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So you wanna build an aging company

hinterlands

I think there's a fundamental disconnect here: the article says that you should be focusing on strategies that, for the most part, make aging more dignified. The goal shouldn't be even curing cancer. And maybe that's right.

But the reason billions of dollars are poured by SFBA VCs into aging research is probably just that they're getting older, they don't want to die, and they figure that they can put some of their money into anti-aging moonshots. It's not really different from rich people getting cryogenically frozen. If you have more money than you can possibly use, why wouldn't you try?

spandrew

It isn't right. Curing cancer is a noble pursuit.

And researchers on planet earth aren't a monolith. Even "longevity" research can take vastly different shapes across the labs driving towards it. The mess of research towards a goal is kinda the point; nobody knows where the universe hid the nuggets of world-bending discoveries. It's not quite pray and spray; but the shapes are diverse and irregular by design.

Cancer, alzheimers, cell senescence — all of it's fair game. Why are we pretending like anybody knows how to police this thought work?

rhet0rica

Here is the hottest of takes for you: curing cancer is not, in practice, entirely noble.

1. It is partially self-inflicted. Fallout from nuclear incidents, particularly in the US (testing in Nevada) and northern Europe (Chernobyl), is still a measurable contributor to cancer rates. Its prominence in medicine after the middle of the 20th century reflects these self-inflicted injuries from the Cold War. Likewise there are numerous cases of regulatory capture and corporate dishonesty resulting in cohorts who have suffered from carcinogenic chemicals like nicotine, glyphosate, and teflon. Nevertheless, heart disease has now overtaken it as the leading cause of death in the US. The further away you get from the US, the rarer it is as a cause of death.

2. The label is nearly meaningless in public funding. So much money has been poured into cancer research that other lines of biology have adapted by contorting their mission statements into tangentially cancer-related programs. Want to study how neurons develop in nematodes? Too bad—there's no money for that. But make up some BS about how it's a model organism for studying the spread of neuroblastomas, and you've successfully perverted the grant process into supporting research that the bean-counters tried to starve. This verges on fraud, even though no one wants to talk about it because the starved areas of research are usually areas of fundamental science that are highly regarded by other biologists.

3. The sheer abundance of charitable organizations handing out money to cancer-related causes results in a lot of science, much of it low-quality or poorly-vetted. In grad school I had an entire seminar class that consisted of, "here's a novel ML method applying SVMs to detecting disease; let's talk about it" and at least half of the randomly-selected papers promising significant results had blatant reproducibility problems like overfitting or bad methodology. These papers are easily published because they can be shat out in some generalist journal that tangentially touches on the relevant subject but does not have the editorial expertise to analyze the math involved. Retraction counts always follow hot topics, and the gross intersection of emotionally-motivated funders, siloed reviewers, and fame-chasing has ensured cancer research regularly produces too much low-end material to ever hope to check it all for reproducibility.

Maultasche

The headline is confusing. This is not about a company that's becoming older. It's about a building a biotech company that treats the symptoms and causes of aging.

izzydata

Wouldn't this be an anti-aging company? Aging is bad and not aging is good.

nowahlot

Is aging bad though? Seems like natures way of helping humanity evolve.

As individuals it may seem bad. As a species, keeping old ideas in the form of ossified biology around seems like a bad idea.

For example: see 70-80 year old politicians ageist assault on future generations.

Physics is ageist and its march towards entropy unstoppable. Anti-aging is just more first worlders who can ignore externalities thanks to fiat wealth, engaged in vain wank.

OisinMoran

I think those 70–80 year old politicians would be much less short-sighted if they expected to be around to reap what they're sowing.

derektank

Aging exists because the human body is optimized to survive and reproduce in a resource constrained environment with many threats. Our predecessors eked out just enough calories to survive to the age of 15, when we could begin reproducing. Any traits that made it more likely for us to survive until that point, even if those traits resulted in damage that would eventually accumulate and wear us down after our reproductive window, was selected for. We are all basically running the biological equivalent of overclocked CPUs without investing in proper cooling.

We no longer exist in a resource constrained environment and have access to massive amounts of energy from the sun which makes entropy a negligible concern. There is no good reason to not at least try to prevent or reverse senescence.

nancyminusone

I rather think that terms like "nature" or "evolve" are better at describing what has happened rather than some guidelines to adhere to.

One could say air conditioning is similarly "unnatural" but it will be saving lives this summer.

izzydata

That is a much more philosophical point than I was trying to make, but it definitely raises some interesting questions.

lesuorac

> For example: see 70-80 year old politicians ageist assault on future generations.

Sure but that's because the US voting demographic is old. It's the tyranny of the majority [1]; as the largest generation the baby boomers can vote and do vote for things that advance their interest. I'm not sure this phenomenon works if people live out to 150 years as the generational bubbles would be relatively smaller.

[1]: https://en.wikipedia.org/wiki/Tyranny_of_the_majority

gopalv

> Is aging bad though? Seems like natures way of helping humanity evolve.

We're not undoing death, dying healthy would be better than aging the way we do right now.

Increasing healthspans as a society would be great in a more family integrated society rather than an individualistic one.

I'd love my retirement years to be spent helping my kids and grand-kids instead of the other way around.

A senior community that can stay involved actively has been part of the "it takes a village" until very recent times.

jajko

Death is a natural sweeper that allows progress, evolution, rapid change and adjustment to new situations. The opposite brings, well, the opposite.

The life well lived is a life thats easy to let go, regardless of your beliefs. The more people messed up the more they desperately cling to it (I know its vastly more complex, but this is the core of what I see around).

I am not claiming we shouldn't be trying to make lives better, or longer. But immortality will be humanity's doom - there is endless row of puttin' and trumps and hitlers and stalins and maos in every single generation, and the only real working solution is inevitable death, none of them went or will let go power on their own from the bottom of their good hearts. That is unavoidable since it comes from base character of humans, whether we like it or not.

I'd say we should shoot on sight all researchers and VCs pouring time and money into directly immortality, that's much safer bet than some immortality bringing long term prosperity for mankind.

lawlessone

Strange because in a way we've already had these for a long time for the visual signs of aging, moisturizers , wrinkle creams etc.

And we've been trying to treat all the symptoms of aging for a long time too. Alzheimers, heart disease , arthritis etc. They just haven't been explicitly "anti-aging"

layer8

It’s also not about the Next Generation of AGI. ;)

lesuorac

I wonder how much the prohibition of stem cell research set back anti-aging.

I just don't see how you can get humans to live super-long without replacement of parts. It's how every complex thing in the world lasts a long time. Stem cells are literally how we built the parts in the first place so it seems to me to be the first place to look on how to build them a second time.

peterlk

Creating stem cells from blood samples is a well-established industry practice now. I don’t think limiting embryonic stem cells research is significantly hindering stem cells research, is it?

idopmstuff

"A successful aging treatment would be something that:

prevents diseases of aging, ideally more than one;

preserves a healthy function that normally declines with age (like fertility, immune function, cognitive function, resilience, or physical fitness); or

reverses the course of at least one age-related disease."

I think a lot of the anti-aging companies out there would say that the real answer is a combination of the second and third - reversing the course of age-related decline.

Also, I think it's sort of contradictory to have two of these points focus on diseases of aging but in a subsequent section say that oncology isn't anti-aging. Cancer is in many ways a disease of aging (it's very clear from the numbers that increasing in age causes increases in likelihood of developing cancer, generally more than any other single factor). Curing cancer obviously isn't going to get you a general-purpose anti-aging treatment, but that's why it seems odd to say that reversing the course of an age-related disease is a successful aging treatment.

hyghjiyhu

From an anti aging perspective, cancer is the most visible symptom of DNA gradually becoming more and more damaged.

The anti aging solution that happens to solve cancer as a side effect is then to figure out how to repair DNA damage, and/or replace cells with damaged DNA with cells with intact DNA.

avogt27

Pedantic semantics gripe: DNA damage refers to actual damage to the DNA molecule (breakage of the sugar-phosphage backbone, loss of nucleosides, etc). DNA accumulates MUTATIONS over time, which lead to the loss of genetic fidelity.

Many cancers have unregulated DNA repair pathways, which is one of the mechanisms by which they can sustain proliferation without succumbing to apoptosis. Common chemotherapeutic targets are actually DNA repair factors that can both help kill the cells and sensitize them to radiation. It's well known in the DNA repair field that cells maintain rather delicate balance between carcinogenics and death by regulating repair. The vast majority of research into DNA repair is aimed at solving problems treating cancer, with some peripheral voices (albeit ones that garner more publicity) working on anti-aging applications. I personally wouldn't sign up for any of these start-up nonsense treatments; traditional scientific orthodoxy may be overly reductionist, move slowly, and lack imagination but good god does it beat all of these people that treat grand problems in biology like some sort of app you just need to take the right angle on to figure out.

hyghjiyhu

Perhaps it was unwise to use the term dna damage yes. I used it to mean any deviation from the initial dna of the fertilized egg, including breakage, point mutations, missing chromosomes, viral insertions and probably more I can't think of right now.

Edit: I suppose those are all called mutations. Somehow I thought mutation meant a small local change only.

lawlessone

We all get cancer everyday, normally our immune system destroys it.

Jalad

Wouldn't it only be cancer if your immune system doesn't destroy it? If your immune system can handle it, that's just normal.

The DNA damage that the parent was talking about would lead to cancerous cells which your immune system cannot handle, which is different from the ones that your immune system can handle

Bluestein

Wouldn't this be an anti aging company?

rippeltippel

Aging well requires a both biological and lifestyle interventions. One company called Nuraxi [1] is geared precisely to support that, They aim at studying the super-agers in the Sardinia "blue zone", and build digital twins (for the rest of us) on which simulate all-round interventions based on the insights from super-agers. Sounds like a promising way to get personalised longevity recipes.

[1] https://www.nuraxi.ai

morleytj

I was under the impression that the majority of recent analysis pointed to the interpretation that most of the claimed blue zones were primarily marked as such due to poor record keeping rather than true super ager status.

Is Sardinia an exception to this?

nashashmi

Diabetic medication can be a significant factor for increased healthy longevity.

tracker1

But is it the medication, or reduction in oxidative stress and glycation?

Medications almost always come with some form of negative side effects for a portion of those prescribed to. I think part of it needs to come from awareness of what we're putting into our bodies in the first place. I think a large part of it all comes from what we're taking in that wouldn't be considered food by most reasonable people knowing what goes into processed "food".

"Food is medicine," also means food is poison. Not all are created equal. This isn't to completely decry all advancements in food production, or even all processed foods... but there's definitely more that needs to be looked into.

nashashmi

Neither. It is the prevention of high sugar to prevent steady organ damage. For those with diabetes, there is no way to reverse it. They just have to reduce their intake. And all organs will continue to be steadily damaged over time.

bobmcnamara

Interesting recent news about diabetes!

Type 1 has been reversed through pancreas and islet transplants, recently in at least one individual by stem cell transplants, now he makes his own insulin.

For some type 2 individuals diagnosed early enough, blood sugar can be managed through diet and exercise, and insulin response can be normalized back to typical levels. This seems to work best when caught early, and when the person has the ability to make long lasting lifestyle changes. And the risk of relapse seems to remain much higher than in the general population.

lawlessone

>I think a large part of it all comes from what we're taking in that wouldn't be considered food by most reasonable people knowing what goes into processed "food".

we're not going to natural food our way to 150.

rhet0rica

Unpopular opinion: Any medical intervention that delays or defeats the aging process will disproportionately benefit the wealthy, and is therefore unethical. The last thing a healthy democracy needs is millennium-old acolytes of Peter Thiel pulling the strings from the shadows.

II2II

That sounds similar the prevailing criticism of biotech companies: their primary concern is to develop treatments for the rich or, at a very minimum, common (and often trivial) conditions in first world nations. In other words, for people who can afford to pay. The only real difference in the latter case is that wealthy nations are pulling the strings.

rhet0rica

Yes, which is why we need to protect publicly-funded biomedical research—grant review tends to be more sober and less selfish than investment capital.

mvieira38

Not to mention everyone would be better off if the money invested in these VCs was invested in clean energy, public transportation and whatnot. Many of us just have to live with the knowledge that we are handicapping our life expectancies just by living in a heavily polluted major city. Living in São Paulo I'm reminded by national news every year how many cigarettes I am "smoking" daily just by existing in this place

feoren

Virtually every single advancement in science, engineering, and technology disproportionately benefits the wealthy, because they already own everything. That's a great reason to fight against the massive imbalance of wealth distribution, but a terrible reason to halt all human progress.

rhet0rica

Hang on there a moment—you missed a few things:

1. Life-extension research, which is what I take umbrage with, is not "all human progress." It is a very specific, high-effort kind of gene therapy whack-a-mole, borne entirely from our hubris and our fear of death.

2. Perhaps I wasn't clear enough, but research for _aging gracefully_ is fine by me. I genuinely hope we beat Alzheimer's. But we all know who holds the purse strings on these initiatives, and it isn't charitable organizations funded by bereft families.

3. Unlike other technological advantages, life extension is a _multiplier_ for inequality. The Undead pay no estate tax. The Undead never change their minds. The Undead never have to give up their bought-and-paid-for seats in Congress.

Death is the ultimate Chesterton's Fence.

daemonk

This isn't an unpopular opinion. I would argue this is the mainstream argument.

I think all medical advances benefit the wealthy first and then becomes more affordable over time.

The term "aging" seems to trigger a lot of people and lead to philosophizing over the importance and morality of death. They are important topics to discuss, but I also think it is worthwhile to also hear out the optimist perspectives rather than the endless dystopic cynicism we hear on the daily basis.

rhet0rica

It's certainly not the mainstream position here on HN, according to this informal study of provoking commenters with incendiary remarks...

It's true that there are many age-associated diseases that are morally trivial to oppose: a good society should want to minimize preventable suffering. However, dementia, cancer, and cardiovascular research programs already exist, both privately and publicly funded, and these initiatives have existed for many decades without needing to be labeled "aging" research. So let's be clear and refer to these initiatives as life extension rather than anti-aging, because that is the actual goal.

The best optimist narrative I can come up with is as follows: without the looming fear of death over our heads, humanity will be liberated from (a) the grief of losing loved ones, (b) the suffering of old age, and (c) the capacity lost when someone dies. In particular, (c) might mean that geniuses stay productive forever. A little more fancifully, it is sometimes suggested that the value of a human life approaches infinity as human lifespans approach infinity, so the fear of violent death would effectively prevent all violent conflict.

There is then often an emotional appeal about how much more time we would be afforded for exploring the universe and undergoing personal growth; at this point of the conversation you can really tell that the person trying to sell you on the anti-aging agenda is from California, and has tried LSD (or at least pot), and maybe knows a thing or two about Buddhism and Star Trek. (Perhaps they're even fans of Iain M. Banks?) Just think of all the good someone like the Dalai Lama could do if he could literally meditate for centuries, achieving ultimate enlightenment! What if Terry Pratchett and Douglas Adams never died? How can you afford to say no?!

The answer to this all comes to us from a lesser-known member of the _literati_ of the 20th century, an obscure writer called Charlie Chaplin:

> To those who can hear me, I say - do not despair

> The misery that is now upon us is but the passing of greed - the bitterness of men who fear the way of human progress

> The hate of men will pass, and dictators die, and the power they took from the people will return to the people

> And so long as men die, liberty will never perish

In the optimist's world, where everyone gets to live forever, we do not get to pick and choose who attains that status. Josef Stalin, Fidel Castro, and Francisco Franco all died of old age while actively maintaining regimes that actively harmed their people. On the balance, any one individual can do more harm than good.

...And this is not even discussing the problem of population dynamics—how do we maintain balanced numbers? What kind of work will still need to be done? If people stopped aging suddenly, would there be people trapped in shitty jobs for centuries? (Some of this also applies to mind-uploading.)

If the reaction is, "but surely we can advance robotics to achieve fully-automated luxury gay space communism like Iain M. Banks wanted," then let's do that first, before we let a handful of grossly wealthy private equity goons forge the Rings of Power for themselves. There's no rush, right? Right?

daemonk

It might not be the mainstream on HN, but most popular polls I've seen show similar trends of a lesser proportion of people wanting to live longer, citing the same societal collapse concerns. In any case, whether something is espoused by the majority or the minority doesn't really add much weight.

I don't think there is an "anti-aging agenda". Not everything needs to be seen through the lens of an ideological movement. But I do think that there is an unhealthy persistent cynicism underneath the current popular culture. This cynicism makes people not want to be optimistic/idealistic in fear of being wrong or looking naive. I am not suggesting we should all tint our lenses rose colored, but I do think allowing people to expand their optimistic ceiling is warranted; especially when it is so easy to imagine a dystopic future currently.

Nonetheless, I thoroughly enjoyed your sardonic reply.

layer8

You’re not wrong, but still most people would want to live healthily longer regardless, and it’s kind of unavoidable that the progress that can be made will be made.

DelaneyM

The distance between a scientific revolution being accessible to the ultra-wealthy and the average consumer is measured in years, and shrinking rapidly.

I would rather billionaires get anti-aging technology 10yrs before I do than never get it at all.

ryandrake

Also: The Future is not really looking very bright for anyone besides the already-wealthy. I don't know why you'd want to live in the future. If you're an average middle-class American, the peak best time to live ever (stretching out into the past and predicting into the future) is probably the 1990s or so. My standard of living is slightly worse than my (Boomer) parents', and my kid's standard of living is very likely going to be worse than my own, and I would bet that her future kid's standard of living will be further worse.

southernplaces7

Aside from being an unpopular opinion, it's also a rather stupid one. I can think of no better way to say it. Virtually every technology currently used by the majority of human beings in the world to make their lives better in some way started as a privilege of the wealthy, but the tendency of a timespan between it going from that to something widely and affordably affordable has historically not only held ground but shortened.

To deny the possibility of breakthrough medical therapies that possibly save millions of families from the tragedy of prematurely losing loved ones just out of some half baked spite against the rich is grossly short-sighted at best. If anything is unethical, it's such a worldview itself.