RT Journal Article SR Electronic T1 ERR agonism reverses mitochondrial dysfunction and inflammation in the aging kidney JF bioRxiv FD Cold Spring Harbor Laboratory SP 755801 DO 10.1101/755801 A1 Xiaoxin X. Wang A1 Shogo Takahashi A1 Andrew E. Libby A1 Komuraiah Myakala A1 Bryce A. Jones A1 Kanchan Bhasin A1 Yue Qi A1 Kristopher Krausz A1 Patricia Zerfas A1 Julia Panov A1 Thomas J. Velenosi A1 Daxesh P. Patel A1 Parnaz Daneshpajouhnejad A1 Brandon Ginley A1 Pinaki Sarder A1 Avi Titievsky A1 Vadim Sharov A1 Boris Ostretsov A1 Jeffrey B Kopp A1 Avi Z Rosenberg A1 Frank J Gonzalez A1 Udayan Guha A1 Leonid Brodsky A1 Thomas Burris A1 Moshe Levi YR 2019 UL http://biorxiv.org/content/early/2019/09/05/755801.abstract AB A gradual decline in renal function occurs even in healthy aging individuals. In addition to aging per se, concurrent metabolic syndrome and hypertension, which are common in the aging population, can induce mitochondrial dysfunction, endoplasmic reticulum stress, oxidative stress, inflammation, altered lipid metabolism, and profibrotic growth factors in the kidney, which collectively contribute to age-related kidney disease. With increasing population of older individuals and the increasing incidence of acute kidney injury and chronic kidney disease, identifying preventable or treatable aspects of age-related nephropathy becomes of critical importance. In this regard we studied the role of the nuclear hormone receptors, the estrogen related receptors (ERRs), whose expression levels are decreased in aging human and mouse kidneys. Our studies have identified the estrogen related receptors ERRα, ERRβ, and ERRγ as important modulators of age-related mitochondrial dysfunction, cellular senescence, and inflammation. Significantly these pathways are also regulated by lifelong caloric restriction (CR), which is known to prevent several age-related complications including kidney disease. ERRα, ERRβ, and ERRγ expression levels are decreased in the aging kidney, and CR and pharmacological treatment with a pan ERR agonist results in increases in expression of ERRα, ERRβ, and ERRγ in the kidney. Remarkably, only a 4-week treatment of 21-month-old mice with the pan ERR agonist reversed the age-related mitochondrial dysfunction, the cellular senescence marker p21, and inflammatory cytokines, including the STAT3 and STING signaling pathways.