Mitochondrial bioenergetics-SASP crosstalk determines senolytic efficacy in therapy-induced senescence

Àngela Llop-Hernández1,2, Sara Verdura1,2, Júlia López1,2,3

  • 1Program Against Cancer Therapeutic Resistance (ProCURE), Catalan Institute of Oncology, Girona, Spain.

Cell Death Discovery
|February 19, 2026
PubMed

Insights

Mitochondrial fuel oxidation impacts senolytic drug effectiveness in therapy-induced senescence (TIS). Bioenergetic flexibility and inflammatory signaling influence senolytic response, suggesting new therapeutic strategies for cancer treatment.

Area of Science:

  • Cellular senescence and cancer therapy
  • Mitochondrial bioenergetics and drug response
  • Inflammatory signaling in senescence

Background:

  • Mitochondria play a key role in integrating senescence and apoptosis.
  • The influence of mitochondrial fuel oxidation on senolytic drug efficacy in therapy-induced senescence (TIS) remains unclear.
  • Senolytics target senescent cells, but their effectiveness can vary.

Purpose of the Study:

  • To investigate how mitochondrial bioenergetic phenotypes in TIS cancer cells influence their response to senolytics.
  • To explore the relationship between mitochondrial fuel oxidation, inflammatory senescence-associated secretory phenotype (SASP), and senolytic drug sensitivity.
  • To identify predictive markers for senolytic efficacy in TIS.

Main Methods:

  • Utilized MitoPlates™ technology to functionally map mitochondrial electron transport chain (ETC) flux from various substrates in TIS cancer cells.
  • Quantified senolytic responsiveness to BCL-xL-targeting BH3 senolytics.
  • Assessed inflammatory SASP signaling using an NF-κB/miR-146a reporter system.

Main Results:

  • Distinct senogenic stressors induced varied mitochondrial bioenergetic outputs and substrate utilization.
  • Increased mitochondrial bioenergetic flexibility correlated with senolytic permissiveness.
  • Baseline succinate oxidation predicted the senolytic response threshold, and miR146a-positive SASP was required for senolytic responsiveness.
  • Inflachromene treatment decoupled mitochondrial bioenergetics from senolytic susceptibility, rendering cells resistant.

Conclusions:

  • Mitochondrial bioenergetic heritage and acquired flexibility are critical determinants of senolytic efficacy in TIS.
  • A crosstalk between mitochondria and inflammatory SASP is necessary for BH3-mediated senolysis.
  • Functional readouts integrating mitochondrial metabolic flexibility and inflammatory SASP can predict and potentially enhance senolytic efficacy in TIS cancer cells.