t has been recognized for some time that aging and longevity are regulated by evolutionarily conserved molecular pathways, 1 many of which also affect metabolism. Factors affecting basal metabolism (eg, growth hormone/insulin-like growth factor 1 (GH/IGF-1) signaling pathway or downstream effectors such as FOXO transcription factors) are all involved in the regulation of lifespan. [2][3][4] Sir2, an NAD-dependent histone deacetylase, plays an essential role in mediating lifespan extension in diverse organisms; 5 it is required for longevity because of caloric restriction in yeast and the fruit fly, 6,7 and elevated activity of Sir2 increases lifespan in yeast, 8 Caenorhabditis (C.) elegans 9 and the fruit fly. 10 Although the direct effects of Sir2 on longevity need to be determined in mammals, mammalian Sir2 has shown favorable effects on longevity in mice. 11 FOXO family transcription factors act as stress resistance factors that also control lifespan.Interestingly, there is an interaction among these molecular mechanisms that regulate longevity; for example, in C. elegans, elevated SIR-2.1 expression leads to an increase in lifespan that is dependent on DAF-16, a FOXO transcription factor that is regulated by insulin signaling. 12,13 Mutant mice with GH deficiency, including Ames, 14 Snell dwarf mice 15 and Little mice 16 , all live longer and have delayed appearance of aging-associated phenotypes. A number of single gene mutations on the GH/IGF-1 pathway or its effectors, including GH receptor/binding protein knockout (GHR/BP -/-), 17 IGF-1 receptor knockout (Igf1r +/-) mice, 18 p66 shc-/-mice, 19 fat-specific insulin receptor knockout (FIRKO) mice 20 and hormone Klotho overexpression mice, 21 also extend lifespan significantly. The studies with these longevity models also noted the association with increased stress resistance, especially resistance to oxidative stress and apoptosis. 14,18,19,22 Our laboratory has discovered a novel molecular mechanism, residing in the β-adrenergic signaling pathway (ie, inhibition of adenylyl cyclase type 5). Adenylyl cyclase (AC) has 9 major mammalian isoforms, of which type 5 plays a major role in regulation of the heart and brain, as well as other organs. We have found that disruption of type 5 AC (AC5 KO) in the mouse prolongs lifespan and protects against stress, [23][24][25] similar to what has been described in the other genetic models of longevity described earlier. It is our concept that the inhibition of AC5 could become a novel therapy for heart failure and here we elaborate the basis for this concept, reviewing the data resulting in longevity and stress resistance in the AC5 KO mouse.
LongevityIn many normal wild-type (WT) mouse strains, as with 129SVJ used in the studies described here, 50% die by 24-26 months of age. Mice with disrupted AC5 live one-third longer than WT littermates (Fig 1). 23 Kaplan-Meier statistics demonstrate not only that maximal survival is prolonged in AC5 KO, but also that the 50% survival point is extended from 26 months to 33 months, ...