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      Longer lifespan in male mice treated with a weakly estrogenic agonist, an antioxidant, an α‐glucosidase inhibitor or a Nrf2‐inducer

      research-article
      1 , 2 , , 3 , 4 , 5 , 5 , 4 , 1 , 2 , 5 , 6 , 7 , 8 , 9 , 25 , 1 , 2 , 10 , 6 , 11 , 12 , 5 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 5
      Aging Cell
      John Wiley and Sons Inc.
      acarbose, fish oil, metformin, NDGA, Protandim, rapamycin, UDCA, 17‐α‐estradiol

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          Summary

          The National Institute on Aging Interventions Testing Program ( ITP) evaluates agents hypothesized to increase healthy lifespan in genetically heterogeneous mice. Each compound is tested in parallel at three sites, and all results are published. We report the effects of lifelong treatment of mice with four agents not previously tested: Protandim, fish oil, ursodeoxycholic acid ( UDCA) and metformin – the latter with and without rapamycin, and two drugs previously examined: 17‐α‐estradiol and nordihydroguaiaretic acid ( NDGA), at doses greater and less than used previously. 17‐α‐estradiol at a threefold higher dose robustly extended both median and maximal lifespan, but still only in males. The male‐specific extension of median lifespan by NDGA was replicated at the original dose, and using doses threefold lower and higher. The effects of NDGA were dose dependent and male specific but without an effect on maximal lifespan. Protandim, a mixture of botanical extracts that activate Nrf2, extended median lifespan in males only. Metformin alone, at a dose of 0.1% in the diet, did not significantly extend lifespan. Metformin (0.1%) combined with rapamycin (14 ppm) robustly extended lifespan, suggestive of an added benefit, based on historical comparison with earlier studies of rapamycin given alone. The α‐glucosidase inhibitor, acarbose, at a concentration previously tested (1000 ppm), significantly increased median longevity in males and 90th percentile lifespan in both sexes, even when treatment was started at 16 months. Neither fish oil nor UDCA extended lifespan. These results underscore the reproducibility of ITP longevity studies and illustrate the importance of identifying optimal doses in lifespan studies.

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          Most cited references46

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          Role of AMP-activated protein kinase in mechanism of metformin action.

          Metformin is a widely used drug for treatment of type 2 diabetes with no defined cellular mechanism of action. Its glucose-lowering effect results from decreased hepatic glucose production and increased glucose utilization. Metformin's beneficial effects on circulating lipids have been linked to reduced fatty liver. AMP-activated protein kinase (AMPK) is a major cellular regulator of lipid and glucose metabolism. Here we report that metformin activates AMPK in hepatocytes; as a result, acetyl-CoA carboxylase (ACC) activity is reduced, fatty acid oxidation is induced, and expression of lipogenic enzymes is suppressed. Activation of AMPK by metformin or an adenosine analogue suppresses expression of SREBP-1, a key lipogenic transcription factor. In metformin-treated rats, hepatic expression of SREBP-1 (and other lipogenic) mRNAs and protein is reduced; activity of the AMPK target, ACC, is also reduced. Using a novel AMPK inhibitor, we find that AMPK activation is required for metformin's inhibitory effect on glucose production by hepatocytes. In isolated rat skeletal muscles, metformin stimulates glucose uptake coincident with AMPK activation. Activation of AMPK provides a unified explanation for the pleiotropic beneficial effects of this drug; these results also suggest that alternative means of modulating AMPK should be useful for the treatment of metabolic disorders.
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            Rapamycin fed late in life extends lifespan in genetically heterogeneous mice

            Inhibition of the TOR signalling pathway by genetic or pharmacological intervention extends lifespan in invertebrates, including yeast, nematodes and fruit flies1–5. However, whether inhibition of mTOR signalling can extend life in a mammalian species was unknown. We report here that rapamycin, an inhibitor of the mTOR pathway, extends median and maximal lifespan of both male and female mice when fed beginning at 600 days of age. Based on age at 90% mortality, rapamycin led to an increase of 14% for females and 9% for males. The effect was seen at three independent test sites in genetically heterogeneous mice, chosen to avoid genotype-specific effects on disease susceptibility. Disease patterns of rapamycin-treated mice did not differ from those of control mice. In a separate study, rapamycin fed to mice beginning at 270 days of age also increased survival in both males and females, based on an interim analysis conducted near the median survival point. Rapamycin may extend lifespan by postponing death from cancer, by retarding mechanisms of ageing, or both. These are the first results to demonstrate a role for mTOR signalling in the regulation of mammalian lifespan, as well as pharmacological extension of lifespan in both genders. These findings have implications for further development of interventions targeting mTOR for the treatment and prevention of age-related diseases.
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              Metformin improves healthspan and lifespan in mice

              Metformin is a drug commonly prescribed to treat patients with type 2 diabetes. Here we show that long-term treatment with metformin (0.1% w/w in diet) starting at middle age extends healthspan and lifespan in male mice, while a higher dose (1% w/w) was toxic. Treatment with metformin mimics some of the benefits of calorie restriction, such as improved physical performance, increased insulin sensitivity, and reduced LDL and cholesterol levels without a decrease in caloric intake. At a molecular level, metformin increases AMP-activated protein kinase activity and increases antioxidant protection, resulting in reductions in both oxidative damage accumulation and chronic inflammation. Our results indicate that these actions may contribute to the beneficial effects of metformin on healthspan and lifespan. These findings are in agreement with current epidemiological data and raise the possibility of metformin-based interventions to promote healthy aging.
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                Author and article information

                Journal
                Aging Cell
                Aging Cell
                10.1111/(ISSN)1474-9726
                ACEL
                Aging Cell
                John Wiley and Sons Inc. (Hoboken )
                1474-9718
                1474-9726
                16 June 2016
                October 2016
                : 15
                : 5 ( doiID: 10.1111/acel.2016.15.issue-5 )
                : 872-884
                Affiliations
                [ 1 ] Geriatric Research, Education and Clinical Center and Research Service, South Texas Veterans Health Care System, Department of Pharmacology The University of Texas Health Science Center at San Antonio San Antonio TX 78229USA
                [ 2 ] Barshop Institute for Longevity and Aging StudiesThe University of Texas Health Science Center at San Antonio San Antonio TX 78229USA
                [ 3 ] Department of Pathology and Geriatrics CenterUniversity of Michigan Ann Arbor MI 48109‐2200USA
                [ 4 ]Max Planck Institute for Biology of Ageing Cologne D‐50931Germany
                [ 5 ]The Jackson Laboratory Bar Harbor ME 04609USA
                [ 6 ]Colorado State University Fort Collins CO 80523USA
                [ 7 ] Department of MedicineUniversity of Wisconsin‐Madison Madison WI 53705USA
                [ 8 ] Department of PsychiatryUniversity of Texas Health Science Center at San Antonio San Antonio TX 78229USA
                [ 9 ] School of Biological SciencesUniversity of Liverpool Crown Street Liverpool L69 7ZBUK
                [ 10 ] Division of Pulmonary Sciences and Critical Care MedicineUniversity of Colorado Aurora COUSA
                [ 11 ] Norwich Medical SchoolUniversity of East Anglia NorwichUK
                [ 12 ] Department of Physiology and Barshop Center for Longevity and Aging StudiesThe University of Texas Health Science Center at San Antonio San Antonio TX 78229USA
                [ 13 ] Centre for Cardiovascular Sciences School of Clinical and Experimental Medicine The Medical SchoolThe University of Birmingham BirminghamUK
                [ 14 ] Department of Geriatric MedicineUniversity of Oklahoma Health Science Center Oklahoma City OK 73104USA
                [ 15 ]VA Medical Center Oklahoma City OK 73104USA
                [ 16 ]Whitehead Institute for Biomedical Research Cambridge MA 02142USA
                [ 17 ] Department of BiologyMIT Cambridge MA 02139USA
                [ 18 ] Howard Hughes Medical InstituteMIT Cambridge MA 02139USA
                [ 19 ] Broad Institute of Harvard and MITSeven Cambridge Center Cambridge MA 02142USA
                [ 20 ]The David H. Koch Institute for Integrative Cancer Research at MIT Cambridge MA 02139USA
                [ 21 ] Department of Molecular Medicine and Barshop Institute for Longevity and Aging StudiesThe University of Texas Health Science Center at San Antonio San Antonio TX 78229USA
                [ 22 ] Center for Basic & Translational Stroke ResearchWest Virginia University Morgantown WV 26506USA
                [ 23 ] Division of Human NutritionWageningen University and Research Centre WageningenThe Netherlands
                [ 24 ] Division of Aging BiologyNational Institute on Aging Bethesda MD 20892USA
                [ 25 ]Present address: Integrative Genomics of Ageing GroupInstitute of Ageing and Chronic Disease University of Liverpool L7 8TX, LiverpoolUnited Kingdom
                Author notes
                [*] [* ] Correspondence

                Randy Strong, Department of Pharmacology and Barshop Institute for Longevity and Aging Studies, University of Texas Health Science Center at San Antonio, 15355 Lambda Drive, San Antonio, TX 78245, USA. Tel.: +210 562 6126; fax: +210 562 6130; e‐mail: strong@ 123456uthscsa.edu

                [†]

                These three authors contributed equally to this study.

                Author information
                http://orcid.org/0000-0002-0079-4467
                Article
                ACEL12496
                10.1111/acel.12496
                5013015
                27312235
                8a9cdc81-f230-4557-bad6-44e4b8cfe3b8
                © 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
                : 03 May 2016
                Page count
                Pages: 13
                Funding
                Funded by: NIA
                Award ID: AG022308
                Award ID: AG022303
                Award ID: AG022307
                Award ID: AG013319
                Award ID: CA034196
                Award ID: AG024824
                Funded by: Senior Research Career Scientist Award from the Department of Veterans Affairs Office of Research and Development
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                acel12496
                October 2016
                Converter:WILEY_ML3GV2_TO_NLMPMC version:4.9.4 mode:remove_FC converted:06.09.2016

                Cell biology
                acarbose,fish oil,metformin,ndga,protandim,rapamycin,udca,17‐α‐estradiol
                Cell biology
                acarbose, fish oil, metformin, ndga, protandim, rapamycin, udca, 17‐α‐estradiol

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