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Updated: Jan 12, 2026

Induction and Validation of Cellular Senescence in Primary Human Cells
Published on: June 20, 2018
Cellular senescence and cell therapy in cardiovascular diseases
Dehua Chang1, Jiaqi Wang2, Shuoji Zhu3,4
1Department of Cardiovascular Surgery, Regenerative Medicine Research on the treatment of Mesenchymal Stem Cells, University of Tokyo Hospital, Tokyo, 113-8654, Japan. dehua_chang@yahoo.com.
Insights
Population aging accelerates cardiovascular diseases through cellular senescence. Regenerative medicine offers promising therapies for age-related heart conditions.
Area of Science:
- Cardiovascular Science
- Gerontology
- Regenerative Medicine
Background:
- Population aging is a global challenge, with significant cardiovascular health implications.
- Cellular senescence, characterized by telomere shortening, oxidative stress, and DNA damage, contributes to cardiovascular diseases like atherosclerosis, myocardial infarction, pulmonary hypertension, and heart failure.
- Senescent cells, including cardiomyocytes, endothelial cells, fibroblasts, and vascular smooth muscle cells, play a crucial role in cardiovascular aging.
Purpose of the Study:
- To review the current understanding of cellular senescence in cardiovascular aging.
- To discuss molecular and cellular mechanisms underlying cardiovascular aging.
- To highlight potential therapeutic targets and the promise of regenerative medicine for cardiovascular aging.
Main Methods:
- Literature review of molecular and cellular processes in cardiovascular aging.
- Analysis of biomarkers for senescent cells (e.g., p53, p21, p16Ink4a, SA-β-gal).
- Examination of signaling pathways (e.g., Akt, AMPK) involved in cardiovascular aging.
Main Results:
- Cellular senescence contributes to various cardiovascular diseases through mechanisms like telomere shortening, oxidative stress, and mitochondrial dysfunction.
- Specific molecules (p53, p21, p16Ink4a) and markers (SA-β-gal) are indicative of senescent cells.
- Factors like Akt and AMPK signaling pathways are implicated in cardiovascular aging.
Conclusions:
- Cellular senescence is a key driver of age-related cardiovascular diseases.
- Understanding these mechanisms provides targets for therapeutic interventions.
- Regenerative medicine, utilizing mesenchymal stem cells (MSCs) and induced pluripotent stem cells (iPSCs), shows significant potential for treating cardiovascular aging.
Abstract:
The issue of population aging presents a significant challenge for many countries, and the related physical health implications have been receiving increasing attention. Senescence impacts several aspects of the cardiovascular system, contributing to diseases such as atherosclerosis, myocardial infarction (MI), pulmonary hypertension, and heart failure (HF). In recent decades, scientists have significantly advanced in understanding the molecular and cellular processes involved in cardiovascular aging, including telomere shortening and damage, oxidative stress, mitochondrial dysfunction, and DNA damage. Molecules such as p53, p21, and p16Ink4a, along with enhanced signals for SA-β-gal, are commonly used to detect senescent cells. Researchers have identified pathways and factors that could be potential targets for treating or alleviating cardiovascular aging. Furthermore, the rapid advancement of regenerative medicine, including mesenchymal stem cell (MSC) and induced pluripotent stem cell (iPSC) transplantation, has positioned heart regeneration as a promising strategy for addressing age-related cardiovascular diseases. This review summarizes the current understanding of senescent cells, such as cardiomyocytes, endothelial cells, fibroblasts/myofibroblasts, and vascular smooth muscle cells, and their roles in associated cardiovascular diseases. We will also discuss recent factors contributing to cardiovascular aging, including but not limited to Akt and AMPK, and emphasize the potential of heart regeneration research and insights into future regenerative therapies for cardiovascular aging.
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