Stem Cell Aging Across Species: Translational Insights, Clinical Outcomes, and the Future of Personalized Regenerative Medicine
Keywords:
stem cell aging, regenerative medicine, senescence, personalized therapy, comparative biology, C. elegans, mouse, primate, clinical translationAbstract
Stem cell aging is a central determinant of tissue decline, regenerative failure, and the onset of age-related diseases. Across species—from Caenorhabditis elegans to mice and primates—the gradual deterioration of stem cell function mirrors systemic aging and the loss of physiological resilience. Advances in regenerative medicine and single-cell technologies have unveiled key cellular mechanisms of stem cell senescence, including genomic instability, mitochondrial dysfunction, epigenetic drift, and altered intercellular signaling. Experimental evidence from both invertebrate and mammalian models has revealed that interventions targeting these pathways can restore stem cell potency and extend lifespan and healthspan.
This review synthesizes cross-species insights into the biology of stem cell aging and its translational relevance. Model organisms have elucidated conserved longevity networks such as insulin/IGF-1 and mTOR signaling that regulate self-renewal and differentiation. Mammalian studies highlight additional layers, including telomere attrition, NAD⁺ depletion, and the senescence-associated secretory phenotype, which collectively compromise regenerative potential. Notably, work in primates has demonstrated that rejuvenated or senescence-resistant stem cells can counteract systemic aging and restore organ function, representing a critical milestone toward clinical translation.
Emerging technologies—such as CRISPR-based epigenetic modulation, single-cell transcriptomics, and artificial intelligence–driven aging clocks—are enabling a shift toward personalized regenerative medicine. Integrating comparative biological data with individualized molecular profiling will allow the development of targeted anti-senescence interventions and prediction of therapeutic outcomes. Ultimately, manipulating the biological age of stem cells holds the promise of redefining medical practice—from reactive disease treatment to proactive maintenance of cellular youth and tissue vitality throughout the human lifespan.
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