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Rapamycin Offers Life-extending Benefits Comparable to Eating Less

Context: Scientists may have found a way to extend lifespan using two existing drugs, Rapamycin and Metformin, which mimic calorie restriction. Human trials are yet to begin.

About Rapamycin

  • Rapamycin (sirolimus) is an FDA-approved drug known for inhibiting the mTOR (mechanistic Target Of Rapamycin) pathway.
  • Mechanism of Action: suppresses cell growth, promotes autophagy, and delays ageing.
  • Effect on Lifespan (Animal Models):
    • Extends lifespan in mice by 20–60%, even when started late in life (e.g., 3‑month or 6‑week treatment in middle‑aged mice).
    • Lifespan extension is observed across species: yeast, worms, flies, and mice.
  • Mode of Lifespan Extension:
    • Primarily delays cancer development (neoplastic disease) but also slows ageing processes via mTOR inhibition.
  • Healthspan Benefits:
    • Improves muscle strength, motor coordination, and cognitive performance, and reduces age-related dysfunction in rodents.
  • Treatment Regimens:
    • Both chronic and intermittent dosing are effective; short-term mid-life treatment can yield effects similar to lifelong use .
  • Translational Prospects:
    • Preclinical data show lifespan and healthspan enhancement; human trials in older adults are limited and focus on safety, immune response, and biomarkers.
  • Caveats & Concerns:
    • Being an immunosuppressant, risks include infection susceptibility, mouth ulcers, hyperlipidemia, and insulin resistance.
    • Optimal dosing and timing (especially to minimise side effects) are still under investigation.

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