Back to Journals » Clinical, Cosmetic and Investigational Dermatology » Volume 18
Ellagic Acid Mediates the Delay of Dermal Fibroblast Senescence via CSNK2A1
Authors Zhang Z, Yang P, Sun Y, Yu X, Chen X, Wang X
Received 11 March 2025
Accepted for publication 11 July 2025
Published 20 August 2025 Volume 2025:18 Pages 1971—1983
DOI https://doi.org/10.2147/CCID.S523963
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Monica K. Li
Ziwei Zhang,1 Pu Yang,1 Yang Sun,2 Xinhai Yu,1 Xiangyu Chen,1 Xiancheng Wang2
1Medical Aesthetics Department, Changsha Maternal and Child Health Hospital, Changsha, Hunan, 410000, People’s Republic of China; 2Department of Plastic and Aesthetic (Burn) Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China
Correspondence: Xiancheng Wang, The Second Xiangya Hospital of Central South University, No. 139, Renmin Middle Road, Furong District, Changsha, Hunan, 410011, People’s Republic of China, Email [email protected]
Objective: This research seeks to explore the impact of Ellagic Acid (EA) on the aging process of human dermal fibroblasts Hs68 cells and to uncover the mechanisms involved.
Methods: Senescence was induced in Hs68 cells with H2O2, followed by treatment with EA and CSNK2A1 inhibitor (Silmitasertib). Bioinformatics identified EA’s downstream targets. Cell viability was assessed by MTT assays, and senescence markers (γH2AX, p16, p19, p53), CSNK2A1, Nrf2, and NF-κB p65 were analyzed by Western blot. Inflammatory cytokines (IL-6, TNF-α, IL-1β) and oxidative stress markers (SOD, MDA, GSH/GSSG) were measured. ROS levels were assessed by fluorescence staining, senescence by SA-β-gal staining, cell cycle by flow cytometry and apoptosis by TUNEL assay.
Results: Senescent cells showed increased γH2AX, p16, p19, and p53 expression, with reduced viability. EA inhibited senescence in a dose-dependent manner, with cytotoxicity at 60 μM. EA upregulated CSNK2A1, decreased β-galactosidase activity, restored cell viability and cycle progression, and reduced apoptosis. EA alleviated oxidative stress by enhancing Nrf2 expression, reducing ROS and MDA, and increasing SOD and GSH/GSSG. Silmitasertib negated these effects. EA also reduced IL-6, TNF-α, and IL-1β, inhibiting NF-κB p65, with anti-inflammatory effects mediated by CSNK2A1.
Conclusion: EA delays dermal fibroblast senescence by modulating CSNK2A1, mitigating oxidative stress and inflammation, and may serve as a potential therapeutic for aging and age-related diseases.
Keywords: ellagic acid, CSNK2A1, cellular aging, oxidative stress, inflammatory response
Introduction
Cellular senescence is an inevitable physiological process linked to organismal aging, marked by an irreversible halt in cell proliferation after limited divisions.1 It plays a vital role in tissue repair but is associated with age-related diseases such as cancer, cardiovascular diseases, and neurodegenerative disorders.2–4 Senescent cells lose proliferative capacity and exhibit metabolic abnormalities, with increased expression of markers like p16, p21, p53, and γH2AX, indicating significant intracellular and extracellular changes.5 Oxidative stress and inflammation are major contributors to senescence;6,7 as the antioxidant defense system weakens with age, elevated reactive oxygen species (ROS) levels lead to DNA, protein, and lipid damage, triggering cellular dysfunction and senescence.8 Additionally, chronic inflammation through the senescence-associated secretory phenotype (SASP) accelerates tissue and organ aging.9 These factors form the complex biological basis of cellular senescence.
Recent advances in aging research have highlighted natural compounds with potential anti-senescence effects.10 Ellagic acid (EA), a polyphenol abundant in fruits and nuts such as pomegranates and walnuts, is noted for its antioxidant, anti-inflammatory, and anticancer properties.11 Studies show EA can mitigate cellular damage and delay aging by neutralizing ROS and modulating inflammatory responses.12,13 However, while EA’s protective effects against oxidative stress-induced senescence are known, the precise molecular mechanisms remain unclear. Given EA’s properties, investigating its regulatory mechanisms in senescent cells is a crucial scientific inquiry.
To explore EA’s mechanisms of action, we analyzed its interactions with potential target proteins using the STITCH database, identifying Casein Kinase 2 Alpha 1 (CSNK2A1) as a strongly interacting target. CSNK2A1, a conserved serine/threonine protein kinase, is integral to cell cycle regulation, DNA repair, apoptosis, and transcriptional control.14,15 It serves as a central regulator in intracellular signaling pathways and its dysregulation is implicated in cellular senescence and neurodegenerative diseases.16,17 Additionally, CSNK2A1 mediates cellular responses to stress, influencing cell adaptation to external stimuli.18 Therefore, we hypothesize that CSNK2A1 may be a potential target for EA in inhibiting cellular senescence.
This study examines EA’s effects on hydrogen peroxide (H2O2)-induced senescence in Hs68 cells, focusing on CSNK2A1-mediated mechanisms. Using an in vitro model, we assessed EA’s impact on senescence, oxidative stress, and inflammation. Our findings reveal EA’s potential as an anti-senescence agent, offering insights for age-related disease interventions and anti-aging therapies with natural compounds.
Methods
Reagents and Instruments
Reagents and instruments used in this study are listed in Table 1 and Table 2 respectively.
|
Table 1 Reagent Information |
|
Table 2 Instrument/Software |
Cell Culture and Treatment
Human dermal fibroblast cell line Hs68 (B164789) was procured from Mingzhoubio (Ningbo, China) and cultured in Dulbecco’s Modified Eagle Medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 100 U/mL penicillin, and 100 μg/mL streptomycin in a 37°C, 5% CO2 incubator. To establish a senescence model, cells were exposed to H2O2 (0, 100, 250, 500 nM) for 2 hours.19 Following oxidative stress induction, cells were treated with EA (0–100 μM) for 24 hours and/or with Silmitasertib (25 μM) for 48 hours.20 Both EA and Silmitasertib were dissolved in dimethyl sulfoxide (DMSO), and an equal amount of DMSO was used as a negative control (NC). The study did not implement any type of blind procedure and the overall flow chart of the method is shown in Figure S1.
3-(4,5-Dimethylthiazol-2-Yl)-2,5-Diphenyl Tetrazolium Bromide (MTT)
Hs68 cells were seeded into 96-well plates (1 × 104 cells/well). Upon reaching 70% confluence, a total of 10 μL of MTT solution [5 mg/mL prepared in phosphate buffer saline (PBS)] was added to each well and incubated with cells at 37°C for 4 hours. After removing the medium, 100 μL of DMSO was added to solubilize formazan crystals. Plates were gently agitated for 10 minutes. Absorbance was measured at 560 nm using an enzyme-linked immunosorbent assay (ELISA) reader.
Biochemical Analysis
Cell culture supernatants were collected to determine levels of superoxide dismutase (SOD), malondialdehyde (MDA), glutathione (reduced/oxidized) (GSH/GSSG) ratio, Interleukin-6 (IL-6), Tumor Necrosis Factor-alpha (TNF-α), and Interleukin-1 beta (IL-1β) in the samples using respective commercial assay kits following the manufacturers’ instructions. Absorbance was measured using a microplate reader.
Western Blotting (WB)
Total proteins were extracted from Hs68 cells using radioimmunoprecipitation assay lysis buffer, and protein concentration was quantified using the bicinchoninic acid (BCA) Protein Assay Kit. Proteins were separated by SDS-PAGE and transferred onto polyvinylidene fluoride membranes. Membranes were blocked with 10% goat serum solution and incubated overnight at 4°C with primary antibodies against CSNK2A1, Nrf2, nuclear factor kappa B (NF-κB) p65, and glyceraldehyde 3-phosphate dehydrogenase (GAPDH). Following this, membranes were incubated with HRP-conjugated secondary antibodies at room temperature for 2 hours. Bands were visualized using BeyoECL Star chemiluminescence substrate and quantified using ImageJ software.
Detection of ROS
Cells were incubated with 10 μM 2’,7’-dichlorodihydrofluorescein diacetate (DCFH-DA) at room temperature in the dark for 30 minutes. After washing, cells were mounted with anti-fade mounting medium and visualized under a fluorescence microscope. Fluorescence intensity was quantified using ImageJ software.
Senescence-Associated β-Galactosidase (SA-β-Gal) Staining
Cells were fixed with 0.6 mL of fixative buffer for 15 minutes at room temperature and then incubated with SA-β-gal staining solution at 37°C overnight. After rinsing with PBS, stained cells were observed under a microscope. The percentage of SA-β-Gal positive cells (blue-green) was calculated based on total cell count.
Flow Cytometry
Cells were resuspended in PBS with RNase A (100 µg/mL) and incubated at 37°C for 30 minutes. Next, propidium iodide (PI; 50 μg/mL) staining solution was incubated with cells in the dark at room temperature for 30 minutes. PI staining fluorescence signals were analyzed using a flow cytometer, and cell cycle distribution was determined with FlowJo software.
Terminal Deoxynucleotidyl Transferase dUTP Nick-End Labeling (TUNEL)
Cells were fixed with 4% paraformaldehyde for 30 minutes, permeabilized with 0.1% Triton X-100 in PBS for 2 minutes on ice, and incubated with 50 μL TUNEL solution at 37°C in the dark for 60 minutes. Cells were counterstained with DAPI working solution (1 μg/mL) and mounted with anti-fade mounting medium. Apoptotic nuclei were visualized under a fluorescence microscope. The apoptosis rate was quantified using ImageJ software.
Statistical Analysis
Statistical analysis was conducted using GraphPad Prism 9 software, with data presented as mean ± standard deviation (SD). A t-test was used for comparisons between two groups. For comparisons involving three or more groups, one-way or two-way analysis of variance (ANOVA) was applied, followed by Tukey’s post hoc test. A difference was deemed significant if p < 0.05.
Results
EA Effectively Inhibits the Aging of Hs68 Cells
To explore the impact of EA on aging cells, we initially assessed the expression of senescence-associated proteins and observed alterations in cell viability. H2O2 is commonly used to induce cellular aging; thus, we established an in vitro aging model of Hs68 cells using this method. After induction with H2O2 (100 nM, 250 nM, 500 nM), the expression of p16, p19, p53, and γH2AX proteins increased (Figure 1A), and cell viability decreased (Figure 1B), indicating successful establishment of the aging model, with the 250 nM concentration showing the most effective induction of aging cells. We then evaluated the effects of EA (1–100 μM). MTT assay results indicated that EA reduced cellular aging in a concentration-dependent fashion, with cell toxicity becoming evident at concentrations of 60 μM and higher (Figure 1C). Western blot results demonstrated that EA significantly inhibited the expression of senescence-associated proteins in the aging Hs68 model. These data suggest that EA effectively inhibits the aging of Hs68 cells (Figure 1D).
EA Significantly Promotes the Expression of CSNK2A1 Protein, Which is Downregulated Due to Aging
To elucidate the mechanisms by which EA inhibits cellular aging, we first explored downstream target factors of EA through bioinformatics analysis. Using the STITCH database (http://stitch.embl.de/cgi/input.pl?UserId=5d5hKidRT7HO&sessionId=YA0fPIZobXLl), we identified that EA has a strong binding affinity with CSNK2A1 (Figure S2). Furthermore, CSNK2A1 dysregulation is closely associated with cellular senescence.16 Subsequently, we assessed the expression of CSNK2A1 protein by Western blot. The results showed that CSNK2A1 is significantly downregulated in aging cells (Figure 2A), while EA (30, 40, 50, 60 μM) significantly enhances the expression of CSNK2A1 in aging cells, with the 50 μM concentration showing the most pronounced effect (Figure 2B). These data suggest that EA may inhibit cellular senescence in a dose-dependent manner by promoting the expression of CSNK2A1.
EA Mediates the Delay of Cellular Aging by Regulating CSNK2A1
In H2O2-treated cells, we observed increased β-galactosidase activity (Figure 3A), cell cycle arrest in the G1 phase (Figure 3B), decreased cell viability (Figure 3C), and elevated apoptosis (Figure 3D), all markers of cellular aging. Treatment with EA significantly reduced β-galactosidase activity, restored normal cell cycle progression and viability, and inhibited apoptosis in senescent Hs68 cells (Figure 3A–D). Furthermore, the addition of Silmitasertib, an established CSNK2A1 inhibitor, nullified EA’s anti-aging effects, indicating that EA delays cellular aging, at least in part, through the upregulation of CSNK2A1 (Figure 3A–D).
EA-Mediated CSNK2A1 Alleviates Oxidative Stress in Aging Cells
Oxidative stress is a key driver of cellular aging, and in H2O2-treated cells, we observed elevated ROS levels (Figure 4A), decreased SOD activity, increased MDA levels, a lowered GSH/GSSG ratio (Figure 4B), and a marked reduction in Nrf2 expression (Figure 4C)—indicating heightened oxidative stress. EA treatment significantly reduced ROS and MDA levels, and raised both SOD activity, the GSH/GSSG ratio increased Nrf2 expression, in aging cells (Figure 4A–C). Furthermore, using Silmitasertib abolished these antioxidant effects, suggesting that EA mitigates oxidative stress in aging cells by upregulating CSNK2A1 (Figure 4A–C).
EA-Mediated CSNK2A1 Alleviates Inflammation in Aging Cells
Inflammatory responses are a hallmark of aging cells. When assessing inflammatory markers, we discovered that in H2O2-treated cells, the levels of inflammatory factors such as IL-6, TNF-α, and IL-1β were significantly elevated. However, EA notably lowered the levels of inflammatory factors in aging cells. Additionally, Silmitasertib negated the anti-inflammatory effects of EA on aging cells (Figure 5A). NF-κB is a multifunctional transcription factor, and its pathway activation is strongly linked to inflammation, with NF-κB p65 acting as a marker for this activation.21 We found that in aging cells, NF-κB p65 expression was increased, while EA treatment significantly decreased NF-κB p65 levels in these cells (Figure 5B). These data suggest that EA alleviates inflammation in aging cells to some extent by promoting CSNK2A1 expression and inhibiting NF-κB pathway activation.
Discussion
In this study, we established an Hs68 cell aging model to investigate the effects of EA on aging cells and its underlying mechanisms. We found that EA effectively inhibits H2O2-induced cellular aging. Interestingly, we observed that CSNK2A1, a protein with strong interaction with EA, is significantly downregulated in aging cells. EA can promote the expression of this protein in aging cells and influence oxidative stress and inflammation, thereby effectively inhibiting cellular aging.
Human skin aging is a gradual process driven by the accumulation of ROS, leading to fibroblast dysfunction and wrinkle development.22 Senescent cells exhibit reduced activity and loss of division, along with increased expression of senescence markers such as p16, p21, p53, and γH2AX.5 p16 and p21 are important cell cycle inhibitors that can promote cell cycle arrest or apoptosis.23 p53, known as the “guardian of the genome”, is an upstream factor of p21 and plays a crucial role in the cell’s response to DNA damage and other stress responses.24 γH2AX is commonly used as a marker of DNA damage and is an important phenomenon in the cellular aging process.25 H2O2 is a common inducer of cellular aging models and can effectively simulate aging mechanisms associated with oxidative stress.26 In this study, H2O2 was effectively employed to create an in vitro aging model in Hs68 cells, which was indicated by decreased cell viability and heightened levels of senescence markers such as p16, p21, p53, and γH2AX. Previous research has shown that phenolic compounds like EA can counteract aging by neutralizing free radicals and exhibiting both antioxidant and anti-inflammatory effects.27 In this study, EA treatment notably reduced the levels of p16, p21, p53, and γH2AX in the aging cell model. These findings reinforce the anti-aging properties of EA. While its anti-aging benefits have been documented, the specific molecular mechanisms behind these effects are still not fully understood.
To clarify how EA produces its anti-aging effects, we began by searching the STITCH database, which led us to identify CSNK2A1 as a protein that interacts strongly with EA. We then investigated CSNK2A1 as a potential downstream target of EA. CSNK2A1 is a serine/threonine protein kinase essential for various cellular functions, including proliferation, transcription, apoptosis, DNA repair, and cell cycle control.28,29 Numerous studies have indicated that CSNK2A1 is downregulated in aging cells. Research by Li et al found that downregulation of CSNK2A1 induces cellular aging,30 while Song et al. It has been shown that reducing CSNK2A1 levels triggers the expression of factors associated with the senescence-associated secretory phenotype.31 Consistent with these findings, our study also observed a significant downregulation of CSNK2A1 in aging cells. Interestingly, EA was found to significantly inhibit the downregulation of CSNK2A1 in aging cells. However, whether EA acts on aging cells through this target remains unclear. Silmitasertib (CX-4945) is a targeted inhibitor of CSNK2A1. Further investigation revealed that EA significantly reduced β-galactosidase activity, restored cell cycle and cell viability, and decreased apoptosis in aging cells. However, the use of Silmitasertib abolished the anti-aging effects of EA on aging cells. This further confirms that EA inhibits cellular aging through CSNK2A1. Nevertheless, this study was limited to a single cell line and lacked in vivo experiments. Future research should consider using multiple cell lines and further validate the effects of EA in vivo models.
Oxidative stress is a crucial factor driving cellular aging, with Nrf2 serving as an important regulator of oxidative stress.32 Xu et al found that VDR mitigates osteoblast aging by activating the Nrf2 pathway.33 EA, a polyphenolic compound with antioxidant potential, has been reported to have therapeutic potential in various diseases, including myocardial injury, renal damage, and Parkinson’s disease.34,35 CSNK2A1, the alpha subunit of CSNK2, has been demonstrated to activate Nrf2 by promoting the autophagic degradation of Keap1 and stimulating AMPK.36 However, whether EA alleviates oxidative stress in aging cells through CSNK2A1 remains unclear. In this study, H2O2-treated aging cells exhibited downregulation of Nrf2 protein expression, a significant increase in ROS levels, reduced SOD activity, and elevated oxidative stress markers MDA. EA notably counteracted these effects by reinstating Nrf2 expression, lowering ROS and MDA levels, and enhancing SOD activity. These results indicate that EA mitigates cellular aging through mechanisms related to oxidative stress. Notably, when using the CSNK2A1-targeting inhibitor Silmitasertib, the antioxidant effects of EA were partially reversed, further supporting the role of CSNK2A1 in alleviating oxidative stress in aging cells induced by EA.
Additionally, inflammatory responses also play a critical role in cellular aging.7 We observed that in H2O2-induced senescent cells, the expression of pro-inflammatory factors such as IL-6, TNF-α, and IL-1β was significantly elevated, while treatment with EA led to a marked reduction in these inflammatory factors. Furthermore, the use of Silmitasertib partially inhibited the anti-inflammatory effects of EA, suggesting that CSNK2A1 may exert its anti-aging effects by regulating inflammatory responses. The NF-κB signaling pathway is a key regulatory mechanism in inflammation.37 Our results indicate that EA, by upregulating CSNK2A1, inhibits the activation of the NF-κB pathway, thereby mitigating the inflammatory response in senescent cells.
However, one limitation of this study is the exclusive use of a single cell line, which may not fully capture the complexity and heterogeneity of the biological processes involved. Additionally, the absence of in vivo validation restricts the generalizability of the findings to physiological conditions. Future studies involving multiple cell lines and animal models are warranted to confirm and extend these results.
Conclusion
In summary, EA effectively boosts CSNK2A1 expression in senescent cells, mitigates oxidative stress and inflammation, and consequently slows down the aging of dermal fibroblasts. As such, EA holds potential as a promising candidate for clinical treatment of aging and age-related diseases in the future.
Data Sharing Statement
The data used and analyzed during the current study are available from the corresponding author.
Author Contributions
All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.
Funding
There is no fund support from any institution or individual for this research.
Disclosure
The authors state that they have no financial or commercial ties to other entities that could be seen as a conflict of interest in the research.
References
1. Kudlova N, De Sanctis JB, Hajduch M. Cellular senescence: molecular targets, biomarkers, and senolytic drugs. Int J Mol Sci. 2022;23(8):4168. doi:10.3390/ijms23084168
2. Choi EL, Taheri N, Chandra A, Hayashi Y. Cellular senescence, inflammation, and cancer in the gastrointestinal tract. Int J Mol Sci. 2023;24(12). doi:10.3390/ijms24129810
3. Evangelou K, Vasileiou PVS, Papaspyropoulos A, et al. Cellular senescence and cardiovascular diseases: moving to the “heart” of the problem. Physiol Rev. 2023;103(1):609–647. doi:10.1152/physrev.00007.2022
4. Gonzales MM, Garbarino VR, Pollet E, et al. Biological aging processes underlying cognitive decline and neurodegenerative disease. J Clin Invest. 2022;132(10). doi:10.1172/JCI158453
5. Zhang CY, Zhong WJ, Liu YB, et al. EETs alleviate alveolar epithelial cell senescence by inhibiting endoplasmic reticulum stress through the Trim25/Keap1/Nrf2 axis. Redox Biol. 2023;63:102765. doi:10.1016/j.redox.2023.102765
6. Liu HM, Cheng MY, Xun MH, et al. Possible mechanisms of oxidative stress-induced skin cellular senescence, inflammation, and cancer and the therapeutic potential of plant polyphenols. Int J Mol Sci. 2023;24(4):3755. doi:10.3390/ijms24043755
7. Teissier T, Boulanger E, Cox LS. Interconnections between inflammageing and immunosenescence during ageing. Cells. 2022;11(3). doi:10.3390/cells11030359
8. Chaudhary MR, Chaudhary S, Sharma Y, et al. Aging, oxidative stress and degenerative diseases: mechanisms, complications and emerging therapeutic strategies. Biogerontology. 2023;24(5):609–662. doi:10.1007/s10522-023-10050-1
9. Zhang L, Pitcher LE, Yousefzadeh MJ, Niedernhofer LJ, Robbins PD, Zhu Y. Cellular senescence: a key therapeutic target in aging and diseases. J Clin Invest. 2022;132(15). doi:10.1172/JCI158450
10. Xu W, Luo Y, Yin J, Huang M, Luo F. Targeting AMPK signaling by polyphenols: a novel strategy for tackling aging. Food Funct. 2023;14(1):56–73. doi:10.1039/d2fo02688k
11. Lu G, Wang X, Cheng M, Wang S, Ma K. The multifaceted mechanisms of ellagic acid in the treatment of tumors: state-of-the-art. Biomed Pharmacother. 2023;165:115132. doi:10.1016/j.biopha.2023.115132
12. Zhu H, Yan Y, Jiang Y, Meng X. Ellagic acid and its anti-aging effects on central nervous system. Int J Mol Sci. 2022;23(18):10937. doi:10.3390/ijms231810937
13. Baeeri M, Mohammadi-Nejad S, Rahimifard M, et al. Molecular and biochemical evidence on the protective role of ellagic acid and silybin against oxidative stress-induced cellular aging. Mol Cell Biochem. 2018;441(1–2):21–33. doi:10.1007/s11010-017-3172-0
14. Hussein UK, Ahmed AG, Song Y, et al. CK2alpha/CSNK2A1 induces resistance to doxorubicin through SIRT6-mediated activation of the DNA damage repair pathway. Cells. 2021;10(7):1770. doi:10.3390/cells10071770
15. Yang B, Zhang J, Wang J, et al. CSNK2A1-mediated MAX phosphorylation upregulates HMGB1 and IL-6 expression in cholangiocarcinoma progression. Hepatol Commun. 2023;7(7). doi:10.1097/HC9.0000000000000144
16. Yoon YM, Go G, Yun CW, Lim JH, Lee SH. Knockdown of CK2alpha reduces P-cresol-induced fibrosis in human renal proximal tubule epithelial cells via the downregulation of profilin-1. Int J Med Sci. 2020;17(17):2850–2860. doi:10.7150/ijms.48429
17. Doostparast Torshizi A, Truong DT, Hou L, Smets B, Whelan CD, Li S. Proteogenomic network analysis reveals dysregulated mechanisms and potential mediators in Parkinson’s disease. Nat Commun. 2024;15(1):6430. doi:10.1038/s41467-024-50718-x
18. Park SY, Bae YS. Inactivation of the FoxO3a transcription factor is associated with the production of reactive oxygen species during protein kinase CK2 downregulation-mediated senescence in human colon cancer and breast cancer cells. Biochem Biophys Res Commun. 2016;478(1):18–24. doi:10.1016/j.bbrc.2016.07.106
19. Hseu YC, Chou CW, Senthil Kumar KJ, et al. Ellagic acid protects human keratinocyte (HaCaT) cells against UVA-induced oxidative stress and apoptosis through the upregulation of the HO-1 and Nrf-2 antioxidant genes. Food Chem Toxicol. 2012;50(5):1245–1255. doi:10.1016/j.fct.2012.02.020
20. Silva-Pavez E, Villar P, Trigo C, et al. CK2 inhibition with silmitasertib promotes methuosis-like cell death associated to catastrophic massive vacuolization of colorectal cancer cells. Cell Death Dis. 2019;10(2):73. doi:10.1038/s41419-019-1306-x
21. Cai M, Xiao B, Wang Y, et al. Epstein-Barr virus envelope glycoprotein 110 inhibits NF-kappaB activation by interacting with NF-kappaB subunit p65. J Biol Chem. 2023;299(5):104613. doi:10.1016/j.jbc.2023.104613
22. Gu Y, Han J, Jiang C, Zhang Y. Biomarkers, oxidative stress and autophagy in skin aging. Ageing Res Rev. 2020;59:101036. doi:10.1016/j.arr.2020.101036
23. Wang B, Han J, Elisseeff JH, Demaria M. The senescence-associated secretory phenotype and its physiological and pathological implications. Nat Rev Mol Cell Biol. 2024;25(12):958–978. doi:10.1038/s41580-024-00727-x
24. Schaefer KN, Barton JK. DNA-mediated oxidation of p53. Biochemistry. 2014;53(21):3467–3475. doi:10.1021/bi5003184
25. Mitsufuji S, Iwagami Y, Kobayashi S, et al. Inhibition of clusterin represses proliferation by inducing cellular senescence in pancreatic cancer. Ann Surg Oncol. 2022;29(8):4937–4946. doi:10.1245/s10434-022-11668-0
26. Lee JJ, Ng SC, Hsu JY, et al. Galangin reverses H(2)O(2)-induced dermal fibroblast senescence via SIRT1-PGC-1alpha/Nrf2 signaling. Int J Mol Sci. 2022;23(3):1387. doi:10.3390/ijms23031387
27. Csekes E, Rackova L. Skin aging, cellular senescence and natural polyphenols. Int J Mol Sci. 2021;22(23). doi:10.3390/ijms222312641
28. Zhang Y, Kong R, Yang W, et al. DUSP2 recruits CSNK2A1 to suppress AKT1-mediated apoptosis resistance under hypoxic microenvironment in pancreatic cancer. Cancer Lett. 2023;568:216288. doi:10.1016/j.canlet.2023.216288
29. Homma MK, Nakato R, Niida A, et al. Cell cycle-dependent gene networks for cell proliferation activated by nuclear CK2alpha complexes. Life Sci Alliance. 2024;7(1):e202302077. doi:10.26508/lsa.202302077
30. Lee Y, Bae YS. Long non-coding RNA KCNQ1OT1 regulates protein kinase CK2 Via miR-760 in senescence and calorie restriction. Int J Mol Sci. 2022;23(3):1888. doi:10.3390/ijms23031888
31. Song J, Bae YS. CK2 down-regulation increases the expression of senescence-associated secretory phenotype factors through NF-kappaB activation. Int J Mol Sci. 2021;22(1):406. doi:10.3390/ijms22010406
32. Yuan H, Xu Y, Luo Y, Zhang JR, Zhu XX, Xiao JH. Ganoderic acid D prevents oxidative stress-induced senescence by targeting 14-3-3epsilon to activate CaM/CaMKII/NRF2 signaling pathway in mesenchymal stem cells. Aging Cell. 2022;21(9):e13686. doi:10.1111/acel.13686
33. Xu P, Lin B, Deng X, Huang K, Zhang Y, Wang N. VDR activation attenuates osteoblastic ferroptosis and senescence by stimulating the Nrf2/GPX4 pathway in age-related osteoporosis. Free Radic Biol Med. 2022;193(Pt 2):720–735. doi:10.1016/j.freeradbiomed.2022.11.013
34. Liu Q, Liang X, Liang M, Qin R, Qin F, Wang X. Ellagic acid ameliorates renal ischemic-reperfusion injury through NOX4/JAK/STAT signaling pathway. Inflammation. 2020;43(1):298–309. doi:10.1007/s10753-019-01120-z
35. Wang Q, Botchway BOA, Zhang Y, Liu X. Ellagic acid activates the Keap1-Nrf2-ARE signaling pathway in improving Parkinson’s disease: a review. Biomed Pharmacother. 2022;156:113848. doi:10.1016/j.biopha.2022.113848
36. Jang DE, Song J, Park JW, Yoon SH, Bae YS. Protein kinase CK2 activates Nrf2 via autophagic degradation of Keap1 and activation of AMPK in human cancer cells. BMB Rep. 2020;53(5):272–277. doi:10.5483/BMBRep.2020.53.5.044
37. Zhu X, Huang B, Zhao F, et al. p38-mediated FOXN3 phosphorylation modulates lung inflammation and injury through the NF-kappaB signaling pathway. Nucleic Acids Res. 2023;51(5):2195–2214. doi:10.1093/nar/gkad057
© 2025 The Author(s). This work is published and licensed by Dove Medical Press Limited. The
full terms of this license are available at https://www.dovepress.com/terms
and incorporate the Creative Commons Attribution
- Non Commercial (unported, 4.0) License.
By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted
without any further permission from Dove Medical Press Limited, provided the work is properly
attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
Recommended articles
Autophagy-Modulated Biomaterial: A Robust Weapon for Modulating the Wound Environment to Promote Skin Wound Healing
Zhang J, Li L, Yu J, Zhang F, Shi J, LI M, Liu J, Li H, Gao J, Wu Y
International Journal of Nanomedicine 2023, 18:2567-2588
Published Date: 15 May 2023
Novel Perspectives in Hepatic Ischemia-Reperfusion Injury: The cGAS-STING Pathway
Chen R, Yang T, Jiang Z, Long Y, Qian B, Fu W
Journal of Inflammation Research 2025, 18:16427-16448
Published Date: 24 November 2025
7-Hydroxyethyl Chrysin Alleviates High Altitude Pulmonary Edema via Activation of the PI3K/AKT Signaling Pathway
Wang G, Wang N, Xin Y, Ma H, Jing L
Drug Design, Development and Therapy 2025, 19:10847-10869
Published Date: 10 December 2025
Clinical Efficacy of Levocarnitine-Alprostadil Combination Therapy on Indicators of Renal Function, Oxidant-Antioxidant Balance, and Systemic Inflammation in Patients with End-Stage Diabetic Nephropathy
Cheng L, Wan S, Min Y, Tu C, Mao D, Wang Q, Fu S, Xiong F
Therapeutics and Clinical Risk Management 2026, 22:553649
Published Date: 3 February 2026
Evaluating Semaglutide’s Protection in H/R - Injured AC16 Cardiomyocytes: Oxidative Stress, Inflammation, Apoptosis, and Autophagy Insights
Li L, Jin L, Wang J
International Journal of General Medicine 2026, 19:564902
Published Date: 18 February 2026
