Table 1.
CRMs | Category | Species | Onset | Dose and duration | Frailty assessment | Results |
---|---|---|---|---|---|---|
Resveratrol | SIRT1 activator | Male, C57BL/6J mice | 18 months | 100 mg/kg/d, 6 months | Mouse FI | Reduces FI scores (18) |
Male, SD rats | 24 months | 150 mg/kg/d, 6 weeks | Physical function | Improves grip strength and muscle mass (73) | ||
SRT1720 | SIRT1 activator | MaleC57BL/6J mice | 7 months | 100 mg/kg/dNatural death | - | Extends lifespan and improves health in mice (74) |
Metformin | AMPK activator | Adults aged ≥65 years with type 2 diabetes | Receiving metformin in outpatient care | – | FI | Reduces risk of frailty regardless of dose and frequency (76) |
Rapamycin | mTOR inhibitor | IL-10−/− mice | 6 weeks | 1.5 mg/kg/d, 18 weeks | Mouse FI | Decreases levels of myostatin which may prevent muscle mass loss and frailty (23) |
Dasatinib and quercetin | Senolytic drugs | Male, C57BL/6J mice | 20 months 24–27 months | A combination of dasatinib (5 mg/kg) and quercetin (50 mg/kg) 4 months Natural death | Physical function | Alleviates symptoms of frailty and extends healthspan (78) |
Nicotinamide | NAD+ precursor | Male, C57BL/6J mice | 56 weeks | 0.5 and 1.0 g/kg, 62 weeks | – | Improves healthspan but does not extend lifespan (79) |
AMPK, adenosine 5′-monophosphate-activated protein kinase; CRMs, caloric restriction mimetics; FI, frailty index; IL-10−/−, interleukin-10 knockout; mTOR, mammalian target of rapamycin; NAD, nicotinamide adenine dinucleotide; SD, Sprague-Dawley; SIRT1, silent mating-type information regulation 2 homolog 1.