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Human Genetics (2020) 139:357–369
https://doi.org/10.1007/s00439-019-02094-6
REVIEW
Alternative splicing inaging andlongevity
MaliniBhadra1· PorshaHowell1· SnehaDutta1· CarolineHeintz1· WilliamB.Mair1
Received: 28 September 2019 / Accepted: 24 November 2019 / Published online: 13 December 2019
© Springer-Verlag GmbH Germany, part of Springer Nature 2019
Abstract
Alternative pre-mRNA splicing increases the complexity of the proteome that can be generated from the available genomic
coding sequences. Dysregulation of the splicing process has been implicated in a vast repertoire of diseases. However, splic-
ing has recently been linked to both the aging process itself and pro-longevity interventions. This review focuses on recent
research towards defining RNA splicing as a new hallmark of aging. We highlight dysfunctional alternative splicing events
that contribute to the aging phenotype across multiple species, along with recent efforts toward deciphering mechanistic
roles for RNA splicing in the regulation of aging and longevity. Further, we discuss recent research demonstrating a direct
requirement for specific splicing factors in pro-longevity interventions, and specifically how nutrient signaling pathways
interface to splicing factor regulation and downstream splicing targets. Finally, we review the emerging potential of using
splicing profiles as a predictor of biological age and life expectancy. Understanding the role of RNA splicing components
and downstream targets altered in aging may provide opportunities to develop therapeutics and ultimately extend healthy
lifespan in humans.
Introduction
Aging andRNA homeostasis
Aging is characterized by the progressive decline in physi-
ological function leading to an increased risk of mortality.
Advances in public health have increased the proportion of
the population that lives into old age, resulting in an increase
in the incidence of many chronic age-related diseases includ-
ing cardiovascular disease, neurodegenerative diseases and
cancers (Christensen etal. 2009). Aging is now considered
a key risk factor for these chronic diseases and as a result,
individuals who reach advanced age are likely to suffer from
multiple chronic diseases concurrently (Hung etal. 2011).
The current strategy is to treat these co-morbidities in isola-
tion. However, a limit of this approach is that even complete
removal of the symptoms of one isolated age-related disease
has little impact on remaining conditions. As a result, pro-
gress towards increasing the overall disease-free years of
life (healthspan) has been marginal (Goldman etal. 2017).
A new approach to tackling health and human disease is that
of ‘Geroscience’ (Kennedy etal. 2014) which is focused on
understanding and then targeting the underlying biology of
aging that leads to chronic disease burden, in order to pro-
long the healthspan of the population. Dietary restriction
(DR), a regimen with reduced food intake without malnutri-
tion delays aging and increases healthspan in multiple spe-
cies. Along with the increase in longevity, DR in organisms
from yeast to mammals modulates similar genetic pathways,
suggesting that the mechanism of increased lifespan is con-
served throughout evolution (Mair and Dillin 2008). There-
fore, research has focused on understanding the mechanisms
of how DR influences lifespan in order to develop thera-
peutics that would mimic DR without nutrient restriction
in humans.
Research into the mechanisms of aging and longevity to
date has largely focused on deterioration of DNA and protein
quality control. However, a key intermediary step between
transcription and translation in the central dogma is RNA
processing, which involves 5′-capping, pre-mRNA splicing,
3′-polyadenylation and RNA editing (Fig.1). Recently, RNA
processing, especially pre-mRNA splicing is increasingly
recognized as both an important contributor to the aging
process and a causal mediator of pro-longevity interventions.
Malini Bhadra and Porsha Howell contributed equally to this work.
* William B. Mair
wmair@hsph.harvard.edu
1 Department ofMolecular Metabolism, Harvard T.H. Chan
School ofPublic Health, Boston, MA02115, USA
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