Abstract:
Compositions and methods for selective partial or complete eradication of senescent cells in a mammal are provided. The involves inhibition of the expression of genes that are identified as being related to a senescent phenotype. The inhibition is produced using methods which include but are not necessarily limited to pharmacological inhibition, or inhibition by using RNAi-mediated approaches. As a consequence of selectively targeting senescent cells, prolonging or restoring healthy physiological conditions in a mammal can be achieved, and age related conditions can be treated or prevented, and undesirable accumulated senescent cells can be reduced or eradicated from a variety of tissues.

Description:
CROSS REFERENCE TO RELATED APPLICATIONS 
       [0001]    This application claims priority to U.S. provisional patent application No. 61/898,904, filed Nov. 1, 2013, the disclosure of which is incorporated herein by reference. 
     
    
     FIELD 
       [0002]    The present invention relates generally to cancer, aging and age-related diseases, and prophylactic/therapeutic approaches to the same. 
       BACKGROUND 
       [0003]    The scientific concept of aging and age-related diseases being caused by pathological secretion of accumulated senescent cells has been described in detail in the following: (Campisi, 1998; Davalos, Coppe, Campisi, &amp; Desprez, 2010; Freund, Orjalo, Desprez, &amp; Campisi, 2010; Laberge et al., 2012; Laberge, Awad, Campisi, &amp; Desprez, 2011; Weyand, Fulbright, &amp; Goronzy, 2003). This idea was experimentally tested by Baker et al. (Baker et al., 2011) who demonstrated using an artificial mouse-based model of premature aging the principle of possibility of reverting age-associated phenotypes by selective eradication of senescent cells. However, a recent attempt (believed to be the only of its kind) to identify such pharmacological agents failed to discover small molecules with the desired properties (Laberge et al., 2012). 
         [0004]    The general decline of physiological function and increased frequency of specific diseases, such as cancer, Alzheimer&#39;s disease, diabetes type II, macular degeneration, chronic inflammation-based pathologies, etc. occur with aging. They are believed to be part of age-related syndrome caused by gradual accumulation in mammalian organism of so-called senescent cells that have undergone irreversible growth arrest in response to activation of oncogenes and/or oxidative stresses. Senescent cells are characterized by specific pattern of gene expression that includes production of a large number of bioactive secreted factors together forming a so-called “pathological secretory phenotype” contributing to general systemic poisoning of the organism that is manifested as one or more age-related syndromes. Selective eradication of senescent cells by pharmacological agents is, therefore, expected to prevent from and treat age-related diseases. However, development of drugs capable of selective killing of senescent cells has not been possible due to lack of knowledge of “Achilles heals” of senescent cells, namely the genes, expression of which are essential for the viability of senescent cells. Thus, there is an ongoing and unmet need to identify targets for selective eradication of senescent cells and for compositions and methods for prophylaxis and therapy of diseases correlated with expression of those targets. The present disclosure meets these and other needs. 
       SUMMARY OF THE DISCLOSURE 
       [0005]    The present disclosure provides in one embodiment a method for selective partial or complete eradication of senescent cells in a mammal, and thus provides compositions and methods for selectively targeting and killing such cells. The method generally comprises inhibition of the expression of genes that are related to the senescent phenotype using methods which include but are not necessarily limited to pharmacological inhibition, or inhibition by using RNAi-mediated approaches. The suppression can include suppression of the expression of transcription, translation, or the function of the proteins encoded by any one or any combination of the genes described herein. The genes are selected from the list presented in Table 1, and any single and any combination of such genes can be targeted using the compositions and methods of the disclosure. 
         [0006]    The method generally comprises inhibiting expression of the genes by interfering with RNA, and/or by interfering with the function of polypeptides encoded by the RNA, and or pathways in which such proteins are involved, such as the Integrin/Rac signaling pathway. The method in a general embodiment comprises contacting a cell which expresses one or more said genes with a composition comprising an agent capable of said inhibition. In various embodiments, the disclosure includes killing senescent cells that are irreversibly arrested and are accumulated with age in tissues of mammals. The senescent cells can be cells of connective or epithelial tissue, or irreversibly arrested melanocytes, or irreversibly arrested tumor cells (spontaneously or following radiation or chemotherapy), or other cells. In various embodiments, eradication of senescent cells comprises eradicating the cells systemically in the whole organism, organ-specifically (e.g., in the skin), or a tumor, such as following conventional cancer treatment by radiation or chemotherapy. The modulation of the cells can comprise a pharmacological inhibition of expression of genes from Table 1 or activity of their products, and can be achieved using any suitable means, including but not necessarily limited to RNAi (including siRNA or shRNA), micro-RNA or antisense oligonucleotide technologies, or inhibiting the activity or stability of the identified proteins encoded by the gene targets by specific small molecules, neutralizing antibodies or other specific biologics, or by using pharmacological agents developed to target (modulate activity or eliminate) any of the gene products listed in Table 1 for the purposes different than treatment or prophylaxis of aging or age-related diseases (e.g., treatment of cancer). In certain embodiments, the disclosure involves selective eradication of senescent cells performed with the purpose of preventing or treating aging and prolonging or restoring healthy physiological conditions in a mammal. For example, the selective eradication can be done to prevent or treat age-related diseases such as Alzheimer&#39;s disease, type II diabetes, macular degeneration, chronic inflammation-based pathologies (e.g., arthritis), and/or to prevent development of cancer types known to be associated with aging (e.g., prostate cancer, melanoma, lung cancer, colon cancer, etc.), and/or with the purpose to restore function and morphology of aging tissues (e.g., skin or prostate), and/or with the purpose to improve morphology of tissue impaired by accumulated senescent cells (e.g., cosmetic treatment of pigmented skin lesions), and/or with the purpose to improve the outcome of cancer treatment by radiation or chemotherapy, and/or with the purpose to prevent recurrent and metastatic disease in cancer patients by elimination of dormant cancer cells. The disclosure is suitable for prophylaxis and/or therapy of human and non-human animal diseases and ageing and age-related disorders. 
         [0007]    It will be apparent from the foregoing that the present disclosure comprises a method for selectively killing senescent cells in a mammal comprising administering to the mammal at least one agent such that the expression of at least one gene selected from the genes presented in Table 1 is inhibited, and wherein the inhibition of such expression is lethal to the senescent cells. In embodiments, the inhibition of at least one gene is achieved by RNAi-mediated downregulation of mRNA encoded by the gene, and thus can be achieved using an shRNA, an siRNA. In embodiments, antisense oligonucleotides can be used. In embodiments the senescent cells are selected from irreversibly arrested cells present in connective tissue, epithelial tissue, and combinations thereof. In embodiments, the senescent cells are irreversibly arrested melanocytes, or irreversibly arrested tumor cells. In one example, the irreversibly arrested tumor cells are arrested subsequent to exposure to a chemotherapeutic agent or radiation. In one example, senescent cells are eliminated from a tumor subsequent to treatment of the mammal by radiation or chemotherapy. In one aspect the disclosure relates to the selective eradication of senescent cells is in a mammal suspected of having or at risk for developing an age-related disease, including but not necessarily limited to Alzheimer&#39;s disease, Type II diabetes, macular degeneration, or a disease comprising chronic inflammation, including but not necessarily limited to arthritis. In one aspect, the subject of the therapy of the present disclosure is in need of or is undergoing treatment for cancer, including but not necessarily limited to prostate cancer, melanoma, lung cancer, sarcoma, breast cancer, and colon cancer. In another aspect the individual is in need of therapy for tissue impaired by accumulated senescent cells, such as senescent cells that are present in a pigmented skin lesion. In an embodiment, administering an agent as described herein improves the outcome of a cancer treatment of a mammal. In embodiments, the cancer treatment is radiation or chemotherapy. In certain approaches, the mammal is in need of treatment for a metastatic cancer, and by practicing a method of this disclosure, dormant cancer cells in the mammal are killed. In certain embodiments, the lifespan of the mammal is increased subsequent to administering of an agent as disclosed herein. In certain embodiments, the agent delivered to the mammal targets a gene selected from ITGAV, RAC1, ARHGAP1, RAPGEF1, CRKL, NCKAP1, CDC42, CAPNS2, EBP, FGF1, ISG20, KITLG, LPHN1, MAG, MEF2C, OSBPL3, PFN1, POU5F1, PPP1CB, PRKRA, and combinations thereof. In certain embodiments, the mammal that is a subject of the prophylactic and/or therapeutic methods described herein in a human. In other embodiments the subject is a non-human mammal. 
     
    
     
       BRIEF DESCRIPTION OF FIGURES 
         [0008]      FIG. 1 . Inducible models of cellular senescence used for the screening of the human 27K Pathway DECIPHER shRNA library. The HT1080-p21 cells carry tetracyclin-regulated p21 (WAF1) protein. Treatment of the cells with doxycyclin for 4 days induce p21 and a stable senescence state. Activation of mutant HRAS fused to estrogen receptor in immortalized human foreskin diploid fibroblasts BJ was achieved by addition of hydroxitamoxifen to the culture media for 4 days. 
           [0009]      FIG. 2 . shRNA library Screening Flowcharts. Panel A provides a flow chart showing the work flow in cellular models with inducible oncogene (HRAS) or tumor suppressor (p21-WAF1). The cells were transduced with the shRNA library, selected with puromycin and divided into two populations: one population was changed to a senescent state, in the second population the cells continued proliferatation or remained confluent. In panel B senescence of human foreskin fibroblasts was induced by treatment with bleomycin. Populations of senescent and contact-inhibited quiescent cells were independently transduced with shRNA library and selected for surviving cells. At the end of viability selection all cells were lysed, followed by extraction of genomic DNA. shRNA constructs barcodes were PCR-amplified and sequenced. Statistical analysis of the data allowed identification of shRNA constructs that were depleted during selection. 
           [0010]      FIG. 3 . Example of targeted genes where downregulation with shRNA resulted in decreased viability of senescent human foreskin fibroblasts pre-treated with bleomycin. 
           [0011]      FIG. 4 . Effect of selected shRNAs on viability of proliferating and senescent human neonatal dermal fibroblasts. Senescence was induced by treatment with bleomycin (10 μg/ml) for 24 hr followed by incubation for 10 days to establish senescent phenotype. (1) The proliferating and senescent cells were transduced with lentiviruses carrying both shRNA and mCherry constructs. Transduced cells were selected with puromycin for 72 hours and the presence of shRNA construct was confirmed by microscopic detection of mCherry fluorescence (see example of mCherry fluorescence in  FIG. 4 , panel 1). In 8 days for proliferating and 20 days for senescent cells, the cells were stained with crystal violet dye. The images of the live/dead cells were obtain using a digital camera (panels 2-4). (2) Control luciferase shRNA construct had no cytotoxic effect on the proliferating or senescent cells. Panels 3-4 demonstrate examples of target genes FGF1 (3) and POU5F1 (4) that are critical for viability of senescent cells. 
       
    
    
     DETAILED DESCRIPTION 
       [0012]    The present disclosure is related generally to our development of a functional genetic approach for the isolation and identification of senescence-specific molecular targets. 
         [0013]    As will be apparent to those skilled in the art from the description, we have identified molecular targets that are present in and are believed to be important for viability of senescent cells. “Cellular senescence” and “senescent cells” refers to the essentially irreversible growth arrest that occurs when cells that can divide encounter oncogenic stress or DNA damage. See, for example, Rodier F, Campisi J. Four faces of cellular senescence. J Cell Biol. 2011 February. In embodiments, “senescent cells” as the term is used in this disclosure refers to cells which express a marker or combination of markers that are characteristic of senescence. Such markers include but are not necessarily limited to the p16INK4a tumor-suppressor protein, and increased expression relative to a reference, such as a non-senescent cell, in in the levels of DNA-damage response (DDR) markers, as well as the cell cycle inhibitors p16 INK4A , p15 INK4B , p21 CIP1 , and p53. DEC1, DCR2 (ColladoM, et al. 2005. Tumour biology: Senescence in premalignant tumours. Nature 436: 642), and PAI1 (Goldstein S, et al, 1994. Overexpression of plasminogen activator inhibitor type-1 in senescent fibroblasts from normal subjects and those with Werner syndrome. J Cell Physiol 161: 571-579) have also been used as senescence biomarkers (Collado M, Serrano M. 2010. Senescence in tumours: Evidence from mice and humans. Nat Rev Cancer 10: 51-57). In one embodiment, senescent cells are SA-beta-Gal (senescence-associated beta galactosidase) positive. 
         [0014]    It is expected that prophylactic and/or therapeutic modulation of one or more of these targets will result in a benefit to the individual in which the modulation is brought about. Thus, the disclosure includes modulating any one, or any combination of the molecular targets identified herein. Modulating includes reducing the amount of the target, or a polypeptide encoded by the target, and/or factors in a biochemical pathway in which the target plays a role with respect to cellular senescence. In one embodiment the disclosure comprises a composition comprising an agent that is capable of downregulating the amount and/or expression of any one or any combination of the targets disclosed herein. The disclosure provides a method of selectively targeting/inhibiting the growth of/identifying/killing senescent cells as is more fully described herein and in the claims. The method comprises administering to an individual a composition comprising an agent that can disrupt the function of one or a combination of the targets described herein. In one embodiment, the disruption of the function of one or a combination of the targets described herein results in an anti-cancer effect, and/or an anti-aging effect. Anti-aging effects include but are not limited to prophylaxis and/or therapy of one or more age-related diseases. Thus, in various embodiments, the method comprises administering to an individual in need thereof an effective amount of a composition comprising one or more agent(s) capable of disrupting the function of one or more of the targets identified herein. In one embodiment, the individual to whom a composition of the disclosure is administered is an individual who is at risk for, is suspected of having or has been diagnosed with cancer, and/or an age-related disease. 
         [0015]    Any agent that can disrupt the function of one or more of the targets described herein can be provided as a pharmaceutical preparation, such as in a composition comprising a pharmaceutically acceptable carrier. The compositions can be administered via any suitable route and in any suitable formulation. Thus, intravenous, intramuscular, subcutaneous, oral, intraperitoneal, and all other methods and formulations for delivery to an individual are encompassed. 
         [0016]    In one aspect, the disclosure includes reducing target mRNA and/or inhibiting its transcription, and as a result reducing the target protein, in senescent cells. Target mRNAs are mRNAs that are encoded by any of the genes described herein. The sequence of the target mRNAs is readily accessible from the GenBank accession numbers described in Table 1. Reducing target RNA comprises in various embodiments introducing into the senescent cells a polynucleotide that can inhibit translation of target mRNA, and/or can participate in and/or facilitate RNAi-mediated reduction of target mRNA. In one embodiment, an antisense polynucleotide is used to inhibit translation of target mRNA. Antisense nucleic acids can be DNA or RNA molecules that are complementary to at least a portion of the target mRNA. In embodiments, oligomers of about fifteen nucleotides, and/or those that hybridize to the AUG initiation codon will be particularly efficient. The polynucleotides described herein for use in targeting target mRNA can in certain embodiments be modified, such as to be resistant to nucleases. 
         [0017]    In another aspect the disclosure includes RNAi-mediated reduction in target mRNA. RNAi-based inhibition can be achieved using any suitable RNA polynucleotide that is targeted to target mRNA. In embodiments, a single stranded or double stranded RNA, wherein at least one strand is complementary to the target mRNA, can be introduced into the cell to promote RNAi-based degradation of target mRNA. In another embodiment, microRNA (miRNA) targeted to the target mRNA can be used. In another embodiment, a ribozyme that can specifically cleave target mRNA can be used. In yet another embodiment, small interfering RNA (siRNA) can be used. siRNA (or ribozymes) can be introduced directly, for example, as a double stranded siRNA complex, or by using a modified expression vector, such as a lentiviral vector, to produce an shRNA. As is known in the art, shRNAs adopt a typical hairpin secondary structure that contains a paired sense and antisense portion, and a short loop sequence between the paired sense and antisense portions. shRNA is delivered to the cytoplasm where it is processed by DICER into siRNAs. siRNA is recognized by RNA-induced silencing complex (RISC), and once incorporated into RISC, siRNAs facilitate cleavage and degradation of targeted mRNA. In embodiments, an shRNA polynucleotide used to suppress TARGET expression can comprise or consist of between 45-100 nucleotides, inclusive, and including all integers between 45 and 100. The portion of the shRNA that is complementary to the target mRNA mRNA can be from 21-29 nucleotides, inclusive, and including all integers between 21 and 29. 
         [0018]    For delivering siRNA via shRNA, modified lentiviral vectors can be made and used according to standard techniques, given the benefit of the present disclosure. Further, lentiviral vectors expressing shRNAs targeted to many human mRNAs are commercially available, and use of shRNA to inhibit expression of TARGET has already been demonstrated in HeLaP4 cells (Vandekerckhove, et al.). Additionally, custom siRNAs or shRNA can be obtained from, for example Thermo-Dharmacon or Cellecta for transient transfection resulting in temporary reduction in TARGET levels. Alternatively, lentiviral constructs expressing human PSIP11 targeted shRNA can be obtained from Thermo Dharmacon. These lentiviruses are capable of stably and permanently infecting target cells, such as by integrating into a chromosome in the Senescent cells cells. 
         [0019]    In another aspect, the disclosure includes disrupting the target gene such that target mRNA and protein are not expressed. In one embodiment, the target gene can be disrupted by targeted mutagenesis. In embodiments, targeted mutagenesis can be achieved by, for example, targeting a CRISPR (clustered regularly interspaced short palindromic repeats) site in the target gene. So-called CRISPR systems designed for targeting specific genomic sequences are known in the art and can be adapted to disrupt the target gene for making modified cells encompassed by this disclosure. In general, the CRIPSR system includes one or more expression vectors encoding at least a targeting RNA and a polynucleotide sequence encoding a CRSPR-associated nuclease, such as Cas9, but other Cas nucleases can be used. CRISPR systems for targeted disruption of mammalian chromosomal sequences are commercially available and can be adapted to disrupt the target1 gene in senescent cells given the benefit of this disclosure. 
         [0020]    In embodiments, a targeting RNA encoded by the CRISPR system can be a CRISPR RNA (crRNA) or a guide RNA, such as sgRNA. The sequence of the targeting RNA has a segment that is the same as or complementarity to any CRISPR site in the target gene. In this regard, the target sequence comprises a specific sequence on its 3′ end referred to as a protospacer adjacent motif or “PAM”. In an embodiment a CRISPR Type II system is used, and the target sequences therefore conform to the well-known N12-20NGG motif, wherein the NGG is the PAM sequence. Thus, in embodiments, a target RNA will comprise or consist of a segment that is from 12-20 nucleotides in length which is the same as or complementary to a DNA target sequence (a spacer) in the target gene. The 12-20 nucleotides directed to the spacer sequence will be present in the targeting RNA, regardless of whether the targeting RNA is a crRNA or a guide RNA. In embodiments, a separate trans-activating crRNA (tracrRNA) can be used to assist in maturation of a crRNA targeted to the PSIP1 gene. Introduction a CRISPR system into senescent cells will result in binding of a targeting RNA/Cas9 complex to the target target sequence so that the Cas9 can cut both strands of DNA causing a double strand break. The double stranded break can be repaired by non-homologous end joining DNA repair, or by a homology directed repair pathway, which will result in either insertions or deletions at the break site, or by using a repair template to introduce mutations, respectively. Double-stranded breaks can also be introduced into the PSIP1 gene by expressing Transcription activator-like effector nucleases (TALENs) in the senescent cells cells. TALENs are artificial restriction enzymes generated by fusing a TAL effector DNA binding domain to a DNA cleavage domain and are known in the art and can be adapted for use in embodiments of this disclosure. In yet another approach, zinc-finger nucleases (ZFNs) can be expressed in the senescent cells to target the gene of interest. ZFNs are artificial restriction enzymes produced by fusing a zinc finger DNA-binding domain to a DNA-cleavage domain. ZF domains can be designed to target the gene DNA sequences where the zinc-finger nucleases cleave the sequence, thereby disrupting the gene. 
         [0021]    The targets for which the compositions and methods of the disclosure are directed include any one and combination of targets described herein, which include but are not necessarily limited to RNA and proteins involved in the Integrin/Rac signaling pathway. This includes but is not necessarily limited to ITGAV, RAC1, ARHGAP1, RAPGEF1, CRKL, NCKAP1, CDC42, and combinations thereof, in senescent cells. 
         [0022]    In certain embodiments, the targets are defined by the list of targets set forth in Table 1. Table 1 includes accession numbers for these targets. The sequence of each of the targets associated with each of these accession numbers is incorporated herein by reference, as those sequences existed under the accession numbers as of the filing date of this application or patent. 
         [0000]    
       
         
               
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 1 
               
               
                   
               
               
                 Symbol 
                 Name 
                 GeneID 
                 GenBank Number 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 APC 
                 adenomatous polyposis coli 
                 324 
                 NM_000038 
               
               
                 ARHGAP1 
                 Rho GTPase activating protein 1 
                 392 
                 NM_004308 
               
               
                 AXL 
                 AXL receptor tyrosine kinase 
                 558 
                 NM_001699 
               
               
                 BCL2L1 
                 BCL2-like 1 
                 598 
                 NM_001191 
               
               
                 CAPNS2 
                 calpain, small subunit 2 
                 84290 
                 NM_032330 
               
               
                 CDC42 
                 cell division cycle 42 (GTP binding protein, 25 kDa) 
                 998 
                 NM_001039802 
               
               
                 CDKN2C 
                 cyclin-dependent kinase inhibitor 2C (p18, inhibits CDK4) 
                 1031 
                 NM_001262 
               
               
                 CLYBL 
                 citrate lyase beta like 
                 171425 
                 NM_206808 
               
               
                 COPG1 
                 coatomer protein complex, subunit gamma 1 
                 22820 
                 NM_016128 
               
               
                 CRKL 
                 v-crk sarcoma virus CT10 oncogene homolog (avian)-like 
                 1399 
                 NM_005207 
               
               
                 DGKA 
                 diacylglycerol kinase, alpha 80 kDa 
                 1606 
                 NM_001345 
               
               
                 EBP 
                 emopamil binding protein (sterol isomerase) 
                 10682 
                 NM_006579 
               
               
                 FGF1 
                 fibroblast growth factor 1 (acidic) 
                 2246 
                 NM_000800 
               
               
                 GBA3 
                 glucosidase, beta, acid 3 (cytosolic) 
                 57733 
                 NM_001128432 
               
               
                 GIT2 
                 G protein-coupled receptor kinase interacting ArfGAP 2 
                 9815 
                 NM_001135213 
               
               
                 IGF1 
                 insulin-like growth factor 1 (somatomedin C) 
                 3479 
                 NM_000618 
               
               
                 ISG20 
                 interferon stimulated exonuclease gene 20 kDa 
                 3669 
                 NM_002201 
               
               
                 ITGAV 
                 integrin, alpha V 
                 3685 
                 NM_001144999 
               
               
                 KITLG 
                 KIT ligand 
                 4254 
                 NM_000899 
               
               
                 LCMT2 
                 leucine carboxyl methyltransferase 2 
                 9836 
                 NM_014793 
               
               
                 LPHN1 
                 latrophilin 1 
                 22859 
                 NM_001008701 
               
               
                 MADCAM1 
                 mucosal vascular addressin cell adhesion molecule 1 
                 8174 
                 NM_130760 
               
               
                 MAG 
                 myelin associated glycoprotein 
                 4099 
                 NM_080600 
               
               
                 MAP3K14 
                 mitogen-activated protein kinase kinase kinase 14 
                 9020 
                 NM_003954 
               
               
                 MEF2C 
                 myocyte enhancer factor 2C 
                 4208 
                 NM_001131005 
               
               
                 MTHFD2 
                 methylenetetrahydrofolate dehydrogenase (NADP+ 
                 10797 
                 NM_006636 
               
               
                   
                 dependent) 2 
               
               
                 NAIP 
                 NLR family, apoptosis inhibitory protein 
                 4671 
                 NM_004536 
               
               
                 NAPG 
                 N-ethylmaleimide-sensitive factor attachment protein, 
                 8774 
                 NM_003826 
               
               
                   
                 gamma 
               
               
                 NCKAP1 
                 NCK-associated protein 1 
                 10787 
                 NM_013436 
               
               
                 NNMT 
                 nicotinamide N-methyltransferase 
                 4837 
                 NM_006169 
               
               
                 OSBPL3 
                 oxysterol binding protein-like 3 
                 26031 
                 NM_015550 
               
               
                 PARK2 
                 parkinson protein 2, E3 ubiquitin protein ligase (parkin) 
                 5071 
                 NM_004562 
               
               
                 PFN1 
                 profilin 1 
                 5216 
                 NM_005022 
               
               
                 PMS2 
                 PMS2 postmeiotic segregation increased 2 ( S. cerevisiae ) 
                 5395 
                 NM_000535 
               
               
                 POU5F1 
                 POU class 5 homeobox 1 
                 5460 
                 NM_001173531 
               
               
                 PPP1CB 
                 protein phosphatase 1, catalytic subunit, beta isozyme 
                 5500 
                 NM_002709 
               
               
                 PRKRA 
                 protein kinase, interferon-inducible double stranded RNA 
                 8575 
                 NM_001139517 
               
               
                   
                 dependent activator 
               
               
                 PRPF19 
                 PRP19/PSO4 pre-mRNA processing factor 19 homolog ( S. cerevisiae ) 
                 27339 
                 NM_014502 
               
               
                 PRTG 
                 protogenin 
                 283659 
                 NM_173814 
               
               
                 RAC1 
                 ras-related C3 botulinum toxin substrate 1 
                 5879 
                 NM_006908 
               
               
                 RAPGEF1 
                 Rap guanine nucleotide exchange factor (GEF) 1 
                 2889 
                 NM_005312 
               
               
                 RET 
                 ret proto-oncogene 
                 5979 
                 NM_020630 
               
               
                 VIT 
                 vitrin 
                 5212 
                 NM_001177969 
               
               
                 WEE1 
                 WEE1 homolog ( S. pombe ) 
                 7465 
                 NM_001143976 
               
               
                 YAP1 
                 Yes-associated protein 1 
                 10413 
                 NM_001130145 
               
               
                 YWHAE 
                 tyrosine 3-monooxygenase/tryptophan 5-monooxygenase 
                 7531 
                 NM_006761 
               
               
                   
                 activation protein, epsilon 
               
               
                   
               
             
          
         
       
     
         [0023]    We utilized the Module 1 sub-library of the human Druggable Genome and Pathway Decipher (27K hDGPD) library of pooled bar-coded lentiviral shRNA clones that target approximately 5,000 human transcripts. The library consists of redundant sets of 5-6 shRNAs per targeted gene in a lentiviral vector that directs constitutive expression of both the mCherry red fluorescent protein (RFP) and puromycin resistance (puroR) genes from the ubiquitin promoter (to enable selection of transduced cells) and expression of inserted shRNAs from the U6 RNA pol III promoter. The vector backbone contains unique 18 bp “barcodes” that identify each individual shRNA in the library and make the library amenable to the high-throughput Next-Generation Sequencing (NGS). The 27K hDGPD library and screening services were provided by Cellecta, 
         [0024]    To identify molecular targets in senescent cells originating from connective tissue the lentiviral human 27K Pathway DECIPHER shRNA library (Module 1) was transduced in triplicates into human fibrosarcoma cells HT1080 cells carrying inducible tetracycline-regulated p21/WAF protein (induction of senescence is shown in  FIG. 1 ) so that each shRNA was delivered into 100 cells at MOI 0.5 (see screening scheme in the Screen Flowcharts). 
         [0025]    On day two, the transduced cells were selected with puromycin following by induction of p21/WAF1 on day four by addition of doxycycline to the growth media for four days. The p21/WAF1 arrested cells were cultured for 4 days to develop senescent phenotype after which p21/WAF1 induction was reverted by removal of doxycycline and cells were incubated for additional 10 days in the regular growth media. The control cells were not arrested (no p21/WAF1 induction) and continue proliferation. On day 18 the cells were harvested for isolation of genomic DNA. The unique bar-codes identifying each shRNA sequence were PCR-amplified as a pool and subjected to high throughput sequencing on the Illumina sequencing platform. To identify genes that are critical for viability of senescent cells we concentrated on characterization of genes whose inhibition sensitizes senescent cells to death leading to a depleted representation of shRNA-specific barcodes comparing to non-senescent control. In the primary screening of the HT1080-p21 cells 257 barcodes were identified with reduced abundance in senescent cells. These barcodes represent 187 candidate gene targets. We prioritized the hits according to combined selection score, which takes into account degree of depletion and presence of &gt;1 shRNA from 6 specific for a particular gene, and selected top 65 depleted targets for individual confirmation. For validation and potentially further analysis, we focused on hits that were (i) depleted at least 2-fold in at least 2 out of 3 biological replicates and (ii) represented in the depleted shRNA pools by three or more independent shRNAs. 
         [0026]    A similar approach was used to identify molecular targets in Ras-induced senescent cells using the same DECIPHER shRNA library, 27K Pathway Decipher shRNA library, Module 1. The library was transduced into human foreskin fibroblasts BJ/ET/RASV12ER cells carrying 4-OH-tamoxifen (4-OHT)-inducible oncogene H-RasV12. Treatment of the cells on day 3 with 4-OHT for two weeks induced oncogenic Ras-mediated cell cycle arrest following by senescence. The cells were harvested on day 18, genomic DNA was isolated, and the bar-codes uniquely identifying each shRNA sequence were PCR-amplified as a pool and sequenced. 
         [0027]    The results of the high throughput sequencing demonstrated that we were able to isolate drug targets for sensitization of RAS-arrested cells to cell death. Representation of shRNAs targeting these genes is reduced relative to the control. Several of the isolated drug targets belong to RET signaling pathway, indicating that known inhibitors of this pathway may be explored for isolation of drugs inducing cell death in senescent cells. 
         [0028]    This approach allowed for isolation of drug targets enabling selective elimination of senescent cells. By comparing the infected populations with and without induction of p21 and RAS, we are able to identify shRNAs differentially toxic for the senescent cells. 
         [0029]    Similar approach has been used for the screening of genome-wide shRNA library using DNA-damage senescence model based on bleomycin-treated human diploid foreskin fibroblasts (NDF). 
         [0030]    To confirm universal activity of identified target genes across different senescence models 60 candidate shRNA identified in all primary screenings were transduced to a secondary models of senescence: human diploid dermal fibroblasts induced to senescence by bleomycin treatment (DNA-damage induction) or senescence was induced by replicative exhaustion (replicative senescence). Senescent cell specific cytotoxicity for several representative shRNA clones is shown in  FIGS. 3 and 4 . The full list of the genes representing drug targets is shown in Table 1. 
         [0031]    Many of the isolated drug targets belong to Integrin/Rac signaling pathway (ITGAV, RAC1, ARHGAP1, RAPGEF1, CRKL, NCKAP1, CDC42), indicating that known inhibitors of this pathway may be explored for isolation of drugs inducing cell death in senescent cells. ITGAV is an integrin alpha V (vitronectin receptor, alpha). I-domain containing integrin alpha V undergoes cleavage to yield disulfide-linked heavy and light chains, that combine with multiple integrin beta chains to form different integrins, and associating beta chains can interact with extracellular matrix ligands. The alpha V beta 3 integrin is the Vitronectin receptor (VNR). CRKL is a v-crk sarcoma virus CT10 oncogene homolog. It is a protein kinase containing SH2 and SH3 (src homology) domains, which has been shown to activate the RAS and JUN, substrate of the BCR-ABL tyrosine kinase. RAC1 is a Ras-related C3 botulinum toxin substrate 1 GTPase, which belongs to the RAS superfamily of small GTP-binding proteins. It regulates a diverse array of cellular events, including the control of cell growth, cytoskeletal reorganization, and the activation of protein kinases. RAPGEF1 is a Rap guanine nucleotide exchange factor (GEF) 1. It transduces signals from CRK by binding the SH3 domain of CRK, and activating several members of the Ras family of GTPases. This is a signaling cascade that may be involved in apoptosis, integrin-mediated signal transduction, and cell transformation. NCKAP1 is an NCK-associated protein 1, which interacts with Nck and may be involved in the downstream signaling of Nck. It is involved in RAC signaling and regulation of actin polymerization. ARHGAP1 is aRho GTPase activating protein involved in positive regulation of Rac and Rho GTPase activity. CDC42 is a cell division cycle 42 small GTPase of the Rho-subfamily, which regulates signaling pathways that control diverse cellular functions including cell morphology, migration, endocytosis and cell cycle progression, and actin polymerization through its direct binding to Neural Wiskott-Aldrich syndrome protein (N-WASP), which subsequently activates Arp2/3 complex. 
         [0032]    Validation of individual depleted shRNA hits in the primary and secondary models of senescence was performed as follows. To confirm putative target genes and characterize toxicity profiles of isolated shRNAs, 90 depleted or enriched senescence-specific shRNAs identified in the pooled format primary screens were synthesized individually and cloned into pRSI-U6 wt-Ubi-mCherry-2A-P lentiviral vector. Three secondary models of senescence were used to validate 90 individual shRNA clones: HT1080-p21 (carry doxycylin inducible p21WAF), WI-38 (replicative senescence at a late passage), BJ-ER-RAS (carry tamoxifen inducible HRAS) and bleomycin-treated human diploid foreskin fibroblasts. The senescent cells were infected at high MOI (MOI=3) and in 7 days their viability was measured using Resazurin assay. The delivery of single shRNAs to the cells was confirmed by RFP expression provided by the vector. The criteria for selection of confirmed target gene were: (i) depletion at least 2-fold in at least 2 out of 3 biological replicates and (ii) two or more (up to 6-8) independent shRNAs decrease viability of senescent cells in at least one model. The combined list of confirmed depleted shRNA clones is presented in Table 2. Those skilled in the art will recognize that there are a wide variety of polynucleotide sequences that will be suitable for use RNAi and antisense mediated downregulating of each of the target genes described herein. In particular, the list of shRNA sequences 
         [0000]    
       
         
               
               
               
             
           
               
                 TABLE 2 
               
               
                   
               
               
                   
                   
                 shRNA coding sequences  
               
               
                   
                 Gene 
                 in sense orientation, 5′ to 3′ 
               
               
                   
               
             
             
               
                   
                 APC 
                 GCCAACAAAGTCATCATGTAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TACGTGATGACTTTGTTGGC (SEQ ID NO: 1) 
               
               
                   
               
               
                   
                 ARHGAP1 
                 GCATCCAACCATGTTTATCAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TGATGAACATGGTTGGATGC (SEQ ID NO: 2) 
               
               
                   
               
               
                   
                 AXL 
                 CTGGGTGGGGATGAATAGGATGTTAATATTCATAGCA 
               
               
                   
                   
                 TCCTGTTCATCCTCACCCAG (SEQ ID NO: 3) 
               
               
                   
               
               
                   
                 BCL2L1 
                 GCTCATTCTTCAGTTGGAAATGTTAATATTCATAGCA 
               
               
                   
                   
                 TTTCCGACTGAAGAGTGAGC (SEQ ID NO: 3) 
               
               
                   
               
               
                   
                 C12orf77 
                 CACTGGGAGTAAATAAGGGAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TCCCTTGTTTGCTCCCAGTG (SEQ ID NO: 4) 
               
               
                   
               
               
                   
                 CAPNS2 
                 GCCTGATTCAAGTGTTTATCAGTTAATATTCATAGCT 
               
               
                   
                   
                 GATAGACACTTGAATCAGGC (SEQ ID NO: 5) 
               
               
                   
               
               
                   
                 CDC42 
                 CCTGATATCCTACACAATAAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TTGTTGTGTAGGATATCAGG (SEQ ID NO: 6) 
               
               
                   
               
               
                   
                 CDKN2C 
                 TGGACACTTTACAGACTTTGTGTTAATATTCATAGCG 
               
               
                   
                   
                 CAAAGTCTGTAAAGTGTCCA (SEQ ID NO: 7) 
               
               
                   
               
               
                   
                 CLYBL 
                 GCCTTTGGTGTTCAAGCTATAGTTAATATTCATAGCT 
               
               
                   
                   
                 ATGGCTTGGAGACCAAAGGC (SEQ ID NO: 8) 
               
               
                   
               
               
                   
                 COPG1 
                 CCCACATCCTCACTAAGATTTGTTAATATTCATAGCG 
               
               
                   
                   
                 AATCTTGGTGAGGATGTGGG (SEQ ID NO: 9) 
               
               
                   
               
               
                   
                 CRKL 
                 CGTGAAAGTCATAAGGATGAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TCATCCTTGTGACTTTCACG (SEQ ID NO: 10) 
               
               
                   
               
               
                   
                 DGKA 
                 GCTAAATATGTCTAAGGAGATGTTAATATTCATAGCA 
               
               
                   
                   
                 TCTCCTTGGACATATTTAGC (SEQ ID NO: 11) 
               
               
                   
               
               
                   
                 EBP 
                 CTGGACAACTTTGTACTTAATGTTAATATTCATAGCA 
               
               
                   
                   
                 TTAGGTACAAAGTTGTCCAG (SEQ ID NO: 12) 
               
               
                   
               
               
                   
                 FGF1 
                 CCTGATAACAAGTAAGGATATGTTAATATTCATAGCA 
               
               
                   
                   
                 TATCCTTGCTTGTTATCAGG (SEQ ID NO: 13) 
               
               
                   
               
               
                   
                 GBA3 
                 CAGACTGGTGATGTAGTTTGTGTTAATATTCATAGCA 
               
               
                   
                   
                 CAAGCTACATCGCCAGTCTG (SEQ ID NO: 14) 
               
               
                   
               
               
                   
                 GIT2 
                 ATAACGGTGCTAACTCTATATGTTAATATTCATAGCA 
               
               
                   
                   
                 TATAGAGTTAGCACCGTTA (SEQ ID NO: 15) 
               
               
                   
               
               
                   
                 IGF1 
                 GCTGAGTTGGTGGATGTTCTTGTTAATATTCATAGCA 
               
               
                   
                   
                 AGAGCATCCACCAGCTCAGC (SEQ ID NO: 16) 
               
               
                   
               
               
                   
                 ISG20 
                 GCACGACTTCTAGGCATTGAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TCAGTGCCTGGAAGTCGTGC (SEQ ID NO: 17) 
               
               
                   
               
               
                   
                 ITGAV 
                 CTCTGTTGTATATCCTTCATTGTTAATATTCATAGCA 
               
               
                   
                   
                 ATGAAGGATATACAACAGAG (SEQ ID NO: 18) 
               
               
                   
               
               
                   
                 KITLG 
                 GCAGGAATCGTGTGATTAATAGTTAATATTCATAGCT 
               
               
                   
                   
                 ATTAGTCACACGATTCCTGC (SEQ ID NO: 19) 
               
               
                   
               
               
                   
                 LCMT2 
                 GATCAATTTGACTACAGGATTGTTAATATTCATAGCA 
               
               
                   
                   
                 ATCCTGTAGTCAAATTGATC (SEQ ID NO: 20) 
               
               
                   
               
               
                   
                 LPHN1 
                 GCTGGTGGTTTAAGGGTTGGAGTTAATATTCATAGCT 
               
               
                   
                   
                 TCAACCTTTAAACCACCAGC (SEQ ID NO: 21) 
               
               
                   
               
               
                   
                 MADCAM1 
                 CCACCAGCTTCTTTGAGGTTTGTTAATATTCATAGCA 
               
               
                   
                   
                 AGCCTCAGAGAAGCTGGTGG (SEQ ID NO: 22) 
               
               
                   
               
               
                   
                 MAG 
                 GTGTGGTTGAGAACTAGTATGGTTAATATTCATAGCC 
               
               
                   
                   
                 ATACTGGTTCTCAGCCACAC (SEQ ID NO: 22) 
               
               
                   
               
               
                   
                 MAP3K14 
                 GTGTGAGAATAGCTAAGAGTTGTTAATATTCATAGCA 
               
               
                   
                   
                 ACTCTTGGCTATTCTCACAC (SEQ ID NO: 23) 
               
               
                   
               
               
                   
                 MEF2C 
                 GCCTCAGTGATATAGTATAAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TTATACTGTATCACTGAGGC (SEQ ID NO: 24) 
               
               
                   
               
               
                   
                 MTHFD2 
                 GCAGTTGAAGAAACATACAATGTTAATATTCATAGCA 
               
               
                   
                   
                 TTGTATGTTTCTTCAACTGC (SEQ ID NO: 25) 
               
               
                   
               
               
                   
                 NAIP 
                 CGTGGTGGAGATTGCTAAAGTGTTAATATTCATAGCA 
               
               
                   
                   
                 CTTTGGCAATTTCCACCACG (SEQ ID NO: 26) 
               
               
                   
               
               
                   
                 NAPG 
                 GCAAGTTGGAATGATGTTGAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TCAACATCATTCCAGCTTGC (SEQ ID NO: 27) 
               
               
                   
               
               
                   
                 NCKAP1 
                 CCTCTCAATCAAGATATTCAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TGAGTATCTTGATTGAGAGG (SEQ ID NO: 28) 
               
               
                   
               
               
                   
                 NNMT 
                 CTGGTTTCTGGAGGAAAGAGGGTTAATATTCATAGCT 
               
               
                   
                   
                 CTCTTTCCTCCAGAAGCCAG (SEQ ID NO: 29) 
               
               
                   
               
               
                   
                 OSBPL3 
                 GAAGCGTAGCAGTATATTAAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TTGATATACTGCTACGCTTC (SEQ ID NO: 30) 
               
               
                   
               
               
                   
                 PARK2 
                 CACCTACCTAGTGACTATGATGTTAATATTCATAGCA 
               
               
                   
                   
                 TCATGGTCACTGGGTAGGTG (SEQ ID NO: 31) 
               
               
                   
               
               
                   
                 PFN1 
                 GCATGGATCTTTGTACTAAGAGTTAATATTCATAGCT 
               
               
                   
                   
                 CTTGGTACGAAGATCCATGC (SEQ ID NO: 32) 
               
               
                   
               
               
                   
                 PMS2 
                 CCAGGAAGATACTGGATGTAGGTTAATATTCATAGCT 
               
               
                   
                   
                 TACATCCGGTATCTTCCTGG (SEQ ID NO: 33) 
               
               
                   
               
               
                   
                 POU5F1 
                 TCATTCACTAAGGAAGGAATTGTTAATATTCATAGCA 
               
               
                   
                   
                 ATTCCTTCCTTAGTGAATGA (SEQ ID NO: 34) 
               
               
                   
               
               
                   
                 PPP1CB 
                 AGTTTGATAATGTTGGTGGAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TCCACCAGCATTATCAAAC (SEQ ID NO: 35) 
               
               
                   
               
               
                   
                 PRKRA 
                 GCGCCAATGGACAATATTAATGTTAATATTCATAGCA 
               
               
                   
                   
                 TTGATATTGTCCATTGGCGC (SEQ ID NO: 36) 
               
               
                   
               
               
                   
                 PRPF19 
                 GACTTGAAGGAACGTATTAATGTTAATATTCATAGCA 
               
               
                   
                   
                 TTAGTACGTTCCTTCAAGTC (SEQ ID NO: 37) 
               
               
                   
               
               
                   
                 PRTG 
                 GATACATCTGTCCTTAGTTATGTTAATATTCATAGCA 
               
               
                   
                   
                 TAACTGAGGACAGATGTATC (SEQ ID NO: 38) 
               
               
                   
               
               
                   
                 RAC1 
                 CGTGAAGAAGAGGGAGAGGAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TTCTCTTCCTCTTCTTCACG (SEQ ID NO: 39) 
               
               
                   
               
               
                   
                 RAPGEF1 
                 CGAGGTAGAGATCCTAAATAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TGTTTAGGATCTCTACCTCG (SEQ ID NO: 40) 
               
               
                   
               
               
                   
                 RET 
                 CCGCTGGTGGATTGTAATAGTGTTAATATTCATAGCA 
               
               
                   
                   
                 TTATTACAGTCCACCAGCGG (SEQ ID NO: 41) 
               
               
                   
               
               
                   
                 VIT 
                 CCTATCAGAGGCCATCTATTTGTTAATATTCATAGCG 
               
               
                   
                   
                 AATAGGTGGCCTCTGATAGG (SEQ ID NO: 42) 
               
               
                   
               
               
                   
                 Wee1 
                 GCCAGTGATTATGAGTTTGAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TCAAGCTCATAATCACTGGC (SEQ ID NO: 43) 
               
               
                   
               
               
                   
                 YAP1 
                 GCCACCAAGTTAGATAAAGAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TCTTTATCTAGCTTGGTGGC (SEQ ID NO: 43) 
               
               
                   
               
               
                   
                 YWHAE 
                 GCTGATAGTTGAAGAAAGAAAGTTAATATTCATAGCT 
               
               
                   
                   
                 TTCTTTCTTCAACTGTCAGC (SEQ ID NO: 44) 
               
               
                   
               
             
          
         
       
     
         [0033]    Six of the confirmed shRNA targets belong to Integrin/Rac signaling pathway (ITGAV, RAC1, ARHGAP1, RAPGEF1, CRKL, NCKAP1, CDC42), indicating that this pathway plays an indispensable role in maintenance of viability of senescent cells. These unexpected findings strongly suggest that inhibitors of this pathway may be exploited for inducing cell death in normal or tumor senescent cells. 
         [0034]    In summary, the present disclosure is believed to provide for the first time a specific list targets for selective eradication of senescent cells. The disclosure is expected to lead to numerous practical medical and cosmetic applications and to provide a broadly applicable solution for treatment and prevention of cancer, aging and age-related diseases and conditions which currently have no one universal treatment approach. 
         [0035]    Although the embodiments have been described in detail for the purposes of illustration, it is understood that such detail is solely for that purpose, and variations can be made therein by those skilled in the art without departing from the spirit and scope of the disclosure, embodiments of which are defined by the following sample claims.