PMID- 25540326 OWN - NLM STAT- MEDLINE DCOM- 20150818 LR - 20220318 IS - 1946-6242 (Electronic) IS - 1946-6234 (Linking) VI - 6 IP - 268 DP - 2014 Dec 24 TI - mTOR inhibition improves immune function in the elderly. PG - 268ra179 LID - 10.1126/scitranslmed.3009892 [doi] AB - Inhibition of the mammalian target of rapamycin (mTOR) pathway extends life span in all species studied to date, and in mice delays the onset of age-related diseases and comorbidities. However, it is unknown if mTOR inhibition affects aging or its consequences in humans. To begin to assess the effects of mTOR inhibition on human aging-related conditions, we evaluated whether the mTOR inhibitor RAD001 ameliorated immunosenescence (the decline in immune function during aging) in elderly volunteers, as assessed by their response to influenza vaccination. RAD001 enhanced the response to the influenza vaccine by about 20% at doses that were relatively well tolerated. RAD001 also reduced the percentage of CD4 and CD8 T lymphocytes expressing the programmed death-1 (PD-1) receptor, which inhibits T cell signaling and is more highly expressed with age. These results raise the possibility that mTOR inhibition may have beneficial effects on immunosenescence in the elderly. CI - Copyright (c) 2014, American Association for the Advancement of Science. FAU - Mannick, Joan B AU - Mannick JB AD - Novartis Institutes for BioMedical Research, Cambridge, MA 02139, USA. joan.mannick@novartis.com. FAU - Del Giudice, Giuseppe AU - Del Giudice G AD - Novartis Vaccines and Diagnostics, 53100 Siena, Italy. FAU - Lattanzi, Maria AU - Lattanzi M AD - Novartis Vaccines and Diagnostics, 53100 Siena, Italy. FAU - Valiante, Nicholas M AU - Valiante NM AD - Novartis Vaccines and Diagnostics, Cambridge, MA 02139, USA. FAU - Praestgaard, Jens AU - Praestgaard J AD - Novartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA. FAU - Huang, Baisong AU - Huang B AD - Novartis Institutes for BioMedical Research, Cambridge, MA 02139, USA. FAU - Lonetto, Michael A AU - Lonetto MA AD - Novartis Institutes for BioMedical Research, Cambridge, MA 02139, USA. FAU - Maecker, Holden T AU - Maecker HT AD - Novartis Pharmaceuticals Corporation, CH-4002 Basel, Switzerland. FAU - Kovarik, John AU - Kovarik J AD - Stanford University School of Medicine, Stanford, CA 94305-5124, USA. FAU - Carson, Simon AU - Carson S AD - Southern Clinical Trials, Christchurch 8024, New Zealand. FAU - Glass, David J AU - Glass DJ AD - Novartis Institutes for BioMedical Research, Cambridge, MA 02139, USA. FAU - Klickstein, Lloyd B AU - Klickstein LB AD - Novartis Institutes for BioMedical Research, Cambridge, MA 02139, USA. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Sci Transl Med JT - Science translational medicine JID - 101505086 RN - 0 (Antibodies, Viral) RN - 0 (Influenza Vaccines) RN - 0 (PDCD1 protein, human) RN - 0 (Placebos) RN - 0 (Programmed Cell Death 1 Receptor) RN - 0 (Protein Kinase Inhibitors) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM CIN - Oncotarget. 2015 Jan 20;6(2):590-1. PMID: 25612254 MH - Aged MH - Antibodies, Viral/immunology MH - CD4-Positive T-Lymphocytes/drug effects/immunology MH - CD8-Positive T-Lymphocytes/drug effects/immunology MH - Cohort Studies MH - Everolimus MH - Humans MH - Immunity/*drug effects MH - Influenza Vaccines/immunology MH - Placebos MH - Programmed Cell Death 1 Receptor/metabolism MH - Protein Kinase Inhibitors/*pharmacology MH - Seasons MH - Sirolimus/analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism MH - Vaccination EDAT- 2014/12/30 06:00 MHDA- 2015/08/19 06:00 CRDT- 2014/12/26 06:00 PHST- 2014/12/26 06:00 [entrez] PHST- 2014/12/30 06:00 [pubmed] PHST- 2015/08/19 06:00 [medline] AID - 6/268/268ra179 [pii] AID - 10.1126/scitranslmed.3009892 [doi] PST - ppublish SO - Sci Transl Med. 2014 Dec 24;6(268):268ra179. doi: 10.1126/scitranslmed.3009892.