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INNOSC Theranostics and
            Pharmacological Sciences                                                         Mitochondria and aging



            metabolic pathways, such as the one-carbon cycle, the   Studies have uncovered that stem cell pool maintenance,
            tricarboxylic acid (TCA) cycle, and fatty acid oxidation   expansion, or depletion are modulated via symmetric and
            (FAO), are known to be compartmentalized in the    asymmetric division events. 214-217  In addition, stem cells
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            mitochondria.  Metabolites produced by these pathways   can exploit mitochondrial FAO during self-renewal along
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            can also serve as retrograde signals. Particularly, many of   with glycolysis.  Inhibiting FAO in HSCs results in the
            these metabolites are produced by the TCA cycle, such as   loss of asymmetric division of HSC daughter cells, which
            acetyl-coenzyme A, succinyl-CoA, α-ketoglutarate (αKG),   is a vital process to maintain the stem cell pool during
            succinate, and nicotinamide adenine dinucleotide (NAD ).   the simultaneous expansion of stem cell differentiation.
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            For instance, it has been demonstrated that the ratio   Mechanistically, this process (HSC asymmetric division)
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            of  αKG to succinate plays a crucial role in maintaining   is controlled by the PML-PPARδ-FAO pathway.
            pluripotency in mouse mESCs through regulation of   Moreover, the same study showed that PPARδ activation
            multiple chromatin modifications, including histone H3   using PPARδ agonists increases asymmetric division and
            lysin  27  tri-methylation  (H3K27me3)  and  ten-eleven   improves HSC functions. In addition, lipid metabolism
            translocation (Tet)-dependent DNA demethylation.  In   is also an important player in NSC proliferation and
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            addition, NAD  is another important metabolite that links   maintenance. 220,221  Specifically, deletion of fatty acid
                        +
            the mitochondria to stem cells, and its systemic decline   synthase, the key enzyme of de novo lipogenesis, in mouse
            has been reported during aging. 202,203  Furthermore, many   NSCs was shown to impair adult neurogenesis.  Taken
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            NAD+-consuming enzymes use NAD  as a substrate,    together, mitochondria are key organelles that regulate the
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            including the cyclic ADP-ribose synthase CD38, SARM1,   metabolic status of stem cells; consequently, maintaining
            poly-ADP-ribose polymerase (PARP), as well as a family   their proper metabolic regulation is critical for lifelong
            of seven protein deacylases, namely sirtuins, which   health. Moreover, the modulation of pathways associated
            are present in the nucleus (SIRT1, SIRT6, and SIRT7),   with mitochondrial metabolic dysfunction contributing to
            cytosol (SIRT2), and mitochondria (SIRT3 – SIRT5). 204-206    age-related stem cell exhaustion could potentially improve
            Alleviated age-dependent NAD  availability is associated   human health and prevent age-related diseases.
                                     +
            with decreased activities of sirtuins, eventually disrupting
            the crosstalk between mitochondria and the nucleus during   7. Mitophagy and age-associated diseases
            aging. 207,208  Reduced NAD  levels in NSCs were shown to   Being extremely dynamic organelles, mitochondria go
                                 +
            recapitulate at least some of the phenotypes of stem cells   through  various  processes  termed  mitochondrial  quality
            during aging (Figure 1[iA]), while NAD  boosting through   control (MQC). MQC mainly involves the coordination
                                           +
            administration of precursor nicotinamide mononucleotide   of multiple biological events,  including constant  fission
            (NMN) could repair abnormalities induced by a decrease   and fusion, an endless transformation process occurring
            in NAD  levels in NSCs.  Hence, NAD  supplementation   through biogenesis and mitophagy to affirm mitochondrial
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            therapies are considered a therapeutic option to ameliorate   homeostasis, morphology, and inheritance.  Once
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            age-related metabolic diseases.  Furthermore, NAD    facing challenges through oxidative or bioenergetic stress,
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            boosting with the precursor NMN improved impaired   mitochondria perform an arranged reaction containing
            glucose  tolerance  by  restoring  normal  NAD   levels  and   morphological and dynamical transformation by triggering
                                                 +
            enhancing either insulin sensitivity or insulin secretion in   the  specific  molecular  mechanism  that  synchronizes
            mice with diet- and age-induced diabetes.  The observed   mitochondrial biogenesis, mitophagy, fusion, and fission.
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            effects seem to be partially mediated by the sirtuin (SIRT)   Mitochondrial fusion and fission in mammalian cells are
            family of NAD -dependent histone deacetylases, which   closely supervised by a number of proteins, including
                         +
            are known to regulate crucial metabolic pathways. For   dynamin 1-like (DNM1L, recognized as Drp1), mitofusin
            instance, SIRT3 was shown to regulate global mitochondrial   1  (MFN1), mitofusin 2 (MFN2), and optic atrophy
            lysine acetylation levels in an NAD -dependent manner.    protein 1 (OPA1).  The process of mitochondrial
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                                        +
            Moreover, SIRT3 was shown to be abundant in HSCs,   fission was discovered to participate in mitochondrial
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            where it regulates stress responses.  In addition, the   apoptosis and was proposed to be essential for mitophagy,
            same study showed that SIRT3 is suppressed during   while mitochondrial fusion is linked to an increase in
            aging, and its increased levels in aged HSCs improved   mitochondrial metabolism.  The term “mitophagy,” the
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            their regenerative capacity, indicating that the plasticity of   selective mitochondrial autophagy, was first named by
            mitochondrial homeostasis controls stem cell and tissue   John Lemasters.  Mitophagy is a procedure during which
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            maintenance during the aging process, and hence aging-  depolarized, aged, or damaged mitochondria are selectively
            associated degeneration can be reversed by a member of   removed  via  double-membrane  autophagosome  for
            the sirtuin family.                                consequent lysosomal degradation.  The detection of this
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            Volume 7 Issue 2 (2024)                         8                                doi: 10.36922/itps.1726
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