The Hindu - International

IS IMMORTALIT­Y POSSIBLE?

Nobel laureate and molecular biologist Venki Ramakrishn­an discusses why death is inevitable and how techno-fantasies of living forever are scientical­ly unfounded

- Jacob.koshy@thehindu.co.in

obel Prize-winning molecular biologist Venki Ramakrishn­an, in his new book Why We Die:

The New Science of Ageing and the Quest for Immortalit­y (Hachette India/Hodder & Stoughton), says that while we better understand, at a biological level, the causes of ageing and death, we are far from major breakthrou­ghs. With several technology mavens, including Amazon founder Je› Bezos and Facebook creator Mark Zuckerberg, investing millions in ageing-related research, and many others self-experiment­ing with supplement­s and therapies to halt ageing, the ‚eld is generating great interest among people of all ages. However, much of this doesn’t yet have the sound backing of scienti‚c validation, says the

U.K.-based Ramakrishn­an,

72. Edited excerpts from a Zoom interview:

NQuestion: After your last book, Gene Machine, a memoir and your own investigat­ion into ribosomes, what made you focus on ageing and longevity? Answer: Humanity has wondered for a long time about why we die and what limits lifespan. We’re probably the only species that knows about our mortality. We know that because we have developed language and ability to communicat­e and ever since, humans have wondered about mortality. This is an existentia­l question. It is only in the last 50 years that we’ve come to grips with the underlying biology of why we age and what eventually causes death. A lot of things are happening in the ‚eld. At the same time, there’s also an enormous amount of hype in the ‚eld because there’s a lot of private investment. There are people who want to extend lifespan. Societies are growing older around the world. So, I wanted to discuss all that and felt there was a need for someone who’s a molecular biologist but who also doesn’t have a vested interest in the ‚eld. My work on protein synthesis is related to one of the central causes of ageing. So, you can think of me as somebody who works in an area close to ageing, but I don’t work on ageing myself. That also makes me less, I would say, ideologica­l or biased.

You mention how there’s huge private investment (in arresting ageing) and how several (Silicon Valley) tech billionair­es are interested. Is this historical­ly unpreceden­ted?

There are now about 700 companies, start-up companies, which tackle di›erent kinds of longevity research. And, you know, many tens of billions of dollars. People will say that’s a very small fraction (about 1%) of the research enterprise. But I would say, in terms of increase in investment and in absolute numbers, it’s still quite a large amount. Having so many people suddenly interested in ‘solving’ ageing is unpreceden­ted because for a long time, ageing was considered a sort of backwater in science. I think that has changed over the last maybe 30 or 40 years. Part of

Q:A:the reason is that the [developed] world is facing an ageing population. India is an exception in that it still has a relatively young population. But as life expectancy increases in India, it too will face the same problem that all countries go through as they develop, which is that as people start living longer, fertility rates go down and you’re left with a di›erent [population] distributi­on. And so, there’s a real need to make sure that people are healthy when they age. If they’re not healthy, it will impose huge burdens on the rest of society because there’ll be an increasing fraction of society that needs care. So there’s a lot of incentive for government­s and others to invest in ageing research. It’s not just these billionair­es who are afraid of getting old.

There seems to be this obsession with trying to be younger as you age. You give the example of Bryan Johnson (American tech-millionair­e) who does blood-plasma transfusio­ns, including from his 17-year-old son. What’s the scienti’c basis for that?

Being healthy when you’re old is almost the same thing as being young because you’re eliminatin­g the problems of being old. But in terms of

Q:A:Bryan Johnson, he spends $2 million a year on anti-ageing measures, including collecting vast amounts of data. It suggests that he’s got some terrible fear of growing old. That’s ‚ne. He’s entitled to doing whatever he wants with his money, right? And some of the things he does are actually based on some real science. It’s just that they’re not proven methods in humans. There have been no clinical trials to show e–cacy and safety in humans. But he’s willing to take that risk.

If we had cures for heart disease, Alzheimer’s and cancer — the top three causes of age-related

Q:(L to R) Meta CEO Mark Zuckerberg; scientist Venki Ramakrishn­an; tech entreprene­ur Bryan Johnson; and Amazon’s

Je‰ Bezos.

morbidity and mortality — would that mean a long healthy life where you suddenly drop dead one day? Would that be an ideal state to steer medical research towards?

Possibly, but not necessaril­y. In the book, I quote the scientist S. Jay Olshansky, who calculated that even if you eliminate all the chronic diseases of old age, you would only gain maybe 15 years, on average, of life. This has to do with the fact that there are natural biological processes that break down and eventually hit against our natural limit of 120. So, to tackle those, you have to tackle the fundamenta­l causes of ageing itself rather than these diseases. I think it’s not clear that you can simply engineer this away. I also don’t know if you can improve healthy life by, say, eliminatin­g many of these diseases, or if you would have a sudden decline or whether you would simply postpone a gradual decline. You might have other problems like frailty, your

A:immune system gradually deteriorat­es, your muscles deteriorat­e. So, it might happen gradually anyway. The only thing I can say is that there are these examples of super-centenaria­ns, people who live to be over 105 or 110, who apparently will have a very, very healthy life for most of their lives and then rapidly decline before they die. So, at least there are some individual­s who have managed this ideal life where you are healthy and then suddenly decline. But how to make that generally possible in everyone, I think that’s an unsolved problem.

Would a world where people routinely live healthy lives of 120 or 130 years be a desirable world?

If we all lived to the natural limit of our biology, which is 120 years or so, I would say who am I to argue against it, because we’ve already lived twice as long as people who lived 150 years ago. I think living extremely long lives, where we want to live beyond the 120-limit, would lead to a weird and stagnant society. We are having a much slower turnover between generation­s than we did before, so it will be a di›erent kind of society. That’s also assuming that your brain stays sharp and aware, and that’s not a solved problem. The whole problem of cognitive decline and dementia is going to be a very hard problem to solve, even with modern tools. Neurons don’t regenerate. We can regenerate other tissues, like the liver and blood cells. Regenerati­ng the brain is not in the realm of possibilit­y right now. Living with cognitive impairment isn’t desirable and this will impact the kind of societies we live in.

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