A forward-looking clinical strategy aimed at actively clearing senescent, or “zombie,” cells that accumulate with age and secrete pro-inflammatory molecules, thereby driving tissue dysfunction and aging. This intervention is considered ‘proactive’ because it targets the cellular root cause of aging before significant age-related decline manifests. The reversal aspect refers to restoring the tissue microenvironment to a more youthful, regenerative state.
Origin
This term is grounded in the cutting-edge research of gerontology and cellular senescence, which identifies senescent cell accumulation as a fundamental hallmark of aging. The concept of ‘reversal’ through senolytic action is a paradigm shift in longevity medicine, moving beyond mere symptom management.
Mechanism
Reversal is achieved through the use of senolytic agents, which selectively induce apoptosis in senescent cells by targeting their pro-survival pathways. The removal of these dysfunctional cells reduces the Senescence-Associated Secretory Phenotype (SASP), a potent mix of inflammatory cytokines and proteases. This reduction in systemic toxicity subsequently allows for improved tissue repair and regeneration by neighboring healthy cells.
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