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Senolytics: Potential for Alleviating Diabetes and Its Complications
Allyson K Palmer1, Tamar Tchkonia1, James L Kirkland1
1Robert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, Minnesota 55905, USA.
Abstract:
Therapeutics that target cellular senescence, including novel "senolytic" compounds, hold significant promise for treating or preventing obesity-induced metabolic dysfunction, type 2 diabetes, and the multiple complications of diabetes and obesity. Senolytics selectively clear senescent cells, which accumulate with aging and obesity and represent a fundamental mechanism of aging that contributes to metabolic dysfunction and diabetes pathogenesis. In addition to improving metabolic function, targeting senescent cells holds promise as a preventive strategy to reduce the incidence and severity of diabetes complications. The intermittent administration schedule used for senolytic therapy may confer benefits in terms of improving adherence and limiting adverse effects. It is necessary to design effective clinical trials that will safely translate discoveries from preclinical models into human studies that may pave the way for a novel therapeutic class for treating obesity, diabetes, and their complications. In this review, we outline what is known regarding the role of cellular senescence in the pathogenesis of type 2 diabetes and its complications, present evidence from preclinical models that targeting cellular senescence is beneficial, review senolytic drugs, and outline the features of clinical trials investigating the role of targeting senescent cells for diabetes.
Insights
Senolytic compounds selectively clear aging cells, offering a promising new approach to treat metabolic dysfunction, type 2 diabetes, and related complications. Clinical trials are needed to safely translate these findings into human therapies.
Area of Science:
- Gerontology
- Metabolic diseases
- Cellular biology
Background:
- Cellular senescence, the accumulation of aging cells, is a key driver of metabolic dysfunction and type 2 diabetes.
- Senescent cells contribute to the pathogenesis of diabetes and its complications.
Purpose of the Study:
- To review the role of cellular senescence in type 2 diabetes and its complications.
- To present evidence for senolytic therapy in preclinical models.
- To outline senolytic drugs and clinical trial designs for diabetes.
Main Methods:
- Literature review of cellular senescence in diabetes.
- Analysis of preclinical data on senolytic interventions.
- Examination of senolytic drug classes.
- Discussion of clinical trial design for senolytic therapy in diabetes.
Main Results:
- Targeting cellular senescence shows promise in preclinical models for improving metabolic function and reducing diabetes complications.
- Senolytic drugs offer a potential therapeutic strategy for obesity and type 2 diabetes.
- Intermittent administration of senolytics may improve adherence and reduce side effects.
Conclusions:
- Cellular senescence is a fundamental aging mechanism implicated in metabolic dysfunction and diabetes.
- Senolytic therapies represent a novel therapeutic class for treating obesity, diabetes, and their complications.
- Well-designed clinical trials are essential for translating senolytic discoveries into human treatments.
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