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Immunotherapeutic targeting of aging-associated isoDGR motif in chronic lung inflammation

Lookup NU author(s): Professor Raj KalariaORCiD

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


Abstract

© 2025 The Author(s). Aging Cell published by Anatomical Society and John Wiley & Sons Ltd.Accumulation of damaged biomolecules in body tissues is the primary cause of aging and age-related chronic diseases. Since this damage often occurs spontaneously, it has traditionally been regarded as untreatable, with typical therapeutic strategies targeting genes or enzymes being ineffective in this domain. In this report, we demonstrate that an antibody targeting the isoDGR damage motif in lung tissue can guide immune clearance of harmful damaged proteins in vivo, effectively reducing age-linked lung inflammation. We observed age-dependent accumulation of the isoDGR motif in human lung tissues, as well as an 8-fold increase in isoDGR-damaged proteins in lung fibrotic tissues compared with healthy tissue. This increase was accompanied by marked infiltration of CD68+/CD11b + macrophages, consistent with a role for isoDGR in promoting chronic inflammation. We therefore assessed isoDGR function in mice that were either naturally aged or lacked the isoDGR repair enzyme. IsoDGR-protein accumulation in mouse lung tissue was strongly correlated with chronic inflammation, pulmonary edema, and hypoxemia. This accumulation also induced mitochondrial and ribosomal dysfunction, in addition to features of cellular senescence, thereby contributing to progressive lung damage over time. Importantly, treatment with anti-isoDGR antibody was able to reduce these molecular features of disease and significantly reduced lung pathology in vivo.


Publication metadata

Author(s): Kalailingam P, Ngan SC, Iyappan R, Nehchiri A, Mohd-Kahliab K-H, Lee BST, Sharma B, Machan R, Bo ST, Chambers ES, Fajardo VA, Macpherson REK, Liu J, Klentrou P, Tsiani EL, Lim KL, Su IH, Gao Y-G, Richar AM, Kalaria RN, Chen CP, Balion C, de Kleijn D, McCarthy NE, Sze SK

Publication type: Article

Publication status: Published

Journal: Aging Cell

Year: 2025

Volume: 24

Issue: 4

Print publication date: 01/04/2025

Online publication date: 05/01/2025

Acceptance date: 04/11/2024

Date deposited: 13/01/2025

ISSN (print): 1474-9718

ISSN (electronic): 1474-9726

Publisher: John Wiley and Sons Inc

URL: https://doi.org/10.1111/acel.14425

DOI: 10.1111/acel.14425

Data Access Statement: RNA-seq data presented in this study are deposited in GEO-NCBI (GSE224434). All other data are included in the main text or supplemental material


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Funding

Funder referenceFunder name
Canadian Institutes of Health Research Project Grant (PJT-186091)
Canadian Institutes of Health Research Tier1 Canada Research Chair(CRC-2020-00263)
Canada Foundation for Innovation Grant (41454 and 44115)
Ontario Research Fund
Singapore National Medical Research Council (NMRC/OFIRG/0003/2016)
The Natural Sciences and Engineering Research Council of Canada

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