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  2. Antagonizing the irreversible thrombomodulin-initiated proteolytic signaling alleviates age-related liver fibrosis via senescent cell killing

Antagonizing the irreversible thrombomodulin-initiated proteolytic signaling alleviates age-related liver fibrosis via senescent cell killing

  • Cell Res. 2023 May 11. doi: 10.1038/s41422-023-00820-4.
Christopher C Pan 1 Raquel Maeso-Díaz 2 Tylor R Lewis 3 Kun Xiang 1 Lianmei Tan 1 Yaosi Liang 1 Liuyang Wang 4 Fengrui Yang 5 Tao Yin 1 Calvin Wang 1 Kuo Du 2 De Huang 1 Seh Hoon Oh 2 Ergang Wang 1 Bryan Jian Wei Lim 6 Mengyang Chong 1 Peter B Alexander 1 Xuebiao Yao 5 Vadim Y Arshavsky 1 3 Qi-Jing Li 6 Anna Mae Diehl 2 Xiao-Fan Wang 7
Affiliations

Affiliations

  • 1 Department of Pharmacology and Cancer Biology, Duke University, Durham, NC, USA.
  • 2 Division of Gastroenterology, Department of Medicine, Duke University, Durham, NC, USA.
  • 3 Division of Ophthalmology, Department of Medicine, Duke University, Durham, NC, USA.
  • 4 Department of Molecular Genetics and Microbiology, Duke University, Durham, NC, USA.
  • 5 Department of Physiology, Morehouse School of Medicine, Atlanta, GA, USA.
  • 6 Department of Immunology, Duke University, Durham, NC, USA.
  • 7 Department of Pharmacology and Cancer Biology, Duke University, Durham, NC, USA. xiao.fan.wang@duke.edu.
Abstract

Cellular senescence is a stress-induced, stable cell cycle arrest phenotype which generates a pro-inflammatory microenvironment, leading to chronic inflammation and age-associated diseases. Determining the fundamental molecular pathways driving senescence instead of Apoptosis could enable the identification of senolytic agents to restore tissue homeostasis. Here, we identify thrombomodulin (THBD) signaling as a key molecular determinant of the senescent cell fate. Although normally restricted to endothelial cells, THBD is rapidly upregulated and maintained throughout all phases of the senescence program in aged mammalian tissues and in senescent cell models. Mechanistically, THBD activates a proteolytic feed-forward signaling pathway by stabilizing a multi-protein complex in early endosomes, thus forming a molecular basis for the irreversibility of the senescence program and ensuring senescent cell viability. Therapeutically, THBD signaling depletion or inhibition using vorapaxar, an FDA-approved drug, effectively ablates senescent cells and restores tissue homeostasis in liver fibrosis models. Collectively, these results uncover proteolytic THBD signaling as a conserved pro-survival pathway essential for senescent cell viability, thus providing a pharmacologically exploitable senolytic target for senescence-associated diseases.

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