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DNA damage & neurodegeneration

DNA-repair syndromes as accelerated windows onto brain aging, and their link to common age-related neurodegenerative disease
DNA-repair syndromes as accelerated windows onto brain aging — and their link to common age-related neurodegeneration

Every cell sustains tens of thousands of DNA lesions per day. When the repair machinery cannot keep pace, damage accumulates — and a growing body of evidence places this accumulation among the causal drivers of aging. The clearest demonstration comes from the premature-aging syndromes: inherited defects in DNA repair, such as Cockayne syndrome and xeroderma pigmentosum, that compress a lifetime of degeneration into a few years.

We study how the cell senses and responds to genomic damage. By tracing the signalling cascades that fire downstream of damage, we aim to understand why some genomes age gracefully and others do not — and, crucially, where along that cascade we might intervene.

The brain is uniquely vulnerable to this damage. Its neurons are largely post-mitotic, its DNA-repair capacity is comparatively low, and its energy demands are relentless — a combination that lets lesions and dysfunctional mitochondria accumulate over a lifetime. It is no coincidence that the premature-aging syndromes caused by DNA-repair defects are so often dominated by neurological decline.

We use these accelerated-aging disorders as a window onto normal brain aging, studying how genomic instability, NAD⁺ depletion and failing mitochondrial quality control converge to drive neurodegeneration — and searching for metabolic and pharmacological interventions that protect neurons, preserve cognitive healthspan, and may ultimately bear on common conditions such as Alzheimer's and Parkinson's disease.

Putative targets for interventions in DNA damage accumulation
Putative targets for interventions in DNA-damage accumulation

DNA damage activates the sensor PARP1, which consumes NAD⁺ and lowers acetyl-CoA — together dampening sirtuin (SIRT1) activity and accelerating aging. Each red label marks a point where we can intervene: PARP inhibitors to spare NAD⁺, NR/NMN and ketones to replenish it, and DNA-repair or SIRT1 activators to restore the downstream response.

Selected reading

  1. Fang EF, Kassahun H, Croteau DL, Scheibye-Knudsen M, et al. NAD⁺ replenishment improves lifespan and healthspan in ataxia telangiectasia models via mitophagy and DNA repair. Cell Metabolism (2016). doi:10.1016/j.cmet.2016.09.004
  2. Scheibye-Knudsen M, Mitchell SJ, Fang EF, et al. A high-fat diet and NAD⁺ activate Sirt1 to rescue premature aging in Cockayne syndrome. Cell Metabolism (2014). doi:10.1016/j.cmet.2014.10.005
  3. Scheibye-Knudsen M, Ramamoorthy M, Sykora P, et al. Cockayne syndrome group B protein prevents the accumulation of damaged mitochondria by promoting mitochondrial autophagy. Journal of Experimental Medicine (2012). doi:10.1084/jem.20111721

See the full list of the lab's publications on Google Scholar.