Cited by 40Central Venous Catheters and HemodialysisTelomeres, Telomerase, and SenescenceParathyroid Disorders and Treatments

The murine dialysis fistula model exhibits a senescence phenotype: pathobiological mechanisms and therapeutic potential

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Nath, Karl A., O’Brien, Daniel R., Croatt, Anthony J., Grande, Joseph P., Ackerman, Allan W., Nath, Meryl C., Yamada, Satsuki, Terzic, Andre +3 more·2018·American Journal of Physiology-Renal Physiology

Abstract

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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Crossref · 10.1152/ajprenal.00308.2018

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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).”
  • 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).”
  • 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]

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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.
Venue
American Journal of Physiology-Renal Physiology
Published
2018-11-01
Volume
315
Issue
5
Pages
F1493-F1499
ISSN
  • 1522-1466 (ISSN-L)
  • 1931-857X
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
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

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