Evidence map›Paper›PMID 40971115›Full record

ArticleGeroScience2026

Short-term mTOR inhibition by rapamycin improves cardiac and endothelial function in older men: a proof-of concept pilot study.

Alexander J Moody, Yubo Wu, Terry Q Romo, Wouter Koek, Jinqi Li, Leslie A Linehan, Geoffrey D Clarke, Eric Y Yang, Sara E Espinoza, Nicolas Musi and 3 more

Abstract read
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Alexander J MoodyBarshop Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Yubo WuDepartment of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Terry Q RomoDepartment of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Wouter KoekDepartment of Cell Systems and Anatomy, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Jinqi LiResearch Imaging Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Leslie A LinehanDepartment of Cell Systems and Anatomy, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Geoffrey D ClarkeResearch Imaging Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Eric Y YangDepartment of Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr., San Antonio, TX, USA.
Sara E EspinozaBarshop Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Nicolas MusiBarshop Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Robert J ChiltonDepartment of Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr., San Antonio, TX, USA.
Ellen KraigBarshop Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Dean L KelloggBarshop Institute, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA. kelloggd@uthscsa.edu.ORCID http://orcid.org/0009-0004-5636-5081

Funding

San Antonio OAIC - Research Education Component (REC)P30AG044271 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Adam Salmon · 2015 to 2026
$14.1M
RESTOR [Rapamycin and Everolimus Study Towards Older Rejuvenation]: An exploratory PK/PD study of mTOR inhibition in older human subjectsU01AG089242 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI GINSBURG, BRETT C, KELLOGG, DEAN L · 2024 to 2025
$2.3M
NIA NIH HHS P30 AG044271NIA NIH HHS P30AG044271NIA NIH HHS U01 AG089242
6 · The paper itself

Abstract

Rapamycin (RAPA) and related mTOR-inhibitors have been shown to enhance healthy aging in animal models (2-10) and to be generally safe and tolerable in older people (11-13). However, studies to assess their effects on specific age-related pathologies in humans are limited. Since improvements in cardiovascular function with RAPA treatment have been reported in preclinical studies (5, 9, 10, 14-17), we posited that RAPA could be similarly efficacious in humans. Towards this end, we performed a pilot "proof of concept" trial to examine RAPA's effects on cardiovascular and endothelial functions that are known to decline with age (18, 19). We hypothesized that RAPA would elicit beneficial cardiovascular effects in men. A cohort of older male subjects with no known cardiac disease (ages 70-76 years) were enrolled in the open-label study and received 1 mg RAPA/day for 8 weeks. To assess cardiovascular function, cardiac MRI (CMR) was performed twice: prior to initiation of the intervention and again after 8 weeks of treatment. Endothelial function was examined using laser-Doppler flowmetry (LDF) by measuring cutaneous, endothelium-dependent, local thermal hyperemic responses pre-intervention and after 4 and 8 weeks of RAPA (1). In all 6 subjects, transmitral blood flow, peak flow rate, and maximal blood acceleration showed statistically significant improvements while endothelial function also improved over the 8-week course of RAPA treatment. Thus, cardiac and endothelial function improvements with RAPA were found and support future placebo-controlled studies in larger cohorts of healthy older persons as well as in patients with compromised diastolic and endothelial function (20, 21).

Indexed as

Endothelium, VascularMTOR InhibitorsSirolimusTOR Serine-Threonine KinasesAgedAgingHumansLaser-Doppler FlowmetryMalePilot ProjectsProof of Concept StudyTreatment OutcomeMTOR InhibitorsSirolimusTOR Serine-Threonine KinasesCardiac MRIClinical trialDiastolic functionEndothelial functionInflammationmTORRapamycin

Identifiers

PMID40971115
PMCPMC13356194

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.