HIV protease inhibitors induce senescence and alter osteoblastic potential of human bone marrow mesenchymal stem cells: beneficial effect of pravastatin
Open accessAbstract
Summary: HIV‐infected patients receiving antiretroviral therapy present an increased prevalence of age‐related comorbidities, including osteoporosis. HIV protease inhibitors ( PI s) have been suspected to participate to bone loss, but the mechanisms involved are unknown. In endothelial cells, some PI s have been shown to induce the accumulation of farnesylated prelamin‐ A , a biomarker of cell aging leading to cell senescence. Herein, we hypothesized that these PI s could induce premature aging of osteoblast precursors, human bone marrow mesenchymal stem cells ( MSC s), and affect their capacity to differentiate into osteoblasts. Senescence was studied in proliferating human MSC s after a 30‐day exposure to atazanavir and lopinavir with or without ritonavir. When compared to untreated cells, PI ‐treated MSC s had a reduced proliferative capacity that worsened with increasing passages. PI treatment led to increased oxidative stress and expression of senescence markers, including prelamin‐ A . Pravastatin, which blocks prelamin‐ A farnesylation, prevented PI ‐induced senescence and oxidative stress, while treatment with antioxidants partly reversed these effects. Moreover, senescent MSC s presented a decreased osteoblastic potential, which was restored by pravastatin treatment. Because age‐related bone loss is associated with increased bone marrow fat, we also evaluated the capacity of PI ‐treated MSC s to differentiate into adipocyte. We observed an altered adipocyte differentiation in PI ‐treated MSC s that was reverted by pravastatin. We have shown that some PI s alter osteoblast formation by affecting their differentiation potential in association with altered senescence in MSC s, with a beneficial effect of statin. These data corroborate the clinical observations and allow new insight into pathophysiological mechanisms of PI ‐induced bone loss in HIV ‐infected patients.
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HIV proteins Tat and Nef and protease inhibitors lopinavir and atazanavir are capable of inducing senescence in BM-MSCs.
“These conflicts are possibly reconciled by reports that find both HIV proteins Tat and Nef and protease inhibitors lopinavir and atazanavir are capable of inducing senescence in BM‐MSCs.”
From The struggle of a good friend getting old: cellular senescence in viral responses and therapy (2021) · cites this paper as Hernandez‐Vallejo et al, 2013
Senescent BM-MSCs do not effectively differentiate into osteoblasts and deposit reduced calcium in vitro.
“Importantly, senescent BM‐MSCs do not be effectively differentiated into osteoblasts and deposit reduced levels of calcium in vitro (Hernandez‐Vallejo et al, 2013; Beaupere et al, 2015).”
From The struggle of a good friend getting old: cellular senescence in viral responses and therapy (2021) · cites this paper as Hernandez‐Vallejo et al, 2013
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Self-citation
- Authors
- Hernandez‐Vallejo, S. J., Beaupere, C., Larghero, J., Capeau, J., & Lagathu, C.
- Affiliations
- INSERM UMRS938 Paris France
- Cell Therapy Unit Hôpital Saint Louis Paris France
- Inserm (FR)
- Corresponding author
- Lagathu, Claire
- Venue
- Aging Cell
- Publisher
- Wiley
- Published
- 2013-07-19
- Volume
- 12
- Issue
- 6
- Pages
- 955-965
- ISSN
- 1474-9718 (ISSN-L)
- 1474-9726
- OpenAlex
- W2134828479
- Cited by
- 70
- References
- 45
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2022: 6 · 2021: 6 · 2020: 8 · 2019: 8 · 2018: 4 · 2017: 6 · 2016: 8 · 2015: 6 · 2014: 11 · 2013: 1
- FWCI
- 8.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Aging Cell (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Keywords
- HIV protease inhibitors, bone marrow mesenchymal stem cells, cellular senescence, osteogenic differentiation, pravastatin, atazanavir, lopinavir, ritonavir, oxidative stress, osteoporosis, bone loss, adipogenesis, statins, HIV-associated bone loss
- MeSH terms
- Atazanavir Sulfate, Antioxidants, Bone Marrow Cells, Cell Differentiation, Humans, Oligopeptides, Osteoblasts, Pyridines, Cellular Senescence, Pravastatin, HIV Protease Inhibitors, Oxidative Stress, Cell Proliferation, Adipogenesis, Mesenchymal Stem Cells, Lopinavir
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