Evidence map›Paper›PMID 41611832›Full record

ArticleNature aging2026

Comparative analysis of senolytic drugs reveals mitochondrial determinants of efficacy and resistance.

Masahiro Wakita, Koyu Ito, Kaho Fujii, Dai Sakamoto, Takumi Mikawa, Sho Sugawara, Xiangyu Zhou, Jeong Hoon Park, Hideka Miyagawa, Daisuke Motooka and 5 more

Abstract readComparative Study
In one paragraph

Article in Nature aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Masahiro WakitaResearch Institute for Microbial Diseases (RIMD), The University of Osaka, Suita, Japan.
Koyu ItoResearch Institute for Microbial Diseases (RIMD), The University of Osaka, Suita, Japan.
Kaho FujiiResearch Institute for Microbial Diseases (RIMD), The University of Osaka, Suita, Japan.
Dai SakamotoResearch Institute for Microbial Diseases (RIMD), The University of Osaka, Suita, Japan.
Takumi MikawaGraduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0003-0980-2379
Sho SugawaraCancer Institute, Japanese Foundation for Cancer Research, Tokyo, Japan.ORCID http://orcid.org/0000-0003-0010-7409
Xiangyu ZhouCancer Institute, Japanese Foundation for Cancer Research, Tokyo, Japan.
Jeong Hoon ParkResearch Institute for Microbial Diseases (RIMD), The University of Osaka, Suita, Japan.
Hideka MiyagawaResearch Institute for Microbial Diseases (RIMD), The University of Osaka, Suita, Japan.
Daisuke MotookaResearch Institute for Microbial Diseases (RIMD), The University of Osaka, Suita, Japan.
Emi OgasawaraGraduate School of Science, The University of Osaka, Toyonaka, Japan.
Naotada IshiharaGraduate School of Science, The University of Osaka, Toyonaka, Japan.ORCID http://orcid.org/0000-0002-6305-7149
Akiko TakahashiCancer Institute, Japanese Foundation for Cancer Research, Tokyo, Japan.ORCID http://orcid.org/0000-0003-1904-7645
Hiroshi KondohGraduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0002-1067-2244
Eiji HaraResearch Institute for Microbial Diseases (RIMD), The University of Osaka, Suita, Japan. ehara@biken.osaka-u.ac.jp.ORCID http://orcid.org/0000-0001-7821-3960

Funding

Japan Agency for Medical Research and Development (AMED) JP24ama221114h0003Japan Agency for Medical Research and Development (AMED) JP25gm1710004h0004Japan Agency for Medical Research and Development (AMED) JP25gm1710013h0002Japan Agency for Medical Research and Development (AMED) JP25zf0127008s0104MEXT | Japan Science and Technology Agency (JST) JPMJMS2022MEXT | Japan Society for the Promotion of Science (JSPS) JP25H00443MEXT | Japan Society for the Promotion of Science (JSPS) JP25K14865MEXT | Japan Society for the Promotion of Science (JSPS) JP25KJ1722Ministry of Education, Culture, Sports, Science and Technology (MEXT) JPMXP1323015484Mitsubishi Foundation 202012016
6 · The paper itself

Abstract

Cellular senescence contributes to aging and disease, and senolytic drugs that selectively eliminate senescent cells hold therapeutic promise. Although over 20 candidates have been reported, their relative efficacies remain unclear. Here we systematically compared 21 senolytic agents using a senolytic specificity index, identifying the Bcl-2 inhibitor ABT263 and the BET inhibitor ARV825 as most effective senolytics across fibroblast and epithelial senescence models. However, even upon extended treatment with these most potent senolytics, a proportion of senescent cells remained viable. We found that senolytic resistance was driven by maintenance of mitochondrial integrity through V-ATPase-mediated clearance of damaged mitochondria. Imposing mitochondrial stress via metabolic workload enhanced the senolytic efficacies of ABT263 and ARV825 in vitro, and in mouse models, ketogenic diet adoption or SGLT2 inhibition similarly potentiated ABT263-induced and ARV825-induced senolysis, reducing metastasis and tumor growth. These findings suggest that mitochondrial quality control is a key determinant of resistance to ABT263-induced and ARV825-induced senolysis, providing a possible framework for rational combination senotherapies.

Indexed as

Cellular SenescenceDrug ResistanceMitochondriaSenotherapeuticsAniline CompoundsAnimalsFibroblastsHumansMiceSulfonamidesAniline CompoundsnavitoclaxSenotherapeuticsSulfonamides

Identifiers

PMID41611832
PMCPMC12920139

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.