Senescence mechanisms and targets in the heart

Maggie S Chen1, Richard T Lee1,2, Jessica C Garbern1,3

  • 1Department of Stem Cell and Regenerative Biology and the Harvard Stem Cell Institute, Harvard University, 7 Divinity Ave, Cambridge, MA 02138, USA.

Insights

Cellular senescence, a key aging process, drives cardiovascular diseases (CVDs). Understanding senescence mechanisms offers new therapeutic targets for preventing and treating conditions like atherosclerosis and heart attack.

Area of Science:

  • Cardiovascular Biology
  • Cellular Aging
  • Molecular Medicine

Background:

  • Cellular senescence is irreversible cell cycle arrest linked to aging.
  • Senescence in cardiac cells contributes to cardiovascular diseases (CVDs) like atherosclerosis and myocardial infarction.
  • Triggers include telomere shortening, oxidative stress, and metabolic dysfunction.

Purpose of the Study:

  • To review molecular mechanisms of cellular senescence.
  • To explore the role of senescent cardiac cells in CVD.
  • To highlight therapeutic strategies targeting senescence for CVD treatment.

Main Methods:

  • Literature review of cellular senescence.
  • Analysis of senescence in various cardiac cell types (cardiomyocytes, endothelial cells, fibroblasts, etc.).
  • Discussion of therapeutic targets for senescence-related CVD.

Main Results:

  • Cellular senescence is a significant contributor to CVD pathophysiology.
  • Specific cardiac cell types undergo senescence, exacerbating disease progression.
  • Targeting senescence pathways presents promising therapeutic avenues.

Conclusions:

  • Understanding senescence mechanisms is crucial for developing novel CVD therapies.
  • Targeting cellular senescence holds potential for preventing and treating age-related cardiovascular conditions.

Related Concept Videos

Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.1K
Transducer Mechanism: Enzyme-Linked Receptors01:27

Transducer Mechanism: Enzyme-Linked Receptors

Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include:
3.3K
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
151
Mechanism of Cardiac Arrhythmias01:28

Mechanism of Cardiac Arrhythmias

Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
1.4K
Regulation of Heart Rates01:31

Regulation of Heart Rates

The regulation of heart rate is a complex process controlled by the autonomic nervous system (ANS), hormonal influences, and intrinsic cardiac mechanisms. The ANS has two main components: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS).
The SNS increases heart rate through the release of norepinephrine and epinephrine, which act on beta-1 adrenergic receptors in the heart. This action increases the rate of depolarization in the sinoatrial (SA) node, the heart's...
3.1K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
645