Abstract
Hutchinson-Gilford Progeria Syndrome (HGPS) is a rare and fatal premature aging disorder caused by progerin accumulation, leading to nuclear abnormalities, systemic inflammation, and early cardiovascular decline. Lonafarnib, a farnesyltransferase inhibitor (FTI), improves nuclear shape and extends lifespan, but its efficacy is limited and accompanied by pro-inflammatory effects. Here, we discuss preclinical findings from a combination therapy using the JAK1/2 inhibitor baricitinib (BAR) with FTI in a progeria mouse model. This approach produced synergistic improvements in lifespan and physical condition. Importantly, BAR counteracted the pro-inflammatory STAT1 hyperactivation induced by FTI. Combination treatment also reduced levels of senescence-associated secretory phenotype (SASP), a hallmark of senescent cells characterized by the secretion of inflammatory cytokines. Histological analysis revealed improved aortic wall thickness and reduced fibrotic remodeling (excessive buildup of connective tissue), suggesting better vascular integrity. Despite these benefits, growth impairment, lipodystrophy, and metabolic disturbances persisted, underscoring the need for further therapeutic refinements.
Keywords
HGPS, Baricitinib, Lonafarnib, Inflammation