Impact of Senescent Cell Subtypes on Tissue Dysfunction and Repair: Importance and Research Questions
Open accessAbstract
Cellular senescence, first observed and defined through cell culture studies, is a cell fate associated with essentially permanent cell cycle arrest and that can be triggered by a variety of inducers. Emerging evidence suggests senescence is a dynamic process with diverse functional characteristics. Depending on the tissue, type of inducer, and time since induction, senescent cells can promote tissue repair and re-modeling, prevent tumor development, or contribute to age-related disorders and chronic diseases, including cancers. Senescent cell characteristics appear to depend on multiple factors and be influenced by the milieu and other senescent cells locally and at a distance. We review diverse phenotypes of senescent cells originating from different cell types, senescence inducers over time since induction of senescence, and across conditions and diseases. This background is essential to inform further understanding about senescent cell subtypes and will point towards rational senescence-modulating strategies for achieving therapeutic benefit.
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Transient senescent cells can have beneficial functions: their SASPs can orchestrate tissue remodeling, induce immune responses during infection or injury, promote parturition via placental senescent cells, and attract immune cells to clear pro-inflammatory senescent cells.
“If senescent cells are present transiently, beneficial functions of both the proapoptotic and pro-growth types of SASP can orchestrate tissue remodeling”
From Cellular senescence and senolytics: the path to the clinic (2022) · cites this paper as [61]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredIn the other 30-70% of senescent cells, the SASP appears to contain growth and regenerative factors, may cause less apoptosis, tissue destruction, and fibrosis, and can contribute to tissue repair via factors such as VEGF-A and PDGF-AA.
“In the other 30–70% of senescent cells, the SASP appears to comprise growth and other regenerative factors, potentially causing less apoptosis, tissue destruction and fibrosis than proapoptotic, pro-inflammatory senescent cells and can even contribute to tissue repair (for example, through the growth factors VEGF-A and PDGF-AA)61,65.”
From Cellular senescence and senolytics: the path to the clinic (2022) · cites this paper as [61]
In “Anti-apoptotic defenses vary among senescent cells” (page unavailable), the paper estimates that deleterious cells may comprise 30–70% of senescent cells and says the remaining helper cells release fewer pro-apoptotic factors and might aid wound healing through PDGF-AA. “Type of inducers” (page unavailable) also describes VEGF secretion by senescent fibroblasts, but does not identify those fibroblasts as helper cells. The paper does not specifically say that helper cells cause less fibrosis than deleterious cells. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn 30-70% of senescent cells, the SASP contains pro-inflammatory, proapoptotic, and pro-fibrotic factors, some of which can make previously non-senescent cells senescent locally and at a distance through endocrine action.
“In 30–70% of senescent cells, this SASP entails pro-inflammatory, proapoptotic and pro-fibrotic factors7,31,40,59–64, some of which can cause previously non-senescent cells to become senescent both locally and at a distance in an endocrine manner24,39,47.”
From Cellular senescence and senolytics: the path to the clinic (2022) · cites this paper as [61]
The “Anti-apoptotic defenses vary among senescent cells” section says pro-inflammatory and pro-apoptotic D-senescent cells may comprise about 30–70% of senescent cells, based on unpublished observations; it does not include pro-fibrotic factors in that description. The “Endocrine and paracrine impact of the SASP” section says SASP factors can spread senescence to previously normal cells locally and in distant organs. The claim is therefore supported in part, but states the tentative percentage more firmly and adds an unsupported pro-fibrotic component. (LLM, conf=0.86)
Experimental — accuracy not yet measuredSASP factors, senescence markers, and markers of other aging processes such as α-Klotho can be assayed in body fluids including urine, saliva, blood, and cerebrospinal fluid.
“SASP factors, senescence markers and markers of other fundamental aging processes (for example, α-Klotho) can be assayed in body fluids such as urine, saliva, blood or cerebrospinal fluid7,19,48,59,61,64,132,133.”
From Cellular senescence and senolytics: the path to the clinic (2022) · cites this paper as [61]
The sections on SASP differences and endocrine effects (page unavailable) discuss SASP factors and senescence markers, but do not say they can be assayed in body fluids. Searches for urine, saliva, blood, cerebrospinal fluid, α-Klotho, and circulating biomarkers found no passage addressing the claimed assays. (LLM, conf=0.73)
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Self-citationSenolytics and senostatics as adjuvant tumour therapy
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The Signaling of Cellular Senescence in Diabetic Nephropathy
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Senescence in Post-Mitotic Cells: A Driver of Aging?
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Dynamic Modelling of Pathways to Cellular Senescence Reveals Strategies for Targeted Interventions
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Senescent cell turnover slows with age providing an explanation for the Gompertz law
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Cellular senescence and senolytics: the path to the clinic
Chaib, S., Tchkonia, T., & Kirkland, J. L. (2022) · Nature Medicine · doi:10.1038/s41591-022-01923-y · Cited by 1,105 · see citing works
Self-citationTargeting p21Cip1 highly expressing cells in adipose tissue alleviates insulin resistance in obesity
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Self-citationTargeting senescent cells for a healthier longevity: the roadmap for an era of global aging
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Self-citationRole of senescence in the chronic health consequences of COVID-19
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Self-citation
- Authors
- Tripathi, U., Misra, A., Tchkonia, T., & Kirkland, J. L.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Kirkland, James L.
- Venue
- Mechanisms of Ageing and Development
- Publisher
- Elsevier BV
- Published
- 2021-09
- Volume
- 198
- Pages
- 111548
- ISSN
- 0047-6374 (ISSN-L)
- PMC
- PMC8373827
- OpenAlex
- W3193165141
- Cited by
- 104
- References
- 82
- Citations by year
- 2026: 22 · 2025: 28 · 2024: 17 · 2023: 21 · 2022: 10 · 2021: 6
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Mechanisms of Ageing and Development (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (P01 AG62413, R01 AG072301, R01 AG61414, R33 AG61456, R37 AG13925, UH3 AG56933)
- Noaber Foundation
- 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, tissue repair, tissue remodeling, tumor suppression, age-related diseases, chronic disease, paracrine senescence
- MeSH terms
- Senescence-Associated Secretory Phenotype, Aging, Cell Cycle, Cells, Chronic Disease, Humans, Regeneration, Cellular Senescence
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