Combined activation of the energy and cellular-defense pathways may explain the potent anti-senescence activity of methylene blue
This study investigates the anti-senescence effects of methylene blue (MB) in human fibroblast cells. MB treatment transiently increased the NAD/NADH ratio, leading to activation of AMPK, which subsequently induced PGC1α and SURF1, promoting mitochondrial and complex IV biogenesis. MB also activated the Keap1/Nrf2 pathway, enhancing cellular defense mechanisms. These combined