What strikes me most is the mechanistic plausibility. The SIRT1 upregulation, reduced oxidative stress, and telomere preservation they observed align perfectly with what we know about successful aging interventions. When I was working on senescence research, we’d get compounds that would extend cellular lifespan by targeting one pathway, but they’d often have off-target effects that negated benefits in whole organisms.
The dosing strategy here is particularly clever - starting with 5mg/kg for acclimation, then monthly 15mg/kg treatments. That mirrors what we’re seeing in clinical trials for depression, but applied to aging. I remember being skeptical when colleagues first suggested psychedelics might have systemic anti-aging effects beyond their neurological benefits, but the serotonin receptor distribution throughout the body makes this increasingly plausible.
The survival curve (80% vs 50%) is the kind of effect size that gets my attention. In aging research, we’re usually thrilled with 10-20% lifespan extension. But starting treatment at 19 months (equivalent to 60-65 human years) makes this especially compelling - most aging interventions need to start early in life to be effective.
My main concern is the limited exploration of potential downsides. Delayed senescence can be a double-edged sword - those cells that keep proliferating longer might accumulate DNA damage that wasn’t detected in their short-term assays. We need much longer studies to understand cancer risk.
Still, given psilocybin’s remarkable safety profile and the FDA’s breakthrough therapy designation, this opens fascinating possibilities for combining psychedelic therapy with longevity medicine. Imagine treating both the psychological burden of aging and its biological mechanisms simultaneously.
Hell, if we could apply to humans all the therapies and treatments that have so far cured or at least helped with cancer, Parkinsons, dementia and aging itself in mice and rats, among other things, we'd long since have created a much easier time with these diseases.
redwood•4h ago