# Role of senescent cells in pathogenesis of contusive spinal cord injury

> **NIH NIH R21** · UNIVERSITY OF LOUISVILLE · 2020 · $429,156

## Abstract

After spinal cord injury (SCI), initial mechanical damage is followed by a secondary injury that exacerbates
tissue destruction and functional deficits. In contusive thoracic SCI, white matter damage, which progresses for
weeks post-injury, is the critical anatomical determinant of locomotor dysfunction. Few targets have been
identified whose manipulation reduces SCI-associated secondary injury with a therapeutic window of <12-24 h.
Although locomotor recovery is observed in SCI rodents, it is usually incomplete. The limits to recovery involve
neuron and oligodendrocyte loss, prolonged inflammatory responses, vascular dysfunction, lack of efficient
regeneration, and/or a finite capacity of synaptic plasticity. Breaking the ceiling of locomotor recovery in
rodents remains a major challenge. Proliferating cells that accumulate DNA damage may undergo cellular
senescence. Senescence-associated induction of the cyclin-dependent kinases (CDK) inhibitors p21 and p16
triggers permanent exit from the cell cycle. The senescence-associated secretory phenotype (SASP) involves
secretion of multiple cytotoxic pro-inflammatory mediators. Elimination of senescent cells (senolysis) improves
many age-dependent pathologies and reduces neurodegeneration in mouse models of fronto-temporal
dementia or β-amyloidosis. In those cases, improved outcomes were associated with elimination of senescent
microglia/astrocytes or oligodendrocyte precursor cells (OPCs). As those glial cells proliferate in response to
CNS injury, their senescence is a likely by-product of trauma-induced gliosis. Our preliminary data reveal
increased expression of cellular senescence markers at dpi 3 and 42 following T9 contusive SCI. Hence, by
promoting neuroinflammation and tissue scarring, senescent cells may increase white matter loss and
compromise neurorepair/neuroplasticity after contusive SCI. We hypothesize that accumulation of senescent
cells after SCI contributes to progressive white matter loss and reduces recovery of locomotor function. In aim
1 we will determine the identity and spatio-temporal distribution of senescent cells in the spinal cord of SCI
mice. In aim 2 we will test effects of pharmacological (2a) or pharmacogenetic (2b) senolysis on white matter
sparing and hindlimb locomotor function after moderate T9 contusive SCI. Effects of senolysis will be
evaluated by analyzing senescence markers, neuroinflammation, reactive gliosis, apoptosis, white matter
sparing, and hindlimb locomotion. These studies will conclusively evaluate the pathogenic significance of SCI-
associated cellular senescence. As senolytic drugs are already in use in clinical trials for other diseases, these
studies may define a novel and readily translatable therapeutic treatment for both acute and chronic SCI-
induced pathologies. Although it has been proposed that organismal aging may modify outcome of SCI, this
application is focused on an entirely distinct issue that has not been previously addressed: the ...

## Key facts

- **NIH application ID:** 10116681
- **Project number:** 1R21NS120149-01
- **Recipient organization:** UNIVERSITY OF LOUISVILLE
- **Principal Investigator:** MICHAL HETMAN
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $429,156
- **Award type:** 1
- **Project period:** 2020-09-30 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10116681

## Citation

> US National Institutes of Health, RePORTER application 10116681, Role of senescent cells in pathogenesis of contusive spinal cord injury (1R21NS120149-01). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10116681. Licensed CC0.

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