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Updated: Jul 14, 2026

Techniques to Induce and Quantify Cellular Senescence
Published on: May 1, 2017
Cyclosporine A induces senescence in renal tubular epithelial cells
Paul Jennings1, Christian Koppelstaetter, Sonia Aydin
1Division of Physiology, Department of Physiology and Medical Physics, Innsbruck Medical University, Innsbruck, Austria.
Abstract:
The nephrotoxic potential of the widely used immunosuppressive agent cyclosporine A (CsA) is well recognized. However, the mechanism of renal tubular toxicity is not yet fully elucidated. Chronic CsA nephropathy and renal organ aging share some clinical features, such as renal fibrosis and tubular atrophy, raising the possibility that CsA may exert some of its deleterious effects via induction of a stress-induced senescent phenotype. We investigated this hypothesis in HK-2 cells and primary proximal tubular cells in vitro. CsA induced the production of H2O2, caused cell cycle arrest in the G0/G1 phase, and inhibited DNA synthesis. Furthermore, CsA exposure lead to a reduction of telomere length, increased p53 serine 15 phosphorylation, and caused an upregulation of the cell cycle inhibitor p21(Kip1) (CDKN1A) mRNA levels. CsA caused an increase in p16(INK4a) (CDKN2A) expression after a 13-day exposure in primary proximal tubular cells but not in HK-2 cells. Coincubation of cells with CsA and catalase was able to prevent telomere shortening and partially restored DNA synthesis. In summary, CsA induces cellular senescence in human renal tubular epithelial cells, which can be attenuated by scavenging reactive oxygen species.
Insights
Cyclosporine A (CsA) induces cellular senescence in human kidney tubule cells by increasing oxidative stress. Scavenging reactive oxygen species can prevent this CsA-induced senescence, offering potential therapeutic avenues.
Area of Science:
- Nephrology
- Cell Biology
- Toxicology
Background:
- Cyclosporine A (CsA) is a vital immunosuppressant with known nephrotoxic effects.
- The precise mechanisms underlying CsA-induced renal tubular toxicity remain unclear.
- Shared features between CsA nephropathy and kidney aging suggest a role for cellular senescence.
Purpose of the Study:
- To investigate whether CsA induces a stress-induced senescent phenotype in renal tubular cells.
- To elucidate the role of reactive oxygen species (ROS) in CsA-mediated cellular senescence.
- To explore potential interventions for CsA-induced nephrotoxicity.
Main Methods:
- In vitro studies using HK-2 cells and primary human proximal tubular cells.
- Assessment of CsA effects on hydrogen peroxide (H2O2) production, cell cycle progression, and DNA synthesis.
- Analysis of telomere length, p53 phosphorylation, and expression of senescence markers (p21, p16).
- Evaluation of the impact of catalase (ROS scavenger) on CsA-treated cells.
Main Results:
- CsA induced H2O2 production, G0/G1 cell cycle arrest, and inhibited DNA synthesis.
- CsA exposure led to telomere shortening, increased p53 phosphorylation, and elevated p21(Kip1) mRNA.
- Primary proximal tubular cells showed increased p16(INK4a) expression after prolonged CsA exposure.
- Catalase treatment prevented telomere shortening and partially restored DNA synthesis in CsA-exposed cells.
Conclusions:
- CsA induces cellular senescence in human renal tubular epithelial cells.
- Oxidative stress plays a critical role in CsA-induced senescence.
- Targeting ROS may offer a strategy to mitigate CsA nephrotoxicity.
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