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Senolytic Interventions for Type 2 Diabetes : Current Evidence and Future Directions

Sodini, Selene LU orcid and Suarez-Ortegón, Milton Fabián (2025) In Diabetology 6(6).
Abstract

Cellular senescence, a phenomenon characterized by the accumulation of dysfunctional, metabolically active cells, is increasingly recognized to be a key player in aging-related metabolic disorders. It is accelerated by hyperglycemia through various molecular pathways, positioning it as a critical mechanism in the pathophysiology of type 2 diabetes mellitus (T2D) and a potential therapeutic target. Emerging evidence from animal and clinical studies suggests that the usage of senolytic drugs, which selectively deplete senescent cells, can improve blood glucose regulation and mitigate diabetic complications. However, despite the conceptual feasibility of this approach, several challenges remain in their translation to the clinic: the... (More)

Cellular senescence, a phenomenon characterized by the accumulation of dysfunctional, metabolically active cells, is increasingly recognized to be a key player in aging-related metabolic disorders. It is accelerated by hyperglycemia through various molecular pathways, positioning it as a critical mechanism in the pathophysiology of type 2 diabetes mellitus (T2D) and a potential therapeutic target. Emerging evidence from animal and clinical studies suggests that the usage of senolytic drugs, which selectively deplete senescent cells, can improve blood glucose regulation and mitigate diabetic complications. However, despite the conceptual feasibility of this approach, several challenges remain in their translation to the clinic: the molecular mechanisms underlying the pathogenicity of cellular senescence in vivo remain incompletely understood, and organ-specific effects of senolytic administration are yet to be fully elucidated to ensure their safety and efficacy in clinical applications. This review explores the characteristics of cellular senescence and the senescence-associated secretory phenotype (SASP) in key tissues involved in glucose homeostasis, including the pancreas, liver, adipose tissue, and skeletal muscle and the potential applications of targeting cellular senescence as a therapeutic strategy for T2D management.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
aging, cellular senescence, diabetes mellitus type 2, insulin-secreting cells, senolytics, senomorphics
in
Diabetology
volume
6
issue
6
article number
48
publisher
MDPI AG
external identifiers
  • scopus:105009312136
ISSN
2673-4540
DOI
10.3390/diabetology6060048
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2025 by the authors.
id
1d61c67d-5586-4d0b-ab75-a493c3600e06
date added to LUP
2025-12-16 10:15:24
date last changed
2025-12-16 10:16:16
@article{1d61c67d-5586-4d0b-ab75-a493c3600e06,
  abstract     = {{<p>Cellular senescence, a phenomenon characterized by the accumulation of dysfunctional, metabolically active cells, is increasingly recognized to be a key player in aging-related metabolic disorders. It is accelerated by hyperglycemia through various molecular pathways, positioning it as a critical mechanism in the pathophysiology of type 2 diabetes mellitus (T2D) and a potential therapeutic target. Emerging evidence from animal and clinical studies suggests that the usage of senolytic drugs, which selectively deplete senescent cells, can improve blood glucose regulation and mitigate diabetic complications. However, despite the conceptual feasibility of this approach, several challenges remain in their translation to the clinic: the molecular mechanisms underlying the pathogenicity of cellular senescence in vivo remain incompletely understood, and organ-specific effects of senolytic administration are yet to be fully elucidated to ensure their safety and efficacy in clinical applications. This review explores the characteristics of cellular senescence and the senescence-associated secretory phenotype (SASP) in key tissues involved in glucose homeostasis, including the pancreas, liver, adipose tissue, and skeletal muscle and the potential applications of targeting cellular senescence as a therapeutic strategy for T2D management.</p>}},
  author       = {{Sodini, Selene and Suarez-Ortegón, Milton Fabián}},
  issn         = {{2673-4540}},
  keywords     = {{aging; cellular senescence; diabetes mellitus type 2; insulin-secreting cells; senolytics; senomorphics}},
  language     = {{eng}},
  number       = {{6}},
  publisher    = {{MDPI AG}},
  series       = {{Diabetology}},
  title        = {{Senolytic Interventions for Type 2 Diabetes : Current Evidence and Future Directions}},
  url          = {{http://dx.doi.org/10.3390/diabetology6060048}},
  doi          = {{10.3390/diabetology6060048}},
  volume       = {{6}},
  year         = {{2025}},
}