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Senescence as a therapeutic target in cancer and age-related diseases
Abstract
Cellular senescence is a stress response that restrains the growth of aged, damaged or abnormal cells. Thus, senescence has a crucial role in development, tissue maintenance and cancer prevention. However, lingering senescent cells fuel chronic inflammation through the acquisition of a senescence-associated secretory phenotype (SASP), which contributes to cancer and age-related tissue dysfunction. Recent progress in understanding senescence has spurred interest in the development of approaches to target senescent cells, known as senotherapies. In this Review, we evaluate the status of various types of senotherapies, including senolytics that eliminate senescent cells, senomorphics that suppress the SASP, interventions that mitigate senescence and strategies that harness the immune system to clear senescent cells. We also summarize how these approaches can be combined with cancer therapies, and we discuss the challenges and opportunities in moving senotherapies into clinical practice. Such therapies have the potential to address root causes of age-related diseases and thus open new avenues for preventive therapies and treating multimorbidities.
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“resistance mechanisms such as MCL-1 upregulation, and negative outcomes in some models21”
From Emerging strategies in senotherapeutics: from broad-spectrum senolysis to precision reprogramming (2026) · cites this paper as [21]
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“Intermit-tent elimination of SnCs either during adult life in progeroid mice 71 or during naturally occurring ageing in wild-type mice 17 ameliorated several age-related problems (by, for example, improving cardiac and renal function).”
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“This increase in β-galactosidase activity has provided one of the most widely used ways to identify SnCs (SA-β-gal) 56 .”
Self-citationA DNA damage checkpoint response in telomere-initiated senescence
Fagagna, F. D. D., Reaper, P. M., Clay-Farrace, L., Fiegler, H., Carr, P., von Zglinicki, T., Saretzki, G., Carter, N. P., & Jackson, S. P. (2003) · Nature · doi:10.1038/nature02118 · Cited by 2,917 · cited 1×
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Naturally occurring p16Ink4a-positive cells shorten healthy lifespan
Baker, D. J., Childs, B. G., Durik, M., Wijers, M. E., Sieben, C. J., Zhong, J., A. Saltness, R., Jeganathan, K. B., Verzosa, G. C., Pezeshki, A., et al. (2016) · Nature · doi:10.1038/nature16932 · Cited by 2,876 · cited 11×
“For example, in INK-ATTAC mice the intermittent elimination of p16 INK4a -positive SnCs starting at 12 months of age extends the lifespan and enhances the healthspan by delaying cancer-related deaths 17 .”
InfluentialCellular senescence: from physiology to pathology
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Zhu, Y., Tchkonia, T., Pirtskhalava, T., Gower, A. C., Ding, H., Giorgadze, N., Palmer, A. K., Ikeno, Y., Hubbard, G. B., Lenburg, M., et al. (2015) · Aging Cell · doi:10.1111/acel.12344 · Cited by 2,584 · cited 3×
“Some of them, such as quercetin 124 , fisetin 96 or procyanidin C1 (ref.”
Senescence and tumour clearance is triggered by p53 restoration in murine liver carcinomas
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Senolytics improve physical function and increase lifespan in old age
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“Paradoxically, when SnCs escape elimination by the immune system and linger in a tissue, their SASP causes chronic inflammation, promotes fibrosis, disrupts tissue homeostasis and contributes to the detrimental effects of senescence 28 .”
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Cited by
Sorted by citations
Emerging strategies in senotherapeutics: from broad-spectrum senolysis to precision reprogramming
Zhang, W., Song, S., Zhang, Y., Pan, Y., Hu, D., & Wang, Y. (2026) · npj Aging · doi:10.1038/s41514-026-00355-z · Cited by 6
Metadata
- Authors
- McHugh, D., Durán, I., & Gil, J.
- Venue
- Nature Reviews Drug Discovery
- Published
- 2024-11-15
- Volume
- 24
- Issue
- 1
- Pages
- 57-71
- ISSN
- 1474-1776
- 1474-1784
- Cited by
- 197
- References
- 103
- Language
- en
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