Pharmacological compounds that extend lifespan could delay the progression of age-related degenerative changes and age-related illnesses such as Alzheimer's disease and cardiovascular disease. In addition, the characterization of drugs that extend lifespan can elucidate endogenous mechanisms involved in lifespan determination, since the targets of these drugs are likely to influence normal aging. The short lifespan and rapid aging of invertebrates makes them powerful models for the identification of drugs that extend lifespan and for the characterization of the mechanism of action of these drugs
[1]–
[3]. The free-living soil nematode
Caenorhabditis elegans has been a leading system for studying genetic and pharmacologic influences on lifespan. Four categories of compounds have been reported to extend
C. elegans lifespan: a variety of antioxidant compounds
[4]–
[9]; complex mixtures derived from plants
[10],
[11]; resveratrol, a potential modulator of Sir2 activity
[12],
[13]; and medications such as heterocyclic anticonvulsant medications that may act by affecting neural activity
[14]–
[17]. Compounds that extend the lifespan of vertebrates have not been well characterized. However, a recent report showing that resveratrol can extend the lifespan of a short-lived fish suggests that compounds that extend invertebrate lifespan may be relevant to vertebrate biology
[18].
By screening 19 drugs from different structural and functional classes that are FDA-approved for human use, Evason et al. (2005) discovered that ethosuximide can extend the lifespan of
C. elegans [14]. Ethosuximide is a small, heterocyclic ring compound of the succinimde class that is approved for human use as an anticonvulsant
[19]. Trimethadione is a structurally related anticonvulsant that is a member of the oxazolidinedione class, and trimethadione also extends
C. elegans lifespan
[14]. Ethosuximide is commonly used in clinical practice whereas trimethadione is rarely used due to the potential for adverse side effects. Ethosuximide extended the mean adult lifespan of wild-type animals grown on agar dishes by 17%
[14]. The effect is dose dependent, and at high doses ethosuximide causes toxicity. In addition, ethosuximide extends the span of time that animals display fast body movement and pharyngeal pumping, demonstrating that ethosuximide delays age-related functional declines in addition to extending lifespan. Ethosuximide has been shown to affect the activity of multiple ion channels in vertebrate cultured cells, including T-type calcium channels
[20]–
[22]. The relationship between these activities in cultured cells and the anticonvulsant activity in whole animals has yet to be defined fully. Furthermore, the mechanism of action for lifespan extension in worms is not well characterized.
To elucidate the mechanism of action of ethosuximide, we conducted a genetic screen for mutations that cause resistance to the drug. Screening for drug resistance is a well-established approach in
C. elegans [23]. A mutation can cause resistance to a drug for several different reasons such as altering the molecular target of the drug, the cellular target of the drug, or the metabolism of the drug. An example of resistant mutants that identified the molecular target include the ivermectin resistant locus
avr-15, which encodes a glutamate gated chloride channel that binds ivermectin
[24] and the
α-amanitin resistant locus
ama-1, which encodes a RNA polymerase that binds
α-amanatin
[25],
[26]. An example of a gene that affects drug metabolism and was identified in a screen for drug resistant mutants is
nrf-6, which functions in intestinal cells to promote fluoxetine sensitivity
[27].
Here we analyze the mechanism of action of ethosuximide in lifespan extension and show that it is related to the activity of chemosensory neurons, indicating that these neurons are the cellular target of ethosuximide in lifespan extension.
C. elegans and other animals live in complex environments that can change rapidly, and therefore these animals have evolved the ability to respond quickly to changing conditions. The ability to perceive chemosensory cues and mount behavioral responses enables an animal to adjust to environmental changes.
C. elegans uses ciliated chemosensory neurons located in the anterior and posterior of the animal to respond to numerous soluble and volatile cues
[28]–
[30]. Mutations that cause defects in cilia structure or sensory signaling within chemosensory neurons disrupt chemotaxis towards soluble and volatile chemicals
[29]–
[31]. These chemosensory neurons also influence adult lifespan, since mutations that cause defects in the structure of cilia or mutations that cause defects in sensory signaling can extend lifespan
[32],
[33]. Furthermore, laser ablation of the chemosensory neurons ASI, AWA, and AWC, separately or together, can increase adult lifespan
[34]. These results indicate that the activity of certain chemosensory neurons promotes a short lifespan.
To characterize the mechanism of action of ethosuximide, we conducted a genetic screen and identified mutations in two genes,
che-3 and
osm-3, that cause resistance to ethosuximide-mediated toxicity. Mutations in
che-3 and
osm-3 cause defects in overlapping sets of chemosensory neurons and can extend lifespan
[32]. These findings indicate that ethosuximide extends lifespan by inhibiting a subset of chemosensory neurons. Here we present results that strongly support this model. Ethosuximide treated wild-type animals displayed numerous phenotypic similarities with mutants that have chemosensory defects, indicating that ethosuximide inhibits chemosensory function. Importantly, the long-lived
osm-3 mutants did not respond to lifespan extending doses of ethosuximide. These studies demonstrate a novel mechanism of action for a lifespan extending drug and demonstrate the potential of pharmacologically targeting the sensory system as a means to extend animal lifespan.