Published, Version of Record (VoR)CC BY V4.0, Open
Abstract
Geriatrics & Gerontology Life Sciences & Biomedicine Science & Technology
Aging is a major risk factor for the majority of human diseases, and the development of interventions to reduce the intrinsic rate of aging is expected to reduce the risk for age-related diseases including cardiovascular disease, cancer, and dementia. In the skin, aging manifests itself in photodamage and dermal atrophy, with underlying tissue reduction and impaired barrier function. To determine whether rapamycin, an FDA-approved drug targeting the mechanistic target of rapamycin (mTOR) complex, can reduce senescence and markers of aging in human skin, an exploratory, placebo-controlled, interventional trial was conducted in a clinical dermatology setting. Participants were greater than 40 years of age with evidence of age-related photoaging and dermal volume loss and no major morbidities. Thirty-six participants were enrolled in the study, and nineteen discontinued or were lost to follow-up. A significant (P = 0.008) reduction in p16(INK4A) protein levels and an increase in collagen VII protein levels (P = 0.0077) were observed among participants at the end of the study. Clinical improvement in skin appearance was noted in multiple participants, and immunohistochemical analysis revealed improvement in histological appearance of skin tissue. Topical rapamycin reduced the expression of the p16(INK4A) protein consistent with a reduction in cellular senescence. This change was accompanied by relative improvement in clinical appearance of the skin and histological markers of aging and by an increase in collagen VII, which is critical to the integrity of the basement membrane. These results indicate that rapamycin treatment is a potential anti-aging therapy with efficacy in humans. Trial registration Identifier: NCT03103893.
Topical rapamycin reduces markers of senescence and aging in human skin: an exploratory, prospective, randomized trial
Creators
Christina Lee Chung - Drexel University
Ibiyonu Lawrence - Drexel University
Melissa Hoffman - Drexel University
Dareen Elgindi - Drexel University
Kumar Nadhan - Drexel University
Manali Potnis - Drexel University
Annie Jin - Drexel University
Catlin Sershon - Drexel University
Rhonda Binnebose - Drexel University
Antonello Lorenzini - University of Bologna
Christian Sell - Drexel University
Publication Details
GeroScience, v 41(6), pp 861-869
Publisher
Springer Nature
Number of pages
9
Grant note
Commonwealth of Pennsylvania, Commonwealth Universal Research Enhancement Program (CURE)
Drexel University Coulter Foundation
Drexel University College of Medicine Aging Initiative
Resource Type
Journal article
Language
English
Academic Unit
Biochemistry and Molecular Biology
Web of Science ID
WOS:000498200800001
Scopus ID
2-s2.0-85075332695
Other Identifier
991019168157004721
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