Cellular Senescence and Senotherapies in the Kidney: Current Evidence and Future Directions

Marie Helena Docherty1,2, David P Baird1,2, Jeremy Hughes1,2

  • 1Department of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.

Insights

Cellular senescence, a state of irreversible growth arrest, contributes to organ dysfunction and aging. This review explores senescent cells

Area of Science:

  • Cellular and Molecular Biology
  • Gerontology
  • Pathology

Background:

  • Cellular senescence is a state of irreversible growth arrest with altered gene expression and a pro-inflammatory secretome.
  • Acutely senescent cells are vital for physiological processes like wound repair and cancer defense.
  • Accumulated senescent cells contribute to organ dysfunction, fibrosis, and aging.

Purpose of the Study:

  • To review the role of senescent cells in promoting progressive fibrosis and dysfunction, particularly in the kidney.
  • To highlight differences between healthy and senescent cells.
  • To summarize pharmacological strategies for senescent cell depletion or manipulation.

Main Methods:

  • Literature review of cellular senescence and its role in organ dysfunction.
  • Analysis of cellular phenotypes and secretomes.
  • Summary of experimental pharmacological interventions.

Main Results:

  • Senescent cells accumulate due to aging, stress, and damage, leading to organ dysfunction and fibrosis.
  • Specific cellular and molecular differences exist between healthy and senescent cells.
  • Pharmacological approaches show promise in managing senescent cells for organ preservation.

Conclusions:

  • Senescent cell accumulation is a key driver of age-related organ dysfunction and fibrosis.
  • Targeting senescent cells offers potential therapeutic strategies for aging and injury.
  • Further research is needed for clinical translation of senolytic therapies.

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