So there was these features. It was mostly the specificity that it required rapamycin to bind to FKBP. And that was crystal clear in the early experiments.
The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
So there was these features. It was mostly the specificity that it required rapamycin to bind to FKBP. And that was crystal clear in the early experiments.
Every Sunday: the week’s new conflicts and verdict changes — and nothing else.
Native comments, Twitter mentions, and Reddit threads about this claim — surfaced together so the conversation isn't fragmented across platforms.
The "high risk" framing here is the right call. I've had three patients ask about rapa this month and none of them grasped the immunosuppression tradeoff until I walked them through it.
The PEARL trial framing in the dossier is the clearest writeup I've seen for a non-specialist. Worth linking from the AMA pages too.
I'm on 6mg/week, year two. Tracking IL-6, fasting glucose, lipids. Happy to share the spreadsheet if Whalespan wants longitudinal user data.
The dosing variance across the advocate camp is staggering. 3mg, 5mg, 8mg, biweekly, weekly… brief is right that "monitor or specialist only" is the responsible read.
From that point of view, it's a very unique kind of drug where it doesn't directly bind to a protein target, but rather it first binds to one target. And now that drug receptor complex has a new surface on it, which now, in this case, interacts with mTOR.
yes the complexity around first of all how many of these things there are and how you can change their properties by which ones you're binding to
you think about tor being the target of rapamycin it's not exactly the target of rapamycin is an immunofillin called fk binding proteins or fkbp and there's several of these there's three different classes of immunophyllans the complex
biochemically rapamycin is a specific inhibitor of mtor complex one so the way rapamycin works is it actually it's a small molecule that binds to another protein called fkbp12 or fpr1 in yeast and once rapamycin binds to fkbp12 that complex of rapamycin with fkbp12 goes to mtor complex one and you can think of it as sort of just messing it up breaks it apart so it inhibits mtor complex one when rapamycin is bind to fkbp12
Rapamycin is quite unique and in another aspect that we haven't talked about but also was very exciting at the time right Rapamycin unlike most drugs right most drugs go and find their protein Target and do something usually inhibit that Target Rapamycin gets in the cell binds to a little protein FKBP what it does to FKBP frankly doesn't seem to matter at all but instead hijacks that protein and now takes it and makes it bind to mtor it basically uses it as this thing that it draws next to mtor and that moving of FKBP to mtor is actually critical for how Rapamycin acts and as as people like Stuart shriber have pioneered it's it's really a molecular glue it connects mtor and FK p and that interaction is absolutely critical
it's it's really a molecular glue that connects mtor and fkbp and that interaction is absolutely critical
rapamycin unlike most drugs right most drugs go and find their protein Target and do something usually inhibit that Target rapy gets in the cell binds to a little protein fkbp what it does to fkbp frankly doesn't seem to matter at all but instead hijacks that protein and now takes it and makes it bind to mtor it basically uses it as this thing that it draws next to mtor and that moving of fkbp to mtor is actually critical for how rapmon acts
Rapamycin extends median and maximum lifespan in mice across multiple lab strains and dosing protocols.
Rapamycin will extend human lifespan by 5+ years at standard weekly dosing.
Weekly rapamycin dosing in healthy adults shows favorable safety and immune markers in early observational data.
Chronic low-dose rapamycin imposes an immune trade-off that outweighs the longevity hypothesis for most healthy adults.
mTORC1 inhibition is the mechanistic backbone for rapamycin's healthspan effects in mammals.
The PEARL trial showed an acceptable 48-week safety profile in healthy adults on weekly rapamycin.