衰老 雷帕黴素是一種通用的抗衰老藥物嗎?

格雷格医生專欄
23粉絲
54 次觀看·2025年11月1日
神祕奧祕 理解宇宙的神祕奧祕
在腦袋中的腦癌患者中
MTOR激活標記被發現
是百分之一百倍高於
年齡相符的腦袋患者
死亡的其他原因
這是合理的
由於腦部細胞不太容易分裂
一旦它們成長
這會導致腦部細胞損壞
導致腦部細胞損壞
腦部細胞損壞是非常重要的
由於腦部細胞腫脹
腦部細胞腫脹
研究顯示
在腦內脈腫腺病的
腕臟模型中
腦部細胞腫脹
代表腦部細胞腫脹
由於腦部細胞腫脹
腦部細胞腫腹
由於腦部細胞腫腹
腦部細胞腫腹
由於腦部細胞腫腹
700-fold from age 55 to 85.
Unfortunately, no such clinical trial has been attempted.
It doesn't even look like the dementia rates
of organ transplant patients given rapamycin have ever been tracked.
When kidney transplant patients are initially switched to mTOR inhibitors,
they do seem to experience a significant improvement
in executive function, memory, and mood,
but that may be in part because they were switching
from drugs like cyclosporine,
which can on their own cause adverse neuropsychiatric effects.
Rapamycin has been off-patent for more than a decade,
so drug companies can no longer charge whatever they want.
Without such price protection,
there isn't a strong profit motive to study the drug,
so we shouldn't expect any large clinical trials anytime soon.
Another reason for clinical trial hesitancy
may be the frequent and sometimes life-threatening side effects,
like immunosuppression.
In one cancer trial of an mTOR inhibitor, for example,
two of the 18 patients developed life-threatening infections,
and one of them died.
To fight cancer or organ rejection,
we may be willing to put up with significant risk,
but there's a much lower risk tolerance for anti-aging drugs
meant to be used en masse for healthy humans.
The mouse longevity trials are impressive,
but they're typically performed
in a strictly controlled pathogen-free environment
that may not translate out into real-world conditions.
The immunosuppressive effects alone
are considered sufficient to caution
against self-experimentation.
Nevertheless, there is a clinic devoted to patients
who self-medicate with rapamycin
in an attempt to slow aging.
Rapamycin advocates point out
that the doses required for anti-aging
are much lower than used in cancer therapy
or organ transplantation,
and if anything, might rejuvenate immunity.
Is it possible that transient and or intermittent dosing
could also help reap the benefits without as many risks?
You don't know, until you put it to the test.
Two small pilot studies of low-dose rapamycin
for a few months in the elderly
didn't cause any major side effects,
though did cause diarrhea in up to 62%,
but also failed to find any immediate benefits
to cognitive function or physical performance.
In 2018, however, hundreds of individuals
aged 65 and older
were randomized to mTOR inhibition
about 100-fold lower than what's used
in oncology or transplant patients,
and instead of immune suppression,
they did appear to get immune rejuvenation.
Not only did they experience an improvement
in their response to flu vaccination,
but they experienced significantly lower infections
in the subsequent year compared to placebo,
and they only got the drugs for six weeks.
This suggests a persistent improvement
in immune function months
after discontinuing the drug.
Still, self-experimentation
continues to be strongly discouraged
until we have a better idea of the risks.
Thankfully, there are ways to suppress mTOR
without taking drugs.
