Rejuvenate Bio Multi-Gene Cocktail — Gene Therapy & Genetic Interventions

Combinatorial AAV gene therapy targeting multiple aging pathways simultaneously for synergistic lifespan extension.

Overview

Rejuvenate Bio, co-founded by George Church, develops combinatorial gene therapy cocktails targeting multiple aging pathways simultaneously. Their approach uses AAV vectors to deliver combinations of longevity-associated genes including sTGFBR2 (TGF-beta inhibitor), FGF21, alpha-Klotho, and soluble ACE2. In aged mice, a triple combination (sTGFBR2 + FGF21 + aKlotho) reversed age-related heart failure, kidney failure, obesity, and diabetes, with improvements exceeding single-gene therapies. The company conducted what it describes as the first anti-aging gene therapy in dogs (2022).

Indications

  • Multi-organ age-related decline
  • Heart failure with preserved ejection fraction (HFpEF)
  • Age-related kidney disease
  • Metabolic dysfunction and obesity
  • Whole-organism rejuvenation

Mechanism of Action

Multiple AAV vectors simultaneously deliver longevity genes to target organs via IV infusion

Dosing

CompoundDoseFrequencyNotes
AAV-sTGFBR2 + FGF21 + aKlotho1 x 10^12 vg/kg per vectorSingle infusionTriple combination; preclinical murine dosing

Evidence Grade

GRADE C

Safety & Contraindications

  • Multi-gene delivery increases complexity and potential for gene-gene interactions
  • High-dose AAV hepatotoxicity risk
  • Each transgene carries individual safety considerations
  • TGF-beta pathway inhibition may impair wound healing and immune regulation
  • Canine trial results not published in peer-reviewed literature
  • No human clinical trials initiated