Navigating the complex role of senescence in liver disease

Abstract. Cellular senescence, an irreversible state of cell cycle arrest characterized by phenotypic changes and a specific secretory profile, plays a dual role in liver health and disease. Under physiological conditions, senescence aids organ repair and regeneration, but its accumulation due to ag...

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Main Authors: Qiuting Li, Lin Wang, Yuanyuan Ji
Format: Article
Language:English
Published: Wolters Kluwer 2024-12-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000003439
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author Qiuting Li
Lin Wang
Yuanyuan Ji
author_facet Qiuting Li
Lin Wang
Yuanyuan Ji
author_sort Qiuting Li
collection DOAJ
description Abstract. Cellular senescence, an irreversible state of cell cycle arrest characterized by phenotypic changes and a specific secretory profile, plays a dual role in liver health and disease. Under physiological conditions, senescence aids organ repair and regeneration, but its accumulation due to aging or pathological stress significantly contributes to chronic liver diseases, including alcoholic liver disease, metabolic dysfunction-associated steatohepatitis, liver fibrosis, and hepatocellular carcinoma. Senescence is identified by a range of cellular and molecular changes, such as morphological alterations, expression of cell cycle inhibitors, senescence-associated β-galactosidase activity, and nuclear membrane changes. The onset of senescence in organ cells can affect the entire organism, primarily through the senescence-associated secretory phenotype, which has autocrine, paracrine, and endocrine effects on tissue microenvironments. The objective of this review is to offer a contemporary overview of the pathophysiological events involving hepatic senescent cells and to elucidate their role in the onset and progression of liver diseases, particularly through mechanisms like telomere shortening, genomic and mitochondrial DNA damage, and inflammation. Additionally, this review discusses the emerging senolytic therapies aimed at targeting senescent cells to delay or mitigate liver disease progression. The therapeutic potential of these interventions, alongside their safety and effectiveness, highlights the need for further research to refine these approaches and address unresolved problems in the field of hepatic cellular senescence.
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spelling doaj-art-d8f79b61f9a44c978171bbde9e197f492025-01-10T01:10:24ZengWolters KluwerChinese Medical Journal0366-69992542-56412024-12-01137243061307210.1097/CM9.0000000000003439202412200-00008Navigating the complex role of senescence in liver diseaseQiuting Li0Lin Wang1Yuanyuan JiDepartment of Hepatobiliary Surgery, Xi-Jing Hospital, The Fourth Military Medical University, Xi’an, Shaanxi 710032, ChinaDepartment of Hepatobiliary Surgery, Xi-Jing Hospital, The Fourth Military Medical University, Xi’an, Shaanxi 710032, ChinaAbstract. Cellular senescence, an irreversible state of cell cycle arrest characterized by phenotypic changes and a specific secretory profile, plays a dual role in liver health and disease. Under physiological conditions, senescence aids organ repair and regeneration, but its accumulation due to aging or pathological stress significantly contributes to chronic liver diseases, including alcoholic liver disease, metabolic dysfunction-associated steatohepatitis, liver fibrosis, and hepatocellular carcinoma. Senescence is identified by a range of cellular and molecular changes, such as morphological alterations, expression of cell cycle inhibitors, senescence-associated β-galactosidase activity, and nuclear membrane changes. The onset of senescence in organ cells can affect the entire organism, primarily through the senescence-associated secretory phenotype, which has autocrine, paracrine, and endocrine effects on tissue microenvironments. The objective of this review is to offer a contemporary overview of the pathophysiological events involving hepatic senescent cells and to elucidate their role in the onset and progression of liver diseases, particularly through mechanisms like telomere shortening, genomic and mitochondrial DNA damage, and inflammation. Additionally, this review discusses the emerging senolytic therapies aimed at targeting senescent cells to delay or mitigate liver disease progression. The therapeutic potential of these interventions, alongside their safety and effectiveness, highlights the need for further research to refine these approaches and address unresolved problems in the field of hepatic cellular senescence.http://journals.lww.com/10.1097/CM9.0000000000003439
spellingShingle Qiuting Li
Lin Wang
Yuanyuan Ji
Navigating the complex role of senescence in liver disease
Chinese Medical Journal
title Navigating the complex role of senescence in liver disease
title_full Navigating the complex role of senescence in liver disease
title_fullStr Navigating the complex role of senescence in liver disease
title_full_unstemmed Navigating the complex role of senescence in liver disease
title_short Navigating the complex role of senescence in liver disease
title_sort navigating the complex role of senescence in liver disease
url http://journals.lww.com/10.1097/CM9.0000000000003439
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