PROJECT SUMMARY:
Aging is the most predictive risk factor for cardiovascular disease. Aged arteries exhibit increased large artery
stiffness and blunted endothelium dependent dilation; both of these changes occur prior to the onset of overt
cardiovascular disease, such as atherosclerosis or stroke. Several lines of evidence have supported the
emerging concept of cell non-autonomous aging, where signals arising from one cell type can drive the
degenerative process of aging in other types of cells. Consistent with this concept, we have recently shown
that T cells play a critical role in the development of age-related arterial stiffening and impairments in arteriolar
endothelium dependent dilation. Despite this observation the T cell subtype(s), the mechanisms that result in T
cell accumulation around the arteries and how T cells influence the cells of the artery remain unclear. We have
found substantial age-related accumulation of memory CD8+ T cells making proinflammatory cytokines in the
aorta and in the mesenteric vasculature. Eomesodermin (Eomes) is a transcription factor that drives many
features consistent with CD8+ T cell aging. We have observed increased Eomes protein in both splenic CD8+ T
cells as well as those that accumulate in the arteries with age. In addition to alterations in CD8+ phenotype,
CD8+ trafficking also appears to be altered with age. CCL5 is a chemokine that is a potent T cell recruiter.
Interestingly, our preliminary data indicates that CD8+ cells themselves generate CCL5, potentially initiating a
feed forward cascade where CD8+ derived CCL5 recruit more T cells to the arteries driving arterial
inflammation and cell non-autonomous arterial aging. In preliminary observations, we have also observed
increased CD8+ proinflammatory cytokine production and increased proportions of Eomes expressing cells in
CD8+ cells from older human donors, supporting translational potential. These observations lead to the
hypothesis that both the memory/proinflammatory phenotype of CD8+ and altered CD8+ T cell trafficking drive
cell non-autonomous arterial aging. To test this hypothesis, we will assess the phenotype of immune cells
accumulating in the arteries, the phenotype of the artery, large artery stiffness and endothelium dependent
dilation in arteries from a range of mouse models including: pharmacological and genetic deletion of T cell
subtypes and adoptive transfer of young and old T cells to T cell deficient mice, as well as, pharmacological
and genetic inhibition of CCL5 signaling and adoptive transfer of CCL5 deficient T cells. We will also determine
whether Eomes and CCL5 signaling is associated with impaired endothelium dependent dilation and arterial
stiffness in older adults. Lastly, we will employ cell culture models to determine whether CD8+ T cells from older
adults can directly induce cellular changes consistent with fibrosis and endothelial dysfunction. The results of
these studies will provide translational and mechanistic insight into the role of aged CD8+ T cell in cell non-
autonomous arterial aging and identify targets for intervention to preserve health with age.