Senescence in Health and Disease
Open accessAbstract
Many cellular stresses activate senescence, a persistent hyporeplicative state characterized in part by expression of the p16 INK4a cell-cycle inhibitor. Senescent cell production occurs throughout life and plays beneficial roles in a variety of physiological and pathological processes including embryogenesis, wound healing, host immunity, and tumor suppression. Meanwhile, the steady accumulation of senescent cells with age also has adverse consequences. These non-proliferating cells occupy key cellular niches and elaborate pro-inflammatory cytokines, contributing to aging-related diseases and morbidity. This model suggests that the abundance of senescent cells in vivo predicts "molecular," as opposed to chronologic, age and that senescent cell clearance may mitigate aging-associated pathology.
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Terminal differentiation is the acquisition of specific cellular functions accompanied by a durable cell-cycle arrest mediated by pathways distinct from those of cellular senescence.
“Quiescence is a temporary arrest state with proliferation re-instated by appropriate stimuli; terminal differentiation is the acquisition of specific cellular functions accompanied by a durable cell-cycle arrest mediated by pathways distinct from those of cellular senescence (Figure 2).”
From Cellular Senescence: Defining a Path Forward (2019) · cites this paper as He and Sharpless, 2017
The Introduction’s sections on terminal differentiation and distinct forms of growth arrest support the development of specialized cells and a difference from senescence in how arrest is initiated or maintained (page not provided). The source says cell-cycle withdrawal usually accompanies terminal differentiation, rather than always, and notes that the forms of growth arrest share RB-family activity; the claim presents the arrest and pathway distinction more categorically. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe role of senescence in human disease is clear from cellular studies, while in vivo evidence is only now catching up.
“The role of senescence in human disease is clear from cellular studies, while in vivo evidence is only now catching up”
From Cellular Senescence: Defining a Path Forward (2019) · cites this paper as He and Sharpless, 2017
The Introduction says senescence was long dismissed as an in vitro artifact, but recent findings have established its role in certain physiological and pathological states in vivo. It does not say cellular studies had already made its role in human disease clear; the Conclusions instead call that role an evolving notion. (LLM, conf=0.84)
Experimental — accuracy not yet measuredEvidence links senescence to other common age-associated human diseases including neurodegenerative disorders, glaucoma, cataract, atherosclerosis and cardiovascular disease, diabetes, osteoarthritis, pulmonary, and renal and liver fibrosis.
“Evidence linking senescence to other common age-associated human diseases has recently emerged. These diseases include neurodegenerative disorders, glaucoma, cataract, atherosclerosis and cardiovascular disease, diabetes, osteoarthritis, pulmonary, and renal and liver fibrosis”
From Cellular Senescence: Defining a Path Forward (2019) · cites this paper as He and Sharpless, 2017
The “Set points” section (page unavailable) links senescence-related genes to atherosclerotic disease, type 2 diabetes, glaucoma and pulmonary fibrosis; the paper also discusses cardiovascular and renal pathology. The cited passages do not establish the claimed links to neurodegenerative disorders, cataract, osteoarthritis, or specifically renal and liver fibrosis. Its discussion of neurogenesis and cirrhosis does not establish those more specific claims. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn most studies, senescence is assessed in ex vivo cultures or fresh samples by SAβ-gal staining or indirect markers in formalin-fixed tissues.
“In most studies, senescence is assessed in ex vivo cultures or fresh samples by SAb -gal staining or indirect markers in formalin-fixed tissues”
From Cellular Senescence: Defining a Path Forward (2019) · cites this paper as He and Sharpless, 2017
The Introduction (page unavailable) identifies SA-β-gal staining as a characteristic senescence marker, and the section on estimating disease risk discusses indirect markers such as cytokines, telomere dysfunction, and p16INK4a expression. Our copy does not say that most studies use these methods or specify ex vivo cultures, fresh samples, or formalin-fixed tissues. (LLM, conf=0.84)
Experimental — accuracy not yet measuredLong-term survival of senescent cells drives age-related diseases, such as atherosclerosis, neuropsychiatric disorders, chronic nephritis and cancer.
“In contrast to the beneficial effects of SASP in the living body, long‐term survival of senescent cells also drives age‐related diseases, such as atherosclerosis, neuropsychiatric disorders, chronic nephritis and cancer.42”
From Cellular senescence and senescence-associated secretory phenotype via the cGAS-STING signaling pathway in cancer (2020) · cites this paper as [42]
The 'Clearing senescent cells to treat aging-related pathologies' section (page not provided) reports that senescent-cell clearance attenuates atherosclerosis, rescues glomerulosclerosis and declining renal function in aged mice, and delays several cancers. The Conclusions (page not provided) also link senescent-cell accumulation to susceptibility to age-associated disease. The copy does not identify neuropsychiatric disorders or chronic nephritis as outcomes; its renal finding concerns glomerulosclerosis, not chronic nephritis. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Massive apoptosis of senescent cells caused by senolytics may lead to tissue atrophy.
“The drug causes massive apoptosis of senescent cells, which may lead to tissue atrophy [114].”
From Modulation of fracture healing by senescence-associated secretory phenotype (SASP): a narrative review of the current literature (2024) · cites this paper as [114]
The Introduction says navitoclax induces apoptosis of senescent cells and reduces their burden in mice. “A Path to Senolysis in Humans” raises a theoretical concern that sudden clearance could harm organ function, giving rapid loss of pancreatic β-cell mass as an example. It does not report massive apoptosis caused by a drug or establish tissue atrophy as an outcome. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe inflammatory signature of potentially senescent-like microglia has been identified in most tissues of all ages in human and mice, but their number increases with age.
“This inflammatory signature of potentially senescent-like microglia has been identified in most tissues of all ages in human and mice, but their number increases with age”
From Cross-Species Single-Cell Analysis Reveals Divergence of the Primate Microglia Program (2019) · cites this paper as He and Sharpless, 2017
The Introduction describes pro-inflammatory cytokine secretion by senescent cells, and the Abstract says senescent cells occur throughout life and accumulate with age. The Wound Healing section discusses macrophages with some senescence features, but our copy does not identify an inflammatory signature in microglia across most tissues, ages, and humans and mice, or show that the number of those microglia increases with age. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThis process initiates and maintains cellular senescence, which is a key contributor to organismal ageing and multiple age-related diseases.
“This initiates and maintains cellular senescence, a key contributor to organismal ageing and multiple age-related diseases6,7.”
From Telomere dysfunction in ageing and age-related diseases (2022) · cites this paper as [6]
Cellular senescence contributes to physiological and pathological processes in humans, mice, and some other species.
“In humans, mice and some other species, cellular senescence has been shown to contribute to various physiological and pathological processes1.”
From SenNet recommendations for detecting senescent cells in different tissues (2024) · cites this paper as [1]
This cell-cycle withdrawal differs from quiescence and terminal differentiation.
“This cell-cycle withdrawal differs from quiescence and terminal differentiation (He and Sharpless, 2017).”
From Cellular Senescence: Defining a Path Forward (2019) · cites this paper as He and Sharpless, 2017
Quiescence is a temporary arrest state with proliferation re-instated by appropriate stimuli.
“Quiescence is a temporary arrest state with proliferation re-instated by appropriate stimuli; terminal differentiation is the acquisition of specific cellular functions accompanied by a durable cell-cycle arrest mediated by pathways distinct from those of cellular senescence (Figure 2).”
From Cellular Senescence: Defining a Path Forward (2019) · cites this paper as He and Sharpless, 2017
Accumulation of senescent cells is causally linked to functional decline in aging tissues.
“Accumulation of senescent cells is causally linked to functional decline in aging tissues.”
From Spatial transcriptomic landscape unveils immunoglobin-associated senescence as a hallmark of aging (2024) · cites this paper as [25]
Senescent cells accumulate inside the body during aging.
“Senescent cells accumulate inside the body during aging4,8”
From Single-cell senescence identification reveals senescence heterogeneity, trajectory, and modulators (2024) · cites this paper as [8]
Expression of p21 does not persist in senescent cells, as it is mainly required for induction of senescence.
“However, expression of p21WAF1/CIP1 does not persist in senescent cells as it is mainly required for induction of senescence (Stein et al., 1999; Sharpless and Sherr, 2015; He and Sharpless, 2017; Song et al., 2020).”
From Mechanisms of Cellular Senescence: Cell Cycle Arrest and Senescence Associated Secretory Phenotype (2021) · cites this paper as He and Sharpless, 2017
Cellular senescence is often characterized by increased GLB1, CDK inhibition/RB dephosphorylation via p21/p16/ARF, absence of MKI67, DDR activation from telomere erosion, and SAHF.
“At the biochemical level, cellular senescence is often characterized by: (1) increased lysosomal galactosidase beta 1 (GLB1) activity; (2) inhibition of multiple cyclin-dependent kinases (CDKs) and consequent dephosphorylation of various members of the retinoblastoma (RB) protein family—including RB transcriptional corepressor 1 (RB1), RB transcriptional corepressor like 1 (RB1L; best known as p”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [941]
Senescent cells accumulate during organismal aging due to increased generation and inefficient clearance.
“Mounting evidence, however, indicates that senescent cells accumulate during organismal aging due to their increased generation coupled to inefficient clearance [935, 941, 960, 961].”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [941]
SASP is involved in immunological clearance of senescent cells and affects neighboring cells with intact proliferative potential.
“Although such a senescence-associated secretory phenotype (SASP) appears to be involved in the immunological clearance of senescent cells, it also affects the biology of neighboring cells with an intact proliferative potential (and this has major implications for senescence-inducing anticancer agents) [941–945].”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [941]
Senescent cells secrete immunomodulatory and mitogenic cytokines, chemokines, growth factors, and MMPs.
“Senescent cells secrete a variety of immunomodulatory and mitogenic cytokines, chemokines, growth, and MMPs [941–943].”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [941]
Senescent cells exhibit a senescence-associated secretory phenotype (SASP) characterized by overproduction of proinflammatory molecules such as IL6, TGFβ, IL8, MCP-1, extracellular matrix remodeling enzymes (MMPs), serine/cysteine proteinase inhibitors (serpins), and tissue inhibitors of metalloproteinases.
“Senescent cells exhibit a senescence-associated secretory phenotype (SASP) characterized by an overproduction of proinflammatory molecules such as IL6, TGFβ, IL8, MCP-1, extracellular matrix remodeling enzymes (MMPs), serine/cysteine proteinase inhibitors (serpins), and tissue inhibitors of metalloproteinases (61).”
From Lung epithelial and endothelial damage, loss of tissue repair, inhibition of fibrinolysis, and cellular senescence in fatal COVID-19 (2021) · cites this paper as [61]
Ageing is mainly marked by the build-up of cells that have permanently stopped dividing, called senescent cells.
“Ageing is arguably primarily characterised by the accumulation of cells which have undergone the process of permanent cell cycle arrest, termed senescence (9).”
From The impact of ageing on monocytes and macrophages (2021) · cites this paper as [9]
Cellular senescence plays crucial roles in a variety of physiological and pathological processes, including embryonic development, cancer, aging, and multiple other diseases.
“Cellular senescence, which was initially described by Leonard Hayflick and colleagues in 1961,1 plays crucial roles in a variety of physiological and pathological processes, including embryonic development, cancer, aging, and multiple other diseases.2,3,4,5,6,7”
From Identifying specific functional roles for senescence across cell types (2024) · cites this paper as [3]
The early proinflammatory condition in regenerating tissues mimics the senescence-associated secretory phenotype (SASP); it appears beneficial if intermittent but causes pathology if chronically active.
“Not only is this condition in common for regenerating tissues in the early phase, but it also somehow mimics the senescence-associated secretory phenotype (SASP) of presenescent and senescent cells. It appears to be beneficial if intermittent, but it causes pathology if chronically active.”
From Interactions between Muscle and Bone—Where Physics Meets Biology (2020) · cites this paper as [126]
Senescence is one of the major drivers of aging and clearing senescent cells is a promising approach to treat age-related diseases and improve physical function.
“These studies demonstrated that senescence is one of the major drivers of aging and that clearing senescent cells is a promising approach to treat age-related diseases and improve physical function.6,10”
From Elimination of senescent cells by β-galactosidase-targeted prodrug attenuates inflammation and restores physical function in aged mice (2020) · cites this paper as [10]
Senescence was traditionally considered an innate anti-cancer mechanism as it can eliminate damaged cells, and activation in cells harbouring oncogenic mutations serves as a tumour suppressor mechanism.
“Senescence was traditionally considered an innate anti-cancer mechanism as it can serve to eliminate damaged cells,3,5 whereby activation of the senescence programme in cells harbouring oncogenic mutations serves as a tumour suppressor mechanism, preventing the expansion of these mutated cells and progression into malignancies.3,5”
From Paracrine roles of cellular senescence in promoting tumourigenesis (2018) · cites this paper as [3]
Cells undergoing damage-induced senescence are often cleared by the immune system, as several SASP factors are cytokines and chemokines that can modulate the local immune environment.
“Cells undergoing damage-induced senescence are often cleared by the immune system, as several SASP factors are cytokines and chemokines that can modulate the local immune environment.2,3,5,70,71”
From Paracrine roles of cellular senescence in promoting tumourigenesis (2018) · cites this paper as [3]
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“In fact, an enrichment in the number of senescent cells has been observed in vivo during both biological and pathological processes such as development, cancer, fibrosis, and wound healing (He and Sharpless, 2017; Muñoz-Espı́n and Serrano, 2014).”
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Cell senescence contributes to tissue regeneration in zebrafish
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“Senescent cells play intricate roles in many biological processes including tumor suppression, embryogenesis, tissue repair, host immunity, aging and age-related disorders(Chou & Effros, 2013; He & Sharpless, 2017; Jun & Lau, 2010; Munoz-Espin et al., 2013; Reddel, 2009; Storer et al., 2013).”
BackgroundCellular Senescence as a Therapeutic Target for Age-Related Diseases: A Review
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A Blueprint for Characterizing Senescence
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Self-citationInvariant natural killer T cells coordinate removal of senescent cells
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“portant molecular mechanism in physiological wound healing and development [111,112].”
BackgroundEmbryonic senescent cells re-enter cell cycle and contribute to tissues after birth
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Cellular Senescence in Idiopathic Pulmonary Fibrosis
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The development of cell senescence.
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- Authors
- He, S., & Sharpless, N. E.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Sharpless, Norman E.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 169
- Issue
- 6
- Pages
- 1000-1011
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC5643029
- OpenAlex
- W2620914886
- Cited by
- 1,766
- References
- 107
- Citations by year
- 2026: 173 · 2025: 232 · 2024: 240 · 2023: 266 · 2022: 228 · 2021: 225 · 2020: 157 · 2019: 128 · 2018: 102 · 2017: 14
- FWCI
- 13.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Glenn Foundation
- Breast Cancer Research Foundation
- Burroughs Wellcome Foundation
- NIH (CA203023, AG024379)
- Topics
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Health Sciences › Medicine › Geriatrics and Gerontology › Sirtuins and Resveratrol in Medicine
- Keywords
- cellular senescence, senolytics, senescent cell clearance, aging, age-related diseases, inflammatory cytokines, tumor suppression, wound healing, embryonic development, host immunity, cell cycle inhibitors
- MeSH terms
- Aging, Animals, Cell Cycle, Humans, Neoplasms, Wound Healing, Cellular Senescence
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