Senolytics to Extend Healthspan and Lifespan

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We all desire a longer, healthier life. This has spurred research into many interventions, from lifestyle changes to advanced pharmaceuticals. Among these, senolytics have emerged as a promising area of study, aiming to eliminate senescent cells that contribute to age-related decline.

But what are senescent cells, and how could removing them impact our health as we age? This article delves into the world of senolytics, their potential to improve our healthspan and lifespan, and what the future might hold for aging.

Table of Contents:

Understanding Cellular Senescence

Cellular senescence is a natural process where cells stop dividing. This permanent growth arrest, while sometimes protective against cancer, also has downsides. As we age, these senescent cells, often referred to as “zombie cells,” accumulate and release inflammatory compounds. These compounds contribute to tissue damage and inflammation, accelerating the aging process.

The Role of Senescent Cells in Aging

The buildup of senescent cells has been linked to various age-related diseases, including osteoarthritis, cardiovascular disease, Alzheimer’s, and frailty.

These cells disrupt normal tissue function, impairing the body’s repair processes.

Studies show that even transplanting a small number of senescent cells into young mice can cause physical dysfunction and accelerated aging.

Senolytics to Extend Healthspan and Lifespan: A Promising Approach

Senolytics aim to clear senescent cells, thus reducing inflammation and boosting tissue regeneration.

This approach holds promise for improving how we age. First-generation senolytics, such as dasatinib and natural flavonoids, aim to reduce senescent cells or suppress their harmful effects.

Preclinical trials show positive effects, but further human trials are needed to confirm their long-term efficacy.

Types of Senolytics

Senolytic therapies are broadly classified into two categories.

  • Senolytics: These agents selectively eliminate senescent cells.
  • Senomorphics: These compounds suppress the detrimental effects of senescent cells.

Several senolytic drugs, including dasatinib combined with quercetin (D+Q) and fisetin, have demonstrated potential benefits.

A mouse study showed that D+Q reduced physical dysfunction and improved longevity, which could extend to applications like cancer treatment.

Senolytics Research and Clinical Trials

Early clinical trials suggest senolytics can reduce inflammation. They also hint at the possibility of extended lifespan. Current trials are primarily focused on dasatinib plus quercetin (D+Q).

Initial trials on conditions like osteoarthritis show inconsistent results. For example, UBX0101 failed to reduce knee pain.

Another research area explores how senolytics might reduce multimorbidity in aging individuals, particularly those over 60 (aging and health). Some scientists believe that senolytics can improve symptoms like muscle fatigue and lower the risk of pulmonary diseases (#).

Lifestyle Interventions to support Senolytics

While senolytic drugs offer potential, healthy habits are essential for optimizing the aging process and maximizing the benefits of senolytics.

Exercise and Diet: Cornerstones of Healthy Aging

Regular exercise and a balanced diet provide many health benefits. They have also been linked to preventing senescence in certain tissues (#).

Exercise may also reduce the accumulation of senescent cells. A healthy diet, including anti-aging foods and supplements, can further help mitigate age-related systemic inflammation. Together, these lifestyle choices bolster senolytic therapies.

Regular exercise has been linked to reversing biological markers of aging and potentially positively impacting senescent cells.

The Impact of Sedentary Lifestyles on Healthspan and Lifespan

A sedentary lifestyle has adverse effects on healthspan and lifespan. Extended periods of inactivity accelerate aging. This further impairs physical function and exacerbates age-related diseases.

A sedentary lifestyle increases systemic inflammation. This, in turn, accelerates the aging process.

The Science of Time in the Sun: How Sun Exposure Affects Healthspan and Lifespan

Sufficient sun exposure has been shown to promote well-being (sun exposure).

Challenges and Future Directions in Senolytics Research

Further research is crucial to fully understand the long-term effects of targeting senescent cells. Challenges include identifying effective senolytic combinations for specific diseases, given that current research indicates limited effectiveness for certain conditions like osteoarthritis (#).

Addressing Multimorbidity: A Complex Challenge

Many older adults experience multimorbidity—the simultaneous presence of multiple chronic diseases.

This poses challenges for research and development, potentially hindering investment in new medications. Senolytics may help those over 60 manage age-related chronic diseases.

Ongoing research aims to investigate the efficacy of these interventions in humans with multiple conditions, emphasizing better markers for less-treated health issues, especially those difficult to stratify. Events like the UK SPINE conference highlight the need for stakeholder collaboration to accelerate the development of effective treatments.

FAQs about Senolytics

Do senolytics increase lifespan?

Animal studies show promising results in increasing lifespan, but human trials are still early. More research is necessary to fully determine the effects on human longevity.

What is the most powerful senolytic?

There isn’t one “most powerful” senolytic. Different senolytics function through various mechanisms, and the ideal choice varies depending on individual health and the targeted condition.

How do senolytics reverse aging?

Senolytics don’t reverse aging but aim to slow or mitigate some age-related effects. By removing senescent cells that drive age-related decline, inflammation, and tissue dysfunction, they may help slow physical dysfunction and other adverse effects of aging.

Does fisetin extend lifespan?

Mouse studies suggest fisetin may extend both healthspan and lifespan by removing or suppressing the detrimental impacts of senescent cells (#). While these findings are encouraging, further research is needed to translate these findings into effective human therapies.

Senolytics offer a potential breakthrough in our quest to live longer, healthier lives. While much research is still underway, the prospect of targeting senescent cells to improve healthspan and lifespan holds great promise.

author avatar
Jose Rossello, MD, PhD, MHCM
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