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Updated: May 21, 2025

SA-β-Galactosidase-Based Screening Assay for the Identification of Senotherapeutic Drugs
Published on: June 28, 2019
Senescent cells as a target for anti-aging interventions: From senolytics to immune therapies
Tianlu Esther Fu1, Zhongjun Zhou2
1Faculty of Science, The University of Hong Kong, Hong Kong SAR 999077, China.
Abstract:
Aging and age-related diseases are major drivers of multimorbidity and mortality worldwide. Cellular senescence is a hallmark of aging. The accumulation of senescent cells is causally associated with pathogenesis of various age-associated disorders. Due to their promise for alleviating age-related disorders and extending healthspan, therapeutic strategies targeting senescent cells (senotherapies) as a means to combat aging have received much attention over the past decade. Among the conventionally used approaches, one is the usage of small-molecule compounds to specifically exhibit cytotoxicity toward senescent cells or inhibit deleterious effects of the senescence-associated secretory phenotype (SASP). Alternatively, there are immunotherapies directed at surface antigens specifically upregulated in senescent cells (seno-antigens), including chimeric antigen receptor (CAR) therapies and senolytic vaccines. This review gives an update of the current status in the discovery and development of senolytic therapies, and their translational progress from preclinical to clinical trials. We highlight the current challenges faced by senotherapeutic development in the context of senescence heterogeneity, with the aim of offering novel perspectives for future anti-aging interventions aimed at enhancing healthy longevity.
Insights
Therapies targeting senescent cells, known as senotherapies, show promise for combating aging and age-related diseases. This review updates senolytic therapy development, highlighting challenges and future directions for healthy longevity.
Area of Science:
- Gerontology and cellular biology
- Biomedical research and therapeutic development
Background:
- Cellular senescence, a key aging hallmark, drives multimorbidity and mortality.
- Accumulated senescent cells contribute to age-associated disease pathogenesis.
- Senotherapies offer potential for alleviating age-related disorders and extending healthspan.
Purpose of the Study:
- To provide an updated overview of senolytic therapy discovery and development.
- To review the translational progress of senotherapies from preclinical to clinical stages.
- To identify challenges in senotherapeutic development and propose future intervention perspectives.
Main Methods:
- Review of current small-molecule senolytic compounds targeting senescent cells or their secretory phenotype (SASP).
- Exploration of immunotherapies, including chimeric antigen receptor (CAR) therapies and senolytic vaccines, targeting senescent cell surface antigens.
- Analysis of preclinical and clinical trial data for senolytic interventions.
Main Results:
- Senolytic therapies, including small molecules and immunotherapies, are advancing rapidly.
- Significant progress has been made in translating senotherapies from laboratory research to clinical trials.
- Senescence heterogeneity presents a key challenge for effective senotherapeutic development.
Conclusions:
- Senotherapies represent a promising strategy for combating aging and age-related diseases.
- Addressing senescence heterogeneity is crucial for optimizing future anti-aging interventions.
- Further research and development are needed to enhance healthy longevity through senotherapeutics.
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