Table 1 Mitochondrial-targeted anti-senescence interventions and their biological outcomes

From: Mitochondrial dysfunction in cellular senescence: a bridge to neurodegenerative disease

Mitochondrial dysfunction

Anti-senescence intervention

Mitochondrial target

Model

Biological outcome

Reference

ETC

Temporal antimycin A treatment

Transient complex III inhibition

SIS human fetal lung fibroblasts (MRC-5)

• Reduced SA-β-gal activity

• Increased Ki-67-positive cells

• Reduced intracellular ROS

• Increased ΔΨm

• Decreased ATP levels

• Increased mitochondrial biogenesis

• Reduced mitophagy

75

ROS

Mitoquinone mesylate (MitoQ)

Mitochondrial antioxidant

Doxorubicin-induced senescent human umbilical vein endothelial cells (HUVECs)

• Increased proliferation

• Reduced p16

• Reduced mitochondrial superoxide

• Reduced IL-8, IL-6, and MCP-1

• Reduced 53BP1 DNA damage marker

87

Superoxide dismutase 3 overexpression

Antioxidant

Human fetal lung fibroblasts (MRC-5)

• Increased replicative lifespan under normoxia and hyperoxia

• Decreased intracellular peroxides

• Slowed telomere shortening under normoxia and hyperoxia

88

α-phenyl-t-butyl-nitrone

Antioxidant

Human fetal lung fibroblasts (MRC-5)

• Increased replicative lifespan

• Decreased intracellular peroxides under normoxia, hyperoxia, and in SIS

• Slowed telomere shortening

89

Carnosine

Antioxidant

Human foreskin fibroblasts (HFF-1); human fetal lung fibroblasts (MRC-5)

• Increased replicative lifespan

• Maintenance of non-senescent morphology

91

Aminoguanidine

Antioxidant

Progeroid mice-derived dermal fibroblasts

• Increased replicative lifespan

• Maintenance of non-senescent morphology

• Reduced lipid peroxides

92

Human fetal lung diploid fibroblasts (2BS)

• Increased replicative lifespan

• Slowed telomere shortening

• Maintenance of non-senescent morphology

• Reduced DNA damage after H2O2 exposure

93

ROS/Metabolism

Nicotinamide

Antioxidant, increased NAD+ levels, increased sirtuin activity

Human foreskin fibroblasts

• Increased replicative lifespan

• Reduced SA-β-gal activity

• Decreased p53 and p21 protein levels

• Decreased ROS

• Slowed telomere shortening

• Decreased ATP levels

• Increased ΔΨm

94

Metabolism

Cyanidin-3-O-glucoside or CD38 siRNA

Inhibition or knockdown of CD38 increasing the NAD+/NADH ratio leading to SIRT6 activation

D-galactose-induced senescent rat myocardial cells (H92C)

• Reduced SA-β-gal activity

• Increased proliferation

• Increased telomerase reverse transcriptase mRNA levels

• Decreased ROS

• Increased NAD+/NADH ratio

• Decreased CD38 mRNA and protein levels

• Increased SIRT6 mRNA and protein levels

372

Cyanidin-3-O-glucoside

Inhibition of CD38 increasing the NAD+/NADH ratio leading to SIRT6 activation

Myocardial tissue of 16-week-old D-galactose acute aging mouse model

• Increased NAD+/NADH ratio

• Decreased CD38 mRNA and protein levels

• Increased SIRT6 mRNA and protein levels

• Decreased collagen

• Improved fiber morphology

• Decreased SASP factors (IL-1α, IL-1β, IL-6, IL-10, IL-17A, TNF-α) in peripheral blood

• Improved oxygen consumption

372

Metformin

AMPK activation inducing autophagy

Hydrogen peroxide-induced senescent human lens epithelial cells (HLE-B3)

• Reduced p16 mRNA levels

• Reduced p21 mRNA and protein levels

• Reduced p53 protein levels

• Reduced SA-β-gal activity

• Reduced IL-6 and IL-8 mRNA levels

• Improved autophagic flux

• mTOR inhibition

167

Metformin or berberine

AMPK activation increasing NAD+/NADH ratio through NAMPT expression and activating SIRT1 and autophagy

Hydrogen peroxide-induced senescent mouse embryonic fibroblasts (NIH/3T3)

• Reduced SA-β-gal activity

• Increased NAMPT mRNA and protein levels

• Increased NAD+/NADH ratio

• Increased SIRT1 activity

• Improved autophagic flux

168

Licochalcone D

AMPK activation inducing autophagy

Oxidative stress-induced senescent human bone marrow-mesenchymal stem cells (hBM-MSCs)

• Reduced p16, p21, and p53 protein levels

• Reduced SA-β-gal activity

• Increased autophagic flux

169

AMPK activation

17-week-old D-galactose acute aging mouse model

• In heart and hippocampus: reduced p21 and p53 protein levels, increased phosphorylated AMPK

• In heart: increased autophagy markers

• In hippocampus: reduced receptor for advanced glycation end-products expression

169

Nifedipine

Calcium channel block leading to AMPK activation and increased autophagy

Hydrogen peroxide-induced senescent primary rat vascular smooth muscle cells (VSMCs)

• Reduced p53 and p21 protein levels

• Reduced SA-β-gal activity

• Decreased intracellular calcium

• mTOR inhibition

• Increased autophagic flux

170

Increased mitochondrial biogenesis/ROS

Rapamycin

mTORC1 inhibition-mediated reduction in PGC-1β-dependent mitochondrial biogenesis

Irradiation-induced senescent human fetal lung fibroblasts (MRC-5)

• Reduced SA-β-gal activity

• Decreased p21 mRNA and protein levels

• Reduced ROS, reduced γH2AX DNA damage marker

• Reduced IL-6 mRNA

98

15 to 16-month-old C57/BL6 mouse liver

• Reduced SA-β-gal levels

• Reduced p21 protein levels

• Reduced telomere-associated foci

• Reduced SASP (CXCL-1 and inhibin A mRNA levels)

98

Increased mitochondrial biogenesis

Resveratrol, salidroside

Increased mitochondrial biogenesis without concomitant ROS increase via SIRT1 upregulation

Replicative senescent human fetal lung fibroblasts (MRC-5)

• Reduced SA-β-gal activity

• Reduced intracellular ROS

• Increased ΔΨm

• Increased ATP levels

122

Mitochondrial elongation

FIS1 upregulation

Increased mitochondrial fission

RNAi-mediated FIS1-depleted cervical cancer cells (HeLa)

• Reduced SA-β-gal activity

123

Mitochondrial elongation and impaired mitophagy

siRNA-mediated p53 knockdown

Increased mitochondrial fission via decreased expression of OPA1 and increased expression and phosphorylation of DRP1

Calcified mouse vascular smooth muscle cells (VSMCs)

• Reduced p53 and p21 protein levels

• Reduced SA-β-gal activity

• Increased ΔΨm

• Reduced mitochondrial ROS

373

Impaired mitophagy

Rapamycin, nicotinamide (NAM), or nicotinamide riboside (NR)

PINK1/Parkin-dependent mitophagy activation

Irradiation-induced senescent primary neonatal human diploid fibroblasts (HDFs)

• Reduced p16 and p21 levels

• SA-β-gal activity

• Reduced cell size

• Did not rescue proliferation or suppress IL-6 and IL-8 mRNA levels

101

IGF-1

Mitophagy upregulation via the NRF2/SIRT3 pathway activation

Replicative senescent mouse vascular smooth muscle cells (VSMCs)

• Reduced p16 and p21 protein levels

• Reduced SA-β-gal activity

• Increased ΔΨm

• Maintained telomere length

• Reduced mtDNA damage

115

Generalized mitochondrial dysfunction

Methylene blue

Redox cycling

Human fetal lung fibroblasts (IMR90)

• Extended replicative lifespan

• Extended replicative lifespan under exposure to hydrogen peroxide or cadmium

• Increased oxygen consumption

• Increased complex IV expression

• Increased heme synthesis

• Increased NADH oxidation

194

Human fetal lung fibroblasts (IMR90)

• Increased PGC-1α expression

• Increased NAD+/NADH ratio

• Increased complex IV activity

• Decreased intracellular oxidants

• Extended replicative lifespan

• Slowed telomere erosion

195

Human primary skin fibroblasts

• Decreased mitochondrial ROS

• Decreased p16 levels

• Decreased SA-β-gal activity

• Increased expression of NRF2 pathway

• Increased proliferation

90

Cholestatic livers of Sprague-Dawley rats (bile duct ligation model)

• Mitigated splenomegaly and hepatomegaly

• Increased ΔΨm

• Decreased mitochondrial lipid peroxidation

• Increased mitochondrial dehydrogenase activity

• Increased ATP

196

C57/BL6 mice multiple sclerosis model (cuprizone-fed)

• Decreased demyelinated neurons in the corpus callosum

• Increased locomotor activity

• Increased ΔΨm

• Decreased mitochondrial lipid peroxidation

• Increased mitochondrial dehydrogenase activity

• Increased ATP levels

197

Klotho upregulation

Senescence-associated mitochondrial dysfunction

Unilateral ischemia-reperfusion (UIRI) mouse kidney

• Increased mitochondrial mass

• Decreased mitochondrial ROS

• Improved mitochondrial morphology

• Reduced p16 protein levels

• Reduced SA-β-gal activity

• Reduced p19 and γH2AX mRNA and protein levels

201

Prolong cultured human cortical brain organoids

• Reduced p16 mRNA levels

• Reduced p21 protein levels

• Reduced SA-β-gal activity

• Reduced IL-8, IL-1α, and IL-1β mRNA levels

202

Lifelong 40% caloric restriction

Age-related mitochondrial dysfunction

24-month-old B6D2F1 mice isolated mitochondria and permeabilized fibers

from gastrocnemius muscle

• Increased respiratory function

• Increased mitochondrial efficiency

• Decreased uncoupling

• No change in mitochondrial abundance or biogenesis

206

60% caloric restriction from 14 weeks of age

Age-related mitochondrial dysfunction

22-24-month-old C57BL/6 mice adipose-derived stem cells

• Reduced mitochondrial activity

• Reduced SA-β-gal activity

207

Mitochondrial transplantation from mesenchymal stem cells to senescent cells

Senescence-associated mitochondrial dysfunction

Replicative senescent human retinal pigment epithelial cells (ARPE-19)

• Decreased mitochondrial and intracellular ROS

• Increased mitochondrial fission markers

• Increase in Parkin and decrease in PINK1 protein levels

• Reduced p16 and p21 protein levels

• Reduced SA-β-gal activity

• Reduced cell size

• Reduced NF-κB phosphorylation

• Reduced IL-8 and TNF-α mRNA levels

208

CCCP-induced Parkin-mediated mitochondrial clearance

Elimination of mitochondria from the cell

Irradiation-induced senescent human fetal lung fibroblasts (MRC-5)

• Reduced p16 and p21 protein levels

• Reduced SA-β-gal activity

• Reduced cell size

• Reduced ROS

• Reduced senescence-associated heterochromatin foci

• Reduced SASP factor secretion (IL-6, IL-8, GRO and MCP-1)

• Decreased mTOR activity

• Initial small increase in proliferation followed by proliferative arrest

98

DAMP release

CRISPR-Cas9 deletion of BAX and BAK macropores

Blocking mtDNA release

Irradiation-induced senescent BAX−/−BAK−/− human fetal lung fibroblasts

• Reduced expression of SASP factors

• No impact on other senescence markers (p16, p21, SA-β-gal activity, γH2A.X foci, Lamin B1, HMGB1, or proliferation)

183

BAX channel inhibitor BAI1

Blocking miMOMP-mediated mtDNA release

Irradiation-induced senescent human fetal lung fibroblasts (MRC-5 and IMR-90)

• Reduced mtDNA release

• Reduced IL-6, IL-8, and IL-1β expression

183

23-month-old C57BL/6 mice

• Reduced frailty score

• Improved neuromuscular coordination

• Improved grip strength

• Improved spine and femur trabecular bone microarchitecture

• In bone, reduced SASP factor expression with no change in p16, p21, or p53

• In brain, reduced p16-positive cells

• Decrease in the senescence gene panel SenMayo374 in microglia and oligodendrocytes

183