Age-related Changes Research Articles

Healthy Aging is Associated with Altered Visual Gamma Band Onset and Offset Responses

Abstract Gamma oscillations have been shown to be critical for basic sensory processing, as well as visual attention and several other higher-order cognitive functions. Aberrant gamma oscillations have also been shown in neuropsychiatric and neurodegenerative diseases. Despite the possible clinical implications of altered gamma activity and emerging stimulation-based interventions targeting gamma, research into age-related changes in gamma oscillatory activity in healthy adults remains sparce. In the current study, we examined the neural oscillations underlying basic visual processing in 87 healthy aging adults using magnetoencephalography (MEG) and a visual grating stimulus. Neural activity elicited by the visual stimulus was imaged using a time-frequency resolved beamformer and peak voxel time series were computed to characterize the visual oscillatory dynamics underlying these responses. We found significant age-related changes in visual gamma oscillations, but not in visual theta, alpha, or beta oscillations. Specifically, we found age-related increases in gamma band amplitude and inter-trial phase-locking (ITPL) immediately following stimulus presentation (i.e., gamma onset response). Conversely, gamma band amplitude and ITPL following stimulus removal (i.e., gamma offset response) were found to be decreased as a function of healthy aging. Critically, we demonstrated that the decreases in the gamma offset response predicted slower overall processing speed across all participants. Taken together, these findings indicate that healthy aging is uniquely associated with alterations in visual gamma oscillations and that these changes predict participant processing speed.

Multi-spectral autofluorescence variability of the individual retinal pigmented epithelial cells in healthy aging eyes

The retinal pigment epithelium (RPE) is vital for the healthy function of the retina. Cellular level changes in the RPE are not visualized with current clinical techniques due to a lack of spatial resolution. Fluorescence adaptive optics scanning light ophthalmoscopy (AOSLO) can image RPE cells by utilizing their intrinsic autofluorescence (AF). The RPE AF has been imaged with only a few discrete excitation and emission bands and the multi-spectral AF has not been interrogated systematically at the level of single cells. In this study, we imaged 16 healthy eyes (ages 20-75) with AOSLO to investigate the multi-spectral AF as a function of age and wavelength with excitation from 650 - 805 nm. Quantitative analysis showed that 720 nm light produced images with the highest SNR (65.0 dB). Spatial AF variability showed a trend to increase with aging, suggesting increased heterogeneity in RPE AF with age. Spatial variability in the multi-spectral fluorescence of RPE cells with age may be a consequence of normal age-related loss of RPE cells. Multi-spectral fluorescence AOSLO provides new insight into aging related changes to RPE cells and may be a useful tool for studying diseases that affect the RPE, such as age-related macular degeneration (AMD).

A Cross-Sectional Study on Age-Related Changes in Knowledge and Perception of Medico-Legal Autopsies.

Our study investigated the knowledge, attitudes, and perceptions of medical students, residents, and the general public towards medicolegal autopsies in Northern region, India, in the year 2023. Significant disparities were identified in knowledge perspectives, influenced by age. Younger adults, particularly those falling in the age group of 20-29 years showed higher levels of knowledge (35.33%) about autopsies as compared to the older adults falling in the age group of 60 and above showed lower levels of knowledge (100%). Overall, 802 participants (72.6%) had a negative perception in regards to medicolegal autopsy while 302 participants (27.4%)​had a positive perception towards medico legal autopsy. This research study highlights the varying levels of knowledge and perception towards medicolegal autopsies among different age groups, emphasizing the need for targeted educational strategies to bridge the knowledge gaps and calls for collaborative efforts among stakeholders to build public trust, advance forensic medicine practices, and improve public health outcomes.

Sex-specific age-related changes in excitatory and inhibitory intra-cortical circuits in mouse primary auditory cortex.

A common impairment in aging is age-related hearing loss (presbycusis), which manifests as impaired spectrotemporal processing. Presbycusis can be caused by a dysfunction of the peripheral and central auditory system and these dysfunctions might differ between the sexes. To date, the circuit mechanisms in the central nervous system responsible for age-related auditory dysfunction remain mostly unknown. In the auditory cortex (ACtx), aging is accompanied by alteration in normal inhibitory (GABA) neurotransmission and changes in excitatory (NMDA and AMPA) synapses, but which circuits are affected has been unclear. Here we investigated how auditory cortical microcircuits change with age and if sex-dependent differences existed. We performed laser-scanning photostimulation (LSPS) combined with whole-cell patch clamp recordings from Layer (L) 2/3 cells in primary auditory cortex (A1) in young adult (2-3 months) and aged (older than 18 months) male and female CBA/CaJ mice which have normal peripheral hearing. We found that L2/3 cells in aged male animals display functional hypoconnectivity of inhibitory circuits originating from L2/3 and L4. Compared to cells from young adult mice, cells from aged male mice have weaker excitatory connections from L2/3. We also observed an increased diversity of excitatory and inhibitory inputs. These results suggest a sex-specific reduction and diversification in excitatory and inhibitory intralaminar cortical circuits in aged mice compared with young adult animals. We speculate that these unbalanced changes in cortical circuits contribute to the functional manifestations of age-related hearing loss in both males and females.Significance Statement A common impairment in aging is age-related hearing loss (presbycusis) which can be caused by a dysfunction of the peripheral and central auditory system. Impaired spectrotemporal processing in the auditory cortex is thought to underlie some of these impairments. We compare auditory cortex circuits in vitro in young adult (∼P60) and aged (∼P585) CBA mice. We find a sex-specific reduction in excitatory and inhibitory intralaminar cortical circuits in aged mice compared with young adult animals. We speculate that these unbalanced changes in cortical circuits underlie the differential functional manifestations of age-related hearing loss in both males and females.

Resting-state functional network segregation of the default mode network predicts valence bias across the lifespan

Abstract The brain is organized into intrinsically connected functional networks that can be reliably identified during resting-state functional magnetic resonance imaging (fMRI). Healthy aging is marked by decreased network segregation, which is linked to worse cognitive functioning, but aging-related changes in emotion are less well characterized. Valence bias, which represents the tendency to interpret emotionally ambiguous information as positive or negative, is more positive in older than younger adults and is associated with differences in task-based fMRI activation in the amygdala, prefrontal cortex, and a cingulo-opercular (CO) network. Here, we examined valence bias, age, and resting-state network segregation of 12 brain networks in a sample of 221 healthy individuals from 6 to 80 years old. Resting-state network segregation decreased linearly with increasing age, extending prior reports of de-differentiation across the lifespan. Critically, a more positive valence bias was related to lower segregation of the default mode network (DMN), due to stronger functional connectivity of the DMN with CO and, to a lesser extent, the ventral attention network (VAN) in all participants. In contrast to this overall segregation effect, in participants over 39 years old (who tend to show a positive valence bias), bias was also related to weaker connectivity between the DMN and Reward networks. The present findings indicate that specific interactions between the DMN, a task control network (CO), an emotion processing network (Reward), and, to a weaker extent, an attention network (VAN), support a more positive valence bias, perhaps through regulatory control of self-referential processing and reduced emotional reactivity in aging. The current work offers further insight into the functional brain network alterations that may contribute to affective well-being and dysfunction across the lifespan.

Nutraceuticals in veterinary ophthalmology: fact, fiction or both?

This review examines the use of nutraceuticals in canine and feline ocular diseases, highlighting their potential benefits and the dangers of misinformation. While certain products like curcumin, beta-glucans and resveratrol show promise against feline herpesvirus, false claims surrounding L-carnitine for cataracts are emphasised. While L-carnitine may slow cataract progression, it cannot reverse cataracts or replace surgery. Alpha-lipoic acid, an antioxidant, holds potential for diabetes-related cataracts, while lutein, zeaxanthin and other carotenoids might slow age-related changes. Despite limited evidence, neuroprotective substances like grape seed extract, omega-3 fatty acids, lutein, zeaxanthin and vitamins are used for degenerative retinal and optic nerve diseases, aiming to slow or prevent vision loss. Future research is crucial to solidify their efficacy and avoid misleading pet owners.

Age- and sex-related reference values for central blood pressure parameters in middle-aged and older Japanese adults: the Wakayama study.

Central blood pressure (BP) is more strongly associated with cardiovascular events than brachial BP. Few studies have described age-related changes in central BP in the general Japanese population. This study aimed to provide reference values for central BP parameters according to the age and sex, using data from 2964 participants aged 40-89 years (mean age: 60 years) who had no history of overt cardiovascular or chronic kidney disease and had not received antihypertensive, lipid-lowering, or hypoglycemic treatments. The central aortic pressure waveform was measured noninvasively by pulse wave analysis using the SphygmoCor XCEL operating system. Central systolic BP (cSBP), pulse pressure (cPP), and augmentation pressure (AP) exhibited a curvilinear relationship with age, with men having significantly higher cSBP but lower cPP and AP than women (cSBP: 132 mmHg vs. 123 mmHg, P < 0.001; cPP, 50 mmHg vs. 55 mmHg, P = 0.001; and AP: 24 mmHg vs. 32 mmHg, P = 0.002). Reference percentiles for cSBP, cPP, and AP were determined for each 5-year age group using the LMS method. Multiple regression analyses showed that age-standardized z-scores for cSBP, cPP, and AP were significantly associated with hypertension, dyslipidemia, diabetes mellitus, abdominal obesity, and heavy smoking, after adjusting for potential confounders. In conclusion, this study provides age- and sex-specific percentiles of central BP parameters in middle-aged and older Japanese adults. These reference values allow a more accurate interpretation of results and may be useful for diagnosis and management of hypertension in clinical practice and for risk stratification in population studies.

Menopause and Sexual Health: Hormones, Aging or Both?

Sexual health is multidimensional across the lifespan. At midlife, women may face challenges to sexuality, often requiring intervention. Menopause-related and age-related hormonal changes intermingle with common medical conditions and contribute to biological substrates less favorable to a healthy sexual response. Psychological, sociocultural, and relational factors modulate the impact of such changes positively or negatively, contributing to adaptation or manifestation of sexually related distress. A comprehensive diagnostic approach and multidimensional management are needed to address sexual symptoms due to both menopause and aging, individualizing non-pharmacological and pharmacological evidence-based treatment options according to personal goals and expectations in the woman/couple.

Exploration of age-related changes in reproductive parameters of female Japanese quail (Coturnix japonica)

The decline in reproductive efficiency during post-peak period of production in poultry species holds significant economic implications. This study aimed to investigate the productive and reproductive performance of Japanese quails across distinct production stages and the association between these parameters and some genes expression and histometric alterations within the reproductive system. A total of 180 quails from a commercial flock were selected at varying egg production stages, including young, mature, and old, with 45 female and 15 male quails allocated to each group. The quails were maintained for six weeks. During recording period, daily records of egg production and egg weight were recorded. Additionally, oviduct histometric and Follicle biometric measurements, along with mRNA transcript abundance assessments related to follicular selection and yolk accumulation, were conducted on the oviduct, ovary, and small yellow follicles at the end of the experimental period. The results revealed a decrease in egg production in the old group compared to the young and mature groups (P < 0.05); meanwhile, the old group had the highest egg weight, and F1 follicle weight (P < 0.05). Additionally, the number of prehierarchical follicles was lower in the mature and old groups compared to the young group (P < 0.05). The lowest oviduct length, primary and secondary fold height, and thickness of the isthmus and magnum were noted in the old group (P < 0.05). Fertility and hatchability were lower in the old group compared to the other groups (P < 0.05). The mRNA transcript abundance of anti-Mullerian hormone (AMH), was highest in the old group and lowest in the young group (P < 0.05), while the mRNA transcript abundance of bone morphogenetic protein 15 (BMP15) was higher in the mature group compared to the other groups (P < 0.05). Additionally, the young quails had the highest occludin (OCLN) mRNA transcript abundance compared to other groups (P < 0.05). Overall, the study findings indicate decreased production and reproductive performance, as well as reduced hatchling quality over the production period, attributed to a declining number of follicles, noncooperative gene expression related to follicle selection and yolk accumulation, and diminishing oviduct fold size.

Collaborative learning in older age and the role of familiarity: evidence from the map task

ABSTRACT As we age, learning new knowledge and skills becomes more difficult due to age-related changes to cognition. Learning collaboratively could counteract these changes, and perhaps more so when working with someone familiar. This study examined whether collaborative learning is affected by age and partner familiarity. Forty-eight participants (younger n = 24, older n = 24) completed the Map Task with a familiar and unfamiliar same-age partner. Participants became more efficient at completing the Map Task over time, regardless of age and partner familiarity. There was no age difference in immediate or 1-hour recall, but younger adults recalled more after 7 days than older adults. Overall, results suggest that collaborative learning outcomes are unaffected by age or partner familiarity and that collaborative learning has short-term protective effects on memory, with age-related declines only emerging after 7 days.

“Young-Mechanical Niche” biomimetic hydrogel promotes dental pulp regeneration through YAP-dependent mechanotransduction

Aging leads to the irreversible deterioration of the extracellular matrix (ECM), compromising cell self-renewal, differentiation, and tissue regeneration. However, the specific mechanisms by which age-related changes in ECM-mediated cell mechanical microenvironment impair regeneration remain elusive. Human dental pulps (hDPs) provide an ideal model to explore this issue due to their accessibility and distinct mechanical properties. In this study, we discovered that young hDPs exhibit higher stiffness and viscoelasticity (i.e., faster stress relaxation time) compared to aged hDPs. Leveraging these findings, we engineered three groups of biomimetic hydrogels recapitulating the native mechanical microenvironment of young and aged hDPs. Our results demonstrated that Y-Gel, which replicates the high stiffness and viscoelasticity of young hDPs, significantly enhances the proliferation and odontogenic differentiation of human dental pulp stem cells (hDPSCs) in vitro and promotes dental pulp regeneration in vivo more effectively than hydrogels mimicking either aged stiffness (AS-Gel) or aged viscoelasticity (AV-Gel) alone. Moreover, YAP-dependent mechanotransduction, particularly through the YAP/TEAD1/CTGF/Cyr61 signaling pathway, plays a critical role in mediating these regenerative effects, with stiffness emerging as a more dominant factor than viscoelasticity. This study provides new insights into the synergistic role of mechanical factors in regulating cell behavior and offers a promising strategy for optimizing mechanical microenvironment to enhance dental pulp regeneration and potentially other tissue regeneration applications, especially from the mechanomedicine perspective.

Modulation of cutaneous vasodilation by reactive oxygen species during local and whole body heating in young and older adults.

We evaluated reactive oxygen species (ROS) modulation of cutaneous vasodilation during local and whole body passive heating in young and older adults. Cutaneous vascular conductance normalized to maximum vasodilation (%CVCmax) was assessed in young and older adults (10/group) using laser-Doppler flowmetry at four dorsal forearm sites treated with 1) Ringer solution (control), 2) 100 µM apocynin (NADPH oxidase inhibitor), 3) 10 µM allopurinol (xanthine oxidase inhibitor), or 4) 10 µM tempol (superoxide dismutase mimetic), via intradermal microdialysis during local (protocol 1) and whole body heating (protocol 2). In protocol 1, forearm skin sites were set at 33°C during baseline and then progressively increased to 39°C and 42°C (30 min each). In protocol 2, participants were immersed in warm water (35°C, midsternum) with the experimental forearm above water level, and local skin sites were maintained at 34°C. Bath temperature was increased (∼40°C) to clamp core temperature at 38.5°C for 60 min. In protocol 1, there were significant treatment site by age interactions for the 39°C (P = 0.015) and 42°C (P = 0.004) plateaus; however no significant effects were observed after post hoc adjustment. In protocol 2, there was a significant treatment site by age interaction (P < 0.001), where %CVCmax in older adults was 11.0% [7.4, 14.6] higher for apocynin (P < 0.001), 8.9% [5.3, 12.5] higher for allopurinol (P < 0.001), and 4.8% [1.3, 8.4] higher for tempol (P = 0.016) sites relative to the control site. ROS derived from NADPH oxidase and xanthine oxidase attenuate cutaneous vasodilation in older adults during passive whole body heating, but not during local skin heating, with negligible effects on their young counterparts for either heating modality.NEW & NOTEWORTHY We found that local infusion of apocynin or allopurinol improved cutaneous vasodilator responses to passive whole body heating (but not local skin heating) in healthy older adults. These findings indicate that impaired microvascular responses to whole body heating with primary aging are linked to augmented production of reactive oxygen species (ROS) from NADPH oxidase and xanthine oxidase. This study sheds new light on the specific ROS pathways that modulate age-related changes in cutaneous microvascular responses to heating.

Carotid-femoral pulse wave velocity score, an estimator of cognitive performance in the elderly: results from the Toledo Study for Healthy Aging.

Ageing-related changes in the vascular wall influence the function of different organs; for this reason, we assessed how arterial stiffness measured by carotid-femoral pulse wave velocity (cf-PWV) modulates: the basal cognitive performance and the change in cognitive performance over the follow-up time. We developed a prospective, population-based cohort study with 1581 participants aged > 65years were obtained from the Toledo Study for Healthy Aging. Participants from the second wave (2011-2013) were selected for the cross-sectional analysis. Those who also performed the cognitive assessment in the third wave (2015-2017) were selected for the prospective analysis. Arterial stiffness was evaluated by cf-PWV. Multivariate segmented regression models were used to evaluate the association between cf-PWV scores and basal neuropsychological evaluation scores and change of neuropsychological evaluation scores along follow-up. Cross-sectional analysis showed that as cf-PWV grew within the cf-PWV (5- < 10) category an improvement was observed in 7-min test, free short-term memory, and hole peg test. Furthermore, in the cf-PWV (> 13-18) category a decrease was observed in total short-term memory, free long-term memory, and total long-term memory. Prospective analysis showed a progressive worsening of cognitive function as cf-PWV increases within the cf-PWV (> 13-18) category in 7-min test, object denomination, immediate and short-term memory, and hole peg test, while in the cf-PWV (5- < 10) category, there was observed a decrease in Cumulative Executive Dysfunction Index score and short-term memory. In conclusion, a higher cf-PWV score is associated with worse cognitive performance, and with a worse evolution, reinforcing the need to plan interventions to delay arterial stiffness and its consequences.

Unravelling Neuroinflammation-Mediated Mitochondrial Dysfunction in Mild Cognitive Impairment: Insights from Targeted Metabolomics

BackgroundThe prevalence of Type 2 Diabetes Mellitus (T2DM) is rising rapidly among the elderly due to age-related metabolic changes. Older adults with T2DM have a 50-65% increased risk of developing cognitive impairment, particularly mild cognitive impairment (MCI), which may progress to neurodegenerative conditions like Alzheimer's disease (AD). Recent studies underscore the significant roles of mitochondrial dysfunction, disrupted glutamate-glutamine cycling, hyperglycemia, and hyperprolinemia in cognitive decline. These interconnected metabolites—glucose, glutamine, glutamate, and proline—are potential targets for understanding the relationship between T2DM and cognitive impairment. Material and MethodThe present targeted NMR based metabolomics study aims to compare the blood plasma/serum metabolic profiles of these four metabolites in age and sex matched MCI (N=27) and T2DM patients (N=38) with respect to normal control (NC, N=23) subjects. The metabolic profiling was performed using 1H NMR spectroscopy. ResultsCompared to NC group, both T2DM and MCI groups exhibited elevated glucose levels. Circulatory glucose and glutamine levels were significantly higher in T2DM subjects than in MCI and NC subjects, while glutamate levels followed a similar trend in both T2DM and MCI groups. However, in MCI patients, circulatory proline and proline-to-glutamine (PQR) and glutamate-to-glutamine was significantly elevated compared to T2DM, while glutamine was significantly reduced. ConclusionThe decreased circulatory levels of glutamine and PQR demonstrated statistically significant correlation with the severity of the cognitive impairment as assessed based on Mini Mental State Examination (MMSE) score suggested augmented utilization of glutamine in MCI patients and accumulation to proline due to active neuro-inflammatory processes and impaired mitochondrial functioning in MCI brain.

Prefrontal excitation/inhibition balance supports adolescent enhancements in circuit signal to noise ratio

The development and refinement of neuronal circuitry allow for stabilized and efficient neural recruitment, supporting adult-like behavioral performance. During adolescence, the maturation of PFC is proposed to be a critical period (CP) for executive function, driven by a break in balance between glutamatergic excitation and GABAergic inhibition (E/I) neurotransmission. During CPs, cortical circuitry fine-tunes to improve information processing and reliable responses to stimuli, shifting from spontaneous to evoked activity, enhancing the SNR, and promoting neural synchronization. Harnessing 7 T MR spectroscopy and EEG in a longitudinal cohort (N = 164, ages 10–32 years, 283 neuroimaging sessions), we outline associations between age-related changes in glutamate and GABA neurotransmitters and EEG measures of cortical SNR. We find developmental decreases in spontaneous activity and increases in cortical SNR during our auditory steady state task using 40 Hz stimuli. Decreases in spontaneous activity were associated with glutamate levels in DLPFC, while increases in cortical SNR were associated with more balanced Glu and GABA levels. These changes were associated with improvements in working memory performance. This study provides evidence of CP plasticity in the human PFC during adolescence, leading to stabilized circuitry that allows for the optimal recruitment and integration of multisensory input, resulting in improved executive function.

An integrated single-cell atlas of blood immune cells in aging

Recent advances in single-cell technologies have facilitated studies on age-related alterations in the immune system. However, previous studies have often employed different marker genes to annotate immune cell populations, making it challenging to compare results. In this study, we combined seven single-cell transcriptomic datasets, comprising more than a million cells from one hundred and three donors, to create a unified atlas of human peripheral blood mononuclear cells (PBMC) from both young and old individuals. Using a consistent set of marker genes for immune cell annotation, we standardized the classification of immune cells and assessed their prevalence in both age groups. The integrated dataset revealed several consistent trends related to aging, including a decline in CD8+ naive T cells and MAIT cells and an expansion of non-classical monocyte compartments. However, we observed significant variability in other cell types. Our analysis of the long non-coding RNA MALAT1hi T cell population, previously implicated in age-related T cell exhaustion, showed that this population is highly heterogeneous with a mixture of naïve-like and memory-like cells. Despite substantial variation among the datasets when comparing gene expression between age groups, we identified a high-confidence signature of CD8+ naive T cell aging marked by an increased expression of pro-inflammatory genes. In conclusion, our study emphasizes the importance of standardizing existing single-cell datasets to enable the comprehensive examination of age-related cellular changes across multiple datasets.

Effects of foot–ground friction and age-related gait changes on falls during walking: a computational study using a neuromusculoskeletal model

We used a neuromusculoskeletal model of bipedal walking to examine the effects of foot–ground friction conditions and gait patterns on slip- and trip-induced falls. We developed three two-dimensional neuro-musculoskeletal models in a self-organized manner representing young adults, elderly non-fallers, and elderly fallers. We simulated walking under different foot-ground friction conditions. The static friction coefficient between the foot and the ground was varied from 0.05 to 2.0. Under low friction conditions, the three gait models demonstrated slip-induced falls. The elderly faller model experienced the most slip. This is because the RCOF was higher in the elderly faller model due to its short stride length but much smaller foot clearance. Under high friction conditions, only the elderly faller model demonstrated trip-induced falls. Based on the analysis using the margin of stability, the forward postural stability of the model gradually decreased under high-friction conditions, with the toe of the swing foot contacting the ground and subsequently falling forward. These results imply that there is an optimal coefficient of friction for the ground to prevent slip- and trip-induced falls by people with less stable gaits, which may provide new insights into the design of shoes and floor surfaces for the elderly.

Plasma triacylglycerol length and saturation level mark healthy aging groups in humans.

Complex lipids, essential components in biological processes, exhibit conserved age-related changes that alter membrane properties and cellular functions and are implicated as biomarkers and contributors to longevity and age-related diseases. While physical activity alleviates age-related comorbidities and physical impairments, comprehensive exploration of the underlying biological mechanisms, particularly at the level of complex lipids, remains limited. However, clinical studies suggest that physical activity may counteract these age-related lipidomic changes, presenting a promising avenue for intervention. We performed lipidomic profiling of plasma from an extensively characterized cohort of young and aged individuals. Annotating 1446 unique lipid species across 24 lipid classes, we found the most prominent difference in older adults was an accumulation of triacylglycerols (TGs), with lower physical activity levels associated with higher TG levels in plasma and reduced physical functionality. Remarkably, lipid species in the TG class did not accumulate uniformly. Rather, our study unveiled a negative correlation between higher physical activity levels and TGs with shorter chain lengths and more double bonds in this demographic. Overall, our research highlights that plasma TG length and saturation level can help mark healthy aging groups in humans. These findings deepen our understanding of how aging affects complex lipids and the influence of physical activity on this process.

Unravelling age-related gait decline in cerebral palsy: insights into physiological changes and functional implications through an observational study—a French study protocol in a laboratory setting

IntroductionCerebral palsy (CP) presents a complex neurodevelopmental disorder with a spectrum of motor impairments stemming from early brain injury. Whereas CP is traditionally viewed as a non-progressive condition, emerging evidence...

Possibilities of gene, cellular and pharmacological approaches to correct age-related changes

Improvement of the human habitat has led to an increase in average life expectancy. Long life goes hand in hand with old age, which reduces the quality of human life and it is an acute social problem. Thus, the search for approaches that can improve the quality of life, the ability to live it without age-related diseases is an extremely urgent task. Aging of the body begins with the aging of cells, in which the activation of the aging process occurs through the induction of specific signaling pathways, which irreversibly divides the life of any cell into “before and after”. Aging cells are able to influence their microenvironment, secreting more inflammatory signaling molecules and inducing pathological changes in neighboring cells. The accumulation and long-term preservation of aged cells lead to deterioration of the condition of tissues and organs, and ultimately to a decrease in the quality of life and an increased risk of death. Among the most promising approaches to the correction of aging and age-related diseases are pharmacological, gene and cell therapy. Increasing the expression of aging suppressor genes, using certain populations of native and genetically modified cells, as well as senolytic drugs can help delay aging and associated diseases for a more distant future. This review examines currently studied approaches and achievements in the field of anti-aging therapy, in particular gene therapy using adeno-associated vectors and approaches based on cell therapy.