When the topic of aging and genetic interventions comes up, I am often told, "Yes, perhaps one day we may be able to arrest aging - but reverse it? That sounds a bit like science fiction!" The fact is, that from a cellular and tissue perspective it has already been done.
Back in 1991, at the Technion Institute of Israel, a curious experiment took place(1): split-thickness skin grafts from aged and young volunteers were transplanted onto young nude mice*. The purpose of the experiment was to observe what, if any, changes to the grafted tissue would occur once transplanted in the mouse. Whilst the grafts sourced from young volunteers showed very little alteration in histology, the epidermis of the aged tissue showed more than a doubling of thickness and remarkable increase in blood vessel vascularization. Considering that aged skin exhibits epidermal thinning and decrease in vascularization, the astonishing conclusion was that the aging changes that occur in skin are reversible.
13 years later and led by the original researcher, Professor Amos Gilhar, a research team performed the same experiment (3,4) but this time observing the expression of the CD95/Fas receptor on the keratinocyte population of the epidermis. Like in the early experiment, the aged human epidermis once transplanted, showed reversal of aging. Furthermore, the CD95/Fas receptor expression decreased and so did the rate of apoptosis, which became that of a young epidermis.
CD95/Fas is a widely expressed receptor and is associated with the extrinsic apoptosis pathway of cell suicide either by overexpression of itself or by another cell that has the ligand for CD95/Fas, FasL. Evidently, when the aged epidermis is transplanted into the nude mouse it no longer is influenced by factors that sustain the aging phenotype and the astonishingly the keratinocytes alter their gene regulation to a youthful state.
This dramatic change in gene regulation to induce a youthful state, is not just isolated in the epidermis. When Dolly the sheep was cloned (4), an epithelial cell nucleus was transfered to a fertilized egg that had its own nucleus removed. As a result of that transfer, also known as nuclear reprogramming, what was originally an epithelial nucleus behaved as an embryo nucleus. From a gene regulation perspective. this is the ultimate example in reversal of aging.
Based on this information, it is not difficult to conclude that what is described as aging is the phenotypic manifestation of multiple alterations in gene regulation responding to intrinsic and extrinsic factors. What is astonishing is the degree of plasticity in these regulatory mechanisms.
In each of the above examples, the graft environment changed, resulting in change of gene regulation. One is compelled to ask the obvious: what aspect of the microenvironment of the cell do we change in order to reprogram the nucleus and induce age reversal?
(*) (mice which have a genetically impaired immune system enabling grafting of foreign tissue without graft versus host disease)
(1) Br J Dermatol. 1991 Feb;124(2):168-71
(2) Br J Dermatol. 2004 Jan;150(1):56-63
(3) J Gerontol A Biol Sci Med Sci. 2004 May;59(5):411-5
(4) Nature. 1996 Mar 7;380(6569):64-6
Edited by prometheus, 02 July 2004 - 12:38 AM.