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The aging male: impact of aging on male reproduction. 老龄化男性:老龄化对男性生殖的影响。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-31 DOI: 10.1007/s10522-025-10343-7
R E Akhigbe, P A Oyedokun, A E Adeogun, O O Ogunleye, C A Adegbola, T M Akhigbe

Aging is a complex process that includes chronological aging and cellular aging. Although chronological aging is irreversible, cellular aging, which is reversible, is closely associated with chronological aging. Understanding the complexity of the impact and mechanisms of aging on the male reproductive function is crucial in maintaining male fertility. This study reviews the effects and mechanisms associated with aging in males on male reproductive health. It also provides potential therapeutic strategies for alleviating the reproductive consequences of aging in males. Evidence from the literature revealed that aging suppresses testicular steroidogenesis and circulating testosterone, lowers spermatogenesis and sperm quality, and induces erectile dysfunction. These adverse events are mediated by mitochondrial dysfunction and reduced ATP production, oxidative stress, inflammation, apoptosis, and DNA damage. More so, telomere shortening, cellular senescence, and epigenetic modification play crucial roles. Modulation of these processes with antioxidants such as vitamin C, vitamin E, CoQ10, and zinc attenuates cellular aging and promotes male reproductive health.

衰老是一个复杂的过程,包括时间衰老和细胞衰老。虽然时间衰老是不可逆的,但细胞衰老是可逆的,与时间衰老密切相关。了解衰老对男性生殖功能影响的复杂性及其机制对维持男性生育能力至关重要。本文综述了男性衰老对男性生殖健康的影响及其机制。它还为减轻男性衰老的生殖后果提供了潜在的治疗策略。文献证据显示,衰老抑制睾丸甾体生成和循环睾酮,降低精子发生和精子质量,诱发勃起功能障碍。这些不良事件是由线粒体功能障碍、ATP生成减少、氧化应激、炎症、细胞凋亡和DNA损伤介导的。更重要的是,端粒缩短、细胞衰老和表观遗传修饰起着至关重要的作用。用抗氧化剂如维生素C、维生素E、辅酶q10和锌来调节这些过程,可以减缓细胞衰老,促进男性生殖健康。
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引用次数: 0
Exercise attenuates inflammaging and testosterone decline in aged and morphine-treated rats: a role for NF-κB signaling. 运动减轻衰老大鼠和吗啡治疗大鼠的炎症和睾酮下降:NF-κB信号的作用。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-30 DOI: 10.1007/s10522-025-10342-8
Saeedeh Shojaeepour, Mohammad Amin Rajizadeh, Saeedeh Ahmadinejad, Shahriar Dabiri, Atena Alifarsangi

Aging reduces testicular function by lowering sperm quality and testosterone, worsened by diseases. Morphine addiction harms male reproduction by disrupting hormonal balance and increasing testicular oxidative stress and inflammation. Regular physical exercise can help counteract these effects by boosting antioxidants and supporting sperm production. This study explores how exercise mitigates inflammaging and testosterone decline by modulating the NF-κB signaling pathway in aged male rats with morphine addiction. A total of 56 male Wistar rats were divided into eight groups, with four groups for each age category (young and old). The experimental groups were as follows: 1) Control, 2) Trained, 3) Addicted, and 4) Trained + Addicted. Rats in the addicted groups received morphine treatment for 28 days, while the trained groups underwent treadmill exercise sessions for 4 weeks. The gene expression levels of NF-κB and Nrf2 in testis tissue were quantified using RT-PCR. Additionally, the concentrations of the cytokines TNF-α and IL-10 were measured in testis tissue by ELISA. Furthermore, the levels of MDA, TAC, and testosterone were assessed using specific assay kits. Our results demonstrated that morphine exposure in both young and old rats significantly decreased IL-10, TAC, and testosterone levels, while it increased TNF-α, MDA, and NF-κB gene expression. Exercise in both young and old groups resulted in a reduction of NF-κB gene expression, as well as decreased levels of TNF-α and MDA. Additionally, exercise increased testosterone, interleukin-10, and total antioxidant capacity in both serum and testicular tissue. Our results demonstrated that exercise mitigates testicular impairments following morphine exposure in young and old rats via reducing inflammation and oxidative stress while increasing testosterone levels and modulating NF-κB expression.

衰老会通过降低精子质量和睾丸激素来降低睾丸功能,并因疾病而恶化。吗啡成瘾会破坏荷尔蒙平衡,增加睾丸氧化应激和炎症,从而损害男性生殖。定期的体育锻炼可以通过增加抗氧化剂和促进精子的产生来帮助抵消这些影响。本研究探讨了运动如何通过调节NF-κB信号通路减轻吗啡成瘾老年雄性大鼠的炎症和睾酮下降。将56只雄性Wistar大鼠分为8组,每个年龄组(年轻组和老年组)设4组。实验组分为:1)对照组,2)训练组,3)成瘾组,4)训练+成瘾组。成瘾组大鼠接受吗啡治疗28天,而训练组进行跑步机锻炼4周。RT-PCR法检测睾丸组织中NF-κB和Nrf2基因表达水平。采用ELISA法检测大鼠睾丸组织中细胞因子TNF-α和IL-10的浓度。此外,使用特定的检测试剂盒评估MDA、TAC和睾酮水平。我们的研究结果表明,吗啡暴露在年轻和老年大鼠显著降低IL-10, TAC和睾酮水平,同时增加TNF-α, MDA和NF-κB基因表达。年轻组和老年组的运动均导致NF-κB基因表达降低,TNF-α和MDA水平降低。此外,运动增加了血清和睾丸组织中的睾酮、白细胞介素-10和总抗氧化能力。我们的研究结果表明,运动通过减少炎症和氧化应激,同时增加睾丸激素水平和调节NF-κB表达,减轻了吗啡暴露后年轻和年老大鼠睾丸损伤。
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引用次数: 0
FOXO3a upregulates DNA repair activities by transcriptional activation of target genes and provides the resistance to gamma radiation and the extension of lifespan in mouse. FOXO3a通过靶基因的转录激活上调DNA修复活性,并在小鼠中提供抗γ辐射和延长寿命的功能。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-28 DOI: 10.1007/s10522-025-10341-9
Gozde Inci, Madhuri Shende Warkad, Beom-Goo Kang, Sung-Ok Kim, Na-Kyung Lee, Jee-In Heo, Seong-Hoon Park, Jeong-Hyun Kim, Hong-Jun Kang, Chae-Ha Kim, Byung-Hak Kim, Sang-Jae Park, Jun Gyo Suh, Sung-Chan Kim, Soon Sung Lim, Jae-Yong Lee

To verify whether DNA repair is regulated by FOXO3a, a tet-on flag-h-FOXO3a transgenic mice were used. RT-q-PCR and western blot analysis showed that the mRNA and protein levels of flag-h-FOXO3a, XRCC4, XPC, APE1 and MSH2 increased dose dependently by doxycycline. DNA repair activities like non-homologous end joining (NHEJ), nucleotide excision repair (NER), base excision repair (BER), mismatch repair (MMR) also increased in a doxycycline dose dependent manner. MEF (mouse embryonic fibroblast) cells of the transgenic mouse were transfected with human XRCC4/XPC/APE1/MSH2 promoter-pGL3 basic vectors. Promoter assay and ChIP (chromatin immunoprecipitation) assay showed increased promoter activity and interactions of FOXO3a to FOXO consensus sites. The results indicate that XRCC4, XPC, APE1, and MSH2 are transcriptional target genes of FOXO3a and activities of NHEJ, NER, BER and MMR are regulated probably via transcriptional activation of XRCC4, XPC, APE1 and MSH2 by FOXO3a. FOXO3a overexpression in MEF cells and tet-on flag-h-FOXO3a transgenic mouse exhibited high resistance to gamma radiation. Small intestine showed less damage and apoptosis in doxycycline-treated mice. The median and maximum lifespan of the doxycycline-treated transgenic mice increased by about 30%. The results suggest that FOXO3a overexpression provide protection against gamma radiation and lifespan extension possibly via activation of DNA repair.

为了验证DNA修复是否受FOXO3a的调控,我们使用了一只带有flag-h-FOXO3a基因的转基因小鼠。RT-q-PCR和western blot分析显示,多西环素使flag-h-FOXO3a、XRCC4、XPC、APE1和MSH2 mRNA和蛋白水平呈剂量依赖性升高。DNA修复活性如非同源末端连接(NHEJ)、核苷酸切除修复(NER)、碱基切除修复(BER)、错配修复(MMR)也以强力霉素剂量依赖性的方式增加。用人XRCC4/XPC/APE1/MSH2启动子- pgl3基本载体转染转基因小鼠胚胎成纤维细胞(MEF)。启动子分析和ChIP(染色质免疫沉淀)分析显示,启动子活性和FOXO3a与FOXO一致位点的相互作用增加。结果表明,XRCC4、XPC、APE1和MSH2是FOXO3a的转录靶基因,NHEJ、NER、BER和MMR的活性可能是通过FOXO3a对XRCC4、XPC、APE1和MSH2的转录激活来调控的。FOXO3a在MEF细胞和flag-h-FOXO3a转基因小鼠中的过表达表现出对γ辐射的高抗性。多西环素处理小鼠小肠损伤和凋亡减少。多西环素处理的转基因小鼠的中位和最长寿命增加了约30%。结果表明,FOXO3a过表达可能通过激活DNA修复提供抗γ辐射和延长寿命的保护。
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引用次数: 0
Fins as a reliable surrogate tissue for age-related changes of telomeres and DNA methylation in gonads of a short-lived fish. 短寿鱼类性腺端粒和DNA甲基化随年龄变化的可靠替代组织鳍。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-24 DOI: 10.1007/s10522-025-10338-4
Milan Vrtílek, Anna Kromerová, Malahat Dianat, Miloslava Fojtová, Dagmar Čížková, Jiří Fajkus

Senescence is a multifactorial and individualised process of age-related physiological decline. Cellular markers, such as telomere length and DNA methylation, can reveal subtle changes associated with chronological age or expected lifespan. In this study, we evaluated the utility of fin tissue as a surrogate for assessing telomere length and proportion of DNA methylation in the gonads of a small, short-lived laboratory fish, the turquoise killifish (Nothobranchius furzeri). We collected fin and gonadal tissues from both females and males at three different ages. We extracted DNA to measure telomere length via terminal restriction fragment (TRF) analysis and global DNA methylation levels using double-digest restriction-associated DNA sequencing (ddRADseq). Our results show a notable correspondence between telomere length and DNA methylation patterns in fin and gonadal tissues. These findings support the use of fin biopsies as a non-lethal method for assessing ageing biomarkers in the gonads of small freshwater fish.

衰老是一个与年龄相关的生理衰退的多因素和个体化过程。细胞标志物,如端粒长度和DNA甲基化,可以揭示与实际年龄或预期寿命相关的细微变化。在这项研究中,我们评估了鳍组织作为一种小型、短寿实验鱼——绿松石鳉(Nothobranchius furzeri)生殖腺端粒长度和DNA甲基化比例的替代物的效用。我们收集了三个不同年龄的雌性和雄性的鳍和性腺组织。我们提取DNA,通过末端限制性内切片段(TRF)分析测量端粒长度,并使用双消化限制性内切相关DNA测序(ddRADseq)测量全球DNA甲基化水平。我们的研究结果显示端粒长度与鳍和性腺组织DNA甲基化模式之间存在显著的对应关系。这些发现支持使用鳍活组织检查作为一种非致死方法来评估小型淡水鱼性腺中老化的生物标志物。
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引用次数: 0
Obstructive sleep apnea and aging of the cardiovascular system: a multidimensional analysis of the mechanisms involved. 阻塞性睡眠呼吸暂停和心血管系统老化:涉及机制的多维分析。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-21 DOI: 10.1007/s10522-025-10337-5
Xiaolin Hao, Yan Li, Xiaoling Gao

Emerging evidence has revealed a strong association between obstructive sleep apnea (OSA) and aging. Considering the critical role of the cardiovascular system, this review explores the key mechanisms linking OSA to cardiovascular aging through a focus on chronic intermittent hypoxia (CIH) -induced oxidative stress and chronic inflammation. Specifically, we examine six key pathways: (1) cellular senescence, (2) mitochondrial dysfunction, (3) metabolic dysregulation, (4) telomere attrition, (5) impaired intercellular communication, and (6) adipose tissue senescence. These insights provide a foundation for identifying novel interventions and therapeutic targets to mitigate or even reverse cardiovascular aging.

越来越多的证据表明,阻塞性睡眠呼吸暂停(OSA)与衰老之间存在密切联系。考虑到心血管系统的关键作用,本文通过关注慢性间歇性缺氧(CIH)诱导的氧化应激和慢性炎症,探讨OSA与心血管衰老的关键机制。具体来说,我们研究了六个关键途径:(1)细胞衰老,(2)线粒体功能障碍,(3)代谢失调,(4)端粒磨损,(5)细胞间通讯受损,(6)脂肪组织衰老。这些见解为确定新的干预措施和治疗靶点以减轻甚至逆转心血管衰老提供了基础。
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引用次数: 0
Empagliflozin slows down natural kidney senescence via Six1/Wnt4/NF-κB pathway. 恩格列净通过Six1/Wnt4/NF-κB途径延缓自然肾衰老。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-18 DOI: 10.1007/s10522-025-10328-6
Jie Chen, Ronghua Fang, Qixuan Huang, Binghan Zhang, Ziyu Ren, Xingrong Tan, Dongfang Liu

Age-related renal impairment often occurs insidiously and has become an important cause of chronic renal failure, especially when individuals with other chronic diseases. However, there is lack of effective treatments. Research on diabetic patients has revealed that empagliflozin (EMPA), one of sodium-glucose cotransporter 2 (SGLT-2) inhibitors, exhibits a distinct protective effect on aging kidneys. EMPA has been shown to improve renal fibrosis and ameliorate inflammatory cytokines, including IL-1 and IL-8, which are closely associated with the aging process in db/db mouse models. As a result, we assessed markers indicative of kidney senescence P16 and senescence-associated β-galactosidase (SA-β-gal) in the renal tissue of male C57 mice undergoing natural aging, following treatment with EMPA. Our findings showed that in Old-EMPA group, the expression of P16 and SA-β-gal were downregulated compared to Old-vehicle group, while these markers were expressed lower in Young group. RNA sequencing analysis indicated that our findings correlated with increased expressions of Six1 and Wnt4 in the kidney. Protein-protein interaction (PPI) analysis confirmed an interaction between Six1 and Wnt4. After treatment with EMPA, the expression of Six1 and Wnt4 was observed to increase in both aging Primary renal tubular epithelial cells (PRTECs) and HK-2 cells, whereas the expression of NF-κB and its downstream effectors IL-1β and TNF-α decreased, leading to an improvement in aging-related changes.

年龄相关性肾功能损害往往是隐性发生的,已成为慢性肾功能衰竭的重要原因,特别是当个体患有其他慢性疾病时。然而,缺乏有效的治疗方法。对糖尿病患者的研究表明,钠-葡萄糖共转运蛋白2 (SGLT-2)抑制剂之一的恩帕列净(EMPA)对衰老肾脏具有明显的保护作用。在db/db小鼠模型中,EMPA已被证明可以改善肾纤维化和改善炎性细胞因子,包括IL-1和IL-8,这两种细胞因子与衰老过程密切相关。因此,我们评估了经EMPA处理后自然衰老的雄性C57小鼠肾组织中显示肾脏衰老的标志物P16和衰老相关的β-半乳糖苷酶(SA-β-gal)。我们的研究结果表明,与Old-vehicle组相比,Old-EMPA组P16和SA-β-gal的表达下调,而Young组这些标志物的表达较低。RNA测序分析表明,我们的发现与肾脏中Six1和Wnt4表达增加有关。蛋白质-蛋白质相互作用(PPI)分析证实了Six1与Wnt4之间的相互作用。经EMPA处理后,Six1和Wnt4在衰老的原发性肾小管上皮细胞(PRTECs)和HK-2细胞中的表达均升高,而NF-κB及其下游效应物IL-1β和TNF-α的表达降低,导致衰老相关变化的改善。
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引用次数: 0
Genetically predicted causal links between gut microbiota and biological aging phenotypes in age-related macular degeneration. 在年龄相关性黄斑变性中,肠道微生物群和生物老化表型之间的遗传预测因果关系。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-13 DOI: 10.1007/s10522-025-10329-5
Yifan Zhou, Zhenyu Wang, Chen Huang, Xiaotong Yu, Xueyao Cai, Di Zhao, Yuchen Cai

Current knowledge regarding the role of gut microbiota (GM) dysbiosis and biological aging in the pathogenesis of age-related macular degeneration (AMD) remains limited. This study aims to explore the causal relationships among these factors in AMD development. Utilizing two-sample bidirectional mendelian randomization (MR), we analyzed genome-wide association study (GWAS) data from 105,248 individuals, including 14,034 early AMD cases, to assess causality between AMD, GM taxa, and biological aging phenotypes such as epigenetic clocks, telomere length, mitochondrial DNA copy number, immune cell traits, and inflammatory proteins. Multivariable MR (MVMR) was employed to evaluate mediation pathways, complemented by sensitivity analyses to ensure robustness. We identified 8 causal GM taxa (including one phylum, one class, one order, one family, and four species) along with 8 GM functional pathways. Additionally, 78 immune cell traits, 3 circulating inflammatory proteins, and DNA methylation PhenoAge acceleration were identified as causal biological aging phenotypes linked to AMD. Mediation analysis revealed three pathways connecting GM functional pathways, immune cell traits, and AMD. Reverse MR analysis highlighted the modifying effects of AMD on GM and other aging phenotypes. This study represents a pioneering effort to identify causal GM taxa associated with the onset of AMD and to unravel potential mechanisms from the perspective of biological aging, providing genetic insights into the connections among gut microbiota, immune cell traits, and AMD.

目前关于肠道微生物群(GM)生态失调和生物老化在年龄相关性黄斑变性(AMD)发病机制中的作用的知识仍然有限。本研究旨在探讨这些因素在AMD发展中的因果关系。利用双样本双向孟德尔随机化(MR),我们分析了105248例个体的全基因组关联研究(GWAS)数据,其中包括14034例早期AMD病例,以评估AMD、GM分类群和生物衰老表型(如表观遗传时钟、端粒长度、线粒体DNA拷贝数、免疫细胞性状和炎症蛋白)之间的因果关系。采用多变量磁共振(MVMR)来评估中介途径,并辅以敏感性分析以确保稳健性。我们确定了8个因果转基因分类群(包括1门、1纲、1目、1科和4种)和8条转基因功能通路。此外,78种免疫细胞特征、3种循环炎症蛋白和DNA甲基化表型加速被确定为与AMD相关的因果生物衰老表型。中介分析揭示了连接转基因功能途径、免疫细胞特性和AMD的三条途径。反向MR分析强调了AMD对GM和其他衰老表型的修饰作用。这项研究代表了一项开创性的努力,以确定与AMD发病相关的因果转基因分类群,并从生物衰老的角度揭示潜在的机制,为肠道微生物群、免疫细胞特性和AMD之间的联系提供遗传学见解。
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引用次数: 0
POLR3A mutations cause nucleolus abnormalities and aberrant telomerase RNA metabolism in induced pluripotent stem cells from Wiedemann-Rautenstrauch premature aging syndrome patient. POLR3A突变导致Wiedemann-Rautenstrauch早衰综合征诱导多能干细胞核仁异常和端粒酶RNA代谢异常。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-13 DOI: 10.1007/s10522-025-10333-9
Evgeniya A Orlova, Vepa K Abdyev, Valeriya Morgunova, Anna A Schukina, Anastasiia L Kungurtseva, Peter A Vasiluev, Vyacheslav Y Tabakov, Ekaterina O Vorontsova, Elena V Zinina, Marina Izvolskaia, Marina E Minzhenkova, Alisa V Vitebskaya, Alla Kalmykova

Induced pluripotent stem cells (iPSCs) derived from patients with premature aging disorders are widely regarded as a foundation for both the study of fundamental aging mechanisms and preclinical testing of anti-aging therapies. The most well-studied is Hutchinson-Gilford progeria syndrome (HGPS), which is caused by a lamin A gene mutation. Comparing the progeroid phenotype in cell models of distinct premature aging syndromes is critical for identifying early and common aging hallmarks. In this study, using a non-integrative episomal approach we reprogrammed iPSCs from cells of a patient suffering from Wiedemann-Rautenstrauch Syndrome (WRS), which is caused by bi-allelic pathogenic mutations of the RNA polymerase III subunit A gene (POLR3A). In parallel, an iPSC line with the classic HGPS caused by a lamin A mutation was obtained. HGPS and WRS patient fibroblasts showed similar signs of cellular aging; however, unlike HGPS, the causal link between the premature aging phenotype and WRS driving mutations is unclear. RNA polymerase III is required for the transcription of small nuclear RNAs and being a target of TORC1 (Target of Rapamycin kinase Complex 1), it plays a role in longevity and aging in model organisms. Whereas lamin A is downregulated in iPSCs, allowing for regeneration of HGPS iPSCs, we found that POLR3A is upregulated during reprogramming. Enhanced expression of mutant POLR3A in WRS iPSCs led to nucleolus abnormalities and telomerase RNA component (TERC) sequestration in the nucleoli in WRS iPSCs. WRS iPSCs may be an important model for developing new therapeutic approaches affecting premature aging of stem cells.

来自早衰患者的诱导多能干细胞(iPSCs)被广泛认为是研究基本衰老机制和抗衰老疗法临床前试验的基础。研究最充分的是哈钦森-吉尔福德早衰综合征(HGPS),这是由层粘连蛋白a基因突变引起的。比较不同早衰综合征的细胞模型中的类早衰表型对于识别早期和常见的衰老特征至关重要。在这项研究中,我们使用非整合的episomal方法,从患有Wiedemann-Rautenstrauch综合征(WRS)的患者的细胞中重新编程iPSCs, WRS是由RNA聚合酶III亚基a基因(POLR3A)的双等位基因致病性突变引起的。同时,获得了一个由层粘连蛋白a突变引起的典型HGPS的iPSC系。HGPS和WRS患者成纤维细胞表现出相似的细胞衰老迹象;然而,与HGPS不同的是,早衰表型与WRS驱动突变之间的因果关系尚不清楚。RNA聚合酶III是小核RNA转录所必需的,是TORC1 (target of Rapamycin kinase Complex 1)的靶标,在模式生物的长寿和衰老中发挥作用。我们发现,在重编程过程中,POLR3A被上调,而在多能干细胞中,层粘胶蛋白A被下调,从而允许HGPS多能干细胞再生。突变体POLR3A在WRS iPSCs中的表达增强导致WRS iPSCs核仁异常和核仁端粒酶RNA组分(TERC)的隔离。WRS iPSCs可能是开发影响干细胞早衰的新治疗方法的重要模型。
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引用次数: 0
Therapeutic extracellular vesicles as a cornerstone of medicine in the next decade with gerontological focus. 治疗性细胞外囊泡将成为未来十年老年医学的基石。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-10 DOI: 10.1007/s10522-025-10332-w
Alexander Yu Pulver, Roman E Tokmachev, Natalie A Pulver, Lyubov N Antakova, Mariia A Emelianova

Extracellular vesicles present a promising alternative to stem cells in regenerative medicine and gerontology. They offer significant advantages over cell transplantation, demonstrating potential for slowing aging and treating age-related diseases. Extracellular vesicles secreted by diverse cell types modulate inflammation, stimulate tissue regeneration, and exhibit anti-inflammatory and immunomodulatory properties. This work explores the therapeutic potential of extracellular vesicles as alternatives to cell therapy, examining their key advantages and current limitations. It specifically focuses on their roles within established aging mechanisms and their dual utility as biomarkers and therapeutic agents. Critical aspects of extracellular vesicle translation are addressed, including standardized methods for production, storage stability optimization, and engineering strategies for cargo loading and targeting. Extracellular vesicles possess unique biological properties-inherent biocompatibility, low immunogenicity, ability to cross biological barriers, and high biological activity at low doses. Preclinical studies across various age-related pathologies (neurodegeneration, cardiovascular disease, sarcopenia) consistently report efficacy in reducing inflammation, promoting tissue repair, and improving functional outcomes. These findings strongly support the capacity of extracellular vesicles to mimic many therapeutic effects of parental cells while mitigating risks like tumorigenicity or immunorejection associated with whole-cell therapies. Overcoming challenges in scalable manufacturing, quality control, regulatory standardization, and targeted delivery is essential for the clinical translation of extracellular vesicles. Despite these hurdles, their compelling preclinical evidence and inherent advantages position them as a major future direction. They are expected to play a key role in combating age-related decline and advancing regenerative medicine, becoming a cornerstone of next-generation biomedical interventions over the next decade.

细胞外囊泡在再生医学和老年医学中是干细胞的一个很有前途的替代品。与细胞移植相比,它们具有显著的优势,显示出延缓衰老和治疗与年龄有关的疾病的潜力。不同细胞类型分泌的细胞外囊泡调节炎症,刺激组织再生,并表现出抗炎和免疫调节特性。这项工作探讨了细胞外囊泡作为细胞治疗的替代品的治疗潜力,检查了它们的主要优势和当前的局限性。它特别关注它们在既定衰老机制中的作用,以及它们作为生物标志物和治疗剂的双重效用。讨论了细胞外囊泡翻译的关键方面,包括生产的标准化方法,存储稳定性优化以及货物装载和靶向的工程策略。细胞外囊泡具有独特的生物学特性——固有的生物相容性、低免疫原性、跨越生物屏障的能力以及低剂量下的高生物活性。针对各种年龄相关病理(神经退行性疾病、心血管疾病、肌肉减少症)的临床前研究一致报告了减少炎症、促进组织修复和改善功能结果的疗效。这些发现有力地支持了细胞外囊泡模仿亲代细胞的许多治疗效果的能力,同时减轻了与全细胞治疗相关的致瘤性或免疫排斥等风险。克服可扩展制造、质量控制、监管标准化和靶向递送方面的挑战对于细胞外囊泡的临床翻译至关重要。尽管存在这些障碍,但它们令人信服的临床前证据和固有优势使其成为未来的主要方向。它们有望在对抗与年龄相关的衰退和推进再生医学方面发挥关键作用,成为未来十年下一代生物医学干预的基石。
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引用次数: 0
12-ethoxy-Marchantin A, a new macrocyclic bis-bibenzyl from Marchantia polymorpha L., exerts anti-aging activity through activating MAPKs-dependent Nrf2/HO-1 signaling pathways. 12-乙氧基marchantin A是一种新的大环双联苯化合物,通过激活mapks依赖的Nrf2/HO-1信号通路发挥抗衰老作用。
IF 4.1 4区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2025-10-08 DOI: 10.1007/s10522-025-10335-7
Bingjian Wu, Ge Ge, Jiaxin Xu, Yi Xing, Kun Hu, Jie Ren, Jia Yang

Phytochemicals represent emerging anti-aging therapeutic candidates, with Marchantia polymorpha L. (liverwort) gaining significant attention due to its broad-spectrum pharmacological properties. This plant exhibits remarkable wound-healing and regenerative capabilities, making it a promising candidate for the development of modern anti-aging drugs. In the presented study, 12-ethoxy-Marchantin A (EMA), a new macrocyclic bis-bibenzyl compound, was isolated and identified from M. polymorpha. Using a Lipopolysaccharide (LPS)-induced mouse macrophage RAW264.7 macrophage model, a Caenorhabditis elegans (C. elegans) aging model, and network pharmacology analysis, we systematically investigated the pharmacological mechanisms underlying its anti-aging effects. Our results demonstrated that EMA significantly reduced inflammatory cytokines and nitric oxide (NO) in LPS-stimulated RAW264.7 cells via the nuclear factor erythroid 2-related factor 2 (Nrf2) / heme oxygenase (HO-1) pathway. Mechanistically, EMA triggered a reactive oxygen species (ROS)-mediated mitogen-activated protein kinase (MAPK)-dependent Nrf2 antioxidant signaling cascade. EMA significantly extended the lifespan and enhanced fecundity in the N2 strain of C. elegans, while reducing lipofuscin deposition and ROS levels. Additionally, EMA enhanced oxidative and heat stress resistance in the N2 strain of C. elegans. Network pharmacology revealed that its anti-aging effects may be mediated by MAPKs/Nrf2/HO-1 pathway regulation. Collectively, these findings highlight EMA as a potent anti-aging with therapeutic potential for aging-related conditions.

植物化学物质代表了新兴的抗衰老治疗候选者,由于其广谱药理特性,地茅(Marchantia polymorpha L.)获得了极大的关注。这种植物具有显著的伤口愈合和再生能力,使其成为现代抗衰老药物开发的有希望的候选者。本文从多形草(M. polymorpha)中分离鉴定了一种新的双联苯大环化合物12-乙氧基marchantin A (EMA)。采用脂多糖(LPS)诱导小鼠巨噬细胞RAW264.7模型、秀丽隐杆线虫(C. elegans)衰老模型和网络药理学分析,系统探讨其抗衰老作用的药理学机制。我们的研究结果表明,EMA通过核因子红细胞2相关因子2 (Nrf2) /血红素加氧酶(HO-1)途径显著降低lps刺激的RAW264.7细胞中的炎症因子和一氧化氮(NO)。机制上,EMA触发活性氧(ROS)介导的丝裂原活化蛋白激酶(MAPK)依赖Nrf2抗氧化信号级联。EMA显著延长了线虫N2株的寿命,提高了繁殖力,同时降低了脂褐素沉积和ROS水平。此外,EMA还增强了秀丽隐杆线虫N2株的氧化和热应激抗性。网络药理学发现其抗衰老作用可能通过MAPKs/Nrf2/HO-1通路调控。总的来说,这些发现强调了EMA是一种有效的抗衰老药物,具有治疗衰老相关疾病的潜力。
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Biogerontology
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