Aged bone marrow macrophages drive systemic aging and age-related dysfunction via extracellular vesicle-mediated

Jing Hou1, Kai-Xuan Chen1, Chen He1

  • 1Department of Endocrinology, Endocrinology Research Center, Xiangya Hospital of Central South University, Changsha, China.

Nature Aging
|September 12, 2024
PubMed

Insights

Physiologically aged bone marrow monocytes/macrophages (BMMs) spread senescence via extracellular vesicles (EVs), driving age-related dysfunction. Fenofibrate treatment restored homeostasis and may extend healthy lifespan.

Area of Science:

  • Cellular senescence
  • Aging biology
  • Immunology

Background:

  • Cellular senescence accumulation drives aging and age-related diseases.
  • The specific cell types responsible for senescence propagation remain unclear.

Purpose of the Study:

  • Identify cell types propagating senescence in aging.
  • Investigate mechanisms of senescence propagation.
  • Evaluate therapeutic interventions for age-related dysfunction.

Main Methods:

  • Analysis of aged bone marrow monocytes/macrophages (BMMs) and their extracellular vesicles (EVs).
  • In vivo studies in aged mice.
  • MicroRNA analysis within EVs.
  • Cohort study of 7,986 human participants.

Main Results:

  • Aged BMMs propagate senescence to multiple tissues via EVs, causing age-associated dysfunction in mice.
  • Peroxisome proliferator-activated receptor α (PPARα) was identified as a key target within aged BMM-EVs.
  • Fenofibrate treatment restored tissue homeostasis in aged mice.
  • Fenofibrate use in humans correlated with reduced chronic disease risk and increased life expectancy.

Conclusions:

  • Bone marrow monocytes/macrophages are key drivers of senescence propagation and age-related dysfunction.
  • PPARα signaling is a critical mediator of age-related dysfunction.
  • Fenofibrate shows therapeutic potential for extending healthy lifespan and mitigating age-related diseases.

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