"We are already treating ageing," said gerontologist Brian Kennedy at the International Symposium on Geroprotectors in Basel, Switzerland
Everyday remedies
And rapalogs are not the only game in town.
The most commonly used medicine for type 2 diabetes, metformin, also
seems to extend the lifespan of many small animals, including mice, by
around 5 per cent.
There have been no trials of metformin as a longevity drug in people, but a recent study
hinted that it might have a similar effect. The study was designed to
compare metformin with another diabetes medicine, using records of
180,000 UK patients. To tease out the differences between the drugs,
people who started taking them were compared with people without
diabetes who had been closely matched for age and other health factors,
and tracked over five years.
Surprisingly, diabetics taking metformin were not only
less likely to die in that time than those on the other medicine but
they were also about 15 per cent less likely to die than people without
diabetes who took neither drug. "This shows we already have a drug that
we can potentially use in humans," says Nir Barzilai, who heads the Institute for Aging Research at the Albert Einstein College of Medicine in New York.
Other familiar drugs might also fit the
bill. Low-dose aspirin and statins are widely taken by healthy people to
reduce their risk of heart disease. Both extend lifespan in animals and
seem to have anti-inflammatory effects.
Inflammation is one of the proposed
mechanisms behind ageing, so aspirin and statins could be effective
heart drugs in part because they slow ageing, says Kennedy, who heads
the Buck Institute for Research on Aging in Novato, California.
The fact that common mechanisms seem to be
behind the major diseases of ageing, like heart disease, stroke and
dementia, is good news, as it suggests we should be able to extend our
lifespan while also extending healthspan, according to many conference
speakers. Indeed, it would be difficult to imagine an effective
longevity agent that worked without alleviating or delaying such
conditions. Rapamycin, for instance, has been found to reduce the
cognitive decline that accompanies ageing in animals.
Some researchers are already convinced and
have started taking various combinations of drugs – including low-dose
rapamycin. Blagosklonny is one such convert, and he's not alone: "I know
many people at this meeting who are taking it," he said. No doctor
would advise such a move, though, as rapamycin's potential for causing
diabetes could well outweigh its anti-ageing effects.
Nevertheless, the fact that anti-ageing
prescription drugs are being developed at all is a measure of how far
the longevity field has come, says Zhavoronkov. "It's the first time
pharma has embraced ageing."
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