Skip to main content
Erschienen in: Japanese Journal of Ophthalmology 2/2024

05.02.2024 | Laboratory Investigation

The existence of senescent cells in conjunctival epithelium from elderly individuals

verfasst von: Yasufumi Tomioka, Koji Kitazawa, Kohsaku Numa, Jun-Wei B. Hughes, Norihiko Yokoi, Chie Sotozono

Erschienen in: Japanese Journal of Ophthalmology | Ausgabe 2/2024

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The ocular surface microenvironment changes with aging. However, it remains unclear if cellular senescence influences the ocular surface. We investigated the presence of p16INK4a-expressing senescent cells in healthy human conjunctiva.

Study design

Clinical and experimental.

Methods

Healthy conjunctival tissue samples were obtained from middle-aged and elderly subjects. RT-qPCR was performed to assess the expression of senescence markers CDKN2A (p16INK4a) and CDKN1A (p21CIP1/WAF1) and immunostaining was performed to examine the expression of the senescence marker p16INK4a, stem cell markers Ki67 and p63, tight-junction marker ZO-1.

Results

Our study involved 19 conjunctival tissue samples (10 elderly and 9 middle-aged), mean age [elderly: 75.8 ± 3.7 years (72–81), middle-aged: 52.7 ± 7 years (38–59)], sex (elderly: 3 men, 7 women; middle-aged: 3 men, 6 women). The expression of p16INK4a was significantly increased at the RNA level in the elderly compared to middle-aged (p < 0.05). Positivity rate of p16INK4a was significantly elevated in the elderly (15.0 ± 7.8%) compared to middle-aged (0.2 ± 0.6%) (p < 0.05). Positivity rate of Ki67and p63 was significantly reduced in the elderly (1.7 ± 1.7% and 16.5 ± 9.5%) compared to middle-aged (3.9 ± 1.8% and 24.7 ± 5.7%) (p < 0.05). ZO-1 expression was reduced in tissue samples showing p16INK4a-positivity but retained in tissue samples in which p16INK4a was undetectable.

Conclusions

Senescent cells accumulate with age in the conjunctival epithelium, accompanied by a decrease in Ki67, p63 and ZO-1 expressing cells.
Literatur
1.
Zurück zum Zitat Kitazawa K, Inomata T, Shih K, Hughes JB, Bozza N, Tomioka Y, et al. Impact of aging on the pathophysiology of dry eye disease: a systematic review and meta-analysis. Ocul Surf. 2022;25:108–18.PubMedCrossRef Kitazawa K, Inomata T, Shih K, Hughes JB, Bozza N, Tomioka Y, et al. Impact of aging on the pathophysiology of dry eye disease: a systematic review and meta-analysis. Ocul Surf. 2022;25:108–18.PubMedCrossRef
2.
Zurück zum Zitat Giebel J, Woenckhaus C, Fabian M, Tost F. Age-related differential expression of apoptosis-related genes in conjunctival epithelial cells. Acta Ophthalmol Scand. 2005;83:471–6.PubMedCrossRef Giebel J, Woenckhaus C, Fabian M, Tost F. Age-related differential expression of apoptosis-related genes in conjunctival epithelial cells. Acta Ophthalmol Scand. 2005;83:471–6.PubMedCrossRef
3.
Zurück zum Zitat Steinmetz JD, Bourne RRA, Briant PS, Flaxman SR, Taylor HRB, Jonas JB, et al. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health. 2021;9:e144–60.CrossRef Steinmetz JD, Bourne RRA, Briant PS, Flaxman SR, Taylor HRB, Jonas JB, et al. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health. 2021;9:e144–60.CrossRef
4.
Zurück zum Zitat Maissa C, Guillon M. Tear film dynamics and lipid layer characteristics–effect of age and gender. Cont Lens Anterior Eye. 2010;33:176–82.PubMedCrossRef Maissa C, Guillon M. Tear film dynamics and lipid layer characteristics–effect of age and gender. Cont Lens Anterior Eye. 2010;33:176–82.PubMedCrossRef
6.
Zurück zum Zitat Nien CJ, Massei S, Lin G, Nabavi C, Tao J, Brown DJ, et al. Effects of age and dysfunction on human meibomian glands. Arch Ophthalmol. 2011;129:462–9.PubMedPubMedCentralCrossRef Nien CJ, Massei S, Lin G, Nabavi C, Tao J, Brown DJ, et al. Effects of age and dysfunction on human meibomian glands. Arch Ophthalmol. 2011;129:462–9.PubMedPubMedCentralCrossRef
7.
Zurück zum Zitat Parfitt GJ, Xie Y, Geyfman M, Brown DJ, Jester JV. Absence of ductal hyper-keratinization in mouse age-related meibomian gland dysfunction (ARMGD). Aging (Albany NY). 2013;5:825–34.PubMedPubMedCentralCrossRef Parfitt GJ, Xie Y, Geyfman M, Brown DJ, Jester JV. Absence of ductal hyper-keratinization in mouse age-related meibomian gland dysfunction (ARMGD). Aging (Albany NY). 2013;5:825–34.PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Parfitt GJ, Brown DJ, Jester JV. Transcriptome analysis of aging mouse Meibomian glands. Mol Vis. 2016;22:518–27.PubMedCentral Parfitt GJ, Brown DJ, Jester JV. Transcriptome analysis of aging mouse Meibomian glands. Mol Vis. 2016;22:518–27.PubMedCentral
9.
Zurück zum Zitat Yoon CH, Ryu JS, Hwang HS, Kim MK. Comparative analysis of age-related changes in lacrimal glands and Meibomian glands of a C57BL/6 male mouse model. Int J Mol Sci. 2020;21:4169.PubMedPubMedCentralCrossRef Yoon CH, Ryu JS, Hwang HS, Kim MK. Comparative analysis of age-related changes in lacrimal glands and Meibomian glands of a C57BL/6 male mouse model. Int J Mol Sci. 2020;21:4169.PubMedPubMedCentralCrossRef
11.
Zurück zum Zitat Hayflick L, Moorhead PS. The serial cultivation of human diploid cell strains. Exp Cell Res. 1961;25:585–621.PubMedCrossRef Hayflick L, Moorhead PS. The serial cultivation of human diploid cell strains. Exp Cell Res. 1961;25:585–621.PubMedCrossRef
12.
Zurück zum Zitat Yokoi N, Komuro A, Nishii M, Inagaki K, Tanioka H, Kawasaki S, et al. Clinical impact of conjunctivochalasis on the ocular surface. Cornea. 2005;24:S24–31.PubMedCrossRef Yokoi N, Komuro A, Nishii M, Inagaki K, Tanioka H, Kawasaki S, et al. Clinical impact of conjunctivochalasis on the ocular surface. Cornea. 2005;24:S24–31.PubMedCrossRef
13.
Zurück zum Zitat Neff KD. Conjunctivochalasis. In: Holland EJ, Mannis MJ, Lee WB, editors. Ocular surface disease: cornea, conjunctiva and tear film. Elsevier; 2013. p. 161–6.CrossRef Neff KD. Conjunctivochalasis. In: Holland EJ, Mannis MJ, Lee WB, editors. Ocular surface disease: cornea, conjunctiva and tear film. Elsevier; 2013. p. 161–6.CrossRef
14.
Zurück zum Zitat Betzler BK, Ding J, Wei X, Lee JM, Grewal DS, Fekrat S, et al. Choroidal vascularity index: a step towards software as a medical device. Br J Ophthalmol. 2022;106:149–55.PubMedCrossRef Betzler BK, Ding J, Wei X, Lee JM, Grewal DS, Fekrat S, et al. Choroidal vascularity index: a step towards software as a medical device. Br J Ophthalmol. 2022;106:149–55.PubMedCrossRef
15.
Zurück zum Zitat Fukui A, Tanaka H, Terao N, Nagata K, Matsumoto A, Kusada N, et al. Changes in choroidal thickness and structure in preeclampsia with serous retinal detachment. J Clin Med. 2023;12:609.PubMedPubMedCentralCrossRef Fukui A, Tanaka H, Terao N, Nagata K, Matsumoto A, Kusada N, et al. Changes in choroidal thickness and structure in preeclampsia with serous retinal detachment. J Clin Med. 2023;12:609.PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Campisi J, d’Adda di Fagagna F. Cellular senescence: when bad things happen to good cells. Nat Rev Mol Cell Biol. 2007;8:729–40.PubMedCrossRef Campisi J, d’Adda di Fagagna F. Cellular senescence: when bad things happen to good cells. Nat Rev Mol Cell Biol. 2007;8:729–40.PubMedCrossRef
17.
Zurück zum Zitat Zindy F, Quelle DE, Roussel MF, Sherr CJ. Expression of the p16INK4a tumor suppressor versus other INK4 family members during mouse development and aging. Oncogene. 1997;15:203–11.PubMedCrossRef Zindy F, Quelle DE, Roussel MF, Sherr CJ. Expression of the p16INK4a tumor suppressor versus other INK4 family members during mouse development and aging. Oncogene. 1997;15:203–11.PubMedCrossRef
18.
Zurück zum Zitat Krishnamurthy J, Torrice C, Ramsey MR, Kovalev GI, Al-Regaiey K, Su L, et al. Ink4a/Arf expression is a biomarker of aging. J Clin Investig. 2004;114:1299–307.PubMedPubMedCentralCrossRef Krishnamurthy J, Torrice C, Ramsey MR, Kovalev GI, Al-Regaiey K, Su L, et al. Ink4a/Arf expression is a biomarker of aging. J Clin Investig. 2004;114:1299–307.PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Malek G, Campisi J, Kitazawa K, Webster C, Lakkaraju A, Skowronska-Krawczyk D. Does senescence play a role in age-related macular degeneration? Exp Eye Res. 2022;225: 109254.PubMedPubMedCentralCrossRef Malek G, Campisi J, Kitazawa K, Webster C, Lakkaraju A, Skowronska-Krawczyk D. Does senescence play a role in age-related macular degeneration? Exp Eye Res. 2022;225: 109254.PubMedPubMedCentralCrossRef
20.
Zurück zum Zitat Li ZY, Chen ZL, Zhang T, Wei C, Shi WY. TGF-β and NF-κB signaling pathway crosstalk potentiates corneal epithelial senescence through an RNA stress response. Aging (Albany NY). 2016;8:2337–54.PubMedPubMedCentralCrossRef Li ZY, Chen ZL, Zhang T, Wei C, Shi WY. TGF-β and NF-κB signaling pathway crosstalk potentiates corneal epithelial senescence through an RNA stress response. Aging (Albany NY). 2016;8:2337–54.PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Skowronska-Krawczyk D, Zhao L, Zhu J, Weinreb RN, Cao G, Luo J, et al. P16INK4a upregulation mediated by SIX6 defines retinal ganglion cell pathogenesis in glaucoma. Mol Cell. 2015;59:931–40.PubMedPubMedCentralCrossRef Skowronska-Krawczyk D, Zhao L, Zhu J, Weinreb RN, Cao G, Luo J, et al. P16INK4a upregulation mediated by SIX6 defines retinal ganglion cell pathogenesis in glaucoma. Mol Cell. 2015;59:931–40.PubMedPubMedCentralCrossRef
23.
Zurück zum Zitat Liu C, Cao L, Yang S, Xu L, Liu P, Wang F, et al. Subretinal injection of amyloid-beta peptide accelerates RPE cell senescence and retinal degeneration. Int J Mol Med. 2015;35:169–76.PubMedCrossRef Liu C, Cao L, Yang S, Xu L, Liu P, Wang F, et al. Subretinal injection of amyloid-beta peptide accelerates RPE cell senescence and retinal degeneration. Int J Mol Med. 2015;35:169–76.PubMedCrossRef
24.
Zurück zum Zitat Feng L, Cao L, Zhang Y, Wang F. Detecting Abeta deposition and RPE cell senescence in the retinas of SAMP8 mice. Discov Med. 2016;21:149–58.PubMed Feng L, Cao L, Zhang Y, Wang F. Detecting Abeta deposition and RPE cell senescence in the retinas of SAMP8 mice. Discov Med. 2016;21:149–58.PubMed
25.
Zurück zum Zitat Kojima K, Ueta M, Hamuro J, Hozono Y, Kawasaki S, Yokoi N, et al. Human conjunctival epithelial cells express functional Toll-like receptor 5. Br J Ophthalmol. 2008;92:411–6.PubMedCrossRef Kojima K, Ueta M, Hamuro J, Hozono Y, Kawasaki S, Yokoi N, et al. Human conjunctival epithelial cells express functional Toll-like receptor 5. Br J Ophthalmol. 2008;92:411–6.PubMedCrossRef
26.
Zurück zum Zitat Ueta M, Sotozono C, Kinoshita S. Expression of interleukin-4 receptor alpha in human corneal epithelial cells. Jpn J Ophthalmol. 2011;55:405–10.PubMedCrossRef Ueta M, Sotozono C, Kinoshita S. Expression of interleukin-4 receptor alpha in human corneal epithelial cells. Jpn J Ophthalmol. 2011;55:405–10.PubMedCrossRef
27.
Zurück zum Zitat Ueta M, Sotozono C, Nishigaki H, Ohsako S, Yokoi N, Mizushima K, et al. Gene expression analysis of conjunctival epithelium of patients with Stevens-Johnson syndrome in the chronic stage. BMJ Open Ophthalmol. 2019;4: e000254.PubMedPubMedCentralCrossRef Ueta M, Sotozono C, Nishigaki H, Ohsako S, Yokoi N, Mizushima K, et al. Gene expression analysis of conjunctival epithelium of patients with Stevens-Johnson syndrome in the chronic stage. BMJ Open Ophthalmol. 2019;4: e000254.PubMedPubMedCentralCrossRef
28.
Zurück zum Zitat Ng M, Hazrati LN. Evidence of sex differences in cellular senescence. Neurobiol Aging. 2022;120:88–104.PubMedCrossRef Ng M, Hazrati LN. Evidence of sex differences in cellular senescence. Neurobiol Aging. 2022;120:88–104.PubMedCrossRef
30.
Zurück zum Zitat Paulsen AJ, Cruickshanks KJ, Fischer ME, Huang GH, Klein BE, Klein R, et al. Dry eye in the beaver dam offspring study: prevalence, risk factors, and health-related quality of life. Am J Ophthalmol. 2014;157:799–806.PubMedPubMedCentralCrossRef Paulsen AJ, Cruickshanks KJ, Fischer ME, Huang GH, Klein BE, Klein R, et al. Dry eye in the beaver dam offspring study: prevalence, risk factors, and health-related quality of life. Am J Ophthalmol. 2014;157:799–806.PubMedPubMedCentralCrossRef
31.
Zurück zum Zitat Farrand KF, Fridman M, Stillman IO, Schaumberg DA. Prevalence of diagnosed dry eye disease in the United States among adults aged 18 years and older. Am J Ophthalmol. 2017;182:90–8.PubMedCrossRef Farrand KF, Fridman M, Stillman IO, Schaumberg DA. Prevalence of diagnosed dry eye disease in the United States among adults aged 18 years and older. Am J Ophthalmol. 2017;182:90–8.PubMedCrossRef
32.
Zurück zum Zitat Dana R, Bradley JL, Guerin A, Pivneva I, Stillman IO, Evans AM, et al. Estimated prevalence and incidence of dry eye disease based on coding analysis of a large, all-age United States health care system. Am J Ophthalmol. 2019;202:47–54.PubMedCrossRef Dana R, Bradley JL, Guerin A, Pivneva I, Stillman IO, Evans AM, et al. Estimated prevalence and incidence of dry eye disease based on coding analysis of a large, all-age United States health care system. Am J Ophthalmol. 2019;202:47–54.PubMedCrossRef
33.
Zurück zum Zitat Furman D, Campisi J, Verdin E, Carrera-Bastos P, Targ S, Franceschi C, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25:1822–32.PubMedPubMedCentralCrossRef Furman D, Campisi J, Verdin E, Carrera-Bastos P, Targ S, Franceschi C, et al. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25:1822–32.PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Coppe JP, Patil CK, Rodier F, Sun Y, Munoz DP, Goldstein J, et al. Senescence-associated secretory phenotypes reveal cell-nonautonomous functions of oncogenic RAS and the p53 tumor suppressor. PLoS Biol. 2008;6:2853–68.PubMedCrossRef Coppe JP, Patil CK, Rodier F, Sun Y, Munoz DP, Goldstein J, et al. Senescence-associated secretory phenotypes reveal cell-nonautonomous functions of oncogenic RAS and the p53 tumor suppressor. PLoS Biol. 2008;6:2853–68.PubMedCrossRef
35.
Zurück zum Zitat Franceschi C, Campisi J. Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci. 2014;69(Suppl 1):S4-9.PubMedCrossRef Franceschi C, Campisi J. Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases. J Gerontol A Biol Sci Med Sci. 2014;69(Suppl 1):S4-9.PubMedCrossRef
36.
Zurück zum Zitat Wan W, Zhu W, Wu Y, Long Y, Liu H, Wan W, et al. Grape seed proanthocyanidin extract moderated retinal pigment epithelium cellular senescence through NAMPT/SIRT1/NLRP3 pathway. J Inflamm Res. 2021;14:3129–43.PubMedPubMedCentralCrossRef Wan W, Zhu W, Wu Y, Long Y, Liu H, Wan W, et al. Grape seed proanthocyanidin extract moderated retinal pigment epithelium cellular senescence through NAMPT/SIRT1/NLRP3 pathway. J Inflamm Res. 2021;14:3129–43.PubMedPubMedCentralCrossRef
37.
Zurück zum Zitat Bian F, Xiao Y, Barbosa FL, de Souza RG, Hernandez H, Yu Z, et al. Age-associated antigen-presenting cell alterations promote dry-eye inducing Th1 cells. Mucosal Immunol. 2019;12:897–908.PubMedPubMedCentralCrossRef Bian F, Xiao Y, Barbosa FL, de Souza RG, Hernandez H, Yu Z, et al. Age-associated antigen-presenting cell alterations promote dry-eye inducing Th1 cells. Mucosal Immunol. 2019;12:897–908.PubMedPubMedCentralCrossRef
38.
Zurück zum Zitat Zhou J, Hou C, Chen H, Qin Z, Miao Z, Zhao J, et al. P16 (I NK 4a) deletion ameliorates damage of intestinal epithelial barrier and microbial dysbiosis in a stress-induced premature senescence model of Bmi-1 deficiency. Front Cell Dev Biol. 2021;9: 671564.PubMedPubMedCentralCrossRef Zhou J, Hou C, Chen H, Qin Z, Miao Z, Zhao J, et al. P16 (I NK 4a) deletion ameliorates damage of intestinal epithelial barrier and microbial dysbiosis in a stress-induced premature senescence model of Bmi-1 deficiency. Front Cell Dev Biol. 2021;9: 671564.PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Chang SW, Hu FR. Changes in corneal autofluorescence and corneal epithelial barrier function with aging. Cornea. 1993;12:493–9.PubMedCrossRef Chang SW, Hu FR. Changes in corneal autofluorescence and corneal epithelial barrier function with aging. Cornea. 1993;12:493–9.PubMedCrossRef
40.
Zurück zum Zitat Basisty N, Kale A, Jeon OH, Kuehnemann C, Payne T, Rao C, et al. A proteomic atlas of senescence-associated secretomes for aging biomarker development. PLoS Biol. 2020;18: e3000599.PubMedPubMedCentralCrossRef Basisty N, Kale A, Jeon OH, Kuehnemann C, Payne T, Rao C, et al. A proteomic atlas of senescence-associated secretomes for aging biomarker development. PLoS Biol. 2020;18: e3000599.PubMedPubMedCentralCrossRef
41.
Zurück zum Zitat Zhang Y, Yang M, Zhao SX, Nie L, Shen LJ, Han W. Hyperosmolarity disrupts tight junction via TNF-alpha/MMP pathway in primary human corneal epithelial cells. Int J Ophthalmol. 2022;15:683–9.PubMedPubMedCentralCrossRef Zhang Y, Yang M, Zhao SX, Nie L, Shen LJ, Han W. Hyperosmolarity disrupts tight junction via TNF-alpha/MMP pathway in primary human corneal epithelial cells. Int J Ophthalmol. 2022;15:683–9.PubMedPubMedCentralCrossRef
42.
Zurück zum Zitat Xiao Y, de Paiva CS, Yu Z, de Souza RG, Li DQ, Pflugfelder SC. Goblet cell-produced retinoic acid suppresses CD86 expression and IL-12 production in bone marrow-derived cells. Int Immunol. 2018;30:457–70.PubMedPubMedCentralCrossRef Xiao Y, de Paiva CS, Yu Z, de Souza RG, Li DQ, Pflugfelder SC. Goblet cell-produced retinoic acid suppresses CD86 expression and IL-12 production in bone marrow-derived cells. Int Immunol. 2018;30:457–70.PubMedPubMedCentralCrossRef
43.
Metadaten
Titel
The existence of senescent cells in conjunctival epithelium from elderly individuals
verfasst von
Yasufumi Tomioka
Koji Kitazawa
Kohsaku Numa
Jun-Wei B. Hughes
Norihiko Yokoi
Chie Sotozono
Publikationsdatum
05.02.2024
Verlag
Springer Japan
Erschienen in
Japanese Journal of Ophthalmology / Ausgabe 2/2024
Print ISSN: 0021-5155
Elektronische ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-023-01047-x

Weitere Artikel der Ausgabe 2/2024

Japanese Journal of Ophthalmology 2/2024 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Metastase in der periokulären Region

Metastasen Leitthema

Orbitale und periokuläre metastatische Tumoren galten früher als sehr selten. Aber mit der ständigen Aktualisierung von Medikamenten und Nachweismethoden für die Krebsbehandlung werden neue Chemotherapien und Strahlenbehandlungen eingesetzt. Die …

Staging und Systemtherapie bei okulären und periokulären Metastasen

Metastasen Leitthema

Metastasen bösartiger Erkrankungen sind die häufigsten Tumoren, die im Auge diagnostiziert werden. Sie treten bei ungefähr 5–10 % der Patienten mit soliden Tumoren im Verlauf der Erkrankung auf. Besonders häufig sind diese beim Mammakarzinom und …

CME: Wundheilung nach Trabekulektomie

Trabekulektomie CME-Artikel

Wird ein Glaukom chirurgisch behandelt, ist die anschließende Wundheilung von entscheidender Bedeutung. In diesem CME-Kurs lernen Sie, welche Pathomechanismen der Vernarbung zugrunde liegen, wie perioperativ therapiert und Operationsversagen frühzeitig erkannt werden kann.

„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Metastasen Leitthema

Peri- sowie intraokuläre Metastasen sind insgesamt gesehen selten und meist Zeichen einer fortgeschrittenen primären Tumorerkrankung. Die Therapie ist daher zumeist palliativ und selten kurativ. Zudem ist die Therapiefindung sehr individuell. Die …

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.