Cancer prevention with rapamycin

Oncotarget. 2023 Apr 14:14:342-350. doi: 10.18632/oncotarget.28410.

Abstract

Rapamycin (sirolimus) and other rapalogs (everolimus) are anti-cancer and anti-aging drugs, which delay cancer by directly targeting pre-cancerous cells and, indirectly, by slowing down organism aging. Cancer is an age-related disease and, figuratively, by slowing down time (and aging), rapamycin may delay cancer. In several dozen murine models, rapamycin robustly and reproducibly prevents cancer. Rapamycin slows cell proliferation and tumor progression, thus delaying the onset of cancer in carcinogen-treated, genetically cancer-prone and normal mice. Data on the use of rapamycin and everolimus in organ-transplant patients are consistent with their cancer-preventive effects. Treatment with rapamycin was proposed to prevent lung cancer in smokers and former smokers. Clinical trials in high-risk populations are warranted.

Keywords: aging; cancer; chemoprevention; lung; rapamycin.

MeSH terms

  • Aging
  • Animals
  • Carcinogens / pharmacology
  • Everolimus / pharmacology
  • Lung Neoplasms* / chemically induced
  • Lung Neoplasms* / drug therapy
  • Lung Neoplasms* / prevention & control
  • Mice
  • Sirolimus* / pharmacology
  • Sirolimus* / therapeutic use

Substances

  • Sirolimus
  • Everolimus
  • Carcinogens