First Direct Evidence of Accelerated Molecular Aging in Intracranial Aneurysmal Tissue.

Khan, Dilaware; Li, Xuanchen; Hewera, Michael; Muhammad, Sajjad · Aging Cell · 2025

basic_science · Level V

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Abstract

The risk for cardiovascular diseases increases with age. Various markers for vascular aging have been suggested. However, these markers are not a direct measure of aging in vessels. Telomere length quantification can directly measure vascular aging-the current study aimed to investigate aging in aneurysm tissue by quantifying telomere length. Non-diseased control vessels and ruptured and unruptured intracranial aneurysm vessels were resected during surgery. Telomere length quantification revealed a shorter telomere length in intracranial aneurysm tissue than in the non-diseased control vessel. The difference in telomere length between non-diseased control vessels and intracranial aneurysm tissue remained significant after normalizing for age. Moreover, the intracranial aneurysm tissue showed a lower expression of the aging marker Lamin B1 and a higher expression of the senescence marker P21. Additionally, intracranial aneurysm tissue presented higher activation of mTOR and NF-κB pathways, which are known to contribute to inflammation and aging. Oxidative stress-induced DNA damage appeared higher in intracranial aneurysm tissue than in non-diseased control vessels. Our human data clearly showed increased molecular aging, elevated oxidative stress, and the activation of aging and inflammation-associated pathways NF-κB and mTOR in intracranial aneurysm tissue compared to non-diseased control vessels.

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