Cited by 304Telomeres, Telomerase, and SenescenceSingle-cell and spatial transcriptomicsGenetics, Aging, and Longevity in Model Organisms

The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index; 3 of the 63 sources its claims cite were checked for support.

The heterogeneity of cellular senescence: insights at the single-cell level

Open access

Abstract

Senescent cells are highly associated with aging and pathological conditions and could be targeted to slow the aging process. One commonly used marker to examine senescent cells in vivo is p16, which has led to important discoveries. Recent studies have also described new senescence markers beyond p16 and have highlighted the importance of investigating senescence heterogeneity in cell types and tissues. With the development of high-throughput technologies, such as single-cell RNA-seq and single-nucleus RNA-seq, we can examine senescent cells at the single-cell level and potentially uncover new markers. This review emphasizes that there is an urgent need to investigate senescence heterogeneity and discuss how this could be accomplished by using advanced technologies and sequencing datasets.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that cellular senescence is highly heterogeneous and that p16 alone might be neither specific nor sensitive enough to identify senescent cells in vivo. It highlights single-cell/nucleus RNA-seq and other high-throughput methods as key tools for uncovering new markers, tissue-specific senescence populations, and precision-medicine targets.

Key findings

  • p16 is not a universal senescence marker: not all p16high cells are senescent, and some senescent cells do not express p16; p21, p19, uPAR, and GPNMB are among emerging alternative markers.
  • A p21-Cre model targets p21high cells comprising 1–10% of cells in various tissues of aged mice; these cells are distinct from p16high cells, and their clearance reduces senescence markers, improves physical function in aged mice, and alleviates metabolic dysfunction in obese mice.
  • Single-cell/nucleus RNA-seq studies show senescent cells distributed across various cell populations rather than forming specific clusters; examples include p19/CDKN2D as the most significant marker in postmortem Alzheimer’s disease brains, p16high cells in liver/kidney varying by cell type and disease, and a Col1a1-high senescent endothelial subset in mouse retina.
  • Current technologies have limits and strengths: spatial transcriptomics resolution is ~55 μm (one to ten cells per section), sequencing depth captures only up to 50–60% of transcripts per cell, multiplexed antibody-based imaging detects 20–50 genes, and mFISH detects more than 100 genes.

Methods

  • Narrative review; no primary experimental data are presented.
  • Synthesizes current literature on senescence biology, markers, mouse models, high-throughput technologies, and single-cell/nucleus RNA-seq studies across adipose, brain, liver, kidney, eye, and other tissues.
  • Discusses analytic approaches and resources including Tabula Muris Senis and the NIH SenNet program.

Limitations

  • Stated: p16 and p21 might not be specific or sensitive markers; some p16high cells are not senescent, and some senescent cells do not express p16.
  • Stated: single-cell RNA-seq may miss large or dissociation-sensitive cells, single-nucleus RNA-seq may have lower sensitivity, sequencing depth is relatively low, and spatial transcriptomics resolution remains limited; enrichment of senescent cells requires robust markers.
  • Evident from the text: as a review, it does not provide new experimental validation or a systematic meta-analysis, so its conclusions depend on the cited studies and their marker limitations.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.tcb.2022.04.011

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

40 Not checked yet · 10 Own interpretation · 3 No basis given · 1 Partly supported · accuracy not yet measured

Verify all 60 references — free account
  • It may state two separate claims as one. 29
  • Probably not a substantial claim. 11
37 of 37
  • The paper relies on this without support.

    Senescent cells are of low abundance in vivo.

    “This could be a particular challenge for mapping senescent cells due to their low abundance in vivo.”
1 of 1

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

Cites

Show all 45 references

Research works printed but not linked: 1

  1. Wang, 2022, Targeting p21(Cip1) highly expressing cells in adipose tissue alleviates insulin resistance in obesity, Cell Metab., 34, 75, 10.1016/j.cmet.2021.11.002 · DOI · Paper page

Cited by

Sorted by citations

See all 304

Metadata

Authors
Cohn, R. L., Gasek, N. S., Kuchel, G. A., & Xu, M.
Affiliations
University of Connecticut (US)
Corresponding author
Xu, Ming
Venue
Trends in Cell Biology
Publisher
Elsevier BV
Published
2023-01
Volume
33
Issue
1
Pages
9-17
ISSN
0962-8924 (ISSN-L)
OpenAlex
W4280558960
Cited by
294
References
45
Citations by year
2026: 67 · 2025: 93 · 2024: 83 · 2023: 42
FWCI
8.19
Type
journal article
Language
en
Open access
Locations
  • Trends in Cell Biology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (AG063528, AG066679, AG068860, R33AG061456, T32HG010463, U54AG075941)
  • Mayo Clinic
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
Keywords
cellular senescence, senescence heterogeneity, senescence markers, p16, aging, single-cell RNA sequencing, single-nucleus RNA sequencing
MeSH terms
Aging, Humans, Cellular Senescence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

A language model drew the claims from the paper on 2026-10-10, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-10 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Cited sources are checked with a language model’s help (gpt-6-sol).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review