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  • Lloyd Price

Biohacking, Digital Health and Silicon Valley’s quest for Immortality

Somewhere in Silicon Valley, a man wakes early with the sunrise. Venturing into the kitchen, he pacifies his rumbling belly with a cup of coffee infused with a large knob of grass-fed butter. He’s in the middle of a fast, after all.

After a two-hour meditation session, he’s off to spend thousands of dollars on his latest indulgence – stem cell injections. The clinic’s practitioner assures him that removing stem cells from his bone marrow and injecting them into other tissues will rejuvenate them from their fatigued state. He trusts their word, just as he trusts that spraying nicotine into his mouth will give him the benefits of a cigarette without the negative side effects.

When he retires for the night, equipped with melatonin tablets and blue light-blocking glasses to ensure his sleep cycle isn’t disturbed, he’s satisfied with the day’s achievements. He’s taken another small step towards his goal. He may be a product of the 21st century, but he’s also part of the growing contingent who are doing everything in their power to make it alive into the 23rd.

Humans have long harboured an obsession with living forever. But all those who shared the quest for immortality have something in common – they failed. And yet the dream of eternity hasn’t wavered. So much so, that many alive today cannot help but wonder if the key to their immortality is already lurking in the ever expanding pool of human knowledge.

Modern science has opened an assortment of new ways to improve survival, and now members of the technology-driven ultra-rich are adopting these new approaches in an attempt to extend their own lives. But what is often left unsaid is that modern science has also revealed the darker side of longevity extension: the inevitable physiological trade offs that seem destined to hold us back. Nature seems set to deny our human forms from having it all. So what will it be: humanity, or something else entirely?

A utopian fantasy

Francis Bacon’s symbolic narrative New Atlantis was published in 1627. The unfinished novel portrays a society where humankind has used science to wrestle control of its world from nature. To some, this world represents a foreshadowing of the scientific utopia that we are barrelling towards today. But our world, unlike Bacon’s, is one full of self-interest and greed, and it is to these traits that the quest to defy ageing belongs.

Failed quests for immortality have a long record. In the Epic of Gilgamesh, one of humanity’s oldest tales dating back to the 22nd century BC, the title character embarks on an epic quest to attain everlasting life. After many trials and tribulations, he eventually hears of a flower on the ocean floor that will restore his youth. And despite a warning from the only people ever granted immortality by the gods - that his quest will ruin the joys of life - Gilgamesh plucks the flower from the watery depths.

His success doesn’t last. Gilgamesh inevitably loses the flower; and eventually, like all mortals before and after him, he dies. His is a story of defiance against our mortal forms, our endeavour to go to great lengths to overcome them, and the ultimate futility of the idea. It encompasses a theme that still holds significant relevance in the field of anti-ageing research.

Qin Shi Huang dispatched expeditions to find the ‘Elixir of Life’. Wikimedia Commons

Nearly 2,000 years later, the first emperor of unified China, Qin Shi Huang, also found himself enamoured with the idea of ruling forever. He tasked his subjects with finding him the “Elixir of Life”, but as he aged with no answer in sight he began to grow desperate. There is evidence that he began ingesting potions containing the highly toxic compound mercury sulphide. So in an ironic twist of fate, his quest for eternal life may have led him to a premature grave.

Fast forward to the 19th century and Elixirs of Life had made their way into the mainstream, with many bars and apothecaries selling their own concoctions. Consisting of water, herbs and a considerable dose of alcohol, these potions, once touted to extend life, have slowly morphed into today’s herbal remedies. But it would take another 100 years before society could fathom replacing these elixirs with something based on actual evidence.

By the 1930s, scientists had used experiments on rats to reveal that restricting calories could lead to a significant increase in lifespan, a finding that still holds a lot of weight with today’s immortality seekers. Despite this success, research into the processes of ageing remained small scale at best. But a revolution was on the horizon.

The year 1945 saw the birth of the Gerontological Society, which established a journal and cultivated research interest in the fledgling field. Its work would prove worthwhile, as by the early 1980s humanity’s understanding of and appetite for ageing research had increased considerably.

Calorie restriction remains a crucial tool for longevity seekers.

Restricting calories was no longer the sole item on the list of age-halting strategies. New insights into how cells communicate via signalling and the impact of this process on cell behaviour had swiftly come to the fore. Most notably were those based around the hormone insulin, which was found to regulate many aspects of ageing.

Then, in 1990, Daniel Rudman transformed the field with his study of the human growth hormone. He had noticed that the amount of lean body mass (everything in the body except fat) decreased as the amount of growth hormone produced by the body’s cells waned. Curious to see if he could reverse this trend, his team injected older males with synthetic growth hormones, reinvigorating their bodies with a more youthful form by restoring their ability to break down fat cells and grow new bone and muscle cells.

At this, entrepreneurs sat up and took notice. Many leapt on the idea for monetary gain, determined to sell the hormone as an anti-ageing therapy. Journalists were swept along in the wave of excitement, writing of the “shot of youth” and asking if we could now stop ageing entirely.

The metamorphosis of the anti-ageing industry had begun. And although no one quite knew what world would emerge when their longevity mission was done, they were determined that it would be something beautiful. The human growth hormone craze has since fallen away, but a heap of alternative supplementary therapies have readily taken its place.

2003 also saw the completion of the Human Genome Project, which was thought to hold answers for solving many age-related diseases by identifying the key genes that caused them. Yet the answer to avoiding the deterioration that comes with age has remained elusive.

In the years since, many research fields have been scoured in search of answers: health, sport science, psychology, medicine, computer science. Interest has only intensified and wealthy benefactors have shown unrelenting perseverance, with entire companies springing into existence in an effort to unlock eternity. Such confidence raises an inevitable question for the rest of us: can it really be done?

Biohacking the body

There are many, many coffee shops in California. But there are a few, in downtown Los Angeles and Santa Monica for example, that offer a unique experience. Inside, you’ll find lighting that changes throughout the day, electromagnetic chairs designed to increase customers’ blood flow, and coffee that’s infused with oil and served with butter. These are the entrepreneur Dave Asprey’s Bulletproof coffee houses, located at the very heart of the so-called biohacking movement.

Asprey is a well-known, controversial figure who often publicly claimsthat he’ll live to 180 years old by augmenting his daily habits to alter his physiology. Asprey’s Bulletproof blog is littered with articles and podcasts detailing the health benefits one can supposedly achieve by employing such “hacks”.

Dave Asprey, complete with blue light filtering glasses. Collision Conf/Flickr, CC BY

These include dietary supplements – which the cynical will note are available as Bulletproof products – and activities that subject the body to stress. We see some of these debatable principles materialising in the Bulletproof coffee shops, with Bulletproof coffee playing the star role but magnetic furniture, grounded floor panels and elevated yoga spots providing a diverse supporting ensemble.

Far from being an exact science, biohacking is an umbrella term that encompasses a bunch of self-help material, a dollop of scientific reasoning, and a sprinkle of philosophy for good measure. (People who employ technology to augment their bodies have also been referred to as biohackers, but they’re more commonly referred to as transhumanists, which we’ll come to later).

Some of the more eccentric biohackers even encourage regular use of prescription and illegal drugs, such as the psychoactive narcotic MDMA to improve charisma and the narcolepsy nootropic modafinil to enhance cognitive function. And unlike many of Silicon Valley’s anti-ageing companies, which pay considerable credence towards genetic variation playing a key role in ageing, biohacking adopts a purely epigenetic approach. It preaches that we can achieve longevity simply by changing our habits and lifestyle.

So what sort of physical stressors do biohackers recommend we subject ourselves to? There are many, but an excellent example is the common biohack of taking cold showers. Allegedly, soaking your body in ice cold water provides a boon to the immune system. The scientific evidencesupporting this is tentative at best, and highlights the tendency of biohackers to readily extrapolate on scientific findings that reinforce their world view. But you only need to scratch beneath the surface to uncover the murky water beneath.

The cold may well train your blood vessels to be responsive, activate calorie-burning brown fat and decrease inflammation, but it is a double-edged sword. Low temperatures can also constrict your blood vessels - increasing blood pressure - and increase your susceptibility to infection. This acts as a counter to the supposed (and unconfirmed) health boon.

With this in mind, cold showers and other extreme practices - which Dave Asprey thinks will help him live to 180 years old - are a young person’s game, and might fly in the face of prolonged life. A biohacking practice may yield a net gain in health when you’re young, but as you age there’s a good chance the balance will shift towards a loss.

Inevitability of trade-offs

The biohacking field rarely considers the dark side of longevity extension, that every gain comes with a trade off. Research has shown that we can extend life, but at a cost in ability to fight infection. For example, we can extend the life of the fruit fly, Drosophila melanogaster, by forcing them to eat high sugar, low protein diets. This comes at a cost in the form of fewer offspring per parent and a reduced ability to fight infection, a process that requires protein.

We can also increase longevity by knocking down immune genes or by exposing flies to a dead infection. But, likewise, both of these treatments lead to a substantially reduced ability to fight live infections.

Zooming in on cellular components reveals the molecular details underlying many such trade offs. The Cinderella story of the anti-ageing field is mTOR (mammalian target of rapamycin), a molecule that performs a diverse range of roles sending signals around the body. Controlling mTOR in effect allows us to control much of the cell system, including how it ages and divides. And there are now a raft of anti-ageing drugs that modulate the activity of mTOR.

Biohackers, for their part, have cracked a way to naturally manipulate mTOR into a similar state by restricting their calorie intake, sometimes through intermittent fasting. The logic behind this being that mTOR only signals the cell to build and grow when there are enough nutrients around for it to be worthwhile. So consuming less food means less mTOR activity, reducing cell growth and, in turn, the rate of cell death. But evidence shows that inhibiting this important molecule’s function not only slows ageing but also suppresses the immune system.

Suppressing the immune system protects our mitochondria. Raj Creationzs/Shutterstock

Our immune system is costly because it uses our precious mitochondria (the batteries that power our cells) to produce toxic compounds and cause inflammation when fighting germs, which damages the mitochondria. So by suppressing the immune system - as shown in both in our own work and elsewhere - we can avoid this sort of damage and make it possible to increase longevity.

Of course, this approach comes with considerable risk. These experimental studies have all taken place in controlled environments with minimal exposure to germs. In a natural environment, deliberately impairing an immune system, whether through drug supplementing or caloric restriction, can cost us dearly, especially in a world where bacteria are persistently evolving more resistance to antibiotics.

The trade off between immunity and longevity is a fine example of nature’s way of balancing the scales. Preventing mitochondrial damage and suspending cell death may seem like excellent life-extending practices on their face, but foregoing a fully functional immune response to get there is a heavy, and potentially fatal, price to pay.

It’s also worth noting that natural selection has conserved the mTOR-equivalent mechanism throughout the evolution of all animal, fungal and plant life, which highlights just how useful it must be. Perhaps we shouldn’t be so ready to tamper with such an integral element to the fitness of our cells.

Immortality or humanity?

There will always be a myriad of ways our mortal forms can go wrong. And we’ve seen that physiological constraints seem set to always hold us back from drastically extending our lifespans and remedying the root cause of ageing – if there even is one.

But on the border between science fiction and pioneering science rest exciting technological ideas that could perhaps unlock a different kind of immortality. Technology can already help us catch age-related defects early, but it holds the potential to become even better: what if we were able to circumvent biological trade offs entirely?

Billionaire Elon Musk’s company Neuralink is already on the march to set us down this transhumanist path. It envisages a future where humans are far more intimately connected with their electronic devices than we are today. It invites us to work towards a brain-machine interface that would fundamentally integrate us with our technology, achieving a truly symbiotic relationship.

The research is still in its early stages, but brain-machine interfaces are already in use in the form of ear and eye implants that can restore our senses, and brain implants that allow disabled people to remotely control computers and robots. Neuralink aims to take this a step further by seamlessly connecting us to electronic devices, the internet and even other humans. Essentially, we’d all have encyclopaedic information on hand and be able to communicate with one another telepathically.

To make this remarkable enhancement possible, a brain-machine interface would be injected into our bloodstream and travel to the brain. There it would self-assemble into a mesh-like structure on the outside of the cerebral cortex, entwining technology to the core of our intelligence and sentience.

Despite the invasiveness of Neuralink’s implants, there are already a host of healthy individuals who are eager for such artificial enhancement. Some have even gone so far as to perform surgery on themselves just to install a gadget of meagre real-world value. But this may be just the start.

Neuralink and the technology it inspires could become a gateway to a post-human future. Through research in this area, we may decipher the means to accurately translate our organic, chemical neuronal pathways into electronic data that could encapsulate them. And so we may, eventually, be able to capture our beings within a computer, living forever as digital memory accessed by a piece of software.

This might be an extreme solution to the question of how to live forever, but there are wealthy individuals, such as entrepreneur Dmitry Itskov, devoted to the idea of merging with a computer. Itskov’s 2045 Initiativeviews brain-machine interfaces as just the first step in a four-part journey that culminates in an artificial brain housing a human personality that controls a hologram-like avatar.

Itskov and other futurists are promising immortality, but to attain it we’ll have to make possibly the biggest trade off of them all, giving away one of our most precious and defining gifts: our human form. The organic brain has forever been the vessel of our soul. An artificial copy may go as far as capturing your entire network of 100 trillion connections, but would it truly be you?

What will we leave behind if upload our brains? Elnur/Shutterstock

It’s a deep question, but our transcendence (or just divergence) away from organic matter means that we may well cease to be human as we know it. Concerns that humans have been warring over for millennia – resources, wealth, mates – could cease to be important. Physical pleasures that have been fundamental to our experience – intimacy, excitement, music, food – might be replaced by virtual signals and synthetic stimulants.

Or at least for some. The rest of us who can’t afford to become immortal avatars will be left to battle over these now trivial concerns, while the wealthy post-humans drift above for eternity.

Musk has shown that entrepreneurship can contribute to science through his forays into the space industry and his company’s revolutionary rocket design. But the quest for longevity has been embraced so tightly by Silicon Valley and others in the business world, that some scientific researchers have actively distanced themselves from tackling the issue. In a biological research field that’s so reliant on a worldwide network of experts, more noble goals need to take the prominent position.

A fundamental difficulty of all of these endeavours is that they are an example of science, presumably driven not so much by a desire for greater understanding of the universe or the betterment of humanity, as by personal profit and individual gain.

Whether we will ever find a way to overcome the physiological trade offs that hold back immortality, or whether we will really be able to replicate human consciousness in a computer are questions too difficult for us yet to answer. But are those leading the charge against death at least inspiring us to lead healthy lives, or are they simply rallying against an inevitable fate?

If you were to ask the wealthy patrons of Silicon Valley, the answer would be the former. They’d direct you to the lifespan statistics, which have shown that we survive well over a decade longer on average today than we did just 50 years ago . They’d also emphasise the growing evidencethat defies the idea of an “upper limit” on how long an individual can survive.

Ongoing research, they’d argue, is already yielding fruit, and it’ll only be exponential progress from here. But, perhaps unfortunately, our researchhas shed light on the considerable drawbacks in health that may well come as a consequence of our meddling with anti-ageing therapies. Man’s reach, it appears, continues to exceed his grasp.

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