Premature Senescence of Vascular Cells Is Induced by HIV Protease Inhibitors: Implication of Prelamin A and Reversion by Statin
Abstract
Objective— To determine whether and how protease inhibitors (PIs) could affect vascular aging. Methods and Results— HIV therapy with PIs is associated with an increased risk of premature cardiovascular disease. The effect of ritonavir and a combination of lopinavir and ritonavir (for 30 days) on senescence, oxidative stress, and inflammation was evaluated in human coronary artery endothelial cells (HCAECs). These HCAECs were either cotreated or not cotreated with pravastatin or farnesyl transferase inhibitor (FTI)-277 or with 2 antioxidants (manganese [III] tetrakis [4-benzoic acid] porphyrin [MnTBAP] and N-acetyl cysteine). Senescence markers were evaluated in peripheral blood mononuclear cells (PBMCs) from HIV-infected patients under PI treatment. PIs induced senescence markers, prelamin A accumulation, oxidative stress, and inflammation in HCAECs. Senescence markers and prelamin A were also observed in PBMCs from HIV-infected patients under ritonavir-boosted PIs. Pravastatin, FTI-277, and antioxidants improved PI adverse effects in HCAECs. Senescence markers were lower in PBMCs from PI-treated patients cotreated with statins. Conclusion— PIs triggered premature senescence in endothelial cells by a mechanism involving prelamin A accumulation. Accordingly, circulating cells from HIV-infected patients receiving PI therapy expressed senescence markers and prelamin A. Statin was associated with improved senescence in endothelial cells and patient PBMCs. Thus, PIs might promote vascular senescence in HIV-infected patients; and statins might exert beneficial effects in these patients.
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Senescent human arterial endothelial cells induced by protease inhibitors display reduced e-NOS expression and increased VCAM-1 secretion.
“Importantly, these senescent cells displayed reduced expression of endothelial nitric oxide synthase (e‐NOS), an enzyme responsible for NO synthesis, and increased secretion of VCAM‐1 (Lefèvre et al, 2010; Auclair et al, 2014; Afonso et al, 2017).”
From The struggle of a good friend getting old: cellular senescence in viral responses and therapy (2021) · cites this paper as Lefèvre et al, 2010
Protease inhibitors induce senescence in human arterial endothelial cells in vitro.
“Protease inhibitors are reported to induce senescence in human arterial endothelial cells in vitro.”
From The struggle of a good friend getting old: cellular senescence in viral responses and therapy (2021) · cites this paper as Lefèvre et al, 2010
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- Authors
- Lefèvre, C., Auclair, M., Boccara, F., Bastard, J.-P., Capeau, J., Vigouroux, C., & Caron-Debarle, M.
- Affiliations
- From Institut National de la Santé et de la Recherche Scientifique (INSERM) (C.L., M.A., F.B., J.C., C.V., and M.C.-D.), Saint Antoine Research Center, Unité Mixte de Recherche (UMR) S 938, Faculté deMédecine Saint Antoine, Paris, France; Université Pierre et Marie Curie (UPMC) University Paris 06 (C.L., M.A., F.B., J.C., C.V., and M.C.-D.), Saint Antoine Research Center, UMR S 938, Paris, France; Assistance publique-Hopitaux de Paris (AP-HP), the Department of Cardiology (F.B.), Hopital Saint...
- Inserm (FR)
- Venue
- Arteriosclerosis, Thrombosis, and Vascular Biology
- Published
- 2010-12
- Volume
- 30
- Issue
- 12
- Pages
- 2611-2620
- ISSN
- 1079-5642 (ISSN-L)
- 1524-4636
- OpenAlex
- W2170777065
- Cited by
- 77
- References
- 49
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 8 · 2016: 8 · 2015: 3 · 2014: 11 · 2013: 9 · 2012: 5
- FWCI
- 5.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Arteriosclerosis Thrombosis and Vascular Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Styrelsen för Internationellt Utvecklingssamarbete
- Topics
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS drug development and treatment
- Keywords
- HIV protease inhibitors, premature senescence, vascular aging, endothelial cells, ritonavir, lopinavir, oxidative stress, inflammation, statins, pravastatin, farnesyltransferase inhibitors, antioxidants, cardiovascular risk, people living with HIV
- MeSH terms
- Acetylcysteine, Adult, Antioxidants, Cells, Cultured, Coronary Vessels, Drug Therapy, Combination, Humans, Metalloporphyrins, Methionine, Middle Aged, Nuclear Proteins, Paris, Protein Precursors, Pyrimidinones, Time Factors, HIV Infections, Case-Control Studies, Tumor Suppressor Protein p53, Cellular Senescence, Pravastatin, HIV Protease Inhibitors, Oxidative Stress, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Ritonavir, Lamin Type A, Endothelial Cells, Cell Proliferation, Cyclin-Dependent Kinase Inhibitor p21, Farnesyltranstransferase, Lopinavir
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