A Mechanism Proposed to Explain the Rise in Oxidative Stress During Aging

Summary: Longish speculative chain on how cells dominated by mutant mitochondria, even though they are rare, can cause system wide oxidation damage. The speculation sounds speculative.

Interestingness factor: 6ish

Paper by Aubrey de Grey, published in Journal of Anti-Aging Medicine, Volume 1, Issue 1, Spring 1998. (((can be gotten from http://www.sens.org/files/sens/AdGpubs.htm)))

(((A long theoretical piece. I'm not going to do it justice. Reading about glycolysis and the Krebs cycle helps)))

The previous blog reviewed the article that forms the basis for this paper. Assuming that mutant mitochondria take over individual cells, how can they affect the rest of the body, if, as this paper points out, they seem to only make up about one percent of tissue cells?

The hypothesis starts with an explanation of how these cells survive at all. It uses data gathered from experiments with cells that lack mitochondrial DNA altogether (p0 cells), that can survive if supplemented with pyruvate or a whole bunch of other molecules.

The problem to solve for them, aside from the lower amounts of energy available, is how to restore levels of NAD+ that get converted to NADH during glycolysis. The proposed solution is that they do this by reduction of extracellular molecules through an enzyme that sits on the membrane called plasma membrane oxidoreductase (PMOR) that exist in every cell. That is, they do this by exporting electrons. Evidence presented is that succinate dehydrogenase is upregulated in these p0 cells, and that since it is part of the Krebs cycle that consumes pyruvate, it shows that the main alternative method of exporting those electrons (by reducing pyruvate to lactate with NADH and then exporting the lactate) is probably not being used. (((Which doesn't show me how some other third method is not what is really going on)))

Those exported electrons primarily go to vitamin C in extracellular fluid, but once you run out of that, they'd go to oxygen, creating superoxide radicals. Most of this would be cleaned up by superoxide dismutase, but some would escape and react with the iron in haemin (((non-protein bit of haemoglobin))) (other iron options are well protected) which would then oxidase LDL particles. This last part, the oxidation of LDL particles by haemin, seems to have some evidence behind it.

The oxidation of some LDL would raise the intake of somewhat oxidised LDL by all cells in the body, which would raise the amount of oxidation damage that all cells have to deal with. Since this mechanism would be going on constantly, ie those mutant mtDNA cells would be constantly spewing electrons, quite a lot of oxidised LDL would be created.

The paper then moves onto methods of testing the suggested chain of events:

• Seeing if cells that do not have a functioning electron transport chain (by assessing cytochrome c oxidase activity) have high PMOR activity.
• Seeing if there's high levels of superoxide near cells with busted mitochondria
• Checking if LDL is highly oxidised near mutant cells
• Checking if oxidised LDL particles stress normal cells anti-oxidant system.

And then onto methods for checking that it affects aging:

• Restoring the function of the mutant mitochondria by importing the proteins encoded by the mitochondrial DNA and seeing what happens (((hard project)))
• Targeting those zombie cells controlled by mutant mitochondria and destroying them, then seeing what happens. (((I like it)))

(((Conclusion: The chain of events suggested here sounds much more dubious to me than the one suggested in the previous article. The electrons from NADH might be used some other way inside the cells, or the electrons might be quenched in some benign way outside the cell, or oxidation of LDL might not have any major effect on aging (outside of the effects on cardiovascular disease). The tests seem simple enough though, and they'll pop up regardless, if they haven't already. It would be good if this was correct since killing the mutant cells doesn't sound insanely hard to me. Easier than curing cancer since these cells don't reproduce, as determined by the method that they come into existence)))

(((This is the last paper that I'll write about in the first issue. The rest consists of some futurist speculation, a meeting report and literary review. While interesting, they are already in summary form)))

Abstract follows:

Most phenotypes of aging in vertebrates may be caused by a progressive decline in the ability of antioxidant defences to maintain cellular and systemic homeostasis. This is due both to a diminished efficacy of those defences and to an enhanced level of pro-oxidant toxicity; the imbalance between the two has been termed oxidative stress. However, the cause of this increasing imbalance remains obscure. This article proposes a mechanism by which spontaneously mutant mitochondrial DNA (mtDNA), despite being present only in very small quantities in the body, may be the main generator of oxidative stress. Mutant mtDNA is distributed very unevenly within a tissue: some cells apparently contain no wild-type mtDNA whatever. Those cells must rely on glycolysis for ATP production; furthermore, they require a system to stabilize their NAD+/NADH ratio. This can only be achieved by an efflux of electrons from the cell, most probably mediated by the plasma membrane oxidoreductase (PMOR). It is proposed that the required rate of electron efflux from these anaerobic cells exceeds the local electron-accepting capacity of "safe" acceptors in plasma such as dehydroascorbate, with the result that reactive species, such as Superoxide, are formed. This leads to increased oxidation of lipids in the plasma, notably of low-density lipoprotein (LDL) particles, which are subsequently imported into mitochondrially healthy cells. This oxidized lipoprotein must be destroyed by the recipient cells' antioxidant defences. That task diverts the cell from the degradation of pro-oxidants that it is itself generating; thus, it imposes oxidative stress on the cell. As the number of anaerobic cells in the body rises, so does oxidative stress in all cells. The consistency of this hypothesis with known facts is discussed, and technically feasible tests are suggested both of the proposed mechanism and of its overall contribution to mammalian aging, including plausible interventions to retard the process.