Senescence

衰老
  • 文章类型: Journal Article
    这项研究探讨了microRNA在复制诱导的人内皮祖细胞(EPCs)衰老中的作用。发现Hsa-miR-134-5p在衰老的EPC中上调,其中过表达改善了血管生成活性。Hsa-miR-134-5p,其中靶向转化生长因子β激活激酶1结合蛋白1(TAB1)基因,下调的TAB1蛋白,并抑制hsa-miR-134-5p过表达的衰老EPC中p38丝裂原活化蛋白激酶(p38)的磷酸化。用TAB1特异性siRNA(TAB1si)处理下调了TAB1蛋白,随后抑制了衰老EPC中的p38活化。用TAB1si和p38抑制剂治疗,分别,显示血管生成改善。并行,转化生长因子β1(TGF-β1)在hsa-miR-134-5p过表达的衰老EPC中下调,添加TGF-β1抑制了血管生成的改善.外周血单核细胞(PBMC)的分析揭示了成人生活中hsa-miR-134-5p的表达水平改变,在65年前达到顶峰,然后在高龄时倒下。Framingham风险评分的计算显示该评分与hsa-miR-134-5p表达水平成反比。总之,hsa-miR-134-5p通过TAB1-p38信号传导和TGF-β1减少参与血管生成活性的衰老相关变化的调节。Hsa-miR-134-5p在人衰老EPC中具有潜在的细胞再生作用。人PBMC来源的hsa-miR-134-5p的检测可预测心血管风险。
    This research explores the role of microRNA in senescence of human endothelial progenitor cells (EPCs) induced by replication. Hsa-miR-134-5p was found up-regulated in senescent EPCs where overexpression improved angiogenic activity. Hsa-miR-134-5p, which targeted transforming growth factor β-activated kinase 1-binding protein 1 (TAB1) gene, down-regulated TAB1 protein, and inhibited phosphorylation of p38 mitogen-activated protein kinase (p38) in hsa-miR-134-5p-overexpressed senescent EPCs. Treatment with siRNA specific to TAB1 (TAB1si) down-regulated TAB1 protein and subsequently inhibited p38 activation in senescent EPCs. Treatment with TAB1si and p38 inhibitor, respectively, showed angiogenic improvement. In parallel, transforming growth factor Beta 1 (TGF-β1) was down-regulated in hsa-miR-134-5p-overexpressed senescent EPCs and addition of TGF-β1 suppressed the angiogenic improvement. Analysis of peripheral blood mononuclear cells (PBMCs) disclosed expression levels of hsa-miR-134-5p altered in adult life, reaching a peak before 65 years, and then falling in advanced age. Calculation of the Framingham risk score showed the score inversely correlates with the hsa-miR-134-5p expression level. In summary, hsa-miR-134-5p is involved in the regulation of senescence-related change of angiogenic activity via TAB1-p38 signalling and via TGF-β1 reduction. Hsa-miR-134-5p has a potential cellular rejuvenation effect in human senescent EPCs. Detection of human PBMC-derived hsa-miR-134-5p predicts cardiovascular risk.
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  • 文章类型: Journal Article
    背景:在细胞水平上抑制或减缓衰老标志已被提出作为增加机体寿命和健康跨度的途径。因此,人们对抗衰老药物的发现非常感兴趣。然而,这目前需要费力和冗长的寿命分析。这里,我们提出了一种新的筛选读数,用于快速发现抑制体外细胞群老化并延长体内寿命的化合物。
    方法:使用Illumina甲基化阵列,我们监测了随培养的成人原代细胞长期传代而发生的DNA甲基化变化.这使我们能够发展,test,并验证CellPopAge时钟,带有底层算法的表观遗传时钟,在现有的表观遗传时钟中,其设计用于检测体外抗衰老化合物。此外,我们测量了衰老的标志物,并在果蝇体内进行了长寿实验,进一步验证我们发现新型抗衰老化合物的方法。最后,我们将我们的表观遗传时钟与其他可用的表观遗传时钟进行基准标记,以巩固其对培养中原代细胞的有用性和专业化。
    结果:我们开发了一种新的表观遗传时钟,CellPopAge时钟,准确监测成人原代细胞群的年龄。我们发现CellPopAgeClock可以检测用雷帕霉素或曲美替尼处理的人原代细胞的基于传代的老化速度,成熟的长寿药。然后,我们利用CellPopAge时钟作为筛选工具,用于鉴定减缓细胞群体衰老的化合物,发现新型抗衰老药物,torin2和dactolisib(BEZ-235)。我们证明,用抗衰老化合物处理的人类原代细胞的表观遗传衰老伴随着衰老和衰老生物标志物的减少。最后,我们通过利用特殊配方的碱性介质来增加果蝇的药物生物利用度,从而在体内扩展了我们的筛选平台。我们证明了新型抗衰老药物,torin2和dactolisib(BEZ-235),增加体内寿命。
    结论:我们的方法将CpG甲基化分析的范围扩大到在体外使用人细胞准确、快速地检测药物的抗衰老潜力,在体内,提供了一个新颖的加速发现平台,以测试所寻求的抗衰老化合物和老虎机。
    BACKGROUND: Restraining or slowing ageing hallmarks at the cellular level have been proposed as a route to increased organismal lifespan and healthspan. Consequently, there is great interest in anti-ageing drug discovery. However, this currently requires laborious and lengthy longevity analysis. Here, we present a novel screening readout for the expedited discovery of compounds that restrain ageing of cell populations in vitro and enable extension of in vivo lifespan.
    METHODS: Using Illumina methylation arrays, we monitored DNA methylation changes accompanying long-term passaging of adult primary human cells in culture. This enabled us to develop, test, and validate the CellPopAge Clock, an epigenetic clock with underlying algorithm, unique among existing epigenetic clocks for its design to detect anti-ageing compounds in vitro. Additionally, we measured markers of senescence and performed longevity experiments in vivo in Drosophila, to further validate our approach to discover novel anti-ageing compounds. Finally, we bench mark our epigenetic clock with other available epigenetic clocks to consolidate its usefulness and specialisation for primary cells in culture.
    RESULTS: We developed a novel epigenetic clock, the CellPopAge Clock, to accurately monitor the age of a population of adult human primary cells. We find that the CellPopAge Clock can detect decelerated passage-based ageing of human primary cells treated with rapamycin or trametinib, well-established longevity drugs. We then utilise the CellPopAge Clock as a screening tool for the identification of compounds which decelerate ageing of cell populations, uncovering novel anti-ageing drugs, torin2 and dactolisib (BEZ-235). We demonstrate that delayed epigenetic ageing in human primary cells treated with anti-ageing compounds is accompanied by a reduction in senescence and ageing biomarkers. Finally, we extend our screening platform in vivo by taking advantage of a specially formulated holidic medium for increased drug bioavailability in Drosophila. We show that the novel anti-ageing drugs, torin2 and dactolisib (BEZ-235), increase longevity in vivo.
    CONCLUSIONS: Our method expands the scope of CpG methylation profiling to accurately and rapidly detecting anti-ageing potential of drugs using human cells in vitro, and in vivo, providing a novel accelerated discovery platform to test sought after anti-ageing compounds and geroprotectors.
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  • 文章类型: Journal Article
    寻找衰老的生物标志物仍然是必要和具有挑战性的。可靠和可检测的生物标志物可以指示个体的衰老状况,需要对人口进行干预,以及该干预措施在控制或延迟衰老进程和衰老相关疾病方面的有效性。因此,尤其是面对全球日益衰老的今天,满足衰老生物标志物尚未满足的要求非常重要。这里,我们确定线粒体基因组中的DNAG-四链体(G4)是间充质衰老的可靠标志。通过开发一种通用且有效的线粒体G4(mtG4)探针,我们揭示了在多种类型的衰老中,包括按时间顺序健康的衰老,早衰症,和复制性衰老,mtG4标记的老化间充质干细胞。此外,我们揭示了mtG4积累的潜在机制,特别是在呼吸链复合物(RCC)I和IV基因座内,抑制线粒体基因组转录,最终损害线粒体呼吸并导致线粒体功能障碍。我们的发现为研究人员提供了基于线粒体基因组的可见衰老生物标志物,并进一步揭示了mtG4在抑制RCC基因转录以诱导衰老相关线粒体功能障碍中的作用。这些发现描述了mtG4在预测和控制间充质衰老中的关键作用。
    Searching for biomarkers of senescence remains necessary and challenging. Reliable and detectable biomarkers can indicate the senescence condition of individuals, the need for intervention in a population, and the effectiveness of that intervention in controlling or delaying senescence progression and senescence-associated diseases. Therefore, it is of great importance to fulfill the unmet requisites of senescence biomarkers especially when faced with the growing global senescence nowadays. Here, we established that DNA G-quadruplex (G4) in mitochondrial genome was a reliable hallmark for mesenchymal senescence. Via developing a versatile and efficient mitochondrial G4 (mtG4) probe we revealed that in multiple types of senescence, including chronologically healthy senescence, progeria, and replicative senescence, mtG4 hallmarked aged mesenchymal stem cells. Furthermore, we revealed the underlying mechanisms by which accumulated mtG4, specifically within respiratory chain complex (RCC) I and IV loci, repressed mitochondrial genome transcription, finally impairing mitochondrial respiration and causing mitochondrial dysfunction. Our findings endowed researchers with the visible senescence biomarker based on mitochondrial genome and furthermore revealed the role of mtG4 in inhibiting RCC genes transcription to induce senescence-associated mitochondrial dysfunction. These findings depicted the crucial roles of mtG4 in predicting and controlling mesenchymal senescence.
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  • 文章类型: Journal Article
    衰老细胞有助于组织衰老并成为慢性疾病病理的基础。已经在几种疾病模型中证明了消除衰老细胞的益处,目前正在人体中测试抗衰老药物的功效。运动训练已被证明可以减少几种组织的细胞衰老;然而,负责的机制仍不清楚。我们发现肌细胞衍生因子可显着延长成纤维细胞的复制寿命,提示肌力因子介导运动的抗衰老作用。通过质谱鉴定了肌细胞衍生因子内的许多蛋白质。其中,色素上皮衍生因子(PEDF)对细胞衰老具有抑制作用。八周的自愿跑步增加了骨骼肌中的Pedf水平,并抑制了肺部的衰老标志物。在肺气肿小鼠模型中,PEDF的给药减少了多种组织中的衰老标志物,并减轻了呼吸功能的下降。我们还表明,血液中PEDF的水平与COPD患者的严重程度呈负相关。总的来说,这些结果强烈表明PEDF有助于运动的有益效果,潜在抑制细胞衰老及其相关病理。
    Senescent cells contribute to tissue aging and underlie the pathology of chronic diseases. The benefits of eliminating senescent cells have been demonstrated in several disease models, and the efficacy of senolytic drugs is currently being tested in humans. Exercise training has been shown to reduce cellular senescence in several tissues; however, the mechanisms responsible remain unclear. We found that myocyte-derived factors significantly extended the replicative lifespan of fibroblasts, suggesting that myokines mediate the anti-senescence effects of exercise. A number of proteins within myocyte-derived factors were identified by mass spectrometry. Among these, pigment epithelium-derived factor (PEDF) exerted inhibitory effects on cellular senescence. Eight weeks of voluntary running increased Pedf levels in skeletal muscles and suppressed senescence markers in the lungs. The administration of PEDF reduced senescence markers in multiple tissues and attenuated the decline in respiratory function in the pulmonary emphysema mouse model. We also showed that blood levels of PEDF inversely correlated with the severity of COPD in patients. Collectively, these results strongly suggest that PEDF contributes to the beneficial effects of exercise, potentially suppressing cellular senescence and its associated pathologies.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    细胞衰老是一种常见的生物学过程,与癌症有着良好的联系。然而,细胞衰老对肿瘤进展的影响尚不清楚.为了调查这种关系,我们利用衰老基因组的转录组数据来探索衰老与癌症预后之间的联系.
    我们通过最小绝对收缩和选择算子(LASSO)Cox模型开发了衰老评分。我们从癌症基因组图谱(TCGA)程序获得衰老基因集的转录组信息。此外,我们创建了一个列线图,将这些衰老评分与临床特征相结合,为预后评估提供更全面的工具。
    我们根据42个衰老相关基因的表达水平计算了衰老评分。我们根据衰老评分和临床特征建立了列线图。衰老评分与上皮-间质转化呈正相关,细胞周期,和糖酵解,与自噬呈负相关。此外,我们进行了基因本体论(GO)分析,以探索不同衰老评分组的信号通路和生物学过程。
    衰老评分,在这项研究中构建的一种新颖的工具,在预测各种癌症类型的生存结果方面显示出希望。这些发现不仅突出了衰老和癌症之间复杂的相互作用,而且表明细胞衰老可能作为肿瘤预后的生物标志物。
    UNASSIGNED: Cellular senescence is a common biological process with a well-established link to cancer. However, the impact of cellular senescence on tumor progression remains unclear. To investigate this relationship, we utilized transcriptomic data from a senescence gene set to explore the connection between senescence and cancer prognosis.
    UNASSIGNED: We developed the senescence score by the Least Absolute Shrinkage and Selection Operator (LASSO) Cox model. We obtained transcriptomic information of the senescence gene set from The Cancer Genome Atlas (TCGA) program. Additionally, we created a nomogram that integrates these senescence scores with clinical characteristics, providing a more comprehensive tool for prognosis evaluation.
    UNASSIGNED: We calculated the senescence score based on the expression level of 42 senescence-related genes. We established the nomogram based on the senescence score and clinical characteristics. The senescence score showed a positive correlation with epithelial-to-mesenchymal transition, cell cycle, and glycolysis, and a negative correlation with autophagy. Furthermore, we carried out Gene Ontology (GO) analysis to explore the signaling pathways and biological process in different senescence score groups.
    UNASSIGNED: The senescence score, a novel tool constructed in this study, shows promise in predicting survival outcomes across various cancer types. These findings not only highlight the complex interplay between senescence and cancer but also indicate that cellular senescence might serve as a biomarker for tumor prognosis.
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  • 文章类型: Journal Article
    由于差的临床持久反应,抵抗免疫治疗的恶性黑色素瘤仍然是最致命的皮肤癌形式。替代方案如基因毒性或靶向化疗会在治疗后引发各种癌细胞命运,包括细胞死亡和衰老。使用抗衰老药物可以消除衰老细胞,我们假设靶向消除治疗诱导的衰老黑色素瘤细胞可以补充常规和免疫疗法。我们利用一组代表与黑素瘤相关的不同突变背景的细胞,发现它们响应于治疗而发展出不同的衰老表型。卡铂-紫杉醇的基因毒性联合治疗或辐射引发了细胞死亡和衰老的混合反应,与BRAF突变谱无关。DNA损伤诱导的衰老黑色素瘤细胞表现出形态学改变,残余DNA损伤,和增加的衰老相关分泌表型(SASP)。相比之下,Braf和Mek的双重靶向抑制引发了不同的混合细胞命运反应,包括衰老样细胞和持久细胞。虽然持久细胞可以重新增殖,衰老样细胞被稳定地逮捕,但没有可检测的DNA损伤和衰老相关的分泌表型。为了评估对衰老的敏感性,我们采用了一种新颖的基于实时成像的死亡测定法,并观察到Bcl2/Bcl-XL抑制剂和胡椒长胺可有效促进卡铂-紫杉醇和辐射诱导的衰老黑色素瘤细胞的死亡。而由Braf-Mek抑制产生的混合耐受细胞和衰老样细胞仍然无反应。有趣的是,当在衰老的背景下使用时,观察到Bcl2/Bcl-XL抑制剂和Braf-Mek抑制剂之间的直接协同作用。总的来说,我们重点介绍了黑素瘤衰老状态的不同标志,并提供了可降低治疗耐药性的背景依赖性感官疗法的证据,同时还讨论了该策略在人类黑素瘤细胞中的局限性.
    Malignant Melanoma that resists immunotherapy remains the deadliest form of skin cancer owing to poor clinically lasting responses. Alternative like genotoxic or targeted chemotherapy trigger various cancer cell fates after treatment including cell death and senescence. Senescent cells can be eliminated using senolytic drugs and we hypothesize that the targeted elimination of therapy-induced senescent melanoma cells could complement both conventional and immunotherapies. We utilized a panel of cells representing diverse mutational background relevant to melanoma and found that they developed distinct senescent phenotypes in response to treatment. A genotoxic combination therapy of carboplatin-paclitaxel or irradiation triggered a mixed response of cell death and senescence, irrespective of BRAF mutation profiles. DNA damage-induced senescent melanoma cells exhibited morphological changes, residual DNA damage, and increased senescence-associated secretory phenotype (SASP). In contrast, dual targeted inhibition of Braf and Mek triggered a different mixed cell fate response including senescent-like and persister cells. While persister cells could reproliferate, senescent-like cells were stably arrested, but without detectable DNA damage and senescence-associated secretory phenotype. To assess the sensitivity to senolytics we employed a novel real-time imaging-based death assay and observed that Bcl2/Bcl-XL inhibitors and piperlongumine were effective in promoting death of carboplatin-paclitaxel and irradiation-induced senescent melanoma cells, while the mixed persister cells and senescent-like cells resulting from Braf-Mek inhibition remained unresponsive. Interestingly, a direct synergy between Bcl2/Bcl-XL inhibitors and Braf-Mek inhibitors was observed when used out of the context of senescence. Overall, we highlight diverse hallmarks of melanoma senescent states and provide evidence of context-dependent senotherapeutics that could reduce treatment resistance while also discussing the limitations of this strategy in human melanoma cells.
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  • 文章类型: Journal Article
    组织蛋白酶L(CTSL)与衰老和年龄相关疾病有关,比如心血管疾病,特别是动脉粥样硬化。然而,潜在的机制没有很好的记录。最近,我们证明了CUT样同源异型盒1(CUX1)通过与CDKN2A/B基因座上的动脉粥样硬化相关功能性SNP(fSNP)rs1537371结合,在调节人内皮细胞(ECs)和血管平滑肌细胞(VSMC)中p16INK4a依赖性细胞衰老中的作用.在这项研究中,要确定CTSL,据报道,它可以蛋白水解激活CUX1,通过CUX1调节细胞衰老,我们测量了CTSL的表达,与CUX1和P16INK4a一起,在经历衰老的人类ECs和VSMC中。我们发现CUX1不是被CTSL裂解的底物。相反,CTSL是在需要CTSL蛋白水解活性的过程中间接激活CUX1转录的上游调节因子。我们的发现表明,在CTSL和CUX1之间存在转录因子,CTSL对该因子的裂解可以激活CUX1的转录,诱导内皮衰老。因此,我们的发现为导致动脉粥样硬化相关细胞衰老的信号转导途径提供了新的见解.
    Cathepsin L (CTSL) has been implicated in aging and age-related diseases, such as cardiovascular diseases, specifically atherosclerosis. However, the underlying mechanism(s) is not well documented. Recently, we demonstrated a role of CUT-like homeobox 1 (CUX1) in regulating the p16INK4a-dependent cellular senescence in human endothelial cells (ECs) and vascular smooth muscle cells (VSMCs) via its binding to an atherosclerosis-associated functional SNP (fSNP) rs1537371 on the CDKN2A/B locus. In this study, to determine if CTSL, which was reported to proteolytically activate CUX1, regulates cellular senescence via CUX1, we measured the expression of CTSL, together with CUX1 and p16INK4a, in human ECs and VSMCs undergoing senescence. We discovered that CUX1 is not a substrate that is cleaved by CTSL. Instead, CTSL is an upstream regulator that activates CUX1 transcription indirectly in a process that requires the proteolytic activity of CTSL. Our findings suggest that there is a transcription factor in between CTSL and CUX1, and cleavage of this factor by CTSL can activate CUX1 transcription, inducing endothelial senescence. Thus, our findings provide new insights into the signal transduction pathway that leads to atherosclerosis-associated cellular senescence.
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  • 文章类型: Journal Article
    背景:椎间盘(IVD)变性(IVDD)是导致背痛和残疾的常见病。骨膜素(POSTN)已成为IVDD中潜在的分子标记和治疗靶点,促使进一步调查其作用和机制。
    方法:本研究采用生物信息学分析结合实验验证来探讨POSTN在IVDD中的作用。分析来自GEO数据库的基因表达数据集,以鉴定与IVDD相关的基因,并在体外和体内评估了POSTN对大鼠髓核(NP)细胞衰老和细胞外基质(ECM)代谢的影响。
    结果:在IVDD患者的退变椎间盘中观察到POSTN表达升高,与疾病严重程度有关。体外实验表明POSTN以剂量和时间依赖性方式促进NP细胞衰老和ECM代谢。体内研究证实POSTN抑制可以改善IVDD的进展。进一步的机制见解表明,POSTN可能通过激活NF-κB和Wnt/β-catenin信号通路发挥其作用。
    结论:POSTN在IVDD的发病机制中起重要作用,其表达上调与NP细胞衰老和ECM代谢密切相关。靶向POSTN可以为IVDD提供新的治疗策略。此外,这项研究预测了可能抑制POSTN表达的小分子,为开发新的药物治疗提供潜在的候选人。
    BACKGROUND: Intervertebral disc (IVD) degeneration (IVDD) is a prevalent condition contributing to back pain and disability. Periostin (POSTN) has emerged as a potential molecular marker and therapeutic target in IVDD, prompting further investigation into its role and mechanisms.
    METHODS: This study employs bioinformatics analysis combined with experimental validation to explore the role of POSTN in IVDD. Gene expression datasets from the GEO database were analyzed to identify genes associated with IVDD, and the effects of POSTN on rat nucleus pulposus (NP) cells senescence and extracellular matrix (ECM) metabolism were assessed both in vitro and in vivo.
    RESULTS: Elevated POSTN expression was observed in degenerated discs from IVDD patients, correlating with disease severity. In vitro experiments demonstrated that POSTN promotes NP cells senescence and ECM metabolism in a dose- and time-dependent manner. In vivo studies confirmed that POSTN inhibition can ameliorate the progression of IVDD. Further mechanistic insights revealed that POSTN may exert its effects by activating the NF-κB and Wnt/β-catenin signaling pathways.
    CONCLUSIONS: POSTN plays a significant role in the pathogenesis of IVDD, with its upregulated expression closely linked to NP cells senescence and ECM metabolism. Targeting POSTN could offer a novel therapeutic strategy for IVDD. Additionally, the study predicts small molecules that may inhibit POSTN expression, providing potential candidates for the development of new drug treatments.
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  • 文章类型: Journal Article
    背景:肌腱干/祖细胞(TSPC)衰老有助于肌腱变性和受损的肌腱修复,导致年龄相关的肌腱疾病。Ferroptosis,一种独特的依赖铁的程序性细胞死亡形式,可能参与衰老过程。然而,铁性凋亡是否在TSPC衰老和肌腱再生中起作用尚不清楚。最近的研究报道,血小板衍生的外泌体(PL-Exos)可能在肌肉骨骼再生和炎症调节方面提供显着优势。PL-Exos对TSPC衰老和肌腱再生的影响及其机制值得进一步研究。
    方法:这里,我们研究了铁凋亡在TSPC衰老发病机制中的作用。PL-Exos被分离并通过TEM测定,粒度分析,蛋白质印迹和质谱鉴定。我们通过蛋白质印迹研究了PL-Exos在TSPC衰老和铁凋亡中的功能和潜在机制。实时定量聚合酶链反应,和体外免疫荧光分析。通过HE染色评估肌腱再生,Safranin-O染色,在大鼠肩袖撕裂模型中进行生物力学测试。
    结果:我们发现铁凋亡与TSPCs的衰老有关。此外,PL-Exos减轻了t-BHP诱导的TSPCs的衰老表型和铁凋亡,并保留了其增殖和生腱能力。体内动物结果表明PL-Exos改善了腱-骨愈合性能和机械强度。机械上,PL-Exos激活AMPK磷酸化和下游核因子红系2相关因子2(Nrf2)/谷胱甘肽过氧化物酶4(GPX4)信号通路,导致脂质过氧化的抑制。AMPK抑制或GPX4抑制阻断PL-Exos对t-BHP诱导的铁凋亡和衰老的保护作用。
    结论:结论:铁性凋亡可能在TSPC衰老中起关键作用。发现PL-Exos激活AMPK/Nrf2/GPX4抑制铁凋亡,因此导致TSPCs衰老的抑制。我们的结果为PL-Exos在抑制肌腱退变和促进肌腱再生方面的潜在应用提供了新的理论依据。
    BACKGROUND: Tendon stem/progenitor cell (TSPC) senescence contributes to tendon degeneration and impaired tendon repair, resulting in age-related tendon disorders. Ferroptosis, a unique iron-dependent form of programmed cell death, might participate in the process of senescence. However, whether ferroptosis plays a role in TSPC senescence and tendon regeneration remains unclear. Recent studies reported that Platelet-derived exosomes (PL-Exos) might provide significant advantages in musculoskeletal regeneration and inflammation regulation. The effects and mechanism of PL-Exos on TSPC senescence and tendon regeneration are worthy of further study.
    METHODS: Herein, we examined the role of ferroptosis in the pathogenesis of TSPC senescence. PL-Exos were isolated and determined by TEM, particle size analysis, western blot and mass spectrometry identification. We investigated the function and underlying mechanisms of PL-Exos in TSPC senescence and ferroptosis via western blot, real-time quantitative polymerase chain reaction, and immunofluorescence analysis in vitro. Tendon regeneration was evaluated by HE staining, Safranin-O staining, and biomechanical tests in a rotator cuff tear model in rats.
    RESULTS: We discovered that ferroptosis was involved in senescent TSPCs. Furthermore, PL-Exos mitigated the aging phenotypes and ferroptosis of TSPCs induced by t-BHP and preserved their proliferation and tenogenic capacity. The in vivo animal results indicated that PL-Exos improved tendon-bone healing properties and mechanical strength. Mechanistically, PL-Exos activated AMPK phosphorylation and the downstream nuclear factor erythroid 2-related factor 2 (Nrf2)/glutathione peroxidase 4 (GPX4) signaling pathway, leading to the suppression of lipid peroxidation. AMPK inhibition or GPX4 inhibition blocked the protective effect of PL-Exos against t-BHP-induced ferroptosis and senescence.
    CONCLUSIONS: In conclusion, ferroptosis might play a crucial role in TSPC aging. AMPK/Nrf2/GPX4 activation by PL-Exos was found to inhibit ferroptosis, consequently leading to the suppression of senescence in TSPCs. Our results provided new theoretical evidence for the potential application of PL-Exos to restrain tendon degeneration and promote tendon regeneration.
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