Induction of ferroptosis selectively eliminates senescent tubular cells

Chieh M Liao1, Vera C Wulfmeyer1, Rongjun Chen2

  • 1Department of Nephrology and Hypertension, Medical School Hannover, Hannover, Germany.

Insights

Senescent cells accelerate kidney aging and transplant rejection. Researchers found that inducing ferroptosis, a form of cell death, selectively eliminates these harmful cells, offering a new therapeutic strategy for kidney health.

Area of Science:

  • Gerontology
  • Nephrology
  • Cellular Biology

Background:

  • Cellular senescence contributes to kidney aging, chronic kidney disease, and transplant outcomes.
  • Current senolytic therapies primarily induce apoptosis to clear senescent cells.
  • Ferroptosis, an iron-dependent cell death, is explored as an alternative senolytic mechanism.

Purpose of the Study:

  • To investigate ferroptosis as a selective method for eliminating senescent kidney cells.
  • To determine if senescent kidney cells exhibit increased susceptibility to ferroptosis.
  • To evaluate the therapeutic potential of ferroptosis induction in aged kidney transplantation.

Main Methods:

  • Murine kidney tubular epithelial cells were induced into senescence.
  • Gene expression of lipoxygenase-5 and glutathione peroxidase 4 (GPX4) was analyzed.
  • Aged kidney tissue slices and a kidney transplantation model were treated with the ferroptosis inducer RSL3.

Main Results:

  • Senescent kidney tubular cells showed increased sensitivity to ferroptosis.
  • This sensitization was associated with upregulated lipoxygenase-5 and downregulated GPX4.
  • RSL3 selectively eliminated senescent cells in aged kidney tissue and reduced damage in a transplant model.

Conclusions:

  • Senescent kidney tubular cells are uniquely susceptible to ferroptosis.
  • Targeting ferroptosis offers a novel strategy to reduce renal senescence in aged kidney transplants.
  • This approach may improve outcomes for marginal donor kidneys and reduce transplant complications.