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ApoD Identified as Driver of Severe Flu in Older Adults

A PNAS study finds ApoD-induced mitophagy in senescent lung cells blunts interferon defenses in aging lungs.

Overview

  • Researchers using aging-mouse models and human lung tissue linked elevated apolipoprotein D in older lungs to weaker type I interferon responses and greater influenza replication.
  • Mechanistic experiments showed ApoD triggers extensive mitophagy in senescent cells, undermining mitochondrial signaling required for innate antiviral defense.
  • Aged ApoD knockout mice survived otherwise lethal influenza challenges with lower lung viral loads and reduced pulmonary damage.
  • Clearing senescent cells with the senolytic ABT-263 in aged mice lowered ApoD levels and eased influenza-associated lung pathology.
  • The authors emphasize that findings are preclinical and recommend clinical trials of senolytics, mitophagy inhibitors, or ApoD-targeting therapies for older patients.