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Updated: Mar 18, 2026

Quantifying Tissue-Specific Proteostatic Decline in Caenorhabditis elegans
Published on: September 7, 2021
Derailed Proteostasis as a Determinant of Cardiac Aging
Marit Wiersma1, Robert H Henning2, Bianca J J M Brundel1
1Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands; Department of Physiology, Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, The Netherlands.
Insights
Aging impairs proteostasis, the cell
Area of Science:
- Cardiovascular Biology
- Aging Research
- Cellular Homeostasis
Background:
- Aging is the primary risk factor for cardiac diseases, the leading global cause of death.
- The aging population exacerbates the increasing incidence and prevalence of cardiac conditions.
- Cardiomyocytes, being postmitotic, are particularly vulnerable to age-related declines in proteostasis.
Purpose of the Study:
- To review the stress-responsive and protein degradation pathways within the proteostasis network in aging cardiomyocytes.
- To examine the link between proteostasis derailment and age-related cardiac diseases, including atrial fibrillation.
- To identify potential therapeutic targets for mitigating cardiac aging and disease progression.
Main Methods:
- Review of scientific literature on proteostasis in aging cardiomyocytes.
- Analysis of the roles of stress-response and protein degradation pathways.
- Discussion of the relationship between proteostasis and cardiac pathologies.
Main Results:
- Aging is characterized by a progressive loss of proteostasis, affecting protein synthesis, folding, and degradation.
- Impaired proteostasis in cardiomyocytes contributes to age-related cardiac diseases like atrial fibrillation.
- Specific components of the proteostasis network show accelerated dysfunction in aging and diseased hearts.
Conclusions:
- Proteostasis maintenance is critical for cardiomyocyte health during aging.
- Therapeutic strategies targeting proteostasis pathways may offer novel approaches to combat cardiac aging.
- Understanding proteostasis dysfunction provides a basis for developing interventions against age-related cardiac diseases.
Abstract:
Age comprises the single most important risk factor for cardiac disease development. The incidence and prevalence of cardiac diseases, which represents the main cause of death worldwide, will increase even more because of the aging population. A hallmark of aging is that it is accompanied by a gradual derailment of proteostasis (eg, the homeostasis of protein synthesis, folding, assembly, trafficking, function, and degradation). Loss of proteostasis is highly relevant to cardiomyocytes, because they are postmitotic cells and therefore not constantly replenished by proliferation. The derailment of proteostasis during aging is thus an important factor that preconditions for the development of age-related cardiac diseases, such as atrial fibrillation. In turn, frailty of proteostasis in aging cardiomyocytes is exemplified by its accelerated derailment in multiple cardiac diseases. Here, we review 2 major components of the proteostasis network, the stress-responsive and protein degradation pathways, in healthy and aged cardiomyocytes. Furthermore, we discuss the relation between derailment of proteostasis and age-related cardiac diseases, including atrial fibrillation. Finally, we introduce novel therapeutic targets that might possibly attenuate cardiac aging and thus limit cardiac disease progression.
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