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nterviews with Nutritional Experts
 

The Free-Radical Theory of Aging: Part II - Calorie restriction, Free Radicals and New Research
Interview with © Dr. Denham Harman
as Interviewed By© Richard A. Passwater Ph.D.

In Part I, Dr. Denham Harman shared the development of the free radical theory of aging with us. In Part II, he will discuss aspects of calorie restriction and free radical theory of aging, as well as heart disease and how you can help aging research.

Passwater: Dr. Harman, in Part I, you mentioned that eating less food reduces oxygen consumption and the load on the mitochondria. There is good evidence that calorie restriction -- cutting calorie intake by 30% or so while maintaining high micronutrient levels slows aging. Calorie restriction seems to lower the levels of undesirable sugar-damaged proteins called Advanced Glycosylation End-products (AGE).

Harman: Yes. These products are formed by the Maillard reaction. Interest in the deleterious effects of glucose (blood sugar) in diabetes focused attention on this reaction, now an active area of research. The Maillard reaction is initiated by glycation, a reversible non-enzymatic reaction between reducing sugars such as glucose and ribose, and primary amino groups on proteins to form Schiff bases (a class of derivatives of the condensation of aldehydes or ketones with primary amines): these can form Amadori (rearrangement) compounds . The Amadori compounds slowly -- over months or years -- form a heterogeneous group of irreversible compounds by oxidation, condensation, rearrangements, and elimination reactions collectively called AGE. Free-radical reactions are involved in the slow-peroxidation reactions.

Passwater: In Part I, you mentioned that reduced food intake meant that the mitochondria had to work less and there would be less oxygen cycling.

Harman: It was first shown in the mid-1930s that reducing caloric intake would increase both the average and maximum life spans and decrease disease incidence. I believe that this result was due to decreased free radical damage owing to decreased oxygen utilization. Glycosylation may play a minor role in this effect as glucose levels go down when calories are restricted.

Passwater: In Age (15:134, 1992(, Drs. Gary Evans and L. Meyer reported an increase in both average and maximum lifespan in mice fed chromium picolinate. The mechanism involved is probably that the chromium picolinate potentiates insulin and helps prevent glycosylation.

Harman: That was a very interesting experiment. I think the experiment should be repeated with a greater number of mice. I am sure they, and others, are going to do this.

Passwater: Do you feel that there might be an additive role if we could reduce both the free radicals and the resultant oxidation products, and the glucose levels and the resultant formation of the reversible products, the two processes may go hand in hand in reducing the amount of irreversible Advanced Glycosylated End-products.

Harman: I think this would help. Another area of research interest at the present time concerns the action of deprenyl, a compound used in the treatment of Parkinson's disease. Deprenyl has been shown to increase the life span of laboratory rats.

Passwater: Does deprenyl involve free radical protection?

Harman: I suspect that deprenyl serves as an antioxidant.

Passwater: In 1963, you reported in "Circulation" that serum copper might be related to coronary atherosclerosis. Copper and iron are only now becoming of serious interest to heart disease researchers.

Harman: Copper is interesting. It is an excellent catalyst for the reaction between lipids and oxygen. Our studies in miniature pigs were suggestive, but not adequate to prove that excess dietary copper increased the rate of atherogenesis. An examination of serum copper levels across the United States also suggested that excess copper was linked to atherosclerosis, but again we could not be certain. In this connection, we carried out studies on isolated serum lipoproteins and showed that their mobility was changed by oxidation.

Passwater: Most people didn't even know about lipoproteins in those days.

Harman: Most of the initial research on serum lipoproteins and atherosclerosis was done by Dr. John Gofman and his group at the Donner Laboratory of Medical Physics at the University of California in Berkeley. I was exposed to these studies during 1954 to 1958 while I was at Donner. The studies on copper that you mentioned stem from the first paper I wrote on aging and free radicals, and a subsequent paper published in 1957 in the Journal of Gerontology entitled "Atherosclerosis: A hypothesis concerning the initiating steps on pathogenesis."

Passwater: I want to follow that up later, but let's talk some more about excess copper.

Harman: I did a number of studies with copper. Some were published as abstracts of lectures. In one study, we determined the serum copper levels of men with and without a history of a heart attack. The study was presented as a talk at the 1963 annual meeting of the American Heart Association and the abstract published in 1963 in "Circulation." Because of the possibility that the higher serum copper levels in men with a past history of a myocardial infarction might be caused by a "leakage" from damaged myocardium, I was not able to have the full paper published.

One summer, members of the Framingham study put together serum samples taken from individuals before and after they had a heart attack; the samples were crushed during shipment so that we were not able to determine if elevated copper levels predisposed an individual to atherosclerosis.

Passwater: We need copper to form superoxide dismutase (SOD), one of the major antioxidants our body makes to protect us from free radicals, and thus, protect us from oxidation of lipoproteins and subsequent atherosclerosis. So are you suggesting that there is an optimal range of copper intake?

Harman: You have to have some copper as well as some iron, manganese and so forth, but the question is how much. If you have too much, you may be exposed to damaging free radical reactions.

Passwater: Do you see the serum copper level being related primarily to dietary copper or is another factor involved that can produce various serum copper levels with the same amount of dietary copper?

Harman: I do not know a factor that can produce various serum copper levels with the same amount of dietary copper. Most of the copper in the serum is bound to ceruloplasmin. Some copper is also bound to proteins such as albumin and to histidine and small peptides.

Passwater: What are you working on today?

Harman: Two things. I am writing a report on the pathogenesis of Alzheimer's disease. This disorder may be caused by a mutation in a mitochondrial DNA molecule early in life -- possibly within the first two to three weeks after conception, that increases the rate of aging in the neurons associated with Alzheimer's disease.

The second thing I am doing is raiding money for the American Aging Association. I resigned recently as Executive Director of the American Aging Association. Arthur Balin, M.D., Ph.D. now holds this position: he is very competent.

I have been appointed chairman of the Capital Fund Drive of the American Aging Association. We wish to raise five million dollars. The money would be placed in a trust fund. The interest, after adjusting for inflation, will help support the operation of the organization. The fund drive is needed because membership dues from the small number of scientists working in basic biomedical aging research would need to be very high in order to just continue our present activities.

Fund-raising is going to keep me busy. It is very important. I would like to contact five million people and say, "Please, would you like to contribute to this organization?" Although this is not possible, I hope that we can get small donations from many people. I can't overemphasize the importance of continuing to promote basic biomedical aging research.

Passwater: Perhaps, if there was an American Aging Association years ago to support your research, we would all be younger and healthier now. I have been a member of the American Aging Association since you help found it in 1970. I, and many other scientists, benefit from the scientific journal that is published, "The Journal of the American Aging Association," and from the annual scientific sessions. How can our readers join the American Aging Association and what benefits can they get in addition to helping research that may help them live better longer? Where can readers send donations to help support the organization and fund aging research?

Harman: They will receive first reports of the latest research in aging through the newsletter and the journal "Age." They will also have the satisfaction of knowing that they are helping to promote research that will benefit everyone.

Donations, membership dues and subscriptions can be sent to:

Dept. MEM-WF
American Aging Association
2129 Providence Avenue
Chester, PA 19013

Membership dues to the American Aging Association are $35 per year; members receive AGE NEWS four times per year. Subscription to the journal is $35 per year for non-members and $25 per year for members.

Passwater: The American Aging Association has done a great job so far, and if you receive the funds, I know you will do more. Have you accomplished what you set out to do in 1970?

Harman: I was a member of a small group that started the American Aging Association. The organizers started the American Aging Association because they felt that more effort should be devoted to basic biomedical aging. I can't emphasize enough the need to do basic aging research and the benefits that it will bring. The American Aging Association has promoted this area of research and has continued to grow until now it is the largest group involved in this research area.

Our annual meeting serves to bring together scientists involved in biomedical aging research and provides an opportunity for the media, and in turn, the general public, to be informed of progress in this area. Several awards are presented at the meeting. These include the Distinguished Achievement Award, the Research Award, and the Excellence in Journalism Award.

The American Aging Association sponsored formation of the American College of Clinical Gerontology in 1986 in order to more effectively apply the growing knowledge of aging to the problem of increasing the functional life span.

Formation of the International Association of Biomedical Gerontology was sponsored in 1985 to help bring together scientists around the world involved in basic biomedical research. The Sixth Congress of the International Association of Biomedical Gerontology will be held in August 1995 in Tokyo.

Passwater: There is no point in doing research if you can't bring the findings to the public and the physicians who need to incorporate these findings into the care of their patients.

You were to be the father of this theory, you nourished it, brought it to people's attention, beat people over the head with it to get them to expand the research, you help form the American Aging Association, and now you are raising funds to support more research. I hope people appreciate all of your efforts.

Harman: I hope they continue to support increased funding for basic biomedical aging research. I have testified before Congressional committees in support of more money for this research field. It is very difficult to get individuals to understand that cancer or a heart attack is caused by the aging process and that if we slow this process the disorders that kill us will be put off in time so that we will have longer functional life spans. Funding is increasing slowly -- it is now about 25 million dollars per year, very little in comparison to the billions spent on the obvious secondary disorders.

Passwater: In 1970 or 1971 you estimated that based on your research and what was happening that antioxidants might add as much 15 years to the typical lifespan. Today would you still say proper antioxidant nurture could add 15 years to the typical lifespan?

Harman: I am not sure because the average life expectancy has improved during that time. In the early 1970s, we were working with mice and it seemed reasonable that it might be possible to increase the average life expectancy of man by around 15 years with the antioxidants. Average life expectancy in the United States has now reached about 75 years. Since the maximum value for the average life expectancy at birth is about 85 years, it is now likely that antioxidants may increase life expectancy an additional five to seven years.

It would also help to increase life expectancy if people would decrease their caloric intake somewhat.

Passwater: Well, 50 million Americans are taking antioxidant supplements and that's largely why our average life span is increasing. Many people have already put research into practice. The heart disease death rate has also decreased -- there are many factors involved, but an important factor is that so many Americans have started taking antioxidant supplements over the last thirty years.

Your point is well taken that the average life span has increased. But, still, 30 years ago when you made that statement there was a shorter average lifespan so you might have been correct saying 10 to 15 years.

Harman: Yes, at that time it might have been true. Today, though, it is more likely to be around five to seven years. I am very hopeful that the increase will be a great deal greater. The field of biomedical aging research is expanding rapidly, particularly since the discovery of superoxide dismutase by Drs. McCord and Fridovich in 1969, and may lead to practical measures to slow the biological clock

Passwater: Well now we are zeroing in on getting antioxidants more efficiently into the mitochondria to control free-radical reactions in what appears to be a prime factor in our biological clocks. We can also reduce the amount of free radicals generated in the mitochondria by reducing the oxygen consumption needed to metabolize all the extra calories of food that we eat. The problem is to get people to eat fewer calories. That is a big problem!

Harman: That is education. People need to realize that there are foods which provide adequate nutrients but with fewer calories. The food industry is actively involved in this area. For example, they are making fat substitutes.

Passwater: Also, we can reduce the formation of AGEs by reducing food consumption and being optimally nourished with chromium. The on-going research is leading us to new and better antioxidants, as well as new basic discoveries. If people support the American Aging Association, we will speed the discovery process and better the lives of more people.

Dr. Harman, what supplements do you take?

Harman: I take 200 milligrams of vitamin E per day; ten milligrams of coenzyme Q-10 with each meal; one yeast tablet containing 50 micrograms of selenium twice a day, and I also take one multivitamin tablet.

There are other things involved in living a long life. These include keeping your weight down at a level compatible with a sense of well-being, getting a moderate amount of exercise, little or no smoking, and minimal alcohol. There is nothing new about these suggestions; they have come down to us from our ancestors.

Passwater: A lot of times, mother was right. Dr. Harman, your research has taken us for quite a journey into understanding our own biochemistry. You must feel good when you look back on it.

Harman: I am delighted to see the rapid progress being made in our understanding of the role of free-radical reactions in biological systems. From this research are coming measures that will increase our span of healthy productive life. I appreciate your efforts to keep the general public informed of these studies.

Passwater: Dr. Harman, thanks again for sharing your journey along your fascinating research that has already helped millions of people.

All rights, including electronic and print media, to this article are copyrighted to © Richard A. Passwater, Ph.D. and Whole Foods magazine (WFC Inc.).

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