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The Study

17‐a‐estradiol late in life extends lifespan in aging UM‐HET3 male mice; nicotinamide riboside and three other drugs do not affect lifespan in either sex

In simple terms

This study is like testing different medicines on groups of mice to see if they live longer. It's not a randomized test like flipping a coin to decide which mouse gets which medicine. The researchers found that one medicine (17-α-estradiol) seemed to help male mice live longer, but they can't prove the medicine actually caused the longer life - it could just be a coincidence. And even if it works for mice, that doesn't mean it will work for people.

13%

Analysis score

13/ 72

Maximum 72 for a cohort study.

Where the score came from

Reporting0
Methodology31
Publication100
Statistical54
Study type (basis of the score)
Cohort Study
Level 2b - Individual cohort study
What’s the bottom line?

Scientists tested five different pills to see if any could help mice live longer. One pill called 17-α-estradiol (a non-feminizing estrogen) worked really well for male mice - they lived about 19% longer when given the pill starting at middle age, and even 11% longer when started at older age. But it didn't help female mice at all. The other four pills (including nicotinamide riboside) didn't help mice of either sex live longer.

Where does this study sit?

Reviews of RCTs (Meta-analyses)

Max 100

Randomized Trials

Max 90

Reviews of Cohort Studies

Max 85

Cohort Studies

Max 72

Reviews of Case-Control Studies

Max 63

Case-Control Studies

Max 58

Cross-Sectional & Case Series

Max 50

Expert Opinion

Max 5
StrongerWeaker
Cohort Studies
Level 2b
13

13 / 100

Quality score

Groups of people are followed over time to see who develops an outcome. Strong for identifying risk factors and associations, but cannot prove causation as firmly as RCTs.

Cannot establish causation

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Key takeaways

Summary

Based on the study abstract and findings.

  1. 1This study shows that 17-α-estradiol can extend lifespan in male mice even when treatment starts in middle or older age.
  2. 2However, this is basic research in mice - we don't know if it would work the same way in humans, and the effect was only seen in males.
  3. 3Male mice given 17-α-estradiol lived 19% longer (started at 16 months) and 11% longer (started at 20 months).
  4. 4Maximum lifespan increased 7%.
  5. 5Female mice showed no benefit.
  6. 6Four other drugs showed no significant lifespan extension.

Score breakdown, methodology, conflicts of interest, evidence analysis & raw study data

Publication

Journal

Aging Cell

Year

2021

Authors

D. Harrison, R. Strong, P. Reifsnyder, Navasuja Kumar, Elizabeth Fernandez, K. Flurkey, M. Javors, M. Lopez-Cruzan, F. Macchiarini, James F. Nelson, Alessandro Bitto, Amy L. Sindler, G. Cortopassi, K. Kavanagh, L. Leng, R. Bucala, N. Rosenthal, A. Salmon, Timothy M. Stearns, M. Bogue, Richard A. Miller

Open Access
81 citations
Analysis v5

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