Han Seongho, Kim Sung-Whan
Department of Family Medicine, Dong-A University College of Medicine, Busan, Korea.
Department of Medicine, Catholic Kwandong University College of Medicine, Gangneung, Korea.
Korean J Fam Med. 2025 May;46(3):127-136. doi: 10.4082/kjfm.25.0080. Epub 2025 May 20.
Allogeneic stem cells derived from umbilical cord tissue, placenta, and umbilical cord blood have shown potential in treating delayed systemic aging and aging-related diseases. Aging induces cellular senescence, oxidative stress, chronic inflammation, and stem cell depletion, all of which contribute to tissue damage and functional decline. Recent advances in regenerative medicine suggest that allogeneic stem cells can mitigate these aging processes through immunomodulation and tissue regeneration. In particular, umbilical cord-derived mesenchymal stem cells have gained attention for clinical applications owing to their strong immunomodulatory properties and low immunogenicity. These cells can repair damaged tissues and enhance metabolic and cognitive function by secreting various cytokines, growth factors, and exosomes, offering potential treatment for aging-related conditions such as osteoporosis and neurodegenerative disorders. Both clinical and preclinical studies indicate that allogeneic stem cells play a critical role in alleviating these diseases, including osteoporosis, osteoarthritis, cardiovascular diseases, and neurodegenerative disorders. Despite their therapeutic potential, challenges remain, such as immune compatibility, long-term safety, and the lack of standardized protocols for large-scale production. This review outlines the biological mechanisms by which allogeneic stem cells contribute to delayed aging, summarizes current clinical research, and explores future prospects. Allogeneic stem cells may offer novel strategies for delaying aging and extending lifespan.
源自脐带组织、胎盘和脐带血的异基因干细胞已显示出治疗全身性衰老延迟和衰老相关疾病的潜力。衰老会诱导细胞衰老、氧化应激、慢性炎症和干细胞耗竭,所有这些都会导致组织损伤和功能衰退。再生医学的最新进展表明,异基因干细胞可以通过免疫调节和组织再生来减轻这些衰老过程。特别是,脐带间充质干细胞因其强大的免疫调节特性和低免疫原性而在临床应用中受到关注。这些细胞可以通过分泌各种细胞因子、生长因子和外泌体来修复受损组织并增强代谢和认知功能,为骨质疏松症和神经退行性疾病等衰老相关病症提供潜在治疗方法。临床和临床前研究均表明,异基因干细胞在缓解包括骨质疏松症、骨关节炎、心血管疾病和神经退行性疾病在内的这些疾病中发挥着关键作用。尽管它们具有治疗潜力,但挑战仍然存在,例如免疫相容性、长期安全性以及缺乏大规模生产的标准化方案。本综述概述了异基因干细胞促进延缓衰老的生物学机制,总结了当前的临床研究,并探讨了未来前景。异基因干细胞可能为延缓衰老和延长寿命提供新策略。