Cited by 3,757Telomeres, Telomerase, and SenescenceGenetics, Aging, and Longevity in Model OrganismsSirtuins and Resveratrol in Medicine

Clearance of p16Ink4a-positive senescent cells delays ageing-associated disorders

Open access
Baker, Darren J., Wijshake, Tobias, Tchkonia, Tamar, LeBrasseur, Nathan K., Childs, Bennett G., van de Sluis, Bart, Kirkland, James L., van Deursen, Jan M.·2011·Nature

Abstract

Advanced age is the main risk factor for most chronic diseases and functional deficits in humans, but the fundamental mechanisms that drive ageing remain largely unknown, impeding the development of interventions that might delay or prevent age-related disorders and maximize healthy lifespan. Cellular senescence, which halts the proliferation of damaged or dysfunctional cells, is an important mechanism to constrain the malignant progression of tumour cells. Senescent cells accumulate in various tissues and organs with ageing and have been hypothesized to disrupt tissue structure and function because of the components they secrete. However, whether senescent cells are causally implicated in age-related dysfunction and whether their removal is beneficial has remained unknown. To address these fundamental questions, we made use of a biomarker for senescence, p16(Ink4a), to design a novel transgene, INK-ATTAC, for inducible elimination of p16(Ink4a)-positive senescent cells upon administration of a drug. Here we show that in the BubR1 progeroid mouse background, INK-ATTAC removes p16(Ink4a)-positive senescent cells upon drug treatment. In tissues--such as adipose tissue, skeletal muscle and eye--in which p16(Ink4a) contributes to the acquisition of age-related pathologies, life-long removal of p16(Ink4a)-expressing cells delayed onset of these phenotypes. Furthermore, late-life clearance attenuated progression of already established age-related disorders. These data indicate that cellular senescence is causally implicated in generating age-related phenotypes and that removal of senescent cells can prevent or delay tissue dysfunction and extend healthspan.

AI snapshot

Written from the paper’s full text.

TL;DR

The paper describes INK-ATTAC, a transgenic mouse system that allows drug-inducible removal of p16Ink4a-positive senescent cells. In a BubR1 hypomorphic progeroid background, clearing these cells delayed or slowed several age-related phenotypes in adipose tissue, skeletal muscle, and eye, supporting a causal role for cellular senescence in age-related dysfunction.

Key findings

  • INK-ATTAC expression overlapped with endogenous p16Ink4a: GFP+ cells from aged BubR1H/H;INK-ATTAC adipose tissue had higher p16Ink4a and other senescence markers than GFP− cells, and AP20187 killed most rosiglitazone-induced senescent bone marrow cells within 48 h in vitro.
  • Life-long AP20187 treatment from 3 weeks of age in BubR1H/H;INK-ATTAC lines 3 and 5 delayed lordokyphosis and cataracts, increased muscle fibre diameter, improved treadmill exercise duration/distance/work, and prevented adipose tissue loss; these delays were absent in BubR1H/H mice without the transgene.
  • Late-life treatment starting at 5 months and assessed at 10 months improved muscle fibre size and exercise performance and increased fat depots and adipocyte size, but cataracts that had already matured remained unchanged; the effects reflected slowed progression rather than reversal of ageing.
  • p16Ink4a-independent phenotypes such as cardiac arrhythmias and arterial wall stiffening were not attenuated, and overall survival was not substantially extended, likely because cardiac failure is the main cause of death in this model. No overt side effects were observed in WT;INK-ATTAC mice treated until 8 months.

Methods

  • The INK-ATTAC construct used a 2,617-bp murine p16Ink4a promoter fragment to drive FKBP–Casp8, with an IRES-EGFP reporter; nine transgenic founder lines were generated and bred onto the BubR1 hypomorphic background, with lines 3 and 5 selected for study.
  • AP20187 was injected intraperitoneally every 3 days at 0.2 μg/g body weight from weaning (life-long) or from 5 months (late-life); phenotypes were assessed by lordokyphosis and cataract checks, muscle and fat histology, DEXA, treadmill exercise, BrdU incorporation, SA-β-Gal staining, qRT–PCR, and FACS.
  • In vitro, bone marrow cells were treated with 1 μM rosiglitazone for 5 days and then 10 nM AP20187 for 48 h; MEFs were induced to senesce by serial passaging (12–15 passages) or H-ras expression, sorted into GFP+ and GFP− populations, and analysed. Statistical comparisons used two-tailed unpaired t tests and log-rank tests.

Limitations

  • The paper states that no universal marker expressed solely in senescent cells has been identified, and the approach relies on p16Ink4a promoter activity and two transgenic lines.
  • The paper notes that overall survival was not substantially extended, probably because cardiac failure dominates mortality in BubR1H/H mice; p16Ink4a-independent pathologies were unaffected, and mature cataracts did not improve with late-life clearance.
  • Evident from the text: the findings are in a progeroid BubR1 hypomorphic mouse model rather than natural ageing, some measurements were performed in female mice, and absence of overt side effects was only tested in WT;INK-ATTAC mice up to 8 months.

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

Integrity signals

Registry

Crossref · 10.1038/nature10600

Cites

32 of 32 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

9 of 19 cited sources checked · 5 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Most senescent cells express p16Ink4a.

    “Although a universal marker that is solely expressed in senescent cells has not been identified, most senescent cells seem to express p16Ink4a, a cyclin-dependent kinase inhibitor and tumour suppressor that enforces growth arrest by activating Rb5,7.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [5] Rodier, F. & Campisi, J. Four faces of cellular senescence. J. Cell Biol. 192, 547–556 (2011) source
    • cites [7] Kim, W. Y. & Sharpless, N. E. The regulation of INK4/ARF in cancer and aging. Cell 127, 265–275 (2006) source
  • Interpretationown data

    Acquisition of the senescence-associated secretory phenotype contributes to age-related tissue dysfunction.

    “Furthermore, our data indicate that acquisition of the senescence-associated secretory phenotype (SASP), which enables cells to secrete a variety of growth factors, cytokines and proteases4, contributes to age-related tissue dysfunction.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [4] Coppé, J. P. et al. Senescence-associated secretory phenotypes reveal cell-nonautonomous functions of oncogenic RAS and the p53 tumor suppressor. PLoS Biol. 6, e301 (2008) source
  • Premisecitation

    Rosiglitazone can induce senescence and p16Ink4a expression via PPARγ activation.

    “rosiglitazone, a drug that can induce cellular senescence and p16Ink4a expression through activation of PPARγ16.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [16] Gan, Q. et al. PPARγ accelerates cellular senescence by inducing p16INK4α expression in human diploid fibroblasts. J. Cell Sci. 121, 2235–2245 (2008) source

      The “PPARγ-mediated regulation of p16INK4α expression” section reports that PPARγ overexpression or troglitazone treatment increased p16 protein in human fibroblasts; the RNA-interference section links PPARγ-agonist effects to senescence. The paper’s treatment passages name troglitazone and pioglitazone, not rosiglitazone, so they do not establish the claim for that specific drug. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Premisecitation

    Senescent cells accumulate in various tissues and organs with ageing.

    “Senescent cells accumulate in various tissues and organs with ageing3”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [3] Campisi, J. Senescent cells, tumor suppression, and organismal aging: good citizens, bad neighbors. Cell 120, 513–522 (2005) source
  • Premisecitation

    The 2,617-bp p16Ink4a promoter fragment is transcriptionally active in senescent but not non-senescent cells.

    “We replaced the Fabp4 promoter with a 2,617-bp fragment of the p16Ink4a gene promoter that is transcriptionally active in senescent, but not non-senescent cells (Fig. 1a)9.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [9] Wang, W., Wu, J., Zhang, Z. & Tong, T. Characterization of regulatory elements on the promoter region of p16INK4a that contribute to overexpression of p16 in senescent fibroblasts. J. Biol. Chem. 276, 48655–48661 (2001) source

      The Discussion reports that the tested p16INK4a promoter fragments were 5–7 times more active in senescent than in young fibroblasts, supporting senescence-associated activity. It does not identify a 2,617-bp fragment, and its measurements of promoter activity in young cells do not support the claim that the promoter is inactive in non-senescent cells. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. 4
  • May combine two claims. 8
  • Classified as probably not a substantial claim.

    Premisecitation

    p16Ink4a expression increases with ageing in several rodent and human tissues.

    “Additionally, the expression of p16Ink4a is known to increase with ageing in several rodent and human tissues8.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [8] Krishnamurthy, J. et al. Ink4a/Arf expression is a biomarker of aging. J. Clin. Invest. 114, 1299–1307 (2004) source

      The 'Expression of Ink4a/Arf in vivo' section reports increased p16INK4a expression with age across many mouse and rat tissues. Table 1 compares those findings with published human tissue staining, but does not show age-related increases across several human tissues; the References name evidence for aging human kidney specifically. The claim's extension to several human tissues is therefore not established by this copy (no page numbers available). (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    SASP enables cells to secrete growth factors, cytokines, and proteases.

    “senescence-associated secretory phenotype (SASP), which enables cells to secrete a variety of growth factors, cytokines and proteases4”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [4] Coppé, J. P. et al. Senescence-associated secretory phenotypes reveal cell-nonautonomous functions of oncogenic RAS and the p53 tumor suppressor. PLoS Biol. 6, e301 (2008) source

      In the Results section on senescent fibroblasts (page unavailable), the paper identifies cytokines and growth factors as SASP components and reports increased secretion of SASP proteins. The passages in our copy do not identify secreted proteases as SASP components, so that part of the claim is unsupported. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Cellular senescence halts proliferation of damaged or dysfunctional cells and constrains malignant progression of tumour cells.

    “Cellular senescence, which halts the proliferation of damaged or dysfunctional cells, is an important mechanism to constrain the malignant progression of tumour cells1,2.”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [1] Campisi, J. Cellular senescence: putting the paradoxes in perspective. Curr. Opin. Genet. Dev. 21, 107–112 (2011) source
    • cites [2] Kuilman, T., Michaloglou, C., Mooi, W. J. & Peeper, D. S. The essence of senescence. Genes Dev. 24, 2463–2479 (2010) source
  • May combine two claims.

    Findingown data

    Late-life AP20187 treatment increased mean muscle fibre diameters and improved treadmill performance in BubR1H/H;INK-ATTAC mice.

    “Importantly, late-life treated animals had increased mean muscle fibre diameters and showed improved performance in treadmill exercise tests (Fig. 4a, b).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Senescent cells were cleared from tissues, and this delays acquisition of age-related dysfunction in BubR1 hypomorphic mice.

    “Together, these data indicate that senescent cells were cleared from tissues and that this delays acquisition of age-related dysfunction in BubR1 hypomorphic mice.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Late-life treated mice had enlarged fat depots and increased adipocyte size and subdermal adipose layer thickness.

    “Furthermore, most fat depots of these animals were enlarged and adipocyte cell size and subdermal adipose layer thickness were significantly increased (Fig. 4c–e).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    AP20187-treated mice showed increased treadmill exercise duration, distance, and work.

    “treadmill exercise tests revealed that duration of exercise, distance travelled and overall amount of work performed were all significantly increased in the animals treated with AP20187 (Fig. 2e), indicating preservation of muscle function.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    GFP fluorescence was observed in two strains, BubR1H/H;INK-ATTAC-3 and -5.

    “We observed GFP fluorescence in two of these strains, BubR1H/H;INK-ATTAC-3 and -5 (Fig. 1b and Supplementary Fig. 1a).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Skeletal muscle and lens tissue of aged BubR1H/H;INK-ATTAC mice are SA-β-Gal negative but express other senescence markers.

    “Skeletal muscle and lens tissue of aged BubR1H/H;INK-ATTAC mice are SA-β-Gal negative (data not shown), but both these tissues expressed other markers of senescence (Fig. 1f and Supplementary Fig. 3a).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Removing senescent cells can prevent or delay tissue dysfunction and extend healthspan.

    “and that removal of senescent cells can prevent or delay tissue dysfunction and extend healthspan.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    AP20187 induces dimerization of a membrane-bound myristoylated FKBP-Casp8 fusion protein.

    “AP20187, a synthetic drug that induces dimerization of a membrane-bound myristoylated FK506-binding-protein–caspase 8 (FKBP–Casp8) fusion protein expressed specifically in adipocytes via the minimal Fabp4 promoter6.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [6] Pajvani, U. B. et al. Fat apoptosis through targeted activation of caspase 8: a new mouse model of inducible and reversible lipoatrophy. Nature Med. 11, 797–803 (2005) source
  • May combine two claims.

    Premisecitation

    BubR1H/H mice have shortened lifespan and multiple age-related phenotypes.

    “BubR1H/H mice have a markedly shortened lifespan and exhibit a variety of age-related phenotypes, including infertility, lordokyphosis, sarcopenia, cataracts, fat loss, cardiac arrhythmias, arterial wall stiffening, impaired wound healing and dermal thinning12–14.”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [12] Baker, D. J. et al. BubR1 insufficiency causes early onset of aging-associated phenotypes and infertility in mice. Nature Genet. 36, 744–749 (2004) source
    • cites [13] Hartman, T. K., Wengenack, T. M., Poduslo, J. F. & van Deursen, J. M. Mutant mice with small amounts of BubR1 display accelerated age-related gliosis. Neurobiol. Aging 28, 921–927 (2007) source
    • cites [14] Matsumoto, T. et al. Aging-associated vascular phenotype in mutant mice with low levels of BubR1. Stroke 38, 1050–1056 (2007) source
12 of 12
  • The authors state this as an assumption.

    Cardiac failure is the main cause of death in BubR1H/H mice.

    “Cardiac failure is presumably the main cause of death in BubR1H/H mice (data not shown)”
  • The paper relies on this without support.

    Before this study, it was unknown whether senescent cells are causally implicated in age-related dysfunction and whether removing them is beneficial.

    “However, whether senescent cells are causally implicated in age-related dysfunction and whether their removal is beneficial has remained unknown.”
2 of 2

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?

  • Killing p16-positive cells in transgenic mice reduces age-related disease and lengthens health span in two independent mouse strains, INK-ATTAC and p16-3MR.

    “Ablating p16+ cells in these mice suppresses age-related disease, extending the health span of two independent strains of transgenic mice: INK-ATTAC and p16-3MR (see Supplemental Figure 1 for a description of the models) (8–10).”

    From Senolytic Drugs: Reducing Senescent Cell Viability to Extend Health Span (2021) · cites this paper as [8]

    The main text reports that clearing p16-positive cells delayed selected age-related deficits and preserved function in BubR1 progeroid mice carrying INK-ATTAC. Its two tested transgenic lines were INK-ATTAC-3 and INK-ATTAC-5, not INK-ATTAC and p16-3MR; our copy does not report a p16-3MR experiment. No page number is available in the indexed copy. (LLM, conf=0.90)

    Experimental — accuracy not yet measured
  • The BubR1H/H progeria model has accelerated and elevated superphysiologic cellular senescence due to chromosome missegregation and increasing aneuploidy.

    “This BubR1H/H progeria model has accelerated and elevated superphysiologic levels of cellular senescence due to chromosome missegregation as well as increasing aneuploidy (8, 80).”

    From Senolytic Drugs: Reducing Senescent Cell Viability to Extend Health Span (2021) · cites this paper as [8]

    The main text (page unavailable) describes BubR1H/H mice as progeroid and reports that they selectively accumulate p16Ink4a-positive senescent cells in adipose tissue, skeletal muscle and eye. It identifies BubR1 as part of the checkpoint for accurate chromosome segregation, but does not establish that missegregation or increasing aneuploidy causes the senescence, or quantify it as superphysiologic relative to normal ageing. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Many immune cell types and subtypes develop a senescence-like state with increased expression of p16, p21, and SASP factors.

    “In addition, many immune cell types and subtypes develop a senescence-like state with increased expression of p16, p21, and SASP factors92,93.”

    From Guidelines for minimal information on cellular senescence experimentation in vivo (2024) · cites this paper as [93]

    The paper’s main text links senescence with p16 expression, and its concluding discussion describes the senescence-associated secretory phenotype (SASP). Its bone-marrow experiments do not identify multiple immune-cell types or subtypes, and the copy does not establish increased p21 expression in them. Page numbers are not supplied in the indexed copy. (LLM, conf=0.83)

    Experimental — accuracy not yet measured
  • Adaptive immune function can be improved by short-term treatment with rapamycin, which reduces markers of senescence and SASP in PBMCs.

    “Interestingly, adaptive immune function can be improved by short-term treatment with rapamycin95, which reduces the markers of senescence and SASP in PBMCs93.”

    From Guidelines for minimal information on cellular senescence experimentation in vivo (2024) · cites this paper as [93]

    The main text (Fig. 3a–d) reports reduced senescence markers in the adipose tissue, skeletal muscle and eye of AP20187-treated transgenic mice. It does not show that rapamycin reduces senescence or SASP markers in PBMCs. The adaptive-immune-function statement is attached to a different citation (95), so it is not assessed here. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Killing senescent cells using a transgenic suicide gene enhances healthspan in mice.

    “The healthspan of mice is enhanced by killing senescent cells using a transgenic suicide gene.”

    From The Achilles' heel of senescent cells: from transcriptome to senolytic drugs (2015) · cites this paper as Baker et al., 2011

    The paper’s main text (Fig. 2–3 discussion) reports that drug-activated INK-ATTAC clearance of p16Ink4a-positive senescent cells delayed selected age-related deficits and preserved muscle function. This supports improved healthspan, but the benefit was demonstrated in BubR1 progeroid mice, not mice generally; some age-related conditions were unaffected. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

Cites

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Authors
Baker, D. J., Wijshake, T., Tchkonia, T., LeBrasseur, N. K., Childs, B. G., van de Sluis, B., Kirkland, J. L., & van Deursen, J. M.
Affiliations
Mayo Clinic (US)
Venue
Nature
Published
2011-11
Volume
479
Issue
7372
Pages
232-236
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W2069519394
Cited by
3,670
References
32
Citations by year
2026: 221 · 2025: 284 · 2024: 347 · 2023: 316 · 2022: 333 · 2021: 333 · 2020: 324 · 2019: 299 · 2018: 250 · 2017: 190 · 2016: 203 · 2015: 157 · 2014: 159 · 2013: 127 · 2012: 119
FWCI
89.50
Type
journal article
Language
en
Open access
Locations
  • Nature (publishedVersion)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Funders
  • National Institute on Aging (P01AG041122, AG 13925, R01AG013925, R37AG013925)
  • National Cancer Institute (CA-96985, R01CA096985)
  • National Institute of Diabetes and Digestive and Kidney Diseases (P30DK050456)
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, senolytic therapy, p16INK4a, senescent cell clearance, aging, age-related diseases, healthspan extension, adipose tissue, skeletal muscle, eye, tissue dysfunction
MeSH terms
Adipose Tissue, Aging, Animals, Bone Marrow Cells, Cell Count, Cells, Cultured, Eye, Female, Genotype, Longevity, Male, Mice, Transgenic, Phenotype, Progeria, Time Factors, Weaning, Gene Expression, Tacrolimus, Cellular Senescence, Protein Serine-Threonine Kinases, Muscle, Skeletal, Cell Cycle Proteins, Cyclin-Dependent Kinase Inhibitor p16, Mice

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