Scientists at the SENS Research Foundation combine telomerase therapy, senolytics, stem cell treatments, and rapamycin in a controlled mouse experiment to target key aging damage pathways, demonstrating additive lifespan benefits and paving the way for scalable anti-aging strategies.

Key points

  • Eight-component protocol targets all seven SENS damage categories in middle-aged mice.
  • Combination of telomerase gene therapy, senolytics, stem cell transplant and rapamycin yields additive lifespan extension.
  • New additions—partial reprogramming, GDNF, IL-11 inhibition, astaxanthin—broaden damage coverage.

Why it matters: Combining multiple targeted therapies to repair aging damage shifts the paradigm from disease treatment to comprehensive rejuvenation, enabling impactful longevity interventions.

Q&A

  • What are the SENS damage categories?
  • How do senolytics work?
  • What is partial reprogramming?
  • Why combine multiple interventions?
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Strategies for Engineered Negligible Senescence (SENS)

Introduction to SENS. The SENS approach was developed to categorize and systematically repair the types of cellular and molecular damage that accumulate with age. Instead of targeting symptoms, researchers focus on the root causes by grouping damage into seven distinct categories. By designing therapies for each category, SENS aims to restore youthful function and extend healthy lifespan.

The Seven Categories of Aging Damage

Each SENS category represents a specific type of damage that contributes to aging. Effective longevity interventions address all categories together:

  • Cell Loss and Atrophy: Loss of cells impairs tissue repair and function.
  • Senescent Cells: Damaged cells that stop dividing and secrete harmful molecules.
  • Extracellular Matrix Stiffening: Crosslinking of proteins makes tissues less elastic.
  • Intracellular Debris: Accumulation of waste molecules inside cells.
  • Mitochondrial Mutations: Errors in mitochondrial DNA reduce energy production.
  • Cell Death Resistance: Cells that resist apoptosis can become toxic.
  • Nuclear DNA Mutations: Errors in chromosomal DNA lead to dysfunction and disease.

Therapeutic Approaches

Researchers develop targeted therapies for each damage type. For cell loss, stem cell transplantation can replenish lost cells. Senolytics are drugs that clear senescent cells and reduce inflammation. Enzymes and small molecules break down extracellular crosslinks to restore elasticity. Gene therapies and antioxidants correct mitochondrial mutations and protect against oxidative stress. Epigenetic reprogramming can reverse nuclear DNA damage signatures, while immune modulation enhances debris clearance.

Benefits and Future Directions

Integrating multiple therapies yields additive benefits, as seen in mouse studies combining gene therapy, senolytics, stem cells, and rapamycin. Future research will refine dosing, delivery methods, and safety to translate SENS strategies into human clinical trials. Public engagement, funding, and regulatory frameworks will be essential to move these comprehensive rejuvenation therapies from laboratory to clinic.

Aubrey de Grey Larger Mouse Life Extension Project