Using Machine Learning to Identify Senescence-Inducing Drugs for Resistant Cancers

“Senescence identification is rendered challenging due to a lack of universally available biomarkers.”

Treating aggressive cancers that do not respond to standard therapies remains one of the most significant challenges in oncology. Among these are basal-like breast cancers (BLBC), which lack hormone receptors and HER2 amplification. This makes them unsuitable for many existing targeted treatments. As a result, therapeutic options are limited, and patient outcomes are often poor.

One emerging strategy is to induce senescence, a state in which cancer cells permanently stop dividing but remain metabolically active. This approach aims to slow or stop tumor growth without killing the cells directly. Although promising, the clinical application of senescence-based therapies has been limited by several challenges.

Senescence is typically identified using biomarkers such as p16, p21, and beta-galactosidase activity. However, these markers are often already present in aggressive cancers like BLBC (Sen‑Mark+ tumors), making it difficult to determine whether a treatment is truly inducing senescence or merely reflecting the tumor’s existing biology. Moreover, conventional screening methods may mistake reduced cell growth for senescence, cell death, or temporary growth arrest, leading to inaccurate assessments. This is especially problematic in large-scale drug screening, where thousands of compounds must be evaluated quickly and reliably.

To overcome these issues, researchers from Queen Mary University of London and the University of Dundee have developed a new machine learning–based method to improve the detection of senescence in cancer cells. Their findings were recently published in Aging-US.

The Study: Developing the SAMP-Score

The study, titled SAMP-Score: a morphology-based machine learning classification method for screening pro-senescence compounds in p16-positive cancer cells,” was led by Ryan Wallis and corresponding author Cleo L. Bishop from Queen Mary University of London. This paper was featured on the cover of Aging-US Volume 17, Issue 11, and highlighted as our Editors’ Choice.

The research team developed a tool called SAMP-Score. To build the model, the researchers applied high-content microscopy, image analysis, and unsupervised clustering to identify subtle morphological changes and patterns associated with true senescence. The team referred to these patterns as senescence-associated morphological profiles (SAMPs). These patterns were then used to train a machine learning algorithm capable of distinguishing senescent, non-dividing cells from those that were still proliferating or undergoing cell death.

After validation on the MB-468 cell line (a p16-positive basal-like breast cancer model), the model was applied to a large-scale screen of 10,000 experimental compounds across multiple cell lines: MB-468, HeLa, BT-549 (all p16-positive), and HCT116 p16 knockout (p16-negative).

Results: QM5928 Identified as a Pro-Senescence Agent

From the screening, the team identified a compound referred to as QM5928, which showed the ability to induce senescence in p16-positive cancer cells. The response was dose-dependent: at lower concentrations, it reduced cell proliferation without signs of toxicity, indicating senescence; at higher concentrations, toxicity began to appear. This suggests that the compound induces senescence rather than directly causing cell death.

Importantly, the researchers also observed a relocation of p16 into the nucleus, a sign that senescence-related cell cycle arrest mechanisms may be engaged. In contrast, the effect of QM5928 was reduced in a p16-negative cell line, supporting the idea that p16 plays a key role in the compound’s activity.

Breakthrough: The Innovation Behind SAMP-Score

The main innovation in this study is not just the identification of QM5928 as a promising compound but the development of a reliable and scalable method for detecting senescence in cancer cells. By combining high-content image analysis with machine learning, SAMP-Score provides an alternative to traditional marker-based methods, which can give ambiguous results in aggressive cancers. This approach reduces false positives and improves the accuracy of drug screening by better distinguishing compounds that truly induce senescence.

Impact: Implications for Cancer Drug Discovery

SAMP-Score provides a practical and scalable tool for discovering drugs in cancer types where conventional senescence markers do not offer clear results. This is particularly valuable in cancers like BLBC, which have high p16 expression but few effective targeted treatments. In the future, SAMP-Score may also help design combined therapies that first induce senescence, then eliminate senescent cells using senolytics.

Future Perspectives and Conclusion

While QM5928 remains in the early stages of investigation, it serves as a proof of concept for how the SAMP-Score method can support the discovery of pro-senescence compounds. Further studies will be necessary to clarify the compound’s mechanism of action and evaluate its effects in more complex models.

The broader impact of this work lies in its methodological contribution. By moving beyond biochemical markers and using image-based classification, SAMP-Score offers a practical and scalable way to improve senescence detection, particularly in cancers where current screening methods are unreliable.

Importantly, the researchers have made SAMP-Score openly available on GitHub, allowing others to apply or adapt the tool in their own senescence-related research.

Click here to read the full research paper published in Aging-US.

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Aging-US is indexed by PubMed/Medline (abbreviated as “Aging (Albany NY)”), PubMed CentralWeb of Science: Science Citation Index Expanded (abbreviated as “Aging‐US” and listed in the Cell Biology and Geriatrics & Gerontology categories), Scopus (abbreviated as “Aging” and listed in the Cell Biology and Aging categories), Biological Abstracts, BIOSIS Previews, EMBASE, META (Chan Zuckerberg Initiative) (2018-2022), and Dimensions (Digital Science).

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For media inquiries, please contact [email protected].

Accelerated Aging in Young People with Sickle Cell Disease

“[…] adolescents and adults with SCD still experience higher rates of aging-related morbidity and early mortality.

Imagine being 15 years old but having a body that shows signs of aging as if you are decades older. For some young people with sickle cell disease (SCD), this is a reality. A new study published in Volume 16, Issue 21 of Aging shows that SCD causes the body to age much faster than normal. The research not only explains why this happens but also points to new ways to help people with the disease live healthier, longer lives.

What Is Sickle Cell Disease?

SCD is a genetic condition that changes the shape of red blood cells. Instead of being round, like a doughnut, the cells become curved like a sickle (a farming tool). These misshapen cells struggle to move through blood vessels, often blocking blood flow and leading to pain, organ damage, and other health problems. Even with modern treatments, they can experience complications like those seen in older adults, such as weaker bones, frailty, and organ failure. In the study “Adolescents and young adults with sickle cell disease exhibit accelerated aging with elevated T-cell p16INK4a expression,” researchers wanted to understand why this happens and what it means for people with the disease.

The Study: Link Between Sickle Cell Disease and Aging

To understand the connection between SCD and accelerated aging, researchers from the University of North Carolina at Chapel Hill and their collaborators focused on a protein called p16INK4a, or simply p16. This protein builds up in cells as people age. High levels of p16 indicate that a person’s cells are aging faster than normal.

They measured p16 levels in 18 young people with SCD, aged 15 to 27, and compared them to 27 healthy individuals of the same age. 

The Challenge: More Than a Genetic Disorder

Individuals with SCD often experience chronic inflammation, anemia, and physical stress due to their condition. These factors affect their immediate health but also trigger cellular changes that mimic aging, making it vital to explore potential therapies. 

The Results: Sickle Cell Disease Patients Aged 43 Years Faster

The results were startling. Young people with SCD had significantly higher levels of p16 than their healthy peers, indicating that their bodies were biologically much older. On average, their p16 levels suggested an additional 43 years of biological aging. Even the youngest participant, a 15-year-old with SCD, had more p16 than anyone in the non-SCD group.

The Breakthrough: Targeting Cellular Aging for Better Outcomes

The study reveals why young people with SCD face age-related health problems much earlier than their peers. These findings highlight the urgent need for treatments targeting cellular aging. One promising area of research involves senolytics, drugs designed to remove senescent (“old”) cells from the body. By slowing the aging process, senolytics could significantly improve both the quality and length of life for SCD patients. Additionally, measuring p16 levels may serve as a valuable tool to identify high-risk patients and enable more personalized treatment strategies.

The Impact: Why These Findings Matter

These findings elucidate how SCD accelerates biological aging, significantly impacting quality of life and reducing healthy years. Understanding the role of cellular aging allows to redefine SCD care, moving from symptom management to addressing the causes of accelerated aging. 

The impact of this study also extends to other chronic diseases by emphasizing the importance of targeting cellular aging markers. By focusing on cellular senescence, this research lays the groundwork for therapies that improve both lifespan and healthspan—the years of life spent in good health.

​​Future for Sickle Cell Disease Research

While this study is a crucial first step, further research is needed to confirm these findings and explore potential therapies. Larger studies with more diverse groups of SCD patients, as well as long-term follow-ups, will help deepen our understanding of how aging affects the disease and the effectiveness of new treatments like senolytics. Additionally, researchers are also investigating other markers of aging.

Conclusion

This study highlights the long-term impact of SCD on young patients, shedding light on how accelerated aging contributes to their health challenges. For many, these findings represent a future with better and more efficient treatments. By addressing the causes of accelerated aging, innovative therapies could significantly enhance the lives of individuals with SCD, potentially leading to healthier and longer lives.

Click here to read the full research paper in Aging.

Aging is indexed by PubMed/Medline (abbreviated as “Aging (Albany NY)”), PubMed CentralWeb of Science: Science Citation Index Expanded (abbreviated as “Aging‐US” and listed in the Cell Biology and Geriatrics & Gerontology categories), Scopus (abbreviated as “Aging” and listed in the Cell Biology and Aging categories), Biological Abstracts, BIOSIS Previews, EMBASE, META (Chan Zuckerberg Initiative) (2018-2022), and Dimensions (Digital Science).

Click here to subscribe to Aging publication updates.

For media inquiries, please contact [email protected].

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