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A distinct p21-driven macrophage senotype accumulates during aging and liver disease

Researchers identified a p53-p21-Cyclin D2 axis that governs senescent macrophages in mice and human liver cirrhosis and can be cleared with senolytics.

bioRxiv · Torres G et al. · Paper published 28 Sep 2026

Paper

In a preprint analyzing mice and human liver cirrhosis tissue, researchers investigated a distinct macrophage senotype characterized by high p21 and low p16 expression. Using genetic and multi-omic approaches, the team found that a p53-p21-dependent pathway represses p16 to preserve senescent macrophage viability during acute genotoxic stress. Cyclin D2 acts as a downstream effector that redistributes from the nucleus to mitochondria and lipid droplets. There, Cyclin D2 binds MIC60 to reprogram metabolism and modulates AKT1-mTORC1 signaling, sustaining the senescence-associated secretory phenotype. These Cyclin D2- and p21-positive macrophages accumulate in aging and metabolic dysfunction-associated steatotic liver disease in mice and in human cirrhotic livers, but they can be selectively eliminated with senolytics.

Why it matters

Senescent cells are functionally diverse, and pinpointing non-canonical senescent subsets helps clarify how aging drives metabolic disease. Defining this pathway reveals a druggable target to selectively eliminate harmful macrophages that fuel tissue inflammation.

Caveats

This work is a preprint and has not yet been peer-reviewed. In addition, the molecular mechanisms were examined largely in mouse models and require further clinical confirmation.

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

The p53–p21–Cyclin D2 regulatory axis drives metabolic reprogramming and a distinct senescent macrophage senotype during aging and MASLD

Torres G, Salladay-Perez IA, Deng CY et al.

bioRxiv · 28 Sep 2026 · Preprint, not yet peer-reviewed

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