Senescence in Pulmonary Fibrosis: Between Aging and Exposure

To date, chronic pulmonary pathologies represent the third leading cause of death in the elderly population. Evidence-based projections suggest that >65 (years old) individuals will account for approximately a quarter of the world population before the turn of the century. Genomic instability...

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Main Author: Alessandro Venosa
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2020.606462/full
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author Alessandro Venosa
author_facet Alessandro Venosa
author_sort Alessandro Venosa
collection DOAJ
description To date, chronic pulmonary pathologies represent the third leading cause of death in the elderly population. Evidence-based projections suggest that >65 (years old) individuals will account for approximately a quarter of the world population before the turn of the century. Genomic instability, telomere attrition, epigenetic alterations, loss of proteostasis, deregulated nutrient sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, and altered intercellular communication, are described as the nine “hallmarks” that govern cellular fitness. Any deviation from the normal pattern initiates a complex cascade of events culminating to a disease state. This blueprint, originally employed to describe aberrant changes in cancer cells, can be also used to describe aging and fibrosis. Pulmonary fibrosis (PF) is the result of a progressive decline in injury resolution processes stemming from endogenous (physiological decline or somatic mutations) or exogenous stress. Environmental, dietary or occupational exposure accelerates the pathogenesis of a senescent phenotype based on (1) window of exposure; (2) dose, duration, recurrence; and (3) cells type being targeted. As the lung ages, the threshold to generate an irreversibly senescent phenotype is lowered. However, we do not have sufficient knowledge to make accurate predictions. In this review, we provide an assessment of the literature that interrogates lung epithelial, mesenchymal, and immune senescence at the intersection of aging, environmental exposure and pulmonary fibrosis.
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spelling doaj.art-8178999620af420a8e22435e4b144fc22022-12-22T00:27:59ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-11-01710.3389/fmed.2020.606462606462Senescence in Pulmonary Fibrosis: Between Aging and ExposureAlessandro VenosaTo date, chronic pulmonary pathologies represent the third leading cause of death in the elderly population. Evidence-based projections suggest that >65 (years old) individuals will account for approximately a quarter of the world population before the turn of the century. Genomic instability, telomere attrition, epigenetic alterations, loss of proteostasis, deregulated nutrient sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, and altered intercellular communication, are described as the nine “hallmarks” that govern cellular fitness. Any deviation from the normal pattern initiates a complex cascade of events culminating to a disease state. This blueprint, originally employed to describe aberrant changes in cancer cells, can be also used to describe aging and fibrosis. Pulmonary fibrosis (PF) is the result of a progressive decline in injury resolution processes stemming from endogenous (physiological decline or somatic mutations) or exogenous stress. Environmental, dietary or occupational exposure accelerates the pathogenesis of a senescent phenotype based on (1) window of exposure; (2) dose, duration, recurrence; and (3) cells type being targeted. As the lung ages, the threshold to generate an irreversibly senescent phenotype is lowered. However, we do not have sufficient knowledge to make accurate predictions. In this review, we provide an assessment of the literature that interrogates lung epithelial, mesenchymal, and immune senescence at the intersection of aging, environmental exposure and pulmonary fibrosis.https://www.frontiersin.org/articles/10.3389/fmed.2020.606462/fullsenescencelung fibrosisepithelial cellsinflamm-agingimmune-senescenceaging
spellingShingle Alessandro Venosa
Senescence in Pulmonary Fibrosis: Between Aging and Exposure
Frontiers in Medicine
senescence
lung fibrosis
epithelial cells
inflamm-aging
immune-senescence
aging
title Senescence in Pulmonary Fibrosis: Between Aging and Exposure
title_full Senescence in Pulmonary Fibrosis: Between Aging and Exposure
title_fullStr Senescence in Pulmonary Fibrosis: Between Aging and Exposure
title_full_unstemmed Senescence in Pulmonary Fibrosis: Between Aging and Exposure
title_short Senescence in Pulmonary Fibrosis: Between Aging and Exposure
title_sort senescence in pulmonary fibrosis between aging and exposure
topic senescence
lung fibrosis
epithelial cells
inflamm-aging
immune-senescence
aging
url https://www.frontiersin.org/articles/10.3389/fmed.2020.606462/full
work_keys_str_mv AT alessandrovenosa senescenceinpulmonaryfibrosisbetweenagingandexposure