Division of Nephrology, University of Washington, Seattle, WA 98109, USA.
Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH 44106, USA.
Aging (Albany NY). 2023 Jul 23;15(14):6658-6689. doi: 10.18632/aging.204897.
The decrease in the podocyte's lifespan and health-span that typify healthy kidney aging cause a decrease in their normal structure, physiology and function. The ability to halt and even reverse these changes becomes clinically relevant when disease is superimposed on an aged kidney. RNA-sequencing of podocytes from middle-aged mice showed an inflammatory phenotype with increases in the NLRP3 inflammasome, signaling for IL2/Stat5, IL6 and TNF, interferon gamma response, allograft rejection and complement, consistent with inflammaging. Furthermore, injury-induced NLRP3 signaling in podocytes was further augmented in aged mice compared to young ones. The NLRP3 inflammasome (NLRP3, Caspase-1, IL1β IL-18) was also increased in podocytes of middle-aged humans. Higher transcript expression for NLRP3 in human glomeruli was accompanied by reduced podocyte density and increased global glomerulosclerosis and glomerular volume. Pharmacological inhibition of NLRP3 with MCC950, or gene deletion, reduced podocyte senescence and the genes typifying aging in middle-aged mice, which was accompanied by an improved podocyte lifespan and health-span. Moreover, modeling the injury-dependent increase in NLRP3 signaling in human kidney organoids confirmed the anti-senescence effect of MC9950. Finally, NLRP3 also impacted liver aging. Together, these results suggest a critical role for the NLRP3 inflammasome in podocyte and liver aging.
典型的健康肾脏老化会导致足细胞寿命和健康跨度缩短,从而导致其正常结构、生理和功能下降。当疾病叠加在老年肾脏上时,阻止甚至逆转这些变化的能力就变得具有临床意义。对中年小鼠足细胞的 RNA 测序显示,NLRP3 炎症小体增加,IL2/Stat5、IL6 和 TNF、干扰素γ反应信号增加,这些都与炎症衰老一致。此外,与年轻小鼠相比,衰老小鼠中损伤诱导的足细胞 NLRP3 信号进一步增强。NLRP3 炎症小体(NLRP3、Caspase-1、IL1β IL-18)在中年人的足细胞中也增加了。人类肾小球中 NLRP3 的转录表达增加伴随着足细胞密度降低和整体肾小球硬化和肾小球体积增加。用 MCC950 抑制 NLRP3 或基因缺失可减少中年小鼠的足细胞衰老和老化特征基因,同时改善足细胞寿命和健康跨度。此外,在人类肾脏类器官中模拟依赖损伤的 NLRP3 信号增加,证实了 MC9950 的抗衰老作用。最后,NLRP3 也影响肝脏衰老。总之,这些结果表明 NLRP3 炎症小体在足细胞和肝脏衰老中起关键作用。
Aging (Albany NY). 2023-7-23
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