Senescent cells suppress innate smooth muscle cell repair functions in atherosclerosis

Bennett G Childs1, Cheng Zhang2, Fahad Shuja3

  • 1Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester MN, United States.

Nature Aging
|November 8, 2021
PubMed

Insights

Clearing senescent cells (SNCs) strengthens atherosclerotic plaque fibrous caps by restoring vascular smooth muscle cells. This suggests senolytic agents may treat atherosclerosis by targeting IGFBP-3.

Area of Science:

  • Cardiovascular Research
  • Cellular Aging
  • Atherosclerosis Pathogenesis

Background:

  • Senescent cells (SNCs) contribute to atherosclerosis by weakening fibrous caps, increasing risks of myocardial infarction and stroke.
  • Understanding the mechanisms by which SNCs impact plaque stability is crucial for developing new therapies.

Purpose of the Study:

  • To investigate how senescent cells influence fibrous cap integrity in atherosclerosis.
  • To explore the potential of senescent cell clearance as a therapeutic strategy for atherosclerosis.

Main Methods:

  • Utilized the Ldlr-/- mouse model of atherosclerosis.
  • Employed pharmacological and transgenic methods to clear senescent cells.
  • Assessed fibrous cap composition, including vascular smooth muscle cell (VSMC) numbers, elastin content, and cap thickness.

Main Results:

  • Senescent cell clearance significantly reinforced deteriorated fibrous caps in advanced atherosclerotic lesions.
  • Restored VSMC numbers, elastin content, and cap thickness were observed after SNC clearance.
  • Identified that SNCs inhibit VSMC migration by secreting insulin-like growth factor-binding protein 3 (Igfbp3), which antagonizes IGF-1.

Conclusions:

  • Senescent cells impair fibrous cap integrity by inhibiting VSMC recruitment via the Igfbp3/IGF-1 pathway.
  • Intermittent senolytic therapy or Igfbp3 inhibition, combined with lipid-lowering drugs, shows therapeutic potential for atherosclerosis.

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