Yuancheng (Ryan) Lu is obsessed with aging. And with eyes. As he steps outside the Whitehead Institute in Cambridge, Massachusetts, his aviator glasses darken automatically in the sun. Age-related blindness runs in his family. A great-aunt in China, the story goes, was killed crossing a road because she couldn’t see oncoming traffic. And Lu’s own 23andMe test came back with a mutation for macular degeneration, a top cause of vision loss in old age. Exposure to bright sunlight is another risk factor—thus the shades. “They protect me,” he says. “Plus, they look cool.”

Lu, 34, works on gene therapies to prevent age-related vision loss. “I think the eye is a really unique system to study aging and rejuvenation,” he says. “I could give a whole presentation.” Pushing up my reading glasses, I lean in to listen.

Lu is behind one of the coolest results in rejuvenation science—and in eye research. In 2018, while earning his PhD at Harvard Medical School, he used an age-reversal technique called reprogramming to repair the optic nerves of mice. He crushed the nerves, blinding the animals, and then injected the cells with a gene therapy meant to restore them to a youthful state. Sixteen days later, the nerves were growing back, their axons showing up through a microscope as spidery orange filaments.

As hype around age reversal swirls, Lu has been busy in the lab searching for what he calls “the next generation of rejuvenation therapies.”

The head of that lab, the longevity scientist David Sinclair, remembers when Lu texted him the pictures: “He asked me, ‘What do you see here?’ And I said, ‘I see the future.’” Later tests carried out in a box with rotating bars of light showed the mice were tracking the changes. They could see again.

This year, nearly the exact genetic therapy Lu created for mice entered human clinical trials. On June 9, the startup Life Biosciences, which Sinclair cofounded and in which Lu owns a small stake, announced it had injected the treatment into the eye of a person with glaucoma. The trial has been big news. A headline in the New York Times suggested the technology could “change humanity.” Posters on X gushed, with one declaring that “the fountain of youth is here.”

“It’s remarkable that what he developed as a student is now going into humans,” says Sinclair of the treatment, now called ER-100. “It’s barely even changed since he built it.”

Reprogramming refers to an age-­restoring process that takes place inside an embryo. It’s why babies are born young, not old: The DNA they’ve inherited from their parents has been scrubbed and reset. In 2006, Japanese researchers showed they could cause the process to occur in the lab by introducing just four key genes, known by the acronym OSKM. Add these to a cell from a 100-year-old and it will turn into a stem cell that acts as if it was plucked from an embryo.

That’s powerful stuff. But we don’t want to turn people into blobs of stem-cell protoplasm. Lu figured out a way to control the effect. He trimmed the list of genes to just OSK—leaving out M, for Myc, the one most likely to cause dangerous changes like cancer. His extra flash of insight was that reprogramming could be tested on the optic nerve; the eye is particularly accessible.

Lu’s result, published in Nature in 2020, helped set off an investment rush. Since then, US tech billionaires have placed huge bets on private companies like Altos Labs and NewLimit to explore reprogramming and anti-aging medicine. The day I spoke with Lu, he’d spent the morning meeting with the business magnate Zhong Shanshan, one of China’s richest people.  

Still, as hype around age reversal swirls, Lu has been notably absent from the public conversation. He’s been busy in the lab searching for what he calls “the next generation of rejuvenation therapies.” With a sigh, Lu describes the grueling effort over the last six years to understand what OSK really does. The treatment remains toxic to many cell types, and he says it’s becoming obvious that different factors drive aging in each kind. This year, for example, he identified a gene responsible for protecting the retina from damage by free radicals—the main cause of age-­related macular degeneration.

While Sinclair, his former boss, believes humans could live to be 200, Lu disagrees. There’s just too much that goes wrong as we age. His work with OSK, he says, was more a proof of concept than a silver bullet. But it did change the conversation. “Six years ago, you couldn’t talk about rejuvenation. We didn’t use that word—there was pushback,” Lu tells me. “But I think people have accepted the concept that you can really reverse molecular age.” 

I knew I’d officially become a “longevity influencer” this month when a company called Generation Lab reached out to offer me the chance to write about—and even receive—their new rejuvenation treatment, an injectable combination of two existing drugs which they call 1 Generation.

This wasn’t just any antiaging treatment, either. A company fact sheet says that it “blocks the systemic spread of aging in the bloodstream, reawakens the body’s own repair mechanism and restores health and youth to multiple tissues.”

The exclusive offer to join a “private cohort” receiving access to the treatment was being “extended to a limited number of people whose judgment on the science we trust, under close physician supervision.”

“There’s a long wait list including a lot of celebrities, well-known people, people who you have heard of,” Generation Lab’s CEO Alina Su told me in a conference call. “So we’re super excited to, like, create this drug and [are] letting you know that this first longevity therapeutic in [the] human body is here and it’s actually working.”

This was all clearly a marketing campaign and, like most other claims in the world of longevity medicine, probably too good to be true. What’s more, Generation Lab wouldn’t tell me what the two drugs are, making the proposition hard to take seriously.

Yet this pitch got my interest. The reason? I am a longtime follower of Generation Lab’s irascible scientific founder, Irina Conboy, a take-no-guff specialist in the bizarre, but scientifically fruitful, practice of joining together the circulatory systems of old and young lab animals.

The procedure, called parabiosis, or heterochronic blood exchange, is one of the few things actually proven to make an old animal act younger. 

But you can’t go through life attached by the veins to a younger person. So the quest has been to find practical ways to mimic those benefits. 

And that is something Conboy says she’s now achieved by hitting on a combination of two existing drugs that produce youthful effects—but without the need for any bodily fluid exchange. 

Over the last two months, Conboy has been taking the drug combination and feeling quite a bit better and more energetic, she says. So have a handful of other insiders, including Su, the company’s 26-year-old CEO, as well as Conboy’s husband and scientific collaborator Michael Conboy.

The company’s public relations staffer sent me a spreadsheet of the supposed benefits experienced by the participants, including improved vision in a 64-year-old female, longer landscaping sessions for a 59-year-old man, longer badminton games, improved hand grip, better erections than with Viagra, as well as “increased bowel movements.”

Obviously, any age-reversal drug that works would be the best-selling product of all time. The problem is that none have ever been shown to do that. And Generation’s approach to evidence raises several red flags. For instance, Su says the company now plans to launch a larger study, involving a hundred or more people. However, others are being offered the drug before firm evidence of a benefit is in.

In addition, the trial will be led by longevity doctors who practice alternative medicine. These include Matt Cook, founder of a network of clinics called BioReset Medical. Cook’s clinics offer what I would characterize as unproven treatments, such as stem-cell injections. A 2021 article reported he’d recommended covid-19 treatments designated as “fraudulent” by the FDA. Those included inhaling amniotic fluid from a nebulizer.

In a phone call, Cook says he initially agreed to prescribe the combination to Conboy and a few other insiders. (Everyone involved, he says, is a member of the same “happening” Silicon Valley scene around life extension.) “My confidence this was going to work was a zero. Like, I did not believe it was actually going to work,” says Cook. That is because “it’s two safe, generic drugs that are not even longevity drugs.”  

But Cook, who also took the combination, says there was an effect. “And I have to tell you, it was the most surprising thing that ever happened to me,” he says. After taking the weekly injections, he experienced a sense of mental clarity that lasted for a day, and then several days. The other subjects, he says, reported a sense of well-being, as well as old aches and pains that evaporated. 

“There was a fairly significant broad set of symptoms that doesn’t really match what either of the drugs do,” he says. “So it’s interesting. [But] I have many more questions than I have answers … I still feel like I don’t understand exactly what the mechanism is.”

Prior to joining Generation Lab full time in 2025, Irina Conboy had a long career at the University of California, Berkeley, where she made her name via a widely cited series of experiments aimed at learning   whether the characteristics of age, or youth, could be transferred between animals via the bloodstream. In 2005, for instance, she surgically connected two-month-old mice to very aged ones, finding that the old animals’ ability to heal from injury dramatically improved.

This suggested that young blood must contain specific, powerful molecular signals capable of restoring the regenerative capacity of an old animal. As researchers zeroed in on candidate signals, several startups, including Elevian, a Harvard spinout, and Alkahest, tied to Stanford University scientists, were able to raise millions to pursue treatments for stroke or Alzheimer’s. However, those efforts still have not hit commercial paydirt.

Although it’s clear that young blood is good for old mice, scientists also know the reverse is true: Even a single exchange of plasma from an aged mouse has powerful, negative effects on a younger animal. That means that in the battle of age versus youth, says Conboy, “old blood dominates.”  

Conboy next tried a new approach. Instead of giving old animals young blood, in 2020 she removed the plasma (the part of the blood without cells) of old animals and replaced it with a neutral mixture of albumin and salt water. This was like pressing the Delete key on the swarm of hormones, antibodies, and other molecules released by the aged body.

The reset had even stronger rejuvenating effects than sharing a young animal’s blood, and within two years, Conboy had tried it on human volunteers who agreed to have almost half their blood volume removed and thrown away.

Longevity clinics have been quick to follow Conboy’s research. Some began offering “therapeutic plasma exchange” as a wellness intervention, for prices of up to $10,000 a session. One doctor that offers it, Jeffrey Gladden, says that after seeing Conboy’s publications, he raced to California to meet her and to get the procedure himself.

By the end of 2025, Conboy had retired from Berkeley and joined her startup full time. Generation Lab has been selling an aging diagnostic test, but Conboy still wanted to find a drug that could mimic the benefits of plasma exchange. To do that, she started using a testing system she’d codeveloped, which allows researchers to bathe human cells kept in a microfluidic device with blood serum from old people.

The new device, described in a paper this year, allowed her to quickly test her intuitions about what drugs might work. “This is an awesome screen or experimental system which allows us then to ask a question: If tissue becomes old in the presence of old blood, which molecule or combination of molecules will prevent that and allow tissue to remain young, even when the circulatory milieu is old?”

She says 1 Generation works by stimulating cells to regenerate and, simultaneously, neutralizing the old-age factors in a person’s bloodstream. “It allows human cells to remain young even when they are in the presence of old people’s blood serum,” says Conboy.

Without knowing what the drugs are, I can’t give my own opinion about their promise. But some doctors working with Generation Lab expressed surprise that the combination would work. “I will say right now, candidly, it’s an unknown how it will play out. But there’s certainly a lot of enthusiasm based on the quality of her work in the past,” says Gladden, the longevity doctor, who says his Texas clinic will also be involved in the study. “I am skeptical and optimistic at the same time.”

Pressed on why the names of the drugs remain confidential, Su said it’s to avoid imitators. That’s important because Generation doesn’t own the molecules. Instead, it will seek to quickly run a clinical trial, taking advantage of an FDA process that gives companies a short period of exclusivity, perhaps three years, if they can show that a combination of existing drugs has a new use.

In the meantime, the company’s effort to generate buzz is having some success. Generation is hosting an August 28 invite-only event that will feature talks by George Church, the noted Harvard University synthetic biologist, as well as researchers from Anthropic, whose CEO, Dario Amodei, has been saying AI will cure all disease within a few years. In an email, Church says he was also offered a chance to take the drug combination.

“People are clamoring for it,” Cook, from BioReset Medical, told me. He says his office has started getting calls “from high-end doctors, venture capitalists, and people in this community who are kind of biohackers.”

“It’s high-level influencer-type people,” he adds.

As for me, no, I won’t be taking the drugs any time soon. Not until I know what they are.

Correction 8/27/2026: A previous version of this story incorrectly said patients would pay to join the larger trial of a proposed longevity drug. While patients can pay to get the drug from a doctor, the larger trial will be free to patients and sponsored by Generation Lab.

When the biotech company Insilico Medicine used its computer models to propose a promising drug for pulmonary fibrosis, it enthusiastically claimed in a press release that the molecule had been “discovered by” its generative AI platform.

Insilico leads a pack of companies using AI to rapidly come up with drug ideas humans might never think of, potentially speeding the race to new cures. AI models are now able to generate atomic designs for drugs almost as easily as ChatGPT can write a thank-you note.

However, when it came time to file for an all-important patent to protect that new chemical structure, the company made no mention of AI. Instead the patent names five humans, including CEO Alex Zhavoronkov, as the drug’s “inventors.”

The discrepancy points to a fascinating wrinkle in intellectual-property law. No matter how fundamental an AI is to a discovery, when it comes to winning rights to an invention, it’s humans—and only humans—who can take the credit.

US courts reached that conclusion after Ryan Abbott, a partner at the LA law firm Brown, Neri, Smith & Khan, brought a pro bono test case naming an AI called DABUS as an inventor of a better food container, whose intricate geometric surface lets it transfer heat well and stack easily. Because no human contributed to the design, Abbott argued that the AI should be named the inventor.

The case might have raised philosophical questions, like whether AIs deserve legal rights or what the true nature is of that eureka moment that leads to a better mousetrap. But in 2022, an appeals court in Washington, DC, said these “metaphysical matters” were beside the point. Instead, it noted that US statutes describe an inventor as an “individual,” the plain meaning of which is a human being.

Since machines aren’t people, they can’t be inventors. Case closed.

“There needs to be a human inventor or there’s no invention and no patent,” says Sarah Korman, a patent attorney who is now chief business officer and legal officer of Isomorphic Labs, an Alphabet spinout with big ambitions for AI cures. Korman, who made her remarks at MIT Technology Review’s EmTech event last year, added that there is “no doubt” our laws will need to evolve to keep pace with AI.

That’s partly because no one is denying that AIs can invent things. In the future, they may do so with less and less human intervention. As the US Patent and Trademark Office has itself acknowledged, “an AI system—like other tools—may perform acts that, if performed by a human, could constitute inventorship under our laws.”

Instead, the key question going forward may actually be whether or not any human contributed enough to be named as an inventor. Abbott believes there could be legal challenges to AI-generated drugs, since one way to invalidate a patent is to show it has the wrong inventors listed.

Abbott’s worry is that if US policy excludes AI-generated outputs from protection, that could put a damper on future drug development. Already, the US Copyright Office is refusing to grant copyrights to images and text generated by AI, raising concerns from organizations like the Motion Picture Association of America, whose members are using those tools. 

The point of our intellectual-property laws is to encourage innovation, Abbott says. It’s right there in Article 1 of the US Constitution, which says inventors and authors need to be given exclusive rights to their ideas, for a limited time, in order “to promote the Progress of Science and the Useful Arts.”

Currently, the US patent office seems to be taking a don’t-ask-don’t-tell approach to the use of AI. Under the Biden administration, the agency published guidance to help applicants determine whether and when humans would truly qualify as co-inventors of an AI discovery. But after Trump arrived in office, it reversed course. Now the patent office says AI is merely a tool, like a calculator. No need to even mention it.

You can bet that pioneering AI drug companies are keeping humans in the loop, at least for now, and documenting everything carefully. At Insilico, Zhavoronkov says, human chemists still have to synthesize the drugs, create variants, and test them on animals. “That’s the person who is going to be named on the patent,” he says. “And even if you decided to completely roboticize this process, including the experiments, someone will still push the button and give the budget.”

Should pushing a button count as being an inventor? Abbott says that’s a question for future legal cases. “What if I asked Claude to cure cancer, and it did?” he says. “I think it would be inappropriate to claim that I invented that.” 

This article first appeared in The Checkup, MIT Technology Review’s weekly biotech newsletter. To receive it in your inbox every Thursday, and read articles like this first, sign up here.