Lifespan

Sinclair, a Harvard genetics professor, argues that ageing should be classified and treated as a disease rather than accepted as inevitable, and presents his information theory of ageing. The theory holds that ageing results from loss of epigenetic information, meaning the instructions telling cells which genes to express, rather than from accumulated DNA mutations. Cells retain the genetic information and lose the ability to read the right parts of it.

The mechanism he proposes centres on sirtuins, a family of proteins that regulate gene expression and DNA repair, and which are diverted from their regulatory role when repairing damage, producing epigenetic drift over time. He connects this to caloric restriction, to the compounds he studies including resveratrol and NAD precursors, and to work on partial cellular reprogramming using Yamanaka factors, which in mouse experiments restored function in damaged optic nerves.

His personal recommendations include intermittent fasting, exposure to cold and heat, exercise, reduced protein intake, and the supplements he takes.

The conflicts of interest are substantial and Sinclair discloses them: he has founded and holds positions in companies commercialising the compounds he discusses. The resveratrol research has been widely disputed, including a legal dispute over Sirtris after GlaxoSmithKline's acquisition, and other laboratories have failed to replicate key sirtuin findings. Several researchers criticised the book for presenting contested hypotheses with the confidence of established results. The Yamanaka factor reprogramming work is genuinely significant and the most substantial part of the science. Readers should treat the personal protocol chapters as untested and the theory as one hypothesis among several.