Covers some basics about aging. If you have any formal education or research experience in aging from a biochemical, molecular biological, or related perspective, there's nothing new here. If you are fresh to the topic, there are several problems that can make for a bad foundation.
The basic science is okay (if incomplete and unimaginatively described) and might merit two stars if it were simply a solid pop-science introduction to aging for the general public. The problem is that even on that level there's nothing to recommend this book. It perpetuates incomplete and warped frameworks for looking at aging and other scientific or philosophical issues, and the author goes out of his way to hide the standard biases held by people in his particular academic circles. All of this is rehashed from countless standard works on aging from the past many decades. I'll try to address a few of these issues specifically.
To begin with, the history is wrong. It propagates the same lazy, unethical forms of all histories of science told through the usual Western lens with its associated patriarchal impulses, colonial fetishization, and other conceptual failings.
A basic example of these patriarchal impulses is when the author states early in the book, in the intro to his chapter on genes, that Watson and Crick "deduced" the structure of DNA. This is completely false and has been known as such for decades. Let's discuss what actually happened and why it matters to this review.
Watson and Crick had imagined multiple possible structures of DNA, each incompatible with the other. They only settled on the version that won them the Nobel after stealing Rosalind Franklin's data and using it without her consent and without citing her essential contribution to their conclusion. In modern academic terms, if Watson and Crick were undergrads behaving in exactly this same way and got caught, they would get kicked out of their lab. If they were grads taking a course on scientific ethics, they'd fail this question on the test. If they were research staff or faculty publishing this data in a rigorous journal, they'd be forced to edit their paper at a minimum, probably retract it, and possibly get their university in legal trouble.
So why does any of that matter to this book? Several reasons. Let's start with the fact that the author, Ramakrishnan, does not even mention Franklin's name, let alone her essential contribution, when he makes his absurd passing statement about Watson and Crick's "deduction".
First, because this was not a deduction at all, but rather a scientific conclusion based on unambiguous scientific data, we can see the author is misusing standard scientific terminology. Yet we're expected to trust all the other scientific terminology, some of it much more nuanced, that he uses while discussing something as complicated and confusing as aging research.
Second, Watson and Crick's theft is unambiguous and, in the present day (when this book was written), ubiquitously known. I genuinely believe it's impossible this news has not reached Ramakrishnan's ears. And yet he has no trouble perpetuating these combined lies of commission (calling what Watson and Crick did a "deduction") and omission (not even mentioning Franklin's essential contribution). But despite this fundamental failure of basic narrative ethics we're expected to trust his ethical judgment in far more complex and complicated ethical discussions around aging and aging research.
Third, Ramakrishnan is a fellow male science Nobel winner in an overwhelming crowd of male science Nobel winners who stepped on and stole from their female colleagues. (Look up Vera Rubin and Lise Meitner to get your toes wet in the sea of female scientists' essential contributions that have been drowned by the Nobel committees.) So all I see here is Ramakrishnan perpetuating the Nobel boys' club. The pattern is old as time and so fucking boring in 2024. Patriarchy is so god damn unimaginative it can't even think up new tricks to make itself seem convincing. Yet we're supposed to believe any predictions Ramakrishnan makes about future histories of aging science, or his interpretations of existing histories, when he can't even get something right that is so profoundly well-known that any random biochemistry undergrad could tell him about it? It's astoundingly embarrassing and, at this point in time, not something any scientist or science writer should be allowed to get away with. Minus two stars for this colossal failure and everything else it illustrates about this book.
For someone who wants to explain a topic requiring as much imagination as aging research, this guy can't even imagine the long-settled historical fact that his male idols stole their claim to fame from a more technically proficient woman. If I let my eyes roll as far back as they want to roll right now, I'd probably die and accidentally summon a poltergeist at the same time.
A while back I also mentioned colonial fetishization. What do I mean by that? Well, several things, but once again let's focus on a single illustrative example. Early on, Ramakrishnan briefly mentions and then immediately dismisses a purported case of a man living to be around 150 years old. I hold no stake in who this man was or how old he lived to be, but the way the author dismissed him was telling. It essentially amounted to (this is a paraphrase): "He couldn't remember his early childhood, therefore he couldn't have been that old because old people seem to remember their early childhoods best." And then he immediately pivots to talking about the oldest "documented" people.
I won't run through all the issues here in the same depth as my patriarchy example, but I'll briefly mention them. First, projecting limited current evidence regarding a deeply complicated and experimentally unsteady topic (the measured neural structures, processes, phenotypes, and phenomenologies of memory in elderly individuals) into a universal prediction ("old people seem to remember their childhoods best, therefore all old people will uniformly remember their childhoods best") is, on its face, really bad science. Second, "documented" just means somebody wrote something down. Written words can be as much a lie as spoken words, and spoken words can contain just as much truth as written words. These issues - reduction of sparsely sampled complex human possibilities into universally applied statistical models, and fetishization of the written word over the spoken - are very much specific products of Western colonial mindsets and the specific forms of science they produced.
Why does any of that matter? First, these oversights pose an obvious problem in terms of demography alone, considering how many long oral histories of aging you omit if you only include "documented" ones that, oh snap, it just so happens exclude the majority of histories around the world. Second, they pose a worse problem in terms of epistemology, because this fetishization of colonial methodologies is exactly the same road that led to (as just one prominent example among many) Western colonial forest managers pissing on Indigenous forest stewardship methods around the globe for centuries, until Western colonial scientists "discovered" that the Indigenous management strategies they'd arrogantly denigrated were actually much better for long-term ecological health and global climate control.
I genuinely don't care how many Nobel prizes the author has, I can't take any of their scientific or philosophical conclusions seriously when they're writing like they still live in 1800s Britain.
This review is getting enormous so I'll try to wrap it up with a few more structural problems this book has.
The same tired analogies about aging that always show up are present in their same usual forms here. Here's a classic that this book repeats (this is another paraphrase): "Organisms age and die like corporations and cities do. All of them require centralized law and order to maintain proper function. When they finally go, they go all at once in a cascade failure and are lost forever." We'll look past the assumption that corporations - a social arrangement unique to capitalism with its own very strong idiosyncrasies - are anything like cities, and just focus instead on the old-school comparison of cities to organisms.
Ramakrishnan seems to possess the same old limited Western colonial misunderstanding of cities as entities that arise in predictable steps of historical development and then die from catastrophic cascades (think Rome and the Goths, for example) when "law and order" is lost. That is obviously why he chooses this analogy, because his viewpoint throughout the book is clearly that humans will always be limited to the same ultimate fates of biological death following the same set of rules.
The problem is that none of this is a fact about cities at all. Take the great metropolises of Cahokia and the North American Mound Cities, which were intentionally abandoned over long periods of time as their inhabitants decided they'd live more fulfilling, peaceful, and egalitarian lives outside of these metropolitan settings. Or Teotihuacan, the city that inspired Tenochtitlan and which spent the first century of its existence under brutal "law and order" before undergoing a revolutionary switch to a communal form of city governance that lasted the remainder of their prosperous centuries. (To learn more about these fascinating kinds of city history that are utterly ignored in the standard Western colonial lens, I recommend the incredible books 'The dawn of everything' by Graeber and Wengrow, and 'Native nations' by DuVal.)
If you insist on making analogies between cities and organisms, the end of cities like Cahokia is less like a human's cascading death failure and more like the embryonic reversion of Turritopsis dohrnii. That version of the analogy would still have problems, but those problems would be much more interesting to explore than the fluff we get here. Meanwhile Teotihuacan's loss of "law and order" led not to chaos and ruin but many additional centuries of markedly improved life for all of its citizens. To carry this analogy back into the realm of this book, this is less like a human's aging regulation pathways failing and leading to death, and more like that human getting an entirely new alternate set of pathways that added on several additional lifespans.
Ramakrishnan ignores all this because he starts this book committed to his one quaint, outdated set of ideas about human death and progress, at the level of the organism and the city alike, and continues that commitment straight through to the book's conclusion. It's so predictable I'd give it one star as a murder mystery too. Ultimately the only thing his analogies illuminate is Ramakrishnan's own deep ignorance about the topics he's pretending to explain to his readers. (It also reinforces my earlier point about Western colonial academics disregarding entire histories that weren't "documented" - like, say, Cahokia's.)
The final thing I'll mention is that this book seems devoid of any admission of something that is extremely well known in aging research circles, which is the fact that aging researchers, almost universally, collectively and consciously downplay the ideas of lifespan extension in favor of healthspan extension. This is largely not because of inherent scientific obstacles in the former relative to the latter - though some of that is certainly present - but rather because it is a universally acknowledged fact that this is the strategy required to continue being taken seriously by federal grant funding committees and therefore retaining funding. The dominant force here is politics, not science. I would have given this a pass except that Ramakrishnan goes out of his way to bash antiaging startups in the corporate world (which to be clear, I have no love for) without ever once acknowledging the dominant bias of the academic researchers he quotes throughout this book - a bias equally rooted in economic considerations as the profit bias of the corporate startups.
Hopefully the next big popular book on aging science will be much, much better than this. This is not worth anyone's time.