Gong Ge, Shen Shuping, Shen Shaoran, Wang Ran, Zheng Tianping, Xu Wei, Wu Jianqing
Key Laboratory of Geriatrics of Jiangsu Province, Department of Geriatrics, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Department of Geriatrics, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Respir Res. 2025 Mar 12;26(1):98. doi: 10.1186/s12931-025-03170-4.
Patients with chronic obstructive pulmonary disease (COPD) often develop complications associated with sarcopenia; however, the underlying mechanisms remain unclear. Through a combination of in vitro and in vivo experiments, as well as bioinformatics analysis, our study identified YAP/TAZ as a key regulator of the aging phenotype in the skeletal muscle of COPD patients. In skeletal muscle affected by cigarette smoke-induced COPD, we observed significant reductions in YAP/TAZ levels, alongside markers indicative of skeletal muscle aging and dysfunction. Notably, overexpression of YAP/TAZ significantly improved these conditions. Our results suggest a novel mechanism whereby the maintenance of YAP/TAZ activity interacts with ACTR2 to preserve nuclear membrane integrity and reduce cytoplasmic dsDNA levels, thereby attenuating STING activation and cellular senescence. Additionally, we found that YAP is involved in the transcriptional regulation of the ACTR2 promoter region. Overall, preserving YAP/TAZ activity may help prevent skeletal muscle aging associated with COPD, representing a new strategy for intervening in COPD-related sarcopenia.
慢性阻塞性肺疾病(COPD)患者常出现与肌肉减少症相关的并发症;然而,其潜在机制仍不清楚。通过体外和体内实验以及生物信息学分析相结合,我们的研究确定YAP/TAZ是COPD患者骨骼肌衰老表型的关键调节因子。在受香烟烟雾诱导的COPD影响的骨骼肌中,我们观察到YAP/TAZ水平显著降低,同时伴有骨骼肌衰老和功能障碍的标志物。值得注意的是,YAP/TAZ的过表达显著改善了这些状况。我们的结果提示了一种新机制,即YAP/TAZ活性的维持与ACTR2相互作用以保持核膜完整性并降低细胞质双链DNA水平,从而减弱STING激活和细胞衰老。此外,我们发现YAP参与了ACTR2启动子区域的转录调控。总体而言,维持YAP/TAZ活性可能有助于预防与COPD相关的骨骼肌衰老,这代表了一种干预COPD相关肌肉减少症的新策略。