Activated and senescent THP-1 monocytes induced cyto- and genotoxicity in HeLa cells. Altered monocytes provoked oxidative and nitrosative stress-induced DNA damage. DNA damage activated DDR pathways and lead to premature senescence and apoptosis. Klotho reduced ROS/RNS-mediated toxicity through insulin/IGF-IR pathway inhibition. Klotho protects HeLa cells from cyto- and genotoxicity induced by altered monocytes.