Abstract

Aortic stiffening is a major independent risk factor for cardiovascular diseases, cognitive dysfunction, and other chronic disorders of aging. Mitochondria-derived reactive oxygen species are a key source of arterial oxidative stress, which may contribute to arterial stiffening by promoting adverse structural changes—including collagen overabundance and elastin degradation—and enhancing inflammation, but the potential for mitochondria-targeted therapeutic strategies to ameliorate aortic stiffening with primary aging is unknown. We assessed aortic stiffness [pulse-wave velocity (aPWV)], ex vivo aortic intrinsic mechanical properties [elastic modulus (EM) of collagen and elastin regions], and aortic protein expression in young (~6 mo) and old (~27 mo) male C57BL/6 mice consuming normal drinking water (YC and OC) or water containing mitochondria-targeted antioxidant MitoQ (250 µM; YMQ and OMQ) for 4 wk. Both baseline and postintervention aPWV values were higher in OC vs. YC (post: 482 ± 21 vs. 420 ± 5 cm/s, P < 0.05). MitoQ had no effect in young mice but decreased aPWV in old mice (OMQ, 426 ± 20, P < 0.05 vs. OC). MitoQ did not affect age-associated increases in aortic collagen-region EM, collagen expression, or proinflammatory cytokine expression, but partially attenuated age-associated decreases in elastin region EM and elastin expression. Our results demonstrate that MitoQ reverses in vivo aortic stiffness in old mice and suggest that mitochondria-targeted antioxidants may represent a novel, promising therapeutic strategy for decreasing aortic stiffness with primary aging and, possibly, age-related clinical disorders in humans. The destiffening effects of MitoQ treatment may be at least partially mediated by attenuation/reversal of age-related aortic elastin degradation.NEW & NOTEWORTHY We show that 4 wk of treatment with the mitochondria-specific antioxidant MitoQ in mice completely reverses the age-associated elevation in aortic stiffness, assessed as aortic pulse-wave velocity. The destiffening effects of MitoQ treatment may be at least partially mediated by attenuation of age-related aortic elastin degradation. Our results suggest that mitochondria-targeted therapeutic strategies may hold promise for decreasing arterial stiffening with aging in humans, possibly decreasing the risk of many chronic age-related clinical disorders.

Highlights

  • Advancing age is a primary risk factor for the development of numerous chronic degenerative diseases, which are the leading causes of morbidity and mortality in the United States and other developed nations [20, 30, 41]

  • To investigate further how decreased levels of mitochondria-derived reactive oxygen species (mtROS) in aging arteries may contribute to the destiffening effects of MitoQ, in the present study, we investigated key mechanisms that have been implicated downstream of mitochondrial oxidative stress in the development of age-related arterial stiffening, namely, changes in arterial structural proteins and inflammation

  • The present study investigated the therapeutic efficacy of MitoQ in the setting of existing age-related aortic stiffness, it would be of clinical relevance to determine whether targeting/decreasing mtROS earlier in life before the onset of aortic stiffening could prevent or slow the progression of pathological aortic remodeling and consequent cardiovascular sequelae

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Summary

Introduction

Advancing age is a primary risk factor for the development of numerous chronic degenerative diseases, which are the leading causes of morbidity and mortality in the United States and other developed nations [20, 30, 41]. A key event underlying the etiology of many chronic age-related disorders is stiffening of the large elastic arteries, the aorta. Aortic pulse-wave velocity (aPWV), the gold-standard measure of arterial stiffness, is a strong independent risk factor for incident cardiovascular events among older adults [34, 50], and it predicts the development of chronic kidney disease, stroke, cognitive impairment, and Alzheimer disease [2, 7, 18, 21, 43, 53]. A top biomedical research priority is to identify strategies that prevent or reverse aortic stiffening with advancing age, as this may help prevent, reduce, or delay the development of multiple common disorders of aging

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