Mechanisms of aging dependent inflammation via cytosolic DNA sensing and non- canonical NF-B pathways

The induction of type I interferon (IFN-I) cytokines plays an essential role in the innate immune response to virus infections by eliciting an antiviral gene program that facilitates the suppression of virus replication and spread. Cytosolic detection of viral nucleic acids by germ-line encoded pattern recognition receptors (PRRs) serves as an initial first step in activating the IFN-I response. Emerging studies, however, have linked previously unknown roles for DNA sensing PRRs in detecting aberrant DNA species of self-origin to trigger the onset of age-related diseases, neurological disorders, and autoinflammatory conditions in the absence of infection. Thus, there is a critical need to delineate the mechanisms by which nucleic acid sensing PRRs control IFN-I activation to develop the next generation of therapeutics to combat viral infections as well as DNA damage driven disease states. We have recently identified a novel crosstalk phenomenon between cytosolic nucleic acid sensing PRRs that activate IFN-I and the non-canonical NF-κB pathway. While the non-canonical NF-B pathway primarily governs lymphoid organogenesis and B-cell survival and maintenance in response to extracellular ligation of select members of the TNF receptor superfamily, our data unexpectedly revealed that intracellular ligation of nucleic acid sensing cytosolic PRRs also resulted in non-canonical NF-B activation by causing the turnover of TNF receptor associated factor 3 (TRAF3), a key component of a steady-state negative regulatory complex that persistently causes the destabilization of the non-canonical NF-B inducing kinase (NIK) which initiates signaling to the non-canonical NF-B transcription factor complex. Our preliminary data further established that TRAF3 and NIK operate as differential regulators of IFN-I activation downstream of RNA and DNA sensing cytosolic PRRs. However, the mechanisms by which TRAF3 and NIK are controlled to modulate non-canonical NF-B and IFN-I activation upon nucleic acid detection by cytosolic PRRs are poorly defined. Here we interrogated published data sets that examined TRAF3 and NIK protein interaction networks with a goal of identifying novel candidates with the potential to modulate how the non-canonical NF-B pathway undergoes activation during cytosolic nucleic acid signaling and how the non-canonical NF-B effector, NIK cross-talks with the IFN-I signaling platform. We identify synaptosome associated protein 29 (SNAP29) as a TRAF3 interacting partner and zinc finger CCCH-type containing 18 (ZC3H18) as a NIK associated protein and seek to characterize how these proteins modulate TRAF3 and NIK function in the context non-canonical NF-B and IFN-I pathway activation. Our studies will help define new regulatory elements that control not only antiviral host defense programs, but also immune development and age related autoinflammatory disease states triggered by DNA damage or chromosomal instability.

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Role of mitochondrial fission in the aging cerebral vasculature

Aging is a major risk factor for cerebrovascular, cardiovascular, or neurodegenerative diseases such as Alzheimer’s disease, one of the leading causes of death in Louisiana. While aging is a natural process affecting us at the body, organ, and cellular levels, the aging-associated cellular and structural alterations contribute to and/or initiate heterogeneous pathophysiological cascades. The chronological order of these events, and their contribution to the development of aging-associated diseases, and the therapeutic potential of mitochondria remain unclear. We will study and identify mechanisms along the mitochondrial fission-beta-oxidation-calcium axis at both micro- and macrovascular levels in old, male, and female wild type mice. We will explore strategies to promote mitochondrial resilience via rejuvenating mitochondria (treatment with SS-31 + Mdivi-1) and minimizing mitochondrial quality control imbalance (treatment with Mdivi-1) to facilitate restoration of vascular function in aging. Electron microscopy will be used to investigate the effects of Mdivi-1 treatment alone, and in combination with SS-31 on mitochondrial integrity. Mitochondrial respirometry will be used to determine fuel source preference, whereas mitochondrial calcium influx and mitochondria-mediated calcium spark activity of large cerebral arteries will be used to determine the role of mitochondrial fission in these processes. High throughput proteomics assay will be used to elucidate proteins that are coupled to mitochondrial fission with focus on respiratory complex proteins, fission/fusion proteins, glycolysis related as well as calcium signalingrelated protein abundance.

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Targeting TRAF3IP2 Reduces Inflammaging to Improve Anti-Glioblastoma Immunity

Glioblastoma Multiforme (GBM) is the deadliest brain cancer with poor prognosis. Increased age and age-related decline in immune function correlate with GBM incidence, pathogenesis and poor outcome. Aged-mediated increase in chronic inflammation (“inflammaging”), increased TH17/Treg ratio and decreased cytotoxic CD8 T cell response, which is the primary anti-tumor immune response, contributes to poor outcome in GBM. Tumor Necrosis Factor Receptor Associated Factor 3 Interacting Protein 2 (TRAF3IP2) is a pro-inflammatory adaptive molecule that activates NF-kB and MAPK signaling. TRAF3IP2 is a critical mediator of TH17 mediated inflammation which drives GBM pathogenesis. Our preliminary data demonstrate targeting TRAF3IP2 in GBM suppresses tumor proliferation and metastasis by reducing inflammatory signaling and malignant metabolic pathways. We found that targeting TRAF3IP2 induces senescence in GBM, without a senescence associated secretory phenotype (SASP). TRAF3IP2 mediated activation of GATA4 promotes SASP, which exacerbates inflammaging but also enriches glioma stem cells (GSCs). We demonstrate targeting TRAF3IP2 decreases expression of PD-L1, which is overexpressed by GBM and results in inhibition of anti-tumor CD8+ T cells, and that targeting TRAF3IP2 prevents GBM growth and intracranial metastasis and prolongs survival. Specific Aim 1 tests the hypothesis that targeting TRAF3IP2 alters glioblastoma immune landscape in aging to promote anti-tumor immunity. Specific Aim 2 tests the hypothesis that targeting TRAF3IP2 in GBM of aged mice is therapeutic.

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Principal Investigator

S. Michal Jazwinski

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External Advisory Committee of the COBRE in Aging and Regenerative Medicine

LaDora V. Thompson

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External Advisory Committee of the COBRE in Aging and Regenerative Medicine

Farida Sohrabji

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External Advisory Committee of the COBRE in Aging and Regenerative Medicine

Joanne Turner

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Faculty Researcher

Ibolya Rutkai

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Faculty Researcher

Kislay Parvatiyar

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Faculty Researcher

Reza Izadpanah

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External Advisory Committee of the COBRE in Aging and Regenerative Medicine

Willard M. Freeman

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The journals of gerontology. Series A, Biological sciences and medical sciences · 2020-11-13

Unique Transcriptome Changes in Peripheral B Cells Revealed by Comparing Age Groups From Naive or Vaccinated Mice, Including snoRNA and Cdkn2a.

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American journal of physiology. Lung cellular and molecular physiology · 2024-05-20

TGF-β(1) stimulates HDAC4 nucleus-to-cytoplasm translocation and NADPH oxidase 4-derived reactive oxygen species in normal human lung fibroblasts.

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The journals of gerontology. Series A, Biological sciences and medical sciences · 2017-10-12

Biological Aging and the Human Gut Microbiota.

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Scientific reports · 2024-05-20

Evaluation of Arteriolar Smooth Muscle Cell Function in an Ex Vivo Microvascular Network Model.

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Experimental gerontology · 2024-05-20

Adaptation to metabolic dysfunction during aging: Making the best of a bad situation.

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GeroScience · 2024-05-20

DNA methylation associated with healthy aging of elderly twins.

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Frontiers in genetics · 2024-05-20

Examination of the Dimensions of Biological Age.

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Tuberculosis (Edinburgh, Scotland) · 2024-05-20

Mucosal-activated invariant T cells do not exhibit significant lung recruitment and proliferation profiles in macaques in response to infection with Mycobacterium tuberculosis CDC1551.

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Respiratory research · 2024-05-20

Regulation of transforming growth factor-beta1 (TGF-β1)-induced pro-fibrotic activities by circadian clock gene BMAL1.

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PloS one · 2024-05-20

Cytoskeletal Expression and Remodeling in Pluripotent Stem Cells.

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Gerontology · 2024-05-20

Programmed Cell Death Genes Are Linked to Elevated Creatine Kinase Levels in Unhealthy Male Nonagenarians.

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Journal of cellular physiology · 2024-05-20

Laser Direct-Write Onto Live Tissues: A Novel Model for Studying Cancer Cell Migration.

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Adipocyte · 2024-05-20

Human cytomegalovirus infection of human adipose-derived stromal/stem cells restricts differentiation along the adipogenic lineage.

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Lymphatic research and biology · 2024-05-20

Estimation of the Pressure Drop Required for Lymph Flow through Initial Lymphatic Networks.

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The journals of gerontology. Series A, Biological sciences and medical sciences · 2017-05-01

Sirtuin 3 Deregulation Promotes Pulmonary Fibrosis.

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The Journal of biological chemistry · 2024-05-20

An Intronic Enhancer Element Regulates Angiotensin II Type 2 Receptor Expression during Satellite Cell Differentiation, and Its Activity Is Suppressed in Congestive Heart Failure.

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The Journal of biological chemistry · 2024-05-20

Angiotensin type 2 receptor signaling in satellite cells potentiates skeletal muscle regeneration.

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Skeletal muscle · 2024-05-20

Protein phosphatase 2C-alpha knockdown reduces angiotensin II-mediated skeletal muscle wasting via restoration of mitochondrial recycling and function.

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Oncotarget · 2015-02-28

Non-coding genomic regions possessing enhancer and silencer potential are associated with healthy aging and exceptional survival.

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Interface focus · 2015-04-06

Applications of computational models to better understand microvascular remodelling: a focus on biomechanical integration across scales.

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Brain and language · 2024-05-20

Speech preparation in adults with persistent developmental stuttering.

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Molecular therapy : the journal of the American Society of Gene Therapy · 2024-05-20

PAX4 Gene Transfer Induces α-to-β Cell Phenotypic Conversion and Confers Therapeutic Benefits for Diabetes Treatment.

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Tissue engineering. Part B, Reviews · 2024-05-20

Looking Ahead to Engineering Epimorphic Regeneration of a Human Digit or Limb.

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Microcirculation (New York, N.Y. : 1994) · 2016-02-23

Macrophages: An Inflammatory Link Between Angiogenesis and Lymphangiogenesis.

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Journal of diabetes and its complications · 2024-05-20

Vanilloid receptors--do they have a role in whole body metabolism? Evidence from TRPV1.

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Cells, tissues, organs · 2024-05-20

Differentiation patterns of embryonic stem cells in two- versus three-dimensional culture.

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Frontiers in physiology · 2024-05-20

Vascular islands during microvascular regression and regrowth in adult networks.

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Microcirculation (New York, N.Y. : 1994) · 2014-05-21

Targeting pericytes for angiogenic therapies.

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Frontiers in neuroscience · 2024-05-20

Regulation of neurons in the dorsal motor nucleus of the vagus by SIRT1.

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Microcirculation (New York, N.Y. : 1994) · 2014-08-21

VEGF-C induces lymphangiogenesis and angiogenesis in the rat mesentery culture model.

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Journal of molecular and cellular cardiology · 2024-05-20

Pressure overload induces IL-18 and IL-18R expression, but markedly suppresses IL-18BP expression in a rabbit model. IL-18 potentiates TNF-α-induced cardiomyocyte death.

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American journal of respiratory cell and molecular biology · 2021-01-06

Lung Expression of Human Angiotensin-Converting Enzyme 2 Sensitizes the Mouse to SARS-CoV-2 Infection.

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Medical & biological engineering & computing · 2024-05-20

The effect of microvascular pattern alterations on network resistance in spontaneously hypertensive rats.

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BMC physiology · 2024-05-20

Cell proliferation along vascular islands during microvascular network growth.

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Age (Dordrecht, Netherlands) · 2024-05-20

Association of healthy aging with parental longevity.

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American journal of physiology. Heart and circulatory physiology · 2024-05-20

An angiogenesis model for investigating multicellular interactions across intact microvascular networks.

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Biotechnology and bioengineering · 2024-05-20

Shear stress during early embryonic stem cell differentiation promotes hematopoietic and endothelial phenotypes.

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Lymphatic research and biology · 2012-12-10

Relationships between lymphangiogenesis and angiogenesis during inflammation in rat mesentery microvascular networks.

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Tissue engineering. Part A · 2024-05-20

Modulating the physical microenvironment to study regenerative processes in vitro using cells from mouse phalangeal elements.

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Healthy aging research · 2015-04-23

Quantitative measures of healthy aging and biological age.

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Methods in molecular biology (Clifton, N.J.) · 2016-11-18

An Ex Vivo Tissue Culture Model for Anti-angiogenic Drug Testing.

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Journal of leukocyte biology · 2024-05-20

Declining neutrophil production despite increasing G-CSF levels is associated with chronic inflammation in elderly rhesus macaques.

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Frontiers in oncology · 2024-05-20

Targeting TRAF3IP2 inhibits angiogenesis in glioblastoma.

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The EMBO journal · 2024-05-20

Damage-induced regeneration of the intestinal stem cell pool through enteroblast mitosis in the Drosophila midgut.

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WIREs mechanisms of disease · 2024-05-20

Tumor models in various Drosophila tissues.

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Frontiers in cell and developmental biology · 2024-05-20

Age-Dependent Changes in Bone Architecture, Patterning, and Biomechanics During Skeletal Regeneration.

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Viruses · 2024-05-20

Gut Microbiome Changes Associated with Epithelial Barrier Damage and Systemic Inflammation during Antiretroviral Therapy of Chronic SIV Infection.

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Annals of geriatric medicine and research · 2024-05-20

Frailty and Biological Age.

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Antiviral research · 2024-05-20

Inhibiting cytomegalovirus replication through targeting the host electron transport chain.

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Frontiers in molecular biosciences · 2024-05-20

A Novel Controlled PTEN-Knockout Mouse Model for Prostate Cancer Study.

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Aging · 2024-05-20

Th17-type immunity and inflammation of aging.

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Viruses · 2024-05-20

Metabolic Reprogramming of Glioblastoma Cells during HCMV Infection Induces Secretome-Mediated Paracrine Effects in the Microenvironment.

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Journal of clinical virology plus · 2024-05-20

SARS-CoV-2 seroprevalence rates of children seeking medical care in Louisiana during the state stay at home order.

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eLife · 2024-05-20

Spatial transcriptomics reveals metabolic changes underly age-dependent declines in digit regeneration.

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Frontiers in immunology · 2024-05-20

Impact of SIV infection on mycobacterial lipid-reactive T cell responses in Bacillus Calmette-Guérin (BCG) inoculated macaques.

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Brain, behavior, and immunity · 2024-05-20

Intermittent systemic exposure to lipopolysaccharide-induced inflammation disrupts hippocampal long-term potentiation and impairs cognition in aging male mice.

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Communications biology · 2024-05-20

The dynamics of γδ T cell responses in nonhuman primates during SARS-CoV-2 infection.

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Biochimica et biophysica acta. Reviews on cancer · 2024-05-20

Unfolded protein response and angiogenesis in malignancies.

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Cancers · 2024-05-20

A Novel Strategy to Model Age-Related Cancer for Elucidation of the Role of Th17 Inflammaging in Cancer Progression.

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Journal of biomechanics · 2024-05-20

Evaluating differences in Young's Modulus of regenerated and uninjured mouse digit bone through microCT density-based calculation and nanoindentation testing.

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Frontiers in immunology · 2024-05-20

Dysregulation of IL-17/IL-22 Effector Functions in Blood and Gut Mucosal Gamma Delta T Cells Correlates With Increase in Circulating Leaky Gut and Inflammatory Markers During cART-Treated Chronic SIV Infection in Macaques.

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Current clinical microbiology reports · 2024-05-20

Host Mitochondrial Requirements of Cytomegalovirus Replication.

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Molecular biology of the cell · 2024-05-20

SET levels contribute to cohesion fatigue.

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The journals of gerontology. Series A, Biological sciences and medical sciences · 2024-05-20

An elevation of resting metabolic rate with declining health in nonagenarians may be associated with decreased muscle mass and function in women and men, respectively.

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Tissue engineering. Part A · 2024-05-20

Fluid shear stress pre-conditioning promotes endothelial morphogenesis of embryonic stem cells within embryoid bodies.

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Psychophysiology · 2024-05-20

Cortical potentials in an auditory oddball task reflect individual differences in working memory capacity.

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Journal of neurophysiology · 2024-05-20

Reduced GABAergic inhibition of kidney-related PVN neurons in streptozotocin-treated type 1 diabetic mouse.

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PloS one · 2024-05-20

Detecting splicing variants in idiopathic pulmonary fibrosis from non-differentially expressed genes.

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Biochemical and biophysical research communications · 2024-05-20

Computational proteome-wide screening predicts neurotoxic drug-protein interactome for the investigational analgesic BIA 10-2474.

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The American journal of the medical sciences · 2016-10-01

Mechanisms of Cachexia in Chronic Disease States.

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Methods in molecular biology (Clifton, N.J.) · 2017-01-01

Applying Shear Stress to Pluripotent Stem Cells.

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Frontiers in neuroscience · 2024-05-20

Rapid cortical dynamics associated with auditory spatial attention gradients.

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Genes & development · 2015-06-01

Mechanism of regulation of 'chromosome kissing' induced by Fob1 and its physiological significance.

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Aging cell · 2024-05-20

Deregulation of selective autophagy during aging and pulmonary fibrosis: the role of TGFβ1.

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PloS one · 2024-05-20

An ex vivo model for anti-angiogenic drug testing on intact microvascular networks.

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Journal of vascular research · 2024-05-20

Pericyte dynamics during angiogenesis: new insights from new identities.

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Tissue engineering. Part A · 2014-12-20

Correlating the effects of bone morphogenic protein to secreted soluble factors from fibroblasts and mesenchymal stem cells in regulating regenerative processes in vitro.

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Respiratory research · 2024-05-20

Arsenic trioxide inhibits transforming growth factor-β1-induced fibroblast to myofibroblast differentiation in vitro and bleomycin induced lung fibrosis in vivo.

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Scientific reports · 2024-05-20

Lack of vimentin impairs endothelial differentiation of embryonic stem cells.

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Genetics · 2024-05-20

Identification of the Target of the Retrograde Response that Mediates Replicative Lifespan Extension in Saccharomyces cerevisiae.

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Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024-05-20

Cortical activity during cued picture naming predicts individual differences in stuttering frequency.

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The Journal of biological chemistry · 2024-05-20

Cardiac-restricted Overexpression of TRAF3 Interacting Protein 2 (TRAF3IP2) Results in Spontaneous Development of Myocardial Hypertrophy, Fibrosis, and Dysfunction.

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Physiological reports · 2016-07-04

Lysophosphatidic acid does not cause blood/lymphatic vessel plasticity in the rat mesentery culture model.

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eLife · 2024-05-20

Nerve growth factor receptor negates the tumor suppressor p53 as a feedback regulator.

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Biogerontology · 2024-05-20

Single nucleotide polymorphisms linked to mitochondrial uncoupling protein genes UCP2 and UCP3 affect mitochondrial metabolism and healthy aging in female nonagenarians.

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Integrative biology : quantitative biosciences from nano to macro · 2024-05-20

Printing cancer cells into intact microvascular networks: a model for investigating cancer cell dynamics during angiogenesis.

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Scientific reports · 2024-05-20

Ccdc3: A New P63 Target Involved in Regulation Of Liver Lipid Metabolism.

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Journal of biomechanical engineering · 2017-10-01

Biaxial Mechanical Assessment of the Murine Vaginal Wall Using Extension-Inflation Testing.

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Frontiers in genetics · 2024-05-20

Metabolic and Genetic Markers of Biological Age.

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GeroScience · 2024-05-20

The frailty index outperforms DNA methylation age and its derivatives as an indicator of biological age.

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Journal of visualized experiments : JoVE · 2024-05-20

An Ex Vivo Method for Time-Lapse Imaging of Cultured Rat Mesenteric Microvascular Networks.

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The Prostate · 2024-05-20

Targeting Th17-IL-17 Pathway in Prevention of Micro-Invasive Prostate Cancer in a Mouse Model.

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Developmental biology · 2024-05-20

Monitoring p53 by MDM2 and MDMX is required for endocrine pancreas development and function in a spatio-temporal manner.

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American journal of physiology. Heart and circulatory physiology · 2024-05-20

Aging is associated with impaired angiogenesis, but normal microvascular network structure, in the rat mesentery.

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American journal of clinical and experimental urology · 2024-05-20

Interleukin-17 promotes metastasis in an immunocompetent orthotopic mouse model of prostate cancer.

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Gerontology · 2024-05-20

The Gut Microbiota and Healthy Aging: A Mini-Review.

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PloS one · 2024-05-20

Actin and myosin II modulate differentiation of pluripotent stem cells.

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BioEssays : news and reviews in molecular, cellular and developmental biology · 2024-05-20

Multitasking Ska in Chromosome Segregation: Its Distinct Pools Might Specify Various Functions.

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Biomechanics and modeling in mechanobiology · 2024-05-20

Evaluation of microstructurally motivated constitutive models to describe age-dependent tendon healing.

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Scientific reports · 2024-05-20

Marked bias towards spontaneous synaptic inhibition distinguishes non-adapting from adapting layer 5 pyramidal neurons in the barrel cortex.

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Arthritis & rheumatology (Hoboken, N.J.) · 2024-05-20

The Antiretroviral Agent Nelfinavir Mesylate: A Potential Therapy for Systemic Sclerosis.

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Scientific reports · 2024-05-20

Marked bias towards spontaneous synaptic inhibition distinguishes non-adapting from adapting layer 5 pyramidal neurons in the barrel cortex.

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Science (New York, N.Y.) · 2024-05-20

Mitotic transcription and waves of gene reactivation during mitotic exit.

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The Journal of cell biology · 2024-05-20

SET binding to Sgo1 inhibits Sgo1-cohesin interactions and promotes chromosome segregation.

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Journal of applied physiology (Bethesda, Md. : 1985) · 2024-05-20

Angiotensin II suppresses autophagy and disrupts ultrastructural morphology and function of mitochondria in mouse skeletal muscle.

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American journal of medical genetics. Part A · 2024-05-20

Exome sequencing reveals a novel COL2A1 mutation implicated in multiple epiphyseal dysplasia.

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Biology of reproduction · 2019-04-01

Disruption of ubiquitin specific protease 26 gene causes male subfertility associated with spermatogenesis defects in mice†.

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Journal of biomechanical engineering · 2019-02-01

Effects of Elastase Digestion on the Murine Vaginal Wall Biaxial Mechanical Response.

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Biogerontology · 2024-05-20

Dual roles of mitochondrial fusion gene FZO1 in yeast age asymmetry and in longevity mediated by a novel ATG32-dependent retrograde response.

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GeroScience · 2024-05-20

A novel high-throughput assay for respiration in isolated brain microvessels reveals impaired mitochondrial function in the aged mice.

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Frontiers in immunology · 2024-05-20

Beneficial Effects of Human Anti-Interleukin-15 Antibody in Gluten-Sensitive Rhesus Macaques with Celiac Disease.

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Essays in biochemistry · 2020-09-04

Functioning mechanisms of Shugoshin-1 in centromeric cohesion during mitosis.

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Nature communications · 2024-05-20

Distinct fate, dynamics and niches of renal macrophages of bone marrow or embryonic origins.

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Scientific reports · 2024-05-20

Comparison of Biaxial Biomechanical Properties of Post-menopausal Human Prolapsed and Non-prolapsed Uterosacral Ligament.

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Neurobiology of aging · 2024-05-20

Neural correlates of auditory sensory memory dynamics in the aging brain.

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GeroScience · 2024-05-20

Inflammaging phenotype in rhesus macaques is associated with a decline in epithelial barrier-protective functions and increased pro-inflammatory function in CD161-expressing cells.

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Scientific reports · 2024-05-20

Sirtuin 3 deficiency does not impede digit regeneration in mice.

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Journal of virology · 2024-05-20

Human Cytomegalovirus Alters Host Cell Mitochondrial Function during Acute Infection.

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Neurobiology of aging · 2024-05-20

Reduced sensory-evoked structural plasticity in the aging barrel cortex.

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Journal of the mechanical behavior of biomedical materials · 2024-05-20

Bayesian inference of constitutive model parameters from uncertain uniaxial experiments on murine tendons.

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The Journal of cell biology · 2024-05-20

SET binding to Sgo1 inhibits Sgo1-cohesin interactions and promotes chromosome segregation.

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Cerebral cortex (New York, N.Y. : 1991) · 2020-03-21

Dendritic Spine Density and Dynamics of Layer 5 Pyramidal Neurons of the Primary Motor Cortex Are Elevated With Aging.

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Cognition · 2024-05-20

Dynamics of auditory spatial attention gradients.

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Scientific reports · 2024-05-20

LTA1 is a safe, intranasal enterotoxin-based adjuvant that improves vaccine protection against influenza in young, old and B-cell-depleted (μMT) mice.

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The Prostate · 2024-05-20

CD4(+) T helper 17 cell response of aged mice promotes prostate cancer cell migration and invasion.

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Mentoring Research Excellence in Aging and Regenerative Medicine NIH/NIGMS P20GM103629 2012-2022

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Mentoring Research Excellence in Aging and Regenerative Medicine NIH/NIGMS P30GM145498 2022- present