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Dean Pinchas Cohen: COVID-19 Risk Factors and Research Directions for Older Adults

By COVID-19, Lifespan Health, Podcast, Research

Pinchas Cohen, USC Leonard Davis School dean and a professor of gerontology, medicine and biological sciences, joins Chief Communications Officer Orli Belman in a conversation about COVID-19 risk factors and research directions, with a focus on how research focused on delaying aging processes hold promise for improving outcomes for older adults.

Quotes from this episode

On the relationship between age and mortality rates

“Older adults are so much more dramatically affected by this terrible pandemic. While of course middle-aged people and young people are affected by this and their rate of infection can be very high, the mortality of younger people is very, very small, but rises dramatically as people age.”

On vaccine response rates and older adults

“We all know that vaccines are the number one goal for the biomedical industry right now, but some of you may or may not be familiar with the fact that vaccines are extremely efficient in young people, but among older adults, the response to vaccination is sometime very ineffective. For example, flu vaccine has a non-responsiveness rate that approaches 50% in older adults, which are of course the group that needs it the most.”

On the need to develop cytokine storm blockers

“When people look at what actually causes people to perish from COVID 19, it’s not so much the viral pneumonia that they suffer from, but rather something known as a cytokine storm that the body responds to the virus was this secretion of inflammatory cytokines like, something called interleukin six and TNF alpha and interferon, which the body then responds to with really shutting down of the lung and eventually death. So the development of blockers of this cytokine storm, are going to be critical. And that’s an area that geroscience has been leading for many years.”

On the importance of  gerontology and geroscience research

“Post-COVID-19, I think that gerontology education will only become more important. Furthermore, research on the policy and social impact of the pandemic will be prioritized. Our leaders, our thinkers will continue to be at the forefront of that. Research into geroscience, particularly immunosenescence and inflammaging will be a major goal for the National Institutes of Health. Prevention of chronic disease, which has been really the biggest risk factor for older adults will return as a national priority.”

On how coronaviruses differ from influenza viruses

“Coronaviruses are quite different from influenza viruses. They’re biologically unique, very separate. Also, influenza viruses affect primarily the airways, while coronaviruses can attack various parts of the body, but they’re deadly when they end up attacking the lungs, which influenza does not. Influenza predisposes the lungs to bacterial infections, which could be lethal. But they’re quite distinct. That’s why there are limited lessons that we can learn from influenza when it comes to COVID 19. But we do have enough previous knowledge to allow us to deal with this crisis and for future crises.”

On the roles of age, genetic and underlying conditions

“Young people get infected just as easily as old people. The difference is that many young people have a completely asymptomatic course that they’re able to have the virus go through their system, develop antibodies, and never have any sign or symptom. The genetic determinants of who is going to get illness as opposed to who’s going to remain asymptomatic is something that we totally don’t understand. Obviously having poor health is important..but there’s also going to be genetic reasons why some people develop or don’t develop severe disease and then whether or not you’re going to survive, you know, be really sick and, and get better, whether you’re going to have a very, very bad outcome.”

On what matters most

“At a time of great global uncertainty, what matters most is clear now than ever before. Health matters, older adults matter, science and especially geroscience matter. I think that this is going to be a challenging year ahead of us, but together we will prevail.”

Headshot of Sean Curran with name and faculty titles

Professor Sean Curran: how what we eat impacts how we age

By Lifespan Health, Podcast, Research

Sean Curran, the Associate Dean of Research at the USC Leonard Davis School and an Associate Professor of Gerontology and Molecular and Computational Biology, joins Professor Geroge Shannon in a conversation about his research toward generating blueprints that can allow an individual to maximize health over the course of their lifespan. Informed by genetics, he is developing the capacity to predict which diets are ideal for a healthy life and which should be avoided.

Quotes from this episode

On the effect genetic makeup has with fad diets

“I think everybody knows somebody who’s done a fad diet that had amazing results. And then similarly either tried that diet themselves or knows someone who did the exact same diet, only to find it didn’t work at all. I would argue that those two diets or those two ways of changing what you eat probably had the same effect overall. But the reason that the results were different was because of the genetic makeup of the individual. So I think this is a new way of thinking about personalized medicine but taking it from a personalized diet standpoint, where rather than prescribing a one size fits all diet, looking at the genetic makeup of an individual and then one day being able to prescribe to them— here are the types of food that you should avoid and here are the types of food that you should increase consumption of on a daily basis.”

On the past research of diets and genetics for aging

“So I don’t think anyone would argue that both diets and genetics play important roles in how our cells metabolize things and, and how healthy we are and how long we’re gonna live. But in the past, the studies that had been done usually look at one specific mutation and in the context of one individual diet. So these are all traditional classical genetic studies. But what we found is actually that diet has a much more powerful role over the lifespan than we originally thought. We’ve actually found conditions where a diet can be used to mask a genetic mutation.”

On his research of worm’s diets

“A lot of studies have shown that worms can actually make a choice to pick one diet versus the other. But I think it’s interesting what hasn’t really been studied yet is whether or not worms make that decision based on the information that’s given to them. Is this diet actually better for them? Is it nutritionally more readily available for them or does it just smell and taste better to them?”

On why food is hard to study with regard to aging

“So I would argue food is probably one of the most variable aspects of any individual’s life compounded across differences and food that you made over the lifespan. Food and diet is integrated into our society on multiple levels. It’s deeply rooted in what your personal tastes are. It’s rooted in what your economic status is, what you have the availability to, to actually purchase in the market as well as cultural and family influences as well. So because of this, I think a lot of the research early on focused on changing sort of large factors in diet, particularly studies that either changed the amount of food that you’re going to eat or when you were given access to the food.” 

On how ‘yoyo’ dieting can be hard to keep up

“I think there’s a lot of aspects of diet that make changing behavior complicated. One, the thought of depriving yourself of something, whether you really want it or not, I think perhaps has a psychological effect on a lot of people. I also believe that a lot of changes that you’ll have to your diet work in the first couple of weeks. So I think the existence of what people think of as yoyo dieting is because when you exert a massive change on what your normal behavior is, your body is trying to adapt to this new and different types of nutrients that you’re giving it. Because of that, you probably lose a little bit of weight in the first couple of weeks. After that, your body is used to using the types of nutrients, the types of foods, the amount of calories that you’re giving it. It is adapted to the new diet you have.”

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