PMID- 38451724 OWN - NLM STAT- MEDLINE DCOM- 20240501 LR - 20240503 IS - 1558-8238 (Electronic) IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 134 IP - 9 DP - 2024 Mar 7 TI - An in vivo screening platform identifies senolytic compounds that target p16INK4a+ fibroblasts in lung fibrosis. LID - 10.1172/JCI173371 [doi] LID - e173371 AB - The appearance of senescent cells in age-related diseases has spurred the search for compounds that can target senescent cells in tissues, termed senolytics. However, a major caveat with current senolytic screens is the use of cell lines as targets where senescence is induced in vitro, which does not necessarily reflect the identity and function of pathogenic senescent cells in vivo. Here, we developed a new pipeline leveraging a fluorescent murine reporter that allows for isolation and quantification of p16Ink4a+ cells in diseased tissues. By high-throughput screening in vitro, precision-cut lung slice (PCLS) screening ex vivo, and phenotypic screening in vivo, we identified a HSP90 inhibitor, XL888, as a potent senolytic in tissue fibrosis. XL888 treatment eliminated pathogenic p16Ink4a+ fibroblasts in a murine model of lung fibrosis and reduced fibrotic burden. Finally, XL888 preferentially targeted p16INK4a-hi human lung fibroblasts isolated from patients with idiopathic pulmonary fibrosis (IPF), and reduced p16INK4a+ fibroblasts from IPF PCLS ex vivo. This study provides proof of concept for a platform where p16INK4a+ cells are directly isolated from diseased tissues to identify compounds with in vivo and ex vivo efficacy in mice and humans, respectively, and provides a senolytic screening platform for other age-related diseases. FAU - Lee, Jin Young AU - Lee JY AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Reyes, Nabora S AU - Reyes NS AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Ravishankar, Supriya AU - Ravishankar S AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Zhou, Minqi AU - Zhou M AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Krasilnikov, Maria AU - Krasilnikov M AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Ringler, Christian AU - Ringler C AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Pohan, Grace AU - Pohan G AD - Small Molecule Discovery Center, and. FAU - Wilson, Chris AU - Wilson C AD - Small Molecule Discovery Center, and. FAU - Ang, Kenny Kean-Hooi AU - Ang KK AD - Small Molecule Discovery Center, and. FAU - Wolters, Paul J AU - Wolters PJ AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Tsukui, Tatsuya AU - Tsukui T AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Sheppard, Dean AU - Sheppard D AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. FAU - Arkin, Michelle R AU - Arkin MR AD - Small Molecule Discovery Center, and. FAU - Peng, Tien AU - Peng T AD - Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep. AD - Bakar Aging Research Institute, UCSF, San Francisco, California, USA. LA - eng GR - P30 DK063720/DK/NIDDK NIH HHS/United States GR - R00 HL155786/HL/NHLBI NIH HHS/United States GR - R01 HL155622/HL/NHLBI NIH HHS/United States GR - K99 HL168365/HL/NHLBI NIH HHS/United States GR - R01 HL160895/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20240307 PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) RN - 0 (Senotherapeutics) RN - 0 (Cdkn2a protein, mouse) RN - 0 (CDKN2A protein, human) RN - 0 (HSP90 Heat-Shock Proteins) SB - IM CIN - A pipeline for senolytics MH - Animals MH - *Cyclin-Dependent Kinase Inhibitor p16/metabolism/genetics MH - Mice MH - Humans MH - *Fibroblasts/metabolism/pathology/drug effects MH - *Cellular Senescence/drug effects MH - *Idiopathic Pulmonary Fibrosis/pathology/metabolism/drug therapy/genetics MH - Senotherapeutics/pharmacology MH - Male MH - Lung/pathology/metabolism MH - Female MH - HSP90 Heat-Shock Proteins/metabolism/antagonists & inhibitors/genetics PMC - PMC11060735 OTO - NOTNLM OT - Aging OT - Cellular senescence OT - Drug screens OT - Fibrosis OT - Pulmonology COIS- Conflict of interest: The authors have declared that no conflict of interest exists. EDAT- 2024/03/07 18:42 MHDA- 2024/05/01 13:31 PMCR- 2024/03/07 CRDT- 2024/03/07 12:04 PHST- 2023/06/27 00:00 [received] PHST- 2024/03/05 00:00 [accepted] PHST- 2024/05/01 13:31 [medline] PHST- 2024/03/07 18:42 [pubmed] PHST- 2024/03/07 12:04 [entrez] PHST- 2024/03/07 00:00 [pmc-release] AID - 173371 [pii] AID - 10.1172/JCI173371 [doi] PST - epublish SO - J Clin Invest. 2024 Mar 7;134(9):e173371. doi: 10.1172/JCI173371.