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Preventing Age-Related Cognitive Decline with Mix of Known Drugs

Lasse Damgaard Harreskov by Lasse Damgaard Harreskov
April 19, 2025
Reading Time: 5 mins read

Study: “A cocktail of rapamycin, acarbose, and phenylbutyrate prevents age-related cognitive decline in mice by targeting multiple aging pathways”
Publisher: GeroScience
Published date: May 2024
PubMed link to study: https://pubmed.ncbi.nlm.nih.gov/38755466/

As we age, cognitive decline can become a significant concern, leading to memory issues and increased risk of neurodegenerative conditions such as Alzheimer’s disease.

In recent research published in GeroScience, a combination of the three known drugs rapamycin, acarbose, and phenylbutyrate was shown to prevent age-related cognitive decline in mice.

This study focuses on how targeting multiple aging pathways simultaneously could potentially help maintain brain function as we age, providing new insights into how existing medications might be used to slow the aging process.

Feel welcome to share your own thoughts on this research in the comment section below as well. I will be happy to discuss and learn more about how you see its potential in this field.

The Role of Each Drug in the Study

The combination used in this research includes three well-known drugs, each affecting different biological processes related to aging:

Rapamycin

This drug inhibits the mTOR1 protein, which plays a role in regulating cell growth and metabolism. Rapamycin has previously been studied for its ability to mimic the effects of caloric restriction, which is associated with increased lifespan and improved health outcomes in various organisms, including mice.

Acarbose

Acarbose is commonly used to manage blood sugar in people with type 2 diabetes. It slows the digestion of carbohydrates, which helps regulate glucose levels. Long-term studies have also shown that acarbose can extend the lifespan of mice by improving metabolic health.

Phenylbutyrate

This drug affects the epigenetic regulation of cells, specifically through the inhibition of histone deacetylases, which are involved in gene expression and DNA repair.

Although phenylbutyrate has not demonstrated the same lifespan-extending effects as the other two drugs, it plays a critical role in maintaining cellular function and reducing stress in aging cells.

Targeting Multiple Aging Pathways

The central idea of this study is that aging is driven by various interconnected biological processes. Rather than focusing on a single pathway, the drug cocktail was designed to address several at once.

In the mice that received the cocktail treatment, the results showed reduced signs of brain aging compared to untreated mice or mice given just one of the drugs.
Highlighting that the combined effect of rapamycin, acarbose, and phenylbutyrate is greater than the effect of any single drug, which indicates a synergistic action.

The researchers observed that the cocktail helped suppress common markers of aging, including inflammation, DNA damage, and the accumulation of senescent cells (cells that have stopped dividing but remain active, contributing to aging).

Additionally, the treated mice demonstrated improved performance in cognitive tests, indicating that the drug combination was effective in protecting brain function.

Effects on Brain Health

The most notable findings in this study were related to the brains of the treated mice.
In these mice, there was evidence of increased autophagy, a process in which the body clears out damaged cells, and decreased levels of inflammation in brain areas critical for memory and learning.

The researchers also observed improvements in DNA repair mechanisms, which are crucial for maintaining healthy brain function as we age.

By addressing several aging processes simultaneously, the drug combination appeared to slow down the cognitive decline that typically accompanies aging.
This suggests that targeting multiple aging pathways may offer a more effective approach to preserving brain health than focusing on one process in isolation.

Implications for Anti-Aging Research

While this study was conducted in mice, it provides valuable insights that may guide future research into aging in humans.

All three drugs in the cocktail (rapamycin, acarbose, and phenylbutyrate) are already approved for other medical conditions, making them promising candidates for further investigation in human aging studies.

This research contributes to our overall understanding of how age-related cognitive decline might be delayed by targeting a range of biological processes at once.
This approach recognizes the complexity of aging and supports the idea that multifaceted interventions could potentially be beneficial to maintain cognitive function and overall health as we grow older.

Conclusion

This study highlights how a combination of rapamycin, acarbose, and phenylbutyrate may help mitigate age-related cognitive decline by targeting multiple pathways involved in the aging process.

Although, more research is required to translate these findings to humans, the study adds to the growing body of knowledge about how existing drugs can be repurposed to address the challenges of aging.

The findings suggest that combining treatments to address multiple aspects of aging could potentially be a more comprehensive strategy for promoting healthy brain aging and possibly delaying neurodegenerative diseases.

Read about more anti-aging research.

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Pursuit of Immortality

At Pursuit of Immortality I will keep you updated on the latest scientific research and technological breakthroughs in the field of anti-aging, and explore the question of whether it is possible to live forever.

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