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Pro-ferroptotic signaling promotes arterial aging via vascular smooth muscle cell senescence

Di-Yang Sun, Wen-Bin Wu, Jian-Jin Wu, Yu Shi, Jia-Jun Xu, Shen-Xi Ouyang, Chen Chi, Yi Shi, Qing-Xin Ji, Jin-Hao Miao, Jiang-Tao Fu, Jie Tong, Ping-Ping Zhang, Jia-Bao Zhang, Zhi-Yong Li, Le-Feng Qu (), Fu-Ming Shen (), Dong-Jie Li () and Pei Wang ()
Additional contact information
Di-Yang Sun: Second Military Medical University/Naval Medical University
Wen-Bin Wu: Second Military Medical University/Naval Medical University
Jian-Jin Wu: Naval Medical University/Second Military Medical University
Yu Shi: Tongji University School of Medicine
Jia-Jun Xu: Naval Medical University/Second Military Medical University
Shen-Xi Ouyang: Tongji University School of Medicine
Chen Chi: Tongji University School of Medicine
Yi Shi: Fudan University
Qing-Xin Ji: Tongji University School of Medicine
Jin-Hao Miao: Changzheng Hospital Affiliated Hospital of Naval Medical University/Second Military Medical University
Jiang-Tao Fu: Second Military Medical University/Naval Medical University
Jie Tong: Tongji University School of Medicine
Ping-Ping Zhang: Second Military Medical University/Naval Medical University
Jia-Bao Zhang: Second Military Medical University/Naval Medical University
Zhi-Yong Li: Second Military Medical University/Naval Medical University
Le-Feng Qu: Naval Medical University/Second Military Medical University
Fu-Ming Shen: Tongji University School of Medicine
Dong-Jie Li: Tongji University School of Medicine
Pei Wang: Second Military Medical University/Naval Medical University

Nature Communications, 2024, vol. 15, issue 1, 1-22

Abstract: Abstract Senescence of vascular smooth muscle cells (VSMCs) contributes to aging-related cardiovascular diseases by promoting arterial remodelling and stiffness. Ferroptosis is a novel type of regulated cell death associated with lipid oxidation. Here, we show that pro-ferroptosis signaling drives VSMCs senescence to accelerate vascular NAD+ loss, remodelling and aging. Pro-ferroptotic signaling is triggered in senescent VSMCs and arteries of aged mice. Furthermore, the activation of pro-ferroptotic signaling in VSMCs not only induces NAD+ loss and senescence but also promotes the release of a pro-senescent secretome. Pharmacological or genetic inhibition of pro-ferroptosis signaling, ameliorates VSMCs senescence, reduces vascular stiffness and retards the progression of abdominal aortic aneurysm in mice. Mechanistically, we revealed that inhibition of pro-ferroptotic signaling facilitates the nuclear-cytoplasmic shuttling of proliferator-activated receptor-γ and, thereby impeding nuclear receptor coactivator 4-ferrtin complex-centric ferritinophagy. Finally, the activated pro-ferroptotic signaling correlates with arterial stiffness in a human proof-of-concept study. These findings have significant implications for future therapeutic strategies aiming to eliminate vascular ferroptosis in senescence- or aging-associated cardiovascular diseases.

Date: 2024
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DOI: 10.1038/s41467-024-45823-w

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