This term describes the clinical or biological modulation of specific intracellular signaling cascades that actively inhibit or reverse cellular senescence, a state of irreversible growth arrest associated with aging and chronic disease. Senescent cells accumulate over time, secreting pro-inflammatory molecules known as the Senescence-Associated Secretory Phenotype (SASP), which damages surrounding tissue and impairs organ function. Influencing these pathways aims to clear these dysfunctional cells or prevent their formation, thereby promoting tissue health and extending healthspan.
Origin
The concept is rooted in the field of gerontology and cellular biology, with “senescence” stemming from the Latin senescere, meaning “to grow old.” The identification of distinct molecular pathways that govern this cellular aging process led to the development of “anti-senescence” strategies. Clinical influence is a modern term reflecting the therapeutic application of compounds, known as senolytics or senomorphics, to target these biological mechanisms for systemic rejuvenation.
Mechanism
The mechanism primarily involves regulating critical checkpoints that control the cell cycle and cellular stress response, such as the p53/p21 and p16/Rb pathways. Therapeutic influence can either selectively induce apoptosis (programmed cell death) in senescent cells (senolytics) or suppress the detrimental SASP factors they release (senomorphics). Furthermore, strategies may involve enhancing telomere maintenance or activating cellular clean-up processes like autophagy, directly reducing the burden of aged, dysfunctional cells and their pro-aging systemic effects.
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