Immune cell senescence in autoimmunity: implications for disease pathogenesis and therapeutic targeting

The senescence of immune cells has also emerged as a key hallmark of immunological dysregulation and chronic inflammation in autoimmunity. Senescent immune cells are irreversibly arrested in the cell cycle, exhibit antimetabolic characteristics, and secrete pro-inflammatory mediators, all together d...

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Main Authors: Fei Yin, Yangfang He, Jian Li, Yuan Gao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1596686/full
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author Fei Yin
Yangfang He
Jian Li
Yuan Gao
author_facet Fei Yin
Yangfang He
Jian Li
Yuan Gao
author_sort Fei Yin
collection DOAJ
description The senescence of immune cells has also emerged as a key hallmark of immunological dysregulation and chronic inflammation in autoimmunity. Senescent immune cells are irreversibly arrested in the cell cycle, exhibit antimetabolic characteristics, and secrete pro-inflammatory mediators, all together disrupting immune homeostasis. T cells, B cells, and innate immune subsets, acquire a senescence-associated secretory phenotype (SASP), which initiates tissue damage and sustains continuous inflammation in autoimmune diseases. The accumulation of senescent immune cells undermines immune surveillance, disrupts self-tolerance mechanisms, and enhances autoantibody production, all of which contribute to the pathogenesis of autoimmune diseases, including type 1 diabetes (T1D), systemic lupus erythematosus (SLE), and rheumatoid arthritis (RA). Accumulating evidence reveals that metabolic stress, chronic DNA damage, and persistent antigenic exposure in inflammatory microenvironments induce immune cell senescence. Such senescent condition more aggressively promotes disease pathogenesis by compromising antigen presentation, disrupting cytokine signaling, and weakening the function of regulatory T cells (Tregs). Targets of senolytic drugs, SASP inhibitors, monoclonal antibodies (mAbs), and CAR T cell therapy currently have the potential to accelerate autoimmune pathology. These treatments would be directed specifically against the selective elimination or reprogramming of senescent cells to restore immune homeostasis. This review examines the mechanistic relationships between autoimmune development and immune cell senescence, as well as recent advancements in senescence-directed therapy. Understanding these pathways can provide new insights into autoimmune pathogenesis and inform future therapeutic approaches to immune cell aging.
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spelling doaj-art-3299b89d3acb4df59d0b2dfbde3053b62025-08-20T03:59:41ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-08-011610.3389/fimmu.2025.15966861596686Immune cell senescence in autoimmunity: implications for disease pathogenesis and therapeutic targetingFei Yin0Yangfang He1Jian Li2Yuan Gao3Department of Neurology, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Endocrinology and Metabolism, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Emergency and Critical Care Medicine, The Second Hospital of Jilin University, Changchun, ChinaDepartment of Emergency and Critical Care Medicine, The Second Hospital of Jilin University, Changchun, ChinaThe senescence of immune cells has also emerged as a key hallmark of immunological dysregulation and chronic inflammation in autoimmunity. Senescent immune cells are irreversibly arrested in the cell cycle, exhibit antimetabolic characteristics, and secrete pro-inflammatory mediators, all together disrupting immune homeostasis. T cells, B cells, and innate immune subsets, acquire a senescence-associated secretory phenotype (SASP), which initiates tissue damage and sustains continuous inflammation in autoimmune diseases. The accumulation of senescent immune cells undermines immune surveillance, disrupts self-tolerance mechanisms, and enhances autoantibody production, all of which contribute to the pathogenesis of autoimmune diseases, including type 1 diabetes (T1D), systemic lupus erythematosus (SLE), and rheumatoid arthritis (RA). Accumulating evidence reveals that metabolic stress, chronic DNA damage, and persistent antigenic exposure in inflammatory microenvironments induce immune cell senescence. Such senescent condition more aggressively promotes disease pathogenesis by compromising antigen presentation, disrupting cytokine signaling, and weakening the function of regulatory T cells (Tregs). Targets of senolytic drugs, SASP inhibitors, monoclonal antibodies (mAbs), and CAR T cell therapy currently have the potential to accelerate autoimmune pathology. These treatments would be directed specifically against the selective elimination or reprogramming of senescent cells to restore immune homeostasis. This review examines the mechanistic relationships between autoimmune development and immune cell senescence, as well as recent advancements in senescence-directed therapy. Understanding these pathways can provide new insights into autoimmune pathogenesis and inform future therapeutic approaches to immune cell aging.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1596686/fullimmune cell senescenceautoimmune diseasesenescence-associated secretory phenotypesenolyticsmonoclonal antibody
spellingShingle Fei Yin
Yangfang He
Jian Li
Yuan Gao
Immune cell senescence in autoimmunity: implications for disease pathogenesis and therapeutic targeting
Frontiers in Immunology
immune cell senescence
autoimmune disease
senescence-associated secretory phenotype
senolytics
monoclonal antibody
title Immune cell senescence in autoimmunity: implications for disease pathogenesis and therapeutic targeting
title_full Immune cell senescence in autoimmunity: implications for disease pathogenesis and therapeutic targeting
title_fullStr Immune cell senescence in autoimmunity: implications for disease pathogenesis and therapeutic targeting
title_full_unstemmed Immune cell senescence in autoimmunity: implications for disease pathogenesis and therapeutic targeting
title_short Immune cell senescence in autoimmunity: implications for disease pathogenesis and therapeutic targeting
title_sort immune cell senescence in autoimmunity implications for disease pathogenesis and therapeutic targeting
topic immune cell senescence
autoimmune disease
senescence-associated secretory phenotype
senolytics
monoclonal antibody
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1596686/full
work_keys_str_mv AT feiyin immunecellsenescenceinautoimmunityimplicationsfordiseasepathogenesisandtherapeutictargeting
AT yangfanghe immunecellsenescenceinautoimmunityimplicationsfordiseasepathogenesisandtherapeutictargeting
AT jianli immunecellsenescenceinautoimmunityimplicationsfordiseasepathogenesisandtherapeutictargeting
AT yuangao immunecellsenescenceinautoimmunityimplicationsfordiseasepathogenesisandtherapeutictargeting