Cellular senescence clearance is the biological process by which senescent cells, which are aged cells that have ceased dividing but remain metabolically active and secrete inflammatory factors, are identified and removed from tissues.
Context
Senescent cells accumulate with age and in response to various stressors, contributing to tissue dysfunction and chronic inflammation. Their presence impacts the microenvironment of surrounding healthy cells and tissues.
Significance
The selective elimination of senescent cells is a key strategy in aging research and clinical practice for potentially mitigating age-related diseases, improving tissue function, and enhancing overall healthspan by reducing the burden of senescent cell-induced damage.
Mechanism
This clearance can be achieved pharmacologically using senolytic agents that selectively induce apoptosis in senescent cells, or through endogenous mechanisms involving immune surveillance and clearance by phagocytic cells.
Application
Current applications are largely investigational, focusing on senolytic therapies for conditions associated with cellular senescence, such as osteoarthritis, idiopathic pulmonary fibrosis, and certain cardiovascular diseases.
Metric
Assessment involves quantifying senescent cells via markers like senescence-associated beta-galactosidase (SA-β-gal) activity, expression of p16INK4a or p21, and measuring the reduction of senescence-associated secretory phenotype (SASP) factors.
Risk
Potential risks include off-target effects on healthy proliferating cells, immune system modulation, and the unknown long-term consequences of widespread senescence removal, necessitating careful clinical evaluation.
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