Abstract
Aging is the single greatest risk factor for the development of disease. Understanding the biological molecules and mechanisms that modulate aging is therefore critical for the development of health-maximizing interventions for older people. The effect of fats on longevity has traditionally been disregarded as purely detrimental. However, new studies are starting to uncover the possible beneficial effects of lipids working as signaling molecules on health and longevity. These studies highlight the complex links between aging and lipid signaling. In this review we summarize accumulating evidence that points to changes in lipid metabolism, and in particular lipid signaling, as an underlying mechanism for healthy aging.
Keywords: aging, longevity, lipid signaling, nuclear receptors, lipidomics
Aging can be modulated
The discovery that environmental and genetic interventions can increase lifespan in diverse model organisms inspired a revolution in the search for the biological bases of aging [1]. By understanding how aging acts as the major risk factor for age-associated conditions such as cancer, neurodegenerative and metabolic diseases [2], we may learn how to prevent these conditions. Recently, nine different hallmarks of aging were proposed [3], providing a reference framework that allows a better understanding of the mechanisms underlying longevity and healthy aging. These hallmarks interact with each other, especially at the metabolic level [4], but the mechanisms that govern these interactions remain largely unclear. Interestingly, multiple studies have started to pinpoint a pivotal role for diverse lipids in lifespan-extending interventions, suggesting that lipid metabolism may be a key component in healthy aging [5,6]. This review focuses on recent data uncovering how lipid-signaling molecules modulate life-extending interventions, particularly in the nematode worm Caenorhabditis elegans. Most of these lipid signals induce their pro-longevity transcriptional changes through nuclear receptor (NR) transcription factors, while others seem to re-balance lipid homeostasis. Finally, we discuss conservation of these lipids and their effectors, and how they might affect other organisms, including humans.
Nuclear receptors and dauer formation in C. elegans
The ability of organisms to respond to different environmental conditions is fundamental for development and longevity-assurance. Organisms integrate these responses by, for example, the production of hormones and the regulation of NRs. NRs work as molecular switches whose transactivation activity is controlled by the presence of lipophilic hormones produced in response to diverse stimuli [7,8].
Due to its short lifespan and ease for genetic manipulation, C. elegans has been a key model organism in the study of lifespan-extending interventions and the role therein of multiple NRs [9]. The best-studied NR in C. elegans is DAF-12 (dauer formation related gene). daf-12 and around 30 other daf genes control the developmental transition of L1 larvae into either a stress-resistant diapause state, called dauer, or reproductive development (Box 1) [10]. DAF-12 transactivation activity is regulated by its ligands, dafrachronic acids (DA), which are cholesterol-derived molecules whose production is tightly controlled by environmental conditions [11]. In addition to dauer formation, DAF-12 modulates lipid metabolism, developmental timing and lifespan [7]. Lifespan modulation by DAF-12 is complex, since it can promote or repress longevity under low or high temperatures, respectively. Interestingly, modulation of lifespan in response to temperature is independent of DA [12].
Box 1. Life cycle of C. elegans.
The life cycle of the nematode worm has been widely described (Figure I). Briefly, after embryonic development of the fertilized egg, the worm undergoes four different larval stages (L1-L4), to finally reach adulthood and sexual maturity [93]. At the end of L1, stressful conditions such as overcrowding, high temperatures or starvation, trigger the worm to adopt an alternative developmental pathway called dauer. The dauer worm is able to survive long periods of time under stressful conditions. Once conditions improve, dauer worms resume development at L4 stage to then reach adulthood and reproduce [93].
Cholesterol and insulin signaling mediated longevity
Other lifespan-extending interventions also require DAF-12 and its ligand DA. A prominent example is the insulin / insulin-like growth factor signaling (IIS) pathway, an evolutionarily conserved, nutrient-sensing network that modulates a plethora of biological processes, including development and lifespan [13]. IIS reduction extends lifespan in multiple model organisms, and this effect is, in part, mediated by regulating the conserved FOXO transcription factors [14,15]. In C. elegans, mutation of daf-2, the homolog of mammalian insulin-like growth factor (IGF) and insulin receptors, yields long-lived worms, and this longevity requires the presence of DAF-16, the worm FOXO homolog [14]. Interestingly, daf-2 genetically interacts with daf-12 to modulate lifespan [16]. This interaction is intricate, as DAF-12 acts as an anti- or pro-aging factor in daf-2 mutant worms in the presence or absence of DA, respectively [12]. This observation indicates that both DAF-12 and DA are fundamental for reduced IIS induced longevity (Figure 1).
The association between reduced IIS and longevity is regulated not only by DAF-16 but also by multiple other proteins. Among these, the nematode sterol-binding protein 1 (NSBP-1) is especially interesting due to its ability to bind cholesterol, and therefore work as a cholesterol sensor [17]. NSBP-1, much like DAF-16, is phosphorylated under high insulin signaling by AKT, and thereby excluded from the nucleus. Conversely, under reduced IIS, both DAF-16 and NSBP-1 migrate into the nucleus and interact, but only under low cholesterol concentrations (Figure 1). Both proteins regulate the transcription of a small set of genes involved in lipid metabolism and aging [17]. However, it is unclear whether NSBP-1 can regulate additional DAF-16-target genes and whether this mechanism of FOXO regulation is conserved in mammals. Moreover, DAF-12 and DAF-16 induce a negative feedback on DA synthesis upon dauer formation [18], suggesting that cholesterol levels are affected by their interaction, which could have implications for aging modulation, perhaps through NSBP-1. These studies thus show a link between cholesterol metabolism and lifespan.
The Drosophila melanogaster homolog of DAF-12, DHR96, binds cholesterol and modulates lipid metabolism by regulating diverse target genes [19,20]. DHR96 is required for the enhanced xenobiotic detoxification induced by lowered IIS, but not for the lifespan extension, which is unaffected by removal of this gene [21]. The mammalian homolog of daf-12, farnesoid X receptor (FXR), is also involved in cholesterol and lipid metabolism [22]. FXR expression decreases with age-associated endoplasmic reticulum (ER) stress and, as a consequence, plays a prominent role in the development of fatty liver [23]. However, whether FXR plays a role in mammalian lifespan regulation is unknown. In addition to regulating activity of diverse NRs, IIS can also modulate the mevalonate pathway, which in turn produces sterols and isoprenoids [24], adding an extra layer of complexity between IIS and its interaction with cholesterol.
Does dietary restriction promote longevity through lipid signals?
Activity of the IIS network is linked to dietary restriction (DR), which is the most robust lifespan-extending and health-promoting intervention. DR, broadly defined as a reduction in food intake that avoids malnutrition, was first reported over 80 years ago to extend the lifespan of rats [25]. DR has since been shown to increase health and lifespan in a plethora of organisms, including yeast, worms, flies, mice and even primates [25–29]. In addition, DR improves health and has a beneficial effect on risk factors for age-related disorders such as cancer, diabetes and cardiovascular disease in humans [30]. In C. elegans, at least nine different DR regimes exist, with differences in the way that they modulate lifespan [31,32]. However, these regimes can be broadly classified in the three categories discussed below.
Dietary restriction through eat-2 mutation
Genetic mutation of eat-2, disturbs an acetylcholine receptor subunit in the pharynx of the worm and reduces pumping and therefore food intake, thereby mimicking DR and extending lifespan by up to 40% [33]. Interestingly, an RNAi screen with eat-2 mutant worms identified nhr-62, a hepatic nuclear factor 4α (HNF4α)-like NR homolog, as a critical factor in DR-induced lifespan-extension (Figure 2) [34]. Other hallmarks of DR, such as the decreased triglycerides and enhanced autophagy also rely, at least partially, on NHR-62-dependent transcriptional regulation. Moreover, NHR-62 controls the expression of genes involved in lipolysis and fatty acid desaturation, thereby implicating lipid metabolism in this form of DR-mediated lifespan extension [34].
In addition to NHR-62, another HNF4α-like homolog, NHR-49, regulates lipid metabolism and lifespan in C. elegans, [35]. This NR is also required for eat-2 lifespan extension, which is reversed by depletion of nhr-49 by RNAi. eat-2 longevity is dependent on regulation of genes associated with β-oxidation by NHR-49 [36]. However, whether any lipid acts as a ligand for either NHR-49 or NHR-62 is still unknown (Figure 2). In mice and flies, HNF-4 regulates lipid metabolism in response to starvation and its ligands are free fatty acids [37–40]. Hence, it is possible that HNF-4 proteins control a gene network that regulates the production of “starvation signals”. These signals would in turn act as ligands for these NRs and be fundamental for lifespan modulation under DR.
Dietary restriction through dilution of bacterial food
Dilution of bacterial food (BDR) was first reported to extend lifespan of C. elegans lifespan almost 40 years ago [41]. BDR worms have increased expression of DAF-9, a critical enzyme in DA biosynthesis, and therefore increased levels of this hormone. Surprisingly, under these conditions, DA, but not its receptor DAF-12, is required for lifespan extension. Instead, DA relies on another NR, NHR-8, which controls cholesterol homeostasis to exert its beneficial effects on lifespan [42,43] (Figure 2). Further, NHR-8 acts upstream of let-363, the worm homolog of mTOR, a prominent metabolic regulator that responds to nutritional inputs [27], which in turn affects germline plasticity. This observation is intriguing, because DR is generally associated with a decrease in fertility, even though longevity and fecundity can be uncoupled in flies [44]. While it is still unclear whether DA binds directly to NHR-8, these results provide a novel link between steroid signaling, mTOR and lifespan under DR [42]. It is important to highlight that BDR modulates lifespan in a cell non-autonomous manner, by regulating the function of the SKN-1 transcription factor, suggesting the existence of one or more “starvation signals” [45]. Furthermore, NHR-62 seems to partially regulate the response to BDR [34], suggesting that this transcription factor is involved in at least two different kinds of DR, eat-2 mutation and BDR.
Dietary restriction through intermittent fasting
An additional DR regime, called intermittent fasting (IF), requires cycles of ad libitum food availability and complete food deprivation. Like the previously described regimes, IF also extends lifespan in diverse organisms such as worms and mice. Intriguingly, mice on IF can consume the same or even more calories than ad libitum fed mice and still reap the beneficial effects of DR [46]. This observation suggests that IF induces some form of “starvation signals” that are more important than the amount of calories eaten. In C. elegans, an IF regime of 2 days on/2 days off food increases lifespan and this depends on at least two transcription factors, DAF-16 and AP-1 [32,47]. The regulation of IF-induced longevity by these two transcription factors seems to be partially explained by expression of E3 ubiquitin ligases, which in turn modulate proteostasis (the regulation of protein synthesis and degradation) in response to “starvation signals” (Figure 2) [47].
Worms are unable to synthesize cholesterol, and its removal from the food medium prevents lifespan-extension induced by IF [48]. This is not a developmental effect, because withdrawal of cholesterol only during adulthood has similar effects. Furthermore, cholesterol deprivation suppresses daf-2-induced longevity, suggesting that cholesterol is required for both reduced IIS and IF-induced longevity [48]. As daf-2 longevity is dependent on DAF-16 regulation by NSBP-1, and NSBP-1 is regulated by cholesterol [17], it is possible that IF-induced lifespan extension is also dependent on the ability of NSBP-1 to bind to cholesterol and DAF-16. Consistent with this, RNAi against daf-16 or nsbp-1 partially suppresses the lifespan extension achieved by IF [32,47,48]. However, it is currently unclear whether cholesterol regulates only DAF-16 subcellular localization, or also its transactivation activity.
Dietary restriction affects lipid metabolism in mammals
In mammals, IF and DR also extend lifespan and have profound effects on energy metabolism, altering fat stores and the production of various hormones such as growth hormone (GH), leptin and adiponectin [49–52]. These hormones are in turn regulated by growth-hormone releasing-hormone (GHRH), a hypothalamic-derived hormone. Mice that lack GHRH are long-lived and have reduced levels of leptin and increased levels of adiponectin. However, the lifespan of this already long-lived GHRH-KO mouse can be further extended by DR, suggesting that DR does not rely on this particular hormone to modulate aging [53].
A meta-analysis of transcriptional changes associated with DR in mice and rats, found that genes associated with hormone signaling and lipid metabolism are highly perturbed [54]. Moreover, recent studies in mice demonstrated that DR affects saturation and elongation of several fatty acids [55,56]. Interestingly, the adiposity changes associated with DR are different from those observed in normal aging, as aging seems to particularly affect phospholipid composition [55]. It is therefore possible that one of the underlying mechanisms modulating lifespan, at least under DR, is the regulation of lipid metabolism, although causality remains to be established.
In humans, multiple studies have established a clear connection between cholesterol levels and mortality [57]. Interestingly, population studies have shown that the offspring of long-lived individuals have healthier cholesterol markers [58], indicating that at least some forms of familial longevity may exert control over cholesterol homeostasis. In addition, short dietary interventions (with 12.5% - 25% caloric restriction) are sufficient to bring cholesterol makers to a healthier state [30,59,60]. These observations further highlight a prominent link between cholesterol homeostasis in longevity. Yet, the possible beneficial effects of cholesterol as a signaling molecule in mammalian aging remain unknown.
Germline ablation signals and longevity
Like DR and reduced IIS, germline ablation is a robust intervention that extends lifespan in a plethora of organisms including worms, flies, mice, rats and even humans [61–65]. Multiple studies suggest that the germline is able to produce signals that partially coordinate reproduction and aging, with lipid metabolism playing a prominent role [5,6]. In C. elegans, germline removal induces fat accumulation, longevity and stress resistance [61,66]. These phenotypes are associated with the regulation of multiple transcription factors, including SKN-1, TCER-1, DAF-16, and NRs DAF-12, NHR-80 and NHR-49 (Figure 3) [61,66–68].
As with reduced IIS, lifespan extension by germline removal is abolished upon daf-12 mutation and is dependent on the presence of DA [12,61]. Consistently, mutation of daf-9 or daf-36, both of which encode enzymes involved in DA biosynthesis, reduces lifespan in germline-less worms. DA supplementation of daf-9 or daf-36 mutant worms is in turn sufficient to restore germline ablation longevity [69]. This observation suggests that the interaction between DAF-12 and DA is fundamental for lifespan extension by germline removal.
In addition to DAF-12, germline removal longevity also relies on DAF-16 and on the ability of both transcription factors to regulate target genes such as triglyceride lipase and acyl-CoA reductase [70]. These genes are involved in lipid metabolism and are proposed to generate putative lipid signals that would allow lifespan-extension under germline removal [70]. Furthermore, germline-less worms require DAF-12 in the gut for the production of a lipophilic signal, which in turn promotes DAF-16 nuclear localization through a protein called KRI-1[71].
NHR-80, another NR, is a key player in germline removal mediated longevity [67]. NHR-80 modulates the transcription of FAT-6, a desaturase that produces oleic acid, a monounsaturated fatty acid, and this underpins the longevity phenotype [67,72]. However, it is unclear how oleic acid exerts its beneficial effects. Moreover, as NHR-49 and NHR-80 play key roles in DR and germline removal longevity, it is possible that these interventions share at least part of the mechanisms involved in aging modulation.
It was previously shown that germline ablation promotes lipolysis by up-regulating multiple lipases, such as LIPL-4, a homolog of the mammalian lysosome associated lipase (LIPA) [73]. LIPL-4 over-expression in the gut, the organ where C. elegans stores fat, is sufficient to induce longevity [73]. However, germline-less worms have increased fat accumulation, despite the increase in lipid catabolism [74]. This extra accumulated fat appears to come from unconsumed yolk, and from here a signal is produced that activates SKN-1 [75]. SKN-1, homolog to mammalian Nrf2 and member of the cap’n’collar transcription factor family, plays a critical role in regulating genes involved in processes such as proteasome activity and lipid homeostasis [75]. Interestingly, a more recent report suggests that, upon germline ablation, not only lipid catabolism but also lipid anabolism is activated. Enhanced lipid turnover is achieved through DAF-16 and TCER-1, and both proteins are required for germline ablation longevity [76]. This mode of lifespan modulation could be evolutionarily conserved, because enhanced lipid turnover appears to be fundamental for DR-mediated lifespan extension in Drosophila [77,78], and DR also increases lipid turnover in mice [79]. It is therefore possible that both germline ablation and DR have, at least partially, overlapping roles enhancing lipid homeostasis.
Use of lipids in disease treatment and lifespan extension
In C. elegans LIPL-4 appears to also induce lifespan extension by generating the fatty acid oleoylethanolamide (OEA), a monounsaturated fatty acid. OEA works as a novel lysosomal signaling molecule by binding to the lysosomal lipid chaperone LBP-8, inducing its nuclear localization and activating NHR-80 and NHR-49 [80]. The additional observation that OEA supplementation is sufficient to extend lifespan in worms [80] further highlights the critical role lipid signaling may play in extension of lifespan. However, it is currently unknown whether this lipid signal works in a cell-autonomous manner, whether OEA regulates lifespan by modulating gene transcription downstream of NHR-80 and NHR-49. Since these NRs have already been associated with longevity under DR and germline ablation [34,67], it is not farfetched to expect that this mode of longevity control will turn out to be evolutionarily conserved.
In addition to OEA, supplementation of other monounsaturated fatty acids (MUFAs), such as oleic acid and palmitoleic acid, can also extend worm lifespan [81], although not all oleic acid supplementation protocols seem to do so [67,68]. These MUFAs, but not their derived polyunsaturated fatty acids (PUFAs), underpin the long life of histone 3 lysine 4 trimethylation (H3K4me3) deficient worms [81]. Moreover, diets that are rich in MUFAs seem to protect against diabetes and cardiovascular disease in humans [82] Nevertheless, it is currently unclear how these MUFAs exert their beneficial effects. In contrast, ω-6 PUFAs supplementation extends worm lifespan by activating autophagy (Box 2) [83]. This mechanism might also be evolutionarily conserved, because ω-6 and other PUFAs induce autophagy in human cell lines [83,84]. Hence, the relationship between MUFAs, PUFAs and longevity is complex. Higher MUFA:PUFA ratios have been observed in long-lived worms and in the daughters of long lived humans, suggesting higher PUFA levels could be detrimental [85,86]. PUFAs are more prone to oxidation and are thought to increase oxidative damage by further producing free radicals [86]. It is therefore possible that only specific PUFAs have beneficial effects on the organism, and only as long as they do not reach a critical threshold. With a better understanding of the role of lipid metabolism in health during aging comes the opportunity to use this knowledge in the treatment of disease. For example, a recent genetic screen revealed that inhibition of cholesterol biosynthesis by genetic or pharmacological means is sufficient to improve motor performance and lifespan of a mouse model of Rett syndrome [87]. Similarly, a mouse model of Cockayne syndrome was shown to improve its associated phenotypes upon supplementation of beta-hydroxybutirate, a ketone body [88]. These studies underscore the important role that modulation of lipid metabolism may have in the treatment of diverse diseases. Concordantly, medium chain triglyceride (MCT) supplementation is widely used in children as a treatment of drug resistant epilepsy [89]. MCT supplementation induces the body to switch into a ketogenic state, where lipids become the preferred source of energy. Similarly, ketone body supplementation was recently shown to shift the energy source in muscles from glycolysis to a lipid oxidation state [90]. The consequence of this switch was enhanced performance of athletic activity. However, it remains to be determined whether this translates into increased health and lifespan. These observations open the exciting possibility that lipid supplementation can be used not only in the treatment of disease, but also in its prevention and promotion of healthy aging.
Box 2. Autophagy and lipid metabolism.
Autophagy, a highly regulated process that degrades cellular components in response to diverse cues, such as starvation, is highly associated with health and longevity [94]. Autophagy is initiated with the formation of a membrane structure called the autophagosome (AP), which then engulfs molecules and/or organelles to later fuse with lysosomes and degrade the cargo. AP formation is in part regulated by diverse membrane components as it requires specific lipids for its formation [95]. For example, studies in yeast demonstrate that lipids such as phosphatidylinositol 3-phosphate are enriched in endoplasmic reticulum regions that then allow recruitment of proteins involved in AP formation [96–99]. Moreover, lipid homeostasis is fundamental for proper autophagy, since deletion of enzymes responsible for TG and sterol esters completely blocks starvation-induced autophagy [100]. These studies highlight the fundamental role of lipid homeostasis in regulation of autophagy, not only at the level of lipid signals/transcription factors that regulate autophagy-related genes (see text), but also at the level of membrane components.
Lipidomics leads the way
In order to identify and quantify the lipid species relevant for many of the interventions described above [81,85], researchers are taking advantage of the recent developments in the area of lipidomics, i.e. the analysis of lipid metabolites by mass spectrometry techniques [91]. Lipidomics is rapidly opening the doors to a new world of information that points at diverse lipid species with key roles in the regulation of diverse biological processes. For example, a recent and compelling meta-analysis of lipid composition looked at the correlation between diverse lipids within multiple tissues and maximum lifespan in as many as 35 different species including mice, bats and humans [92]. This analysis showed, for example, that structural lipids are more likely to be found in a saturated state in the long-lived species. Although not directly analyzed, this observation also implies a higher MUFA:PUFA ratio. In contrast, energy-related lipids, such as triacyglycerols (TG), were more likely to be in an unsaturated state in the long lived species [92]. Although preliminary, this study highlights the power lipidomic studies could have in the identification of lipid species and their association with longevity.
Concluding remarks and future directions
Recent studies are starting to uncover the prominent link between different lipids, particularly signaling molecules, and aging modulation. Intriguingly, many of the life-promoting interventions discussed here share underlying proteins and lipids critical for lifespan extension. For example, both DAF-12 and DAF-16 are involved in lifespan modulation during reduced IIS and germline ablation [14,61,66–68]. Similarly, NHR-49 and NHR-80 are fundamental for DR and germline ablation induced longevity [34,67]. Moreover, lipid turnover and the accumulation of specific lipid molecules, such as oleic acid, are important for intervention-induced longevity or even normal aging [80,81,85,92]. All these results suggest that lipid metabolism can be affected by multiple life-promoting interventions, albeit at different levels, and this underpins the longevity effects. However, these pioneering studies leave many new questions to be answered (see Outstanding questions). Future studies should address the link between lipid signals, the transcription factors they regulate, and the effects on lipid homeostasis these may have by regulating the expression of enzymes involved in lipid metabolism.
Outstanding Questions.
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Can we use specific lipids as health-promoting and lifespan-extending interventions?
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Are there fasting signals that extend lifespan? And, if so, are they conserved and do they promote healthy longevity under normal conditions?
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Which cells/organs produce the lipid molecules associated with health and longevity?
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Do HNF-4-related transcription factors modulate longevity in organisms other than worms?
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Are supplemented lipids, such as medium chain fatty acids, binding a specific NR or pushing the metabolic machinery towards enhanced lipid turnover that in turn produces fasting signals?
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Is enhanced lipid metabolism (turnover) a conserved mechanism underlying lifespan modulation?
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What other health-promoting and lifespan-extending lipid signals can we identify? And are they associated to known or unknown NRs?
Acknowledgments
We acknowledge funding from the Max Planck Society, the European Research Council (ERC) under the European Union’s Seventh Framework Program (FP7/2007–2013)/ERC grant agreement (268739), the Wellcome Trust UK (098565/Z/12/Z) to L.P., and a Boehringer Ingelheim Fonds fellowship for V.B. We thank Carolina Gomez, Joris Deelen, Maarouf Baghdadi and Javier Moron for helpful comments on the manuscript. We apologize to the authors whose work could not be cited due to length restrictions.
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