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Updated: May 27, 2026

Hyperinsulinemic-euglycemic Clamps in Conscious, Unrestrained Mice
Published on: November 16, 2011
Rapamycin induces glucose intolerance in mice by reducing islet mass, insulin content, and insulin sensitivity
Shi-Bing Yang1, Hye Young Lee, David Matthew Young
1Howard Hughes Medical Institute, Department of Physiology, University of California, San Francisco, 1550, 4th Street, San Francisco, CA 94158, USA.
Abstract:
Rapamycin, a specific inhibitor for mTOR complex 1, is an FDA-approved immunosuppressant for organ transplant. Recent developments have raised the prospect of using rapamycin to treat cancer or diabetes and to delay aging. It is therefore important to assess how rapamycin treatment affects glucose homeostasis. Here, we show that the same rapamycin treatment reported to extend mouse life span significantly impaired glucose homeostasis of aged mice. Moreover, rapamycin treatment of lean C57B/L6 mice reduced glucose-stimulated insulin secretion in vivo and ex vivo as well as the insulin content and beta cell mass of pancreatic islets. Confounding the diminished capacity for insulin release, rapamycin decreased insulin sensitivity. The multitude of rapamycin effects thus all lead to glucose intolerance. As our findings reveal that chronic rapamycin treatment could be diabetogenic, monitoring glucose homeostasis is crucial when using rapamycin as a therapeutic as well as experimental reagent.
Insights
Rapamycin, an mTOR inhibitor, impairs glucose homeostasis and insulin secretion in mice. Chronic rapamycin treatment may be diabetogenic, necessitating glucose monitoring for therapeutic use.
Area of Science:
- Gerontology
- Metabolic disease research
- Pharmacology
Background:
- Rapamycin (mTORC1 inhibitor) is FDA-approved for immunosuppression.
- Rapamycin shows potential for anti-cancer, anti-diabetic, and anti-aging applications.
- Understanding rapamycin's impact on glucose metabolism is critical.
Purpose of the Study:
- To investigate the effects of rapamycin treatment on glucose homeostasis.
- To determine if rapamycin impacts insulin secretion, beta cell function, and insulin sensitivity.
Main Methods:
- Administered rapamycin to aged and lean C57B/L6 mice.
- Assessed glucose homeostasis, glucose-stimulated insulin secretion (in vivo and ex vivo).
- Measured insulin content, beta cell mass, and insulin sensitivity.
Main Results:
- Rapamycin treatment significantly impaired glucose homeostasis in aged mice.
- Reduced glucose-stimulated insulin secretion, insulin content, and beta cell mass in lean mice.
- Decreased insulin sensitivity, contributing to overall glucose intolerance.
Conclusions:
- Chronic rapamycin treatment can be diabetogenic.
- Rapamycin negatively affects multiple aspects of glucose metabolism.
- Monitoring glucose homeostasis is essential when using rapamycin therapeutically or experimentally.
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