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generation and repair through mtDNA. Its measurement is                                                        Gustavo Barja de Quiroga
a useful marker of the rate of generation of mtDNA
deletions and mtDNA fragments. Mutations can also arise        hydroxynonenal and many others, which can diffuse from
due to processes unrelated to oxidative stress like mtDNA      membrane peroxidized lipids to the cell nucleus. Some of
replication and repair. However, it is highly unlikely that    these products have the potential to modify DNA, e.g.,
these last mechanisms of damage generation are related to      through direct interaction of the carbonyl group of the
longevity, because their random nature can not explain the     aldehydes with free amino groups in mtDNA or nDNA.
determination of longevity during DRs and in different         This would add secondary DNA damage to that primarily
animal species. It has been argued that the types of base      coming from the complex I mtROS generator relevant for
mutations (transitions or transversions) mainly present in     aging. There is a paucity of studies concerning lipid
mtDNA indicate that they mainly come from mtDNA                peroxidation-dependent damage to mtDNA and nDNA
replication and repair. This has been taken as evidence        (175), especially due to technical limitations. They are
against MFRTA. But this applies only to base substitutions     however potentially interesting and should be studied.
and does not concern to mitROS-induced DNA strand
breaks leading to mtDNA large deletions, and to mtDNA              5. DR and MetR also decrease protein oxidation,
fragments insertion inside nDNA. When irreversibly             glycoxidation and lipoxidation, perhaps due to the
damaged mtDNA reaches a high threshold level in a cell,        decrease in mitROSp at complex I or to an increase in
approaching homoplasmy of mutated mtDNA,                       protein catabolism during the DRs. Mitochondrial protein
mitochondrial ATP generation through oxidative                 oxidation-derived modification can also contribute to the
phosphorylation is decreased to levels great enough to         accumulation of mtDNA mutations, although this
contribute to aging. There is no consensus if this classical   possibility has also been poorly investigated.
concept of MFRTA (176) can contribute to explain aging
and longevity.                                                     6. Many different kinds of evidence converge in the
                                                               concept that aerobic tissue cells (both the post-mitotic and
     It is now known beyond reasonable doubt that mtDNA        the mitotic ones) have a Pro-Aging Program (PAP) lying
fragments accumulate during aging inside nDNA in yeast,        inside the cell nucleus, likely composed of hierarquically
rat liver and brain, and mouse liver (139,147-149), causing    interrelated gene clusters of aging analogously to the Hox
an increase in chronological aging at least in yeast (147).    genes controlling development (153). The PAP is a main
Recent investigations show that such accumulation, as          central part of the Cellular Aging Regulatory System
well as the increase in complex I mitROSp and FRL with         (CARS). The large amount of pro-aging genes already
age, are fully (100 %) reversed by rapamycin dietary           discovered during the last two decades are highly
treatment in the liver of middle age mice (139). This is       conserved during evolution from yeast and nematodes to
accompanied by rapamycin-induced strong increases in           Drosophila, and mammals, like in the case of the Hox
autophagy fully reverting to young levels, and by partial      genes. The PAP reacts to GH/ insulin/IGF-1 like signaling
reversion of lipofuscin accumulation with age (139).           and to cytoplasmic signals like those from AMPK, mTOR,
Interestingly, recent studies indicate that the mtDNA          and many others, in response to the different
fragments do not enter nDNA randomly. Instead they are         environmental types of dietary restrictions or drugs like
directed to the centromeres as a main “entry door” to the      rapamycin. The signals entering the nucleus would modify
nucleus. From there, they can potentially disseminate to       different PAP master genes through transcription factors
other chromosome regions, perhaps being specifically           like FOXO, TFEB and many others. These master genes
directed to nDNA regulatory regions controlling the gene       would then modify the expression of different gene
clusters of aging (PAP) residing in the cell nucleus (153),    clusters of aging mainly constituting the PAP. These
thus contributing to aging and to accelerate the mortality     clusters must be organized in a hierarchical cascade of
rate at old age. Further research is urgently needed to        genes interrelated trough transcription factors, enhancers,
clarify this possibility. Alternatively, and more simply, the  promoters, et cetera. The target genes situated at the lower
mtDNA fragments can potentially alter the information          level in such hierarchy would modify the synthesis of
coded in nDNA. They could be directed specifically to          specific proteins which change the activity level of the
structural genes, thus promoting cell malfunction, cell        aging effectors (executors of aging).
death, or cellular malignant transformation, and thus aging
and cancer.                                                        Among PAP target genes some have been already
                                                               identified. These are the ones controlling: i) the synthesis
    4. The low fatty acid unsaturation degree of cellular      of matrix-only complex I domain; ii) delta 5 and 6
and mitochondrial membranes of long-lived animals leads        desaturases and elongases in the n-6 and n-3 pathways of
to relatively low rates of endogenous lipid peroxidation in    fatty acid synthesis; iii) many autophagy genes. Some
vivo, which is, quantitatively, the most destructive           signals coming from the environment (the DRs) can by-
oxidative stress process to the main different types of        pass the nuclear PAP and directly modify the mitochondria
cellular macromolecules. A low rate of membrane lipid          (or likely other aging effectors) changing their rate of
peroxidation in long-lived animals also leads to decreases     mitROSp at complex I.
in the generation of highly toxic and mutagenic lipid
peroxidation products like malondialdehyde,                        7. Among candidate aging effectors in aerobic tissues
                                                               (both mitotic and post-mitotic), three emerge at present: 1)
    72                                                         Mitochondria (including mitROSp); 2) The degree of fatty
                                                               acid unsaturation (DBI) of cellular membranes; and 3)
                                                               Autophagy. Decreases in the first two effectors slow aging

                                                                               @Real Academia Nacional de Farmacia. Spain
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