Long-term Senolytic Treatment Prevents Endothelial Dysfunction in Arterial Aging

Jie Lin1, Shilin Chen2,3, Dong Tan3

  • 1Department of Cardiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325035, China.

Aging and Disease
|November 26, 2025
PubMed

Insights

Senolytic treatment with dasatinib plus quercetin (D+Q) clears senescent endothelial cells, mitigating arterial aging. This therapy restores mitochondrial function and nitric oxide production, improving vascular health in aged mice.

Area of Science:

  • Cardiovascular Biology
  • Gerontology
  • Cellular Senescence

Background:

  • Endothelial senescence is a key factor in arterial dysfunction and age-related cardiovascular diseases.
  • Senescent cells accumulate with age, contributing to tissue dysfunction and chronic diseases.

Purpose of the Study:

  • To investigate the long-term effects of senolytic treatment (dasatinib plus quercetin, D+Q) on vascular endothelial senescence and function in aged mice.
  • To elucidate the molecular mechanisms by which D+Q impacts endothelial cells, mitochondrial function, and vascular reactivity.

Main Methods:

  • Long-term administration of D+Q (5 mg/kg + 50 mg/kg biweekly for 8 months) to aged mice.
  • Assessment of senescence markers (p21, SA-β-gal) in mesenteric arteries and human umbilical vein endothelial cells (HUVECs).
  • Transcriptomic analysis, assessment of eNOS (endothelial nitric oxide synthase) coupling and dimerization, mitochondrial function (ultrastructure, mass, ROS production), and vasodilation assays.

Main Results:

  • D+Q treatment significantly reduced endothelial senescence markers in aged arteries and HUVECs.
  • The therapy restored endothelial integrity, reversed age-related eNOS uncoupling, increased nitric oxide bioavailability, and improved mitochondrial homeostasis (reduced ROS, restored ultrastructure).
  • D+Q enhanced endothelium-dependent vasodilation and blood flow in aged mesenteric arteries.

Conclusions:

  • Clearance of senescent endothelial cells using D+Q senolytic therapy effectively mitigates arterial aging.
  • The therapeutic benefits are linked to restored mitochondrial function and enhanced eNOS activity.
  • Senolytic therapy holds significant potential for treating age-related vascular dysfunction.