Oliver's mTOR Atlas Evidence Platform
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TORC1 inhibition enhances immune function and reduces infections in the elderly

Mannick JB, Morris M, Hockey HP, Roma G, Beibel M, Klickstein LB · 2018 · Science Translational Medicine · Atlas ID MAN2018

What this study shows

The strongest human evidence that mTOR inhibition can rejuvenate a specific function of aging - immunity. In 264 elderly people, a low-dose combination that selectively hits TORC1 significantly reduced infections over the following year and boosted antiviral gene expression and flu-vaccine response. The follow-up to Mannick 2014.

Abstract

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Inhibition of the mechanistic target of rapamycin (mTOR) protein kinase extends life span and ameliorates aging-related pathologies including declining immune function in model organisms. The objective of this phase 2a randomized, placebo-controlled clinical trial was to determine whether low-dose mTOR inhibitor therapy enhanced immune function and decreased infection rates in 264 elderly subjects given the study drugs for 6 weeks.

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At a glance

Evidence type H Human study Marked H because it is direct evidence from a human clinical trial or human cohort; the code names the kind of study, not its quality -- a small, well-run trial is still H.
Study type2 - Human Clinical Trial
Model systemHumans, phase 2a RCT (n=264, elderly)
JournalScience Translational Medicine
Year2018
Peer reviewedYes
Record last updated2026-08-22
SourceDOI 10.1126/scitranslmed.aaq1564 · PMID 29997249

Extracted findings

InterventionLow-dose mTOR inhibitor (RAD001 + RTB101/BEZ235), 6 weeks
TargetTORC1
ModelHuman – phase 2a RCT (n=264, elderly)
EffectCombined low-dose TORC1 inhibition enhanced immune function and reduced infection rates in the elderly

In the Atlas

Related topics

EverolimusImmune functionmTORC1RTB101

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Cite this paper

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Mannick, J. B., Morris, M., Hockey, H. P., Roma, G., Beibel, M., & Klickstein, L. B. (2018). TORC1 inhibition enhances immune function and reduces infections in the elderly. Science Translational Medicine. https://doi.org/10.1126/scitranslmed.aaq1564

@article{MAN2018,
  author       = {Mannick, J. B. and Morris, M. and Hockey, H. P. and Roma, G. and Beibel, M. and Klickstein, L. B.},
  title        = {{TORC1 inhibition enhances immune function and reduces infections in the elderly}},
  journal      = {Science Translational Medicine},
  year         = {2018},
  doi          = {10.1126/scitranslmed.aaq1564},
  note         = {PMID: 29997249},
}

Cite this Atlas record

The record is the Atlas's own work — the evidence label, the extracted findings and the links. It is cited as part of the dataset, not as the paper.

Barton, O. (2026). Oliver's mTOR Atlas (record MAN2018) [Data set]. https://mtor-atlas.org/study/MAN2018/ · Dataset DOI 10.5281/zenodo.22059963

@misc{atlas_MAN2018,
  author       = {Barton, Oliver},
  title        = {{Oliver's mTOR Atlas}, record MAN2018},
  howpublished = {Data set},
  year         = {2026},
  url          = {https://mtor-atlas.org/study/MAN2018/},
  doi          = {10.5281/zenodo.22059963}
}