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Targeting age-related LINE-1 activation alleviates cardiac aging

Abstract

Cardiac aging is a major driver of cardiovascular diseases and associated mortality, yet its therapeutic options are limited. While long interspersed nuclear element-1 (LINE-1) retrotransposons are known to drive cellular senescence, their role in cardiac aging is poorly defined. Here we showed that LINE-1 expression increased in the heart with age. To investigate their role in cardiac aging, we generated cardiomyocyte-specific Mov10-knockout mice, which failed to suppress LINE-1. These mice developed LINE-1 derepression, cardiac dysfunction and premature cardiac aging by 3 months of age, accompanied by cGAS–STING activation. Pharmacological inhibition of LINE-1 reverse transcription (with 3TC) or STING (with H-151) suppressed cGAS–STING activation and attenuated senescence in Mov10-knockout H9C2 cells. Notably, both inhibitors improved cardiac function and reduced cardiac inflammation and senescence phenotypes in naturally aged mice. Together, our findings establish LINE-1 as a driver of cardiac aging via cGAS–STING activation, highlighting LINE-1 and its downstream effectors as therapeutic targets for age-related cardiac dysfunction.

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Fig. 1: LINE-1 expression significantly increases in aged hearts and cardiomyocyte-specific Mov10 knockout leads to LINE-1 derepression and cardiac dysfunction at 3 months of age.
Fig. 2: Cardiomyocyte-specific Mov10 knockout accelerates cardiac aging via LINE-1 activation.
Fig. 3: Cardiomyocyte-specific Mov10 knockout results in cGAS–STING activation and cardiac inflammation.
Fig. 4: Pharmacological inhibitors of LINE-1 reverse transcription or STING signaling suppress cGAS–STING activation and attenuate senescence in Mov10-knockout H9C2 cells.
Fig. 5: Pharmacological inhibitors of LINE-1 reverse transcription or STING signaling improve cardiac function in aged mouse hearts.
Fig. 6: Pharmacological inhibitors of LINE-1 reverse transcription or STING signaling reduce inflammation and senescence phenotypes in aged mouse hearts.

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Data availability

All the RNA-sequencing data have been deposited to the National Center for Biotechnology Information Sequence Read Archive under accession number PRJNA1338093. Source data are provided with this paper.

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Acknowledgements

We acknowledge Y. Hou for providing the Mov10loxP/loxP mouse strain. We thank Q. Xu from the Core Facilities Centre, Capital Medical University for technical support on echocardiography, and Z. Gao and J. Zang from the Institute of Zoology, Chinese Academy of Sciences for their administrative assistance. This work was supported by the National Natural Science Foundation of China (92368112), the Initiative Scientific Research Program of the Institute of Zoology, Chinese Academy of Sciences (2024IOZ0103 and 2023IOZ0202), the National Key Research and Development Program of China (2024YFA1802600), the CAS Project for Young Scientists in Basic Research (YSBR-076), the State Key Laboratory of Membrane Biology and the State Key Laboratory of Organ Regeneration and Reconstruction.

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Authors and Affiliations

Authors

Contributions

C.Y. and H.D. performed and analyzed all experiments, except for those indicated below. S.L., Y.Z., J.S., X.Y., M.L., C.H., J.Z. and Y.X. performed histological studies. P.X. conducted RNA-sequencing analysis. Y.W. performed echocardiogram analysis. H.Y. and Y.L. conducted qPCR analysis. J.B. and Z.G. assisted with experiments. Y.H. contributed to developing mouse lines. J.Z. isolated primary cardiomyocytes. M.S. planned the study and designed the experiments. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Moshi Song  (宋默识).

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The authors declare no competing interests.

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Nature Aging thanks Zhiyong Mao, and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

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Extended data

Extended Data Fig. 1 Assessment on transcript levels of transposable elements (TEs) during cardiac aging.

a, qPCR analysis showing LINE-1 ORF1 and ORF2 transcript levels in the hearts from 10-week, 30-week, 50-week, and 70-week wild-type mice. n = 5 mice per group. b, qPCR analysis showing SINE-B1 and SINE-B2 transcript levels in the hearts from each group. n = 5 mice per group. c, qPCR analysis showing MuLV, MMERVK10C, and MERVL transcript levels in the hearts from each group. n = 5 mice per group. Data are presented as mean ± SEM with individual data points indicated. Groups were compared using one-way ANOVA and post hoc Dunnett′s test. ns, not significant, *p < 0.05, **p < 0.01, ***p < 0.001.

Source data

Extended Data Fig. 2 Cardiomyocyte-specific Mov10 knockout results in differential expression of transposable elements (TEs), diastolic dysfunction and cardiac senescence.

a, qPCR analysis showing SINE-B1 and SINE-B2 transcript levels in the hearts of littermate control (Ctrl) and Mov10-cKO (KO) mice at 3 months of age. n = 6 mice per group. b, qPCR analysis showing MuLV, MMERVK10C, and MERVL transcript levels in the hearts of Ctrl and KO mice at 3 months of age. n = 6 mice per group. c, Representative pulsed-wave Doppler (PWD, upper) and tissue Doppler imaging (TDI, lower) from Ctrl and KO mice at 3 months of age. Quantitative data on the ratio of early-diastolic transmitral flow velocity to early-diastolic mitral annular velocity (E/e′) are shown to the right. n = 7 mice per group. d, Masson’s trichrome staining of Ctrl and KO hearts at 3 months of age. Scale bar, 100 μm. Quantifications of cardiac fibrosis are shown to the right. n = 6 mice per group. e-f, qPCR analysis showing Cdkn1a and Cdkn2a (e), and Lmnb1 (f) mRNA levels in the hearts of Ctrl and KO mice at 3 months of age. n = 6 mice per group. Data are presented as mean ± SEM with individual data points indicated. Groups were compared using unpaired two-tailed Student′s t-test. ns, not significant, *p < 0.05, **p < 0.01, ***p < 0.001.

Source data

Extended Data Fig. 3 Knockdown of LINE-1 alleviates senescence in Mov10-knockout H9C2 cells.

a, Immunoblotting analysis of LINE-1 ORF1p and ORF2p protein levels in wild-type (WT) and three independent lines of Mov10-knockout (KO-1, KO-2, and KO-3) H9C2 cells. GAPDH was used as a loading control. b, Quantification of LINE-1 ORF1p and ORF2p protein levels revealed by immunoblotting in WT and KO H9C2 cells transduced with Lenti-shCtrl or Lenti-shLINE-1. GAPDH was used as a loading control. n = 4 biological replicates per group. c, Immunoblotting analysis of p21 and p16 protein levels in WT and KO H9C2 cells transduced with Lenti-shCtrl or Lenti-shLINE-1. GAPDH was used as a loading control. n = 4 biological replicates per group. Data are presented as mean ± SEM with individual data points indicated. Groups were compared using two-way ANOVA post hoc Tukey test. **p < 0.01, ***p < 0.001 compared to WT H9C2 cells transduced with Lenti-shCtrl; ns, not significant, #p < 0.05, ##p < 0.01, ###p < 0.001 compared to corresponding WT or KO lines transduced with Lenti-shCtrl.

Source data

Extended Data Fig. 4 Pharmacological inhibitors of LINE-1 reverse transcription or STING signaling attenuate senescence in Mov10-knockout H9C2 cells.

a-b, qPCR analysis showing Cdkn1a, Cdkn2a, and Lmnb1 mRNA levels in wild-type (WT) and three independent lines of Mov10-knockout (KO-1, KO-2, and KO-3) H9C2 cells treated with 3TC (a) or H-151 (b). n = 6 biological replicates per group. Groups were compared using two-way ANOVA post hoc Tukey test. ***p < 0.001 compared to WT H9C2 cells treated with PBS or DMSO as appropriate; ns, not significant, ###p < 0.001 compared to corresponding WT or KO lines treated with PBS or DMSO as appropriate.

Source data

Extended Data Fig. 5 MOV10 expression increases in mouse hearts with age.

a, Mov10 expression based on mouse cardiac aging RNA sequencing data from the GEO dataset GSE20074127. b, qPCR analysis of Mov10 mRNA expression in aged mouse heart tissue. n = 6 mice per group. c-d, Representative immunoblot (c) and quantitative analysis (d) of MOV10 protein levels in aged mouse hearts. GAPDH was used as a loading control. n = 4 mice per group. e, Scatter plots depicting the correlation of MOV10 with ORF1p and ORF2p with a fitted linear regression line (blue) and 95% confidence interval (gray shade). Statistical significance was determined by Pearson’s correlation, with the coefficient (R) and p value denoted for each pair. For panel a-b and d, Data are presented as mean ± SEM with individual data points indicated. Groups were compared using unpaired two-tailed Student′s t-test (a) or one-way ANOVA and post hoc Dunnett′s test (b, d). ns, not significant, ***p < 0.001.

Source data

Extended Data Fig. 6 Pharmacological inhibitors of LINE-1 reverse transcription or STING signaling exhibit no histological toxicity in major non-cardiac organs of aged mice.

a, Hematoxylin-eosin staining of liver, spleen, lung, kidney, and intestine from mice of 10 weeks old (10 wk), 48 weeks old (48 wk), 72 weeks old (72 wk), 72 weeks old and received 3TC treatment beginning at 48 weeks of age (72 wk + 3TC), and 72 weeks old and received H-151 treatment beginning at 48 weeks of age (72 wk + H-151). Scale bars, 200 μm. Histological injury was quantified as hepatic vacuolization area (%), splenic injury score, mean alveolar diameter, glomerular sclerosis index, and intestinal villus goblet-cell density. n = 6 mice per group. b, Measurement of serum levels of ALT (alanine aminotransferase), AST (aspartate aminotransferase), creatinine, and BUN (blood urea nitrogen). n = 5 mice per group. Data are presented as mean ± SEM with individual data points indicated. Groups were compared using one-way ANOVA and post hoc Dunnett′s test except for the splenic injury score that was analyzed with the Kruskal-Wallis test. ns, not significant, *p < 0.05, **p < 0.01, ***p < 0.001.

Source data

Extended Data Fig. 7 Pharmacological inhibitors of LINE-1 reverse transcription or STING signaling attenuate cardiac aging phenotypes in aged mice.

a, Representative pulsed-wave Doppler (PWD, upper) and tissue Doppler imaging (TDI, lower) of mice of 10 weeks old (10 wk), 48 weeks old (48 wk), 72 weeks old (72 wk), 72 weeks old and received 3TC treatment beginning at 48 weeks of age (72 wk + 3TC), and 72 weeks old and received H-151 treatment beginning at 48 weeks of age (72 wk + H-151). Quantitative data on the ratio of early-diastolic transmitral flow velocity to early-diastolic mitral annular velocity (E/e′) are shown to the right. n = 5 mice for the first four groups and 3 for 72 wk + H-151 group. b, Relative LINE-1 DNA abundance in the hearts from each group. n = 6 mice per group. c, qPCR analysis showing LINE-1 ORF1 and ORF2 transcript levels in the hearts from each group. n = 5 mice per group. d, Heatmap showing transcript levels of SINE-B1, SINE-B2, MuLV, MMERVK10C, and MERVL in the hearts from each group. n = 5 mice per group. e, Immunohistochemical analysis of IL-1β (upper), TNF (middle), and F4/80 (lower) in the hearts from each group. Scale bar, 25 µm. Quantitative data on relative IL-1β and TNF signal intensities and the proportion of F4/80-positive cells are shown to the right. n = 6 mice per group. f, Immunohistochemical analysis of p21 (upper) and p16 (lower) in mouse hearts from each group. Brown color in the nuclei indicates the cells positive for p21 and p16. Scale bar, 25 µm. Quantitative data on the proportion of positive cells are shown to the right. n = 6 mice per group. Data are presented as mean ± SEM with individual data points indicated (a-c and e-f) or heatmap (d). Groups were compared using one-way ANOVA and post hoc Dunnett′s test. ns, not significant, *p < 0.05, **p < 0.01, ***p < 0.001 compared to 72 wk group.

Source data

Extended Data Fig. 8 Pharmacological inhibitor of LINE-1 reverse transcription improves cardiac function in Mov10-cKO mice.

a, Schematic for the experiment using pharmacological inhibition of LINE-1 reverse transcription (with 3TC) in alleviating premature cardiac aging and cardiac dysfunction in Mov10-cKO (KO) mice. KO and littermate control (Ctrl) mice received 3TC (administered in drinking water) or water alone from 7 weeks of age for 6 weeks before subsequent analyses. b, Representative images showing the M-mode (upper), pulsed-wave Doppler (PWD) (middle), and tissue Doppler imaging (TDI, lower) echocardiography of Ctrl mice that received water (Ctrl + Water), Ctrl mice that received 3TC (Ctrl + 3TC), Mov10-cKO mice that received water (KO + Water), Mov10-cKO mice that received 3TC (KO + 3TC). Quantitative data of left ventricular fractional shortening (LVFS), ejection fraction (LVEF), the ratio of E-wave to A-wave (E/A), the ratio of early-diastolic transmitral flow velocity to early-diastolic mitral annular velocity (E/e′) are shown to the right. n = 8 mice per group. c, Picrosirius red staining of mouse hearts from each group. Scale bar, 50 μm. Quantifications of cardiac fibrosis are shown to the right. n = 6 mice per group. d, Masson’s trichrome staining of mouse hearts from each group. Scale bar, 50 μm. Quantifications of cardiac fibrosis are shown to the right. n = 6 mice per group. Data are presented as mean ± SEM with individual data points indicated. Groups were compared using two-way ANOVA post hoc Tukey test. ns, not significant, **p < 0.01, ***p < 0.001 compared to Ctrl + Water group; #p < 0.05, ###p < 0.001 compared to KO + Water group.

Source data

Extended Data Fig. 9 Pharmacological inhibitor of LINE-1 reverse transcription attenuates premature cardiac aging in Mov10-cKO mice.

a, Immunoblotting analysis of LINE-1 ORF1p and ORF2p protein levels in cardiomyocytes of Ctrl mice that received water (Ctrl + Water), Ctrl mice that received 3TC (Ctrl + 3TC), KO mice that received water (KO + Water), KO mice that received 3TC (KO + 3TC). GAPDH was used as a loading control. n = 4 mice per group. b, Immunoblotting analysis of p21 and p16 protein levels in the hearts from Ctrl mice that received water (Ctrl + Water), Ctrl mice that received 3TC (Ctrl + 3TC), KO mice that received water (KO + Water), KO mice that received 3TC (KO + 3TC). GAPDH was used as a loading control. n = 4 mice per group. c-d, Immunohistochemical analysis of p21 (c) and p16 (d) in mouse hearts from each group. Brown color in the nuclei indicates the cells positive for p21 and p16. Scale bar, 25 µm. n = 6 mice per group. e, SA-β-gal staining in mouse hearts from each group. Cyan color indicates cellular senescence. Scale bar, 50 μm. n = 6 mice per group. Data are presented as mean ± SEM with individual data points indicated. Groups were compared using two-way ANOVA post hoc Tukey test. ns, not significant, ***p < 0.001 compared to Ctrl + Water group; #p < 0.05, ###p < 0.001 compared to KO + Water group.

Source data

Extended Data Fig. 10 Pharmacological inhibitor of LINE-1 reverse transcription mitigates cardiac inflammation in Mov10-cKO mice.

ac, Immunohistochemical analysis of IL-1β (a), IL-6 (b), and TNF (c) in mouse hearts from each group. Scale bar, 25 µm. Quantitative data on relative signal intensities are shown to the right. n = 6 mice per group. Data are presented as mean ± SEM with individual data points indicated. Groups were compared using two-way ANOVA post hoc Tukey test. ns, not significant, ***p < 0.001 compared to Ctrl + Water group; #p < 0.05 compared to KO + Water group.

Source data

Supplementary information

Reporting Summary

Supplementary Table 1

Echocardiographic measurements.

Supplementary Table 2

Primers used for qPCR analysis.

Source data

Source Data Fig. 1

Statistical source data.

Source Data Fig. 1

Unprocessed western blots.

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Yang, C., Du, H., Liu, S. et al. Targeting age-related LINE-1 activation alleviates cardiac aging. Nat Aging (2026). https://doi.org/10.1038/s43587-025-01056-0

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