Ikeda Yoshiyuki, Sciarretta Sebastiano, Nagarajan Narayani, Rubattu Speranza, Volpe Massimo, Frati Giacomo, Sadoshima Junichi
Cardiovascular Research Institute, Department of Cell Biology and Molecular Medicine, Rutgers New Jersey Medical School, 185 South Orange Avenue, Medical Science Building G-609, Newark, NJ 07103, USA.
Cardiovascular Research Institute, Department of Cell Biology and Molecular Medicine, Rutgers New Jersey Medical School, 185 South Orange Avenue, Medical Science Building G-609, Newark, NJ 07103, USA ; IRCCS Neuromed, Via Atinense 18, 86077 Pozzilli, Italy.
Oxid Med Cell Longev. 2014;2014:210934. doi: 10.1155/2014/210934. Epub 2014 Jul 15.
The heart is highly sensitive to the aging process. In the elderly, the heart tends to become hypertrophic and fibrotic. Stiffness increases with ensuing systolic and diastolic dysfunction. Aging also affects the cardiac response to stress. At the molecular level, the aging process is associated with accumulation of damaged proteins and organelles, partially due to defects in protein quality control systems. The accumulation of dysfunctional and abnormal mitochondria is an important pathophysiological feature of the aging process, which is associated with excessive production of reactive oxygen species. Mitochondrial fusion and fission and mitochondrial autophagy are crucial mechanisms for maintaining mitochondrial function and preserving energy production. In particular, mitochondrial fission allows for selective segregation of damaged mitochondria, which are afterward eliminated by autophagy. Unfortunately, recent evidence indicates that mitochondrial dynamics and autophagy are progressively impaired over time, contributing to the aging process. This suggests that restoration of these mechanisms could delay organ senescence and prevent age-associated cardiac diseases. Here, we discuss the current understanding of the close relationship between mitochondrial dynamics, mitophagy, oxidative stress, and aging, with a particular focus on the heart.
心脏对衰老过程高度敏感。在老年人中,心脏往往会变得肥厚和纤维化。随着收缩和舒张功能障碍的出现,心脏僵硬度增加。衰老还会影响心脏对应激的反应。在分子水平上,衰老过程与受损蛋白质和细胞器的积累有关,部分原因是蛋白质质量控制系统存在缺陷。功能失调和异常线粒体的积累是衰老过程的一个重要病理生理特征,这与活性氧的过度产生有关。线粒体融合与分裂以及线粒体自噬是维持线粒体功能和保持能量产生的关键机制。特别是,线粒体分裂允许受损线粒体进行选择性分离,随后通过自噬将其清除。不幸的是,最近的证据表明,随着时间的推移,线粒体动力学和自噬会逐渐受损,从而促进衰老过程。这表明恢复这些机制可能会延缓器官衰老并预防与年龄相关的心脏疾病。在这里,我们讨论目前对线粒体动力学、线粒体自噬、氧化应激和衰老之间密切关系的理解,特别关注心脏。
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