Rapamycin inhibits a series of reactions in a cell that begins with a protein
called (in a practical bit of nomenclature) “target of rapamycin,” or TOR. The
TOR chemical pathway is one of life’s
fundamental processes; it exists in some
form from yeast to mammals, where it
is designated m TOR, and helps regulate
cell growth, the production of ribosomes
(cellular protein factories) and protein
turnover. m TOR, in turn, activates a protein called S6K1.
In 2009, a team led by British researchers reported in Science that mice with
mutations that left them without any
functional S6K1 lived longer. Just as significant, genes in the mice were switched
off and on in patterns consistent with calorie restriction. A study in Nature in 2009
reported that rapamycin could extend
life span in mice, even when the drug
was given during older age. Last year,
writing in Cell Metabolism, European
researchers reported that rapamycin
also extends the life span of flies, while
another report in the American Journal
of Pathology described an extension of
life span in cancer-prone mice.
“As far as rapamycin goes, it works,” says
Luigi Fontana, a physician and calorie
restriction researcher at Washington University in St. Louis. “By giving
rapamycin, you are telling the cells that
there is not enough energy.” But rapamycin has its drawbacks. Most notably,
the drug is given to transplant patients
because it suppresses the immune system. This hasn’t been an issue in mice
because the animals are housed in
pathogen-free environments. “Human
beings are not living in pathogen-free
facilities,” Fontana says. “I would never
take rapamycin.”
The immune system concerns will
probably keep the drug, at least in its current form, off the antiaging market. “It
will not be prescribed to healthy people
because it is labeled as an immuno-suppressant,” says Mikhail Blagosklonny,
a scientist studying cell stress biology at
the Roswell Park Cancer Institute in Buffalo, N. Y. “This is enough to make people
scared.” Blagosklonny (who has helped
form a company, Tartis-Aging, to develop
Life expectancy
in years
80 and over
70–79
60–69
50–59
Under 50
SOURCES: GUINNESS WORLD RECORDS; WHO WORLD HEALTH STATISTICS; UN WORLD POPULATION PROSPECTS: THE 2006 REVISION
Averages and outliers Jeanne Calment of France was 122 when she died in 1997, making
her the longest-lived person known. That a small percentage of people live beyond 110 raises the
possibility of extending average human life span and motivates scientists’ search for antiaging
drugs. For 2009, global average life span was 68. But substantial differences exist: The map shows
average life expectancies for people born between 2005 and 2010, broken down by country.
rapamycin as an antiaging drug) believes
that in the smaller doses that would be
given to healthy people, rapamycin
would not dampen the immune system.
Writing last year in Cell Cycle, he even
went so far as to say that “taken together
with its ability to suppress cellular aging
and to increase life span, this may call
to re-label rapamycin from immuno-
suppressant to aging-suppressant (gero-
suppressant).”
If that doesn’t happen, the body’s
biology offers plenty of other targets for
drugs. Acting on the body’s system of glu-
cose detection and insulin production,
the diabetes drug metformin has also
been an attractive antiaging candidate.
And in the future, scientists may be able
to capitalize on the signals from mito-
chondria (a cell’s energy factories) that
affect life span independently of calorie
restriction. In January, researchers from
the Salk Institute for Biological Sciences
and the Scripps Research Institute, both
in La Jolla, Calif., announced in Cell that
they had pinpointed a chemical distress
signal put out by mitochondria that
lengthened the life span of worms. In
the experiment, the signal was produced
only in the intestine and nerve cells, yet
affected the entire organism.
Should any new compound reach
commercial development, scientists
acknowledge that the resulting antiaging
drug would still face hurdles to reach the
aging public. A drug that might be taken
in otherwise healthy people, perhaps for
years, would need to demonstrate it was
safe beyond doubt.
Explore more
s L. Fontana et al. “Extending healthy
life span — from yeast to humans.”
Science. April 16, 2010.