Thymus Involution

The thymus gland is a small but crucial immune system component in our upper chest, just behind the breastbone. The thymus is most active during childhood, producing the majority of T-cells before puberty. This organ plays a vital role in developing and training T-lymphocytes, or T-cells, a type of white blood cell essential for immune response. T-cells are responsible for identifying and attacking foreign pathogens, such as bacteria and viruses, protecting the body from infections and diseases. T-lymphocytes can also attack cancer cells, a crucial mechanism of the immune system’s natural defense against cancer.

As one ages, the thymus gradually shrinks and becomes less active, a process known as involution. Despite its reduced size in adults, the thymus’s early function is critical for establishing a robust immune system. Despite gradual involution after puberty, the thymus remains functional and critical throughout adulthood. Its persistent activity challenges earlier beliefs about its post-puberty irrelevance, highlighting its lifelong role in maintaining immune competence and overall health.

How is the Thymus Important in Anti-Aging?

Shows the relation between a decrease in blood levels of thymic peptides and the direct correlated increase with thymus dependant immunity and its increase on age related diseases

The above chart shows the importance of the thymus gland and its relationship with aging diseases. The thymus gland is a critical component in the fight against aging due to its multifaceted role in immune function and overall health. As the primary site for T cell production and maturation, the thymus is essential for maintaining a robust and diverse immune response throughout life. However, its gradual involution with age leads to a decline in T cell output, contributing to immunosenescence—the age-related deterioration of the immune system. This process increases susceptibility to infections and diseases and impacts the body’s ability to maintain central tolerance, potentially leading to autoimmune disorders. The thymus’s diminishing function is also linked to inflamm-aging, a chronic low-grade inflammation associated with various age-related conditions. Importantly, recent research has shown promising results in thymic rejuvenation, suggesting that interventions targeting the thymus could reverse aspects of biological aging. 

Thymus Regenration

Intervene Immune Launches Thymus Regeneration TRIIM-X Clinical Trial

The above slide is from the company Intervene Immune, headed by Dr. Greg Fahy. Dr. Fahy and his team designed the successful TRIIM trial, which resulted in thymic regeneration. Thymic rejuvenation strategies represent a significant avenue in anti-aging research, potentially improving immune function and reducing age-related diseases. They offer hope for promoting healthier aging and longevity. Additionally, the thymus produces several hormones, including thymosin, which stimulates T-cell production and maturation. Although the thymus begins to shrink after puberty, recent research suggests it plays a vital role in adult health, contributing to the ongoing production of T cells and potentially influencing the risk of cancer, autoimmune diseases, and overall mortality. Despite its gradual involution, the thymus continues to produce T cells, albeit at a slower rate, helping to maintain the diversity of the T cell repertoire essential for combating new pathogens. Research has shown that adults with an intact thymus have lower risks of death, cancer, and autoimmune diseases compared to those who have undergone thymectomy. The thymus’s ongoing production of hormones like thymosin contributes to immune function and may have anti-aging effects. It also aids in replenishing naive T cell populations, which are critical for responding to novel threats – a function that becomes increasingly important as we age and face new health challenges. 

The thymus gland is crucial for immune system development and function throughout life. 

What is actually in the TRIIM Trial?

The TRIIM (Thymus Regeneration, Immunorestoration, and Insulin Mitigation) trial was a groundbreaking clinical study conducted from 2015 to 2017 that aimed to reverse aspects of human aging, particularly thymic involution and immunosenescence—led by immunologist Dr. Gregory Fahy, the trial involved nine healthy men aged 51-65 who were given a combination of recombinant human growth hormone (rhGH), dehydroepiandrosterone (DHEA), and Metformin. The study’s primary goal was to regenerate the thymus gland, which plays a crucial role in the immune system by producing T cells and potentially reversing epigenetic aging. Remarkably, the results showed significant thymus regeneration in seven out of nine participants, with fat replaced by functional thymic tissue and an average reduction in epigenetic age of 2.5 years, according to various epigenetic clocks.

The PUR-FORM Version of the TRIIM Trial

There is no doubt that the TRIIM trial is an excellent scientific trial. At PUR-FORM, we have created our trial based on the TRIIM trial.  We have changed things around a bit. The changes are for the better. In place of the HGH, we will use Sermorelin. In place of Metformin, we will use Berberine. We will continue with DHEA. Lastly, we will add some senolytic agents to deal with senescent cells.   

  1. For several compelling reasons, Berberine, in place of Metformin, could serve as a promising alternative or complement to Metformin in the TRIIM trial. Like Metformin, Berberine activates AMPK and exhibits similar effects on glucose metabolism and insulin sensitivity, suggesting it could replicate some of metformin’s beneficial effects on thymus function. Berberine also offers additional benefits, such as more pronounced lipid-lowering effects, which could be valuable for overall health improvement in the context of thymus regeneration. Notably, unlike Metformin, Berberine does not reduce the benefits of exercise. Some studies suggest it may enhance exercise effects, with research showing improved outcomes when combined with circuit training in sedentary, overweight men and increased antioxidant enzyme levels in diabetic rats undergoing aerobic exercise. Berberine’s significant anti-inflammatory properties could further benefit thymus health and regeneration. Berberine’s gut health benefits, including protecting the gut barrier from inflammation and promoting healthy gut bacteria, may indirectly support overall health and potentially thymus function.
  1. Sermorelin could be considered a superior choice to human growth hormone (HGH) in the TRIIM trial. Unlike direct HGH administration, Sermorelin stimulates the pituitary gland to produce and release the body’s growth hormone, mimicking natural processes and maintaining physiological feedback mechanisms. This approach leads to regulated effects through negative feedback involving somatostatin, making overdosing on growth hormones difficult. Sermorelin induces a pulsatile release of growth hormone, resembling the body’s natural rhythm more closely than the constant levels injected HGH provides. Significantly, Sermorelin stimulates pituitary gene transcription of growth hormone mRNA, potentially increasing pituitary reserve and preserving more of the growth hormone neuroendocrine axis, which could help slow the decline of pituitary function associated with aging. Sermorelin‘s intermittent stimulation may also help avoid tachyphylaxis, a diminishing response that can occur with constant HGH administration. Additionally, Sermorelin is generally considered to have a favorable safety profile with fewer side effects compared to direct HGH treatments, making it potentially more suitable for long-term use in age management therapies. While the original TRIIM trial used HGH, these potential advantages suggest sermorelin could be a promising alternative for future studies or trial variations, potentially offering similar benefits with reduced risks and improved alignment with natural physiological processes.
  1. Continuing DHEA: DHEA was part of the original TRIIM protocol, so maintaining its use aligns with the study design.
  1. Senolytic agents: Senolytic agents could be a valuable addition to an alternative TRIIM trial, complementing the effects of other interventions like Sermorelin, Berberine, and DHEA. Senolytics selectively eliminate senescent cells, accumulating with age and contributing to chronic inflammation, tissue dysfunction, and various age-related diseases. By removing these problematic cells, senolytics could enhance the overall regenerative effects of the trial. They may help create a more favorable environment for thymus regeneration and immune system rejuvenation by reducing the inflammatory burden and freeing up tissue repair and renewal resources. Senolytics have shown promise in preclinical studies for improving various aspects of health and longevity, including cardiovascular function, metabolic health, and physical performance. In the context of thymus regeneration, reducing the senescent cell burden could enhance the responsiveness of thymic tissue to growth factors and other regenerative signals. Additionally, senolytics might synergize with the metabolic benefits of Berberine and the hormonal effects of Sermorelin and DHEA to create a more comprehensive anti-aging intervention.

-Dr. Purita

All our treatments are designed to reduce inflammation and address both internal and external signs of aging, promoting overall cellular health.
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