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mTOR and SGLT-2 Inhibitors: Their Synergistic Effect on Age-Related Processes
Dario Troise1,2, Silvia Mercuri1, Barbara Infante1
1Nephrology, Dialysis and Transplantation Unit, Advanced Research Center on Kidney Aging (A.R.K.A.), Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.
Abstract:
The aging process contributes significantly to the onset of chronic diseases, which are the primary causes of global mortality, morbidity, and healthcare costs. Numerous studies have shown that the removal of senescent cells from tissues extends lifespan and reduces the occurrence of age-related diseases. Consequently, there is growing momentum in the development of drugs targeting these cells. Among them, mTOR and SGLT-2 inhibitors have garnered attention due to their diverse effects: mTOR inhibitors regulate cellular growth, metabolism, and immune responses, while SGLT-2 inhibitors regulate glucose reabsorption in the kidneys, resulting in various beneficial metabolic effects. Importantly, these drugs may act synergistically by influencing senescence processes and pathways. Although direct studies on the combined effects of mTOR inhibition and SGLT-2 inhibition on age-related processes are limited, this review aims to highlight the potential synergistic benefits of these drugs in targeting senescence.
Insights
Targeting senescent cells can extend lifespan and reduce age-related diseases. This review explores the potential synergistic benefits of combining mTOR and SGLT-2 inhibitors to combat aging.
Area of Science:
- Gerontology and cellular senescence research.
- Pharmacology of aging and chronic disease.
- Metabolic pathways and cellular regulation.
Background:
- Aging is a major risk factor for chronic diseases, leading to significant global mortality and healthcare burdens.
- Senescent cells accumulate with age and drive age-related pathologies.
- Current research focuses on senotherapeutics, drugs that eliminate senescent cells.
Purpose of the Study:
- To review the potential synergistic effects of mTOR and SGLT-2 inhibitors in targeting cellular senescence.
- To explore how these drug classes may complement each other in combating aging processes.
- To highlight avenues for future research into combined senolytic therapies.
Main Methods:
- Literature review of studies on mTOR inhibitors, SGLT-2 inhibitors, and cellular senescence.
- Analysis of the known mechanisms of action for each drug class.
- Exploration of potential interactions and synergistic effects on senescence pathways.
Main Results:
- mTOR inhibitors modulate cellular growth, metabolism, and immunity, impacting senescence.
- SGLT-2 inhibitors improve metabolic health through glucose reabsorption regulation.
- Evidence suggests potential overlap and synergy in how these drugs influence senescence.
Conclusions:
- Combining mTOR and SGLT-2 inhibitors may offer a powerful strategy for targeting senescence.
- This combination could enhance lifespan and reduce age-related diseases.
- Further direct studies are needed to validate the synergistic benefits of these combined therapies.
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