Abstract

Hematopoietic stem cells (HSCs) sustain the lifelong production of all blood cell lineages. The functioning of aged HSCs is impaired, including a declined repopulation capacity and myeloid and platelet-restricted differentiation. Both cell-intrinsic and microenvironmental extrinsic factors contribute to HSC aging. Recent studies highlight the emerging role of inflammation in contributing to HSC aging. In this review, we summarize the recent finding of age-associated changes of HSCs and the bone marrow niche in which they lodge, and discuss how inflammation may drive HSC aging.

Highlights

  • European Research Institute for the Biology of Ageing (ERIBA), University Medical Center Groningen, Sanquin Research, Landsteiner Laboratory, Amsterdam UMC, 1006 AD Amsterdam, The Netherlands

  • It seems plausible that the alterations in hematopoiesis during aging are largely due to changes that first occur in the cells from which all blood cells derive, the hematopoietic stem cells

  • It is evident that stem cell aging is a systemic process, with both intrinsic and extrinsic factors involved

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Summary

The Functioning of Hematopoietic Stem Cells Declines with Age

Multiple aging-associated hematopoietic features occur in both peripheral blood (PB). It seems plausible that the alterations in hematopoiesis during aging are largely due to changes that first occur in the cells from which all blood cells derive, the hematopoietic stem cells. HSCs can undergo both asymmetric and symmetric cell division [9,10] and have the ability to differentiate into multiple mature blood cells and to self-renew, sustaining the stem cell pool throughout life. Whereas young HSCs primarily divide asymmetrically, aged HSCs undergo mainly symmetric divisions [12]. Serial transplantation studies have convincingly demonstrated that aged HSCs display reduced engraftment and self-renewal [1,16,18]. The HSC pool size expands with age, which is considered as a compensatory effect to adjust for the loss of cellular potential

HSCs Become More Heterogeneous upon Aging
Age-Associated Changes in the Bone Marrow Niche
Inflammaging of HSC
HSCs Are Transiently Activated under Chronic Inflammation
Inflammation-Associated Signals Are Activated in Aged HSCs
Aged BM Niche Is Inflamed
Heterogeneous Response of HSCs to Inflammation
Conclusions and Future Perspectives
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