Zusammenfassung
Hintergrund
Zelluläre Seneszenz ist die Hauptursache für die Haut- und Organalterung mit Ausprägung zahlreicher altersassoziierter Erkrankungen.
Fragestellung
Welche innovativen therapeutischen Strategien zum Einsatz von Senolytika, Senomorphika und Zelltherapien gibt es, um die Organalterung und die Hautalterung zu vermindern und eine Rejuvenierung zu erzielen.
Material und Methode
Es werden eine Auswertung und Literaturübersicht zur Wirkweise von Senolytika und Senomorphika, eine Diskussion von Grundlagenarbeiten und klinische Perspektiven gegeben.
Ergebnisse
Verschiedene Ursachen führen über mitochondriale Dysfunktion und Aktivierung von Alterungssignalwegen zur zellulären Seneszenz mit einem Abbau des dermalen Bindegewebes und Unterdrückung der regenerativen Stammzellnischen.
Schlussfolgerungen
Depletion von seneszenten Zellen hemmen die Alterung und können zur Rejuvenierung der Haut, anderer Organe und deren Funktion führen. Die Eliminierung der seneszenten Zellen durch Zellen des Immunsystems ist im Alter gestört. Einzelne Senolytika und Senomorphika sind bereits zugelassen.
Abstract
Background
Cellular senescence is the main cause of skin and organ aging and is associated with a wide range of aging-related diseases.
Objectives
To understand which senolytics, senomorphics, and cell-based therapies have been developed to alleviate and even rejuvenate skin aging and reduce cellular senescence.
Methods
Basic literature for the mode of action of senolytics and senomorphics and their clinical perspectives in daily routine are discussed.
Results
Various causes lead to mitochondrial dysfunction and the activation of pro-aging signaling pathways, which eventually lead to cellular senescence with degradation of structural proteins of the dermal connective tissue and severe suppression of regenerative stem cell niches of the skin.
Conclusions
Depletion of senescent cells suppress skin aging and enforce rejuvenation of skin and other organs and their function. The removal of senescent cells by cells of the native immune system is severely disturbed during aging. Selected senolytics and senomorphics are approved and are already on the market.
Literatur
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Danksagung
Die Autoren danken Frau Michaela Kirschner und Herrn Heiko Grandel für ihre Unterstützung bei der Erstellung des Manuskriptes und der Zusammenstellung der Abbildungen. K. Scharffetter-Kochanek dankt der Deutschen Forschungsgemeinschaft für die Unterstützung des SFB 1506 „Aging at Interfaces“ und das Teilprojekt C02, Projekt-ID 450627322.
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K. Scharffetter-Kochanek hat eine unabhängige Forschungsunterstützung der Firma RHEACELL bekommen. Y. Wang, E. Makrantonaki, D. Crisan, M. Wlaschek, H. Geiger und P. Maity geben an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
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Scharffetter-Kochanek, K., Wang, Y., Makrantonaki, E. et al. Hautalterung – zelluläre Seneszenz. Dermatologie 74, 645–656 (2023). https://doi.org/10.1007/s00105-023-05201-x
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DOI: https://doi.org/10.1007/s00105-023-05201-x