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针对衰老相关心血管疾病中的血管衰老

Targeting vascular senescence in cardiovascular disease with aging.

作者信息

Hall Shelby A, Lesniewski Lisa A

机构信息

Department of Nutrition and Integrated Physiology, University of Utah, Salt Lake City, UT 84112, USA.

Nora Eccles Harrison Cardiovascular Research and Training Institute, University of Utah, Salt Lake City, UT 84112, USA.

出版信息

J Cardiovasc Aging. 2024 Apr;4(2). doi: 10.20517/jca.2023.45. Epub 2024 Feb 28.


DOI:10.20517/jca.2023.45
PMID:39119148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11309369/
Abstract

Aging is a major risk factor for atherosclerosis and cardiovascular disease (CVD). Two major age-associated arterial phenotypes, endothelial dysfunction and large elastic arterial stiffness, are autonomous predictors of future CVD diagnosis and contribute to the progression of CVD in older adults. Senescent cells lose the capacity to proliferate but remain metabolically active and secrete inflammatory factors termed senescence-associated secretory phenotype (SASP), leading to an increase in inflammation and oxidative stress. Accumulation of senescent cells is linked with the progression of age-related diseases and has been known to play a role in cardiovascular disease. In this brief review, we describe the characteristics and mechanisms of senescent cell accumulation and how senescent cells promote endothelial dysfunction and arterial stiffness. We focus on a range of novel therapeutic strategies aimed at reducing the burden of endothelial dysfunction leading to atherosclerosis through targeting senescent cells. Studies have begun to investigate a specific class of drugs that are able to selectively eliminate senescent cells, termed senolytics, which have shown great promise in reversing the aging phenotype and ameliorating pathologies in age-related disorders, creating a new opportunity for aging research. Generating therapies targeting the elimination of senescent cells would improve health span and increase longevity, making senolytics a promising therapy for cardiovascular diseases.

摘要

衰老是动脉粥样硬化和心血管疾病(CVD)的主要风险因素。两种主要的与年龄相关的动脉表型,即内皮功能障碍和大动脉弹性僵硬,是未来心血管疾病诊断的自主预测因素,并促使老年人的心血管疾病进展。衰老细胞失去增殖能力,但仍保持代谢活性,并分泌称为衰老相关分泌表型(SASP)的炎症因子,导致炎症和氧化应激增加。衰老细胞的积累与年龄相关疾病的进展有关,并且已知在心血管疾病中起作用。在这篇简短的综述中,我们描述了衰老细胞积累的特征和机制,以及衰老细胞如何促进内皮功能障碍和动脉僵硬。我们重点关注一系列旨在通过靶向衰老细胞来减轻导致动脉粥样硬化的内皮功能障碍负担的新型治疗策略。研究已经开始调查一类能够选择性消除衰老细胞的特定药物,即衰老细胞溶解剂,它们在逆转衰老表型和改善年龄相关疾病的病理方面显示出巨大的前景,为衰老研究创造了新的机会。开发针对消除衰老细胞的疗法将改善健康寿命并延长寿命,使衰老细胞溶解剂成为心血管疾病的一种有前景的疗法。

相似文献

[1]
Targeting vascular senescence in cardiovascular disease with aging.

J Cardiovasc Aging. 2024-4

[2]
Elimination of Senescent Cells by Senolytics Facilitates Bony Endplate Microvessel Formation and Mitigates Disc Degeneration in Aged Mice.

Front Cell Dev Biol. 2022-7-8

[3]
Cellular and molecular biology of aging endothelial cells.

J Mol Cell Cardiol. 2015-12

[4]
MicroRNAs orchestrating senescence of endothelial and vascular smooth muscle cells.

Vasc Biol. 2019-8-12

[5]
Senolytics and senomorphics: Natural and synthetic therapeutics in the treatment of aging and chronic diseases.

Free Radic Biol Med. 2021-8-1

[6]
The multifaceted role of the SASP in atherosclerosis: from mechanisms to therapeutic opportunities.

Cell Biosci. 2022-5-31

[7]
Senescent cell clearance by the immune system: Emerging therapeutic opportunities.

Semin Immunol. 2019-5-11

[8]
Senescent Cells: A Therapeutic Target in Cardiovascular Diseases.

Cells. 2023-5-2

[9]
Senolytics and Senostatics: A Two-Pronged Approach to Target Cellular Senescence for Delaying Aging and Age-Related Diseases.

Mol Cells. 2019-12-31

[10]
Cellular Senescence as a Targetable Risk Factor for Cardiovascular Diseases: Therapeutic Implications: Family Series.

JACC Basic Transl Sci. 2024-4-8

引用本文的文献

[1]
Body Composition and Senescence: Impact of Polyphenols on Aging-Associated Events.

Nutrients. 2024-10-25

[2]
Proteomic Profiling of Endothelial Cell Secretomes After Exposure to Calciprotein Particles Reveals Downregulation of Basement Membrane Assembly and Increased Release of Soluble CD59.

Int J Mol Sci. 2024-10-23

本文引用的文献

[1]
Senotherapeutic drug treatment ameliorates chemotherapy-induced cachexia.

JCI Insight. 2024-1-23

[2]
New Dawn for Atherosclerosis: Vascular Endothelial Cell Senescence and Death.

Int J Mol Sci. 2023-10-13

[3]
A possible role for proinflammatory activation via cGAS-STING pathway in atherosclerosis induced by accumulation of DNA double-strand breaks.

Sci Rep. 2023-9-30

[4]
Senolytic therapy in mild Alzheimer's disease: a phase 1 feasibility trial.

Nat Med. 2023-10

[5]
Cellular Senescence Contributes to Large Elastic Artery Stiffening and Endothelial Dysfunction With Aging: Amelioration With Senolytic Treatment.

Hypertension. 2023-10

[6]
Long-term dasatinib plus quercetin effects on aging outcomes and inflammation in nonhuman primates: implications for senolytic clinical trial design.

Geroscience. 2023-10

[7]
Endothelial cell telomere dysfunction induces senescence and results in vascular and metabolic impairments.

Aging Cell. 2023-8

[8]
Critical Role of the cGAS-STING Pathway in Doxorubicin-Induced Cardiotoxicity.

Circ Res. 2023-5-26

[9]
Senolytic vaccination improves normal and pathological age-related phenotypes and increases lifespan in progeroid mice.

Nat Aging. 2021-12

[10]
Selective ablation of primary and paracrine senescent cells by targeting iron dyshomeostasis.

Cell Rep. 2023-2-28

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