Evidence map›Paper›PMID 42021544›Full record

ArticleAging cell2026

Senolytic Treatment With Fisetin Reverses Age-Related Endothelial Dysfunction Partially Mediated by SASP Factor CXCL12.

Sophia A Mahoney, Krystyna Mazan-Mamczarz, Dimitrios Tsitsipatis, Nicholas S VanDongen, Charnae' Henry-Smith, Ada N Okereke, Rachel Munk, Sanna Darvish, Kevin O Murray, Supriyo De and 5 more

Abstract read
In one paragraph

Article in Aging cell, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Progranulin deficiency induces premature vascular senescence and dysfunction.American journal of physiology. Heart and circulatory physiology · 2026
    Article
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Sophia A MahoneyDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, USA.ORCID 0000-0002-0013-4514
Krystyna Mazan-MamczarzLaboratory of Genetics and Genomics, National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
Dimitrios TsitsipatisLaboratory of Cardiovascular Science, National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.ORCID 0009-0002-6399-034X
Nicholas S VanDongenDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, USA.
Charnae' Henry-SmithLaboratory of Genetics and Genomics, National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
Ada N OkerekeLaboratory of Genetics and Genomics, National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
Rachel MunkLaboratory of Genetics and Genomics, National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
Sanna DarvishDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, USA.
Kevin O MurrayDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, USA.ORCID 0000-0003-1863-0708
Supriyo DeLaboratory of Genetics and Genomics, National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
Myriam GorospeLaboratory of Genetics and Genomics, National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.ORCID 0000-0001-5439-3434
Douglas R SealsDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, USA.
Matthew J RossmanDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, USA.
Allison B HermanLaboratory of Cardiovascular Science, National Institute on Aging Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
Zachary S ClaytonDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado, USA.

Funding

Role of cellular senescence in cardiovascular agingR01AG055822 · NIA · BUCK INSTITUTE FOR RESEARCH ON AGING · PI CAMPISI, JUDITH, MELOV, SIMON · 2018 to 2022
$4.9M
Sodium Nitrite Supplementation for Improving Physiological Function in Patients with Chronic Kidney DiseaseK01DK115524 · NIDDK · UNIVERSITY OF COLORADO · PI ROSSMAN, MATTHEW J · 2018 to 2023
$1.1M
Translational studies of cellular senescence as a regulator of doxorubicin-mediated arterial dysfunctionR00HL159241 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Zachary S. Clayton · 2024 to 2026
$747k
Targeting cellular senescence to prevent accelerated vascular aging induced by the common chemotherapeutic agent doxorubicinR21AG078408 · NIA · UNIVERSITY OF COLORADO · PI SEALS, DOUGLAS R · 2022 to 2023
$430k
Translational studies of cellular senescence as a regulator of doxorubicin-mediated arterial dysfunctionK99HL159241 · NHLBI · UNIVERSITY OF COLORADO · PI CLAYTON, ZACHARY S. · 2022 to 2023
$350k
Chronic MitoQ Supplementation for Improving Cerebrovascular Function in Older AdultsF31AG087709 · NIA · UNIVERSITY OF COLORADO · PI Sanna Darvish · 2024 to 2026
$129k
Targeting cellular senescence with oral fisetin supplementation to improve vascular agingF31HL165885 · NHLBI · UNIVERSITY OF COLORADO · PI MAHONEY, SOPHIA ANDREA · 2022 to 2025
$123k
Mitochondria-targeted antioxidant supplementation for improving age-related vascular dysfunction in older adults: the role of circulating factorsF32HL167552 · NHLBI · UNIVERSITY OF COLORADO · PI MURRAY, KEVIN OWEN · 2023 to 2024
$113k
American Heart Association 23CDA1056582NHLBI NIH HHS F31 HL165885NHLBI NIH HHS F32 HL167552NHLBI NIH HHS HL159241NHLBI NIH HHS HL165885NHLBI NIH HHS HL167552NHLBI NIH HHS K99 HL159241NHLBI NIH HHS R00 HL159241NIA NIH HHS AG055822NIA NIH HHS AG055822-S1NIA NIH HHS AG078408NIA NIH HHS AG087709NIA NIH HHS F31 AG087709NIA NIH HHS R01 AG055822NIA NIH HHS R21 AG078408NIDDK NIH HHS DK115524NIDDK NIH HHS K01 DK115524
6 · The paper itself

Abstract

Advancing age is the strongest risk factor for cardiovascular diseases (CVDs), primarily due to progressive vascular endothelial dysfunction. Cellular senescence and the senescence-associated secretory phenotype (SASP) contribute to age-related endothelial dysfunction by promoting mitochondrial oxidative stress and inflammation, which reduce nitric oxide (NO) bioavailability. However, the molecular changes in senescent endothelial cells (ECs) and their role in endothelial dysfunction with aging remain unclear. As such, we sought to identify the EC-related signaling pathways, endothelial-associated SASP factors, and their impact on endothelial function with aging. Single-cell transcriptomics was performed on aortas from young (6mos) and old (27mos) female and male mice with and without in vivo senolytic treatment with fisetin (100 mg/kg/day administered intermittently) to characterize EC senescence and transcript expression changes. Circulating levels of SASP factors were measured to assess systemic changes associated with aging and fisetin treatment. Plasma exposure experiments were conducted in isolated mouse arteries and cultured human aortic ECs to determine the causal role of the circulating SASP milieu and specific SASP factors in mediating endothelial dysfunction and underlying mechanisms of action. Senescent ECs exhibited elevated expression of SASP factors, particularly Cxcl12, which was reversed by fisetin supplementation, with responses also reflected in circulating CXCL12 concentrations. Plasma from old mice impaired endothelial function by inducing vascular cell senescence, reducing NO, increasing mitochondrial oxidative stress, shifting receptor and promoting endothelial-to-mesenchymal transition-effects partially driven by CXCL12 and prevented by fisetin. These results identify the SASP and CXCL12 as drivers of age-related endothelial dysfunction and establish mechanisms of senolytic intervention with fisetin supplementation.

Indexed as

AgingChemokine CXCL12Endothelial CellsEndothelium, VascularFlavonoidsFlavonolsSenescence-Associated Secretory PhenotypeSenotherapeuticsAnimalsCellular SenescenceFemaleHumansMaleMiceMice, Inbred C57BLChemokine CXCL12fisetinFlavonoidsFlavonolsSenotherapeuticscellular senescenceCXCL12endothelial dysfunctionsenolyticsvascular aging

Identifiers

PMID42021544
PMCPMC13103471

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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.