{"title":"Healthy life extension: Geroscience's north star.","authors":"David A Barzilai","doi":"10.18632/aging.206359","DOIUrl":"https://doi.org/10.18632/aging.206359","url":null,"abstract":"","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"100-101"},"PeriodicalIF":3.9,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shan Zhu, Jennifer Q Zhou, Kan Wang, Ming-Lei Guo, Yan Y Sanders
Fibroblast activation is essential for tissue repair following injury; however, prolonged activation drives pathological fibrosis. Idiopathic pulmonary fibrosis (IPF), a progressive and age-associated lung disease, is characterized by aberrant fibroblast activation, with increasing evidence implicating senescent and near-senescent fibroblasts in its pathogenesis. However, the underlying mechanisms remain poorly defined. In this study, we investigated whether histone modification is involved in TGF-β1 treated lung fibroblasts and contributes to the fibrotic phenotype. Human IMR90 lung fibroblasts at low and high population doubling levels (LPDL and HPDL), as well as primary IPF fibroblasts, were used in this study. In response to TGF-β1, both LPDL and HPDL fibroblasts upregulated profibrotic genes, including α-smooth muscle actin (α-SMA) and Collagen type III alpha 1 (Col3A1). Compared with LPDL fibroblasts, HPDL fibroblasts exhibited a delayed and sustained p38 MAPK response. Pharmacological inhibition of p38 MAPK significantly reduced α-SMA and Col3A1 expression in both TGF-β1-stimulated fibroblasts and primary IPF cells. Mechanistically, TGF-β1-induced expression of α-SMA and Col3A1 was mediated by histone H4K16 acetylation (H4K16ac), which was enriched at gene promoter regions and attenuated by p38 MAPK inhibition. These findings suggest that a p38 MAPK-dependent epigenetic mechanism is involved in fibroblast activation, supporting the therapeutic potential of p38 MAPK inhibition for treating age-related fibrotic diseases such as IPF.
{"title":"P38 MAPK is involved in epigenetic regulation of fibrotic genes in replication induced senescence in lung fibroblasts.","authors":"Shan Zhu, Jennifer Q Zhou, Kan Wang, Ming-Lei Guo, Yan Y Sanders","doi":"10.18632/aging.206357","DOIUrl":"https://doi.org/10.18632/aging.206357","url":null,"abstract":"<p><p>Fibroblast activation is essential for tissue repair following injury; however, prolonged activation drives pathological fibrosis. Idiopathic pulmonary fibrosis (IPF), a progressive and age-associated lung disease, is characterized by aberrant fibroblast activation, with increasing evidence implicating senescent and near-senescent fibroblasts in its pathogenesis. However, the underlying mechanisms remain poorly defined. In this study, we investigated whether histone modification is involved in TGF-β1 treated lung fibroblasts and contributes to the fibrotic phenotype. Human IMR90 lung fibroblasts at low and high population doubling levels (LPDL and HPDL), as well as primary IPF fibroblasts, were used in this study. In response to TGF-β1, both LPDL and HPDL fibroblasts upregulated profibrotic genes, including α-smooth muscle actin (α-SMA) and Collagen type III alpha 1 (Col3A1). Compared with LPDL fibroblasts, HPDL fibroblasts exhibited a delayed and sustained p38 MAPK response. Pharmacological inhibition of p38 MAPK significantly reduced α-SMA and Col3A1 expression in both TGF-β1-stimulated fibroblasts and primary IPF cells. Mechanistically, TGF-β1-induced expression of α-SMA and Col3A1 was mediated by histone H4K16 acetylation (H4K16ac), which was enriched at gene promoter regions and attenuated by p38 MAPK inhibition. These findings suggest that a p38 MAPK-dependent epigenetic mechanism is involved in fibroblast activation, supporting the therapeutic potential of p38 MAPK inhibition for treating age-related fibrotic diseases such as IPF.</p>","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"67-81"},"PeriodicalIF":3.9,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naidu B Ommi, Dwight A L Mattocks, Mark C Horowitz, Sailendra N Nichenametla
Sulfur amino acid restriction (SAAR), a diet low in methionine and lacking cysteine, reduces obesity but also lowers bone mineral density (BMD) and increases marrow adipose tissue. Because the SAAR diet lacks cysteine, it exerts cysteine restriction (CysR), in addition to methionine restriction (MetR). We previously reported that the anti-obesity effect of the SAAR diet was exclusively due to CysR. Follow-up studies revealed that CysR decreases obesity by lowering glutathione (GSH), and that D, L-buthionine-(S, R)-sulfoximine (BSO), an inhibitor of GSH biosynthesis, recapitulates the SAAR-induced lean phenotype on a methionine-replete diet. Here, we investigated whether the detrimental effects of the SAAR diet on bone are mediated solely by CysR and whether BSO, similar to the SAAR diet, exerts deleterious effects. Male obese C57BL6/NTac mice were fed high-fat diets with 0.86% methionine (control diet, CD), 0.12% methionine (SAAR diet), SAAR diet supplemented with a GSH precursor, N-acetylcysteine (NAC) in water, and CD supplemented with BSO in water. Femurs and tibiae of SAAR mice had lower trabecular and cortical BMD, fewer osteoblasts, reduced biomechanical strength, and more marrow adipocytes than in CD mice. NAC reversed all these effects, suggesting that CysR mediates the detrimental effects of the SAAR diet on bone. Despite its anti-obesity effects, BSO did not exert any detrimental effects on bones. Future studies should investigate mechanisms, age-at-onset, tissue-specific, and gender-specific effects of BSO on bone health. Long-term studies to establish the therapeutic efficacy and off-target effects of BSO are critical for developing it as an anti-obesity drug in humans.
硫氨基酸限制(SAAR)是一种蛋氨酸含量低、半胱氨酸缺乏的饮食,可以减少肥胖,但也会降低骨密度(BMD),增加骨髓脂肪组织。由于SAAR日粮缺乏半胱氨酸,因此除了蛋氨酸限制(MetR)外,还实行半胱氨酸限制(cyr)。我们之前报道过SAAR饮食的抗肥胖作用完全是由于CysR。后续研究表明,CysR通过降低谷胱甘肽(GSH)来减少肥胖,而D, l -丁硫氨酸-(S, R)-亚砜亚胺(BSO)是一种GSH生物合成抑制剂,在充满蛋氨酸的饮食中再现了saar诱导的瘦肉表型。在这里,我们研究了SAAR日粮对骨骼的有害影响是否仅由CysR介导,以及BSO是否与SAAR日粮类似,会产生有害影响。雄性肥胖C57BL6/NTac小鼠分别饲喂蛋氨酸含量为0.86%(对照饲粮,CD)、0.12% (SAAR饲粮)、SAAR饲粮中添加谷胱甘肽前体n -乙酰半胱氨酸(NAC)和CD饲粮中添加BSO的高脂饲粮。与CD小鼠相比,SAAR小鼠的股骨和胫骨骨小梁和皮质骨密度较低,成骨细胞较少,生物力学强度降低,骨髓脂肪细胞较多。NAC逆转了所有这些影响,表明CysR介导了SAAR饮食对骨骼的有害影响。尽管有抗肥胖作用,但BSO对骨骼没有任何有害影响。未来的研究应探讨BSO对骨骼健康的机制、发病年龄、组织特异性和性别特异性影响。长期研究确定BSO的治疗效果和脱靶效应对开发其作为人类抗肥胖药物至关重要。
{"title":"D, L-Buthionine-(S, R)-sulfoximine recapitulates the anti-obesity effects of sulfur amino acid restriction without the associated deleterious effects on bone in male mice.","authors":"Naidu B Ommi, Dwight A L Mattocks, Mark C Horowitz, Sailendra N Nichenametla","doi":"10.18632/aging.206358","DOIUrl":"10.18632/aging.206358","url":null,"abstract":"<p><p>Sulfur amino acid restriction (SAAR), a diet low in methionine and lacking cysteine, reduces obesity but also lowers bone mineral density (BMD) and increases marrow adipose tissue. Because the SAAR diet lacks cysteine, it exerts cysteine restriction (CysR), in addition to methionine restriction (MetR). We previously reported that the anti-obesity effect of the SAAR diet was exclusively due to CysR. Follow-up studies revealed that CysR decreases obesity by lowering glutathione (GSH), and that D, L-buthionine-(S, R)-sulfoximine (BSO), an inhibitor of GSH biosynthesis, recapitulates the SAAR-induced lean phenotype on a methionine-replete diet. Here, we investigated whether the detrimental effects of the SAAR diet on bone are mediated solely by CysR and whether BSO, similar to the SAAR diet, exerts deleterious effects. Male obese C57BL6/NTac mice were fed high-fat diets with 0.86% methionine (control diet, CD), 0.12% methionine (SAAR diet), SAAR diet supplemented with a GSH precursor, N-acetylcysteine (NAC) in water, and CD supplemented with BSO in water. Femurs and tibiae of SAAR mice had lower trabecular and cortical BMD, fewer osteoblasts, reduced biomechanical strength, and more marrow adipocytes than in CD mice. NAC reversed all these effects, suggesting that CysR mediates the detrimental effects of the SAAR diet on bone. Despite its anti-obesity effects, BSO did not exert any detrimental effects on bones. Future studies should investigate mechanisms, age-at-onset, tissue-specific, and gender-specific effects of BSO on bone health. Long-term studies to establish the therapeutic efficacy and off-target effects of BSO are critical for developing it as an anti-obesity drug in humans.</p>","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"82-99"},"PeriodicalIF":3.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akihiko Taguchi, Yuka Okinaka, Carsten Claussen, Sheraz Gul
Glycolytic ATP production declines with age, contributing to common aging phenotypes such as reduced cell division and impaired DNA & mitochondria repair. Notably, immortal cells exhibit a metabolic profile characterized by sustained, highly active glycolytic ATP production. A key unresolved question is the underlying mechanism driving the gradual decline in glycolytic ATP production during natural aging. We have found that this can be explained by the concept that a decline in glycolytic ATP production was crucial for survival of species, and only those species with an optimal rate of reduction in glycolytic ATP production over time were selected and persisted through generational changes. Sexual reproduction generates new combination of gene pairs with abundant DNA mutations during meiosis, which provides significant advantages in adapting to environmental changes and competence over other species. However, the population of species is limited because of finite food supply in the natural world. The shift from glycolysis to aerobic metabolism increases energy efficiency and the increased energy efficiency in parent generation benefits the species by enhancing survival of parent generation at starvation conditions and limited food allocation to the offspring generation. This conceptual framework can explain the finite lifespans of organisms, significant variations in lifespan across species, cellular immortality of cancer cells, and the exceptionally long life of the naked mole rat (Heterocephalus glaber). Although questions remain, this concept offers new insights into the biology of aging and potential strategies for rejuvenation therapies for humans.
{"title":"A decline in glycolytic ATP production is the fundamental mechanism limiting lifespan; species with an optimal rate of decline over time survived.","authors":"Akihiko Taguchi, Yuka Okinaka, Carsten Claussen, Sheraz Gul","doi":"10.18632/aging.206356","DOIUrl":"https://doi.org/10.18632/aging.206356","url":null,"abstract":"<p><p>Glycolytic ATP production declines with age, contributing to common aging phenotypes such as reduced cell division and impaired DNA & mitochondria repair. Notably, immortal cells exhibit a metabolic profile characterized by sustained, highly active glycolytic ATP production. A key unresolved question is the underlying mechanism driving the gradual decline in glycolytic ATP production during natural aging. We have found that this can be explained by the concept that a decline in glycolytic ATP production was crucial for survival of species, and only those species with an optimal rate of reduction in glycolytic ATP production over time were selected and persisted through generational changes. Sexual reproduction generates new combination of gene pairs with abundant DNA mutations during meiosis, which provides significant advantages in adapting to environmental changes and competence over other species. However, the population of species is limited because of finite food supply in the natural world. The shift from glycolysis to aerobic metabolism increases energy efficiency and the increased energy efficiency in parent generation benefits the species by enhancing survival of parent generation at starvation conditions and limited food allocation to the offspring generation. This conceptual framework can explain the finite lifespans of organisms, significant variations in lifespan across species, cellular immortality of cancer cells, and the exceptionally long life of the naked mole rat (<i>Heterocephalus glaber</i>). Although questions remain, this concept offers new insights into the biology of aging and potential strategies for rejuvenation therapies for humans.</p>","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"60-67"},"PeriodicalIF":3.9,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anastasia A Kobelyatskaya, Olga N Tkacheva, Alexandra A Melnitskaia, Anna K Ilyushchenko, Lubov V Machekhina, Irina D Strazhesko, Alexey Moskalev
Biological age reflects the current state of the body, considering the aspects of lifestyle, environment, and hereditary component. Currently there is no universal formula for determining it, but there are markers that can be used to calculate it. This study aims to develop and compare two models for calculating biological age based on laboratory blood tests and composition of gut microbiota. The biochemical model of biological age uses 7 indicators and is gender-specific (general - cystatin-C, IGF-1, DHEAS, only for females - homocysteine, urea, glucose, zonulin, only for males - HbA1c, NT-proBNP, free testosterone, hs-CRP). The microbial model requires the input of percentages of 45 bacterial species as indicators of the gut microbiota. Both methods demonstrate high predictive accuracy (MAE ~ 6 years, R2 > 0.8) and the degree of agreement of assessments both with each other and with PhenoAge (correlation > 0.89). For enhanced interpretability of the models, we applied the SHAP explanation algorithm, which made which allowed us to evaluate the contribution of each predictor to the final assessment of the biological age.
{"title":"Blood biochemical and gut microbiotic neural network models forecasting human biological age.","authors":"Anastasia A Kobelyatskaya, Olga N Tkacheva, Alexandra A Melnitskaia, Anna K Ilyushchenko, Lubov V Machekhina, Irina D Strazhesko, Alexey Moskalev","doi":"10.18632/aging.206360","DOIUrl":"https://doi.org/10.18632/aging.206360","url":null,"abstract":"<p><p>Biological age reflects the current state of the body, considering the aspects of lifestyle, environment, and hereditary component. Currently there is no universal formula for determining it, but there are markers that can be used to calculate it. This study aims to develop and compare two models for calculating biological age based on laboratory blood tests and composition of gut microbiota. The biochemical model of biological age uses 7 indicators and is gender-specific (general - cystatin-C, IGF-1, DHEAS, only for females - homocysteine, urea, glucose, zonulin, only for males - HbA1c, NT-proBNP, free testosterone, hs-CRP). The microbial model requires the input of percentages of 45 bacterial species as indicators of the gut microbiota. Both methods demonstrate high predictive accuracy (MAE ~ 6 years, R2 > 0.8) and the degree of agreement of assessments both with each other and with PhenoAge (correlation > 0.89). For enhanced interpretability of the models, we applied the SHAP explanation algorithm, which made which allowed us to evaluate the contribution of each predictor to the final assessment of the biological age.</p>","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"102-116"},"PeriodicalIF":3.9,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyejin Mun, Do-Won Ham, Nam Chul Kim, Bo-In Kwon, Young-Kook Kim, Je-Hyun Yoon
During mammalian aging, there are changes in abundance of noncoding RNAs including microRNAs, long noncoding RNAs, and circular RNAs. Although global profiles of the human transcriptome and epitranscriptome during the aging process are available, the existence and function of mitochondrial circular RNAs originating from the mitochondrial genome are poorly studied. Here, we report profiles of circular RNAs annotated to mitochondrial chromosome, chrM, in young and old cohorts. The most abundant circular RNA junctions are found in MT-RNR2, whose level is depleted in old cohorts and senescent fibroblast. The mitochondria-localized RNA-binding protein GRSF1 binds various mitochondrial transcripts, including linear and circular MT-RNR2, with a distinct RNA motif. Linear and circular MT-RNR2 bind a subset of TCA cycle enzymes, suggesting their possible function in regulating glucose metabolism in mitochondria to preserve proliferating status in young cohorts. In human fibroblasts, depletion of GRSF1 reduced levels of circMT-RNR2 and fumarate/succinate, concomitantly accelerating cellular senescence and mitochondrial dysfunction. Taken together, our findings demonstrate the existence and possible function of circular MT-RNR2 during human aging and senescence, implicating its role in promoting the TCA cycle.
{"title":"Aging-associated mitochondrial circular RNAs.","authors":"Hyejin Mun, Do-Won Ham, Nam Chul Kim, Bo-In Kwon, Young-Kook Kim, Je-Hyun Yoon","doi":"10.18632/aging.206354","DOIUrl":"https://doi.org/10.18632/aging.206354","url":null,"abstract":"<p><p>During mammalian aging, there are changes in abundance of noncoding RNAs including microRNAs, long noncoding RNAs, and circular RNAs. Although global profiles of the human transcriptome and epitranscriptome during the aging process are available, the existence and function of mitochondrial circular RNAs originating from the mitochondrial genome are poorly studied. Here, we report profiles of circular RNAs annotated to mitochondrial chromosome, chrM, in young and old cohorts. The most abundant circular RNA junctions are found in MT-RNR2, whose level is depleted in old cohorts and senescent fibroblast. The mitochondria-localized RNA-binding protein GRSF1 binds various mitochondrial transcripts, including linear and circular MT-RNR2, with a distinct RNA motif. Linear and circular MT-RNR2 bind a subset of TCA cycle enzymes, suggesting their possible function in regulating glucose metabolism in mitochondria to preserve proliferating status in young cohorts. In human fibroblasts, depletion of GRSF1 reduced levels of circMT-RNR2 and fumarate/succinate, concomitantly accelerating cellular senescence and mitochondrial dysfunction. Taken together, our findings demonstrate the existence and possible function of circular MT-RNR2 during human aging and senescence, implicating its role in promoting the TCA cycle.</p>","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"30-44"},"PeriodicalIF":3.9,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Polyploidy-induced senescence: Linking development, differentiation, repair, and (possibly) cancer?","authors":"Iman M Al-Naggar, George A Kuchel","doi":"10.18632/aging.206355","DOIUrl":"https://doi.org/10.18632/aging.206355","url":null,"abstract":"","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"1-4"},"PeriodicalIF":3.9,"publicationDate":"2026-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alan Tomusiak, Sierra Lore, Morten Scheibye-Knudsen, Eric Verdin
Biomarkers of aging offer insights into how diseases and interventions affect biological systems. However, most current biomarkers are based on bulk cell measurements, making it difficult to distinguish between changes driven by shifts in cell type composition (systemic effects) versus intrinsic changes within individual cells. To address this, we used single-cell RNA sequencing to analyze aging-related changes at both the cellular and bulk levels. We developed Tictock (T immune cell transcriptomic clock), a single-cell transcriptomic clock capable of predicting age and cell type across six human T cell subsets. Applying Tictock, we found that acute COVID-19 is associated with increased proportions of CD8+ cytotoxic T cells, whereas T cell composition remains stable in people with HIV on antiretroviral therapy (HIV+ART). Both COVID-19 and HIV+ART are linked to an increase in transcriptomic age, specifically within naïve CD8+ T cells. Gene Ontology enrichment of 209 genes shared across six clock models identified common pathways including the cytosolic small ribosomal subunit, TNF receptor binding, and cytosolic ribosome components. A correlation was also observed between aging and mean transcript length. These findings underscore the promise of single-cell transcriptomic biomarkers to disentangle the systemic and cell-intrinsic components of immune aging and to measure immune aging.
{"title":"Single-cell transcriptomics reveal intrinsic and systemic T cell aging in COVID-19 and HIV.","authors":"Alan Tomusiak, Sierra Lore, Morten Scheibye-Knudsen, Eric Verdin","doi":"10.18632/aging.206353","DOIUrl":"https://doi.org/10.18632/aging.206353","url":null,"abstract":"<p><p>Biomarkers of aging offer insights into how diseases and interventions affect biological systems. However, most current biomarkers are based on bulk cell measurements, making it difficult to distinguish between changes driven by shifts in cell type composition (systemic effects) versus intrinsic changes within individual cells. To address this, we used single-cell RNA sequencing to analyze aging-related changes at both the cellular and bulk levels. We developed <i>Tictock</i> (T immune cell transcriptomic clock), a single-cell transcriptomic clock capable of predicting age and cell type across six human T cell subsets. Applying <i>Tictock</i>, we found that acute COVID-19 is associated with increased proportions of CD8+ cytotoxic T cells, whereas T cell composition remains stable in people with HIV on antiretroviral therapy (HIV+ART). Both COVID-19 and HIV+ART are linked to an increase in transcriptomic age, specifically within naïve CD8+ T cells. Gene Ontology enrichment of 209 genes shared across six clock models identified common pathways including the cytosolic small ribosomal subunit, TNF receptor binding, and cytosolic ribosome components. A correlation was also observed between aging and mean transcript length. These findings underscore the promise of single-cell transcriptomic biomarkers to disentangle the systemic and cell-intrinsic components of immune aging and to measure immune aging.</p>","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"5-29"},"PeriodicalIF":3.9,"publicationDate":"2026-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eliano P Navarese, Dean J Kereiakes, Timothy D Henry, Marc Brouwer, Giuseppe Talanas, Mehriban Isgender, Michael E Farkouh, Jacek Kubica
Background: Interleukin-6 (IL6) signaling plays a key role in inflammation and cardiovascular disease, but its causal effect on long-term mortality remains unclear. We aimed to assess whether genetically proxied levels of IL6, soluble IL6 receptor (IL6R), C-reactive protein (CRP), and growth differentiation factor-15 (GDF15) exert causal effects on long-term all-cause mortality, and to examine potential opposing effects of IL6 and IL6R.
Methods: We conducted Mendelian randomization (MR) using genome-wide association study instruments from >750,000 individuals. The primary outcome was all-cause mortality over a median follow-up of 11.7 years. Secondary outcomes included cardiovascular events and selected non-cardiovascular conditions. Multiple sensitivity analyses were applied to evaluate robustness and directionality.
Results: Genetically higher IL6R levels were associated with reduced mortality (odds ratio (OR) per 1-SD increase: 0.95; 95% CI: 0.91-0.98, p = 0.007) and lower risk of atrial fibrillation, coronary artery disease, stroke, and lung cancer. Conversely, higher IL6 levels were linked to increased mortality (OR: 1.05; 95% CI: 1.02-1.08, p = 0.002). No significant causal effects were observed for CRP or GDF-15. All findings were consistent across sensitivity analyses.
Conclusions: IL6 and IL6R appear to be biologically opposing causal regulators of human survival: IL6 increases, while IL6R reduces mortality through cardiovascular mechanisms. CRP and GDF15 likely reflect disease risk rather than drive it. These results support IL6R antagonism as a potential strategy for cardiovascular disease prevention.
背景:白细胞介素-6 (IL6)信号在炎症和心血管疾病中起关键作用,但其对长期死亡率的因果关系尚不清楚。我们的目的是评估IL6、可溶性IL6受体(IL6R)、c反应蛋白(CRP)和生长分化因子-15 (GDF15)的遗传水平是否对长期全因死亡率产生因果影响,并研究IL6和IL6R的潜在相反作用。方法:采用孟德尔随机化(MR)方法,使用全基因组关联研究仪器,对bb750,000个个体进行分析。主要结果是中位随访11.7年的全因死亡率。次要结局包括心血管事件和选定的非心血管疾病。采用多重敏感性分析评价稳健性和方向性。结果:基因上较高的IL6R水平与死亡率降低相关(每1-SD增加的优势比(OR): 0.95;95% CI: 0.91-0.98, p = 0.007),房颤、冠状动脉疾病、中风和肺癌的风险较低。相反,较高的il - 6水平与死亡率增加有关(OR: 1.05; 95% CI: 1.02-1.08, p = 0.002)。没有观察到CRP或GDF-15的显著因果效应。所有的发现在敏感性分析中是一致的。结论:IL6和IL6R似乎是生物学上相反的人类生存的因果调节因子:IL6增加,而IL6R通过心血管机制降低死亡率。CRP和GDF15可能反映疾病风险,而不是驱动疾病风险。这些结果支持IL6R拮抗剂作为心血管疾病预防的潜在策略。
{"title":"Causal effects of inflammation on long-term mortality: A mendelian randomization study.","authors":"Eliano P Navarese, Dean J Kereiakes, Timothy D Henry, Marc Brouwer, Giuseppe Talanas, Mehriban Isgender, Michael E Farkouh, Jacek Kubica","doi":"10.18632/aging.206352","DOIUrl":"https://doi.org/10.18632/aging.206352","url":null,"abstract":"<p><strong>Background: </strong>Interleukin-6 (IL6) signaling plays a key role in inflammation and cardiovascular disease, but its causal effect on long-term mortality remains unclear. We aimed to assess whether genetically proxied levels of IL6, soluble IL6 receptor (IL6R), C-reactive protein (CRP), and growth differentiation factor-15 (GDF15) exert causal effects on long-term all-cause mortality, and to examine potential opposing effects of IL6 and IL6R.</p><p><strong>Methods: </strong>We conducted Mendelian randomization (MR) using genome-wide association study instruments from >750,000 individuals. The primary outcome was all-cause mortality over a median follow-up of 11.7 years. Secondary outcomes included cardiovascular events and selected non-cardiovascular conditions. Multiple sensitivity analyses were applied to evaluate robustness and directionality.</p><p><strong>Results: </strong>Genetically higher IL6R levels were associated with reduced mortality (odds ratio (OR) per 1-SD increase: 0.95; 95% CI: 0.91-0.98, <i>p</i> = 0.007) and lower risk of atrial fibrillation, coronary artery disease, stroke, and lung cancer. Conversely, higher IL6 levels were linked to increased mortality (OR: 1.05; 95% CI: 1.02-1.08, <i>p</i> = 0.002). No significant causal effects were observed for CRP or GDF-15. All findings were consistent across sensitivity analyses.</p><p><strong>Conclusions: </strong>IL6 and IL6R appear to be biologically opposing causal regulators of human survival: IL6 increases, while IL6R reduces mortality through cardiovascular mechanisms. CRP and GDF15 likely reflect disease risk rather than drive it. These results support IL6R antagonism as a potential strategy for cardiovascular disease prevention.</p>","PeriodicalId":55547,"journal":{"name":"Aging-Us","volume":"18 1","pages":"45-59"},"PeriodicalIF":3.9,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}