The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki

The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki

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132 The Mitochondrial Free Radical Theory of Aging mitochondria is the major source of oxidative stress. It used to be considered satisfactory to invoke the “vicious cycle” as an answer to this—we start off with a little bit of oxidative stress, which has a slight impact on mitochondrial function, which increases oxidative stress, etcetera—but, as discussed in Section 6.6, that logic is very hard to reconcile with the fact that mitochondria in all cells (even non-dividing cells) are constantly recycled. This recycling involves the division of the mitochondrion, which entails the incorporation into it of newly-synthesised, pristine proteins and lipids. That dilutes out the oxidative damage that had accumulated, so there should be an asymptotic, stable level of damage, i.e. no vicious cycle. The only component of mitochondria to which this logic does not apply is its DNA, since the new DNA is synthesised by copying the old DNA so will be as damaged (mutant) as the old copy. So, in summary, if mtDNA damage is not the driving force in aging then nor are mitochondria in general—they can only amplify that force.* Answer 3, which is the most robust, is that there is no bias because the mtDNA sequence does not significantly affect its somatic mutability. MiFRA is ultimately based on the observation that somatic cells accumulate spontaneously mutant mtDNA. Thus, it says that the rate of aging is determined by the rate at which spontaneous mutations occur. That rate is dependent on, at least: a. the fidelity of mtDNA replication; b. the efficacy of repair of mtDNA damage before it becomes stable; c. the rate at which mutagens (such as free radicals) are generated near the mtDNA; and d. the rate at which those mutagens are destroyed by antioxidants. Of these four, only (c) is affected by the mtDNA sequence itself (since free radicals mainly come from accidental loss of electrons from the partly mt-coded respiratory chain). All enzymes responsible for mtDNA replication, mitochondrial biosynthesis in general, repair of mtDNA damage, destruction of free radicals, etc., are nuclear-coded. There is also evidence (from transition/transversion ratio and from the high mutability of the tRNA genes: see Section 2.4.5) that the bulk of spontaneous mtDNA mutation is from replication error rather than from oxidative damage, so (c) may be secondary anyway. One other way in which the mtDNA sequence can potentially affect its mutability, which has nothing to do with what it encodes, is mentioned in Section 12.1 as a possible test of SOS, because it may be relatively easy to detect. 10.13. Why Don’t Plasma Antioxidants Totally Prevent LDL Oxidation? The problem is as follows: It has long been known that all the cell types present in the arterial wall—endothelial cells, smooth muscle cells, macrophages—can induce LDL oxidation in vitro, but the same studies also found that addition of antioxidants to the culture medium completely prevented LDL oxidation. 57,58 The concentrations of antioxidants which were required for this were well below what exists in plasma. Far from being a challenge to MiFRA, however, this can be considered as a point in its favour. We cannot doubt that LDL does get oxidized in vivo: this is the conclusion of dozens of studies over the past decade that have explored the etiology of atherosclerosis and LDL’s involvement therein. This is therefore a serious paradox, and one that has resisted elucidation for many years. But MiFRA provides a very straightforward explanation. It predicts that the interstitium contains a small—but steadily rising with age—number of anaerobic cells, and that these cells are fairly bristling with lonely electrons all the time. Now, if that same quantity *A weakness in this logic is that not all the damaged mitochondrial protein and lipid is recycled: a tiny fraction of it accumulates as lipofuscin. Lipofuscin is generally thought to be harmless, but may not be. 56b,56c

Frequently-Asked Questions of electrons were being released into the plasma in an even distribution, we should indeed expect that the antioxidants present in vivo should suffice to absorb them before they can form superoxide or other LECs. But because their release is so focal, it is inevitable that the local concentrations of antioxidants will be saturated. This will result in the annexation of electrons by lower-affinity receptors—particularly by oxygen, which the PMOR does not very readily reduce 59,60 but which is present in much greater concentrations than any antioxidant. The amount of superoxide generated, therefore, will be far greater in the situation described by MiFRA than if the same number of electrons were being released in total but at a uniform rate by all arterial cells. 10.14. Why Doesn’t Low Plasma LDL Retard Aging? The numerous studies of atherogenesis, which have led to a detailed understanding of its mechanisms, were discussed in Section 5.1. A central feature is that macrophages, once attached to the artery wall, express a receptor for LDL particles which is non-specific, whereas the receptor expressed by other cells has an affinity dependent on the particle’s degree of oxidation, such that highly oxidized particles are not imported. Atherosclerosis begins when macrophages become engulfed by proliferating smooth muscle cells. This causative role for LDL oxidation in atherogenesis is now widely accepted, 61 but there is reason to doubt its direct relevance to aging. Atherosclerosis is undoubtedly a major age-related disease, involved in the etiology of both heart attack and stroke. However, its rates of onset and progression are highly dependent on diet, and moreover are far more variable between individuals than are the rates of many other biomarkers of aging. One may therefore wonder whether MiFRA can be held to underlie those other phenotypes of aging. The explanation concerns the degree of LDL oxidation. It was noted above that the standard LDL receptor does not bind oxidized LDL. However, there is a threshold level of oxidation below which LDL is still readily imported by all cells. In a young individual, almost all LDL in plasma is far below this level of oxidation. If the average oxidation of LDL were to double, then the amount that exceeded the threshold for import would rise by a larger factor. But it would still be a small minority of total circulating LDL; the remainder, which was still below the threshold, would nonetheless have an average oxidation level nearly twice the original. Only when average oxidation levels reached a far higher—indeed, unphysiological—value could the average oxidation of sub-threshold LDL slightly diminish, as depicted in Figure 10.3. This means that the blood LDL level does not affect the rate of import of oxidized LDL as it affects atherogenesis: the quantity of LDL imported by a given cell is set purely by its cholesterol requirements, so the average oxidation, not the quantity in transit at one time, determines the amount of oxidized material that is imported. Thus, a role for oxidized LDL in transmission of oxidative stress is consistent with the observation that a diet which promotes low blood LDL levels is a powerful defense against atherosclerosis but does little to retard aging. Rising LDL oxidation will, despite the efforts of arterial macrophages, translate into rising import of oxidized LDL material. 10.15. Isn’t This “Reductive Hotspot” Business All Rather Far-Fetched? Yes. But in my view, to paraphrase Churchill’s opinion of democracy, it is the worst theory of aging devised by the wit of man—except for all the others. This book is not the place to enter into a detailed comparison of the competing claims of the various proposed mechanisms of human aging, so I have restricted such discussion to a summary of my own views at the time I entered biogerontology (see Section 7.4) and this survey of a few items of recent data which I find especially persuasive that MiFRA (in the form presented in Chapters 8 and 9) is on the right track. 133

132<br />

<strong>The</strong> <strong>Mitochondrial</strong> <strong>Free</strong> <strong>Radical</strong> <strong>The</strong>ory <strong>of</strong> <strong>Aging</strong><br />

mitochondria is the major source <strong>of</strong> oxidative stress. It used to be considered satisfactory to<br />

invoke the “vicious cycle” as an answer to this—we start <strong>of</strong>f with a little bit <strong>of</strong> oxidative<br />

stress, which has a slight impact on mitochondrial function, which increases oxidative stress,<br />

etcetera—but, as discussed in Section 6.6, that logic is very hard to reconcile with the fact<br />

that mitochondria in all cells (even non-dividing cells) are constantly recycled. This recycling<br />

involves the division <strong>of</strong> the mitochondrion, which entails the incorporation into it <strong>of</strong><br />

newly-synthesised, pristine proteins and lipids. That dilutes out the oxidative damage that<br />

had accumulated, so there should be an asymptotic, stable level <strong>of</strong> damage, i.e. no vicious<br />

cycle. <strong>The</strong> only component <strong>of</strong> mitochondria to which this logic does not apply is its DNA,<br />

since the new DNA is synthesised by copying the old DNA so will be as damaged (mutant)<br />

as the old copy. So, in summary, if mtDNA damage is not the driving force in aging then nor<br />

are mitochondria in general—they can only amplify that force.*<br />

Answer 3, which is the most robust, is that there is no bias because the mtDNA sequence<br />

does not significantly affect its somatic mutability. MiFRA is ultimately based on the<br />

observation that somatic cells accumulate spontaneously mutant mtDNA. Thus, it says that<br />

the rate <strong>of</strong> aging is determined by the rate at which spontaneous mutations occur. That rate<br />

is dependent on, at least:<br />

a. the fidelity <strong>of</strong> mtDNA replication;<br />

b. the efficacy <strong>of</strong> repair <strong>of</strong> mtDNA damage before it becomes stable;<br />

c. the rate at which mutagens (such as free radicals) are generated near the mtDNA; and<br />

d. the rate at which those mutagens are destroyed by antioxidants.<br />

Of these four, only (c) is affected by the mtDNA sequence itself (since free radicals<br />

mainly come from accidental loss <strong>of</strong> electrons from the partly mt-coded respiratory chain).<br />

All enzymes responsible for mtDNA replication, mitochondrial biosynthesis in general, repair<br />

<strong>of</strong> mtDNA damage, destruction <strong>of</strong> free radicals, etc., are nuclear-coded. <strong>The</strong>re is also evidence<br />

(from transition/transversion ratio and from the high mutability <strong>of</strong> the tRNA genes: see<br />

Section 2.4.5) that the bulk <strong>of</strong> spontaneous mtDNA mutation is from replication error rather<br />

than from oxidative damage, so (c) may be secondary anyway.<br />

One other way in which the mtDNA sequence can potentially affect its mutability, which<br />

has nothing to do with what it encodes, is mentioned in Section 12.1 as a possible test <strong>of</strong><br />

SOS, because it may be relatively easy to detect.<br />

10.13. Why Don’t Plasma Antioxidants Totally Prevent LDL<br />

Oxidation?<br />

<strong>The</strong> problem is as follows: It has long been known that all the cell types present in the<br />

arterial wall—endothelial cells, smooth muscle cells, macrophages—can induce LDL<br />

oxidation in vitro, but the same studies also found that addition <strong>of</strong> antioxidants to the culture<br />

medium completely prevented LDL oxidation. 57,58 <strong>The</strong> concentrations <strong>of</strong> antioxidants<br />

which were required for this were well below what exists in plasma.<br />

Far from being a challenge to MiFRA, however, this can be considered as a point in its<br />

favour. We cannot doubt that LDL does get oxidized in vivo: this is the conclusion <strong>of</strong> dozens<br />

<strong>of</strong> studies over the past decade that have explored the etiology <strong>of</strong> atherosclerosis and LDL’s<br />

involvement therein. This is therefore a serious paradox, and one that has resisted elucidation<br />

for many years. But MiFRA provides a very straightforward explanation. It predicts that the<br />

interstitium contains a small—but steadily rising with age—number <strong>of</strong> anaerobic cells, and<br />

that these cells are fairly bristling with lonely electrons all the time. Now, if that same quantity<br />

*A weakness in this logic is that not all the damaged mitochondrial protein and lipid is recycled: a tiny<br />

fraction <strong>of</strong> it accumulates as lip<strong>of</strong>uscin. Lip<strong>of</strong>uscin is generally thought to be harmless, but may not be. 56b,56c

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