[PDF][PDF] Acceleration of β cell aging determines diabetes and senolysis improves disease outcomes

C Aguayo-Mazzucato, J Andle, TB Lee, A Midha… - Cell metabolism, 2019 - cell.com
C Aguayo-Mazzucato, J Andle, TB Lee, A Midha, L Talemal, V Chipashvili, J Hollister-Lock…
Cell metabolism, 2019cell.com
Summary Type 2 diabetes (T2D) is an age-related disease. Although changes in function
and proliferation of aged β cells resemble those preceding the development of diabetes, the
contribution of β cell aging and senescence remains unclear. We generated a β cell
senescence signature and found that insulin resistance accelerates β cell senescence
leading to loss of function and cellular identity and worsening metabolic profile. Senolysis
(removal of senescent cells), using either a transgenic INK-ATTAC model or oral ABT263 …
Summary
Type 2 diabetes (T2D) is an age-related disease. Although changes in function and proliferation of aged β cells resemble those preceding the development of diabetes, the contribution of β cell aging and senescence remains unclear. We generated a β cell senescence signature and found that insulin resistance accelerates β cell senescence leading to loss of function and cellular identity and worsening metabolic profile. Senolysis (removal of senescent cells), using either a transgenic INK-ATTAC model or oral ABT263, improved glucose metabolism and β cell function while decreasing expression of markers of aging, senescence, and senescence-associated secretory profile (SASP). Beneficial effects of senolysis were observed in an aging model as well as with insulin resistance induced both pharmacologically (S961) and physiologically (high-fat diet). Human senescent β cells also responded to senolysis, establishing the foundation for translation. These novel findings lay the framework to pursue senolysis of β cells as a preventive and alleviating strategy for T2D.
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