Molecular Regulation of SASP in Cellular Senescence: Therapeutic Implications and Translational Challenges

Hubert Klepacki1, Krystyna Kowalczuk2, Natalia Łepkowska1

  • 1Department of Pharmacodynamics, Medical University of Bialystok, Mickiewicza 2C, 15-222 Bialystok, Poland.

Cells
|July 11, 2025
PubMed

Insights

Cellular senescence, a key aging process, drives diseases like cancer. Targeting senescent cells with senolytics and senomorphics offers a promising therapeutic strategy for age-related conditions.

Area of Science:

  • Gerontology and cellular biology
  • Molecular mechanisms of aging and disease

Background:

  • Cellular senescence is a state of irreversible cell cycle arrest contributing to aging and diseases such as cancer and neurodegeneration.
  • Senescence is characterized by distinct morphological changes and the development of a senescence-associated secretory phenotype (SASP), releasing pro-inflammatory factors.
  • The SASP can negatively impact surrounding tissues, exacerbating age-related pathologies.

Purpose of the Study:

  • To elucidate the molecular mechanisms governing cellular senescence.
  • To explore the role of key regulatory pathways, including p53/p21 and p16INK4a/pRb, in inducing cell cycle arrest.
  • To review emerging therapeutic strategies, senolytics and senomorphics, for targeting senescent cells.

Main Methods:

  • Review of molecular mechanisms regulating senescence.
  • Analysis of the p53/p21 and p16INK4a/pRb pathways in cell cycle arrest.
  • Examination of senolytic and senomorphic therapies.

Main Results:

  • The p53/p21 and p16INK4a/pRb pathways are critical for inducing and maintaining cell cycle arrest in senescence.
  • While protective against cancer, sustained activation of cyclin inhibitors can lead to pathological outcomes.
  • Senolytics and senomorphics represent potential therapeutic avenues for managing senescence-related diseases.

Conclusions:

  • Understanding the molecular basis of senescence is crucial for developing effective treatments.
  • Targeting cellular senescence holds significant promise for improving healthspan and treating diverse age-related diseases.
  • Therapeutic interventions like senolytics and senomorphics offer novel strategies to combat the detrimental effects of senescence.

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