Evidence map›Paper›PMID 26463117›Full record

ArticleAging cell2016

Alternative rapamycin treatment regimens mitigate the impact of rapamycin on glucose homeostasis and the immune system.

Sebastian I Arriola Apelo, Joshua C Neuman, Emma L Baar, Faizan A Syed, Nicole E Cummings, Harpreet K Brar, Cassidy P Pumper, Michelle E Kimple, Dudley W Lamming

Open access · goldAbstract read
In one paragraph

Article in Aging cell, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

116 citing papers in PubMed, 1 synthesis or guideline pooled it, 178 citations in OpenAlex.

  1. Pooled it
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  14. The link between Mitochondria and Sarcopenia.Journal of physiology and biochemistry · 2025
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Sebastian I Arriola ApeloDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Joshua C NeumanWilliam S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
Emma L BaarDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Faizan A SyedDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Nicole E CummingsDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Harpreet K BrarDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Cassidy P PumperDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Michelle E KimpleDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Dudley W LammingDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.ORCID http://orcid.org/0000-0002-0079-4467
University of Wisconsin–Madison · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Christian Capitini · 1985 to 2026
$142.6M
Biology of Aging and Age-Related Diseases Training GrantT32AG000213 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Rozalyn M. Anderson, Sanjay Asthana · 1991 to 2026
$9.9M
Molecular Mechanisms of Dysfunctional Prostaglandin Signaling in the Beta-CellR01DK102598 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI KIMPLE, MICHELLE E · 2014 to 2018
$1.7M
The in vivo regulation of glucose homeostasis and lifespan by mTORC2R00AG041765 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI LAMMING, DUDLEY WILLIAM · 2014 to 2016
$738k
The in vivo regulation of glucose homeostasis and lifespan by mTORC2K99AG041765 · NIA · WHITEHEAD INSTITUTE FOR BIOMEDICAL RES · PI LAMMING, DUDLEY WILLIAM · 2012 to 2013
$141k
NCI NIH HHS P30 CA014520NIA NIH HHS AG041765NIA NIH HHS K99 AG041765NIA NIH HHS R00 AG041765NIA NIH HHS T32 AG000213NIDDK NIH HHS R01 DK102598
6 · The paper itself

Abstract

Inhibition of the mechanistic target of rapamycin (mTOR) signaling pathway by the FDA-approved drug rapamycin has been shown to promote lifespan and delay age-related diseases in model organisms including mice. Unfortunately, rapamycin has potentially serious side effects in humans, including glucose intolerance and immunosuppression, which may preclude the long-term prophylactic use of rapamycin as a therapy for age-related diseases. While the beneficial effects of rapamycin are largely mediated by the inhibition of mTOR complex 1 (mTORC1), which is acutely sensitive to rapamycin, many of the negative side effects are mediated by the inhibition of a second mTOR-containing complex, mTORC2, which is much less sensitive to rapamycin. We hypothesized that different rapamycin dosing schedules or the use of FDA-approved rapamycin analogs with different pharmacokinetics might expand the therapeutic window of rapamycin by more specifically targeting mTORC1. Here, we identified an intermittent rapamycin dosing schedule with minimal effects on glucose tolerance, and we find that this schedule has a reduced impact on pyruvate tolerance, fasting glucose and insulin levels, beta cell function, and the immune system compared to daily rapamycin treatment. Further, we find that the FDA-approved rapamycin analogs everolimus and temsirolimus efficiently inhibit mTORC1 while having a reduced impact on glucose and pyruvate tolerance. Our results suggest that many of the negative side effects of rapamycin treatment can be mitigated through intermittent dosing or the use of rapamycin analogs.

Indexed as

AnimalsBlood GlucoseCell ProliferationGlucose IntoleranceHomeostasisImmune SystemInsulin-Secreting CellsMice, Inbred C57BLSignal TransductionSirolimusBlood GlucoseSirolimustemsirolimusagingmechanistic target of rapamycinmicerapamycin

Identifiers

PMID26463117
PMCPMC4717280
OpenAlexW2156506572

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.