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What supplement removes senescent cells?: Unpacking the science of natural senolytics

5 min read

Accumulating senescent or 'zombie cells' are implicated in various age-related diseases by releasing harmful inflammatory factors, a process called inflammaging. This has spurred a growing interest in understanding what supplement removes senescent cells to support cellular health and longevity.

Quick Summary

Senolytic supplements selectively eliminate dysfunctional senescent cells that accumulate with age, contributing to inflammation and tissue decay. Key natural options include flavonoids like fisetin and quercetin, which target cellular aging pathways to promote cellular rejuvenation.

Key Points

  • Fisetin: A potent flavonoid, often requiring enhanced bioavailability, that has demonstrated significant senolytic activity in preclinical studies.

  • Quercetin: A widely researched flavonoid known for its broad antioxidant and anti-inflammatory benefits, with demonstrated senolytic properties.

  • Curcumin: An anti-inflammatory agent from turmeric, whose senolytic efficacy varies and is affected by poor bioavailability.

  • EGCG: A green tea polyphenol with senolytic potential that may extend lifespan and alleviate fat tissue senescence.

  • Apigenin: A flavonoid that primarily suppresses the inflammatory SASP factors from senescent cells.

  • Bioavailability Challenges: Many natural senolytics have low absorption, addressed by combining with enhancers like piperine or using advanced delivery systems like liposomes.

  • Synergistic Action: Combining different senolytics like fisetin and quercetin may offer stronger anti-aging effects by targeting cellular senescence through multiple pathways.

  • Precautionary Approach: Much of the research is preclinical, and experts advise consulting a healthcare provider before starting any senolytic supplement regimen.

In This Article

Cellular senescence is a state in which cells stop dividing but do not die, instead lingering and releasing a cocktail of inflammatory proteins known as the Senescence-Associated Secretory Phenotype (SASP). As we age, our body's ability to clear these so-called 'zombie cells' declines, leading to their accumulation and contributing to age-related tissue dysfunction, chronic inflammation, and increased risk for age-related diseases. The emerging field of senolytics focuses on compounds that can selectively eliminate these stubborn cells, paving the way for cellular renewal and healthier aging. While research is ongoing, particularly in human trials, several natural compounds have shown significant senolytic activity in preclinical and some preliminary human studies.

The Role of Senescent Cells in Aging

Senescent cells are a hallmark of aging and are found in increasing numbers in various tissues throughout the body with advancing age.

The Senescence-Associated Secretory Phenotype (SASP)

One of the most detrimental effects of senescent cells is the release of the SASP, a mix of pro-inflammatory cytokines, chemokines, and matrix-degrading proteases. This chronic, low-grade inflammation, sometimes called 'inflammaging,' damages surrounding healthy tissue and can even induce senescence in neighboring cells through a 'bystander effect,' accelerating the aging process. By selectively inducing apoptosis, or programmed cell death, in senescent cells, senolytic compounds can potentially reduce this inflammatory burden and rejuvenate tissues.

Key Natural Supplements with Senolytic Activity

Fisetin: A Potent Flavonoid

Fisetin is a powerful plant-derived flavonoid found in fruits like strawberries, apples, persimmons, and grapes. Preclinical studies have identified fisetin as one of the most potent natural senolytics discovered to date. A study published in EBioMedicine demonstrated that fisetin was more effective than other flavonoids, including quercetin, at eliminating senescent cells in cell cultures and animal models. Notably, this effect was shown even when treatment was initiated late in life in mice, extending both median and maximum lifespan. Fisetin also exhibits significant neuroprotective properties and crosses the blood-brain barrier.

Quercetin: A Well-Researched Senolytic

Quercetin is a widely available flavonoid found in many fruits and vegetables, such as onions, apples, and capers. For years, it has been studied in conjunction with the cancer drug dasatinib as a potent senolytic combination (D+Q), showing effectiveness in animal and human studies. Quercetin works by inhibiting anti-apoptotic proteins like BCL2, which allows for the programmed death of senescent cells. While perhaps less potent than fisetin on a cellular level, quercetin offers a wider range of benefits, including strong anti-inflammatory and immune-supporting effects. Some research also suggests quercetin may help modulate age-related NAD+ decline by inhibiting the NAD+-consuming enzyme CD38. This compound is often taken daily, whereas fisetin is sometimes used in intermittent 'pulse' dosing.

Curcumin: From Spice to Senolytic

Curcumin is the active compound in turmeric and has long been recognized for its antioxidant and anti-inflammatory properties. Recent studies have investigated its senolytic potential, with some research indicating it can reduce markers of senescence. However, evidence on its direct senolytic efficacy is conflicting, and some data suggest its effects might be cell-type specific. A key challenge with curcumin is its poor oral bioavailability, meaning the body struggles to absorb and utilize it effectively. To overcome this, many supplements combine it with absorption enhancers like piperine (black pepper extract) or utilize advanced liposomal delivery systems.

EGCG: The Green Tea Polyphenol

Epigallocatechin gallate (EGCG) is a major antioxidant and polyphenol in green tea. Studies have shown that EGCG possesses senolytic properties by inducing apoptosis in senescent cells and suppressing anti-apoptotic proteins. Research in mice has linked EGCG supplementation to extended lifespan and reduced senescent cell accumulation in fat tissue. For humans, achieving a therapeutic dose from green tea alone can be challenging, with one estimate suggesting eight cups daily would be needed to match a dose used in a mouse study, making EGCG supplements a potential alternative for those seeking this benefit.

Apigenin: A SASP Suppressor

Apigenin is a flavonoid found in chamomile, parsley, and celery. Rather than primarily clearing senescent cells, apigenin has been shown to act as a 'senomorphic,' meaning it inhibits the harmful SASP factors they secrete. By reducing this inflammatory output, apigenin can mitigate some of the damage caused by lingering senescent cells. Some advanced senolytic formulas combine multiple ingredients, such as fisetin, quercetin, and apigenin, to target senescence from multiple angles.

Bioavailability: A Critical Factor for Efficacy

Many natural senolytic compounds suffer from poor bioavailability, meaning they are poorly absorbed and rapidly metabolized by the body. This can limit their therapeutic effectiveness. Supplement manufacturers have addressed this by developing enhanced delivery methods:

  • Liposomal Encapsulation: This technology wraps the supplement in a lipid (fat) vesicle, protecting it from digestion and enhancing its absorption.
  • Combination with Bioavailability Enhancers: Combining senolytics with compounds like piperine (found in black pepper) can significantly increase absorption.
  • Phytosome Technology: This method bonds flavonoids to phospholipids, increasing their water solubility and enabling better uptake.

Comparison of Key Natural Senolytic Supplements

Property Fisetin Quercetin Curcumin EGCG (from Green Tea)
Primary Function Potent senolytic, neuroprotective Antioxidant, anti-inflammatory, immune support Antioxidant, anti-inflammatory, potential senolytic Antioxidant, senolytic potential
Natural Sources Strawberries, apples, persimmons Onions, apples, berries, green tea Turmeric Green tea
Senolytic Potency High (more potent than quercetin in studies) Moderate (often combined with other agents) Varied (research is conflicting and may be cell-type specific) Moderate (animal studies show positive effects)
Absorption Very poor; requires enhancement Low; benefits from enhancers Very poor; requires enhancers Moderate; can be obtained from tea or supplement
Dosage Style Intermittent 'pulse' dosing Often daily dosing Daily dosing for anti-inflammatory effects Daily (multiple cups of tea or supplement)
Primary Benefit Clearing senescent cells, brain health Immune function, allergy relief, heart health Inflammation reduction, joint health Antioxidant support, fat tissue senescence

Conclusion: Navigating Senolytic Supplementation

While the concept of clearing senescent cells to combat aging is promising, the field of senolytic supplements is still developing. Potent natural flavonoids like fisetin and quercetin show great potential for selectively eliminating these dysfunctional cells and reducing the associated inflammatory burden. Other compounds like curcumin and EGCG also offer unique benefits, but they can face challenges related to efficacy or bioavailability.

Given the complexity of cellular senescence and the differing effects of various senolytics, a multi-targeted approach combining synergistic compounds may be the most effective strategy. However, consumers should be mindful of bioavailability issues and look for advanced formulations that maximize absorption. As with any new supplement, it is crucial to approach senolytic supplementation with caution and consult a healthcare professional before beginning a regimen. The ongoing research into natural senolytics, supported by studies like the one conducted by the National Institutes of Health on fisetin, represents an exciting frontier in the quest for healthier longevity. However, as noted by Cedars-Sinai experts, people should be wary of unproven claims and rely on rigorous scientific data and medical advice before investing in expensive and potentially ineffective products.

Frequently Asked Questions

Senescent cells are cells that have stopped dividing due to stress or damage but have not died off. Instead, they linger and release harmful, inflammatory compounds that damage nearby healthy cells, contributing to aging and age-related diseases.

Senolytics work by triggering apoptosis, or programmed cell death, specifically in senescent cells. This allows the body to clear these dysfunctional cells and make way for new, healthier cells to take their place.

Yes, some preclinical studies suggest that fisetin is a more potent senolytic than quercetin at removing senescent cells. However, both have distinct and complementary benefits, and combining them may provide broader anti-aging effects.

Yes, many formulas combine fisetin and quercetin. Taking them together is generally considered safe and may offer synergistic benefits, with each compound supporting cellular health through different but complementary pathways.

Most natural senolytics, like quercetin and fisetin, have been found to have a good safety profile in studies. However, some individuals might experience mild side effects, and some compounds at high doses can be toxic. It is crucial to consult a healthcare professional, especially for long-term use.

Many natural senolytics have low oral bioavailability. You can improve absorption by choosing supplements that use advanced delivery methods like liposomal encapsulation or by combining them with bioavailability enhancers like piperine from black pepper.

Green tea contains the polyphenol EGCG, which has demonstrated senolytic properties in animal studies. However, achieving a therapeutic dose from tea alone may be difficult, making supplements a more reliable option for those seeking its specific senolytic effects.

The timeline for results is not well-established, and individual responses vary. In animal studies, even late-life intervention with fisetin showed significant health impacts. Given the field's novelty and the prevalence of preclinical research, more data on human timelines is needed.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.