Reprogramming the GRHL2-CDK19 axis by gene therapy alleviates prostate aging

Guoqiang Sun1, Zan He2, Dongliang Lv1,3

  • 1State Key Laboratory of Organ Regeneration and Reconstruction, Institute of Zoology, Chinese Academy of Sciences, Beijing, China.

Nature Aging
|November 20, 2025
PubMed

Insights

Prostate aging involves cell senescence, inflammation, and fibrosis. A GRHL2 gene therapy approach successfully delayed aging and improved urinary function in primates.

Area of Science:

  • Urology
  • Aging Research
  • Molecular Biology

Background:

  • The aging prostate significantly impacts male quality of life, affecting sexual and urinary functions, fertility, and disease susceptibility.
  • Mechanisms driving human prostate aging are not well understood, necessitating further research.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying primate prostate aging.
  • To identify key cellular and molecular changes associated with prostate aging.

Main Methods:

  • Integration of single-nucleus transcriptomics and histological analyses in primate prostates.
  • Investigation of the role of GRHL2, CDK19, p53, and p21Waf1/Cip1 in prostate aging.

Main Results:

  • Identified epithelial cell senescence, chronic inflammation, and fibrosis as hallmarks of prostate aging.
  • Demonstrated that GRHL2 downregulation in aging leads to p53 activation and p21Waf1/Cip1-induced senescence.
  • Showcased that GRHL2-based gene therapy effectively delays prostate aging and alleviates urinary dysfunction in vivo.

Conclusions:

  • Elucidated key molecular mechanisms driving primate prostate aging, focusing on the GRHL2-CDK19-p53-p21Waf1/Cip1 pathway.
  • Established epithelial cell senescence as a critical factor in prostate aging.
  • Provided a foundation for developing novel therapeutic strategies targeting prostate aging and related conditions.

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