老化細胞除去の新規治療法開発に成功~加齢性疾患への実用化に期待~

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2025-12-25 京都大学

京都大学医学研究科の近藤祥司准教授らは、老化に伴い体内に蓄積する「老化細胞」を選択的に除去する新しいセノリシス治療法を開発し、個体の老化症状改善を示した。老化細胞は死ににくく炎症性サイトカインを放出して慢性炎症を引き起こし、組織の回復力(レジリエンス)を低下させる。研究チームは、老化細胞で解糖系酵素PGAMとシグナル伝達キナーゼChk1の異常な結合が亢進し、解糖系代謝が高まって生存能が上がることを発見。PGAM–Chk1結合を阻害すると老化細胞に選択的なアポトーシスが誘導され、慢性炎症が減少して老化関連の機能低下が改善した。さらに難治性の加齢性疾患である肺線維症モデルでも症状改善を確認し、加齢性疾患治療への実用化が期待される。成果はSignal Transduction and Targeted Therapyに掲載された。

老化細胞除去の新規治療法開発に成功~加齢性疾患への実用化に期待~
老化細胞由来の慢性炎症により、レジリエンス低下が引き起こされる。レジリエンスの回復には、老化細胞除去(セノリシス)が有効である。

<関連情報>

異常な解糖系相互作用の排除は老化細胞を除去し、老化に関連する機能障害を軽減する Abrogation of aberrant glycolytic interactions eliminates senescent cells and alleviates aging-related dysfunctions

Takumi Mikawa,Masahiro Kameda,Sumiko Ikari,Eri Shibata,Shuyu Liu,Sawa Miyagawa,Koh Ono,Tomiko Ito,Akihiko Yoshizawa,Masataka Sugimoto,Shuichi Shibuya,Takahiko Shimizu,Julio Almunia,Noboru Ogiso,Gwladys Revêchon,Alberta Palazzo,David Bernard,Hiroaki Kanda,Tomoyoshi Soga,Keiyo Takubo,Shin Morioka,Junko Sasaki,Takehiko Sasaki,Akihiro Itamoto,… Hiroshi Kondoh
Signal Transduction and Targeted Therapy  Published:15 December 2025
DOI:https://doi.org/10.1038/s41392-025-02502-6

Abstract

Cellular senescence is deeply involved in physiological homeostasis, development, tissue repair, aging, and diseases. Senescent cells (SnCs) accumulate in aged tissues and exert deleterious effects by secreting proinflammatory molecules that contribute to chronic inflammation and aging-related diseases. We revealed that an aberrant interaction between glycolytic PGAM1 and Chk1 kinase is augmented in SnCs associated with increased glycolysis, whose byproduct, lactate, promotes this binding in a noncell autonomous manner. The pseudo-Warburg effect of SnCs with enhanced PPP (pentose phosphate pathway) activity is maintained by HIF-2α phosphorylation by Chk1 and subsequent upregulation of glycolytic enzymes, creating a vicious cycle reprogramming the glycolytic pathway in SnCs. HIF-2α also activates FoxM1 expression, which transcriptionally suppresses proapoptotic profiles, including BIM, and upregulates DNA repair machineries in SnCs. FoxM1 thus supports the genomic integrity and survival capacity of SnCs during their glycolytic changes. Chemical abrogation of PGAM1-Chk1 binding reverts these phenotypes and eliminates SnCs through senolysis. Inhibition of the PGAM1-Chk1 interaction improves physiological parameters during aging and inhibits lung fibrosis in mouse models. Our study highlights a novel pathway contributing to the metabolic reprogramming of SnCs and how the use of a new senolytic molecule that targets the PGAM-Chk1 interaction creates a specific vulnerability of those cells to potentially fight age-related diseases.

医療・健康
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