Abstract
Cellular senescence is a condition characterized by stable, irreversible cell cycle arrest linked to the aging process. The accumulation of senescent cells in the cardiac muscle can contribute to various cardiovascular diseases (CVD). Telomere shortening, epigenetic modifications, DNA damage, mitochondrial dysfunction, and oxidative stress are known contributors to the onset of cellular senescence in the heart. The link between mitochondrial processes and cellular senescence contributed to the age-related decline in cardiac function. These include changes in mitochondrial functions and behaviours that arise from various factors, including impaired dynamics, dysregulated biogenesis, mitophagy, mitochondrial DNA (mtDNA), reduced respiratory capacity, and mitochondrial structural changes. Thus, regulation of mitochondrial biology has a role in cellular senescence and cardiac function in aging hearts. Targeting senescent cells may provide a novel therapeutic approach for treating and preventing CVD associated with aging. CYP epoxygenases metabolize N-3 and N-6 polyunsaturated fatty acids (PUFA) into epoxylipids that are readily hydrolyzed to diol products by soluble epoxide hydrolase (sEH). Increasing epoxylipids levels or inhibition of sEH has demonstrated protective effects in the aging heart. Evidence suggests they may play a role in cellular senescence by regulating mitochondria, thus reducing adverse effects of aging in the heart. In this review, we discuss how mitochondria induce cellular senescence and how epoxylipids affect the senescence process in the aged heart.
1 Introduction
Aging is a natural process involving progressive decline in biological systems, and decreased physiological reserve to handle stress leading to age-related disorders (Khan et al., 2017). Contemporary scientific understanding recognizes that the biological aging of an organ with respect to its structural and functional condition is heavily influenced by internal and external environmental factors (Moskalev, 2019). The pathophysiology of aging is often characterized by the dysregulation of interconnected crucial cellular functions, known as the hallmarks of aging, which include genomic instability, stem cell exhaustion, chronic inflammation, mitochondrial dysfunction, and cellular senescence (Lopez-Otin et al., 2013; Lopez-Otin et al., 2023). Cellular senescence is typically defined as a state where cells permanently stop dividing and lose their ability to proliferate. Senescent cells can secrete a significant number of inflammatory cytokines to the neighbouring cells, which contributes to a series of inflammatory responses. There are several types of cellular senescence, each are associated with different triggers and conditions. For example, replicative senescence which occurs during biological aging is characterized by telomere shortening, while stress-induced premature senescence (SIPS) is a telomere-independent process resulting from DNA damage caused by internal or environmental stress factors (Chang and Harley, 1995; Di Micco et al., 2021; Hu et al., 2022). The main factors contributing to cellular senescence include oxidative stress, DNA mutations, and mitochondrial mediated events. While mitochondria can activate senescence pathways and halt the cell cycle, our understanding of the biology is limited (Kumari and Jat, 2021). Therefore, understanding these connections could open new avenues for reducing the accumulation of pro-inflammatory senescent cells and preserving organ function.
As individuals age, the heart undergoes structural and functional changes that significantly increase its susceptibility to stress. Aging is associated with several changes that impair myocardial contractile function and subsequently prevent the heart from meeting bodily circulatory demands. Age-associated cardiac impairment can often be attributed to pathogenic structural and biochemical changes including cardiomyocyte hypertrophy, chronic inflammation, and increased fibrosis (Cheng et al., 2009; Lakatta, 2015; Horn and Trafford, 2016). Together, these cellular and structural changes affect the heart at the organ level, leading to myocardial remodeling characterized by increased left ventricular mass, thickening and stiffening of the left ventricular walls and interventricular septum, and a decrease in left ventricular relaxation and diastolic function. With age, the heart becomes unable to respond to periods of increased cardiac demand because of a decline in contractility, cardiac output, and ejection fraction (Triposkiadis et al., 2019a; Triposkiadis et al., 2019b). Collectively, these changes increase the heart’s susceptibility to injury (Lakatta and Levy, 2003) (Figure 1). Cytochrome P450 (CYP)-derived metabolites of polyunsaturated fatty acids (PUFAs) has been demonstrated to regulate the progression of biological aging (Keshavarz-Bahaghighat et al., 2020). In this review, we discuss the role of CYP-derived epoxylipids in regulating mitochondrial biological processes and cellular senescence in the aged heart. We hypothesize that epoxylipids work to protect the aged heart against cellular senescence by regulating some aspects of the multifaceted biology of mitochondria.
FIGURE 1
2 CYP-sEH metabolism of polyunsaturated fatty acids (PUFAs)
PUFAs are essential fatty acids obtained from dietary sources such as fish, leafy greens, or supplements, and are characterized by possessing carbon-carbon double bonds at the N-3 or N-6 position (Gurr et al., 2002; Sokoła-Wysoczańska et al., 2018). Alpha linolenic acid (ALA 18:3), which is the primary source of N-3 PUFAs, undergoes a sequence of desaturation and elongation reactions, resulting in the formation of eicosapentaenoic acid (EPA 20:5) (Ander et al., 2003). EPA subsequently undergoes elongation, desaturation and β-oxidation reactions to form docosahexanoic acid (DHA 22:6). N-6 PUFAs including linoleic acid (LA 18:2) undergo metabolic transformation to form N-6 arachidonic acid (AA 20:4) through a similar series of desaturation and elongation reactions (Cunnane, 2003). Both N-3 and N-6 PUFAs are also subject to oxidative transformations through three main pathways including cyclooxygenases (COX), lipoxygenases (LOX) or CYP450 systems leading to the formation of numerous bioactive metabolites (Smith and Murphy, 2016) (Figure 2).
FIGURE 2
Different members of the CYP superfamily, such as CYP2C and CYP2J, are capable of metabolizing N-3 and N-6 PUFAs into short lived bioactive lipid mediators, exerting beneficial effects in various organs, particularly the cardiovascular system (Jamieson et al., 2017a). CYP2J and CYP2C isozymes are epoxygenases that metabolize N-3 PUFA eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) into epoxyeicosatetraenoic acids (EEQ) and epoxydocosapentaenoic acids (EDP) respectively, and N-6 PUFA (LA and AA) into epoxyoctadecenoic acids (EPOMEs) and epoxyeicosatrienoic acids (EET) (Konkel and Schunck, 2011). Importantly, CYP-derived epoxides have a short half-life as a result of rapid metabolism primarily by soluble epoxide hydrolase (sEH) and, to a lesser extent, microsomal epoxide (mEH), turning them into less bioactive diol metabolites such as, dihydroxyeicosatetraenoic acid (DHEQ), dihydroxydocosapentaenoic acid (DHDP), dihydroxyoctadecenoic acid (DiHOME) and dihydroxyeicosatrienoic acid (DHET) (Jamieson et al., 2017a). Our understanding of the role the CYP-sEH axis of N-3 and N-6 PUFA metabolism has in the cardiovascular system is limited but is rapidly growing.
Published reports indicating changes in CYP-sEH mediated metabolism of PUFA correlate to increased CVD and decreased cardiac function (Bellien and Joannides, 2013; Doleželová et al., 2016; Caligiuri et al., 2017b). For example, left ventricular tissues obtained from dilated cardiomyopathy patients revealed a correlation between elevated expression of CYP-epoxygenases and epoxide hydrolases with altered PUFA metabolite profiles in comparison to non-failing control hearts (Sosnowski et al., 2022a). Further data obtained from left ventricular tissue of patients with ischemic cardiomyopathy demonstrated increased expression of sEH compared to age-matched non-failing controls and correlated with altered PUFA profiles (Jamieson et al., 2021). In another small clinical study investigating PAD patients, the relationship between plasma fatty acids and the prevalence of cardiovascular/cerebrovascular events indicated altered plasma oxylipins, oxygenated forms of PUFA, increased the odds of acute coronary events (Caligiuri et al., 2017a). Supported by Theken et al. findings of dysregulated CYP epoxygenase and sEH mediated metabolism in aged patients correlated with stable coronary artery diseases and comorbid obesity (Theken et al., 2012). Like human data, many studies showed positive correlation of CYP-sEH dysregulation in animal models with CVD (Aliwarga et al., 2018). For example, increased sEH expression is associated with adverse cardiac outcomes, including hypertension, left ventricular hypertrophy, and increased risk for heart failure progression (Monti et al., 2008). Additionally, a decline in CYP expression and a decrease in epoxylipids in the left ventricle of aged female rats and a decrease in epoxylipid levels, like EETs, in aged hypertensive male rats have been reported, leading to endothelial dysfunction and age-related kidney diseases (Doleželová et al., 2016). Together these reports highlight the correlation between altered CYP-sEH metabolism and cardiac dysfunction in diseased human and animal models.
While alteration in CYP-sEH metabolism have been observed in many CVD, the implications of increasing CYP and epoxylipids and/or inhibiting sEH in protecting against CVD have been extensively reviewed elsewhere (Westphal et al., 2015; Schunck et al., 2018; Valencia et al., 2022). For example, mice with cardiac overexpression of CYP2J2 exhibited enhanced cardiac function, reduced myocardial hypertrophy, and decreased fibrosis, resulting in the improvement of overall structure and function of the heart (Zhang et al., 2009; Liu et al., 2011; Westphal et al., 2013; He et al., 2015). Additionally, cardiomyocytes from mice with cardiac overexpression of CYP2J2 demonstrated decreased levels of remodeling proteins, such as collagen type I and transforming growth factor β (TGF-β), in response to Angiotensin II compared to their wild-type counterparts (He et al., 2015). When these CYP2J2 transgenic mice were subjected to pressure-overload or prolonged infusion of isoproterenol, they exhibited diminished hypertrophy and fewer arrhythmogenic events (Westphal et al., 2013).
N-3 and N-6 derived epoxylipids including EETs, EEQs, and EDPs play significant roles in cellular signaling and metabolism, often marked by cardioprotective effects (covered extensively, elsewhere (Imig et al., 2022)), which has led to research developing novel stable synthetic analogs mimicking their properties (Sudhahar et al., 2010; Campbell et al., 2017). For example, a 11,12-EET analog, (S)-2-(11-(nonyloxy) undec-8(Z)-enamido) succinic acid (NUDSA), resulted in improved left ventricular function, reduced myocardial fibrosis, and remodeling following MI (Cao et al., 2017). Similarly, the oral administration of a 14,15-EET analog, EET-B, to hypertensive rats subjected to MI-induced heart failure resulted in a decrease in mortality, improved cardiac function, and decreased inflammation and macrophage infiltration (Neckar et al., 2019). Another analog, UA-8 (13-(3-propylureido) tridec-8-enoic acid), a synthetic dual-action compound with EET-mimetic and sEH-inhibitory, also increased isolated hearts’ resistance to cardiac ischemia (Batchu et al., 2011). The 14,15-EET analog, EET-A, decreased cardiac hypertrophy and reduced ventricular arrhythmias following MI in hypertensive rats (Cervenka et al., 2018). Moreover, EET-A improved survival and reduced cardiac hypertrophy in hypertensive rats with congestive heart failure (Kala et al., 2021). Recent evidence has demonstrated cardioprotective and anti-inflammatory properties of a SA-22, a molecule developed to mimic the structure and function of a CYP-derived metabolite N-3 PUFA, 19,20-EDP, which preserved mitochondrial function (Kranrod et al., 2024). These findings emphasize the potential of using novel synthetic analogs as therapeutic agents toward cardiovascular injury.
Extensive research has investigated the potential therapeutic benefit of inhibiting sEH in various cardiovascular injury models such as ischemic heart diseases, arrythmias, hypertrophy and heart failure (Imig and Hammock, 2009; Oni-Orisan et al., 2014; Schunck et al., 2018). Data from rodent and canine models clearly demonstrate a reduced level of ischemia injury following administration of sEH inhibitors (Gross et al., 2008; Chaudhary et al., 2010; Akhnokh et al., 2016; Islam et al., 2017; Darwesh et al., 2019b; Stevenson et al., 2019). An important mechanism involves preserving mitochondria, which limits cardiac dysfunction. In mice subjected to permanent coronary artery occlusion, treatment with cis-4-[4-(3-adamantan-1-yl-ureido) cyclohexyloxy] benzoic acid (cAUCB) led to significant increase in the biologically active epoxylipids and significantly reduced infarct size in myocardial ischemia (Neckář et al., 2012). Interestingly, the protective effect demonstrated was abolished when administering selective EET antagonists, suggesting epoxylipids have a primary role in cAUCB-mediated cardioprotection (Neckář et al., 2012). Furthermore, inhibition of sEH protected against electrical conductance abnormalities and heart arrythmias (Monti et al., 2008; Neckář et al., 2012; Sirish et al., 2013). In addition, administration of sEH inhibitors to mice with thoracic aortic constriction resulted in reduced cardiac remodeling and electrical abnormalities which reduced arrhythmias in mice (Sirish et al., 2016). In rodent models of cardiac hypertrophy, treatment with sEH inhibitors decreased atrial and ventricular arrhythmias and effectively reduced isoproterenol-induced cardiac hypertrophy (Monti et al., 2008; Sirish et al., 2013). Likewise, administration of an sEH inhibitor to mice subjected to acute left anterior descending (LAD) artery occlusion had reduced cardiac fibrosis and improved left ventricular function (Kompa et al., 2013). Additionally, treatment with sEH inhibitors have been shown to improve heart function, reducing cardiac hypertrophy and fibrosis in heart failure models (Qiu et al., 2011; Merabet et al., 2012; Stevenson et al., 2019). The combination of sEH inhibitors and epoxylipids has been evaluated, where co-treatment reduced ventricular fibrillation and cardiac hypertrophy (Cervenka et al., 2018) and amplified the cardioprotective effect in left ventricular function following MI (Hrdlička et al., 2019). Mechanisms responsible for reducing cardiac fibrosis and hypertrophy include improved mitochondrial function, reduced oxidative stress and inflammation (Qiu et al., 2011; Jamieson et al., 2017a; Imig et al., 2022). Inhibition of sEH resulted in reduced cardiac injury caused by systemic inflammation following exposure to lipopolysaccharide (LPS) (Samokhvalov et al., 2018; Yousef et al., 2024). Further data demonstrated the cardiomyocyte targeted knockdown of sEH was enough to preserve cardiac function and limit inflammation following LPS exposure (Sosnowski et al., 2022b). Together, these data suggest the cardioprotective effects of inhibiting sEH potentially involves attenuating an exaggerated inflammatory response (Samokhvalov et al., 2018; Sosnowski et al., 2022b; Yousef et al., 2024).
3 Cellular senescence
Cellular senescence is a state of stable cell cycle arrest where cells cease to proliferate but remain metabolically active, often exhibiting a pro-inflammatory secretory phenotype. Senescent cells were first discovered by Hayflick and Moorhead in 1961 following their observation in cultured human fibroblasts had a limited capacity for cell division and entered a stable, irreversible cell cycle arrest (Hayflick and Moorhead, 1961). The accumulation of senescent cells in aged organisms contributes to a decline in overall health and increases susceptibility to disease. Telomere shortening, epigenetic modifications, DNA damage, oxidative stress and mitochondrial mediated events are known to accelerate the onset of cellular senescence. Replicative senescence is correlated with the normal aging process as cells divide and replicate over time. Whereas SIPS, occurs independently of the chronological aging process, and can be triggered in young cells by a stress stimulus leading to DNA damage, oxidative stress and changes to mitochondrial activities, functions and behaviors (Balaban et al., 2005; Childs et al., 2015; Zhu et al., 2018). Senescent cells produce large amounts of immune modulators, inflammatory cytokines, growth factors, and chemokines which act in both a paracrine and endocrine manner known as the senescence-associated secretory phenotype (SASP) (Lopes-Paciencia et al., 2019). The induction of SASP has immediate impact on the surrounding cells but can also affect the whole organism. As individuals age, the number of senescent cells increases, and pro-inflammatory cytokines produced by SASP-positive cells contribute to chronic inflammation associated with aging (Khavinson et al., 2022).
Cellular senescence plays a significant role in cardiac aging, with senescent cells in the heart contributing to a decline in function, such as reduced contractility and impaired mitochondrial function or activities, like altered oxidative phosphorylation (OxPhos), calcium regulation or membrane potential (Anderson et al., 2019; Shimizu and Minamino, 2019). Studies have shown that promoting cellular senescence can accelerate the onset of age-related heart conditions. For example, senescence-accelerated mice on a high-fat, high-salt diet showed an increase in senescent endothelial cells in the heart, correlating with diastolic dysfunction and left ventricular hypertrophy (Gevaert et al., 2017). Anderson et al. demonstrated that, with aging, both human and murine cardiomyocytes displayed a senescent-like phenotype, including the secretion of atypical SASP factors like endothelin 3 (Edn3), Tgfβ2 and growth differentiation factor-15 (GDF15) (Anderson et al., 2019). Moreover, conditioned culture medium from aged cardiomyocytes induced fibroblast activation and senescence, suggesting an interaction between senescent cardiomyocytes and fibroblasts during cardiac aging and dysfunction (Anderson et al., 2019). These findings indicate senescent cells can actively impair the function of surrounding cells. The accumulation of senescent cardiomyocytes, leads to a functional decline, characterized by decreased contractility, increased cell size, and changes to mitochondrial function and activity, ultimately compromising cardiac performance. As these senescent cells accumulate, they disrupt intercellular communication, exacerbate chronic inflammation, and contribute to cell death, culminating in cardiac dysfunction (Tang et al., 2020).
3.1 Markers of cellular senescence
The absence of a reliable marker for detecting senescent cells, especially in vivo, has historically been a significant challenge in the field of senescence research. Therefore, various markers have been utilized to identify these cells. These include the presence of β-galactosidase (β-gal) activity, the expression of tumor suppressors, cell cycle inhibitors such as p53/p21 and p16, DNA damage markers and telomere shortening (Figure 3). Cellular senescence is typically characterized by increased β-gal activity, which is linked to active autophagy and high lysosomal content. β-gal is a lysosomal hydrolase that promotes the breakdown of many β-d-galactoside substrates including lactose, keratin sulfates and sphingolipids within the lysosomal environment (Krishna et al., 1999). Increased activity of lysosomal β-gal is associated with increased cellular senescence, marked by an increase in both the number and size of lysosomes (Robbins et al., 1970; Kurz et al., 2000; Gary and Kindell, 2005). Upregulated β-gal activity has been observed in the organs of elderly humans and other animals, indicating that cellular senescence is a characteristic of biological aging (Dimri et al., 1995; Judge and Leeuwenburgh, 2007). Distinguishing between senescent and non-senescent cells either in in vivo or in vitro models is challenging, however, co-immunoprecipitation of β-gal with specific cell markers such as troponin T or α actinin for cardiomyocyte, α-smooth muscle actin (α-SMA) for myofibroblast and vimentin for fibroblast provides a way to identify the senescent cell types such as cardiomyocytes, myofibroblasts and fibroblasts (Meyer et al., 2016). Anderson et al. (2019), found that β-gal activity was increased in aged mice, particularly in cardiomyocytes when they are co-labelled with troponin C (Anderson et al., 2019).
FIGURE 3
Tumor suppressor p53 serves as an important marker in cellular senescence, which is often associated with excessive cellular stress such as DNA damage (Mijit et al., 2020). The activity of p53 is modulated by post-translational modifications such as ubiquitination, phosphorylation, and acetylation, allowing it to positively regulate genes involved in cell cycle arrest and senescence (Bode and Dong, 2004). Activation of the p53 pathway happens through a series of kinase cascades involving ATM, ATR, and CHK1/CHK2 making it a key transcription factor in determining cell fate (Shi et al., 2021). Recent research has highlighted the role of p53-dependent senescence in the cardiovascular system. In aged cardiac endothelial cells, reduced SIRT1 expression leads to increased p53 acetylation, leading to senescence and endothelial dysfunction (Ota et al., 2007). Elevated p53 levels are found in patients with end-stage heart failure and cardiomyopathy, suggesting a role in heart dysfunction (Song et al., 1999; Birks et al., 2008). While deletion or inhibition of p53 prevented senescence in many cardiac cell types such as cardiomyocyte, fibroblasts, endothelial cells and vascular smooth muscles (Zhu et al., 2013; Gu et al., 2018; Yokoyama et al., 2019).
One of the downstream targets of p53 is p21 (CDKN1A), a member of the cyclin-dependent kinase inhibitors (CDKI) and essential component for p53-mediated cell cycle arrest at the G1/S or G2/M checkpoint (Yosef et al., 2017). Studies have shown that the expression of p21 was found to be increased in both murine and human senescent cells, leading to cell cycle arrest specifically at the G1 phase. The upregulation of p21 expression has been extensively examined as a potential biomarker for senescence in response to various stressors (Jia et al., 2017; Sawaki et al., 2018; Lee et al., 2020; Cai et al., 2021). These results suggest that cellular senescence is associated with p53 and p21 activation and can be used as a biomarker of senescence in the heart.
Another significant pathway involved in cellular senescence is the p16/Rb pathway. Phosphorylation of the retinoblastoma protein (Rb) by cyclin-dependent kinase 4 (CDK4) is a crucial step in cell cycle division. Increased expression of p16INK4a is observed in nearly 50% of ventricular myocytes in the aged and diseased heart (Chimenti et al., 2003). Consequently, the accumulation of these p16-positive cells is believed to have a negative impact on longevity, suggesting a potential association between cellular senescence marked by p16 and the aging process (Baker et al., 2016). In engineered mouse models, such as p16-3MR, enabling the selective elimination of p16-positive senescent cells, the clearance of these cells has shown promising results in delaying age-related disorders across multiple tissues and organs, including the heart (Baker et al., 2016).
During prenatal and early neonatal development, telomere shortening is extensive, where the occurrence of cardiomyocyte proliferation observed during the first (Porrello et al., 2011) and third weeks of life (Naqvi et al., 2014). However, in postnatal life, telomere shortening proceeds at a significantly slower rate, losing only 13 base pairs per year in the left ventricle, compared to other tissues such as the kidneys, which demonstrate an annual reduction of 30–60 base pairs (Takubo et al., 2002). The primary mechanism underlying telomere-driven aging is based on the concept that continuous cellular turnover leads to a gradual depletion of telomere length, ultimately resulting in short and dysfunctional telomeres (Moslehi et al., 2012; Sharifi-Sanjani et al., 2017). Evidence from human arterial endothelium has demonstrated that telomere shortening is age-dependent and accelerated by CVD risk factors (Voghel et al., 2007). However, several studies state that cellular senescence extends beyond telomere shortening. For example, post-mitotic cardiomyocyte senescence is triggered by telomere damage independent of telomere length (Anderson et al., 2019). Notably, telomere specific DNA damage promoted cellular senescence in cardiomyocytes (Anderson et al., 2019), which was consistent with data demonstrating DNA damage repair promoted both cellular senescence and cardiac aging (Lyu et al., 2018). DNA damage induced by bacterial toxicity can subsequently trigger cellular senescence (Blazkova et al., 2010; Wei et al., 2022; Yousef et al., 2024). Similarly, oxidative DNA damage characterized by the accumulation of 8-hydroxy 2 deoxyguanosine has been observed in cardiotoxic models (Topcu et al., 2022; Yousef et al., 2024). Altogether, these studies report telomere and DNA damage are critical drivers and markers of cardiomyocyte senescence.
Cellular senescence is commonly associated with changes in cellular morphology. One of the key features of dysfunctional cardiomyocytes in aged myocardial tissues is pathological hypertrophic growth, which is commonly associated with senescence (Cui et al., 2018). Senescent cells demonstrate enlarged and flattened shape with vacuolization of the cell body (Ball and Levine, 2005). However, these morphological changes have been seen in three different cell types in the heart: vascular smooth muscle cells (VSMC), cardiomyocytes and endothelial cells (Ball and Levine, 2005; Ota et al., 2007; Huang et al., 2021). Moreover, increased expression of hypertrophic genes such as Myh7 and Acta1 was reported in cardiomyocyte senescent cells (Anderson et al., 2019).
3.2 Senescence-associated secretory phenotype
The senescence-associated secretory phenotype (SASP) describes the primary characteristics and relevant biomarkers released by senescent cells, this includes the elevated production of pro-inflammatory immune modulators, cytokines, growth factors, chemokines, and extracellular matrix proteases. While these factors influence the immediate environment of a SASP-positive cell, they also function as remote endocrine signals. As a result, large-scale induction of the SASP significantly contributes to systemic aging. Senescent cells utilize the SASP to communicate both internally and with their surrounding microenvironment (Tang et al., 2020).
The onset of cellular senescence is marked by an increase in the expression of pro-inflammatory interleukins (IL-6, IL-8, IL-11, IL-1α and IL1β), monocyte chemoattractant protein (MCP-1), tumor necrosis factor (TNF-α), TGFβ, vascular endothelial growth factor (VEGF), insulin-like growth factor, chemokine CXC motif ligands 1 and 2 (CXCL1, CXCL2), GDF-15 and Edn3 (Coppe et al., 2008; Anderson et al., 2019; Kirschner et al., 2020). The SASP also includes a plethora of other inflammatory cascades, for example, during senescence increased both IL-1α and IL-1β proteins activate NF-kB-mediated protein transcription, a major feed-forward mechanism in the SASP (Lau et al., 2019). Aging and age-related diseases can be attributed to the accumulation of senescent cells in various tissues (Childs et al., 2015). Due to the SASP, senescent cells influence nearby cells and reinforce their own senescent state via an autocrine loop (Young and Narita, 2009). Examples include IL-6 binding to its receptor or IL-8 interacting with the CXCR2 receptor thereby reinforcing the inflammatory state of senescent cells (Kuilman et al., 2008). Thus, it has been hypothesized that eliminating senescent cells could slow down biological aging (Amaya-Montoya et al., 2020; Pignolo et al., 2020). For example, IL-11, a pro-inflammatory SASP cytokine, contributes to the induction of senescence in cardiac fibroblasts. Inhibition of IL-11 has been shown to reduce senescence biomarkers and inflammation, thereby promoting healthy aging and extending lifespan (Widjaja et al., 2024). Additionally, senolytic drugs which can be used to selectively remove senescent cells, delaying the aging process (Yosef et al., 2016). This suggest that inhibiting or eliminating senescent cells, or suppressing the SASP, could potentially reverse aging.
Recent research indicates the senescent phenotype, including the SASP, is not a uniform or static entity but rather a complex and evolving network that varies significantly based on cell type, triggering factors, and the stage of senescence (Sharpless and Sherr, 2015; Hernandez-Segura et al., 2017). This differential expression pattern is a key factor contributing to the observed heterogeneity in the senescence program (Sharpless and Sherr, 2015). Highlighted in a study utilizing transcriptomic approaches demonstrating SASP genes differ substantially across various time points and cell types (Hernandez-Segura et al., 2017). Moreover, various cardiac cell types undergo senescence, influencing both aging and CVD (Tang et al., 2020; Hu et al., 2022). These including cardiomyocytes, cardiac fibroblasts, cardiac endothelial cells, vascular smooth muscle cells and cardiac stem cells Table 1.
TABLE 1
| Cell type | Model | In vitro/In vivo | Cell Marker(s) | Disease/Stressor(s) | Aging/Senescence Marker(s) | SASP Component(s) | Pathological Effect(s) | References |
|---|---|---|---|---|---|---|---|---|
| Cardiomyocytes | Doxorubicin induced cardiotoxicity | Both | Wistar rat, neonatal rat cardiomyocytes, H9c2 | Doxorubicin | mtDNA damage, p16, SA-β-Gal | Cardiac dysfunction and accelerated aging | Mitry et al. (2020) | |
| Cardiomyocytes | Cardiomyocyte-specific model | Both | α-actinin, neonatal rat cardiomyocytes | Cardiac aging and IGF-1 | SA-β-Gal, p21 | IL-1α, IL-1β, IL-6 | Cardiac hypertrophy and fibrosis | Ock et al. (2016) |
| Cardiomyocytes | Primary cardiomyocytes | In vitro | Neonatal rat cardiomyocytes | Hypoxia reoxygenation | SA-β-Gal, p16 | Premature senescence | Zhang et al. (2007) | |
| Cardiomyocytes | Primary cardiomyocytes | In vivo | Troponin C, α-actinin | Cardiac aging | DNA damage, SA-β-Gal, p53, p21, p16 | GDF15, TGF-β, Edn3 | Cardiac hypertrophy and fibrosis | Anderson et al. (2019) |
| Cardiomyocytes | Primary cardiomyocytes | In vivo | Primary cardiomyocytes isolated from aged mice | Cardiac aging | SA-β-Gal | TGF-β | Age-related cardiac dysfunction | Lyu et al. (2018) |
| Cardiomyocytes | Mouse hearts | In vivo | α-actinin | Diabetes and cardiac aging | p21, p53 | Cardiac dysfunction | Kosugi et al. (2006) | |
| Cardiomyocytes | H9c2 cells | In vitro | Nanoplastics | SA-β-Gal, p16, p21, DNA damage | IL-6, TNF-α, IL-1β | Cardiomyocyte Senescence | Wang et al. (2024) | |
| Cardiomyocytes | H9c2 cells | In vitro | Doxorubicin | SA-β-Gal, p16 p21 | IL-1β, IL-6, IL-12, TNF-α | Cardiomyocyte Senescence | Huang et al. (2021) | |
| Cardiomyocytes | H9c2 cells | In vitro | Doxorubicin | SA-β-Gal, p16 | Cardiomyocyte Senescence | Pillai et al. (2021) | ||
| Cardiomyocytes | Rap1 knockout mice | In vivo | α-actinin, primary cardiomyocytes isolated from aged mice | Cardiac aging | p53 | Cardiac hypertrophy and dysfunction | Cai et al. (2021) | |
| Cardiac endothelial cells | Porcine coronary artery | In vitro | Endothelial cells | High glucose | SA-β-Gal, p53, p21 | VCAM-1 | Endothelial cell aging | Khemais-Benkhiat et al. (2020) |
| Cardiac endothelial cells | Heart failure | In vivo | Endothelial specific knockout | Isoproterenol | p53, p21 | ICAM-1 | Heart failure | Katsuumi et al. (2018) |
| Cardiac endothelial cells | Coronary artery diseased patients | In vitro | Von Willebrand Factor, CD31 | Serial passages | Telomere shortening, SA-β-Gal | Endothelial dysfunction and CVDs | Voghel et al. (2007) | |
| Cardiac endothelial cells | Coronary artery diseased Patients | In vitro | Factor VIII | Atherosclerosis | SA-β-Gal | ICAM-1 | Endothelial dysfunction and atherosclerosis | Minamino et al. (2002) |
| Endothelial cells | Human umbilical vein endothelial cells (HUVECs) | In vitro | High glucose | SA-β-Gal, telomerase activity | Endothelial senescence and atherosclerosis | Hayashi et al. (2006) | ||
| Cardiac endothelial cells | Senescence-accelerated mouse model | In vivo | CD31 | Heart failure with preserved ejection fraction | p53, SA-β-Gal | ICAM-1 | Endothelial senescence and heart failure | Gevaert et al. (2017) |
| Cardiac endothelial cells | Human aortic endothelial cells | In vitro | LDL exposure | SA-β-Gal, DNA damage, p53, p16 | Vascular endothelial senescence and atherosclerosis | Wang et al. (2018) | ||
| Endothelial cells | Human umbilical vein endothelial cells | In vitro | MiR-34a and serial passages | SA-β-Gal | Endothelial cellular senescence | Ito et al. (2010) | ||
| Endothelial cells | Endothelial specific knockout mice | In vivo | Isolectin B4 | STZ-induced diabetes and ischemia | p53, p21 | Vascular endothelial senescence | Yokoyama et al. (2019) | |
| Endothelial cells | Human umbilical vein endothelial cells (HUVECs) | In vitro | Sirt1 inhibition and hydrogen peroxide | SA-β-Gal, p53 | Premature senescence and endothelial dysfunction | Ota et al. (2007) | ||
| Cardiac fibroblasts | MI | In vivo | Vimentin | MI | DNA damage, p21, SA-β-Gal | Cardiac fibrosis | Shibamoto et al. (2019) | |
| Cardiac fibroblasts | Ventricles of neonatal rats, spontaneously hypertensive rats | Both | Fibroblast isolation, α-SMA | Hypertension induced fibrosis | p53, p21, SA-β-Gal | IL-6, IL-1β, TGF-β | Cardiac fibroblasts senescence and hypertrophy | Li et al. (2019) |
| Cardiac fibroblasts | Neonatal and adult mouse models | In vivo | PDGFRα | MI | p53, p16, SA-β-Gal | IL-1α, IL-6, CCl2, VEGF, MMP2 | Fibroblast senescence and cardiac fibrosis | Feng et al. (2019) |
| Cardiac fibroblasts | Human heart biopsies and mouse model | In vivo | PDGFR-α, α-SMA | Transverse aortic constriction | p21, p16, SA-β-Gal | Cardiac hypertrophy and dysfunction | Meyer et al. (2016) | |
| Cardiac fibroblasts | Mouse hearts | In vitro | Isolation of cardiac fibroblasts | Palmitate treatment | SA-β-Gal | TNF-α, IL-6, CXCL2, IL-1β, IL-18 | Reduced contractile function | Sokolova et al. (2017) |
| Cardiac fibroblasts | Human biopsies | In vitro | Vimentin | Atrial fibrillation | P16, p21, SA-β-Gal | Premature senescence and cardiac fibrosis | Xie et al. (2017) | |
| Cardiac fibroblasts | Mouse hearts | In vivo | α-SMA | Myocardial infarction | p53, p16, p21, SA-β-Gal | IL-6, CXCL1, CXCL2, MCP-1 | Cardiac fibrosis | Zhu et al. (2013) |
| Cardiac fibroblasts | Mouse hearts | Both | Vimentin | miR-17-3p transgenic mouse model and hydrogen peroxide | SA-β-Gal | Cardiac aging | Du et al. (2015) | |
| Cardiac fibroblasts | Mouse hearts | In vivo | Vimentin | MI | p53, SA-β-Gal | Heart injury | Sarig et al. (2019) | |
| Cardiac fibroblasts | Mouse hearts | In vivo | Vimentin | Cardiac aging | p16, p53, p21, SA-β-Gal | TGF-β | Age-related cardiac fibrosis and dysfunction | Sawaki et al. (2018) |
| Cardiac fibroblasts | Primary mouse fibroblast | In vitro | Serial passages | SA-β-Gal | Age-related cardiac fibrosis | Wang et al. (2015b) | ||
| Cardiac fibroblasts | MI | In vivo | α-smooth muscle actin | MI | SA-β-Gal, p53, p21 | VEGF | Accelerated heart failure post-MI | Jia et al. (2017) |
| Cardiac fibroblasts | Mouse hearts | In vivo | Vimentin | MI, cryoinjury | SA-β-Gal, p53, p21 | Cardiac fibrosis | Zhang et al. (2024) | |
| Vascular smooth muscle cells | VSMC specific knockout | In vivo | SM22α | Atherosclerosis and aging | IL-6, CCL2 | Inflammation and atherosclerosis risk | Song et al. (2012) | |
| Vascular smooth muscle cells | Human vascular smooth muscle cells | In vitro | IL-1β induced senescence | SA-β-Gal, p16, p21, telomerase activity | TNF-α, IL-6, MCP-1 | Inflammation and atherosclerosis risk | Zhao et al. (2021) | |
| Vascular smooth muscle cells | Mouse Aorta | In vitro | Angiotensin II, Aldosterone | SA-β-Gal, p16, p21, DNA damage | IL-6, TNF-α | Vascular remodeling and senescence | Gan et al. (2021) | |
| Vascular smooth muscle cells | Human aortic smooth muscle cells | In vitro | hypertensive aged patients | p21, p16, SA-β-Gal | Vascular senescence and CVDs | Ma et al. (2022) | ||
| Vascular smooth muscle cells | Rat Aorta | In vitro | Isolation of VSMCs | Angiotensin II | SA-β-Gal, p53, p21, p16 | Vascular senescence and CVDs | Min et al. (2007) | |
| Vascular smooth muscle cells | Aortic mice plaque | In vivo | Ionizing radiation | p16, p21, DNA damage | MCP-1 | Atherosclerosis | Yamamoto et al. (2021) | |
| Vascular smooth muscle cells | Rat Aorta | In vitro | Isolation of VSMCs | Serial passages | SA-β-Gal, p53, p21 | Vascular aging | Tan et al. (2019) | |
| Vascular smooth muscle cells | Human aortic smooth muscle cells | In vitro | Serial passages | SA-β-Gal, DNA damage, p53, p21 | Vascular senescence and CVDs | Chen et al. (2021) | ||
| Vascular smooth muscle cells | human atherosclerotic samples | In vitro | α-smooth muscle actin | Atherosclerosis | SA-β-Gal, p53, p16, p21 | IL-1β, IL-6, IL-8, MCP-1 | Vascular senescence and atherosclerosis | Minamino et al. (2003) |
| Vascular smooth muscle cells | Human aortic VSMC | In vitro | Angiotensin II | SA-β-Gal, p21, p16 | IL-6 | Vascular aging | Tsai et al. (2016) | |
| Vascular smooth muscle cells | Human aortic VSMC | In vitro | α-smooth muscle actin | Bleomycin | SA-β-Gal, p16, p53, DNA damage | IL-1α, IL-6, IL-8, MCP-1, MMP9 | Vascular senescence and atherosclerosis | Gardner et al. (2015) |
| Vascular smooth muscle cells | Human and mouse atherosclerotic plaques | Both | α-smooth muscle actin | Palmitate and atherosclerosis | p16, DNA damage | IL-1α, IL-1β, IL-6, MCP-1 | Vascular senescence and atherosclerosis | Grootaert et al. (2021) |
| Vascular smooth muscle cells | Human atherosclerotic plaques | In vitro | α-smooth muscle actin | Atherosclerosis | SA-β-Gal, p16, p21, DNA damage | IL-1α, IL-6, MCP-1 | Vascular senescence and atherosclerosis | Wang et al. (2015a) |
| Vascular smooth muscle cells | Human atherosclerotic plaques | In vitro | α-smooth muscle actin | Atherosclerosis | SA-β-Gal, p16, p21, telomere shortening, DNA damage | Vascular senescence and atherosclerosis | Matthews et al. (2006) | |
| Vascular smooth muscle cells | Mouse aorta | In vitro | Isolation of VSMCs | Autophagy defection | P53, p21 | TGF-β, MMP9, CXCL12 | Vascular senescence and atherosclerosis | Grootaert et al. (2015) |
| Vascular smooth muscle cells | Mouse aorta | Both | Isolation of VSMCs, SM22α | Aging, Angiotensin II | SA-β-Gal p16, p21, p53 | Vascular senescence and atherosclerosis | Miao et al. (2017) | |
| Cardiac stem cells | Human stem cells | In vitro | Age differences | p16, SA-β-Gal | IL-6, IL-1β | Cardiac stem cell aging | Nakamura et al. (2017) | |
| Cardiac stem cells | High glucose exposure | In vitro | c-kit positive cells | High glucose | p53, p16, SA-β-Gal | Stem cell dysfunction | Fu et al. (2019) | |
| Cardiac stem cells | Mouse hearts | Both | c-kit positive cells | MI | p53, SA-β-Gal | Cardiac dysfunction | Toko et al. (2014) | |
| Mesenchymal stem cells | Human stem cells | In vitro | Aging | ISA-β-Gal, p53, p21 | Stem cell senescence | Hong et al. (2020) |
Cellular senescence in cardiac cell types.
Several studies correlate elevated sEH levels observed in aging with age-associated diseases and disorders. For example, age-related increased sEH protein expression and activity has been found in the brain (Nelson et al., 2014), heart (Jamieson et al., 2020; Yousef et al., 2024), intestines (Wang et al., 2023), liver (Wu et al., 2023), and kidney (Jamieson et al., 2020) in both human and murine models. In the senescence-accelerated mouse (SAMP8) model, increased levels of the oxylipin 9,10-DiHOME, a sEH-derived pro-inflammatory metabolite of linoleic acid, was associated with aging (Currais et al., 2015). Elevated sEH activity in the progression of biological aging is linked to the rapid hydrolysis of epoxylipids and accumulation of less potent or even pro-inflammatory diols metabolites (Jamieson et al., 2017a; Edin and Zeldin, 2021). Recent evidence suggests both sEH deletion and supplementation of epoxylipids are effective in reducing several senescence signaling pathways as well inducing SASP in aged mice (Griñán-Ferré et al., 2020; Zhang et al., 2020; Zhang et al., 2022; Wang et al., 2023; Zhang et al., 2023; Yousef et al., 2024). Further evidence demonstrated pharmacological inhibition of sEH prevented D-galactose-induced premature aging by decreasing senescent expression of p16, p21, and γH2AX (Zhang et al., 2023). In vitro experiments using a diseased lung model revealed that administration of PTUPB, a dual COX-2/sEH inhibitor, decreased the expression levels of p16(Ink4a) and p53-p21(Waf1/Cip1) (Zhang et al., 2020; Zhang et al., 2023). Moreover, 14,15-EET treatment alleviated endoplasmic reticulum stress and senescence in alveolar epithelial cells via antioxidant effects, suggesting that EETs serve as intrinsic molecules with potential anti-aging properties (Sun et al., 2016; Li et al., 2023). Additionally, sEH inhibition attenuated the expression of SASP-associated pro-inflammatory cytokines for example, the administration of sEH inhibitor drugs TPPU, AS-2586114, or UB-EV-52 to SAMP8 mice resulted in decreased Il-1β, CCL3, and TNF-α levels, as well as reduced oxidative stress markers in senescent mice (Griñán-Ferré et al., 2020; Yang et al., 2020; Jarne-Ferrer et al., 2022; Zhang et al., 2022).
While a connection between tissue aging and sEH activity has been documented, the precise mechanism by which sEH attenuates senescence remains unclear. Evidence indicates inhibiting sEH or increasing epoxylipid levels might improve the removal of senescent cells and subsequently slow down the aging process, acting as a senomorphic agents across the cellular environment. The mechanism(s) likely involves protecting mitochondrial function, thereby reducing cellular senescence.
4 The multifaceted role of mitochondria
Mitochondrial are multifunctional organelles that dynamically recalibrate their features, activities, functions, and behaviors based on endogenous and exogenous factors (Monzel et al., 2023). Mitochondrial impairments and adaptive recalibrations are closely interconnected with cellular senescence often influencing each other in a feedback loop to act as key drivers of aging and age-related diseases (Chapman et al., 2019). In the current discussion, we refer to the multifaceted biology of mitochondria dysfunction as changes in functions and behaviours that arise from various factors, including impaired dynamics, dysregulated biogenesis and/or mitophagy, mtDNA signalling and expression, reduced respiratory capacity, and mitochondrial structural changes (Monzel et al., 2023) (Figure 4).
FIGURE 4
The mitochondrial respiratory chain is a major source of ROS production, as electron leakage forms superoxide anions upon reaction with molecular oxygen (Sawyer and Colucci, 2000). Impairment in mitochondrial functions often result in increased superoxide production, which can cause extensive damage to both nuclear and mitochondrial DNA inducing cellular senescence as well increasing the expression of SASP (Correia-Melo et al., 2016; Nelson et al., 2018). Naturally, with aging and senescence, the efficiency of metabolic processes diminish, leading to a redox imbalance between oxidant formation and detoxification (Pagan et al., 2022). This imbalance results in free radical-induced damage to macromolecules, contributing to the aging process and the emergence of age-related diseases, including CVD (Jomova et al., 2023). Concurrently, aging tissues and senescent cells experience a decline in mitochondrial function through reduced respiratory capacity (Miwa et al., 2022). Thus, resulting in increased production of superoxide anions, hydroxyl radicals, and hydrogen peroxide, correlating with changes in the mitochondrial membrane potential (Trifunovic and Larsson, 2008). For instance, in the basal mitochondrial respiration state, high membrane potential drives excessive superoxide production, further exacerbating mitochondrial dysfunction in aging cells (Korshunov et al., 1997). Furthermore, the significance of electron transport chain (ETC) complexes in the loss of respiratory capacity with aging is notable, for example, function of complex I and ROS production depend on the integrity of its assembly, which declines with age (Desler et al., 2012). Interestingly, knockdown of a single complex I assembly factor can cause cell senescence (Miwa et al., 2014). As well, increased mitochondrial hydrogen peroxide levels can increase SASP either by directly activating NF-kB signaling or indirectly by causing DNA damage and a DNA damage response (DDR) (Rodier et al., 2009). ROS-mediated DNA damage results in DNA strand breaks, or oxidative damage, with telomeres appearing to be particularly sensitive to oxidation due to their guanine-rich regions (Grollman and Moriya, 1993). The mitochondrial superoxide levels produced in senescent cells exert both autocrine and paracrine effects, demonstrating a role in sustaining cellular senescence through a positive loop that continually generates DNA damage (Passos et al., 2010). Conversely, senescent cells with depleted mitochondria lose their pro-inflammatory and pro-oxidant phenotype (Correia-Melo et al., 2016).
4.1 Mitochondrial behaviours - dynamics
Mitochondria are highly dynamic cellular organelles that undergo fusion and fission events crucial for maintaining function, quality control and cellular homeostasis. The balance between fission and fusion plays a role in preserving a healthy pool of mitochondria within the cell. Fusion will merge individual mitochondria into interconnected networks, which mixes contents such as mtDNA, proteins and lipids. Key mitochondrial fusion proteins include mitofusin 1 and 2 (MFN-1 and 2) that facilitate the fusion process of the outer mitochondrial membrane along with optic atrophy 1 (OPA1) that have a role in cristae structure and regulate the fusion of the inner mitochondrial membrane (Youle and van der Bliek, 2012). Whereas mitochondrial fission segregates mitochondria into smaller units containing damaged proteins, destabilized membranes, and damaged mtDNA in preparation for removal via mitophagy as well distribute mitochondria during cell division (Pagliuso et al., 2018). Key proteins involved in the regulation of fission include dynamin-related protein 1 (DRP-1) and fission protein 1 (FIS1), which are recruited at specific sites on the mitochondrial membrane. Two distinct types of fission, mediated by DRP1, were identified: peripheral division, enabling damaged or misfolded proteins in mitochondria to be encapsulated into smaller mitochondria for mitophagy, and middle division, considered a way to increase mitochondrial mass (Kleele et al., 2021).
Simultaneous disruption of mitochondrial behaviors through fission and fusion processes can accelerate the accumulation of impaired mitochondria, which contributes to the progression of senescence within the aging heart (Dai and Rabinovitch, 2009). For instance, in senescent Hela cells, elongated and hyperfused mitochondrial networks have been associated with a reduced expression of the FIS1 protein (Lee et al., 2007). Reducing FIS1 expression has been demonstrated to increase ROS, in particular superoxide, nitric oxide and hypochlorous acid, production and trigger cellular senescence. Conversely, the overexpression of FIS1 has been shown to counteract mitochondrial elongation and reverse the senescent phenotype (Judge and Leeuwenburgh, 2007). Moreover, simultaneous downregulation of DRP1 and FIS1 proteins has been observed in aged mammals (Yoon et al., 2006; Lee et al., 2007; Mai et al., 2010). Inducing DRP1-mediated fission during mid-life in Drosophila has been shown to enhance mitochondrial respiratory function and structure, extend lifespan, and delay age-related pathologies (Rana et al., 2017). Conversely, studies indicate that mitochondrial fusion becomes compromised during aging, where a progressive reduction in MFN2 was associated with aging in skeletal muscles (Sebastián et al., 2016; Zeng et al., 2020; Kleele et al., 2021; Liu et al., 2021). Impaired mitochondrial fusion during aging, leads to decreased ATP production and accumulation of mutated mtDNA, which have been associated with an induction of senescence-associated pathways (Yoon et al., 2006; Lee et al., 2012).
4.2 Mitochondrial behaviours - mitophagy
Mitophagy is the specific autophagic breakdown of damaged mitochondria and is crucial for maintaining mitochondrial and cellular homeostasis (Chen et al., 2020). Following recruitment through various ubiquitination pathways, mitochondria are enveloped by autophagosomes and merged with lysosomes for subsequent degradation. Impaired mitophagy, results in the accumulation of damaged mitochondria and accelerated cellular senescence, as evident in aged rat and human studies (O’Leary et al., 2013; Dalle Pezze et al., 2014; Garcia-Prat et al., 2016; Chen et al., 2020). Mitophagy often declines with age because of several factors, such as lysosomal malfunction or lysosomal overload which prevents effective targeting of the autophagosomes. This is in turn results in the inadequate removal of damaged mitochondria (Kissova et al., 2004; D’Amico et al., 2019). Evidence suggests that in aged and senescent cells, lysosomes demonstrate reduced activity which results in accumulation of undegraded organelles (Sitte et al., 2001). When mitochondria are damaged, the PTEN-induced kinase 1 (PINK1) protein accumulates on the outer membrane leading to recruitment of the E3 ubiquitin ligase Parkin, which ubiquitinates various proteins on the outer mitochondrial membrane. This ubiquitination process facilitates autophagosome formation and the subsequent lysosomal removal of damaged mitochondria (Zimmermann et al., 2021). Comprised mitophagy can arise from defects in mitochondrial dynamics, the effectiveness of this process hinges on the organelles capacity to undergo fission and be eliminated (Twig and Shirihai, 2011). The efficiency of both fission and mitophagy can deteriorate with aging due to diminished expression of PINK1 (Bueno et al., 2015). In terms of senescence, it has been proposed the accumulation of the protein p53 in the cytosol leads to the sequestration of Parkin, hindering its translocation to the mitochondria thus serving to reinforce the senescence phenotype (Hoshino et al., 2013). A previous study indicates that the diminished translocation of Parkin to mitochondria leads to the buildup of damaged mitochondria and is linked to the initiation of senescence (Ahmad et al., 2015). In a similar model of senescence, Araya et al. (2019) found that knocking down Parkin resulted in impaired mitophagy and the induction of senescence, while its overexpression was adequate to trigger mitophagy and attenuate cellular senescence (Araya et al., 2019).
4.3 Mitochondrial DNA - expression and signalling
Mitochondria contain circular double stranded DNA limited to 16,569 base pairs organized in nucleoid-like structures within the mitochondrial matrix (Chinnery and Hudson, 2013). The mitochondrial genome exists as a multi-copy structure, with each cell containing hundreds to thousands of mtDNA copies that are subject to variations based on cell metabolism and exposure to stressors (Bonawitz et al., 2006). The regulation of mtDNA replication and transcription falls under the control of the peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α), a regulator of mitochondrial biogenesis (Scarpulla, 2011). Activated by phosphorylation or deacetylation, PGC-1α triggers the expression of transcription factors such as the nuclear respiratory factor (NRF) 1 and 2, and estrogen-related receptor-α, promoting the expression of mitochondrial transcription factors A, B1, and B2 (TFAM, TFB1M, and TFB2M) (Handschin and Spiegelman, 2006; Rebelo et al., 2011). TFAM plays a pivotal role in the regulation of mitochondrial biogenesis, binding to mtDNA and initiate mitochondrial transcription and replication (Picca and Lezza, 2015).
In response to stress, cells can release endogenous components into the extracellular space to initiate immune responses, collectively termed damage-associated molecular patterns (DAMPs). These DAMPs are recognized by pattern-recognition receptors, strongly expressed in immune cells but also present throughout the body, and they stimulate inflammatory responses (Dela Cruz and Kang, 2018; Grazioli and Pugin, 2018). The inflammatory responses during aging and age-related diseases may results from the innate immune response identifying damaged mitochondrial components. Notably, a subclass of DAMPs commonly referred to as mitochondrial DAMPs including cardiolipin, TFAM, ATP, succinate, cytochromeC, and mtDNA (Nakahira et al., 2015; Grazioli and Pugin, 2018). When in the cytosol, mtDNA serves as a DAMP, triggering inflammation, and tissue damage (Riley and Tait, 2020). The presence of circulating mtDNA gradually rises with advanced aging and has a closely linked relationship to inflammatory conditions (Pinti et al., 2014). The levels of circulating mtDNA to the cytosol or extracellular space align with the increased serum inflammatory markers and senescent cells (Pinti et al., 2014; Victorelli et al., 2023). Furthermore, circulating mtDNA has been detected in extracellular fluid following cell injuries such as acute MI, and sepsis (Nie et al., 2020).
Studies report a decrease in mtDNA content with age, with older individuals experiencing more significant decline (Mengel-From et al., 2014; Knez et al., 2016). Lower mtDNA content in older individuals is associated with mortality, cognitive decline, and reduced physical performance (Mengel-From et al., 2014). An early hypothesis suggested that the accumulation of mutated mtDNA with age might directly contribute to the decline in mitochondrial function (Kujoth et al., 2005; Shimada et al., 2012). The mitochondrial theory of aging suggests that mtDNA mutations accumulate over time due to less active repair mechanisms when compared to nuclear DNA (nDNA) and proximity to ETC, which is a major source of ROS (La Morgia et al., 2020; Wolf, 2021). Subsequently, mtDNA has a relatively high mutation rate resulting in extensive polymorphism which can disrupt ETC assembly, transmembrane potential dispersion, and increase ROS production (Judge and Leeuwenburgh, 2007). Studies indicate mtDNA mutations increase with age and can be observed in various tissues and organs (Srivastava, 2017). Other studies report that despite the accumulation of mtDNA mutations leading to premature aging phenotypes, there was no corresponding increase in ROS levels or oxidative stress. This suggests that respiratory chain dysfunction, rather than increased oxidative stress, was a key driver of aging (Trifunovic et al., 2005).
4.4 Mitochondrial activities - NAD+/NADH ratio and sirtuins
The silent mating-type information regulation 2 homologs or sirtuins (SIRTs) are a group of nicotinamide adenine dinucleotide (NAD+)-dependent deacylases that include seven mammalian family members identified as SIRT1 to SIRT7. SIRT1, -6, and -7 are mainly localized in the nucleus, while SIRT1 often localizes to the cytoplasm. SIRT2 is mainly found in the cytoplasm, with specific splice isoforms found in the nucleus under certain conditions. SIRT3-5 primarily reside within mitochondria (Dang, 2014). The SIRT family is heavily involved in intracellular signalling and plays various roles in maintaining cardiac homeostasis, metabolism and aging (Wu et al., 2022). As the aging process progresses, studies have found a decrease in both SIRT1 and NAD+ levels in the liver and skeletal muscle tissues in aged mice (Yoshino et al., 2011; Mouchiroud et al., 2013; Imai and Guarente, 2014). Moreover, declines in NAD+ levels are closely linked to onset of aging related conditions such as obesity, muscle loss and diabetes (Yoshino et al., 2011; Canto et al., 2012; Gomes et al., 2013; Zhang et al., 2016). In contrast, elevated expression of SIRT1 has been shown to suppress the transcription of SASP markers in cardiomyocytes and endothelial cells (Zheng et al., 2012; Vassallo et al., 2014; Man et al., 2019). Mitochondrial SIRT3 plays a crucial role in eliminating intracellular ROS and maintaining oxidative metabolism through MnSOD deacetylation (Yu et al., 2012; Parodi-Rullán et al., 2018; Sun et al., 2018). Depletion of SIRT3 is marked by heightened oxidative stress and senescence markers. Recent findings indicate that stressed or damaged cells can restore NAD+ levels through a cytosolic complex of enzymes that transfers electrons from NADH to NADP+. This reaction is potentially important to preventing cellular senescence (Igelmann et al., 2021). Crucially, decreased NAD+ levels are linked to dysregulated mitochondrial activities during aging. Moreover, a lowered NAD+/NADH ratio has been implicated in the regulation of the SASP (Velarde et al., 2012; Nacarelli et al., 2016). Findings from human fibroblasts showed that SIRT3 overexpression antagonized premature senescence and reduced β-gal and p16 expression (Zhang et al., 2013). SIRT3 is involved in antagonizing cellular senescence was linked to improving mitochondria homeostasis and mitophagy (Watroba and Szukiewicz, 2016; Guo et al., 2021). For these reasons, the modulation of SIRT activity and NAD+ levels and their associated molecular pathways have been investigated as potential targets for anti-aging therapies (Grabowska et al., 2017).
4.5 Mitochondrial functions - mitochondrial permeability transition pore
The mitochondrial permeability transition pore (mPTP) is a transmembrane protein that is responsible for mitochondrial permeability which enables the free entry of molecules with a molecular weight of up to 1.5 kDa (Halestrap and Richardson, 2015). Opening of the pore which results in the internal accumulation of molecules, coupled with oxidative stress, eventually leads to mitochondrial swelling, dysfunction, irreversible ATP loss, and a sustained loss of mitochondrial membrane potential (Δψm) (Halestrap, 2010). Maintaining an electrochemical gradient is crucial for ATP production, and the collapse of the mitochondrial membrane potential (Δψm) is associated with mPTP opening (Levraut et al., 2003). Shared characteristics of aged tissues and senescent cells include the elevated concentration of mitochondrial calcium and ROS, molecules which stimulate the opening of the mPTP (Ziegler et al., 2015). Increased mPTP opening is marked by the reduction of mitochondrial membrane potential and release of mitochondrial Calcium and cytochrome C, thus increased ROS production (Baines et al., 2005). Evidence suggests that the mPTP can open in two distinct pathways, permanently or transiently. Persistent opening leads to cell death, whereas temporary activation can have beneficial effects (Pastorino et al., 1999). Transient activation permits the release or exchange of calcium, ROS or other molecules between the mitochondrial matrix and cytosol. The combination of high Calcium, high ROS, and low NAD+ in aged and senescent cells increases the likelihood of mPTP opening (Pastorino et al., 1999). In most diseases associated with cellular senescence, an increase in mPTP activation results in extensive toxicity and cell death (Mather and Rottenberg, 2000). In aged mice, an increased susceptibility to mPTP opening has been observed in the brain and liver (Goodell and Cortopassi, 1998; Mather and Rottenberg, 2000). Similarly, research on muscles from aged humans and rats has indicated reduced mitochondrial calcium retention capacity and increased sensitization of mPTP opening, leading to apoptosis (Gouspillou et al., 2014). Dysregulation of mitochondrial features and functions in aging tissues and senescent fibroblasts is characterized by a decrease in respiratory capacity and a decrease in the mitochondrial membrane potential (Δψm) (Passos et al., 2007; Correia-Melo et al., 2016; Rizza et al., 2018).
5 Protective role of epoxylipids
There is growing interest in therapeutically targeting mitochondria with the goal to stop, reverse, or slow down the pace of cellular deterioration and damage accumulation with age. Two present categories of senotherapies include the “senolytic” therapies, which selectively induce the death of senescent cells, and “senomorphic” therapies, which dampen the SASP components without impacting cell viability. Treatments that indirectly enhance the features, activities, functions, and behaviors of mitochondria can successfully reduce cellular senescence and increase organismal health. However, finding interventions to improve mitochondria in senescent cells is challenging due to the complexity and variability of mitochondrial biological processes. Emerging evidence suggests epoxylipids interact with mitochondria to improve age-related effects across different tissues and species. Numerous in vivo and ex vivo studies demonstrate epoxylipids enhance cardiac functional recovery following injury by protecting mitochondria (Katragadda et al., 2009; Batchu et al., 2012; Akhnokh et al., 2016; El-Sikhry et al., 2016; Jamieson et al., 2017a; Samokhvalov et al., 2018; Darwesh et al., 2019b; Keshavarz-Bahaghighat et al., 2020).
Mitochondrial-mediated events in aged hearts have been associated with the decline in overall cardiac function. Research from numerous studies indicate either inhibiting sEH to increase endogenous epoxylipid levels or direct administration of epoxylipids can positively modulate mitochondrial dynamics and protect against cellular damage (Scarpulla, 2011; Waldman et al., 2016; Wiley et al., 2016; Cao et al., 2017; Liu et al., 2018; Darwesh et al., 2019a). Inhibiting sEH has been observed to regulate the mitochondrial fusion-to-fission ratio by increasing Mfn-1 expression, which correlated with elevated ATP production and reduced oxidative stress (Liu et al., 2018; Darwesh et al., 2019a). Further, studies have shown that epoxylipids exert cytoprotective properties by increasing the expression of PGC-1α, a regulator of mitochondrial biogenesis (Scarpulla, 2011; Waldman et al., 2016; Wiley et al., 2016; Cao et al., 2017). In obesity-induced cardiomyopathy, EETs increased expression of PGC-1, Mfn2 and MnSOD, shedding additional light on their role in maintaining mitochondrial biogenesis (Cao et al., 2017). Activation of mitophagy removes damaged mitochondria and reduces production of ROS such as superoxide anion, hydrogen peroxide, and hydroxyl radical, to promote cell survival (De Gaetano et al., 2021). Jiang et al., found that inhibition of sEH with t-AUCB enhanced PINK1/Parkin-mediated mitophagy in the kidneys by increased formation of autophagosomes and fusion of autophagosome-lysosomes thus preserving kidney damage (Jiang et al., 2020). Furthermore, administration of 14,15-EET enhanced LC3-II expression and autophagosome generation in cardiac cells via AMPK activation (Samokhvalov et al., 2013), where AMPK leads to activation of mitophagy (Seabright et al., 2020). Moreover, in human cerebral microvascular endothelial cells, 14,15-EET regulated mitophagy and protected neuronal function against reperfusion induced injury (Qu et al., 2022). In contrast, recent study showed that 12,13-DiHOME, a diol metabolite, contributes to the pathophysiological immune response by altering mitophagy process in macrophage-like cell line (Valencia et al., 2024). Thus, the beneficial effects of sEH inhibition might be driven not only by increased epoxylipids, but also the reduction of diol metabolites. However, further exploration into the mechanisms underlying epoxylipid bioactivity and mitochondria in age-related disease pathogenesis are needed.
sEH genetic deletion has been shown to maintain mitochondrial electron transport complex activity and ATP generation in isolated murine cardiac fibers subjected to LAD in both young and aged mice (Jamieson et al., 2017b; Jamieson et al., 2021). In addition, sEH deletion preserved cardiac mitochondrial features by maintaining mtDNA mass content in aged female mice (Yousef et al., 2024) and maintained mitochondrial activities such as preserving electron chain enzymatic activity in LPS challenged mice (Samokhvalov et al., 2018). Furthermore, treatment of HL-1 cells or neonatal cardiomyocytes with UA-8, an EET mimetic with sEH inhibitory properties, enhanced the enzymatic activities of key mitochondrial respiratory chain proteins, including citrate synthase, succinate dehydrogenase, and cytochrome C oxidase (Samokhvalov et al., 2013). Additionally, UA-8 preserved mitochondrial respiratory control ratio and prevented the increase in the ADP/ATP ratio caused by starvation induced cell death, highlighting the role of epoxylipids in maintaining mitochondrial activities and functions like oxidative phosphorylation and ATP synthesis (El-Sikhry et al., 2016). Both endogenous 19,20-EDP, a CYP-derived N-3 PUFA metabolite, and a synthetic structural analog SA-22 exhibited cardioprotective benefit against hypoxia-reoxygenation injury in several in vitro models. Importantly, the salutary effects of these compounds were attributed to the preservation of mitochondrial activities and respiratory function, dependent upon sirtuin activity (Akhnokh et al., 2016; Jamieson et al., 2020; Kranrod et al., 2024). Sirtuin 3 (SIRT3), a NAD-dependent deacetylase primarily located in mitochondria, has emerged as a crucial mediator in age-related cardiovascular physiology by modulating mitochondrial oxidative stress through MnSOD deacetylation (Parodi-Rullán et al., 2018; Sun et al., 2018). Cardiomyocytes lacking SIRT3 exhibit age-dependent mitochondrial swelling and accelerated signs of cardiac aging, including myocardial hypertrophy and accumulated fibrotic tissue (Hafner et al., 2010). Intriguingly, while the cardiac expression of sEH increases significantly during aging, the genetic deletion of sEH mitigates the age-related decline in SIRT3 activity in female mice (Jamieson et al., 2020). This effect correlates with elevated levels of active mitochondrial MnSOD, promoting improved overall cardiac function and suggesting the preservation of mitochondria in aged mice (Jamieson et al., 2020).
Many studies have observed the preservation of mitochondrial membrane potential with sEH inhibition and/or EET administration. Experiments have demonstrated that exogenous EETs can delay the dissipation of Δψm and the opening of the mPTP in rat cardiomyocytes and H9c2 cells. Furthermore, this effect was nullified with co-treatment using the EET antagonist 14,15-epoxyeicosa-5(Z)-enoic acid (14,15-EEZE) (Katragadda et al., 2009; Batchu et al., 2012). Supportive data from non-cardiac cells show that EETs exert mitoprotective effects, such as in rat hippocampal astrocytes, where 11,12- and 14,15-EET attenuated mitochondrial fragmentation, preserved Δψm, and improved respiration after treatment with amyloid-β protein (Sarkar et al., 2014). Additionally, inhibition of endogenous EET production using the selective epoxygenase inhibitor MS-PPOH disrupted mitochondrial ATP generation, increased hydrogen peroxide production, and induced mitochondrial depolarization and fragmentation in cultured hippocampal astrocytes (Sarkar et al., 2014). However, it remains unclear how EET-mediated events preserve Δψm and whether this preservation is achieved through a direct or indirect effect on the mitochondria. These findings suggest a role for EETs in minimizing the loss of Δψm and limiting mPTP opening, thereby contributing to overall cardiac protection under stress. Additionally, young and aged sEH null mice exhibited preserved mitochondrial ultrastructure following MI, characterized by improved cristae density and organization (Akhnokh et al., 2016; Jamieson et al., 2017b). In a study, it was found that 14,15-EET enhanced the expression of nuclear gene-encoded mitochondrial proteins, such as PGC-1α, NRF-1, and TFAM, thereby contributing to the preservation of mitochondrial DNA (mtDNA) (Wang et al., 2014). Genetic deletion and pharmacological inhibition of sEH resulted in increased mtDNA and normalized TFAM expression in aged female hearts subjected to LPS endotoxin challenge (Yousef et al., 2024).
6 Conclusion
CYP-derived epoxylipids are an emerging class of protective lipid mediators that play a critical role in aging and CVD; however, their exact mechanism of action remains unknown. Interestingly, evidence indicates increased expression of sEH correlates with decreased epoxylipid levels in some aged tissues. In an aging heart, changing mitochondrial biology can result in a senescent phenotype that contributes to a decline in cardiac function and increase susceptibility to CVD. We propose that CYP-derived epoxylipids mediate effects in mitochondria that can regulate cellular senescence and suppress the pro-inflammatory SASP response. Our current understanding suggests they effect mitochondrial biology through several proposed molecular mechanisms (Monzel et al., 2023). These involve maintaining mitochondrial morphology and ultrastructure (mitochondrial features), limiting oxidative stress and enhancing respiration by maintaining electron transport chain enzyme activities (mitochondrial activities), preserving mitochondrial membrane potential and delaying the opening of the mPTP (mitochondrial function), improving mitochondrial fission and fusion dynamics and maintaining mitochondrial DNA content (mitochondrial behaviour). However, it is important to consider sEH-derived metabolites generated within a cell can potentially have adverse effects as well. Thus, highlighting our limited understanding of the role the metabolites generated by CYP-sEH metabolism have within cells. Furthermore, research addressing knowledge gaps in our understanding of the pathophysiology of the aging heart and the complexity of mitochondrial biology will be critical, notably in relation to senescence. In conclusion, emerging evidence suggests a role for CYP-sEH derived metabolites of N-3 and N-6 PUFA in regulating mitochondria and cellular senescence, which can impact the aging heart.
Statements
Author contributions
AY: Conceptualization, Writing–original draft. LF: Conceptualization, Writing–review and editing. MH: Conceptualization, Writing–review and editing. JK: Conceptualization, Writing–review and editing. JS: Funding acquisition, Project administration, Resources, Supervision, Writing–review and editing.
Funding
The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study was supported by a grant from the National Sciences and Engineering Research Council of Canada (NSERC) RGPIN-2018-05696 to JS. AY is supported by Nemat Al-Tawfiq for Training and Rehabilitation Jordanian Scholarship.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.
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Glossary
- CVD
Cardiovascular Diseases
- CYP
Cytochrome P450
- PUFAs
Polyunsaturated Fatty Acids
- RCR
Respiratory Control Ratio
- ADP
Adenosine Diphosphate
- ATP
Adenosine Triphosphate
- SIPS
Stress-Induced Premature Senescence
- ALA
Alpha Linolenic Acid
- EPA
Eicosapentaenoic Acid
- DHA
Docosahexaenoic Acid
- LA
Linoleic Acid
- AA
Arachidonic Acid
- COX
Cyclooxygenases
- LOX
Lipoxygenases
- EEQ
Epoxyeicosatetraenoic Acid
- EDP
Epoxydocosapentaenoic Acid
- EpOME
Epoxyoctadecenoic Acid
- EET
Epoxyeicosatrienoic Acid
- sEH
Soluble Epoxide Hydrolase
- mEH
Microsomal Epoxide Hydrolase
- DHEQ
Dihydroxyeicosatetraenoic Acid
- DHDP
Dihydroxydocosapentaenoic Acid
- DiHOME
Dihydroxyoctadecenoic Acid
- DHET
Dihydroxyeicosatrienoic Acid
- CYP2J2
Cytochrome P450 2J2
- c-AUCB
cis-4-[4-(3-Adamantan-1-yl-ureido) cyclohexyloxy] benzoic Acid
- sEHi
Soluble Epoxide Hydrolase Inhibitor
- LPS
Lipopolysaccharide
- SASP
Senescence-Associated Secretory Phenotype
- β-gal
Beta-Galactosidase
- p53
Tumor Suppressor Protein p53
- ATM
Ataxia Telangiectasia Mutated
- ATR
Ataxia Telangiectasia and Rad3 Related
- CHK1
Checkpoint Kinase 1
- CHK2
Checkpoint Kinase 2
- p21/CDKN1A
Cyclin-Dependent Kinase Inhibitor 1A
- p16INK4a
Cyclin-Dependent Kinase Inhibitor 2A
- CDK4
Cyclin-Dependent Kinase 4
- GDF15
Growth Differentiation Factor 15
- IL-6
Interleukin 6
- IL-8
Interleukin 8
- IL-11
Interleukin 11
- IL-1α
Interleukin 1 Alpha
- IL-1β
Interleukin 1 Beta
- MCP-1
Monocyte Chemoattractant Protein 1
- TNF-α
Tumor Necrosis Factor Alpha
- TGFβ
Transforming Growth Factor Beta
- NF-kB
Nuclear Factor kappa B
- 9,10-DiHOME
9,10-Dihydroxyoctadecenoic Acid
- D-gal
D-galactose
- γH2AX
Gamma-H2A Histone Family Member X
- DDR
DNA Damage Response
- ETC
Electron Transport Chain
- mtROS
Mitochondrial Reactive Oxygen Species
- MFN-1
Mitofusin 1
- MFN-2
Mitofusin 2
- OPA1
Optic Atrophy 1
- DRP-1
Dynamin-Related Protein 1
- FIS1
Fission Protein 1
- PINK1
PTEN-Induced Kinase 1
- TFAM
Mitochondrial Transcription Factor A
- NRF
Nuclear Respiratory Factor
- DAMPs
Damage-Associated Molecular Patterns
- NAD+
Nicotinamide Adenine Dinucleotide
- SIRTs
Sirtuins
- MnSOD
Manganese Superoxide Dismutase
- mPTP
Mitochondrial Permeability Transition Pore
- Δψm
Mitochondrial Membrane Potential
- SIRT3
Sirtuin 3
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Summary
Keywords
mitochondria, aging, PUFA, CYP, soluble epoxide hydrolase (sEH), epoxylipids
Citation
Yousef A, Fang L, Heidari M, Kranrod J and Seubert JM (2024) The role of CYP-sEH derived lipid mediators in regulating mitochondrial biology and cellular senescence: implications for the aging heart. Front. Pharmacol. 15:1486717. doi: 10.3389/fphar.2024.1486717
Received
26 August 2024
Accepted
28 October 2024
Published
05 December 2024
Volume
15 - 2024
Edited by
Andrés Trostchansky, Universidad de la República, Uruguay
Reviewed by
Celia Lía Quijano, Universidad de la República, Uruguay
Zhen Guo, Washington University in St. Louis, United States
Updates
Copyright
© 2024 Yousef, Fang, Heidari, Kranrod and Seubert.
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*Correspondence: John M. Seubert, jseubert@ualberta.ca
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