Cited by 397Telomeres, Telomerase, and SenescenceGenetics, Aging, and Longevity in Model OrganismsSirtuins and Resveratrol in Medicine

The DOI matches its Crossref record; 370 of the 375 references it cites were found in a registry or an index; 26 of the 530 sources its claims cite were checked for support.

Mechanisms and Regulation of Cellular Senescence

Open access
Roger, Lauréline, Tomas, Fanny, Gire, Véronique·2021·International Journal of Molecular Sciences

Abstract

Cellular senescence entails a state of an essentially irreversible proliferative arrest in which cells remain metabolically active and secrete a range of pro-inflammatory and proteolytic factors as part of the senescence-associated secretory phenotype. There are different types of senescent cells, and senescence can be induced in response to many DNA damage signals. Senescent cells accumulate in different tissues and organs where they have distinct physiological and pathological functions. Despite this diversity, all senescent cells must be able to survive in a nondividing state while protecting themselves from positive feedback loops linked to the constant activation of the DNA damage response. This capacity requires changes in core cellular programs. Understanding how different cell types can undergo extensive changes in their transcriptional programs, metabolism, heterochromatin patterns, and cellular structures to induce a common cellular state is crucial to preventing cancer development/progression and to improving health during aging. In this review, we discuss how senescent cells continuously evolve after their initial proliferative arrest and highlight the unifying features that define the senescent state.

Overview

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Written from the paper’s full text.

TL;DR

This review synthesizes mechanisms and regulation of cellular senescence, emphasizing heterogeneity, cell-cycle arrest via p53/p21 and p16/RB, the SASP, metabolic/chromatin changes, and positive feedback loops. It discusses senescence’s dual roles in cancer and aging and therapeutic implications including senolytics.

Key findings

  • Senescence is an essentially irreversible proliferative arrest with continued metabolic activity and a SASP; cell-cycle exit can occur in G1 or G2, with p53/p21 as early markers and p16/ARF as late markers. Acute DNA damage can trigger rapid exit within 24 h, and the G2/M checkpoint responds to 10–20 DNA breaks.
  • Replicative senescence is driven by telomere erosion; mean telomere length in human senescent fibroblasts ranges between 6 and 8 kbp, with a few extremely short telomeres. Persistent DDR at telomeres, partly because TRF2 blocks repair, sustains arrest.
  • The SASP is regulated by NF-κB/C/EBP-β, ATM, p38MAPK, GATA4, mTOR, epigenetic factors, and cGAS–STING signaling; it can reinforce senescence and drive inflammaging and paracrine senescence.
  • Senescence has dual roles: it acts as a barrier to tumorigenesis, but SASP factors can promote cancer progression; senescent cell accumulation contributes to aging, and clearance via senolytics or INK-ATTAC alleviates age-related dysfunction and extends healthspan in mice.

Methods

  • Narrative review; no primary experiments. It synthesizes published literature on mammalian cellular senescence mechanisms, regulation, and roles in cancer and aging.
  • Covers in vitro and in vivo studies, including mouse models, human cells/tissues, and clinical observations; main analysis is thematic synthesis of signaling pathways, transcriptional/post-transcriptional control, metabolism, organelles, autophagy, epigenetics, and immune clearance.
  • No systematic search or meta-analysis is described.

Limitations

  • Stated: lack of specific biomarkers to identify and follow senescent cells in vivo; much knowledge comes from cultured cells that do not recapitulate organism complexity; findings need in vivo confirmation; heterogeneity complicates assigning exact roles.
  • Stated: it remains challenging to study how senescent cells are induced in vivo, how the SASP changes over time, when the SASP acquires damaging traits, and how senescent cell clearance is regulated.
  • Evident: as a narrative review, it does not provide a systematic or quantitative synthesis and reports no primary data to assess causality.

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

Integrity signals

Registry

Crossref · 10.3390/ijms222313173

Cites

370 of 370 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Figure 1 Schematic diagram of cell cycle arrest in senescent cells. In replicative senescence that results from chronic low-level macromolecular damage, cells mainly stop in the G2 phase of the cell cycle because post-replicative telomere attrition preferentially triggers the DNA damage response (DDR) at the G2/M transition. Upon damage resolution, through repair or proper post-replicative processing, checkpoint recovery allows a subset of these cells to pass through mitosis. However, at the next G1 phase, the daughter cells irreversibly exit the cell cycle in a diploid (2N DNA content) state after mitosis if new DNA breaks are generated. Conversely, a prolonged DNA damage signal emanating from severe DNA lesions leads to exit in the G2 phase, APC/C CDH1 is prematurely activated as a consequence of p21 accumulation, and these cells by-pass mitosis resulting in tetraploidy (4N DNA content) and permanent G1 arrest. CycB1, cyclin B1; APC/C, anaphase-promoting complex/cyclosome.
Figure 1 Schematic diagram of cell cycle arrest in senescent cells. In replicative senescence that results from chronic low-level macromolecular damage, cells mainly stop in the G2 phase of the cell cycle because post-replicative telomere attrition preferentially triggers the DNA damage response (DDR) at the G2/M transition. Upon damage resolution, through repair or proper post-replicative processing, checkpoint recovery allows a subset of these cells to pass through mitosis. However, at the next G1 phase, the daughter cells irreversibly exit the cell cycle in a diploid (2N DNA content) state after mitosis if new DNA breaks are generated. Conversely, a prolonged DNA damage signal emanating from severe DNA lesions leads to exit in the G2 phase, APC/C CDH1 is prematurely activated as a consequence of p21 accumulation, and these cells by-pass mitosis resulting in tetraploidy (4N DNA content) and permanent G1 arrest. CycB1, cyclin B1; APC/C, anaphase-promoting complex/cyclosome.CC BY · PubMed Central
Figure 2 Summary of the most common senescence inducers and alterations observed at initiation, developing, and late senescence. CCFs, cytoplasmic chromatin fragments; cGAS-STING, cyclic GMP–AMP synthase-stimulator of interferon genes; DDR, DNA damage response; ROS, reactive oxygen species; SA-βGal, senescence-associated β galactosidase; SASP, senescence-associated secretory phenotype.
Figure 2 Summary of the most common senescence inducers and alterations observed at initiation, developing, and late senescence. CCFs, cytoplasmic chromatin fragments; cGAS-STING, cyclic GMP–AMP synthase-stimulator of interferon genes; DDR, DNA damage response; ROS, reactive oxygen species; SA-βGal, senescence-associated β galactosidase; SASP, senescence-associated secretory phenotype.CC BY · PubMed Central
Figure 3 Overview of the mechanisms by which DNA damage promotes senescence. DNA damage (through telomere dysfunction and replicative stress) can result in cellular senescence, mitochondrial dysfunction, autophagy defects, and metabolic changes. These functional alterations are all interconnected and generate positive feedback signals that induce more DNA damage. This creates a cycle that contributes to stabilize the senescence-related cell cycle exit. AMPK, adenosine monophosphate-activated protein kinase; ETC, electron transport chain; mtDNA, mitochondrial DNA; mTOR, mammalian target of rapamycin; ROS, reactive oxygen species; SASP, senescence-associated secretory phenotype.
Figure 3 Overview of the mechanisms by which DNA damage promotes senescence. DNA damage (through telomere dysfunction and replicative stress) can result in cellular senescence, mitochondrial dysfunction, autophagy defects, and metabolic changes. These functional alterations are all interconnected and generate positive feedback signals that induce more DNA damage. This creates a cycle that contributes to stabilize the senescence-related cell cycle exit. AMPK, adenosine monophosphate-activated protein kinase; ETC, electron transport chain; mtDNA, mitochondrial DNA; mTOR, mammalian target of rapamycin; ROS, reactive oxygen species; SASP, senescence-associated secretory phenotype.CC BY · PubMed Central
Figure 4 SASP signaling controls the beneficial and detrimental functions of senescent cells. Senescent cells through their secretome are actively engaged in cell-to-cell communications and extracellular matrix remodeling within the tissue microenvironment. The scheme depicts how senescent cells communicate via soluble factors, the release of extracellular vesicles (exosomes), cell–cell contacts, formation of cytoplasmic bridges, interactions with the extracellular matrix, and secretion of metabolites. It also lists some of the SASP-associated functions. A transient SASP is beneficial, while a chronic SASP causes negative outcomes. NK cells, natural killer cells; SASP, senescence-associated secretory phenotype.
Figure 4 SASP signaling controls the beneficial and detrimental functions of senescent cells. Senescent cells through their secretome are actively engaged in cell-to-cell communications and extracellular matrix remodeling within the tissue microenvironment. The scheme depicts how senescent cells communicate via soluble factors, the release of extracellular vesicles (exosomes), cell–cell contacts, formation of cytoplasmic bridges, interactions with the extracellular matrix, and secretion of metabolites. It also lists some of the SASP-associated functions. A transient SASP is beneficial, while a chronic SASP causes negative outcomes. NK cells, natural killer cells; SASP, senescence-associated secretory phenotype.CC BY · PubMed Central

Verification

Claims the paper makes

295 Not checked yet · 50 Own interpretation · 36 No basis given · 9 Partly supported · 3 Supported · 1 Own method · accuracy not yet measured

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Show all 271 claims

  • It may state two separate claims as one. 114
  • Probably not a substantial claim. 12
123 of 123
  • The paper relies on this without support.

    The G2/M checkpoint only responds to 10–20 DNA breaks.

    “This threshold number is not a single DNA break because the G2/M checkpoint only responds to 10–20 DNA breaks.”
  • The paper relies on this without support.

    Endogenous expression levels of oncogenes are unlikely to cause OIS.

    “As the endogenous expression levels of oncogenes are unlikely to cause OIS, the stochastic accumulation of mutations might be needed for OIS induction [118].”
  • The paper relies on this without support.

    Cancer cells must replicate to produce a macroscopic tumor.

    “because cancer cells must replicate to produce a macroscopic tumor.”
3 of 3

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Metadata

Authors
Roger, L., Tomas, F., & Gire, V.
Affiliations
Centre National de la Recherche Scientifique (FR)
Corresponding author
Gire, Véronique
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2021-12-06
Volume
22
Issue
23
Pages
13173
ISSN
1422-0067 (ISSN-L)
OpenAlex
W4200606392
Cited by
395
References
375
Citations by year
2026: 65 · 2025: 139 · 2024: 90 · 2023: 69 · 2022: 31 · 2021: 1
FWCI
6.48
Type
journal article
Language
en
Open access
Locations
  • International Journal of Molecular Sciences (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › 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, senescence-associated secretory phenotype, DNA damage response, proliferative arrest, senescence induction, senescence heterogeneity, senescence-associated inflammation, heterochromatin, cellular metabolism, transcriptional programs, aging, cancer prevention
MeSH terms
Senescence-Associated Secretory Phenotype, Aging, Animals, DNA Damage, Humans, Inflammation, Signal Transduction, Cellular Senescence

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