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The immune cells play the central roles to detect and destroy abnormal cells may prevent the process of cancer and aging. Cellular
senescence, a state of irreversible cell cycle arrest, can be triggered by different mechanism including oncogene activation, telomere
erosion, DNA damage, oxidative stress and chemotherapy. It is well known that systemic or organ-specific accumulation of senescent
cells results in aging and aging-related disease. Moreover, senescence associated with the disruption of the tissue microenvironment
enhances the development of a pro-oncogenic environment, principally via the secretion of senescence-associated pro-inflammatory
factors. Recent studies demonstrated that clearance of p16Ink4a-positive senescent cells delays the development of aging-associated
disease. Therefore, senescent cells become an attractive target for anti-aging therapy. Both innate and adaptive immune cells have
great capacity to eliminate senescent and malignant cells accumulated in tissue, organ and in peripheral circulation. Senescent cells
communicate with their microenvironment by secreting many of kinds of pro-inflammatory cytokines, chemokines, growth factors
and proteases. This condition is called senescence-associated secretory phenotype (SASP).The SASP recruits and activates immune
cells to clear senescent cells, which may promote tissue repair and remove potentially tumorigenic factors in the body. For example,
NK cells, which belong to a component of innate immune system could recognize senescent cells through NKG2D ligand-receptor
interaction and utilize granule exocytosis to kill senescent cells. Induction of cellular senescence is also a therapeutic strategy in
cancer treatment by applying systemic pro-senescent stress such as chemotherapy and ionizing radiation. These kinds of therapies
generate persistent senescent cells that might damage surrounding tissues via the SASP and then cause long-term side effects of
cancer treatment such as accelerated aging. Therefore, using immune cells that could clear senescent cells as an adjuvant therapy
might have beneficial effects in cancer patients who received pro-senescent therapy.
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