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衰老细胞清除疗法可降低老年小鼠的冠状病毒相关死亡率。

Senolytics reduce coronavirus-related mortality in old mice.

机构信息

Institute on the Biology of Aging and Metabolism, Department of Biochemistry, Molecular Biology and Biophysics, University of Minnesota, Minneapolis, MN, USA.

Robert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN, USA.

出版信息

Science. 2021 Jul 16;373(6552). doi: 10.1126/science.abe4832. Epub 2021 Jun 8.

Abstract

The COVID-19 pandemic has revealed the pronounced vulnerability of the elderly and chronically ill to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-induced morbidity and mortality. Cellular senescence contributes to inflammation, multiple chronic diseases, and age-related dysfunction, but effects on responses to viral infection are unclear. Here, we demonstrate that senescent cells (SnCs) become hyper-inflammatory in response to pathogen-associated molecular patterns (PAMPs), including SARS-CoV-2 spike protein-1, increasing expression of viral entry proteins and reducing antiviral gene expression in non-SnCs through a paracrine mechanism. Old mice acutely infected with pathogens that included a SARS-CoV-2-related mouse β-coronavirus experienced increased senescence and inflammation, with nearly 100% mortality. Targeting SnCs by using senolytic drugs before or after pathogen exposure significantly reduced mortality, cellular senescence, and inflammatory markers and increased antiviral antibodies. Thus, reducing the SnC burden in diseased or aged individuals should enhance resilience and reduce mortality after viral infection, including that of SARS-CoV-2.

摘要

COVID-19 大流行揭示了老年人和慢性病患者在严重急性呼吸系统综合征冠状病毒 2 (SARS-CoV-2)引起的发病率和死亡率方面的明显脆弱性。细胞衰老会导致炎症、多种慢性疾病和与年龄相关的功能障碍,但对病毒感染反应的影响尚不清楚。在这里,我们证明衰老细胞 (SnC) 会对病原体相关分子模式 (PAMP) 产生超炎症反应,包括 SARS-CoV-2 刺突蛋白-1,通过旁分泌机制增加非 SnC 中的病毒进入蛋白表达并降低抗病毒基因表达。急性感染包括 SARS-CoV-2 相关鼠 β 冠状病毒在内的病原体的老年小鼠经历了更多的衰老和炎症,死亡率接近 100%。在病原体暴露之前或之后使用 Senolytic 药物靶向 SnC 可显著降低死亡率、细胞衰老和炎症标志物,并增加抗病毒抗体。因此,减少患病或衰老个体中的 SnC 负担应能增强其在病毒感染后的恢复能力并降低死亡率,包括 SARS-CoV-2 的感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5a3/9266560/040636ba89af/373_abe4832_fa.jpg

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