Saliev Timur, Singh Prim B
S.D. Asfendiyarov Kazakh National Medical University, Tole Bi Street 94, Almaty 050000, Kazakhstan.
School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan.
Cells. 2024 Dec 12;13(24):2052. doi: 10.3390/cells13242052.
Cellular rejuvenation therapies represent a transformative frontier in addressing age-related decline and extending human health span. By targeting fundamental hallmarks of aging-such as genomic instability, epigenetic alterations, mitochondrial dysfunction, and cellular senescence-these therapies aim to restore youthful functionality to cells and tissues, offering new hope for treating degenerative diseases. Recent advancements have showcased a range of strategies, including epigenetic reprogramming, senolytic interventions, mitochondrial restoration, stem cell-based approaches, and gene-editing technologies like CRISPR. Each modality has demonstrated substantial potential in preclinical models and is now being cautiously explored in early-stage clinical trials. However, translating these therapies from the laboratory to clinical practice presents unique challenges: safety concerns, delivery precision, complex regulatory requirements, ethical considerations, and high costs impede widespread adoption. This review examines the current landscape of cellular rejuvenation, highlighting key advancements, potential risks, and the strategies needed to overcome these hurdles.
细胞年轻化疗法是应对与年龄相关的衰退和延长人类健康寿命的变革性前沿领域。通过针对衰老的基本特征,如基因组不稳定、表观遗传改变、线粒体功能障碍和细胞衰老,这些疗法旨在恢复细胞和组织的年轻功能,为治疗退行性疾病带来新希望。最近的进展展示了一系列策略,包括表观遗传重编程、衰老细胞溶解干预、线粒体修复、基于干细胞的方法以及CRISPR等基因编辑技术。每种方法在临床前模型中都显示出巨大潜力,目前正在早期临床试验中进行谨慎探索。然而,将这些疗法从实验室转化为临床实践面临着独特的挑战:安全问题、给药精准度、复杂的监管要求、伦理考量以及高成本阻碍了它们的广泛应用。本综述探讨了细胞年轻化的当前状况,突出了关键进展、潜在风险以及克服这些障碍所需的策略。