Senescence-associated microvascular endothelial dysfunction: A focus on the blood-brain and blood-retinal barriers

IF 12.5 1区 医学 Q1 CELL BIOLOGY Ageing Research Reviews Pub Date : 2024-08-05 DOI:10.1016/j.arr.2024.102446
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Abstract

The blood-brain barrier (BBB) and blood-retinal barrier (BRB) constitute critical physiochemical interfaces, precisely orchestrating the bidirectional communication between the brain/retina and blood. Increased permeability or leakage of these barriers has been demonstrably linked to age-related vascular and parenchymal damage. While it has been suggested that the gradual aging process may coincide with disruptions in these barriers, this phenomenon is significantly exacerbated in individuals with age-related neurodegenerative disorders (ARND). This review focuses on the microvascular endothelium, a key constituent of BBB and BRB, highlighting the impact of endothelial senescence on barrier dysfunction and exploring recent discoveries regarding core pathways implicated in its breakdown. Subsequently, we address the "vascular senescence hypothesis" for ARND, with a particular emphasis on Alzheimer's disease and age-related macular degeneration, centered on endothelial senescence. Finally, we discuss potential senotherapeutic strategies targeting barrier dysfunction.

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衰老相关的微血管内皮功能障碍:聚焦血脑屏障和血网膜屏障
血脑屏障(BBB)和血液视网膜屏障(BRB)构成了关键的理化界面,精确地协调着大脑/视网膜和血液之间的双向交流。这些屏障的通透性增加或渗漏已被证明与年龄相关的血管和实质损伤有关。有人认为,逐渐衰老的过程可能与这些屏障的破坏同时发生,而这一现象在患有老年性神经退行性疾病(ARND)的人身上会明显加剧。本综述的重点是微血管内皮,它是 BBB 和 BRB 的关键组成成分,强调了内皮衰老对屏障功能障碍的影响,并探讨了最近发现的与屏障功能障碍有关的核心通路。随后,我们讨论了 ARND 的 "血管衰老假说",特别强调了阿尔茨海默病和老年性黄斑变性,其核心是内皮衰老。最后,我们讨论了针对屏障功能障碍的潜在衰老治疗策略。
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来源期刊
Ageing Research Reviews
Ageing Research Reviews 医学-老年医学
CiteScore
19.80
自引率
2.30%
发文量
216
审稿时长
55 days
期刊介绍: With the rise in average human life expectancy, the impact of ageing and age-related diseases on our society has become increasingly significant. Ageing research is now a focal point for numerous laboratories, encompassing leaders in genetics, molecular and cellular biology, biochemistry, and behavior. Ageing Research Reviews (ARR) serves as a cornerstone in this field, addressing emerging trends. ARR aims to fill a substantial gap by providing critical reviews and viewpoints on evolving discoveries concerning the mechanisms of ageing and age-related diseases. The rapid progress in understanding the mechanisms controlling cellular proliferation, differentiation, and survival is unveiling new insights into the regulation of ageing. From telomerase to stem cells, and from energy to oxyradical metabolism, we are witnessing an exciting era in the multidisciplinary field of ageing research. The journal explores the cellular and molecular foundations of interventions that extend lifespan, such as caloric restriction. It identifies the underpinnings of manipulations that extend lifespan, shedding light on novel approaches for preventing age-related diseases. ARR publishes articles on focused topics selected from the expansive field of ageing research, with a particular emphasis on the cellular and molecular mechanisms of the aging process. This includes age-related diseases like cancer, cardiovascular disease, diabetes, and neurodegenerative disorders. The journal also covers applications of basic ageing research to lifespan extension and disease prevention, offering a comprehensive platform for advancing our understanding of this critical field.
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