PMID- 37793000 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231027 IS - 1945-4589 (Electronic) IS - 1945-4589 (Linking) VI - 15 IP - 19 DP - 2023 Oct 3 TI - Senescence-associated inflammation and inhibition of adipogenesis in subcutaneous fat in Werner syndrome. PG - 9948-9964 LID - 10.18632/aging.205078 [doi] AB - Werner syndrome (WS) is a hereditary premature aging disorder characterized by visceral fat accumulation and subcutaneous lipoatrophy, resulting in severe insulin resistance. However, its underlying mechanism remains unclear. In this study, we show that senescence-associated inflammation and suppressed adipogenesis play a role in subcutaneous adipose tissue reduction and dysfunction in WS. Clinical data from four Japanese patients with WS revealed significant associations between the decrease of areas of subcutaneous fat and increased insulin resistance measured by the glucose clamp. Adipose-derived stem cells from the stromal vascular fraction derived from WS subcutaneous adipose tissues (WSVF) showed early replicative senescence and a significant increase in the expression of senescence-associated secretory phenotype (SASP) markers. Additionally, adipogenesis and insulin signaling were suppressed in WSVF, and the expression of adipogenesis suppressor genes and SASP-related genes was increased. Rapamycin, an inhibitor of the mammalian target of rapamycin (mTOR), alleviated premature cellular senescence, rescued the decrease in insulin signaling, and extended the lifespan of WS model of C. elegans. To the best of our knowledge, this study is the first to reveal the critical role of cellular senescence in subcutaneous lipoatrophy and severe insulin resistance in WS, highlighting the therapeutic potential of rapamycin for this disease. FAU - Sawada, Daisuke AU - Sawada D AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Department of Pediatrics, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Kato, Hisaya AU - Kato H AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Kaneko, Hiyori AU - Kaneko H AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Kinoshita, Daisuke AU - Kinoshita D AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Funayama, Shinichiro AU - Funayama S AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Minamizuka, Takuya AU - Minamizuka T AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Takasaki, Atsushi AU - Takasaki A AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Igarashi, Katsushi AU - Igarashi K AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Koshizaka, Masaya AU - Koshizaka M AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Takada-Watanabe, Aki AU - Takada-Watanabe A AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Nakamura, Rito AU - Nakamura R AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Aono, Kazuto AU - Aono K AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Yamaguchi, Ayano AU - Yamaguchi A AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Teramoto, Naoya AU - Teramoto N AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Maeda, Yukari AU - Maeda Y AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Ohno, Tomohiro AU - Ohno T AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Hayashi, Aiko AU - Hayashi A AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Ide, Kana AU - Ide K AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Ide, Shintaro AU - Ide S AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Shoji, Mayumi AU - Shoji M AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Kitamoto, Takumi AU - Kitamoto T AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Endo, Yusuke AU - Endo Y AD - Laboratory of Medical Omics Research, Kazusa DNA Research Institute, Kisarazu, Japan. AD - Department of Omics Medicine, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Ogata, Hideyuki AU - Ogata H AD - Department of Plastic, Reconstructive, And Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Kubota, Yoshitaka AU - Kubota Y AD - Department of Plastic, Reconstructive, And Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Mitsukawa, Nobuyuki AU - Mitsukawa N AD - Department of Plastic, Reconstructive, And Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Iwama, Atsushi AU - Iwama A AD - Division of Stem Cell and Molecular Medicine, Center for Stem Cell Biology and Regenerative Medicine, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan. FAU - Ouchi, Yasuo AU - Ouchi Y AD - Department of Regenerative Medicine, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Takayama, Naoya AU - Takayama N AD - Department of Regenerative Medicine, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Eto, Koji AU - Eto K AD - Department of Regenerative Medicine, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Department of Clinical Application, Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, Japan. FAU - Fujii, Katsunori AU - Fujii K AD - Department of Pediatrics, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Department of Pediatrics, International University of Welfare and Health School of Medicine, Narita, Japan. FAU - Takatani, Tomozumi AU - Takatani T AD - Department of Pediatrics, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Shiohama, Tadashi AU - Shiohama T AD - Department of Pediatrics, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Hamada, Hiromichi AU - Hamada H AD - Department of Pediatrics, Chiba University Graduate School of Medicine, Chiba, Japan. FAU - Maezawa, Yoshiro AU - Maezawa Y AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. FAU - Yokote, Koutaro AU - Yokote K AD - Department of Endocrinology, Hematology and Gerontology, Chiba University Graduate School of Medicine, Chiba, Japan. AD - Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231003 PL - United States TA - Aging (Albany NY) JT - Aging JID - 101508617 RN - W36ZG6FT64 (Sirolimus) RN - 0 (Insulins) SB - IM MH - Animals MH - Humans MH - *Werner Syndrome/genetics MH - Adipogenesis/genetics MH - *Insulin Resistance MH - Caenorhabditis elegans MH - Cellular Senescence/genetics MH - Subcutaneous Fat/metabolism MH - *Lipodystrophy MH - Inflammation MH - Sirolimus MH - *Insulins MH - Mammals PMC - PMC10599740 OTO - NOTNLM OT - SASP OT - Werner syndrome OT - lipodystrophy OT - premature aging OT - stromal vascular fraction COIS- CONFLICTS OF INTEREST: The authors declare no conflicts of interest. EDAT- 2023/10/04 18:42 MHDA- 2023/10/23 01:18 PMCR- 2023/10/15 CRDT- 2023/10/04 14:23 PHST- 2022/12/07 00:00 [received] PHST- 2023/09/06 00:00 [accepted] PHST- 2023/10/23 01:18 [medline] PHST- 2023/10/04 18:42 [pubmed] PHST- 2023/10/04 14:23 [entrez] PHST- 2023/10/15 00:00 [pmc-release] AID - 205078 [pii] AID - 10.18632/aging.205078 [doi] PST - ppublish SO - Aging (Albany NY). 2023 Oct 3;15(19):9948-9964. doi: 10.18632/aging.205078. Epub 2023 Oct 3.