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Review

Prelamin A and ZMPSTE24 in premature and physiological aging

ORCID Icon & ORCID Icon
Article: 2270345 | Received 29 Aug 2023, Accepted 06 Oct 2023, Published online: 26 Oct 2023
 

ABSTRACT

As human longevity increases, understanding the molecular mechanisms that drive aging becomes ever more critical to promote health and prevent age-related disorders. Premature aging disorders or progeroid syndromes can provide critical insights into aspects of physiological aging. A major cause of progeroid syndromes which result from mutations in the genes LMNA and ZMPSTE24 is disruption of the final posttranslational processing step in the production of the nuclear scaffold protein lamin A. LMNA encodes the lamin A precursor, prelamin A and ZMPSTE24 encodes the prelamin A processing enzyme, the zinc metalloprotease ZMPSTE24. Progeroid syndromes resulting from mutations in these genes include the clinically related disorders Hutchinson–Gilford progeria syndrome (HGPS), mandibuloacral dysplasia-type B, and restrictive dermopathy. These diseases have features that overlap with one another and with some aspects of physiological aging, including bone defects resembling osteoporosis and atherosclerosis (the latter primarily in HGPS). The progeroid syndromes have ignited keen interest in the relationship between defective prelamin A processing and its accumulation in normal physiological aging. In this review, we examine the hypothesis that diminished processing of prelamin A by ZMPSTE24 is a driver of physiological aging. We review features a new mouse (LmnaL648R/L648R) that produces solely unprocessed prelamin A and provides an ideal model for examining the effects of its accumulation during aging. We also discuss existing data on the accumulation of prelamin A or its variants in human physiological aging, which call out for further validation and more rigorous experimental approaches to determine if prelamin A contributes to normal aging.

Acknowledgments

We thank Dr Yuexia Wang (Columbia University) for her contributions to the research discussed in this review article.

Disclosure statement

H.J.W. has received consulting income from Eiger BioPharmaceuticals.

Data availability statement

Data sharing is not applicable to this article as no new data were created or analyzed in this study.

Additional information

Funding

This work was supported by NIH grants from the National Institute of Aging [R01AG075047] (to SM and HJW) and the National Institute of General Medical Sciences [R35GM127073 to SM]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.