Senescence Pathway Attenuation is the therapeutic strategy focused on slowing or reversing the process of cellular senescence, a state where cells permanently stop dividing but remain metabolically active and secrete pro-inflammatory signals. Attenuation involves targeted interventions to clear senescent cells (senolytics) or suppress their harmful secretory phenotype (senomorphics). This process is crucial for reducing chronic, low-grade inflammation, improving tissue function, and extending healthspan.
Origin
The term is rooted in gerontology and cellular biology, where ‘senescence’ (Latin for “growing old”) describes the state of irreversible growth arrest. The concept of ‘attenuation’ (reducing the force or effect) reflects the clinical goal of mitigating the negative systemic impact of these aging cells. This is a frontier area of longevity medicine, directly targeting one of the hallmarks of aging.
Mechanism
Attenuation is achieved by modulating the cellular signaling cascades, such as the p53/p21 and p16/Rb pathways, that drive cells into senescence. Senescent cells are characterized by the Senescence-Associated Secretory Phenotype (SASP), which includes the release of inflammatory cytokines like IL-6 and TNF-alpha. By clearing or neutralizing these cells and their secretions, the strategy reduces systemic inflammation, which is a key driver of endocrine dysfunction and age-related pathology.
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