GUTH Stem Cell Exhaustion as a Hallmark of Aging, J. Cell Research and Regenerative Medicine

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This article reviews key findings and significant publications regarding stem cell exhaustion in the context of human aging. As individuals age, stem cells lose their capacity for division and differentiation, approaching the Hayflick limit, beyond which cellular division ceases due to telomere shortening and subsequent senescence or apoptosis. Accumulation of DNA damage from sources such as UV radiation and normal metabolic processes compromises stem cell function. Although the body possesses DNA repair mechanisms, their efficiency decreases with age. The stem cell niche provides crucial signals and support; its deterioration with age, potentially due to inflammation or other changes, can impede stem cell activity and differentiation. Stem cell exhaustion is further exacerbated by oxidative stress, as reactive oxygen species can disrupt stem cell integrity. Additionally, age-related changes in epigenetic markers can silence genes essential for stem cell self-renewal and pluripotency. Chronic inflammation, often termed “inflammaging,” creates a hostile environment for stem cells, impairing their function and survival. Another concern is the decreased ability to eliminate senescent cells, which can accumulate and create a toxic microenvironment, further jeopardizing neighboring stem cells. Ultimately, stem cell exhaustion in aging arises from intrinsic factors (telomere shortening, DNA damage, epigenetic modifications) and extrinsic factors (niche deterioration, oxidative stress, inflammation, senescent cell accumulation). This decline in functional stem cells hinders tissue repair, contributing to age-associated physical decline, characterized by slower wound healing and decreased immune response.

Stem cell exhaustion is the gradual loss of stem cell function and division capacity over time, serving as a major integrative hallmark of aging. [1, 2]

What is Stem Cell Exhaustion?

Reduced regenerative capacity: Stem cells stop dividing efficiently as we age, failing to supply fresh cells to tissues and organs.

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