Vascular Endothelial Senescence: Pathobiological Insights, Emerging Long Noncoding RNA Targets, Challenges and

Xinghui Sun1,2,3, Mark W Feinberg4

  • 1Department of Biochemistry, University of Nebraska-Lincoln, Lincoln, NE, United States.

Insights

Cellular senescence, a state of irreversible cell cycle arrest, contributes to aging and disease when dysregulated. Reversing endothelial senescence offers a promising strategy for managing cardiovascular disease risk.

Area of Science:

  • Gerontology and Cellular Biology
  • Cardiovascular Research
  • Molecular Medicine

Background:

  • Cellular senescence is a protective cell cycle arrest mechanism that can become detrimental when dysregulated, contributing to aging and age-related diseases.
  • Endothelial cells, crucial for vascular health, are susceptible to senescence, impacting tissue homeostasis and cardiovascular function.
  • Inflammaging, a chronic low-grade inflammation associated with aging, is linked to cellular senescence and reduced NAD+ levels.

Purpose of the Study:

  • To review recent advances in understanding cellular senescence, focusing on endothelial senescence and its role in vascular health.
  • To explore the mechanisms underlying cellular senescence, including NAD+ reduction, p16 reporter mouse studies, and machine learning applications.
  • To highlight novel therapeutic targets and interventions for attenuating cellular senescence and mitigating age-related cardiovascular risks.

Main Methods:

  • Review of current literature on cellular senescence, inflammaging, and endothelial cell biology.
  • Analysis of molecular mechanisms regulating senescence at chromatin, DNA, RNA, and protein levels.
  • Discussion of emerging therapeutic strategies, including small molecules and long noncoding RNAs.

Main Results:

  • Endothelial senescence is driven by various stressors, characterized by specific hallmarks, and influenced by factors like NAD+ metabolism.
  • Long noncoding RNAs (lncRNAs) play a significant role in regulating endothelial senescence.
  • Emerging small molecules and interventions show potential in reversing senescence and improving vascular homeostasis.

Conclusions:

  • Cellular senescence, particularly in the vascular endothelium, is a key contributor to aging and cardiovascular disease.
  • Understanding the heterogeneity and detection of senescent cells is crucial for developing effective therapies.
  • Targeting endothelial senescence through lifestyle or pharmacological interventions represents a promising frontier for cardiovascular disease management.

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