Cellular senescence as a possible link between prostate diseases of the ageing male

Nat Rev Urol. 2021 Oct;18(10):597-610. doi: 10.1038/s41585-021-00496-8. Epub 2021 Jul 22.

Abstract

Senescent cells accumulate with age in all tissues. Although senescent cells undergo cell-cycle arrest, these cells remain metabolically active and their secretome - known as the senescence-associated secretory phenotype - is responsible for a systemic pro-inflammatory state, which contributes to an inflammatory microenvironment. Senescent cells can be found in the ageing prostate and the senescence-associated secretory phenotype and can be linked to BPH and prostate cancer. Indeed, a number of signalling pathways provide biological plausibility for the role of senescence in both BPH and prostate cancer, although proving causality is difficult. The theory of senescence as a mechanism for prostate disease has a number of clinical implications and could offer opportunities for targeting in the future.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Aging / immunology
  • Aging / physiology*
  • Cellular Microenvironment / immunology
  • Cellular Senescence / immunology
  • Cellular Senescence / physiology*
  • Cytokines / immunology
  • Cytokines / metabolism
  • Humans
  • Inflammation / immunology
  • Inflammation / metabolism
  • Male
  • Prostate / cytology
  • Prostate / immunology
  • Prostate / physiology*
  • Prostatic Diseases / immunology
  • Prostatic Diseases / metabolism
  • Prostatic Diseases / pathology
  • Prostatic Hyperplasia / immunology
  • Prostatic Hyperplasia / metabolism
  • Prostatic Hyperplasia / pathology*
  • Prostatic Neoplasms / immunology
  • Prostatic Neoplasms / metabolism
  • Prostatic Neoplasms / pathology*
  • Senescence-Associated Secretory Phenotype / immunology
  • Senescence-Associated Secretory Phenotype / physiology*
  • Tumor Microenvironment / immunology

Substances

  • Cytokines