Nephrology, Dialysis and Transplantation Unit, Advanced Research Center on Kidney Aging (A.R.K.A.), Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.
Renal Medicine and Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, 14152 Stockholm, Sweden.
Int J Mol Sci. 2024 Aug 8;25(16):8676. doi: 10.3390/ijms25168676.
The aging process contributes significantly to the onset of chronic diseases, which are the primary causes of global mortality, morbidity, and healthcare costs. Numerous studies have shown that the removal of senescent cells from tissues extends lifespan and reduces the occurrence of age-related diseases. Consequently, there is growing momentum in the development of drugs targeting these cells. Among them, mTOR and SGLT-2 inhibitors have garnered attention due to their diverse effects: mTOR inhibitors regulate cellular growth, metabolism, and immune responses, while SGLT-2 inhibitors regulate glucose reabsorption in the kidneys, resulting in various beneficial metabolic effects. Importantly, these drugs may act synergistically by influencing senescence processes and pathways. Although direct studies on the combined effects of mTOR inhibition and SGLT-2 inhibition on age-related processes are limited, this review aims to highlight the potential synergistic benefits of these drugs in targeting senescence.
衰老过程是导致慢性疾病的主要原因,慢性疾病是全球死亡率、发病率和医疗保健成本的主要原因。许多研究表明,从组织中去除衰老细胞可以延长寿命并减少与年龄相关的疾病的发生。因此,针对这些细胞的药物的开发越来越受到关注。其中,mTOR 和 SGLT-2 抑制剂因其多种作用而受到关注:mTOR 抑制剂调节细胞生长、代谢和免疫反应,而 SGLT-2 抑制剂调节肾脏中的葡萄糖重吸收,从而产生各种有益的代谢作用。重要的是,这些药物可能通过影响衰老过程和途径而产生协同作用。尽管关于 mTOR 抑制和 SGLT-2 抑制对与年龄相关的过程的联合作用的直接研究有限,但本综述旨在强调这些药物在靶向衰老方面的潜在协同益处。