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Tensions within the corpus emerge prominently from studies reporting adverse or null effects that contrast with the predominantly positive preclinical signal. Translational relevance to humans remains uncertain. Dou 2017 showed that even short-term 2-week rapamycin treatment caused disturbances in ovarian function alongside beneficial effects on ovarian lifespan (P < 0.01 for both beneficial and adverse endpoints). Minton 2024 further reported that mTORC1 inhibition by rapamycin resulted in feedback activation of Akt and aggravated hallmarks of osteoarthritis in female mice and non-human primates. These adverse-signal studies, particularly Fischer 2015, Geissler 2015, and Minton 2024, challenge the assumption that rapamycin effects are uniformly beneficial across tissues and species (Fischer 2015; Geissler 2015; Dou 2017; Minton 2024).

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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