Stem-cell exhaustion, read in the blood: what clonal haematopoiesis reveals
As blood stem cells age, mutant clones take over. By the eighth decade this shows up in about one person in ten — and it tracks with higher mortality and heart disease.
For how we live.
As blood stem cells age, mutant clones take over. By the eighth decade this shows up in about one person in ten — and it tracks with higher mortality and heart disease.
Finnish cohorts link regular sauna bathing to lower cardiovascular and all-cause mortality, with a dose-response. But these are observational studies, and no randomised trial has tested sauna against death.
Failing mitochondria are one of ageing's core hallmarks, and human trials of mitochondria-targeted compounds show flickers of benefit — but the strongest endpoints keep coming back null.
A prominent hypothesis holds that ageing is lost epigenetic information that can be reset. The mouse experiments behind it are striking, but no human study shows resetting the epigenome extends life.
Cellular senescence is a well-evidenced driver of ageing in animals. The first human trials of senolytic drugs that clear these cells are real but tiny, early, and nowhere near proving longer healthy life.
Mouse studies claimed one circulating protein reversed ageing of the heart, muscle and brain. A second team found the muscle effect ran the opposite way — and no human trial has ever tested it.
ASPREE randomised 19,114 healthy older adults to low-dose aspirin or placebo. It made no difference to disability-free survival, and modestly raised deaths and major haemorrhage.
A large treadmill cohort found the least-fit adults had about five times the death rate of the fittest — a bigger risk than coronary disease, smoking or diabetes. But it measures a state, not a lever.
A harmonised meta-analysis of over a million adults found high sitting time raised mortality — but about 60 to 75 minutes a day of activity erased that risk. Being inactive, not the chair itself, did most of the damage.
In 2,292 older adults, weak quadriceps tracked with higher mortality — but muscle size, measured by CT and DXA, did not. The finding reshaped how sarcopenia is defined and moved the target from bulk to strength.
A widely cited cohort found people with diabetes on metformin outlived matched non-diabetic controls. It fuelled the TAME anti-ageing trial — but the human signal is observational, and TAME is not running.
The idea that anti-ageing advances will soon add more than a year of life for every year that passes is popular in longevity circles. National death records point the other way.
A protein named after a Greek fate slows ageing in mice and sharpens memory in old monkeys. In people the evidence is a gene variant you are born with, not a treatment.
For 70 years the idea that oxidative damage drives ageing justified a supplement industry. Large randomised trials found antioxidant pills do not extend life, and some raise mortality.
One cohort tied high animal protein in midlife to higher mortality, yet found the opposite after 65. Guidelines urge older adults to eat more, and plant protein looks best. No trial proves a lifespan effect.
Observational studies robustly link the diet to lower mortality. The best randomised trial measured fewer heart attacks and strokes, and the strongest review finds the evidence for a survival benefit weak.
Large cohorts link higher optimism and a stronger sense of purpose to longer life and lower mortality, in a dose-dependent way. But the studies are observational, and no trial has proved the causal arrow.
Sugars bond to proteins to form advanced glycation end products that accumulate with age and stiffen tissue. Low-AGE diets nudge metabolic markers, but no trial shows they slow ageing.
Meta-analyses of more than a million people find a U-shaped link between sleep duration and death, lowest around seven hours. But this is observational, and reverse causation is the hard part to rule out.
Immunosenescence, the age-related decline of immunity, is real: the thymus shrinks and the T-cell repertoire narrows. The proven counter is not a supplement but vaccines engineered to force a response.
The idea that a little stress makes the body stronger is sound biology, and the best-evidenced example is ordinary exercise. Stretched to cold, fasting and antioxidant pills, the human evidence thins fast.
Autophagy is the cell's self-clearing recycling process, and it wanes with age. Fasting, spermidine and rapamycin switch it on in lab animals — whether that extends human life is unproven.
The rise in chronic, low-grade inflammation with age is genuine, and researchers built a clock from it. The one large trial that lowered inflammation for a hard outcome treated heart disease, not ageing.
Eligibility set by exact date of birth created a natural experiment. Vaccinated people had a 20% lower relative risk of dementia over seven years. It is one striking study, and it tested the older live vaccine.
The DO-HEALTH sub-study is the first randomised evidence that a supplement can nudge DNA-methylation ageing clocks. The effect was tiny, and the parent trial found no benefit on health outcomes that matter.
The signalling that builds muscle in youth appears to speed ageing and cancer. People with lifelong GH deficiency avoid both — and GH given to healthy older adults raises harms without extending life.
The only long randomised trial of calorie restriction in non-obese adults improved cardiometabolic risk and modestly slowed one measure of biological ageing. Participants never hit the 25% target.
Dietary spermidine tracks with markedly lower mortality in one population study. The first year-long randomised trial of a spermidine supplement found no effect on memory.
The Sardinian 'Blue Zone' was a real, carefully validated finding. A separate line of work argues the world's longevity hotspots track missing birth records and old-age poverty — not diet.
Infusing plasma from young donors is sold as rejuvenation. The mouse work suggests diluting old blood may matter more than adding young blood — and regulators warn the paid infusions have no proven benefit.
The dream was 'compression of morbidity' — sickness squeezed into a short window before death. Across 183 countries the healthspan–lifespan gap instead grew to 9.6 years, and to 12.4 in the US.
Five-day fasting cycles improve risk markers and one 'biological age' estimate in small trials. No human study has yet shown the diet prevents disease or extends life.
No pill in the anti-ageing market has mortality data like physical activity. The largest cohorts show most of the benefit arrives at half the recommended dose, and more brings diminishing returns.
A 2013 paper named nine hallmarks of aging; a 2023 update made it twelve. The framework is the field's shared map — but critics argue it describes ageing without explaining it.
Very long life carries real genetic signals — the APOE gene most robustly, FOXO3 in some populations. But pedigree studies put the true heritability of human lifespan well below 10%.
The NAD+ precursors sold to slow ageing reliably raise NAD+ and are well tolerated. What the randomised trials do not show is a benefit to muscle, metabolism or how old you are.
It extends life in yeast, worms and flies, and in mice on a high-fat diet. In people it fails to reliably switch on the enzyme it targets, and higher intake tracks no drop in death, cancer or heart disease.
The length of your chromosome caps is a noisy population-level marker, not a personal verdict — and genetically longer telomeres raise the risk of several cancers, not lower it.
Twenty-one years of cancer follow-up, multimorbidity data to 2021, and a randomised trial in frail older adults. In each, metformin did not beat placebo. Lifestyle change did.
The famous cigarette comparison is a communications gloss on a robust but observational finding: people with stronger social ties are markedly more likely to survive follow-up.
A $12 million gift will test whether low-dose rapamycin changes the transition to frailty in adults over 65 — the first study of the drug designed around an outcome rather than a biomarker.
The longest human trial of low-dose rapamycin for healthy ageing found no change in visceral fat, its own primary outcome. The positive findings it is quoted for rest on eight women.
The same sport that a 300,000-person Swedish cohort associated with a 40% lower death rate carries an injury incidence in professionals roughly six times that of amateurs. The difference is dose.
A systematic review of 113 studies found real biology in NAD+ supplementation — and not one eligible human trial testing the IV or IM version clinics actually sell for anti-aging.
The Dubai Longevity Authority will oversee everything from lab research to the clinics selling anti-aging treatments — a regulatory structure that doesn't really exist yet anywhere else.
Three of the four Yamanaka factors, delivered to one eye and switched on with an antibiotic for eight weeks. The mouse data are striking; the trial is a safety study and will not measure ageing.
A 2025 review walked through every study of low-dose rapamycin in healthy adults. The immune findings are real, the outcome data do not exist, and the review's own worked example does not add up.
A phase 2 trial of dasatinib plus quercetin missed its bone endpoint. A senolytic injected into the eye produced a 5.6-letter vision gain whose confidence interval crosses zero.
Two real-world cohorts found lower blood levels per milligram from compounded formulations — and the longest longevity trial of rapamycin was run on the weaker one, which changes how to read it.
In 2023 declining taurine was proposed as a driver of ageing. Two years later the same journal published human, monkey and mouse data in which taurine rose or stayed flat.
A 2026 meta-analysis pooled every randomised human trial of the gut-derived supplement for muscle health. Only one outcome, from two trials, could be combined — and it missed significance.
A December survey found getting stronger is the leading 2026 health goal. The best meta-analysis of muscle-strengthening and mortality finds a benefit that plateaus at around 30 to 60 minutes a week.