Review

Progress in applications of anti-senescence materials for tissue repair

  • HOU Senlin ,
  • DENG Xiangtian ,
  • ZHENG Tingjia ,
  • HAN Yifei ,
  • LIU Shen
Expand
  • 1.Department of Orthopedics, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
    2.Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
LIU Shen, E-mail: liushensjtu@126.com.

Received date: 2025-02-24

  Accepted date: 2025-07-06

  Online published: 2025-12-03

Supported by

National Natural Science Foundation of China(82425035);The 19th Innovative Training Program for College Students of Shanghai Jiao Tong University School of Medicine(19250008)

Abstract

Tissue repair is an important physiological process after tissue injury, but it is often disrupted by tissue fibrosis, oxidative stress, and other problems, accompanied by cellular senescence. Cellular senescence refers to the proliferation stagnation and function decline of cells under adverse stimuli, which plays a bidirectional regulatory role in tissue repair. In the early stage of wound healing, it can limit fibrosis and induce cell plasticity, thus promoting repair. Nevertheless, the long-term accumulation of senescent cells will interfere with the normal proliferation and differentiation of cells and hinder the repair process. In recent years, with the development of histology and cell biology, the mechanisms of tissue repair and cellular senescence have been deeply studied, providing a theoretical basis for the application of anti-senescence materials to tissue repair. Ingredients in anti-senescence materials, such as anti-senescence drugs, energy supplements, and antioxidants, play a favorable role by inducing apoptosis, activating autophagy, reversing the senescence process, and other mechanisms. The application of these anti-senescence materials provides new ideas to solve clinical problems like tissue fibrosis in chronic wounds, and is expected to become an effective means to intervene in tissue regeneration. In recent years, anti-senescence materials have been widely used in tissue regeneration and repair. This review may promote the translation and application of more fundamental research and provide references for clinical tissue repair.

Cite this article

HOU Senlin , DENG Xiangtian , ZHENG Tingjia , HAN Yifei , LIU Shen . Progress in applications of anti-senescence materials for tissue repair[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2025 , 45(11) : 1527 -1535 . DOI: 10.3969/j.issn.1674-8115.2025.11.012

References

[1] PE?A O A, MARTIN P. Cellular and molecular mechanisms of skin wound healing[J]. Nat Rev Mol Cell Biol, 2024, 25(8): 599-616.
[2] XIONG Y, MI B B, LIN Z, et al. The role of the immune microenvironment in bone, cartilage, and soft tissue regeneration: from mechanism to therapeutic opportunity[J]. Mil Med Res, 2022, 9(1): 65.
[3] 方邵一涵,刘德伍. 细胞衰老在慢性创面愈合中的作用研究进展[J]. 中华烧伤与创面修复杂志, 2023, 39(8): 795-800.
  FANG S Y H, LIU D W. Research advances on the role of cell senescence in chronic wound healing[J]. Chinese Journal of Burns and Wounds, 2023, 39(8): 795-800.
[4] HUANG W, HICKSON L J, EIRIN A, et al. Cellular senescence: the good, the bad and the unknown[J]. Nat Rev Nephrol, 2022, 18(10): 611-627.
[5] 刘晓南,张培林,刘勇敢. 细胞衰老相关分子机制及鉴定的研究进展[J]. 中华实验外科杂志, 2024, 41(2): 420-424.
  LIU X N, ZHANG P L, LIU Y G. Research progress in the molecular mechanisms and identification of cellular senescence[J]. Chinese Journal of Experimental Surgery, 2024, 41(2): 420-424.
[6] LIU X N, GU Y R, KUMAR S, et al. Oxylipin-PPARγ-initiated adipocyte senescence propagates secondary senescence in the bone marrow[J]. Cell Metab, 2023, 35(4): 667-684.e6.
[7] ZHU J, WU C Y, YANG L D. Cellular senescence in Alzheimer′s disease: from physiology to pathology[J]. Transl Neurodegener, 2024, 13(1): 55.
[8] SURYADEVARA V, HUDGINS A D, RAJESH A, et al. SenNet recommendations for detecting senescent cells in different tissues[J]. Nat Rev Mol Cell Biol, 2024, 25(12): 1001-1023.
[9] FRANCO A C, AVELEIRA C, CAVADAS C. Skin senescence: mechanisms and impact on whole-body aging[J]. Trends Mol Med, 2022, 28(2): 97-109.
[10] LI X, LUO X, HE Y, et al. Micronano titanium accelerates mesenchymal stem cells aging through the activation of senescence-associated secretory phenotype[J]. ACS Nano, 2023, 17(22): 22885-22900.
[11] WANG C, TANIZAWA H, HILL C, et al. METTL3-mediated chromatin contacts promote stress granule phase separation through metabolic reprogramming during senescence[J]. Nat Commun, 2024, 15(1): 5410.
[12] CORADDUZZA D, CONGIARGIU A, CHEN Z, et al. Ferroptosis and senescence: a systematic review[J]. Int J Mol Sci, 2023, 24(4): 3658.
[13] MAUS M, LóPEZ-POLO V, MATEO L, et al. Iron accumulation drives fibrosis, senescence and the senescence-associated secretory phenotype[J]. Nat Metab, 2023, 5(12): 2111-2130.
[14] YU B, MA J, LI J, et al. Mitochondrial phosphatase PGAM5 modulates cellular senescence by regulating mitochondrial dynamics[J]. Nat Commun, 2020, 11(1): 2549.
[15] CARUSILLO A, MUSSOLINO C. DNA damage: from threat to treatment[J]. Cells, 2020, 9(7): E1665.
[16] WANG Y, ZHANG Z, MI X, et al. Elevation of effective p53 expression sensitizes wild-type p53 breast cancer cells to CDK7 inhibitor THZ1[J]. Cell Commun Signal, 2022, 20(1): 96.
[17] ZHU Y K, LIU X W, DING X L, et al. Telomere and its role in the aging pathways: telomere shortening, cell senescence and mitochondria dysfunction[J]. Biogerontology, 2019, 20(1): 1-16.
[18] MU?OZ-ESPíN D, SERRANO M. Cellular senescence: from physiology to pathology[J]. Nat Rev Mol Cell Biol, 2014, 15(7): 482-496.
[19] ZHU H, BLAKE S, KUSUMA F K, et al. Oncogene-induced senescence: from biology to therapy[J]. Mech Ageing Dev, 2020, 187: 111229.
[20] CHAPPLE I L C, HIRSCHFELD J, KANTARCI A, et al. The role of the host: neutrophil biology[J]. Periodontol 2000, 2023: prd.12490.
[21] MATIAS I, DINIZ L P, DAMICO I V, et al. Loss of lamin-B1 and defective nuclear morphology are hallmarks of astrocyte senescence in vitro and in the aging human hippocampus[J]. Aging Cell, 2022, 21(1): e13521.
[22] DE MAGALH?ES J P. Cellular senescence in normal physiology[J]. Science, 2024, 384(6702): 1300-1301.
[23] YUN M H. Cellular senescence in tissue repair: every cloud has a silver lining[J]. Int J Dev Biol, 2018, 62(6/7/8): 591-604.
[24] LIU X, CHAI Y, LIU G, et al. Osteoclasts protect bone blood vessels against senescence through the angiogenin/plexin-B2 axis[J]. Nat Commun, 2021, 12(1): 1832.
[25] LI X S, CHEN M H, CHEN X, et al. TRAP1 drives smooth muscle cell senescence and promotes atherosclerosis via HDAC3-primed histone H4 lysine 12 lactylationFree[J]. Eur Heart J, 2024, 45(39): 4219-4235.
[26] RITSCHKA B, KNAUER-MEYER T, GON?ALVES D S, et al. The senotherapeutic drug ABT-737 disrupts aberrant p21 expression to restore liver regeneration in adult mice[J]. Genes Dev, 2020, 34(7/8): 489-494.
[27] WILKINSON H N, HARDMAN M J. Cellular senescence in acute and chronic wound repair[J]. Cold Spring Harb Perspect Biol, 2022, 14(11): a041221.
[28] LEWIS-MCDOUGALL F C, RUCHAYA P J, DOMENJO-VILA E, et al. Aged-senescent cells contribute to impaired heart regeneration[J]. Aging Cell, 2019, 18(3): e12931.
[29] GATHER L, NATH N, FALCKENHAYN C, et al. Macrophages are polarized toward an inflammatory phenotype by their aged microenvironment in the human skin[J]. J Invest Dermatol, 2022, 142(12): 3136-3145.e11.
[30] LI C, SHEN Y, HUANG L, et al. Senolytic therapy ameliorates renal fibrosis postacute kidney injury by alleviating renal senescence[J]. FASEB J, 2021, 35(1): e21229.
[31] KISSELEVA T, BRENNER D. Molecular and cellular mechanisms of liver fibrosis and its regression[J]. Nat Rev Gastroenterol Hepatol, 2021, 18(3): 151-166.
[32] PARAMOS-DE-CARVALHO D, MARTINS I, CRISTóV?O A M, et al. Targeting senescent cells improves functional recovery after spinal cord injury[J]. Cell Rep, 2021, 36(1): 109334.
[33] WILKINSON H N, HARDMAN M J. Senescence in wound repair: emerging strategies to target chronic healing wounds[J]. Front Cell Dev Biol, 2020, 8: 773.
[34] HEJAZIAN S M, HEJAZIAN S S, MOSTAFAVI S M, et al. Targeting cellular senescence in kidney diseases and aging: a focus on mesenchymal stem cells and their paracrine factors[J]. Cell Commun Signal, 2024, 22(1): 609.
[35] MARINO F, SCALISE M, SALERNO N, et al. Diabetes-induced cellular senescence and senescence-associated secretory phenotype impair cardiac regeneration and function independently of age[J]. Diabetes, 2022, 71(5): 1081-1098.
[36] LIU Z W, TANG W Z, LIU J Y, et al. A novel sprayable thermosensitive hydrogel coupled with zinc modified metformin promotes the healing of skin wound[J]. Bioact Mater, 2023, 20: 610-626.
[37] FAN D, LIU H, ZHANG Z, et al. Resveratrol and angiogenin-2 combined with PEGDA/TCS hydrogel for the targeted therapy of hypoxic bone defects via activation of the autophagy pathway[J]. Front Pharmacol, 2021, 12: 618724.
[38] LU J W, YANG X H, HE C F, et al. Rejuvenation of tendon stem/progenitor cells for functional tendon regeneration through platelet-derived exosomes loaded with recombinant Yap1[J]. Acta Biomater, 2023, 161: 80-99.
[39] ZHU W B, LIU Q, ZHANG Z H, et al. Photothermal microneedle hydrogel patch for refractory soft tissue injuries through thermosensitized anti-inflammaging modulation[J]. Small Struct, 2024, 5(5): 2470023.
[40] HU X Y, TIAN X, YANG C J, et al. Melatonin-loaded self-healing hydrogel targets mitochondrial energy metabolism and promotes annulus fibrosus regeneration[J]. Mater Today Bio, 2023, 23: 100811.
[41] QU X, XIE Z, ZHANG J, et al. Regulating mitochondrial aging via targeting the gut-bone axis in BMSCs with oral hydrogel microspheres to inhibit bone loss[J]. Small, 2025, 21(4): e2409936.
[42] CHEN P, LIU X, GU C, et al. A plant-derived natural photosynthetic system for improving cell anabolism[J]. Nature, 2022, 612(7940): 546-554.
[43] KUANG B, GENG N N, YI M, et al. Panaxatriol exerts anti-senescence effects and alleviates osteoarthritis and cartilage repair fibrosis by targeting UFL1[J]. J Adv Res, 2025, 74: 493-511.
[44] CHEN S, YU Y, XIE S, et al. Local H2 release remodels senescence microenvironment for improved repair of injured bone[J]. Nat Commun, 2023, 14(1): 7783.
[45] SUN Y, YOU Y Q, WU Q, et al. Senescence-targeted microRNA/Organoid composite hydrogel repair cartilage defect and prevention joint degeneration via improved chondrocyte homeostasis[J]. Bioact Mater, 2024, 39: 427-442.
[46] YANG F, SHU R, DAI W Y, et al. H2Se-evolving bio-heterojunctions promote cutaneous regeneration in infected wounds by inhibiting excessive cellular senescence[J]. Biomaterials, 2024, 311: 122659.
[47] NGUYEN H T, THAPA R K, SHIN B S, et al. CD9 monoclonal antibody-conjugated PEGylated liposomes for targeted delivery of rapamycin in the treatment of cellular senescence[J]. Nanotechnology, 2017, 28(9): 095101.
[48] ZHOU Q, YI G, CHANG M Y, et al. Activation of Sirtuin3 by honokiol ameliorates alveolar epithelial cell senescence in experimental silicosis via the cGAS-STING pathway[J]. Redox Biol, 2024, 74: 103224.
[49] WEI X, LI M, ZHENG Z, et al. Senescence in chronic wounds and potential targeted therapies[J]. Burns Trauma, 2022, 10: tkab045.
[50] XING X, HUANG H, GAO X, et al. Local elimination of senescent cells promotes bone defect repair during aging[J]. ACS Appl Mater Interfaces, 2022, 14(3): 3885-3899.
[51] TOMBULTURK F K, SOYDAS T, KANIGUR-SULTUYBEK G. Metformin as a modulator of autophagy and hypoxia responses in the enhancement of wound healing in diabetic rats[J]. Inflammation, 2025, 48(3): 1391-1402.
[52] PARSAMANESH N, ASGHARI A, SARDARI S, et al. Resveratrol and endothelial function: a literature review[J]. Pharmacol Res, 2021, 170: 105725.
[53] LAGOUMTZI S M, CHONDROGIANNI N. Senolytics and senomorphics: natural and synthetic therapeutics in the treatment of aging and chronic diseases[J]. Free Radic Biol Med, 2021, 171: 169-190.
[54] COVARRUBIAS A J, PERRONE R, GROZIO A, et al. NAD+ metabolism and its roles in cellular processes during ageing[J]. Nat Rev Mol Cell Biol, 2021, 22(2): 119-141.
[55] LEI J X, WANG L, YANG C, et al. Dasatinib and erianin co-loaded ion-responsive in situ hydrogel for effective treatment of corneal neovascularization[J]. J Control Release, 2024, 376: 94-107.
[56] DENG J Y, COHEN D J, SABALEWSKI E L, et al. Semaphorin 3A delivered by a rapidly polymerizing click hydrogel overcomes impaired implant osseointegration in a rat type 2 diabetes model[J]. Acta Biomater, 2023, 157: 236-251.
[57] FREEDMAN B R, HWANG C, TALBOT S, et al. Breakthrough treatments for accelerated wound healing[J]. Sci Adv, 2023, 9(20): eade7007.
[58] WANG X F, LU W Z, XIA X Y, et al. Selenomethionine mitigate PM2.5-induced cellular senescence in the lung via attenuating inflammatory response mediated by cGAS/STING/NF-κB pathway[J]. Ecotoxicol Environ Saf, 2022, 247: 114266.
Outlines

/