[HN Gopher] Diluting blood plasma rejuvenates tissue, reverses a...
       ___________________________________________________________________
        
       Diluting blood plasma rejuvenates tissue, reverses aging in mice
        
       Author : hirundo
       Score  : 66 points
       Date   : 2020-06-17 20:17 UTC (2 hours ago)
        
 (HTM) web link (news.berkeley.edu)
 (TXT) w3m dump (news.berkeley.edu)
        
       | ecpottinger wrote:
       | This seems like a simple thing to test. It is just you need some
       | time to see if it works.
        
       | mmastrac wrote:
       | Would we see the same effects from donating blood?
        
         | macrolime wrote:
         | Seems there may be some effect at least
         | 
         | https://sciencenordic.com/body-death-denmark/frequent-blood-...
        
       | [deleted]
        
       | hprotagonist wrote:
       | _Meanwhile, this paper has also just come out, which looks at
       | whether such effects are due to factors coming in from the young
       | animals or things being removed from the old ones. The authors,
       | from UC-Berkeley and the California Pacific Medical Center, are
       | looking at what they call a "neutral blood exchange". They
       | replace half the blood volume in mice (both young and old) with
       | isotonic saline plus added albumin protein. The effect of this on
       | the older animals was also significant, with noticeable
       | improvements in wound-healing ability, neurogenesis, and fibrosis
       | /fatty deposits in the liver. The younger mice were not really
       | changed by the treatment. The authors tried several control
       | experiments to make sure that this wasn't an effect being driven
       | by added albumin protein, and it apparently isn't. They conclude
       | that removal and substitution of old plasma "is sufficient for
       | most if not all observed positive effects on muscle, brain and
       | liver" in parabiosis-type experiments. It doesn't exclude the
       | idea of there being beneficial factors in young plasma, but
       | suggests that this is not the driver of many of the results seen.
       | (It would be very interesting to check the DNA methylation status
       | of various tissues before and after this treatment!)
       | 
       | The paper wastes no time in noting that therapeutic plasma
       | exchange (TPE) is already an FDA-approved process (as witness
       | convalescent plasma treatment in the current coronavirus
       | epidemic), and it says that Phase II and III human trials are
       | being planned on the basis of these results. That will be quite
       | interesting to watch, says the 58-year-old dude writing this
       | blog. Overall, I still find such results hard to believe, but at
       | the same time they seem to be showing up from multiple
       | experiments. This second paper especially seems to be a very
       | testable hypothesis indeed. That's a good thing, because in the
       | end, it's going to be reproducible human clinical data that
       | decide whether this is real or not - so I'm glad that feasible
       | experiments will allow such data to be collected. Something to
       | watch. . ._
       | 
       | https://blogs.sciencemag.org/pipeline/archives/2020/06/12/yo...
        
       | prmph wrote:
       | So, blood-letting[1] works?
       | 
       | [1] https://www.history.com/news/a-brief-history-of-bloodletting
        
         | troughway wrote:
         | Lovely anecdote:
         | 
         | A relative of mine has seasonal headaches that they experience,
         | and they have told me that the way they relieve them is to go
         | and donate blood.
         | 
         | Works every time, without a hitch.
         | 
         | I wouldn't be surprised if there is at least one study out
         | there (or maybe even a wikipedia page) that attests to this
         | phenomenon.
        
           | ryanmarsh wrote:
           | Same, my hematocrit gets high during seasonal allergies.
           | Donating blood clears this up.
        
           | James_Henry wrote:
           | The article mentions plasmapheresis, therapeutic plasma
           | exchange, so the posted article itself attests to this
           | phenomenon.
        
       | scohesc wrote:
       | Seems like the conspiracy theories that the rich and global elite
       | harvest the blood of the young and innocent to rejuvenate them
       | isn't as false as we once thought... /s
       | 
       | Sometimes I wish we had a medical system where whoever wanted to
       | be a test patient for whatever reason could sign on the dotted
       | line once advised of the potential downsides (up to and including
       | death assumedly) so we could advance medical science faster.
       | Maybe we'd find out things a lot faster than we currently do.
        
         | sp332 wrote:
         | Some conspiracy theory, they have a price list.
         | https://www.ambrosiaplasma.com/
        
         | mrfusion wrote:
         | The point of this paper is no harvesting needed.
        
         | macrolime wrote:
         | From interview with the authors, why you should be a bit
         | careful with just going ahead and trying this out
         | 
         | "This is a somewhat invasive procedure where your whole blood
         | goes through a machine and the cells are returned to you and
         | the plasma is diluted. It is not completely benign, and you
         | cannot just keep doing it every day. So, to know how long the
         | effects last and to know it for each individual is an
         | additional know-how part that we found out from a couple of
         | years of research and are studying further. I'm sure there will
         | be competition, but I just want to warn everybody, do not go
         | somewhere and get your blood replaced with saline. Wait until
         | there are reputable clinical trials and people know a little
         | bit more."
        
           | shepardrtc wrote:
           | > do not go somewhere and get your blood replaced with saline
           | 
           | I just did that this morning when I donated blood. They said
           | they needed the plasma badly, so they took the red blood
           | cells and the plasma, and returned a saline solution.
           | 
           | So maybe you just need to donate blood/plasma often to stay
           | young?
        
             | macrolime wrote:
             | study shows that people, who donate a lot of blood, suffer
             | no serious ill effects and may even live longer than less
             | frequent donors.
             | 
             | https://sciencenordic.com/body-death-denmark/frequent-
             | blood-...
        
         | asdfman123 wrote:
         | That's a silly conspiracy theory. Why steal it when you can pay
         | a poor a pittance?
        
         | DarthGhandi wrote:
         | Wouldn't call it a conspiracy, the show Silicon Valley was
         | mocking those who do it years ago.
         | 
         | https://www.youtube.com/watch?v=hBA0AH-LSbo
        
       | kgin wrote:
       | The implication is not that young blood has specific positive
       | properties, but that old blood has specific negative properties.
       | Simply removing some of the "bad old blood" is already enough to
       | measurably improve biomarkers. Identifying the bad stuff may go a
       | long way to counteracting it in a more targeted way.
        
         | naasking wrote:
         | > Simply removing some of the "bad old blood" is already enough
         | to measurably improve biomarkers.
         | 
         | God damn it, those blood letters were onto something!
        
       | Udik wrote:
       | There's a Spanish pharma company (Grifols) that has been
       | experimenting for years with plasma replacement to slow down or
       | stop Alzheimer's disease progression. The first results of the
       | therapy called AMBAR (Alzheimer's disease Management by Albumin
       | Replacement) seem to be a slow down of the progression of the
       | disease by 71% in moderate cases:
       | 
       | "The CDR-Sb scale - which assesses memory, orientation, judgment,
       | community affairs, home and hobbies, and personal care - showed a
       | 71% reduction in clinical decline with respect to placebo in
       | patients treated as a whole and in all three clinical trial
       | treatment arms analyzed separately."
       | 
       | https://www.webwire.com/ViewPressRel.asp?aId=251270
       | 
       | Which is interesting because it seems they might have stumbled on
       | a side effect of something bigger... And it could be possible to
       | check the participants to the trial for other effects as well.
        
       | el_nahual wrote:
       | Reminds me of the joke:
       | 
       | What do you tell a mouse that has cancer or diabetes?
       | 
       | "You need a new agent!"
        
       | exabrial wrote:
       | Basically, stay hydrated? :)
        
         | downerending wrote:
         | This is getting flagged down as a dumb joke, but for those in
         | the cheap seats, it's not entirely clear exactly how this
         | differs. Presumably adding "adding albumin and water" is
         | different than just "adding water". But why, exactly? And so
         | on.
        
           | abakker wrote:
           | If you've never encountered someone with low blood albumin,
           | it is a very serious problem. You get terrible edema all
           | over. Albumin helps you not retain the water in your cells,
           | and instead to get the fluid back into your bloodstream for
           | excretion.
        
             | M5x7wI3CmbEem10 wrote:
             | is there a way to supplement it, such as milk or egg
             | whites?
        
           | naasking wrote:
           | It differs because everything except saline and albumin is
           | filtered out. The point is to show that some markers of aging
           | are harmful byproducts in your blood, and filtering them out
           | can have positive effects.
        
       | thimkerbell wrote:
       | Implications for recruiting plasma donors?
        
       | macrolime wrote:
       | Interview with the authors about the results:
       | 
       | https://www.lifespan.io/news/diluting-blood-plasma-rejuvenat...
       | 
       | An interesting blog post about the same paper:
       | 
       | https://joshmitteldorf.scienceblog.com/2020/06/08/out-with-t...
        
         | James_Henry wrote:
         | Thank you for sharing Josh Mitteldorf's blog on this paper. I
         | think that he has some useful ideas on how to interpret this in
         | light of Harold Katcher's work.
        
       | mrfusion wrote:
       | How is this different than donating plasma?
        
         | James_Henry wrote:
         | Usually blood cells are returned to the body with plasma
         | donations. Also, they don't take 50% (but they didn't test the
         | effects of taking less)
        
       | echelon wrote:
       | Maybe "old blood" has a lot of immune signalling volume going on?
       | Elevated cytokine/chemokine production, elevated counts of immune
       | cells that recognize more of the environment than a naive, under-
       | exposed body? Inflammation.
       | 
       | Maybe part of aging is an auto-immune dysfunction?
       | 
       | Granted, this is a very dynamical system. The immune system
       | clears cancers that are constantly popping up and prevents
       | infections from taking hold.
       | 
       | (This is all unscientific pontificating. I had an undergrad in
       | biochem, but I don't follow the relevant research.)
        
       | M5x7wI3CmbEem10 wrote:
       | are there any actions we can take to make use of this new
       | information?
        
       | wedn3sday wrote:
       | This may go part of the way to explaining why women have a longer
       | life span then men, they're constantly having to manufacture new
       | blood. Men only have to create new blood if they donate or suffer
       | some injury, but women's bodies are generating new blood all the
       | time.
        
         | naasking wrote:
         | Everyone generates new blood all the time. There's nothing
         | gender specific about this. Our blood cells are completely
         | replaced over a cycle of something like 4 months.
         | 
         | And this study is about plasma and albumin specifically.
        
       | RcouF1uZ4gsC wrote:
       | I think popular press of animal studies is mostly clickbait,
       | especially aging studies.
       | 
       | The lifetimes of mice are so small compared to humans that you
       | have to apply large scaling factors. An old mouse would be a very
       | young human. How valid the scaling factors are is a different
       | story.
        
       | mcculley wrote:
       | I just gave blood today. I have been trying to give blood as
       | often as possible (once every eight weeks) to help keep
       | cholesterol and iron low. Now, of course, I'm getting a free
       | COVID-19 antibody test out of the deal. I'm wondering if this
       | frequency of blood donations has a similar effect.
        
         | mrfusion wrote:
         | I was wondering that too. But donating only takes about 10% of
         | your blood. So maybe not enough for any effect?
        
         | ASalazarMX wrote:
         | > "They replace half the blood volume in mice"
         | 
         | I'd speculate the difference in volume is too great, having
         | half your blood replaced with saline solution must feel awful.
        
           | aomix wrote:
           | Not really the same thing but I'm blood type O- and do the
           | "Power Red" donation at Red Cross events. I have two units of
           | blood taken out and the red cells and plasma are separated so
           | the plasma can be returned along with saline to make up the
           | difference in volume. I don't notice much of a difference
           | besides feeling a little cold since the saline is at room
           | temperature. However in that case I believe I'd only have
           | ~10% of my blood volume replaced with saline.
        
         | entangledqubit wrote:
         | Aside from the altruistic aspect, I had extra motivation to
         | give blood from an unfounded pet theory that the body isn't
         | capable of removing all bad products that ends up in the
         | bloodstream. Giving blood seemed like a safer way to purge some
         | of these products than diy at-home phlebotomy. It's nice to
         | finally have some research supporting this guess.
        
       ___________________________________________________________________
       (page generated 2020-06-17 23:01 UTC)