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      Dietary rapamycin supplementation reverses age‐related vascular dysfunction and oxidative stress, while modulating nutrient‐sensing, cell cycle, and senescence pathways

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          Summary

          Inhibition of mammalian target of rapamycin, mTOR, extends lifespan and reduces age‐related disease. It is not known what role mTOR plays in the arterial aging phenotype or if mTOR inhibition by dietary rapamycin ameliorates age‐related arterial dysfunction. To explore this, young (3.8 ± 0.6 months) and old (30.3 ± 0.2 months) male B6D2F1 mice were fed a rapamycin supplemented or control diet for 6–8 weeks. Although there were few other notable changes in animal characteristics after rapamycin treatment, we found that glucose tolerance improved in old mice, but was impaired in young mice, after rapamycin supplementation (both P < 0.05). Aging increased mTOR activation in arteries evidenced by elevated S6K phosphorylation ( P < 0.01), and this was reversed after rapamycin treatment in old mice ( P < 0.05). Aging was also associated with impaired endothelium‐dependent dilation ( EDD) in the carotid artery ( P < 0.05). Rapamycin improved EDD in old mice ( P < 0.05). Superoxide production and NADPH oxidase expression were higher in arteries from old compared to young mice ( P < 0.05), and rapamycin normalized these ( P < 0.05) to levels not different from young mice. Scavenging superoxide improved carotid artery EDD in untreated ( P < 0.05), but not rapamycin‐treated, old mice. While aging increased large artery stiffness evidenced by increased aortic pulse‐wave velocity ( PWV) ( P < 0.01), rapamycin treatment reduced aortic PWV ( P < 0.05) and collagen content ( P < 0.05) in old mice. Aortic adenosine monophosphate‐activated protein kinase ( AMPK) phosphorylation and expression of the cell cycle‐related proteins PTEN and p27kip were increased with rapamycin treatment in old mice (all P < 0.05). Lastly, aging resulted in augmentation of the arterial senescence marker, p19 ( P < 0.05), and this was ameliorated by rapamycin treatment ( P < 0.05). These results demonstrate beneficial effects of rapamycin treatment on arterial function in old mice and suggest these improvements are associated with reduced oxidative stress, AMPK activation and increased expression of proteins involved in the control of the cell cycle.

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          General cardiovascular risk profile for use in primary care: the Framingham Heart Study.

          Separate multivariable risk algorithms are commonly used to assess risk of specific atherosclerotic cardiovascular disease (CVD) events, ie, coronary heart disease, cerebrovascular disease, peripheral vascular disease, and heart failure. The present report presents a single multivariable risk function that predicts risk of developing all CVD and of its constituents. We used Cox proportional-hazards regression to evaluate the risk of developing a first CVD event in 8491 Framingham study participants (mean age, 49 years; 4522 women) who attended a routine examination between 30 and 74 years of age and were free of CVD. Sex-specific multivariable risk functions ("general CVD" algorithms) were derived that incorporated age, total and high-density lipoprotein cholesterol, systolic blood pressure, treatment for hypertension, smoking, and diabetes status. We assessed the performance of the general CVD algorithms for predicting individual CVD events (coronary heart disease, stroke, peripheral artery disease, or heart failure). Over 12 years of follow-up, 1174 participants (456 women) developed a first CVD event. All traditional risk factors evaluated predicted CVD risk (multivariable-adjusted P<0.0001). The general CVD algorithm demonstrated good discrimination (C statistic, 0.763 [men] and 0.793 [women]) and calibration. Simple adjustments to the general CVD risk algorithms allowed estimation of the risks of each CVD component. Two simple risk scores are presented, 1 based on all traditional risk factors and the other based on non-laboratory-based predictors. A sex-specific multivariable risk factor algorithm can be conveniently used to assess general CVD risk and risk of individual CVD events (coronary, cerebrovascular, and peripheral arterial disease and heart failure). The estimated absolute CVD event rates can be used to quantify risk and to guide preventive care.
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            Rapamycin slows aging in mice.

            Rapamycin increases lifespan in mice, but whether this represents merely inhibition of lethal neoplastic diseases, or an overall slowing in multiple aspects of aging is currently unclear. We report here that many forms of age-dependent change, including alterations in heart, liver, adrenal glands, endometrium, and tendon, as well as age-dependent decline in spontaneous activity, occur more slowly in rapamycin-treated mice, suggesting strongly that rapamycin retards multiple aspects of aging in mice, in addition to any beneficial effects it may have on neoplastic disease. We also note, however, that mice treated with rapamycin starting at 9 months of age have significantly higher incidence of testicular degeneration and cataracts; harmful effects of this kind will guide further studies on timing, dosage, and tissue-specific actions of rapamycin relevant to the development of clinically useful inhibitors of TOR action. © 2012 The Authors. Aging Cell © 2012 Blackwell Publishing Ltd/Anatomical Society of Great Britain and Ireland.
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              mTOR regulation and therapeutic rejuvenation of aging hematopoietic stem cells.

              Age-related declines in hematopoietic stem cell (HSC) function may contribute to anemia, poor response to vaccination, and tumorigenesis. Here, we show that mammalian target of rapamycin (mTOR) activity is increased in HSCs from old mice compared to those from young mice. mTOR activation through conditional deletion of Tsc1 in the HSCs of young mice mimicked the phenotype of HSCs from aged mice in various ways. These included increased abundance of the messenger RNA encoding the CDK inhibitors p16(Ink4a), p19(Arf), and p21(Cip1); a relative decrease in lymphopoiesis; and impaired capacity to reconstitute the hematopoietic system. In old mice, rapamycin increased life span, restored the self-renewal and hematopoiesis of HSCs, and enabled effective vaccination against a lethal challenge with influenza virus. Together, our data implicate mTOR signaling in HSC aging and show the potential of mTOR inhibitors for restoring hematopoiesis in the elderly.
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                Author and article information

                Contributors
                lisa.lesniewski@utah.edu
                Journal
                Aging Cell
                Aging Cell
                10.1111/(ISSN)1474-9726
                ACEL
                Aging Cell
                John Wiley and Sons Inc. (Hoboken )
                1474-9718
                1474-9726
                22 September 2016
                February 2017
                : 16
                : 1 ( doiID: 10.1111/acel.2017.16.issue-1 )
                : 17-26
                Affiliations
                [ 1 ] Division of GeriatricsDepartment of Internal Medicine Salt Lake City UTUSA
                [ 2 ] Veteran's Affairs Medical Center‐Salt Lake CityGeriatrics Research Education and Clinical Center Salt Lake City UTUSA
                [ 3 ] Department of Exercise and Sports ScienceUniversity of Utah Salt Lake City UTUSA
                [ 4 ] Department of Integrative PhysiologyUniversity of Colorado Boulder Boulder COUSA
                [ 5 ] Department of BiochemistryUniversity of Utah Salt Lake City UTUSA
                Author notes
                [*] [* ] Correspondence

                Lisa A. Lesniewski, Ph.D., Division of Geriatrics, University of Utah, VA Medical Center‐SLC, GRECC Building 2, Rm 2D08, 500 Foothill Dr., Salt Lake City, UT 84148, USA. Tel.: +801 582 1565 ext 2046; fax: +801 584 5640; e‐mail: lisa.lesniewski@ 123456utah.edu

                [†]

                Authors contributed equally to this manuscript.

                Article
                ACEL12524
                10.1111/acel.12524
                5242306
                27660040
                76cd3050-6cd1-418a-9a32-9fd5a56ada43
                © 2016 The Authors. Aging Cell published by the Anatomical Society and John Wiley & Sons Ltd.

                This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 July 2016
                Page count
                Figures: 5, Tables: 1, Pages: 10, Words: 9026
                Funding
                Funded by: National Institute on Aging
                Award ID: R01 AG040297
                Award ID: K02 AG045339
                Award ID: R21 AG04395
                Award ID: R37 AG013038
                Award ID: KO1 AG046326
                Funded by: National Heart, Lung, and Blood Institute
                Award ID: R01 HL107120
                Award ID: 1I01BX002151
                Funded by: United States (US) Department of Veterans Affairs Biomedical Laboratory Research and Development Service
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                acel12524
                February 2017
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.0.2 mode:remove_FC converted:20.01.2017

                Cell biology
                aging,ampk,arterial stiffness,endothelial function,mtor,oxidative stress,rapamycin
                Cell biology
                aging, ampk, arterial stiffness, endothelial function, mtor, oxidative stress, rapamycin

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