RT Journal Article SR Electronic T1 Aged-senescent cells contribute to impaired heart regeneration JF bioRxiv FD Cold Spring Harbor Laboratory SP 397216 DO 10.1101/397216 A1 Fiona C. Lewis-McDougall A1 Prashant J. Ruchaya A1 Eva Domenjo-Vila A1 Tze Shin Teoh A1 Larissa Prata A1 Beverley J. Cottle A1 James E. Clark A1 Prakash P. Punjabi A1 Wael Awad A1 Daniele Torella A1 Tamara Tchkonia A1 James L. Kirkland A1 Georgina M. Ellison-Hughes YR 2018 UL http://biorxiv.org/content/early/2018/10/01/397216.abstract AB Aging leads to increased cellular senescence and is associated with decreased potency of tissue-specific stem/progenitor cells. Here we have done an extensive analysis of cardiac progenitor cells (CPCs) isolated from human subjects with cardiovascular disease (n=119), aged 32-86 years. In aged subjects (>74 years old) over half of CPCs are senescent (p16INK4A, SA-β-gal, DNA damage γH2AX, telomere length, Senescence-Associated Secretory Phenotype (SASP)), unable to replicate, differentiate, regenerate or restore cardiac function following transplantation into the infarcted heart. SASP factors secreted by senescent CPCs renders otherwise healthy CPCs to senescence. Elimination of senescent CPCs using senolytics abrogates the SASP and its debilitative effect in vitro. Global elimination of senescent cells in aged mice (INK-ATTAC or wildtype mice treated with D+Q senolytics) in vivo activates resident CPCs (0.23±0.06% vs. 0.01±0.01% vehicle; p<0.05) and increased the number of small, proliferating Ki67-, EdU-positive cardiomyocytes (0.25±0.07% vs. 0.03±0.03% vehicle; p<0.05). Therapeutic approaches that eliminate senescent cells may alleviate cardiac deterioration with aging and rejuvenate the regenerative capacity of the heart.