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Bispecific T cell engager eliminates senescent cells in mice and nonhuman primates

Monitored by serum transaminase levels, low doses of the drug alleviated age-related pathologies without causing the hepatotoxicity seen at higher doses.

Aging cell · Deng J et al. · Paper published 29 Sep 2026

Paper

In aged mice and non-human primates, a newly designed bispecific T-cell engager safely eliminated senescent cells and improved age-related pathologies. While CAR-T cells targeting uPAR cause unpredictable toxicities, bispecific T-cell engagers offer better dose control. Researchers developed GFD-CD3, an engager using the natural uPA ligand domain to target uPAR-positive senescent cells. In dose-finding tests, high doses caused hepatotoxicity via T cell-mediated damage to hepatic endothelial cells. Guiding treatment with serum transaminase monitoring allowed researchers to identify a safe low dose. At this lower dose, GFD-CD3 cleared senescent cells and alleviated age-related pathologies in both species without inducing adverse effects.

Why it matters

Clearing senescent cells can alleviate age-related dysfunctions, but immunotherapies often trigger severe off-target toxicities. Demonstrating that titratable T-cell engagers can safely remove senescent cells in non-human primates offers a potential path toward clinical senolytic immunotherapies.

Caveats

The findings remain restricted to animal models, and clinical translation requires confirming the safety and efficacy of transaminase-guided dosing in humans.

Written from the paper’s abstract, and every claim checked against it before publishing. Read the paper for the full methods and data.

The paper

uPAR-Targeting T Cell Engager Exerts Senolytic Effects in Mice and Non-Human Primates With Serum Aminotransferase Activity as a Safety Monitor

Deng J, Zeng X, Guo J et al.

Aging cell · 29 Sep 2026 · Peer-reviewed

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