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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="review-article">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Explor Drug Sci</journal-id>
<journal-id journal-id-type="publisher-id">EDS</journal-id>
<journal-title-group>
<journal-title>Exploration of Drug Science</journal-title>
</journal-title-group>
<issn pub-type="epub">2836-7677</issn>
<publisher>
<publisher-name>Open Exploration Publishing</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.37349/eds.2024.00051</article-id>
<article-id pub-id-type="manuscript">100851</article-id>
<article-categories>
<subj-group>
<subject>Perspective</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Plants and fungi metabolites as novel autophagy inducers and senescence inhibitors</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7580-0163</contrib-id>
<name>
<surname>Ofir</surname>
<given-names>Rivka</given-names>
</name>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing—original draft</role>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing—review &amp; editing</role>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="editor">
<name>
<surname>Reichardt</surname>
<given-names>Juergen</given-names>
</name>
<role>Academic Editor</role>
<aff>James Cook University, Australia</aff>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>Dead Sea and Arava Science Center (DSASC), Central Arava Branch, Arava 8681500, Israel</aff>
<aff id="I2">
<sup>2</sup>The Regenerative Medicine &amp; Stem Cell (RMSC) Research Center, Ben Gurion University of the Negev (BGU), Beer Sheva 84105, Israel</aff>
<author-notes>
<corresp id="cor1">
<sup>*</sup>
<bold>Correspondence:</bold> Rivka Ofir, Dead Sea and Arava Science Center (DSASC), Central Arava Branch, Arava 8681500, Israel. <email>rivir@bgu.ac.il</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>07</month>
<year>2024</year>
</pub-date>
<volume>2</volume>
<issue>4</issue>
<fpage>361</fpage>
<lpage>368</lpage>
<history>
<date date-type="received">
<day>09</day>
<month>04</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>05</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s) 2024.</copyright-statement>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract>
<p id="absp-1">Premature aging can be partially explained by inefficient autophagy (the process of cellular self-digestion that recycles intracellular components) and premature senescence (cease of cellular division without cell death activation). Autophagy and senescence are among the basic biochemical pathways in plants and fungi suggesting that some of their metabolites have the potential to act as autophagy inducers (AI) and senescence inhibitors (SI) and to inhibit inflammation and human aging. Several compounds have already been identified: trehalose and resveratrol are natural compounds that act as AI; flavonoids found in fruit and vegetables (curcumin, quercetin, and fisetin) are among the first SI discovered so far. New AI/SI can be identified using various approaches like hypothesis-driven approach for screening receptor agonists using an in-silico library of thousands of natural compounds; cheminformatics studies of phytochemicals using docking and molecular dynamics simulation, structure similarities/mimicry in vitro, “blind” high throughput screening (HTS) of libraries of natural metabolites against relevant models, and more. This article aims to promote the use of plant and fungi novel resources to identify bioactive molecules relevant for healthy aging based on the knowledge that plants and fungi use autophagy and senescence mechanisms for their own survival and homeostasis. As autophagy and senescence are interconnected, how drugs targeting autophagy, senescence, or both could contribute to healthy aging in humans will be speculated.</p>
</abstract>
<kwd-group>
<kwd>Autophagy</kwd>
<kwd>senescence</kwd>
<kwd>inflammation</kwd>
<kwd>aging</kwd>
<kwd>fungi</kwd>
<kwd>plant</kwd>
<kwd>metabolites</kwd>
<kwd>senescence-associated secretory phenotype (SASP)</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Autophagy and senescence as targets for inhibiting inflammation and aging</title>
<p id="p-1">Autophagy is responsible for cellular self-digestion that recycles intracellular components and for trafficking events that activate innate and adaptive immunity as well as autoinflammatory diseases [<xref ref-type="bibr" rid="B1">1</xref>]. Senescence is the cease of cellular division without cell death activation, and immune-senescence is a series of age-related changes that affect the immune system [<xref ref-type="bibr" rid="B2">2</xref>], including a decline in coping with proinflammatory status [<xref ref-type="bibr" rid="B3">3</xref>]. Normally, functioning autophagy protects against neurodegeneration associated with intracytoplasmic aggregate-prone protein accumulation, in addition to its other roles, such as neuronal stem cell differentiation [<xref ref-type="bibr" rid="B4">4</xref>]. Neurodegenerative disorders share common pathogenic mechanisms, including the impairment of autophagic flux, which prevents the removal of neurotoxic misfolded proteins; effective disease-modifying strategies seek novel molecules exhibiting pro-autophagic potential [<xref ref-type="bibr" rid="B5">5</xref>].</p>
<p id="p-2">Senescent cells are a major contributor to age-dependent cardiovascular tissue dysfunction and the integration of transcriptomes of senescent cell models representing multi-tissue patient samples has revealed that reduced collagen type VI alpha 3 chain (<italic>COL6A3</italic>) expression is one of the triggers of senescence [<xref ref-type="bibr" rid="B6">6</xref>]. Senescent cells represent a pharmacologic target for alleviating geriatric decline and chronic diseases [<xref ref-type="bibr" rid="B7">7</xref>]. Senolytic drugs like dasatinib, quercetin, fisetin, and navitoclax, were discovered using a hypothesis-driven approach; early pilot trials of senolytics suggest they decrease senescent cells, reduce inflammation, and alleviate frailty in humans [<xref ref-type="bibr" rid="B8">8</xref>]. Increased post mitotic senescence in aged human neurons is a pathological feature of Alzheimer’s disease; senescent neurons gain an inflammatory senescence-associated secretory phenotype (SASP) and can be eliminated with senotherapeutics [<xref ref-type="bibr" rid="B5">5</xref>]. Microbiota sensing—free fatty acid receptor 2 signaling ameliorates amyloid-β induced neurotoxicity—can be activated by modulating proteolysis-senescence axis [<xref ref-type="bibr" rid="B9">9</xref>].</p>
<p id="p-3">It has been shown that plants and fungal metabolites possess antiaging properties, and compounds isolated from plants and fungi modulate the cellular and physiological pathways that prolong lifespan and prevent age-related diseases in model organisms [<xref ref-type="bibr" rid="B10">10</xref>]. These compounds act through cellular processes such as autophagy and senescence and as such delay aging and prevent chronic diseases [<xref ref-type="bibr" rid="B11">11</xref>]. When autophagy is impaired, waste derived from tissue damage leads to organ deterioration. Thus, autophagy plays a critical role in antiaging processes and mTOR plays an important role in inhibiting autophagy. A chemo-informatics study of phytochemicals, using docking and molecular dynamics simulation, identified, among other compounds, the cyclo-trijuglone of <italic>Juglans regia</italic> L. as a potential ATP-competitive inhibitor of mTOR [<xref ref-type="bibr" rid="B12">12</xref>]. Senolytic compounds that selectively clear senescent cells, such as dasatinib, quercetin, fisetin and navitoclax, were discovered using a hypothesis-driven approach [<xref ref-type="bibr" rid="B8">8</xref>]; flavonoids quercetin and fisetin are found in fruits and vegetables [<xref ref-type="bibr" rid="B13">13</xref>] and have the potential to reduce the factors secreted by senescent cells (SASP) that lead to chronic inflammation and deterioration of healthy organs [<xref ref-type="bibr" rid="B14">14</xref>]. Recent in silico analysis of metabolites secreted by senescent cells may serve as tools to identify senescence inhibitors (SI) based on the mechanism of action [<xref ref-type="bibr" rid="B15">15</xref>].</p>
</sec>
<sec id="s2">
<title>Autophagy and senescence are interconnected</title>
<p id="p-4">Autophagy and cellular senescence serve as stress responses to mammalian cells but the interconnection between these pathways is complex: autophagy sometimes suppress cellular senescence by removing damaged macromolecules or organelles, and in different scenarios, autophagy leads to cellular senescence and synthesis of SASPs [<xref ref-type="bibr" rid="B16">16</xref>]. Although autophagy and senescence interconnection may influence very different processes such as stem cells [<xref ref-type="bibr" rid="B17">17</xref>], aging, and cancer [<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>], autophagy activators could be exploited to prevent the induction of senescence and drugs targeting the process of autophagy can indirectly contribute to blocking the process of senescence [<xref ref-type="bibr" rid="B18">18</xref>]. Autophagy and senescence converge in inducing triggers and signaling pathways such as the AMPK signaling pathway [<xref ref-type="bibr" rid="B20">20</xref>]. And autophagic degradation of the inhibitory p53 isoform Δ133p53α acts as a regulatory mechanism for p53-mediated senescence [<xref ref-type="bibr" rid="B21">21</xref>].</p>
<p id="p-5">Autophagy regulates senescence and pathogen-induced cell death in plants [<xref ref-type="bibr" rid="B22">22</xref>]. This basic knowledge suggests that together, autophagy inducers (AI) and SI can contribute to healthy aging in humans through various cellular mechanisms.</p>
</sec>
<sec id="s3">
<title>Plants and fungi as resources for AI</title>
<p id="p-6">Fungi (phytopathogenic or mycorrhizal) that interact with plants depend on autophagy as a mechanism that is responsible for recycling cell components, for the interaction of fungus-plant [<xref ref-type="bibr" rid="B23">23</xref>], and for affecting the pathogenicity potential of plant pathogens [<xref ref-type="bibr" rid="B24">24</xref>]. Several examples from the literature will be discussed below.</p>
<sec id="t3-1">
<title>Plants and autophagy</title>
<p id="p-7">Autophagy, a highly conserved self-degradation mechanism, involves the encapsulation of harmful intracellular content by double-membrane autophagic vacuoles for degradation in all parts of the plant, including roots, leaves, pollen, and more [<xref ref-type="bibr" rid="B25">25</xref>]. Plants must cope with diverse environmental stresses such as starvation, oxidative stress, drought stress, and invasion by phytopathogens; autophagy plays a critical role during plant differentiation, development, and aging processes [<xref ref-type="bibr" rid="B22">22</xref>]. The active ingredient of traditional Persian medicine, cyclo-trijuglone of <italic>Juglans regia</italic> L., regulates autophagy through the mTOR pathway [<xref ref-type="bibr" rid="B12">12</xref>]. Plant natural compounds such as curcumin, resveratrol, paclitaxel, oridonin, quercetin, and plant lectin regulate core autophagic pathways involved in Ras-Raf signaling, Beclin-1 interactome, BCR-ABL, PI3KCI/Akt/mTOR, FOXO1 signaling, and p53 [<xref ref-type="bibr" rid="B26">26</xref>]. The process of autophagy in plant cells at various stages of development is controlled by intracellular signaling pathways TOR kinase activity, hormone signaling, ROS levels, and changes in environmental conditions [<xref ref-type="bibr" rid="B27">27</xref>].</p>
</sec>
<sec id="t3-2">
<title>Fungi and autophagy</title>
<p id="p-8">The growth of filamentous fungus <italic>Aspergillus niger</italic> in carbon-starved cultures activates autophagy genes that, probably, protect these fungi from cell death in addition to promoting nutrient recycling [<xref ref-type="bibr" rid="B28">28</xref>]. It has been shown that the autophagy of several fungi involves endoproteases and contributes to their pathogenicity [<xref ref-type="bibr" rid="B23">23</xref>]. Pathways of autophagy processes play important roles in filamentous fungal pathogenicity [<xref ref-type="bibr" rid="B24">24</xref>] and regulate fungal virulence and sexual reproduction in <italic>Cryptococcus neoformans</italic> [<xref ref-type="bibr" rid="B29">29</xref>] and in both the development and infection mechanisms of <italic>Phytophthora sojae</italic> [<xref ref-type="bibr" rid="B30">30</xref>].</p>
</sec>
</sec>
<sec id="s4">
<title>Plants and fungi as resources for SI</title>
<p id="p-9">Dasatinib, quercetin, and fisetin were identified as the 1st senolytic drugs derived from plants and fungi; they activate apoptosis of senescent cells and as such extend lifespan using animal models [<xref ref-type="bibr" rid="B31">31</xref>]. They may be effective in delaying human aging and treating chronic diseases.</p>
<sec id="t4-1">
<title>Plants and senescence</title>
<p id="p-10">Leaf senescence is accompanied by changes in physiological metabolism; regulation of leaf senescence improves resistance to biotic and abiotic stresses and delay in leaf senescence of horticultural plants improves their yields [<xref ref-type="bibr" rid="B32">32</xref>]. Senescence has a role in plant pathogenesis and defense: pathogens often delay senescence to keep host cells alive, and resistance is achieved by senescence-like processes in the host that involve gene transcription and biosynthesis pathways [<xref ref-type="bibr" rid="B33">33</xref>]. Extending the shelf-life of fresh produce and cut flowers relies on delaying cell death by lowering storage temperatures and modifying the environment to slow down metabolism and reduce the senescence and cell death-promoting effects of ethylene [<xref ref-type="bibr" rid="B34">34</xref>]. Screening of plants with inhibitory activity on cellular senescence showed that fruit of <italic>Physalis angulata</italic> L. and the aerial part of <italic>Synurus deltoides</italic> (Aiton) Nakai inhibited cell-senescence on HUVEC cell model, and water extracted from the root of <italic>Polygonatum odoratum</italic> var. <italic>pluriflorum</italic> for variegatum Y. N. inhibited cell-senescence in human dermal fibroblast (HDF) models. <italic>Isatis tinctoria</italic> L. leaf extract inhibits replicative senescence in dermal fibroblasts by regulating mTOR-NF-κB-SASP signaling [<xref ref-type="bibr" rid="B35">35</xref>]. Manipulation of plant senescence to improve biotic stress resistance showed that even the application of mycorrhiza can inhibit the senescence process of plants and improve their tolerance to stresses [<xref ref-type="bibr" rid="B36">36</xref>]. Interestingly, senescence in plants is not merely a deterioration process leading to death but rather a unique developmental state resembling dedifferentiation [<xref ref-type="bibr" rid="B37">37</xref>]. Several epigenetic mechanisms that control plant senescence lead to crop improvement [<xref ref-type="bibr" rid="B38">38</xref>]. Postharvest research challenges various materials (such as nitric oxide) for controlling the quality of horticultural products by inhibiting senescence; interestingly, among others, hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) and calcium ions (Ca<sup>2+</sup>) are involved [<xref ref-type="bibr" rid="B39">39</xref>]. Peroxidase and phenylalanine ammonia lyase are the acting players relevant to inducing senescence in plant-fungus interactions; the process is accompanied by raising the concentration of flavonoids and phenolic compounds [<xref ref-type="bibr" rid="B40">40</xref>].</p>
</sec>
<sec id="t4-2">
<title>Fungi and senescence</title>
<p id="p-11">Mushroom extracts inhibit ultraviolet B-induced cellular senescence in human keratinocytes through augmenting sirtuin-1 (<italic>SIRT-1</italic>) expression [<xref ref-type="bibr" rid="B41">41</xref>]. Senescence has an impact on the growth of fungal colonies due to dysfunctional oxidative phosphorylation [<xref ref-type="bibr" rid="B42">42</xref>]. Papilla formation and hypersensitive reactions, serve as defense mechanisms against infection attempts by <italic>Mycosphaerella</italic> spp. (<italic>M. graminicola</italic>), frequently occurred in plant leaves, leading to plant senescence [<xref ref-type="bibr" rid="B43">43</xref>].</p>
<p id="p-12">The publications cited here and many more suggest that plants and fungi produce metabolites that regulate autophagy and senescence and among these metabolites, there are potential AI and SI.</p>
</sec>
</sec>
<sec id="s5">
<title>“The wisdom of the desert”—desert plants as novel AI and SI</title>
<p id="p-13">Desert plants have adapted to stressful environments by synthesizing secondary metabolites and accumulating ions as osmoticum (a substance that acts to supplement osmotic pressure in a cell). Desert environments are one of the harshest places on earth due to low precipitation, limited soil nutrients, and high irradiation. The predictive metabolomics of multiple Atacama plant species unveils a core set of generic metabolites for extreme climate resilience [<xref ref-type="bibr" rid="B44">44</xref>]. The mechanisms to survive in harsh conditions suggest that these plants have generated unique metabolites, termed here by us “the wisdom of the desert” [<xref ref-type="bibr" rid="B45">45</xref>]. Studies showed variations in flavonoid metabolites along an altitudinal gradient in the desert medicinal plant <italic>Agriophyllum squarrosum</italic> [<xref ref-type="bibr" rid="B46">46</xref>]. Phytochemical analysis of secondary metabolites (alkaloids, terpenoids, tannins, saponins, flavonoids, and phenolics) in 26 plants from the desert of Egypt showed that flavonoids, phenolics, and tannins were present in all the examined species while saponin and terpenoid compounds were detected only in fifteen species. Such a resource of natural metabolites of plants, used traditionally for treatment, may be considered a new, biologically active source of medicinal compounds [<xref ref-type="bibr" rid="B47">47</xref>]. Among them, one can be expected to find AI and SI.</p>
<p id="p-14">The harsh conditions of the desert also influence the biosynthesis of metabolites in fungi and microbes. Bioactive secondary metabolites from endophytic strains of <italic>Neocamarosporium betae</italic>, <italic>Chaetomium globosum</italic> (Chaetomiaceae), and <italic>Rhinocladiella similis</italic> collected from desert plants could be a new resource for bioactive natural products [<xref ref-type="bibr" rid="B48">48</xref>–<xref ref-type="bibr" rid="B50">50</xref>].</p>
<p id="p-15">Filamentous cyanobacteria use unique extracellular polysaccharide-based biosynthetic pathways to survive in the desert. In addition to the extracellular polysaccharide, chaperones (to maintain protein integrity), oxidative stress protection system, synthesis of compatible solutes and ion channels, and upregulation of DNA repair mechanism are examples of the strategies cyanobacteria use for coping with desiccation/rehydration cycles in the desert [<xref ref-type="bibr" rid="B51">51</xref>]. These metabolites that facilitate the adaptation to extremely arid environment may contain potential AI and SI. Analysis of Sonoran desert fungi (<italic>Aspergillus</italic> strains) occurring in the rhizosphere of <italic>Ambrosia ambrosoides</italic> and in the rhizosphere of <italic>Anicasanthus thurberi</italic>, identified unusual new secondary metabolites terrequinone A, terrefuranone and 4R,5S-dihydroxy-3-methoxy-5-methylcyclohex-2-enone, 6-methoxy-5(6)-dihydropenicillic acid, respectively, with medicinal properties like selective toxicity against cancer cells (and not against healthy cells) [<xref ref-type="bibr" rid="B52">52</xref>]. These metabolites that enable growth in harsh arid environments may contain potential AI and SI.</p>
</sec>
<sec id="s6">
<title>Conclusions</title>
<p id="p-16">Novelty: Many novel AI and SI are waiting to be discovered in plants, fungi, and microbes. As aging is characterized by systemic chronic inflammation, which is accompanied by impaired autophagy and by cellular senescence (including SASP), elimination of inflammation could be a potential healthy aging strategy. <xref ref-type="table" rid="t1">Table 1</xref> summarizes the suggested mechanism of action of AI and SI discussed in this Perspective.</p>
<table-wrap id="t1">
<label>Table 1</label>
<caption>
<p id="t1-p-1">Summary of autophagy inducers (AI) and senescence inhibitors (SI) along with their potential target mechanisms</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th colspan="2">
<bold>Compounds</bold>
</th>
<th>
<bold>Target/mechanism</bold>
</th>
<th>
<bold>References</bold>
</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="8">AI</td>
<td>Resveratrol</td>
<td>Sirtuin-1</td>
<td>[<xref ref-type="bibr" rid="B53">53</xref>]</td>
</tr>
<tr>
<td>Quercetin</td>
<td>Ras-Raf signaling, Beclin-1 interactome, BCR-ABL, PI3KCI/Akt/mTOR, FOXO1 signaling, and p53</td>
<td>[<xref ref-type="bibr" rid="B26">26</xref>]</td>
</tr>
<tr>
<td>Plant lectin</td>
<td>Ras-Raf signaling, Beclin-1 interactome, BCR-ABL, PI3KCI/Akt/mTOR, FOXO1 signaling, and p53</td>
<td>[<xref ref-type="bibr" rid="B26">26</xref>]</td>
</tr>
<tr>
<td>Trehalose</td>
<td>Antioxidant and more</td>
<td>[<xref ref-type="bibr" rid="B54">54</xref>]</td>
</tr>
<tr>
<td>Cyclo-trijuglone of <italic>Juglans regia</italic> L.</td>
<td>Inhibitor of mTOR</td>
<td>[<xref ref-type="bibr" rid="B12">12</xref>]</td>
</tr>
<tr>
<td>Resveratrol</td>
<td>Ras-Raf signaling, Beclin-1 interactome, BCR-ABL, PI3KCI/Akt/mTOR, FOXO1 signaling, and p53</td>
<td>[<xref ref-type="bibr" rid="B26">26</xref>]</td>
</tr>
<tr>
<td>Paclitaxel</td>
<td>Ras-Raf signaling, Beclin-1 interactome, BCR-ABL, PI3KCI/Akt/mTOR, FOXO1 signaling, and p53</td>
<td>[<xref ref-type="bibr" rid="B26">26</xref>]</td>
</tr>
<tr>
<td>Oridonin</td>
<td>Ras-Raf signaling, Beclin-1 interactome, BCR-ABL, PI3KCI/Akt/mTOR, FOXO1 signaling, and p53</td>
<td>[<xref ref-type="bibr" rid="B26">26</xref>]</td>
</tr>
<tr>
<td rowspan="5">SI</td>
<td>Curcumin</td>
<td>Anti-inflammatory, immune-regulatory, anti-oxidative, and lipid-modifying properties</td>
<td>[<xref ref-type="bibr" rid="B55">55</xref>]</td>
</tr>
<tr>
<td>Quercetin</td>
<td>Selectively clear senescent cells; reduce senescence-associated secretory phenotype (SASP); Ras-Raf signaling, Beclin-1 interactome, BCR-ABL, PI3KCI/Akt/mTOR, FOXO1 signaling, and p53</td>
<td>[<xref ref-type="bibr" rid="B26">26</xref>]</td>
</tr>
<tr>
<td>Fisetin</td>
<td>Selectively clear senescent cells; reduce SASP</td>
<td>[<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B14">14</xref>]</td>
</tr>
<tr>
<td>Dasatinib</td>
<td>Selectively clear senescent cells</td>
<td>[<xref ref-type="bibr" rid="B8">8</xref>]</td>
</tr>
<tr>
<td>Navitoclax</td>
<td>Selectively clear senescent cells</td>
<td>[<xref ref-type="bibr" rid="B8">8</xref>]</td>
</tr>
</tbody>
</table>
</table-wrap>
<p id="p-17">Challenges (before moving to clinical trials in humans): i. Suitable in vitro and in vivo models are needed for screening the novel agents for toxicity/safety dosage, mode of application, efficacy, and selectivity. ii. Understanding of the underlying mechanisms linking autophagy, senescence, inflammation, and aging will enable optimization of therapeutic strategies.</p>
</sec>
</body>
<back>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term>AI</term>
<def>
<p>autophagy inducers</p>
</def>
</def-item>
<def-item>
<term>SASP</term>
<def>
<p>senescence-associated secretory phenotype</p>
</def>
</def-item>
<def-item>
<term>SI</term>
<def>
<p>senescence inhibitors</p>
</def>
</def-item>
</def-list>
</glossary>
<sec id="s7">
<title>Declarations</title>
<sec id="t-7-1">
<title>Author contributions</title>
<p>RO: Writing—original draft, Writing—review &amp; editing.</p>
</sec>
<sec id="t-7-2" sec-type="COI-statement">
<title>Conflicts of interest</title>
<p>The author declares that there are no conflicts of interest.</p>
</sec>
<sec id="t-7-3">
<title>Ethical approval</title>
<p>Not applicable.</p>
</sec>
<sec id="t-7-4">
<title>Consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec id="t-7-5">
<title>Consent to publication</title>
<p>Not applicable.</p>
</sec>
<sec id="t-7-6" sec-type="data-availability">
<title>Availability of data and materials</title>
<p>Not applicable.</p>
</sec>
<sec id="t-7-7">
<title>Funding</title>
<p>Rivka Ofir received support from the Israeli Ministry of Innovation, Science and Technology [alona23568]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</p>
</sec>
<sec id="t-7-8">
<title>Copyright</title>
<p>© The Author(s) 2024.</p>
</sec>
</sec>
<ref-list>
<ref id="B1">
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<given-names>XJ</given-names>
</name>
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<given-names>H</given-names>
</name>
</person-group>
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<source>Autophagy</source>
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