This project has uncovered a new mechanism in which blood vessels help shape organisla health. By activating a protective stress response in the mitochondria of endothelial cells (known as mitohormesis) we found that it is possible not only to prevent obesity and its complications, but also to reverse them once they are established. Mice with endothelial mitohormesis stayed lean and metabolically healthy on a high-fat diet, and even when obesity was already present, triggering this response led to weight loss and restored metabolic balance. Beyond metabolism, mitohormesis also supported healthy ageing: animals maintained movement, memory, blood and kidney function far better than their peers.
Our analyses also identified new molecular messengers, that may carry the signals of mitohormesis throughout the body. These discoveries open the door to therapies that could mimic or amplify these natural protective mechanisms.
The potential impact is wide-ranging. Scientifically, the project advances our understanding of how endothelial cells influence metabolism and ageing. Medically, it highlights a novel strategy to tackle two of the most urgent health problems of our time: obesity and age-related decline. Societally, it points to the possibility of healthier lives and reduced healthcare costs. And from an innovation perspective, it provides a foundation for intellectual property, translational development, and eventual clinical applications.
For these advances to be fully realised, several steps are needed. Future research should validate these findings in additional preclinical models and explore the role of candidate mediators. Studies will be essential to test the safety and effectiveness of targeting endothelial mitohormesis in humans. Support for intellectual property, commercialisation, and partnerships with industry and investors will be critical to move from discovery to therapy.
In summary, the project demonstrated that endothelial mitohormesis: a) protects against and reverses obesity and metabolic dysfunction; b) preserves physical, cognitive, and systemic functions during ageing; c) reveals new molecular mediators with therapeutic potential.
These results establish endothelial mitohormesis as a promising biological mechanism and a novel target for therapies addressing obesity, metabolic disease, and healthy ageing.