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Updated: Jan 17, 2026

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Published on: May 16, 2019
New frontier for epilepsy treatment through targeting cellular senescence
Stephen Temitayo Bello1, Md Rajdoula Rafe2, Fengwen Huang1
1Department of Neuroscience, City University of Hong Kong, Kowloon, Hong Kong Special Administrative Region; Centre for Regenerative Medicine and Health, Hong Kong Institute of Science & Innovation, Chinese Academy of Sciences, New Territories, Hong Kong, China.
Abstract:
Epilepsy is a life-threatening brain disorder that affects about 1-2 % of the world's population. Various mechanisms facilitating epilepsy development and seizure propagation have been identified. Nevertheless, an improved understanding of the cellular mechanisms that underlie epilepsy development is necessary for designing better therapeutic strategies for epilepsy treatment. Cellular senescence, a cellular mechanism wherein cell growth is permanently halted and causes cells to exit the proliferative pool, has been associated with neurological disorders such as multiple sclerosis, Alzheimer's disease, Parkinson's disease, and epilepsy. How the various mechanisms that drive a cell towards senescence and the phenotypes that characterize senescent cells are associated with the development and progression of epilepsy might be necessary in improving our understanding of epilepsy. Therefore, this review discusses the mechanisms and pathways associated with cellular senescence and how senescence-associated secretory phenotype (SASP) promotes inflammation and tissue dysfunction. We then explained how different types of cells, including brain cells, become senescent, the inter-relationship between cellular senescence and epilepsy, and potential biomarkers common to epilepsy and cellular senescence. Finally, we reviewed the use of senolytics and senomorphics for epilepsy treatment. Further research can, therefore, be directed towards a thorough understanding of cellular senescence in epilepsy development, and this can open new frontiers for epilepsy treatment.
Insights
Cellular senescence, a process halting cell growth, is linked to epilepsy. Understanding senescence-associated secretory phenotype (SASP) and senolytics may offer new epilepsy treatment strategies.
Area of Science:
- Neurology
- Cell Biology
- Gerontology
Background:
- Epilepsy affects 1-2% of the global population, necessitating improved therapeutic strategies.
- Cellular senescence, a state of irreversible growth arrest, is implicated in various neurological disorders, including epilepsy.
- A deeper understanding of cellular senescence's role in epilepsy is crucial for developing effective treatments.
Purpose of the Study:
- To review the mechanisms driving cellular senescence and its associated secretory phenotype (SASP).
- To explore the link between cellular senescence and epilepsy development and progression.
- To discuss senolytics and senomorphics as potential therapeutic interventions for epilepsy.
Main Methods:
- Literature review of cellular senescence mechanisms and pathways.
- Analysis of the senescence-associated secretory phenotype (SASP) and its inflammatory effects.
- Examination of cell types, including brain cells, undergoing senescence in the context of epilepsy.
Main Results:
- Cellular senescence and SASP contribute to inflammation and tissue dysfunction relevant to epilepsy.
- Specific cellular senescence mechanisms and pathways are associated with epilepsy development.
- Potential biomarkers linking cellular senescence and epilepsy have been identified.
Conclusions:
- Cellular senescence is a significant factor in epilepsy development and progression.
- Targeting cellular senescence pathways, including SASP, offers novel therapeutic avenues for epilepsy.
- Senolytics and senomorphics show promise for future epilepsy treatment strategies.
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