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Brain Cell Senescence: A New Therapeutic Target for the Acute Treatment of Ischemic Stroke
J Neuropathol Exp Neurol. 2022 Jun 28;nlac048. doi: 10.1093/jnen/nlac048.
Júlia Baixauli-Martín 1 2, Alicia Aliena-Valero 1, María Castelló-Ruiz 1 3, María C Burguete 1 2, Mikahela A López-Morales 1, Daniel Muñoz-Espín 4, Germán Torregrosa 1, Juan B Salom 1 2
Abstract:
...we postulated that stroke-induced cellular senescence might contribute to neural dysfunction. Adult male Wistar rats underwent 60-minute middle cerebral artery occlusion and were grouped according to 3 reperfusion times: 24 hours, 3, and 7 days. The major biomarkers of senescence: 1) accumulation of the lysosomal pigment, lipofuscin; 2) expression of the cell cycle arrest markers p21, p53, and p16INK4a; and 3) expression of the senescence-associated secretory phenotype cytokines interleukin-6 (IL-6), tumor necrosis factor α (TNF-α), and interleukin-1β (IL-1β) were investigated in brain samples. Lipofuscin accumulation was scarce at the initial stage of brain damage (24 hours), but progressively increased until it reached massive distribution at 7 days post-ischemia. Lipofuscin granules (aggresomes) were mainly confined to the infarcted areas, that is parietal cortex and adjacent caudate-putamen, which were equally affected. The expression of p21, p53, and p16INK4a, and that of IL-6, TNF-α, and IL-1β, was significantly higher in the ischemic hemisphere than in the non-ischemic hemisphere. These data indicate that brain cell senescence develops during acute ischemic infarction and suggest that the acute treatment of ischemic stroke might be enhanced using senolytic drugs.