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Cellular senescence and the senescent secretory phenotype: therapeutic opportunities
Tamara Tchkonia, … , Judith Campisi, James L. Kirkland
Tamara Tchkonia, … , Judith Campisi, James L. Kirkland
Published March 1, 2013
Citation Information: J Clin Invest. 2013;123(3):966-972. https://doi.org/10.1172/JCI64098.
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Cellular senescence and the senescent secretory phenotype: therapeutic opportunities

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Abstract

Aging is the largest risk factor for most chronic diseases, which account for the majority of morbidity and health care expenditures in developed nations. New findings suggest that aging is a modifiable risk factor, and it may be feasible to delay age-related diseases as a group by modulating fundamental aging mechanisms. One such mechanism is cellular senescence, which can cause chronic inflammation through the senescence-associated secretory phenotype (SASP). We review the mechanisms that induce senescence and the SASP, their associations with chronic disease and frailty, therapeutic opportunities based on targeting senescent cells and the SASP, and potential paths to developing clinical interventions.

Authors

Tamara Tchkonia, Yi Zhu, Jan van Deursen, Judith Campisi, James L. Kirkland

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Figure 2

A disruption of the intersection between fundamental aging mechanisms and processes that lead to chronic diseases may delay age-related diseases and disabilities as a group and thereby lengthen health span.

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A disruption of the intersection between fundamental aging mechanisms an...
The increasing burden of senescent cells might contribute to the early etiology of age-related diseases and accelerate progression of these diseases following their initiation. Chronic disease pathology, coupled with the spread of senescence to neighboring healthy cells, might further drive cellular senescence, thus contributing to a spiral of increasing inflammation and dysfunction. Among other possibilities, chronic inflammation associated with the SASP, combined with with inflammation from preclinical and overt chronic disease, may predispose to frailty, sarcopenia, and eventually mortality.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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