Cancer prevention with rapamycin

Mikhail V Blagosklonny1

  • 1Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA.

Oncotarget
|April 14, 2023
PubMed

Insights

Rapamycin (sirolimus) and its analogs are anti-cancer drugs that delay cancer by targeting pre-cancerous cells and slowing aging. Clinical trials are needed to confirm cancer prevention in high-risk individuals.

Area of Science:

  • Oncology
  • Gerontology
  • Pharmacology

Background:

  • Cancer is a complex disease often associated with aging.
  • Rapamycin (sirolimus) and rapalogs (everolimus) exhibit anti-cancer and anti-aging properties.
  • These drugs target cellular pathways involved in proliferation and aging.

Purpose of the Study:

  • To evaluate the cancer-preventive potential of rapamycin and its analogs.
  • To explore the mechanisms by which rapamycin may delay cancer onset.
  • To assess the relevance of preclinical findings to human cancer prevention.

Main Methods:

  • Review of preclinical data from numerous murine cancer models.
  • Analysis of clinical data from organ-transplant patients treated with rapamycin or everolimus.
  • Consideration of rapamycin's effects on cell proliferation and aging.

Main Results:

  • Rapamycin demonstrated robust and reproducible cancer prevention in diverse murine models.
  • The drug effectively slowed tumor progression and delayed cancer onset in various settings.
  • Clinical data in transplant patients suggest cancer-preventive effects.
  • Rapamycin's mechanism involves targeting pre-cancerous cells and slowing organismal aging.

Conclusions:

  • Rapamycin and its analogs show significant promise as cancer-preventive agents.
  • The dual action of targeting pre-cancerous cells and slowing aging contributes to cancer delay.
  • Further clinical investigation in high-risk populations, such as smokers, is warranted.

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