Evidence map›Paper›PMID 39196709›Full record

ReviewJournal of the National Cancer Institute2025

Gerotherapeutics: aging mechanism-based pharmaceutical and behavioral interventions to reduce cancer racial and ethnic disparities.

Jeanne S Mandelblatt, Michael H Antoni, Traci N Bethea, Steve Cole, Barry I Hudson, Frank J Penedo, Amelie G Ramirez, G William Rebeck, Swarnavo Sarkar, Ann G Schwartz and 4 more

Abstract readReview
In one paragraph

Review in Journal of the National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
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  5. Review
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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

14 authors.

Jeanne S MandelblattGeorgetown Lombardi Institute for Cancer and Aging Research, Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA.ORCID 0000-0002-2490-005X
Michael H AntoniHealth Division, Department of Psychology and Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA.ORCID 0000-0002-3971-0873
Traci N BetheaDepartment of Oncology, Georgetown University Medical Center, Georgetown University, Washington, DC, USA.ORCID 0000-0003-3205-2078
Steve ColeSemel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-7168-8039
Barry I HudsonDepartment of Oncology, Georgetown University Medical Center, Georgetown University, Washington, DC, USA.ORCID 0000-0001-7647-8121
Frank J PenedoHealth Division, Department of Psychology and Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA.ORCID 0000-0002-2422-2391
Amelie G RamirezDepartment of Population Health Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.ORCID 0000-0002-5310-1337
G William RebeckDepartment of Neuroscience, Georgetown University Medical Center, Georgetown University, Washington, DC, USA.ORCID 0000-0001-6276-248X
Swarnavo SarkarDepartment of Oncology, Georgetown University Medical Center, Georgetown University, Washington, DC, USA.ORCID 0000-0002-1830-3099
Ann G SchwartzKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.ORCID 0000-0002-9525-1157
Erica K SloanDrug Discovery Biology Theme, Monash Institute of Pharmaceutical Sciences, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-2355-1433
Yun-Ling ZhengDepartment of Oncology, Georgetown University Medical Center, Georgetown University, Washington, DC, USA.ORCID 0000-0002-6564-8831
Judith E CarrollSemel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, USA.ORCID 0000-0001-5516-0819
Mina S SedrakCancer Prevention and Control Program, Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-8379-391X

Funding

The impact of the COVID-19 pandemic on African American cancer survivors and their caregiversU01CA199240 · NCI · WAYNE STATE UNIVERSITY · PI Jennifer L Beebe-Dimmer, Ann G. Schwartz · 2017 to 2026
$15.2M
Comparative Modeling of Precision Breast Cancer Control Across the Translational Continuum - SupplementU01CA253911 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI ALAGOZ, OGUZHAN, DE KONING, HARRY J · 2020 to 2025
$10.6M
OLDER BREAST CANCER PATIENTS: RISK FOR COGNITIVE DECLINER01CA129769 · NCI · GEORGETOWN UNIVERSITY · PI AHLES, TIM ALAN, MANDELBLATT, JEANNE · 2009 to 2020
$7.3M
Bio-behavioral Research At The Intersection of Cancer and AgingR35CA197289 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2015 to 2021
$6.2M
Social Determinants of Health as Transducers of Cellular Aging: A New Multi-level Paradigm to Reduce Survivorship Disparities at the Intersection of Cancer and AgingR35CA283926 · NCI · GEORGETOWN UNIVERSITY · PI Jeanne Mandelblatt · 2023 to 2026
$3.7M
Patterns of biological, cognitive, and physical aging in cancer survivors and controls and the role of sleep health: Relevance for Alzheimer's Disease and Related DementiasR01AG082348 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Judith E Carroll, Jeanne Mandelblatt · 2023 to 2026
$3.3M
Targeting Senescence to Mitigate Chemotherapy-induced Functional DeclineR01CA280088 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Mina S Sedrak · 2023 to 2026
$2.7M
I-REACH (Infrastructure for REsearch on Cancer and Aging)R33AG075008 · NIA · GEORGETOWN UNIVERSITY · PI Lucile L. Adams-Campbell, Judith E Carroll · 2024 to 2026
$2.3M
Targeting RAGE in tumor and TME to oppose inflammation and drug resistance in obesity associated ER+ breast cancerR01CA276587 · NCI · GEORGETOWN UNIVERSITY · PI Barry Ian Hudson, JOYCE MARIE SLINGERLAND · 2023 to 2026
$2.1M
APOE4 promotes pathogenesis in a mouse model of cancer chemotherapy-induced cognitive impairmentR01AG067258 · NIA · GEORGETOWN UNIVERSITY · PI REBECK, G WILLIAM · 2020 to 2024
$2.1M
Avanzando Caminos (Leading Pathways): The Hispanic/Latino Cancer Survivorship Cohort Study.”UG3CA260317 · NCI · UNIVERSITY OF MIAMI CORAL GABLES · PI PENEDO, FRANK J, RAMIREZ, AMELIE G · 2021 to 2022
$2.0M
Heterogeneity in biological, physical, and cognitive aging in older breast cancer survivors and controlsR56AG068086 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CARROLL, JUDITH E, MANDELBLATT, JEANNE · 2021 to 2021
$886k
Cancer Council Victoria Grants-in-AidNational Breast Cancer Foundation IIRS-20-025National Health and Medical Research Council 2020851NCI NIH HHS K01 CA212056NCI NIH HHS R01 CA129769NCI NIH HHS R01 CA276587NCI NIH HHS R01 CA280088NCI NIH HHS R21 CA277660NCI NIH HHS R35 CA197289NCI NIH HHS R35 CA283926NCI NIH HHS U01 CA199240NCI NIH HHS U01 CA253911NCI NIH HHS UG3 CA260317NIA NIH HHS K76 AG074918NIA NIH HHS R01 AG067258NIA NIH HHS R01 AG082348NIA NIH HHS R21 AG075008NIA NIH HHS R33 AG075008NIA NIH HHS R56 AG068086NIA NIH HHS R56AG068086NIEHS NIH HHS U01 ES031786NIH HHS R35CA283926
6 · The paper itself

Abstract

The central premise of this article is that a portion of the established relationships between social determinants of health and racial and ethnic disparities in cancer morbidity and mortality is mediated through differences in rates of biological aging processes. We further posit that using knowledge about aging could enable discovery and testing of new mechanism-based pharmaceutical and behavioral interventions ("gerotherapeutics") to differentially improve the health of cancer survivors from minority populations and reduce cancer disparities. These hypotheses are based on evidence that lifelong differences in adverse social determinants of health contribute to disparities in rates of biological aging ("social determinants of aging"), with individuals from minoritized groups experiencing accelerated aging (ie, a steeper slope or trajectory of biological aging over time relative to chronological age) more often than individuals from nonminoritized groups. Acceleration of biological aging can increase the risk, age of onset, aggressiveness, and stage of many adult cancers. There are also documented negative feedback loops whereby the cellular damage caused by cancer and its therapies act as drivers of additional biological aging. Together, these dynamic intersectional forces can contribute to differences in cancer outcomes between survivors from minoritized vs nonminoritized populations. We highlight key targetable biological aging mechanisms with potential applications to reducing cancer disparities and discuss methodological considerations for preclinical and clinical testing of the impact of gerotherapeutics on cancer outcomes in minoritized populations. Ultimately, the promise of reducing cancer disparities will require broad societal policy changes that address the structural causes of accelerated biological aging and ensure equitable access to all new cancer control paradigms.

Indexed as

AgingBehavior TherapyHealthcare DisparitiesHealth Status DisparitiesNeoplasmsEthnicityHumansRacial GroupsSenotherapeuticsSocial Determinants of HealthSenotherapeutics

Identifiers

PMID39196709
PMCPMC11884862

What OpenQuestion holds

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Registered trials

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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.