Prophylactic and long-lasting efficacy of senolytic CAR T cells against age-related metabolic dysfunction

Corina Amor1, Inés Fernández-Maestre2,3, Saria Chowdhury4

  • 1Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA. amor@cshl.edu.

Nature Aging
|January 24, 2024
PubMed

Insights

Senescent cells drive aging decline. New CAR T-cell therapy targeting uPAR safely clears these cells, improving physical fitness and metabolic function in aged mice with lasting effects from a single dose.

Area of Science:

  • Gerontology
  • Immunotherapy
  • Cellular senescence

Background:

  • Senescent cells accumulate with age, contributing to tissue dysfunction and age-related diseases.
  • Existing senolytic drugs require continuous administration and have limitations.
  • Chimeric antigen receptor (CAR) T cells offer a targeted approach to eliminate senescent cells.

Purpose of the Study:

  • To investigate the efficacy of senolytic CAR T cells targeting urokinase plasminogen activator receptor (uPAR) in aging.
  • To evaluate the therapeutic potential of anti-uPAR CAR T cells in ameliorating age-related pathologies.

Main Methods:

  • Development of CAR T cells targeting the senescence-associated protein uPAR.
  • Administration of anti-uPAR CAR T cells to aged mice and mice on a high-fat diet.
  • Assessment of exercise capacity, glucose tolerance, and metabolic function post-treatment.

Main Results:

  • uPAR-positive senescent cells were found to accumulate during aging.
  • A single administration of anti-uPAR CAR T cells safely targeted and eliminated senescent cells.
  • Treatment improved exercise capacity and ameliorated metabolic dysfunction, including glucose intolerance.
  • Therapeutic and preventive effects were long-lasting following a single treatment.

Conclusions:

  • Senolytic CAR T cells targeting uPAR represent a promising therapeutic strategy for age-related decline.
  • A single administration of this therapy can achieve sustained improvements in physiological aging and metabolic health.
  • This approach offers a potential alternative to continuous drug administration for senolytic therapy.