Cellular senescence as a result of organismal aging or progeroid diseases leads to stem cell pool exhaustion hindering tissue regeneration and contributing to the progression of age related disorders. Here we discovered that ectopic expression of the pluripotent factor NANOG in senescent or progeroid myogenic progenitors reversed cellular aging and restored completely the ability to generate contractile force. To elicit its effects, NANOG enabled reactivation of the ROCK and Transforming Growth Factor (TGF)-b pathways-both of which were impaired in senescent cellsleading to ACTIN polymerization, MRTF-A translocation into the nucleus and serum response factor (SRF)-dependent myogenic gene expression. Collectively our data reveal that cellular senescence can be reversed and provide a novel strategy to regain the lost function of aged stem cells without reprogramming to the pluripotent state. STEM CELLS 2017;35:207-221
SIGNIFICANCE STATEMENTAging severely hinders the properties of adult cells resulting in stem cell pool exhaustion, defective tissue regeneration and progression of age related pathologies. Therefore, there is an unmet need to reverse the effects of aging on adult cells. Here, we demonstrate that the expression of the embryonic gene, NANOG, is sufficient to reverse aging and completely restore the capacity of aged stem cells to form muscle and contract. We also illustrate a novel role of NANOG as a regulator of the myogenic machinery. Collectively, our work demonstrates that age-associated cellular dysfunction can be reversed, thereby increasing the potential of stem cells from aged donors for cellular therapies and tissue regeneration.