Prevalent mesenchymal drift in aging and disease is reversed by partial reprogramming

Jinlong Y Lu1, William B Tu1, Ronghui Li2

  • 1San Diego Institute of Science, Altos Labs, San Diego, CA, USA.

Cell
|August 15, 2025
PubMed

Insights

Aging and disease involve loss of cell identity, characterized by "mesenchymal drift" (MD). Partial reprogramming rejuvenates cells by reducing MD, offering a new therapeutic strategy for age-related diseases.

Area of Science:

  • Cellular Biology
  • Aging Research
  • Genomics

Background:

  • Loss of cellular and tissue identity is a key feature of aging and disease.
  • Mechanisms driving this identity loss remain largely unknown.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying cellular identity loss in aging and disease.
  • To explore the potential of partial reprogramming as a therapeutic strategy.

Main Methods:

  • Analysis of gene expression data from over 40 human tissues and 20 diseases.
  • Investigation of "mesenchymal drift" (MD) and its correlation with disease progression.
  • Experimental suppression of key MD transcription factors.
  • Yamanaka factor-induced partial reprogramming to assess its impact on MD and epigenetic rejuvenation.

Main Results:

  • A pervasive upregulation of mesenchymal genes and altered stromal cell composition, termed "mesenchymal drift" (MD), was identified across multiple tissues and diseases.
  • Increased MD correlates with disease severity, reduced patient survival, and higher mortality risk.
  • Suppression of MD transcription factors induced epigenetic rejuvenation.
  • Partial reprogramming significantly reduced MD and rejuvenated the aging transcriptome without dedifferentiation.

Conclusions:

  • Mesenchymal drift is a significant factor in aging and disease progression.
  • Partial reprogramming offers a promising approach to reverse age-related cellular and tissue dysfunction by reducing MD.
  • These findings provide a mechanistic understanding of partial reprogramming's benefits and a framework for developing novel interventions.

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