Arrhythmias & electrophysiologyMechanistic study

Senolytic reduction of senescent cells mitigates atrial arrhythmia vulnerability in aging rabbits

Heart RhythmPublished

  • Experimental animal study with human atrial specimens

Authors' conclusion

Senescent atrial cells promote a proinflammatory, proarrhythmic substrate predisposing to AF. Senolytic therapy with fisetin alleviates this phenotype, suggesting a potential strategy to prevent age-related AF.

Study context

Population
Young and aged New Zealand White rabbits; human atrial specimens from patients with and without atrial fibrillation (AF)
Comparison
Aged vs young rabbits; fisetin treatment in aged rabbits

Main finding

As reported in the abstract

Atrial electrophysiology in aged rabbits
  • Aged rabbits displayed electrophysiological heterogeneity, prolonged action potentials, and increased AF inducibility

Further findings

Senescent atrial cells

Atrial tissue from aged rabbits and patients with AF showed an increase in senescent myocytes and myofibroblasts with upregulation of inflammatory senescence-associated secretory phenotype (SASP) genes

SASP factor expression and left atrial diameter (human)

SASP factor expression correlated with left atrial diameter in human samples

Effect of short-term fisetin

Eliminated most senescent atrial cells, reduced inducible AF, and decreased reentry activity without impairing atrial function

Original publication

Senolytic reduction of senescent cells mitigates atrial arrhythmia vulnerability in aging rabbits. Heart Rhythm. Published 7 January 2026. doi:10.1016/j.hrthm.2026.01.007

Summarised from the published abstract; every number is checked against it