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Updated: Aug 24, 2025

Techniques to Induce and Quantify Cellular Senescence
Published on: May 1, 2017
Combining stem cell rejuvenation and senescence targeting to synergistically extend lifespan
Prameet Kaur1, Agimaa Otgonbaatar1, Anupriya Ramamoorthy1
1Division of Science, Yale-NUS College, Singapore 138527, Singapore.
Abstract:
Why biological age is a major risk factor for many of the most important human diseases remains mysterious. We know that as organisms age, stem cell pools are exhausted while senescent cells progressively accumulate. Independently, induction of pluripotency via expression of Yamanaka factors (Oct4, Klf4, Sox2, c-Myc; OKSM) and clearance of senescent cells have each been shown to ameliorate cellular and physiological aspects of aging, suggesting that both processes are drivers of organismal aging. But stem cell exhaustion and cellular senescence likely interact in the etiology and progression of age-dependent diseases because both undermine tissue and organ homeostasis in different if not complementary ways. Here, we combine transient cellular reprogramming (stem cell rejuvenation) with targeted removal of senescent cells to test the hypothesis that simultaneously targeting both cell-fate based aging mechanisms will maximize life and health span benefits. We find that OKSM extends lifespan and show that both interventions protect the intestinal stem cell pool, lower inflammation, activate pro-stem cell signaling pathways, and synergistically improve health and lifespan. Our findings suggest that a combination therapy, simultaneously replacing lost stem cells and removing senescent cells, shows synergistic potential for anti-aging treatments. Our finding that transient expression of both is the most effective suggests that drug-based treatments in non-genetically tractable organisms will likely be the most translatable.
Insights
Combining stem cell rejuvenation and senescent cell removal significantly extends lifespan and improves health. This dual approach, targeting key aging mechanisms, offers synergistic anti-aging benefits for future therapies.
Area of Science:
- Gerontology and regenerative medicine.
- Cellular biology and aging research.
Background:
- Biological age is a key risk factor for numerous human diseases, yet the underlying mechanisms are not fully understood.
- Organismal aging is characterized by stem cell pool exhaustion and the accumulation of senescent cells, both contributing to age-related decline.
- Independently, Yamanaka factor-induced pluripotency and senescent cell clearance can reverse aging aspects, indicating their roles as aging drivers.
Purpose of the Study:
- To investigate the synergistic effects of combining transient cellular reprogramming (stem cell rejuvenation) with senescent cell removal on lifespan and healthspan.
- To test the hypothesis that simultaneously targeting both stem cell exhaustion and cellular senescence maximizes anti-aging benefits.
Main Methods:
- Transient expression of Yamanaka factors (Oct4, Klf4, Sox2, c-Myc; OKSM) for cellular reprogramming.
- Targeted clearance of senescent cells.
- Assessment of lifespan, intestinal stem cell protection, inflammation levels, and pro-stem cell signaling pathways.
Main Results:
- OKSM expression alone extended lifespan.
- The combination therapy protected the intestinal stem cell pool and reduced inflammation.
- Both interventions synergistically improved overall health and extended lifespan.
- Transient expression of both rejuvenation and senescent cell clearance proved most effective.
Conclusions:
- Simultaneously targeting stem cell rejuvenation and senescent cell removal offers synergistic benefits for anti-aging.
- Combination therapies hold significant potential for enhancing healthspan and lifespan.
- Transient expression approaches suggest translatability to drug-based treatments for non-genetically tractable organisms.
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