2016
DOI: 10.1186/s13287-016-0300-9
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Aging, inflammation, stem cells, and bone healing

Abstract: Complex interactions among cells of the monocyte-macrophage-osteoclast lineage and the mesenchymal stem cell-osteoblast lineage play a major role in the pathophysiology of bone healing. Whereas the former lineage directs inflammatory events and bone resorption, the latter represents a source of cells for bone regeneration and immune modulation. Both of these lineages are affected by increasing age, which is associated with higher baseline levels of inflammatory mediators, and a significant reduction in osteoge… Show more

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Cited by 184 publications
(131 citation statements)
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“…Emerging evidence supports the hypothesis that accumulation of senescent cells or alteration of some age‐related molecules (e.g., miRNA, RNA, lipids, and proteins) packaged by exosomes in the bone microenvironment is the primary cause of osteoporosis (Farr et al., 2017; Gibon, Lu, & Goodman, 2016; Lim et al., 2017; Sui, Hu, Zheng, & Jin, 2016; Williams, Smith, Kumar, Vijayan, & Reddy, 2017). Targeting these exosomes, which act as important communicators between cells, may emerge as a new therapeutic approach for osteoporosis (Liu et al., 2017; Long et al., 2017; Nakano et al., 2016).…”
Section: Discussionmentioning
confidence: 99%
“…Emerging evidence supports the hypothesis that accumulation of senescent cells or alteration of some age‐related molecules (e.g., miRNA, RNA, lipids, and proteins) packaged by exosomes in the bone microenvironment is the primary cause of osteoporosis (Farr et al., 2017; Gibon, Lu, & Goodman, 2016; Lim et al., 2017; Sui, Hu, Zheng, & Jin, 2016; Williams, Smith, Kumar, Vijayan, & Reddy, 2017). Targeting these exosomes, which act as important communicators between cells, may emerge as a new therapeutic approach for osteoporosis (Liu et al., 2017; Long et al., 2017; Nakano et al., 2016).…”
Section: Discussionmentioning
confidence: 99%
“…These changes may involve both innate and acquired immunity as well (Hajishengallis 2010). This is clearly an emerging field, and several immune functions seem to be altered in association with ageing (Gibon et al 2016). However, we will not extend in this topic as it will be reviewed extensively in a related article within this series (Preshaw and Conrads, Journal of Clinical Periodontology, 2017).…”
Section: The Complex Relationship Between Periodontal Tissue Destructmentioning
confidence: 99%
“…As individuals age, however, these important hallmarks of bone homeostasis are disturbed by mechanisms that are not fully understood. In addition to the increased risk of skeletal complications such as bone fragility and greater fracture risk due to osteoporosis (Gibon et al, 2016), the healing potential of fractures in the elderly is also decreased, as previously shown (Leucht et al, 2013; Leucht et al, 2007). This decreased healing capacity of fractures in the elderly may be attributed to a decreased number of osteoprogenitor cells and osteoblasts, as well as reduced expression of osteogenic growth factors, altogether culminating in a decreased bone mass (Kusumbe et al, 2014).…”
Section: Introductionmentioning
confidence: 80%
“…With aging, the skeleton weakens, resulting in a significantly increased incidence of fractures, often resulting from low-energy falls. Orthopaedic surgeons are faced with the sequelae of osteoporosis, and any drug or treatment that may decrease this burden would result in a significant improvement of lifestyle and comfort for our aging generations (Gibon et al, 2016). There is a growing demand for development and optimization of therapies that promote faster and more efficient fracture healing, and understanding the main regulators of fracture healing is crucial in such a search for a novel treatment.…”
Section: Discussionmentioning
confidence: 99%