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Translational evidence in human populations remains limited and heterogeneous, with the single identified clinical RCT reporting null or marginal effects. Willows 2023 found that rapamycin did not mitigate age-related changes to adipose tissue or peripheral neuropathy in genetically diverse HET3 mice despite robust p-values for age-related changes themselves (P = 0.0001, P < 0.0001). This translational gap between mechanistic promise and human clinical endpoints represents a central tension in the corpus (Stanfield 2026; Chung 2019; Willows 2023).

Evidence grade: exploratory

Contradiction status: none

Publication: f02d4a53-03e5-47ed-9876-75a416e3bd24

Provenance: Derivation Web chain

Citation Support

  • source_1 Moel 2025
  • source_2 Gkioni 2025
  • source_3 Smiaek 2023
  • source_4 Willows 2023
  • source_5 Harinath 2025

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