Rochester, Minnesota




The major research focus of Joshua N. Farr, Ph.D., is the role of cellular aging (senescence) in age-related bone loss. Cellular senescence, a state of irreversible cell cycle arrest that limits the ability of cells to divide, is a common hallmark of aged tissues. Senescent cells accumulate in bone with aging and cause age-related bone loss through the factors they secrete.

Focus areas

  • Senescent cells in bone with aging. Dr. Farr and colleagues were the first to demonstrate, using pre-clinical models and supportive human data, an accumulation of senescent cells in the bone microenvironment with aging. From young versus old mouse and human bone samples, Dr. Farr isolated various cell populations from the bone microenvironment (such as B cells, T cells, myeloid cells, osteoprogenitors, osteoblasts and osteocytes), and demonstrated that a subset of cells within each of these lineages become senescent with aging, although senescent osteocytes and senescent myeloid cells were found to be the predominant culprits that produce a pro-inflammatory environment.

    In further studies, Dr. Farr and colleagues demonstrated that the pro-inflammatory secretome of senescent cells leads to increased bone resorption and decreased bone formation that occurs during natural aging, and approaches that either eliminate senescent cells or impair the production of their pro-inflammatory secretome prevented age-related bone loss in mice.

Significance to patient care

Because cellular senescence is a natural phenomenon that occurs in multiple aged tissues, targeting this fundamental aging mechanism may not only represent a novel treatment strategy for osteoporosis, but also for multiple age-related comorbidities. Therefore, the ultimate goal of Dr. Farr's work is to develop a pipeline of therapeutic strategies that target senescent cells to delay, prevent, alleviate or partially reverse age-associated diseases as a group, including osteoporosis.

Professional highlights

  • Recipient, Most Outstanding Translational Abstract Award, American Society for Bone and Mineral Research, 2017
  • Recipient, Richard F. Emslander Career Development Award in Endocrinology, Mayo Clinic, 2016
  • Recipient, Young Investigator Award, American Society for Bone and Mineral Research, 2012


Primary Appointment

  1. Associate Consultant II, Division of Endocrinology, Diabetes, Metabolism, Nutrition, Department of Internal Medicine

Administrative Appointment

  1. Associate Consultant II-Research, Department of Physiology & Biomedical Engineering
  2. Associate Consultant II-Research, Section of Geriatric Medicine and Gerontology, Department of Internal Medicine

Academic Rank

  1. Assistant Professor of Medicine


  1. Postdoctoral Research Fellowship - Endocrinology Mayo Clinic
  2. PhD - Physiology University of Arizona
  3. MS - Physiology University of Arizona
  4. BS - Physiology University of Arizona

Clinical Studies

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