Abstract
The main risk factor for a number of diseases, including cancer, is aging. By delaying the effects of aging, many years of research indicate that diseases associated with aging are reduced by prolongevity interventions such as reductions in caloric intake and mice genetically deficient for growth factors. Although studies of dietary and growth factor restriction have been highly informative regarding the aging process, they are both unrealistic for human application. Recent preclinical results with a pharmacological prolongevity agent (rapamycin) provide a proof-of-concept that such an approach is feasible in human populations. Exactly how rapamycin works to extend lifespan is under increasingly intense investigation. In addition, these studies underscore the critical role that the intracellular target of rapamycin (TOR) plays in one of the deepest mysteries of life, aging. How age-associated diseases interface with TOR and its signaling systems, and the tremendous opportunities for discovery of new drugs that target both aging and its associated diseases is one of the most exciting areas of research currently being conducted in this new era of aging research.
Similar content being viewed by others
References
Kirkwood TB (2008) Gerontology: healthy old age. Nature 455(7214):739–740. doi:10.1038/455739a
Juckett DA (2010) What determines age-related disease: do we know all the right questions? Age (Dordr) 32(2):155–160. doi:10.1007/s11357-009-9120-5
He W, Sengupta M, Velkoff V, and, DeBarros K (2005) 65+ in the United States: 2005. Current Population Reports. Document number P23–209, US Census Bureau
Population age 65 and over and age 85 and over, selected years 1900–2008 and projected 2010–2050. (2010) US Census Bureau. http://www.agingstats.gov/Agingstatsdotnet/Main_Site/Data/2010_Documents/Population.aspx. Accessed 22 Feb. 2011
Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ (2009) Cancer statistics, 2009. CA Cancer J Clin 59(4):225–249. doi:10.3322/caac.20006
Altekruse SF, Kosary CL, Krapcho M, Neyman N, Aminou R, Waldron W, Ruhl J, Howlader N, Tatalovich Z, Cho H, Mariotto A, Eisner MP, Lewis DR, Cronin K, Chen HS, Feuer EJ, Stinchcomb DG, Edwards BK (2010) SEER Cancer Statistics Review 1975–2007. National Cancer Institute. http://seer.cancer.gov/csr/1975_2007//, based on November 2009 SEER data submission, posted to the SEER web site, 2010
Pal SK, Katheria V, Hurria A (2010) Evaluating the older patient with cancer: understanding frailty and the geriatric assessment. CA Cancer J Clin 60(2):120–132. doi:10.3322/caac.20059
Sharp ZD, Strong R (2010) The role of mTOR signaling in controlling mammalian lifespan: what a fungicide teaches us about longevity. J Gerontol A Biol Sci Med Sci 6:580–589
Sharp ZD (2011) Aging and TOR: interwoven in the fabric of life. Cell Mol Life Sci 68(4):587–597. doi:10.1007/s00018-010-0542-0
Liang H, Masoro EJ, Nelson JF, Strong R, McMahan CA, Richardson A (2003) Genetic mouse models of extended lifespan. Exp Gerontol 38(11–12):1353–1364
Ladiges W, Van Remmen H, Strong R, Ikeno Y, Treuting P, Rabinovitch P, Richardson A (2009) Lifespan extension in genetically modified mice. Aging Cell 8(4):346–352. doi:10.1111/j.1474-9726.2009.00491.x
Weindruch R, Coleman RJ, Pérez V, Richardson A (2008) How does caloric restriction increase the longevity of mammals? In: Gurante LP, Partidge L, Wallace DC (eds) Molecular biology of aging. Cold Spring Harbor Laboratory Press, pp 409–426
Sharp ZD, Bartke A (2005) Evidence for down-regulation of phosphoinositide 3-kinase/Akt/mammalian target of rapamycin (PI3K/Akt/mTOR)-dependent translation regulatory signaling pathways in Ames dwarf mice. J Gerontol A Biol Sci Med Sci 60(3):293–300
Hsieh CC, Papaconstantinou J (2004) Akt/PKB and p38 MAPK signaling, translational initiation and longevity in Snell dwarf mouse livers. Mech Ageing Dev 125(10–11):785–798
Ikeno Y, Bronson RT, Hubbard GB, Lee S, Bartke A (2003) Delayed occurrence of fatal neoplastic diseases in Ames dwarf mice: correlation to extended longevity. J Gerontol A Biol Sci Med Sci 58(4):B291–B296
Ikeno Y, Hubbard GB, Lee S, Cortez LA, Lew CM, Webb CR, Berryman DE, List EO, Kopchick JJ, Bartke A (2009) Reduced incidence and delayed occurrence of fatal neoplastic diseases in growth hormone receptor/binding protein knockout mice. J Gerontol A Biol Sci Med Sci 64A(5):522–529. doi:10.1093/gerona/glp017
Colbert LH, Mai V, Tooze JA, Perkins SN, Berrigan D, Hursting SD (2006) Negative energy balance induced by voluntary wheel running inhibits polyp development in APCMin mice. Carcinogenesis 27(10):2103–2107. doi:10.1093/carcin/bgl056
Hursting SD, Lavigne JA, Berrigan D, Perkins SN, Barrett JC (2003) Calorie restriction, aging, and cancer prevention: mechanisms of action and applicability to humans. Annu Rev Med 54:131–152. doi:10.1093/carcin/bgp280
Weindruch R, Walford RL (1982) Dietary restriction in mice beginning at 1 year of age: effect on life-span and spontaneous cancer incidence. Science 215(4538):1415–1418
Shimokawa I, Yu BP, Higami Y, Ikeda T, Masoro EJ (1993) Dietary restriction retards onset but not progression of leukemia in male F344 rats. J Gerontol 48(2):B68–B73
Higami Y, Yu BP, Shimokawa I, Bertrand H, Hubbard GB, Masoro EJ (1995) Antitumor action of dietary restriction is lesion-dependent in male Fischer 344 rats. J Gerontol A Biol Sci Med Sci 50(2):B72–B77
Colman RJ, Anderson RM, Johnson SC, Kastman EK, Kosmatka KJ, Beasley TM, Allison DB, Cruzen C, Simmons HA, Kemnitz JW, Weindruch R (2009) Caloric restriction delays disease onset and mortality in rhesus monkeys. Science 325(5937):201–204. doi:10.1126/science.1173635
Hursting SD, Smith SM, Lashinger LM, Harvey AE, Perkins SN (2010) Calories and carcinogenesis: lessons learned from 30 years of calorie restriction research. Carcinogenesis 31(1):83–89. doi:10.1093/carcin/bgp280
Heilbronn LK, de Jonge L, Frisard MI, DeLany JP, Larson-Meyer DE, Rood J, Nguyen T, Martin CK, Volaufova J, Most MM, Greenway FL, Smith SR, Deutsch WA, Williamson DA, Ravussin E, Team ftPC (2006) Effect of 6-month calorie restriction on biomarkers of longevity, metabolic adaptation, and oxidative stress in overweight individuals. JAMA 295(13):1539–1548. doi:10.1001/jama.295.13.1539
Fontana L, Klein S (2007) Aging, adiposity, and calorie restriction. JAMA 297(9):986–994. doi:10.1001/jama.297.9.986
Fontana L, Meyer TE, Klein S, Holloszy JO (2004) Long-term calorie restriction is highly effective in reducing the risk for atherosclerosis in humans. Proc Nat Acad Sci USA 101(17):6659–6663. doi:10.1073/pnas.0308291101
Rochon J, Bales CW, Ravussin E, Redman LM, Holloszy JO, Racette SB, Roberts SB, Das SK, Romashkan S, Galan KM, Hadley EC, Kraus WE, Group ftCS (2011) Design and conduct of the CALERIE Study: comprehensive assessment of the long-term effects of reducing intake of energy. J Gerontol A Biol Sci Med Sci 66A(1):97–108
Howell A, Chapman M, Harvie M (2009) Energy restriction for breast cancer prevention. Recent Results Cancer Res 181:97–111
Duffy P, Feuers R, Pipkin J, Berg T, Leal L, Turturro A, Hart R (1995) The effect of dietary restriction and aging on the physiological response of rodents to drugs. In: Hart R, Neuman D, Robertson R (eds) Dietary restriction: implications for the design and interpretation of toxicity and carcinogenecity studies. ILSI, Washington, pp 127–140
Manjgaladze M, Chen S, Frame LT, Seng JE, Duffy PH, Feuers RJ, Hart RW, Leakey JE (1993) Effects of caloric restriction on rodent drug and carcinogen metabolizing enzymes: implications for mutagenesis and cancer. Mutat Res 295(4–6):201–222
Bokov AF, Lindsey ML, Khodr C, Sabia MR, Richardson A (2009) Long-lived Ames dwarf mice are resistant to chemical stressors. J Gerontol A Biol Sci Med Sci 64(8):819–827. doi:10.1093/gerona/glp052
Hursting SD, Perkins SN, Phang JM (1994) Calorie restriction delays spontaneous tumorigenesis in p53-knockout transgenic mice. Proc Natl Acad Sci USA 91(15):7036–7040
Hursting SD, Perkins SN, Brown CC, Haines DC, Phang JM (1997) Calorie restriction induces a p53-independent delay of spontaneous carcinogenesis in p53-deficient and wild-type mice. Cancer Res 57(14):2843–2846
Mai V, Colbert LH, Berrigan D, Perkins SN, Pfeiffer R, Lavigne JA, Lanza E, Haines DC, Schatzkin A, Hursting SD (2003) Calorie restriction and diet composition modulate spontaneous intestinal tumorigenesis in Apc(Min) mice through different mechanisms. Cancer Res 63(8):1752–1755
Kalaany NY, Sabatini DM (2009) Tumors with PI3K activation are resistant to dietary restriction. Nature 458(7239):725–731. doi:10.1038/nature07782
Sharp ZD, Lee WH, Nikitin AY, Flesken-Nikitin A, Ikeno Y, Reddick R, Richardson AG, Nelson JF (2003) Minimal effects of dietary restriction on neuroendocrine carcinogenesis in Rb+/− mice. Carcinogenesis 24(2):179–183
Stanfel MN, Shamieh LS, Kaeberlein M, Kennedy BK (2009) The TOR pathway comes of age. Biochim Biophy Acta (BBA) Gen Subj 1790(10):1067–1074
Hertweck M, Gobel C, Baumeister R (2004) C. elegans SGK-1 is the critical component in the Akt/PKB kinase complex to control stress response and lifespan. Dev Cell 6(4):577–588
Vellai T, Takacs-Vellai K, Zhang Y, Kovacs AL, Orosz L, Muller F (2003) Genetics: influence of TOR kinase on lifespan in C. elegans. Nature 426(6967):620
Kapahi P, Zid BM, Harper T, Koslover D, Sapin V, Benzer S (2004) Regulation of lifespan in Drosophila by modulation of genes in the TOR signaling pathway. Curr Biol 14(10):885–890
Zid BM, Rogers AN, Katewa SD, Vargas MA, Kolipinski MC, Lu TA, Benzer S, Kapahi P (2009) 4E-BP extends lifespan upon dietary restriction by enhancing mitochondrial activity in Drosophila. Cell 139(1):149–160
Kaeberlein M (2010) Lessons on longevity from budding yeast. Nature 464(7288):513–519
Syntichaki P, Troulinaki K, Tavernarakis N (2007) eIF4E function in somatic cells modulates ageing in Caenorhabditis elegans. Nature 445(7130):922–926
Sonenberg N, Hinnebusch AG (2009) Regulation of translation initiation in eukaryotes: mechanisms and biological targets. Cell 136(4):731–745. doi:10.1016/j.cell.2009.01.042
Pan KZ, Palter JE, Rogers AN, Olsen A, Chen D, Lithgow GJ, Kapahi P (2007) Inhibition of mRNA translation extends lifespan in Caenorhabditis elegans. Aging Cell 6(1):111–119
Hamilton B, Dong Y, Shindo M, Liu W, Odell I, Ruvkun G, Lee SS (2005) A systematic RNAi screen for longevity genes in C. elegans. Genes Dev 19(13):1544–1555. doi:10.1101/gad.1308205
Selman C, Tullet JMA, Wieser D, Irvine E, Lingard SJ, Choudhury AI, Claret M, Al-Qassab H, Carmignac D, Ramadani F, Woods A, Robinson ICA, Schuster E, Batterham RL, Kozma SC, Thomas G, Carling D, Okkenhaug K, Thornton JM, Partridge L, Gems D, Withers DJ (2009) Ribosomal protein S6 kinase 1 signaling regulates mammalian lifespan. Science 326(5949):140–144. doi:10.1126/science.1177221
Barbet NC, Schneider U, Helliwell SB, Stansfield I, Tuite MF, Hall MN (1996) TOR controls translation initiation and early G1 progression in yeast. Mol Biol Cell 7(1):25–42
Powers RW 3rd, Kaeberlein M, Caldwell SD, Kennedy BK, Fields S (2006) Extension of chronological lifespan in yeast by decreased TOR pathway signaling. Genes Dev 20(2):174–184
Bjedov I, Toivonen JM, Kerr F, Slack C, Jacobson J, Foley A, Partridge L (2010) Mechanisms of lifespan extension by rapamycin in the fruit fly Drosophila melanogaster. Cell Metab 11(1):35–46
Sengupta S, Peterson TR, Sabatini DM (2010) Regulation of the mTOR complex 1 pathway by†nutrients, growth factors, and stress. Mol Cell 40(2):310–322
Zoncu R, Efeyan A, Sabatini DM (2010) mTOR: from growth signal integration to cancer, diabetes and ageing. Nat Rev Mol Cell Biol 12(1):21–35. doi:10.1038/nrm3025
Kalender A, Selvaraj A, Kim SY, Gulati P, BrûlÈ S, Viollet B, Kemp BE, Bardeesy N, Dennis P, Schlager JJ, Marette A, Kozma SC, Thomas G (2010) Metformin, independent of AMPK, inhibits mTORC1 in a rag GTPase-dependent manner. Cell Metab 11(5):390–401
Anisimov VN, Egormin PA, Piskunova TS, Popovich IG, Tyndyk ML, Yurova MN, Zabezhinski MA, Anikin IV, Karkach AS, Romanyukha AA (2010) Metformin extends lifespan of HER-2/neu transgenic mice and in combination with melatonin inhibits growth of transplantable tumors in vivo. Cell Cycle 9(1):188–197
Nadon NL, Strong R, Miller RA, Nelson J, Javors M, Sharp ZD, Peralba JM, Harrison DE (2008) Design of aging intervention studies: the NIA interventions testing program. AGE 30(4):187–199. doi:10.1007/s11357-008-9048-1
Harrison DE, Strong R, Sharp ZD, Nelson JF, Astle CM, Flurkey K, Nadon NL, Wilkinson JE, Frenkel K, Carter CS, Pahor M, Javors MA, Fernandez E, Miller RA (2009) Rapamycin fed late in life extends lifespan in genetically heterogeneous mice. Nature 460(7253):392–395. doi:10.1038/nature08221
Miller RA, Harrison DE, Astle CM, Baur JA, Boyd AR, de Cabo R, Fernandez E, Flurkey K, Javors MA, Nelson JF, Orihuela CJ, Pletcher S, Sharp ZD, Sinclair D, Starnes JW, Wilkinson JE, Nadon NL, Strong R (2010) Rapamycin, but not resveratrol or simvastatin, extends lifespan of genetically heterogeneous mice. J Gerontol A Biol Sci Med Sci 66(2):191–201. doi:10.1093/gerona/glq178
Wang X, Proud CG (2010) mTORC1 signaling: what we still don’t know. J Mol Cell Biol. doi:10.1093/jmcb/mjq038
Yip CK, Murata K, Walz T, Sabatini DM, Kang SA (2010) Structure of the human mTOR complex I and its implications for rapamycin inhibition. Mol Cell 38(5):768–774
Choo AY, Yoon SO, Kim SG, Roux PP, Blenis J (2008) Rapamycin differentially inhibits S6Ks and 4E-BP1 to mediate cell-type-specific repression of mRNA translation. Proc Natl Acad Sci USA 105(45):17414–17419. doi:10.1073/pnas.0809136105
Korner A (1965) Growth hormone effects on RNA and protein synthesis in liver. J Cell Physiol 66(Suppl 1):153–162. doi:10.1002/jcp.1030660414
van Buul-Offers S, Van den Brande JL (1982) Cellular growth in organs of dwarf mice during treatment with growth hormone, thyroxine and plasma fractions containing somatomedin activity. Acta Endocrinol (Copenh) 99(1):150–160
Bates PC, Holder AT (1988) The anabolic actions of growth hormone and thyroxine on protein metabolism in Snell dwarf and normal mice. J Endocrinol 119(1):31–41
Steffen KK, MacKay VL, Kerr EO, Tsuchiya M, Hu D, Fox LA, Dang N, Johnston ED, Oakes JA, Tchao BN, Pak DN, Fields S, Kennedy BK, Kaeberlein M (2008) Yeast lifespan extension by depletion of 60s ribosomal subunits is mediated by Gcn4. Cell 133(2):292–302. doi:10.1016/j.cell.2008.02.037
Giannakou ME, Goss M, Partridge L (2008) Role of dFOXO in lifespan extension by dietary restriction in Drosophila melanogaster: not required, but its activity modulates the response. Aging Cell 7(2):187–198
Mellet J (1973) Etude de l’effectif ribosomique du foie chez la souris normale et chez la souris naine. Biochimie 55(2):189–194
Koga H, Kaushik S, Cuervo AM (2010) Protein homeostasis and aging: the importance of exquisite quality control. Ageing Res Rev. doi:10.1016/j.arr.2010.02.001
Madeo F, Tavernarakis N, Kroemer G (2010) Can autophagy promote longevity? Nat Cell Biol 12(9):842–846
Salminen A, Kaarniranta K (2009) Regulation of the aging process by autophagy. Trends Mol Med 15(5):217–224
Hansen M, Chandra A, Mitic LL, Onken B, Driscoll M, Kenyon C (2008) A role for autophagy in the extension of lifespan by dietary restriction in C. elegans. PLoS Genet 4(2):e24. doi:10.1371/journal.pgen.0040024
Jia K, Levine B (2007) Autophagy is required for dietary restriction-mediated lifespan extension in C. elegans. Autophagy 3(6):597–599
Donati A, Recchia G, Cavallini G, Bergamini E (2008) Effect of aging and anti-aging caloric restriction on the endocrine regulation of rat liver autophagy. J Gerontol A Biol Sci Med Sci 63(6):550–555. doi:63/6/550
Cuervo AM (2008) Calorie restriction and aging: the ultimate “cleansing diet”. J Gerontol A Biol Sci Med Sci 63(6):547–549
Spilman P, Podlutskaya N, Hart MJ, Debnath J, Gorostiza O, Bredesen D, Richardson A, Strong R, Galvan V (2010) Inhibition of mTOR by rapamycin abolishes cognitive deficits and reduces amyloid-beta levels in a mouse model of Alzheimer’s disease. PLoS ONE 5(4):e9979. doi:10.1371/journal.pone.0009979
Alvers AL, Fishwick LK, Wood MS, Hu D, Chung HS, Dunn WA Jr, Aris JP (2009) Autophagy and amino acid homeostasis are required for chronological longevity in Saccharomyces cerevisiae. Aging Cell 8(4):353–369
Hinnebusch AG (2005) Translational regulation of GCN4 and the general amino acid control of yeast. Annu Rev Microbiol 59:407–450. doi:10.1146/annurev.micro.59.031805.133833
Cherkasova VA, Hinnebusch AG (2003) Translational control by TOR and TAP42 through dephosphorylation of eIF2alpha kinase GCN2. Genes Dev 17(7):859–872. doi:10.1101/gad.1069003
Kubota H, Obata T, Ota K, Sasaki T, Ito T (2003) Rapamycin-induced translational derepression of GCN4 mRNA involves a novel mechanism for activation of the eIF2 alpha kinase GCN2. J Biol Chem 278(23):20457–20460. doi:10.1074/jbc.C300133200
Valenzuela L, Aranda C, Gonzalez A (2001) TOR modulates GCN4-dependent expression of genes turned on by nitrogen limitation. J Bacteriol 183(7):2331–2334. doi:10.1128/JB.183.7.2331-2334.2001
Zhao Y, Sohn JH, Warner JR (2003) Autoregulation in the biosynthesis of ribosomes. Mol Cell Biol 23(2):699–707
Miyoshi K, Tsujii R, Yoshida H, Maki Y, Wada A, Matsui Y, Toh EA, Mizuta K (2002) Normal assembly of 60S ribosomal subunits is required for the signaling in response to a secretory defect in Saccharomyces cerevisiae. J Biol Chem 277(21):18334–18339. doi:10.1074/jbc.M201667200
Cristofalo VJ, Pignolo RJ (1993) Replicative senescence of human fibroblast-like cells in culture. Physiol Rev 73(3):617–638
Fingar DC, Salama S, Tsou C, Harlow E, Blenis J (2002) Mammalian cell size is controlled by mTOR and its downstream targets S6K1 and 4EBP1/eIF4E. Genes Dev 16(12):1472–1487
Schmelzle T, Hall MN (2000) TOR, a central controller of cell growth. Cell 103(2):253–262
Blagosklonny MV (2006) Aging and immortality: quasi-programmed senescence and its pharmacologic inhibition. Cell Cycle 5(18):2087–2102
Demidenko ZN, Korotchkina LG, Gudkov AV, Blagosklonny MV (2010) Paradoxical suppression of cellular senescence by p53. Proc Natl Acad Sci 107(21):9660–9664. doi:10.1073/pnas.1002298107
Castilho RM, Squarize CH, Chodosh LA, Williams BO, Gutkind JS (2009) mTOR mediates Wnt-induced epidermal stem cell exhaustion and aging. Cell Stem Cell 5(3):279–289
Chen C, Liu Y, Liu Y, Zheng P (2009) mTOR regulation and therapeutic rejuvenation of aging hematopoietic stem cells. Sci Signal 2(98):ra75. doi:10.1126/scisignal.2000559
Freund A, Orjalo AV, Desprez P-Y, Campisi J (2010) Inflammatory networks during cellular senescence: causes and consequences. Trends Mol Med 16(5):238–246
Fontana L, Partridge L, Longo VD (2010) Extending healthy lifespan—from yeast to humans. Science 328(5976):321–326. doi:10.1126/science.1172539
Longo VD, Finch CE (2003) Evolutionary medicine: from dwarf model systems to healthy centenarians? Science 299(5611):1342–1346
Chiang GG, Abraham RT (2007) Targeting the mTOR signaling network in cancer. Trends Mol Med 13(10):433–442
Provinciali M, Barucca A, Cardelli M, Marchegiani F, Pierpaoli E (2010) Inflammation, aging, and cancer vaccines. Biogerontology 11(5):615–626. doi:10.1007/s10522-010-9280-9
Ben Sahra I, Le Marchand-Brustel Y, J-Fo T, Fdr B (2010) Metformin in cancer therapy: a new perspective for an old antidiabetic drug? Mol Cancer Ther 9(5):1092–1099. doi:10.1158/1535-7163.mct-09-1186
Bonneux L, Barendregt JJ, Nusselder WJ, Van der Maas PJ (1998) Preventing fatal diseases increases healthcare costs: cause elimination life table approach. BMJ 316(7124):26–29
Alberti KG, Zimmet P, Shaw J (2005) The metabolic syndrome—a new worldwide definition. Lancet 366(9491):1059–1062. doi:10.1016/S0140-6736(05)67402-8
Guarente L (2006) Sirtuins as potential targets for metabolic syndrome. Nature 444(7121):868–874
Fraenkel M, Ketzinel-Gilad M, Ariav Y, Pappo O, Karaca M, Castel J, Berthault MF, Magnan C, Cerasi E, Kaiser N, Leibowitz G (2008) mTOR inhibition by rapamycin prevents beta-cell adaptation to hyperglycemia and exacerbates the metabolic state in type 2 diabetes. Diabetes 57(4):945–957. doi:db07-0922
Sataranatarajan K, Mariappan MM, Lee MJ, Feliers D, Choudhury GG, Barnes JL, Kasinath BS (2007) Regulation of elongation phase of mRNA translation in diabetic nephropathy: amelioration by rapamycin. Am J Pathol 171(6):1733–1742. doi:10.2353/ajpath.2007.070412
Andreadis EA, Katsanou PM, Georgiopoulos DX, Tsourous GI, Yfanti GK, Gouveri ET, Diamantopoulos EJ (2009) The effect of metformin on the incidence of type 2 diabetes mellitus and cardiovascular disease risk factors in overweight and obese subjects—the Carmos study. Exp Clin Endocrinol Diabetes 117(4):175–180. doi:10.1055/s-0028-1087177
Garelick MG, Kennedy BK (2010) TOR on the brain. Exp Gerontol 46(2–3):155–163. doi:10.1016/j.exger.2010.08.030
Madeo F, Eisenberg T, Kroemer G (2009) Autophagy for the avoidance of neurodegeneration. Genes Dev 23(19):2253–2259. doi:10.1101/gad.1858009
Khurana V, Lu Y, Steinhilb ML, Oldham S, Shulman JM, Feany MB (2006) TOR-mediated cell-cycle activation causes neurodegeneration in a Drosophila tauopathy model. Curr Biol 16(3):230–241
Caccamo A, Majumder S, Richardson A, Strong R, Oddo S (2010) Molecular interplay between mTOR, Amyloid β, and tau: effects on cognitive impairments. J Biol Chem 285(17):13107–13120. doi:10.1074/jbc.M110.100420
Simon MC, Keith B (2008) The role of oxygen availability in embryonic development and stem cell function. Nat Rev Mol Cell Biol 9(4):285–296
Inoki K, Corradetti MN, Guan KL (2005) Dysregulation of the TSC-mTOR pathway in human disease. Nat Genet 37(1):19–24
Tee AR, Blenis J (2005) mTOR, translational control and human disease. Semin Cell Dev Biol 16(1):29–37. doi:10.1016/j.semcdb.2004.11.005
Ungvari Z, Kaley G, de Cabo R, Sonntag WE, Csiszar A (2010) Mechanisms of vascular aging: new perspectives. J Gerontol A Biol Sci Med Sci 65A(10):1028–1041. doi:10.1093/gerona/glq113
Woods TC, Marks AR (2004) Drug-eluting stents. Annu Rev Med 55:169–178. doi:10.1146/annurev.med.55.091902.105243
Martinet W, Knaapen MWM, Kockx MM, De Meyer GRY (2007) Autophagy in cardiovascular disease. Trends Mol Med 13(11):482–491
Young DA, Nickerson-Nutter CL (2005) mTOR—beyond transplantation. Curr Opin Pharmacol 5(4):418–423. doi:10.1016/j.coph.2005.03.004
Chappelow AV, Kaiser PK (2008) Neovascular age-related macular degeneration: potential therapies. Drugs 68(8):1029–1036
Araki K, Turner AP, Shaffer VO, Gangappa S, Keller SA, Bachmann MF, Larsen CP, Ahmed R (2009) mTOR regulates memory CD8 T-cell differentiation. Nature 460(7251):108–112
Jagannath C, Lindsey DR, Dhandayuthapani S, Xu Y, Hunter RL Jr, Eissa NT (2009) Autophagy enhances the efficacy of BCG vaccine by increasing peptide presentation in mouse dendritic cells. Nat Med 15(3):267–276. doi:10.1038/nm.1928
Mita MM, Mita A, Rowinsky EK (2003) The molecular target of rapamycin (mTOR) as a therapeutic target against cancer. Cancer Biol Ther 2(4 Suppl 1):S169–S177
Mita MM, Mita A, Rowinsky EK (2003) Mammalian target of rapamycin: a new molecular target for breast cancer. Clin Breast Cancer 4(2):126–137
Mahalingam D, Sankhala K, Mita A, Giles FJ, Mita MM (2009) Targeting the mTOR pathway using deforolimus in cancer therapy. Future Oncol 5(3):291–303
Sankhala K, Mita A, Kelly K, Mahalingam D, Giles F, Mita M (2009) The emerging safety profile of mTOR inhibitors, a novel class of anticancer agents. Targeted Oncol 4(2):135–142
Mita M, Sankhala K, Abdel-Karim I, Mita A, Giles F (2008) Deforolimus (AP23573) a novel mTOR inhibitor in clinical development. Expert Opin Investig Drugs 17(12):1947–1954
Guertin DA, Sabatini DM (2009) The pharmacology of mTOR inhibition. Sci Signal 2(67):pe24. doi:10.1126/scisignal.267pe24
Garber K (2009) Targeting mTOR: something old, something new. J Natl Cancer Inst 101(5):288–290. doi:10.1093/jnci/djp034
Acknowledgements
Work in Z. D. Sharp’s laboratory is supported by a RC2 Grand Opportunity grant (AG036613) from the National Institutes of Health (NIH) and by the Glenn Foundation, and work in A. Richardson’s laboratory supported by a RC2 Grand Opportunity (AG036613) and a P30-Shock Center of Excellence in Basic Biology of Aging (AG13319) grants from the NIH and a Research Enhancement Award Program grant from the Department of Veterans Affairs.
Conflict of interest statement
No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sharp, Z.D., Richardson, A. Aging and cancer: can mTOR inhibitors kill two birds with one drug?. Targ Oncol 6, 41–51 (2011). https://doi.org/10.1007/s11523-011-0168-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11523-011-0168-7