javors MA, de Magalhães JP, Martinez PA, McCord JM, Miller BF, Müller M, Nelson JF, Ndukum J, Rainger GE, Richardson A, Sabatini DM, Salmon AB, Simpkins JW, Steegenga WT, Nadon NL, Harrison DE. Longer lifespan in male mice treated with a weakly estrogenic agonist, an antioxidant, an α-glucosidase inhibitor or a Nrf2-inducer. Aging Cell. 2016 Oct;15(5):872-84. doi: 10.1111/acel.12496. Epub 2016 Jun 16. PMID: 27312235; PMCID: PMC5013015.

 

Strong R, Miller RA, Astle CM, Floyd RA, Flurkey K, Hensley KL, Javors MA, Leeuwenburgh C, Nelson JF, Ongini E, Nadon NL, Warner HR, Harrison DE. Nordihydroguaiaretic acid and aspirin increase lifespan of genetically heterogeneous male mice. Aging Cell. 2008 Oct;7(5):641-50. doi: 10.1111/j.1474-9726.2008.00414.x. PMID: 18631321; PMCID: PMC2695675.

 

Yousefzadeh MJ, Zhu Y, McGowan SJ, Angelini L, Fuhrmann-Stroissnigg H, Xu M, Ling YY, Melos KI, Pirtskhalava T, Inman CL, McGuckian C, Wade EA, Kato JI, Grassi D, Wentworth M, Burd CE, Arriaga EA, Ladiges WL, Tchkonia T, Kirkland JL, Robbins PD, Niedernhofer LJ. Fisetin is a senotherapeutic that extends health and lifespan. EBioMedicine. 2018 Oct;36:18-28. doi: 10.1016/j.ebiom.2018.09.015. Epub 2018 Sep 29. PMID: 30279143; PMCID: PMC6197652.

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