Hutchinson-Gilford progeria syndrome (HGPS; Online Mendelian Inheritance in Man accession no. 176670) is a rare disorder that is characterized by segmental premature aging and death between 7 and 20 years of age from severe premature atherosclerosis. Mutations in the LMNA gene are responsible for this syndrome. Approximately 80% of HGPS cases are caused by a G608 (GGC3 GGT) mutation within exon 11 of LMNA, which elicits a deletion of 50 aa near the C terminus of prelamin A. In this article, we present evidence that the mutant lamin A (progerin) accumulates in the nucleus in a cellular age-dependent manner. In human HGPS fibroblast cultures, we observed, concomitantly to nuclear progerin accumulation, severe nuclear envelope deformations and invaginations preventable by farnesyltransferase inhibition. Nuclear alterations affect cell-cycle progression and cell migration and elicit premature senescence. Strikingly, skin biopsy sections from a subject with HGPS showed that the truncated lamin A accumulates primarily in the nuclei of vascular cells. This finding suggests that accumulation of progerin is directly involved in vascular disease in progeria.aging ͉ atherosclerosis H utchinson-Gilford progeria syndrome (HGPS) is a rare, fatal genetic disorder that is characterized by accelerated aging in children. The LMNA gene encoding the A-type lamins A and C is the causative gene of HGPS (1-3). Approximately 80% of HGPS cases carry the heterozygous silent point mutation G608G within exon 11 of LMNA (3). This mutation creates an abnormal splice donor site, which produces a truncated protein (progerin) lacking residues 607-656 of prelamin A but retaining the C-terminal CAAX box, a target for prenylation (1-3).The nuclear lamina is a scaffold, which provides structural and mechanical stability for the nuclear envelope (NE); it consists primarily of type V intermediate filament proteins (A-and B-type lamins) and many inner-nuclear membrane proteins (4-7). Lamins interact with heterochromatin and transcriptional regulators, suggesting their important role in the maintenance of chromatin organization and gene expression (8).At the NE periphery, lamin precursors undergo a series of posttranslational modifications. B-type lamins are permanently isoprenylated, whereas prelamin A loses its modification after incorporation into the lamina by lamin A-specific processing steps involving Zmpste24 endoprotease (9-11). Because the endoproteolytic cleavage site is lost in the truncated lamin A (progerin), it was predicted to be permanently prenylated (3). Direct and indirect analyses have recently confirmed that progerin retains the farnesyl group (12)(13)(14)(15).Previous studies of A-type lamin distribution in primary dermal fibroblasts from HGPS patients showed nuclear abnormalities in size and shape in a subpopulation of cells in culture (3,16,17). Farnesylated progerin appears to be responsible for the nuclear deformations because administration of farnesyltransferase inhibitors to the HGPS fibroblast cultures normalized the nucle...