{"id":62,"date":"2018-09-18T14:59:43","date_gmt":"2018-09-18T18:59:43","guid":{"rendered":"http:\/\/blogs.shu.edu\/ihsl\/?p=62"},"modified":"2018-09-18T15:01:16","modified_gmt":"2018-09-18T19:01:16","slug":"senolytic-strategies-to-combat-aging","status":"publish","type":"post","link":"https:\/\/blogs.shu.edu\/ihsl\/2018\/09\/18\/senolytic-strategies-to-combat-aging\/","title":{"rendered":"Senolytic Strategies to Combat Aging"},"content":{"rendered":"<p>Aging is a multifactorial process \u2013 with \u201challmarks\u201d <small><a href=\"#_ftn1\" name=\"_ftnref1\">[1]<\/a><\/small> including genomic instability and altered gene expression, epigenetic effects, telomere erosion, stem cell fatigue, proteostatic errors, senescence, compromised mitochondrial, lysosomal, and peroxisomal function, and disrupted communication networks, among others. Senescence, in particular, is critical as it is thought to constitute a major decision point for cells. With advancing age, cells accumulate sufficient damage and are stressed to the point that they must make a crucial decision &#8211; either transform and become cancerous, or pass into senescence.<\/p>\n<p>The anti-tumor senescent state is one of continued metabolic activity, but no cell division. Unfortunately, accompanying the senescent phenotype is cellular release of assorted chemokines, growth factors, interleukins, and proteases. The ultimate effect of this collection of pro-inflammatory mediators is to corrupt the regional cell\/tissue milieu. Ironically, this newly created environment is very conducive to cellular transformation and tumor development.\u00a0 Indeed, investigators in the field refer to the senescence-associated secretory phenotype as \u201cthe dark side of tumor suppression\u201d<small><a href=\"#_ftn2\" name=\"_ftnref2\">[2]<\/a><\/small>.<\/p>\n<p>What if the decision to pass into senescence could be maintained (and thus avoid cancerous transformation), but the senescent cell could somehow be destroyed? Would cancer be averted and cell\/tissue integrity maintained?\u00a0 Could stem cell exhaustion be ameliorated and health span increased?\u00a0 Could aging, the ultimate risk factor for human disease, be brought under control \u2013 at least to some extent? While clear answers to these questions remain elusive, the idea of trying to destroy senescent cells \u2013 either through genetic means or specific drugs (called \u201csenolytics\u201d), is a major focus of researchers in the field of cellular aging.<\/p>\n<figure id=\"attachment_63\" aria-describedby=\"caption-attachment-63\" style=\"width: 315px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-63 size-medium\" src=\"http:\/\/blogs.shu.edu\/ihsl\/files\/2018\/09\/adult-aged-aging-1389104-315x210.jpg\" alt=\"Aged hand with pill\" width=\"315\" height=\"210\" srcset=\"https:\/\/blogs.shu.edu\/ihsl\/files\/2018\/09\/adult-aged-aging-1389104-315x210.jpg 315w, https:\/\/blogs.shu.edu\/ihsl\/files\/2018\/09\/adult-aged-aging-1389104-768x512.jpg 768w, https:\/\/blogs.shu.edu\/ihsl\/files\/2018\/09\/adult-aged-aging-1389104-750x500.jpg 750w, https:\/\/blogs.shu.edu\/ihsl\/files\/2018\/09\/adult-aged-aging-1389104-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 315px) 85vw, 315px\" \/><figcaption id=\"caption-attachment-63\" class=\"wp-caption-text\">Do senolytics hold the key to healthy aging?<\/figcaption><\/figure>\n<p>Dr. Van Deursen\u2019s group at the Mayo Clinic College of Medicine developed a brilliant strategy of induced senescent cell suicide. In mouse models, they created a genetic background whereby cells would die the moment they expressed the senescence biomarker p16<sup>Ink4A<\/sup>. They showed both in progeroid<small><a href=\"#_ftn3\" name=\"_ftnref3\">[3]<\/a><\/small> (i.e., prematurely aged) and wild-type<a href=\"#_ftn4\" name=\"_ftnref4\">[4]<\/a> backgrounds, that targeted elimination of senescent cells improved the health of the animals by delaying, or preventing, impaired tissue function. Furthermore, in the wild-type background, the mice lived some 30% longer!<\/p>\n<p>Instead of genetic approaches, investigators from Dr. Robbins\u2019 group at the Scripps Research Institute screened for drugs that would selectively target senescent cells \u2013 while not affecting other cells. Interestingly, inhibitors of HSP90 were identified <small><a href=\"#_ftn5\" name=\"_ftnref5\">[5]<\/a><\/small> as potent senolytics \u2013 with efficacy in both <em>in vitro<\/em> (i.e., cellular) and <em>in vivo<\/em> (i.e., whole animal) models. HSP90s are critical cellular chaperones, which facilitate protein folding and stabilize hundreds of molecules involved in a myriad of biochemical and metabolic pathways. The paper\u2019s authors speculate that inhibiting HSP90\u2019s anti-apoptotic (i.e., cell death)\/pro-survival activities may be playing some role in selectively targeting senescent cells &#8211; a view consistent with the activity of other demonstrated senolytics<small><a href=\"#_ftn6\" name=\"_ftnref6\">[6]<\/a><\/small> that are thought to reduce resistance to apoptosis.<\/p>\n<p>How to partner senolytics with other drugs to maximize efficient elimination of senescent cells while limiting toxicity is an important focus going forward. Although the science is not quite there yet \u2013 the notion of clinical trials employing senoltyics or other modulators of cell senescence with the goal of thwarting aging\u2019s effects and improving health span are not that far off.<\/p>\n<p>&nbsp;<\/p>\n<p>SRT \u2013 September 2018<\/p>\n<p><small><a href=\"#_ftnref1\" name=\"_ftn1\">[1]<\/a>C. Lopez-Otin et al., <em>Cell.<\/em> (2013) doi: 10.1016\/j.cell.2013.05.039. (PMID: <a href=\"http:\/\/ezproxy.shu.edu\/login?url=https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=23746838\" target=\"_blank\" rel=\"noopener\">23746838<\/a>)<br \/>\n<a href=\"#_ftnref2\" name=\"_ftn2\">[2]<\/a> J-P. Coppe et al., <em>Ann Rev Pathol.<\/em> (2010) doi: 10.1146\/annurev-pathol-121808-102144\u00a0(<a href=\"http:\/\/ezproxy.shu.edu\/login?url=https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=20078217\" target=\"_blank\" rel=\"noopener\">PMID:20078217<\/a>)<br \/>\n<a href=\"#_ftnref3\" name=\"_ftn3\">[3]<\/a> D.J. Baker et al., <em>Nature<\/em> (2011) doi: 10.1038\/nature10600. (<a href=\"http:\/\/ezproxy.shu.edu\/login?url=https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=22048312\" target=\"_blank\" rel=\"noopener\">PMID: 22048312<\/a>)<br \/>\n<a href=\"#_ftnref4\" name=\"_ftn4\">[4]<\/a> D.J. Baker et al., <em>Nature<\/em> (2016) doi: 10.1038\/nature16932. (<a href=\"http:\/\/ezproxy.shu.edu\/login?url=https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=26840489\" target=\"_blank\" rel=\"noopener\">PMID: 26840489<\/a>)<br \/>\n<a href=\"#_ftnref5\" name=\"_ftn5\">[5]<\/a> H. Fuhrmann-Stroissnigg et al., <em>Nat Commun.<\/em> (2017) doi: 10.1038\/s41467-017-00314-z. (<a href=\"http:\/\/ezproxy.shu.edu\/login?url=https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=28871086\" target=\"_blank\" rel=\"noopener\">PMID: 28871086<\/a>)<br \/>\n<a href=\"#_ftnref6\" name=\"_ftn6\">[6]<\/a>A. Hernandez-Segura et al., <em>Trends in Cell Biology<\/em> (2018) doi: 10.1016\/j.tcb.2018.02.001 (<a href=\"http:\/\/ezproxy.shu.edu\/login?url=https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=29477613\" target=\"_blank\" rel=\"noopener\">PMID: 29477613<\/a>)<\/small><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aging is a multifactorial process \u2013 with \u201challmarks\u201d [1] including genomic instability and altered gene expression, epigenetic effects, telomere erosion, stem cell fatigue, proteostatic errors, senescence, compromised mitochondrial, lysosomal, and peroxisomal function, and disrupted communication networks, among others. Senescence, in particular, is critical as it is thought to constitute a major decision point for cells. &hellip; <a href=\"https:\/\/blogs.shu.edu\/ihsl\/2018\/09\/18\/senolytic-strategies-to-combat-aging\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Senolytic Strategies to Combat Aging&#8221;<\/span><\/a><\/p>\n","protected":false},"author":4241,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[17,18,2],"class_list":["post-62","post","type-post","status-publish","format-standard","hentry","category-terlecky","tag-aging","tag-senolytics","tag-terlecky"],"_links":{"self":[{"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/posts\/62","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/users\/4241"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/comments?post=62"}],"version-history":[{"count":2,"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/posts\/62\/revisions"}],"predecessor-version":[{"id":65,"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/posts\/62\/revisions\/65"}],"wp:attachment":[{"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/media?parent=62"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/categories?post=62"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.shu.edu\/ihsl\/wp-json\/wp\/v2\/tags?post=62"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}