The murine dialysis fistula model exhibits a senescence phenotype: pathobiological mechanisms and therapeutic potential
Open accessAbstract
There is no therapy that promotes maturation and functionality of a dialysis arteriovenous fistula (AVF). The search for such therapies largely relies on evaluation of vascular responses and putative therapies in experimental AVFs. We studied an AVF in mice with chronic kidney disease (CKD). We demonstrate numerous stressors in the vein of the AVF-CKD group, including pathological shear, mitogenic, inflammatory, and hypoxia-reoxygenation stress. Because stress promotes premature senescence, we examined whether senescence is induced in the vein of the AVF-CKD model. We demonstrate a senescence phenotype in the AVF-CKD model, as indicated by increased expression of p16 Ink4a, p21 Cip1, and p53 and expected changes for certain senescence-associated microRNAs. RNA-sequencing analysis demonstrated differential expression of ~10,000 genes, including upregulation of proinflammatory and proliferative genes, in the vein of the AVF-CKD group. The vein in the AVF-CKD group exhibited telomere erosion and increased senescence-associated β-galactosidase activity and staining. Senescence was induced in the artery of the AVF-CKD group and in the vein of the AVF without CKD. Finally, given the rapidly rising clinical interest in senolytics, we provide proof of concept of senolytics as a therapeutic approach by demonstrating that senolytics decrease p16 Ink4a expression in the AVF-CKD model. This study introduces a novel concept underlying the basis for maturational and functional failure in human dialysis AVFs and identifies a new target for senolytic therapy.
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Cellular senescence is a hallmark of aging and contributes to age-related chronic conditions including Alzheimer's disease.
“Cellular senescence is a hallmark feature of aging and contributes to numerous age-related chronic medical conditions including AD (10–19).”
From Senolytic Therapy to Modulate the Progression of Alzheimer's Disease (SToMP-AD): A Pilot Clinical Trial (2022) · cites this paper as [11]
A partial decrease of 35% in NFTs was observed as a disease-modifying effect.
“Moreover, disease-modifying effects were observed with a partial (35%) decrease in NFTs, which was consistent with preclinical studies of senolytic treatment for other models of aging and disease (10–16, 18, 19, 30, 54–56).”
From Senolytic Therapy to Modulate the Progression of Alzheimer's Disease (SToMP-AD): A Pilot Clinical Trial (2022) · cites this paper as [11]
In animals, genetic and pharmacologic reduction of senescent cell burden prevents, delays, or alleviates various aging-related diseases and sequelae.
“In animals, genetic and pharmacologic reduction of senescent cell burden results in the prevention, delay, and/or alleviation of a variety of aging-related diseases and sequelae.”
From Reducing Senescent Cell Burden in Aging and Disease (2020) · cites this paper as [6]
In preclinical aging models, senescent cell accumulation is associated with chronic diseases, geriatric syndromes, multimorbidity, and accelerated aging phenotypes.
“In pre-clinical aging models, accumulation of senescent cells is associated with multiple chronic diseases and disorders, geriatric syndromes, multi-morbidity, and accelerated aging phenotypes.”
From Reducing Senescent Cell Burden in Aging and Disease (2020) · cites this paper as [6]
Senolytics have been used to prevent, delay, or alleviate many age-onset diseases and syndromes in preclinical models.
“Senolytics have been used to prevent, delay, or alleviate a plethora of age-onset diseases and syndromes in pre-clinical models.”
From Reducing Senescent Cell Burden in Aging and Disease (2020) · cites this paper as [6]
Senotherapeutic drugs could potentially treat a variety of conditions primarily or secondarily mediated by senescent cell accumulation.
“The use of senotherapeutic drugs could potentially be effective in treating a variety of conditions primarily or secondarily mediated by accumulation of senescent cells [6, 33, 67–87].”
From Reducing Senescent Cell Burden in Aging and Disease (2020) · cites this paper as [6]
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- Authors
- Nath, K. A., O’Brien, D. R., Croatt, A. J., Grande, J. P., Ackerman, A. W., Nath, M. C., Yamada, S., Terzic, A., Tchkonia, T., Kirkland, J. L., & Katusic, Z. S.
- Affiliations
- Mayo Clinic (US)
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota
- Robert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, Minnesota
- Departments of Anesthesiology and Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, Minnesota
- Corresponding author
- Nath, Karl A.
- ORCID
- Venue
- American Journal of Physiology-Renal Physiology
- Publisher
- American Physiological Society
- Published
- 2018-11-01
- Volume
- 315
- Issue
- 5
- Pages
- F1493-F1499
- ISSN
- 1522-1466 (ISSN-L)
- 1931-857X
- PMC
- PMC6293292
- OpenAlex
- W2883574935
- Cited by
- 40
- References
- 29
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 6 · 2020: 7 · 2019: 4
- FWCI
- 6.50
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Physiology-Renal Physiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- HHS | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (DK70124, DK47060)
- HHS | NIH | National Heart, Lung, and Blood Institute (NHBLI) (HL134664)
- HHS | NIH | National Institute on Aging (U.S. National Institute on Aging) (AG13925)
- Russ and Kathy Van Cleve Foundation
- Connor Group Foundation
- Robert J. and Theresa W. Ryan Foundation
- Ted Nash Long Life Foundation
- Noaber Foundation
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Keywords
- arteriovenous fistula, hemodialysis vascular access, premature senescence, chronic kidney disease, senolytics, p16INK4a, p21, p53, telomere shortening, senescence-associated β-galactosidase, inflammation, mouse model
- MeSH terms
- Dasatinib, Animals, Arteriovenous Shunt, Surgical, Blood Flow Velocity, Disease Models, Animal, Gene Expression Regulation, Renal Dialysis, Mice, Inbred C57BL, Phenotype, Postoperative Complications, Quercetin, Regional Blood Flow, Stress, Mechanical, Tail, Vascular Patency, Veins, Cellular Senescence, MicroRNAs, Mice, Renal Insufficiency, Chronic, Vascular Remodeling
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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