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Tissue regeneration and aging: the decisive quiescent stem-cell state

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Uncovering the mechanisms behind stem cell malfunction

Stem cells can break down with ageing, now researchers know why and have identified potential treatments.

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Stem cells are the body’s ‘master cells’. They develop into blood, brain, bones and organs, and with the ability to repair and regenerate cells, they have the potential to treat a range of diseases. Yet stem cells can malfunction. In extreme old age, for example, stem cell function declines sharply. “Work in diverse species has identified common features of ageing that ultimately converge on the exhaustion of stem cells and a consequent decline in tissue regeneration,” explains Pura Muñoz-Cánoves, senior research professor at Pompeu Fabra University and ICREA, and STEM-AGING project coordinator. In the STEM-AGING project, which was funded by the European Research Council, researchers tried to understand more about how stem cells maintain their fitness during adulthood. “For most of their life, satellite cells are in a state of quiescence, only activating to form new myofibres after muscle trauma,” says Muñoz-Cánoves. “How these long-lived stem cells maintain quiescence was essentially unknown,” she adds.

Devising a series of trials

In the STEM-AGING project, the team devised a series of trials in mice. The first goal was to understand the maintenance of quiescence in stem cells, and the impact of ageing on autophagy: the body’s way of reusing old damaged cells. They also found out how the collection of proteotoxic waste – something that derives from misfolding proteins – can affect the regenerative quality of stem cells.

Restoring muscle regeneration

The team discovered that in advanced old age, satellite cells lose quiescence and some of them adopt an irreversible senescent state. They lose their capacity for autophagy, and have unbalanced mitochondrial dynamics – essentially a breakdown in function of the cell’s internal engineers – which means the cells cannot clean themselves out of damaged parts as well. These results led to some positive therapeutic discoveries. “Our team showed that geriatric stem cell function and muscle regeneration are restored by reviving autophagy and re-establishing mitochondrial dynamics,” remarks Muñoz-Cánoves. The researchers also identified a subset of stem cells that have higher regenerative potential than others, and they figured out how to maintain them at very old age. “All these findings have implications beyond muscle research to regenerative medicine in ageing,” she explains.

The first stem cell atlas

One of the major breakthroughs in the work was to create the first transcriptomic atlas of senescent cells in vivo. This work was published in the major scientific journal ‘Nature’, and also highlighted in the issue’s News and Views section. The researchers plan to continue to probe stem cells to find new ways of reversing the deleterious intrinsic changes within aged stem cells. “I am happy to have found new intrinsic causes of muscle stem cell ageing that impair muscle regeneration and alter metabolism, and new mechanisms of muscle repair independent of stem cells,” says Muñoz-Cánoves.

Keywords

STEM-AGING, stem, cells, ageing, damage, trials, restoring, muscle, atlas

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