Is Myelodysplasia a Consequence of Normal Aging?

Is Myelodysplasia a Consequence of Normal Aging?
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DOI:
10.1007/s11912-021-01136-5
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发表时间:
2021-11-04
影响因子:
4.7
通讯作者:
Pfeilstöcker M
Pfeilstöcker M
中科院分区:
医学2区
文献类型:
--
作者:
Heibl S;Stauder R;Pfeilstöcker M

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审查MDS与衰老关系的现有数据,并解决(过早)衰老的生物学变化是否是MDS发生的先决条件的问题。尽管MDS与高龄以及衰老和MDS的一些共同生物学特征的相关性已经得到了很好的确立,但最近已经描述了两者的额外证据,特别是关于干细胞、干细胞生态位和炎症的作用。在生物学上,许多但不是所有的衰老驱动因素也在MDS的发展和传播中发挥作用,反之亦然。因此,衰老有助于MDS的发展,这可以被视为克隆疾病与正常和过早衰老的相互作用。衰老的影响在特定的MDS亚型和风险组中可能不同。
To review available data on the relationship of MDS and aging and to address the question if biological changes of (premature) aging are a prerequisite for the development of MDS. Whereas the association of MDS with advanced age and some common biologic features of aging and MDS are well established, additional evidence for both, especially on the role of stem cells, the stem cell niche, and inflammation, has been recently described. Biologically, many but not all drivers of aging also play a role in the development and propagation of MDS and vice versa. As a consequence, aging contributes to the development of MDS which can be seen as an interplay of clonal disease and normal and premature aging. The impact of aging may be different in specific MDS subtypes and risk groups.
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