EXPLAINER: How To Live To 117

She lived to 117 — and when scientists sequenced everything from her genome to her gut bacteria, they found a paradox that rewrites what aging has to look like. In this episode, Robert Lufkin MD breaks down the landmark multiomics study of Maria Branyas Morera, the world's oldest verified person, published in Cell Reports Medicine (2025) by the Esteller lab. The study mapped her genome, epigenome, proteome, metabolome, and microbiome — and found a body that was simultaneously very old and biologically young. Chapters: 00:00 — Introduction 00:43 — Who Was Maria Branyas Morera, the World's Oldest Person? 01:18 — The Multiomics Study Published in Cell Reports Medicine 02:03 — The Paradox: Old and Young at the Same Time 02:23 — Epigenetic Clocks: A Biological Age 23 Years Younger 02:51 — Why Her Short Telomeres May Have Protected Her 03:44 — Clean Metabolism: Very Low Triglycerides, High HDL 04:22 — Inflammaging: Why Low Inflammation Is the Real Headline 05:10 — Gut Microbiome, Daily Yogurt, and Bifidobacterium 06:05 — The Longevity Chain: Gut, Inflammation, Metabolism 06:23 — The Honest Caveat: Half Genetics, Half Lifestyle 07:29 — The Takeaway: What Aging Cleanly Really Means Key takeaways: Six epigenetic clocks estimated her biological age as much as 23+ years younger than her chronological age Her telomeres were among the shortest recorded in a healthy person — possibly acting as a brake on tumor growth rather than a death sentence Her lipid panel was remarkably clean: extremely low VLDL and triglycerides, very high HDL Systemic inflammation stayed strikingly low — "inflammaging" was turned down Her gut microbiome was unusually diverse and dominated by Bifidobacterium — she ate about three yogurts a day for the last 20 years of her life It's an n-of-1 study: roughly half genetics, half lifestyle — but the pattern points upstream to metabolic health Studies & sources mentioned: Santos-Pujol et al., Cell Reports Medicine 2025 — The multiomics blueprint of the individual with the most extreme lifespan Watch the video version on YouTube: https://youtu.be/0TX_E46sAFk 📖 Dr. Lufkin's book "Lies I Taught in Medical School": https://robertlufkinmd.com/lies/ 📰 Substack newsletter: https://robertlufkinmd.substack.com 🌐 Website: https://robertlufkinmd.com ⭐ Enjoying the show? Please leave a 5-star review on Apple Podcasts — it takes 30 seconds and helps more people discover the science of health and longevity. Thank you! New episodes every other Tuesday. Subscribe so you don't miss one. Continue this conversation on Substack: https://robertlufkinmd.substack.com Lies I Taught In Medical School — Free sample chapter: https://www.robertlufkinmd.com/lies/ Web: https://www.robertlufkinmd.com YouTube: https://www.youtube.com/robertlufkinmd X: https://x.com/robertlufkinmd Instagram: https://www.instagram.com/robertlufkinmd/ TikTok: https://www.tiktok.com/@robertlufkin LinkedIn: https://www.linkedin.com/in/robertlufkinmd/