Senolytics

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Senolytics are compounds designed to target and eliminate senescent cells. Senescent cells are cells that have stopped dividing and have entered a state of permanent growth arrest without undergoing cell death, known as apoptosis. Despite their arrested growth, these cells can affect surrounding tissues through their secretion of inflammatory cytokines, growth factors, and proteases, a phenomenon known as the senescence-associated secretory phenotype (SASP).

Senescent cells accumulate with age and are thought to contribute to various age-related diseases, such as cardiovascular diseases, neurodegenerative disorders, and various types of cancer, by promoting inflammation and tissue dysfunction. By selectively inducing death in senescent cells, senolytics aim to reduce this burden and alleviate age-related ailments, potentially extending healthy lifespan.

Researchers are investigating various compounds as potential senolytics, including naturally occurring compounds like quercetin, fisetin, and more targeted synthetic drugs. The field is relatively new but rapidly growing, with increasing interest in how clearing senescent cells can improve health and combat diseases associated with aging. However, while promising in preclinical studies, the safety and efficacy of senolytic drugs are still being evaluated in clinical trials.

See Also

Todo

  • 2019: Scientists at the Mayo Clinic report the first successful use of senolytics, a new class of drug with potential anti-aging benefits, to remove senescent cells from human patients with a kidney disease.

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References

  1. Mayo researchers demonstrate senescent cell burden is reduced in humans by senolytic drugs, https://newsnetwork.mayoclinic.org/discussion/mayo-researchers-demonstrate-senescent-cell-burden-is-reduced-in-humans-by-senolytic-drugs/
  2. Senolytics decrease senescent cells in humans: Preliminary report from a clinical trial of Dasatinib plus Quercetin in individuals with diabetic kidney disease, https://www.ebiomedicine.com/article/S2352-3964(19)30591-2/pdf
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  4. Arora S, Thompson PJ, Wang Y, Bhattacharyya A, Apostolopoulou H, Hatano R, Naikawadi RP, Shah A, Wolters PJ, Koliwad S, Bhattacharya M, Bhushan A; "Invariant Natural Killer T cells coordinate removal of senescent cells" , https://doi.org/10.1016/j.medj.2021.04.014
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  6. Zhu Y et al.: Orally-active, clinically-translatable senolytics restore α-Klotho in mice and humans. EBioMedicine 2022. (PMID 35292270) [PubMed] [DOI] [Full text] BACKGROUND: α-Klotho is a geroprotective protein that can attenuate or alleviate deleterious changes with ageing and disease. Declines in α-Klotho play a role in the pathophysiology of multiple diseases and age-related phenotypes. Pre-clinical evidence suggests that boosting α-Klotho holds therapeutic potential. However, readily clinically-translatable, practical strategies for increasing α-Klotho are not at hand. Here, we report that orally-active, clinically-translatable senolytics can increase α-Klotho in mice and humans. METHODS: We examined α-Klotho expression in three different human primary cell types co-cultured with conditioned medium (CM) from senescent or non-senescent cells with or without neutralizing antibodies. We assessed α-Klotho expression in aged, obese, and senescent cell-transplanted mice treated with vehicle or senolytics. We assayed urinary α-Klotho in patients with idiopathic pulmonary fibrosis (IPF) who were treated with the senolytic drug combination, Dasatinib plus Quercetin (D+Q). FINDINGS: We found exposure to the senescent cell secretome reduces α-Klotho in multiple nonsenescent human cell types. This was partially prevented by neutralizing antibodies against the senescence-associated secretory phenotype (SASP) factors, activin A and Interleukin 1α (IL-1α). Consistent with senescent cells' being a cause of decreased α-Klotho, transplanting senescent cells into younger mice reduced brain and urine α-Klotho. Selectively removing senescent cells genetically or pharmacologically increased α-Klotho in urine, kidney, and brain of mice with increased senescent cell burden, including naturally-aged, diet-induced obese (DIO), or senescent cell-transplanted mice. D+Q increased α-Klotho in urine of patients with IPF, a disease linked to cellular senescence. INTERPRETATION: Senescent cells cause reduced α-Klotho, partially due to their production of activin A and IL-1α. Targeting senescent cells boosts α-Klotho in mice and humans. Thus, clearing senescent cells restores α-Klotho, potentially opening a novel, translationally-feasible avenue for developing orally-active small molecule, α-Klotho-enhancing clinical interventions. Furthermore, urinary α-Klotho may prove to be a useful test for following treatments in senolytic clinical trials. FUNDING: This work was supported by National Institute of Health grants AG013925 (J.L.K.), AG062413 (J.L.K., S.K.), AG044271 (N.M.), AG013319 (N.M.), and the Translational Geroscience Network (AG061456: J.L.K., T.T., N.M., S.B.K., S.K.), Robert and Arlene Kogod (J.L.K.), the Connor Group (J.L.K.), Robert J. and Theresa W. Ryan (J.L.K.), and the Noaber Foundation (J.L.K.). The previous IPF clinical trial was supported by the Claude D. Pepper Older Americans Independence Centers at WFSM (AG021332: J.N.J., S.B.K.), UTHSCA (AG044271: A.M.N.), and the Translational Geroscience Network.
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  8. Reyes NS et al.: Sentinel p16INK4a+ cells in the basement membrane form a reparative niche in the lung. Science 2022. (PMID 36227993) [PubMed] [DOI] [Full text] We engineered an ultrasensitive reporter of p16INK4a, a biomarker of cellular senescence. Our reporter detected p16INK4a-expressing fibroblasts with certain senescent characteristics that appeared shortly after birth in the basement membrane adjacent to epithelial stem cells in the lung. Furthermore, these p16INK4a+ fibroblasts had enhanced capacity to sense tissue inflammation and respond through their increased secretory capacity to promote epithelial regeneration. In addition, p16INK4a expression was required in fibroblasts to enhance epithelial regeneration. This study highlights a role for p16INK4a+ fibroblasts as tissue-resident sentinels in the stem cell niche that monitor barrier integrity and rapidly respond to inflammation to promote tissue regeneration.
  9. AI helps discover three drugs which could fight effects of ageing, https://news.sky.com/story/ai-helps-discover-three-drugs-which-could-fight-effects-of-ageing-12902182
  10. AI finds drugs that could kill 'zombie cells' behind ageing, https://www.thetimes.co.uk/article/ai-finds-drugs-that-could-kill-zombie-cells-behind-ageing-g6929hstl#:~:text=The%20AI%20selected%2021%20compounds,senescent%20drug%20of%20its%20kind

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