Prophylactic and long-lasting efficacy of senolytic CAR T cells against age-related metabolic dysfunction Journal Article


Authors: Amor, C.; Fernández-Maestre, I.; Chowdhury, S.; Ho, Y. J.; Nadella, S.; Graham, C.; Carrasco, S. E.; Nnuji-John, E.; Feucht, J.; Hinterleitner, C.; Barthet, V. J. A.; Boyer, J. A.; Mezzadra, R.; Wereski, M. G.; Tuveson, D. A.; Levine, R. L.; Jones, L. W.; Sadelain, M.; Lowe, S. W.
Article Title: Prophylactic and long-lasting efficacy of senolytic CAR T cells against age-related metabolic dysfunction
Abstract: Senescent cells, which accumulate in organisms over time, contribute to age-related tissue decline. Genetic ablation of senescent cells can ameliorate various age-related pathologies, including metabolic dysfunction and decreased physical fitness. While small-molecule drugs that eliminate senescent cells (‘senolytics’) partially replicate these phenotypes, they require continuous administration. We have developed a senolytic therapy based on chimeric antigen receptor (CAR) T cells targeting the senescence-associated protein urokinase plasminogen activator receptor (uPAR), and we previously showed these can safely eliminate senescent cells in young animals. We now show that uPAR-positive senescent cells accumulate during aging and that they can be safely targeted with senolytic CAR T cells. Treatment with anti-uPAR CAR T cells improves exercise capacity in physiological aging, and it ameliorates metabolic dysfunction (for example, improving glucose tolerance) in aged mice and in mice on a high-fat diet. Importantly, a single administration of these senolytic CAR T cells is sufficient to achieve long-term therapeutic and preventive effects. © The Author(s) 2024.; The accumulation of senescent cells drives age-related diseases. In this study, the authors show that senolytic CAR T cells can rejuvenate metabolic function and fitness in old mice and that a single dose is sufficient to lead to long-term preventive effects. © The Author(s) 2024.
Keywords: controlled study; protein expression; drug efficacy; nonhuman; flow cytometry; t lymphocyte; mouse; animal tissue; gene expression; animal experiment; exercise; histology; age; genetic transduction; blood sampling; prophylaxis; cell isolation; plasmid; insulin; glucose blood level; metabolic syndrome x; fluorescence activated cell sorting; cell aging; glucose tolerance test; male; female; article; immunofluorescence assay; differential expression analysis; differential gene expression; single cell rna seq; pathway enrichment analysis; hepatic stellate cell; recombinant human insulin; insulin tolerance test
Journal Title: Nature Aging
Volume: 4
Issue: 3
ISSN: 2662-8465
Publisher: Nature Publishing Group  
Date Published: 2024-03-01
Start Page: 336
End Page: 349
Language: English
DOI: 10.1038/s43587-023-00560-5
PROVIDER: scopus
PMCID: PMC10950785
PUBMED: 38267706
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PubMed record and PDF -- Source: Scopus
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MSK Authors
  1. Ross Levine
    775 Levine
  2. Michel W J Sadelain
    583 Sadelain
  3. Scott W Lowe
    249 Lowe
  4. Lee Winston Jones
    176 Jones
  5. Judith Carolin Feucht
    23 Feucht
  6. Yu-jui Ho
    40 Ho
  7. Courtenay Alexis Graham
    1 Graham