Evidence map›Paper›PMID 37801202›Full record

ArticleGeroScience2023

Blazing a trail for the clinical use of rapamycin as a geroprotecTOR.

Adam R Konopka, Dudley W Lamming, RAP PAC Investigators, EVERLAST Investigators

Open access · greenAbstract read
In one paragraph

Article in GeroScience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.5field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Evolutionary genetics of ageing.Nature reviews. Genetics · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. The Sixth Annual Symposium of the Midwest Aging Consortium.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  11. Review
  12. Review
  13. Article
  14. Observational
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Ligand-specific regulation of a binary enhancer code dictating cellular senescence.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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

4 authors at 1 institution in 1 country.

Adam R KonopkaDivision of Geriatrics, Department of Medicine, University of Wisconsin-Madison, Madison, WI, 53705, USA. akonopka@medicine.wisc.edu.ORCID 0000-0001-6655-6747
Dudley W LammingWilliam S. Middleton Memorial Veterans Hospital, Madison, WI, 53705, USA.
RAP PAC Investigators
EVERLAST Investigators
University of Wisconsin–Madison · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Clinical evaluation of mTORC1 inhibition for geroprotection.U01AG076941 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI KONOPKA, ADAM R · 2022 to 2024
$4.3M
The regulation of health and longevity by branched-chain amino acidsR01AG056771 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Dudley William Lamming · 2018 to 2026
$3.1M
The regulation of health and longevity by branched-chain amino acidsRF1AG056771 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI LAMMING, DUDLEY WILLIAM · 2023 to 2023
$2.1M
Comparative analysis of geroprotective interventions in established and novel mouse models of Alzheimer's diseaseR01AG062328 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI LAMMING, DUDLEY WILLIAM, MERRINS, MATTHEW J. · 2018 to 2022
$2.0M
Safer mTOR inhibition for human geroprotectionU01AG081482 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Adam R Konopka, Dudley William Lamming · 2023 to 2026
$1.8M
Dietary regulation of the hepatic epigenomeR01DK125859 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI DENU, JOHN M, LAMMING, DUDLEY WILLIAM · 2021 to 2023
$1.8M
Discovery and characterization of a novel acylcarnitine transporter in brown adipocytesR01DK133479 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI Judith Anne Simcox · 2022 to 2026
$1.5M
Testing the utility of miBioAge as a personalized aging biomarkerR21AG083782 · NIA · SCINTILLON INSTITUTE FOR PHOTOBIOLOGY · PI TERSKIKH, ALEXEY V · 2023 to 2024
$1.1M
The regulation of health and longevity by branched-chain amino acidsR56AG056771 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI LAMMING, DUDLEY WILLIAM · 2017 to 2017
$573k
Translation analysis of a novel intervention for diet-induced obesityR21AG061635 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI COLMAN, RICKI J, LAMMING, DUDLEY WILLIAM · 2019 to 2020
$426k
Developing the common marmoset as a translational model of age-related osteoarthritisR21AG067464 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI KONOPKA, ADAM R · 2020 to 2021
$399k
NCATS NIH HHS UL1 TR002373NIA NIH HHS AG056771NIA NIH HHS AG061635NIA NIH HHS AG062328NIA NIH HHS R01 AG056771NIA NIH HHS R01 AG062328NIA NIH HHS R21 AG061635NIA NIH HHS R21 AG067464NIA NIH HHS R21 AG083782NIA NIH HHS R56 AG056771NIA NIH HHS RF1 AG056771NIA NIH HHS U01 AG076941NIA NIH HHS U01-AG076941NIA NIH HHS U01 AG081482NIA NIH HHS U01-AG081482NIDDK NIH HHS R01 DK125859NIDDK NIH HHS R01 DK133479
6 · The paper itself

Abstract

Treatment with rapamycin, an inhibitor of the mechanistic Target Of Rapamycin Complex One (mTORC1) protein kinase, has been repeatedly demonstrated to extend lifespan and prevent or delay age-related diseases in diverse model systems. Concerns over the risk of potentially serious side effects in humans, including immunosuppression and metabolic disruptions, have cautiously limited the translation of rapamycin and its analogs as a treatment for aging associated conditions. During the last decade, we and others have developed a working model that suggests that while inhibition of mTORC1 promotes healthy aging, many of the negative side effects of rapamycin are associated with "off-target" inhibition of a second mTOR complex, mTORC2. Differences in the kinetics and molecular mechanisms by which rapamycin inhibits mTORC1 and mTORC2 suggest that a therapeutic window for rapamycin could be exploited using intermittent dosing schedules or alternative rapalogs that may enable more selective inhibition of mTORC1. However, the optimal dosing schedules and the long-term efficacy of such interventions in humans are unknown. Here, we highlight ongoing or upcoming clinical trials that will address outstanding questions regarding the safety, pharmacokinetics, pharmacodynamics, and efficacy of rapamycin and rapalogs on several clinically oriented outcomes. Results from these early phase studies will help guide the design of phase 3 clinical trials to determine whether rapamycin can be used safely to inhibit mTORC1 for the treatment and prevention of age-related diseases in humans.

Indexed as

SenotherapeuticsSirolimusHumansMechanistic Target of Rapamycin Complex 1Mechanistic Target of Rapamycin Complex 2MTOR InhibitorsMechanistic Target of Rapamycin Complex 1Mechanistic Target of Rapamycin Complex 2MTOR InhibitorsSenotherapeuticsSirolimusAgingEverolimusMetabolismmTORMuscleSirolimus

Identifiers

PMID37801202
PMCPMC10643772
OpenAlexW4387393074

What OpenQuestion holds

Textmetadata
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.