Understanding the aging process at the molecular level is key to designing novel approaches and interventions that delay aging-related features and prolong the longevity and functionality of cells and tissues. The definition and identification of the hallmarks of aging have been essential in establishing a scientific framework for the development of these interventions2,16. Among the recognized hallmarks of aging, altered intercellular communication constitutes a fundamental feature, characterized by compromised and dysfunctional signaling between cells that precipitates age-associated tissue degeneration. In aged skin, the accumulation of senescent cells promotes a proinflammatory microenvironment that alters the functional capacity of adjacent non-senescent cells, which, in turn, exacerbates tissue damage by diminishing cellular activity. This phenomenon culminates in reduced synthesis of extracellular matrix proteins and growth factors, along with increased levels of deleterious proteins such as matrix metalloproteinases, ultimately manifesting as visible signs of skin aging, including dull complexion, reduced firmness, and the emergence of wrinkles6,17,18.
Given the complexity of fully characterizing the cell secretome, a novel protocol is proposed to study the global paracrine effects of secreted factors from senescent dermal fibroblasts on healthy fibroblasts. First, senescence is induced in human dermal fibroblasts using UVB light, as UV damage is one of the primary drivers of skin photoaging13. Senescence induction is a critical step in this protocol, as cells must acquire the full senescence-associated secretory phenotype (SASP) to simulate the altered intercellular communication observed during aging. The senescent state is established after cells experience chronic, irreparable damage, leading to a permanent cessation of cell proliferation as a protective mechanism to prevent the propagation of damaged cells. The level of damage must be carefully modulated to induce senescence without causing excessive damage that could lead to cell death (apoptosis). As described in the protocol section, UVB energy must be optimized in advance to ensure proper senescence induction. In this protocol, two UVB irradiations separated by several days are sufficient to achieve this state, whereas a single high-dose exposure leads to apoptosis rather than senescence. The upregulation of CDKN2A (p16) and CDKN1A (p21) gene expression, along with positive beta-galactosidase staining, confirms the successful induction of the senescent phenotype.
Once cells are exposed to the senescence-induction protocol, markers are quantified to confirm its success. On one hand, UVB-irradiated fibroblasts exhibit an increase in H3K27me3 (Figure 4), which correlates with epigenetic alterations in damaged cells19,20. Previous research has shown that this epigenetic modification is involved in regulating cellular damage and repair processes in senescent cells. An increase in this marker correlates with repression of longevity-associated genes and the formation of senescence-associated heterochromatin foci, consequently representing a form of epigenetic drift associated with aging hallmarks21,22. Thus, it is currently employed as a marker of epigenetic aging alterations.
On the other hand, these fibroblasts also show upregulation of classical senescence markers, including senescence-associated beta-galactosidase staining and increased expression of CDKN2A (p16INK4a) and CDKN1A (p21WAF1/CIP1) (Figure 2)23. Interestingly, these cells also show upregulation of additional proinflammatory cytokines that contribute to photoaging and age-associated hyperpigmentation, including SCF and IL18 (Figure 3)7,8,9,10,11. Notably, these cytokines can stimulate melanogenesis in epidermal melanocytes, highlighting the utility of this model for screening compounds that modulate dermal influence on skin pigmentation in the context of photoaging7. These results confirm the successful induction of the senescent state. As shown in Figure 3 and Figure 4, the combination of compounds used in this protocol (vitamin C + idebenone) restores changes in H3K27me3 levels and SCF and IL18 gene expression, indicating the potential of this model to screen for compounds that regulate proinflammatory cytokine expression and epigenetic alterations in senescent fibroblasts. The effect of these antioxidants on classical senescence markers is not evaluated in the current protocol, but could be included as a complementary step.
The next step in the protocol involves transferring conditioned medium from senescent fibroblasts (which secrete factors) to healthy fibroblasts to characterize the effect of SASP on neighboring cells, reflecting the functional consequences of altered intercellular communication. This approach enables quantification of how fibroblast function markers, including extracellular matrix components, growth factors, and inflammatory cytokine gene expression, are affected by paracrine factors released from senescent cells. Nonetheless, the potential effect of residual compounds in the conditioned medium should not be underestimated, and thus, the observed results may be influenced by both paracrine factors produced by senescent cells and residual concentrations of compounds used during the treatment step. A critical aspect of this protocol is the transfer of conditioned medium from senescent to healthy cells on the same day. In contrast, other studies freeze conditioned medium and thaw it when healthy cells are not immediately available. Although secreted factors are expected to remain stable when frozen at −80 °C, this has not been validated in the present model; therefore, the potential impact of freeze–thaw cycles remains to be determined.
As expected, exposure of healthy fibroblasts to conditioned medium from senescent fibroblasts alters the expression of extracellular matrix components, growth factors, and inflammatory cytokines (Table 2). Notably, treatment with vitamin C plus idebenone reverses these changes, demonstrating that the model effectively represents altered intercellular communication in aged cells and supporting the potential of this combination as a promising approach for dermatological and medical aesthetic applications aimed at mitigating aging features and promoting skin cell longevity.
Regarding alternative approaches, previous studies have employed antibody-based techniques such as ELISA, Western blot, or Luminex24,25,26. These methods are useful for identifying and characterizing specific proteins within the SASP; however, they do not capture the effects of the complex mixture of proteins and factors present in the secretome. In contrast, the use of conditioned medium from senescent cells—containing a diverse array of secreted biological molecules—provides a more comprehensive approach to evaluating altered intercellular communication in vitro. Previous studies have used conditioned medium transfer to assess the effects of secreted factors under defined conditions27,28, including its impact on other cell types such as stem cells or keratinocytes29,30. In this protocol, a method is proposed to characterize the paracrine effects of senescent dermal fibroblasts on neighboring healthy fibroblasts, identifying a specific gene expression signature involving extracellular matrix, growth factor, and inflammatory pathways. This approach represents a valuable in vitro tool to model altered intercellular communication associated with aging.
Limitations
A primary limitation of the present study lies in the lack of identification of the specific mechanisms or proteins responsible for the observed alterations. In the absence of proteomic techniques, this protocol evaluates the global effect of the SASP without addressing the specific contribution of cytokines, growth factors, or other proteins secreted by senescent fibroblasts.
A further limitation concerns the origin of the conditioned medium, which is obtained from cells previously treated with the tested compounds. As a result, residual amounts of these compounds may remain after treatment of healthy fibroblasts. Thus, the observed effects on healthy fibroblasts may be attributable not only to secreted factors from senescent cells but also to residual compounds initially supplied during the treatment of senescent cells. To address this issue, an improved experimental design could involve treating senescent cells with the compounds for 48 h, followed by replacement with fresh cell culture medium and an additional 24 h incubation, after which the medium is harvested and transferred to healthy fibroblasts.
Another relevant consideration is the potential influence of cell number on the observed outcomes. Although a defined number of cells is initially seeded, the treatment may alter the final cell count and, consequently, affect the observed results in healthy fibroblasts. Therefore, harvested cells could be counted, allowing the volume of conditioned medium to be adjusted before transfer. In addition, the current protocol focuses on evaluating the impact of compounds on proinflammatory cytokines in senescent fibroblasts, but does not address their effects on classical senescence markers such as p16, p21, or beta-galactosidase staining.
Finally, it should be noted that conditioned medium derived from cultured senescent fibroblasts may not fully recapitulate the complexity of in vivo skin aging or systemic inflammatory signaling processes.
Troubleshooting
Following UVB irradiation, fibroblasts may show unaltered levels of H3K27me3, SCF, and IL18 gene expression compared to control cells, indicating that senescence has not been successfully induced; in this case, the UVB dose should be checked and adjusted. Conversely, if cells exhibit a high level of apoptosis, reflected by a significant reduction in viable cell number, this suggests that excessive damage has been produced, and the UVB energy should be reduced.
Possible optional modifications of the protocol
Possible optional modifications of the protocol (not validated within the current study) include expanding the biomarker readout to evaluate additional markers in both senescent and healthy fibroblasts, particularly those involved in pathways not considered here, such as mitochondrial function or metabolism. Furthermore, the senescent state may be induced using alternative stimuli, including replicative senescence achieved through repeated passaging until proliferation ceases. In addition, conditioned medium from senescent fibroblasts may be applied to other skin cell types, such as keratinocytes or melanocytes, to investigate additional biological processes, including pigmentation, epidermal regeneration, or barrier function.
Conclusion
In conclusion, this protocol demonstrates the utility of the method as a screening tool for identifying novel active ingredients or interventions that regulate altered intercellular communication in the dermis, a key molecular hallmark of aging. This research provides a model that represents the influence of senescent fibroblasts on healthy fibroblasts in the context of skin photoaging, enabling the study and evaluation of both senescent and non-senescent cellular states. As a positive control, the proposed protocol highlights the potential of a vitamin C and idebenone combination as an effective antioxidant cocktail with regenerative and reparative properties in aged human dermis.