Natto tops published spermidine tables, and higher spermidine intake tracked with lower 20-year mortality in the Bruneck cohort. Here it lands on brown rice with avocado, a jammy egg and scallions.

Natto — soybeans fermented with Bacillus subtilis — sits at or near the top of nearly every published table of spermidine content in food, which is the reason this bowl exists. Spermidine is a polyamine that triggers autophagy, the cell's recycling and quality-control program, and feeding it to yeast, worms and flies extended their lifespans (Nature Cell Biology, 2009). In aged mice, adding spermidine to drinking water improved heart function and modestly extended life (Nature Medicine, 2016). Those are animal results; nobody has run that experiment in people, and culinary doses are smaller than what the mice got.
The human evidence is observational but genuinely interesting. In the Bruneck study, which followed around 800 Italian adults for two decades, participants with the highest dietary spermidine intake had lower all-cause mortality than those with the lowest — a gap the authors compared to being several years younger (The American Journal of Clinical Nutrition, 2018). People who eat natto and wheat germ differ from people who do not in plenty of other ways, so read that as supportive, not proof. The fermentation angle has its own trial: a Stanford randomized study found that a diet high in fermented foods increased gut microbiome diversity and lowered a panel of inflammatory markers over ten weeks (Cell, 2021).
Natto supplies the spermidine payload plus live Bacillus cultures, making it one of the few foods that shows up in both the polyamine literature and the fermented-food literature. Pasture-raised eggs add choline, an essential nutrient most adults under-consume, needed for cell-membrane phospholipids and methylation (Nutrition Reviews, 2009) — the yolk is the point, so keep it jammy. Avocado brings more potassium than a banana along with monounsaturated fat, short-grain brown rice keeps the grain intact rather than refined, and scallions, tamari and toasted sesame seeds make the whole thing taste like a Tokyo breakfast rather than a supplement stack.

Serves 2. If natto's texture is new to you, start with one pack stirred thoroughly into hot rice — heat softens both the smell and the pull, and the avocado and egg round off the edges.
22 PubMed citations
In model organisms (yeast, worms, flies and mice) spermidine induces autophagy and extends lifespan, and in rodents it…
25 PubMed citations
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Primary sources for the claims above. Effects reported in these papers describe the compound or the dietary pattern studied — not this specific dish.
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