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Updated: Feb 15, 2026

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Repurposed FDA-approved drugs targeting genes influencing aging can extend lifespan and healthspan in rotifers
Terry W Snell1, Rachel K Johnston2, Amelia B Matthews2
1School of Biological Sciences, Georgia Institute of Technology, Atlanta, GA, 30332-0230, USA. terry.snell@biosci.gatech.edu.
Abstract:
Pharmaceutical interventions can slow aging in animals, and have advantages because their dose can be tightly regulated and the timing of the intervention can be closely controlled. They also may complement environmental interventions like caloric restriction by acting additively. A fertile source for therapies slowing aging is FDA approved drugs whose safety has been investigated. Because drugs bind to several protein targets, they cause multiple effects, many of which have not been characterized. It is possible that some of the side effects of drugs prescribed for one therapy may have benefits in retarding aging. We used computationally guided drug screening for prioritizing drug targets to produce a short list of candidate compounds for in vivo testing. We applied the virtual ligand screening approach FINDSITEcomb for screening potential anti-aging protein targets against FDA approved drugs listed in DrugBank. A short list of 31 promising compounds was screened using a multi-tiered approach with rotifers as an animal model of aging. Primary and secondary survival screens and cohort life table experiments identified four drugs capable of extending rotifer lifespan by 8-42%. Exposures to 1 µM erythromycin, 5 µM carglumic acid, 3 µM capecitabine, and 1 µM ivermectin, extended rotifer lifespan without significant effect on reproduction. Some drugs also extended healthspan, as estimated by mitochondria activity and mobility (swimming speed). Our most promising result is that rotifer lifespan was extended by 7-8.9% even when treatment was started in middle age.
Insights
FDA-approved drugs show promise in slowing aging. Four compounds, including erythromycin and ivermectin, extended lifespan in rotifers, with some benefits even when treatment began in middle age.
Area of Science:
- Gerontology and Pharmacology
- Drug discovery for aging interventions
- Biogerontology and translational aging research
Background:
- Pharmaceutical interventions offer controlled methods to slow aging, potentially complementing lifestyle changes like caloric restriction.
- FDA-approved drugs are a valuable resource for aging research due to established safety profiles.
- Off-target drug effects may present novel anti-aging benefits, necessitating systematic investigation.
Purpose of the Study:
- To identify existing FDA-approved drugs with potential anti-aging properties using computational screening.
- To validate candidate compounds through in vivo testing in a model organism for aging.
- To assess the impact of identified drugs on lifespan and healthspan in aging animals.
Main Methods:
- Computational drug screening using FINDSITE^comb to identify potential anti-aging targets among FDA-approved drugs.
- Multi-tiered in vivo screening of 31 candidate compounds using rotifers as a model for aging.
- Life table experiments and healthspan assessments (mitochondrial activity, mobility) to evaluate drug efficacy.
Main Results:
- Four drugs—erythromycin, carglumic acid, capecitabine, and ivermectin—significantly extended rotifer lifespan by 8-42% at low micromolar concentrations.
- Lifespan extension occurred without adverse effects on reproductive capacity.
- Positive impacts on healthspan markers, including mitochondrial activity and swimming speed, were observed.
- Significant lifespan extension (7-8.9%) was achieved even when drug treatment commenced in middle-aged rotifers.
Conclusions:
- Computationally guided screening of FDA-approved drugs can effectively identify novel anti-aging interventions.
- Erythromycin, carglumic acid, capecitabine, and ivermectin demonstrate potential for retarding aging and extending lifespan in model organisms.
- These findings support the exploration of existing pharmaceuticals for age-related healthspan and lifespan extension, even with late-stage intervention.
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