Mitochondrial Dysfunction: A Roadmap for Understanding and Tackling Cardiovascular Aging
Han Zhang1, Mairedan Muhetarijiang1, Ryan J Chen2
1Department of Cardiology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Insights
Mitochondrial dysfunction drives cardiovascular aging, causing heart and blood vessel changes. Targeting mitochondria may prevent age-related cardiovascular diseases in older adults.
Area of Science:
- Cardiovascular Science
- Aging Research
- Mitochondrial Biology
Background:
- Cardiovascular aging involves progressive cellular and molecular changes, significantly linked to mitochondrial dysfunction.
- Understanding these mitochondrial alterations is key to preventing age-related cardiovascular diseases.
Purpose of the Study:
- To review the role of mitochondrial dysfunction in cardiac and vascular aging.
- To explore the impact of mitochondrial changes on fibrosis, metabolism, and immune responses in the aging heart.
- To highlight mitochondria-targeted therapies for preventing cardiovascular diseases in the elderly.
Main Methods:
- Literature review focusing on cardiovascular aging and mitochondrial function.
- Analysis of cellular and molecular alterations in cardiac and vascular aging.
- Synthesis of findings on fibrosis, metabolic remodeling, and immune responses.
Main Results:
- Mitochondrial dysfunction is central to cardiac aging, contributing to fibrosis, cardiomyocyte hypertrophy, metabolic shifts, and immune cell infiltration.
- Vascular aging is characterized by endothelial damage, increased stiffness, impaired angiogenesis, arteriosclerosis, and chronic inflammation, all influenced by mitochondrial health.
- The review consolidates evidence linking mitochondrial alterations to various aspects of cardiovascular aging.
Conclusions:
- Mitochondrial dysfunction is a critical factor in the pathogenesis of cardiovascular aging.
- Interventions targeting mitochondria hold promise for mitigating age-related cardiovascular decline.
- Further research into mitochondria-targeted therapies is essential for geriatric cardiovascular health.
Abstract:
Cardiovascular aging is a progressive remodeling process constituting a variety of cellular and molecular alterations that are closely linked to mitochondrial dysfunction. Therefore, gaining a deeper understanding of the changes in mitochondrial function during cardiovascular aging is crucial for preventing cardiovascular diseases. Cardiac aging is accompanied by fibrosis, cardiomyocyte hypertrophy, metabolic changes, and infiltration of immune cells, collectively contributing to the overall remodeling of the heart. Similarly, during vascular aging, there is a profound remodeling of blood vessel structure. These remodeling present damage to endothelial cells, increased vascular stiffness, impaired formation of new blood vessels (angiogenesis), the development of arteriosclerosis, and chronic vascular inflammation. This review underscores the role of mitochondrial dysfunction in cardiac aging, exploring its impact on fibrosis and myocardial alterations, metabolic remodeling, immune response remodeling, as well as in vascular aging in the heart. Additionally, we emphasize the significance of mitochondria-targeted therapies in preventing cardiovascular diseases in the elderly.
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