Smoking doesn't just make you look older-it actually accelerates aging. Toru Nyunoya, M.D., of the University of Iowa revealed a connection between Werner's syndrome, a rare hereditary premature aging disease, and cell damage that comes from smoking, both of which result in accelerated cell aging.
Above: The accelerated aging is evident in a Werner's syndrome patient.

The investigation found that a key protein which is defective in Werner's syndrome, resulting is the onset of accelerated cell senescence and aging is diminished in smokers with emphysema. This decrease not only accelerates cell aging, it also harms the cells that normally help repair damage in the lungs. The findings were published in the second issue for February of the American Journal of Respiratory and Critical Care Medicine.

"Smoking can accelerate the aging process and shorten the lifespan by an average of more than 10 years. We focused on what happens within the lungs because of the similar aging effects, including atherosclerotic diseases and cancer, seen in people with Werner's syndrome and people who smoke," said Dr. Nyunoya, assistant professor at the University of Iowa Carver College of Medicine and a pulmonologist with University of Iowa Hospitals and Clinics.

To determine the underlying mechanism, the investigators compared lung fibroblasts taken from both nonsmokers without lung disease and patients with a heavy smoking history and severe emphysema. "Werner's syndrome involves a genetic mutation that causes a deficiency in the protein known as WRN. WRN normally helps repair DNA damage," Nyunoya said. The study found that, while exposure to cigarette smoke did not cause the same genetic mutation, the steady state levels of WRN was decreased by other means, leading to the same effect. The affected cells had also lost their ability to divide or grow, confirming that smoking habits cause cell aging.

The team also applied cigarette smoke extract to cultured lung fibroblasts taken from nonsmokers. After cigarette smoke exposure, WRN expression was decreased, indicating a direct causal action. In contrast, when the team caused the lung fibroblasts in Petri dishes to overexpress Werner's syndrome protein, it had a protective effect and helped resist the damaging effects of cigarette smoke.

The researchers plan future studies using mouse models to further analyze the effects of smoking on Werner's syndrome protein. "Overall, our study may support efforts to target Werner's syndrome protein for use in developing treatments for smoking-related conditions such as emphysema," Nyunoya said.

This news briefing is based on an article published in the American Thoracic Society's peer-reviewed journal, the American Journal of Respiratory and Critical Care Medicine.

About the ATS

Founded in 1905, the American Thoracic Society is the world's leading medical association dedicated to advancing pulmonary, critical care and sleep medicine. The Society has more than 15,000 members who prevent and fight respiratory disease around the globe, through research, education, patient care and advocacy.

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