Characterization of p16-positive stromal cells in age-related cardiac disorders

Taiki Morimura1,2, Teh-Wei Wang1,2, Satoshi Kawakami1

  • 1Division of Cancer Cell Biology, The Institute of Medical Science, The University of Tokyo, 4-6-1, Shirokanedai, Minato-ku, Tokyo 108-8639, Japan.

Journal of Biochemistry
|February 18, 2026
PubMed

Insights

Senescence-associated fibroblasts (p16+ fibroblasts) drive cardiac fibrosis in aging hearts. Eliminating these cells reverses age-related fibrosis, offering new therapeutic targets for heart failure.

Area of Science:

  • Cardiovascular Biology
  • Aging Research
  • Cellular Senescence

Background:

  • Aging hearts exhibit structural changes like fibrosis and hypertrophy, leading to functional decline and heart failure.
  • Cardiac stromal cells, including fibroblasts, are implicated in age-related cardiac alterations, with specific subsets potentially exerting greater influence.

Purpose of the Study:

  • To investigate the role of p16-positive (p16+) senescence-associated cells in age-related cardiac fibrosis.
  • To identify specific molecular pathways and cell types involved in cardiac aging.

Main Methods:

  • Single-cell RNA sequencing was performed on aged p16-Tom mice to label and analyze p16+ cells.
  • Transcriptomic analysis identified enriched signaling pathways in p16+ fibroblasts.
  • Selective elimination of p16+ fibroblasts was conducted in aged p16-Col1a2-LRTD mice to assess functional impact.

Main Results:

  • TGF-β signaling and BMP4 were significantly upregulated in p16+ fibroblasts compared to p16- fibroblasts.
  • Upregulated pathways in p16+ fibroblasts potentially promoted collagen gene expression (Col4a1, Col5a3).
  • Selective elimination of p16+ fibroblasts effectively ameliorated cardiac fibrosis in aged mice.

Conclusions:

  • p16+ fibroblasts are critical drivers of age-associated cardiac fibrosis.
  • Transcriptomic signatures of p16+ fibroblasts can help identify human fibroblast subsets contributing to age-related cardiac diseases like dilated cardiomyopathy.