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Hepatocellular senescence induces multi-organ senescence and dysfunction via TGFβ

Lookup NU author(s): Lucy Gee, Amy Collins, Lee Reed, Dr Lee Borthwick, Dr Christopher Morris, Dr Fiona LeBeauORCiD, Professor Fiona OakleyORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© The Author(s) 2024.Cellular senescence is not only associated with ageing but also impacts physiological and pathological processes, such as embryonic development and wound healing. Factors secreted by senescent cells affect their microenvironment and can induce spreading of senescence locally. Acute severe liver disease is associated with hepatocyte senescence and frequently progresses to multi-organ failure. Why the latter occurs is poorly understood. Here we demonstrate senescence development in extrahepatic organs and associated organ dysfunction in response to liver senescence using liver injury models and genetic models of hepatocyte-specific senescence. In patients with severe acute liver failure, we show that the extent of hepatocellular senescence predicts disease outcome, the need for liver transplantation and the occurrence of extrahepatic organ failure. We identify the TGFβ pathway as a critical mediator of systemic spread of senescence and demonstrate that TGFβ inhibition in vivo blocks senescence transmission to other organs, preventing liver senescence induced renal dysfunction. Our results highlight the systemic consequences of organ-specific senescence, which, independent of ageing, contributes to multi-organ dysfunction.


Publication metadata

Author(s): Kiourtis C, Terradas-Terradas M, Gee LM, May S, Georgakopoulou A, Collins AL, O'Sullivan ED, Baird DP, Hassan M, Shaw R, Tan EH, Muller M, Engelmann C, Andreola F, Hsieh Y-C, Reed LH, Borthwick LA, Nixon C, Clark W, Hanson PS, Sumpton D, Mackay G, Suzuki T, Najumudeen AK, Inman GJ, Campbell A, Barry ST, Quaglia A, Morris CM, LeBeau FEN, Sansom OJ, Kirschner K, Jalan R, Oakley F, Bird TG

Publication type: Article

Publication status: Published

Journal: Nature Cell Biology

Year: 2024

Pages: epub ahead of print

Online publication date: 13/11/2024

Acceptance date: 20/09/2024

Date deposited: 26/11/2024

ISSN (print): 1465-7392

ISSN (electronic): 1476-4679

Publisher: Nature Research

URL: https://doi.org/10.1038/s41556-024-01543-3

DOI: 10.1038/s41556-024-01543-3

Data Access Statement: Source metabolomics data can be found in Supplementary Table 6. The fastq files and processed data for the scRNA-seq analysis of mouse kidney cells and bulk tissue transcriptomics in liver and kidney can be found on the Gene Expression Omnibus repository (accession numbers GSE189726, GSE267196 and GSE262705). Source data are provided with this paper. All other data generated and/or analysed during the current study are available from the corresponding author on reason able request. No custom code or mathematical algorithms were used in this manuscript.


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Funding

Funder referenceFunder name
Alzheimer’s Society and Alzheimer’s Research UK
Cancer Research UK (A26813)
Cancer Research UK (CRUK)
Cancer Research UK (grant number A29802)
CRUK Scotland Institute
Cancer Research UK (grant number A17196 and A31287)
European Union’s Horizon H2020 programme grant agreement (945096)
MR/N013166/1
Medical Research Council (MRC)
MRC (MR/X004112/1)
MRC fellowship (MR/W00089X/1).
MRC grants (MR/K0019494/1 and MR/R023026/1)
MRC programme grant (MR/Y003365/1).
t MRC and Wellcome Trust (MR/R006237/1, MR/X008304/1 and 226202/Z/22/Z)
Wellcome Trust (grant number WT107492Z)
William Harker Foundation

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