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Senolytics and Senomorphics

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# Senolytics and Senomorphics

Portal: Longevity Science
Stage: Early human studies
Evidence: Early human
Template: Drug platform
Risk: Moderate
Reversibility: Context dependent
Last reviewed: May 2026

== Summary ==
Drugs that remove or quiet senescent cells could reduce inflammatory aging signals, but benefits depend heavily on context.

== Key takeaways ==
* Senescent cells can be harmful, protective, or useful depending on timing and tissue.
* Intermittent dosing is attractive because the target accumulates over time.
* Frailty, fibrosis, metabolic disease, and immune aging remain major areas to watch.

== Mechanism ==
Senolytics try to selectively kill senescent cells. Senomorphics try to reduce the inflammatory secretions those cells produce without necessarily removing them.

The central design problem is selectivity. A therapy that broadly damages stressed but useful cells can undermine repair, wound healing, or immune function.

== Practical interpretation ==
Aging biology rarely maps to a single villain. Senescence is part of cancer suppression and tissue repair, so timing matters as much as the molecular target.

The best evidence will come from endpoints tied to function: mobility, organ performance, fibrosis, immune response, and recovery after stress.

== Open questions ==
* In which contexts does clearing senescent cells help versus harm?
* What are the right dosing schedules?

== Watchlist ==
* Intermittent protocols
* Combination therapies
* Frailty endpoints
* Inflammatory biomarkers

== References ==
* Human senolytic pilot — Hickson et al., EBioMedicine, 2019. https://pubmed.ncbi.nlm.nih.gov/31542391/. Preliminary human dasatinib plus quercetin study in diabetic kidney disease.
* Senolytic clinical follow-up — Senolytic combination clinical literature, 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC10852012/. Use for inflammation, tissue specificity, and clinical endpoint caution.

== Categories ==
[[Category:Longevity Science]]
[[Category:senescence]]
[[Category:inflammation]]
[[Category:geroscience]]

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