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Antiaging Vaccines Targeting Senescent Cells
Andrew R Mendelsohn1,2, James W Larrick1,2
1Panorama Research Institute, Sunnyvale, California, USA.
Abstract:
The development of senomorphic drugs to attenuate the senescent phenotype and senolytics to clear pro-inflammatory senescent cells (SCs) to treat aging-associated disorders is being hotly pursued. The effort is complicated by the fact that SCs play a constructive role in some cellular processes such as tissue repair and wound healing. However, concerns about efficacy, which SCs to target, and unwanted side effects have created potential roadblocks. Chimeric antigen receptor T cells directed against urokinase-type plasminogen activator receptor, which is expressed on at least a subset of SCs in atherosclerotic plaques and fibrotic livers, removed SC and improved glucose metabolism. A vaccine targeting CD153-expressing senescent T cells also improved glucose metabolism in obese mice. Recent work to selectively target SCs associated with several pathologies has resulted in the creation of a peptide vaccine that primarily targets endothelial cells expressing high levels of GPNMB, recently identified as a biomarker of senescence. The vaccine reduces atherosclerotic plaque burden and metabolic dysfunction such as glucose intolerance in mouse models of obesity and atherosclerosis. For translation to humans the activity of the vaccine will need to be tightly controlled, as the target GPNMB has multiple roles in normal physiology, including acting to inhibit and possibly resolve inflammation. A promising alternative approach would be to use passive immunization with a monoclonal antibody directed against GPNMB.
Insights
Targeting senescent cells (SCs) offers potential for aging disorders, but SCs also aid healing. New peptide vaccines targeting GPNMB show promise in reducing disease burden and improving metabolism in mouse models.
Area of Science:
- Cellular senescence
- Immunotherapy
- Metabolic disorders
Background:
- Senescent cells (SCs) contribute to aging disorders but also play roles in tissue repair.
- Current senolytic and senomorphic drug development faces challenges in efficacy, targeting specificity, and side effects.
- Senescent cells express specific biomarkers, offering potential targets for therapeutic intervention.
Purpose of the Study:
- To explore novel strategies for selectively targeting senescent cells (SCs) in aging-associated pathologies.
- To evaluate the therapeutic potential of targeting GPNMB, a newly identified senescence biomarker, in mouse models.
- To assess the impact of GPNMB-targeted therapies on atherosclerotic plaque burden and metabolic dysfunction.
Main Methods:
- Development of a peptide vaccine targeting GPNMB on senescent endothelial cells.
- Administration of the GPNMB vaccine to mouse models of obesity and atherosclerosis.
- Evaluation of atherosclerotic plaque burden, glucose metabolism, and glucose intolerance.
- Consideration of passive immunization with monoclonal antibodies against GPNMB as an alternative.
Main Results:
- The GPNMB-targeting peptide vaccine reduced atherosclerotic plaque burden in mouse models.
- Vaccine treatment improved metabolic dysfunction, including glucose intolerance, in obese and atherosclerotic mice.
- Previous approaches using CAR T-cells targeting urokinase-type plasminogen activator receptor and a vaccine targeting CD153 also showed promise in improving glucose metabolism.
Conclusions:
- Targeting GPNMB-expressing senescent cells with a peptide vaccine is a promising strategy for treating atherosclerosis and metabolic dysfunction.
- Careful control of vaccine activity is crucial for human translation due to GPNMB's roles in normal physiology.
- Passive immunization with anti-GPNMB monoclonal antibodies presents a potentially safer alternative for therapeutic intervention.
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