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Maintenance of age in human neurons generated by microRNA-based neuronal conversion of fibroblasts
Open accessAbstract
Aging is a major risk factor in many forms of late-onset neurodegenerative disorders. The ability to recapitulate age-related characteristics of human neurons in culture will offer unprecedented opportunities to study the biological processes underlying neuronal aging. Here, we show that using a recently demonstrated microRNA-based cellular reprogramming approach, human fibroblasts from postnatal to near centenarian donors can be efficiently converted into neurons that maintain multiple age-associated signatures. Application of an epigenetic biomarker of aging (referred to as epigenetic clock) to DNA methylation data revealed that the epigenetic ages of fibroblasts were highly correlated with corresponding age estimates of reprogrammed neurons. Transcriptome and microRNA profiles reveal genes differentially expressed between young and old neurons. Further analyses of oxidative stress, DNA damage and telomere length exhibit the retention of age-associated cellular properties in converted neurons from corresponding fibroblasts. Our results collectively demonstrate the maintenance of age after neuronal conversion.
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“emphasizing the necessity of partial de-differentiation for rejuvenation (Box 1) to occur [22][23][24][25] .”
From Mechanisms, pathways and strategies for rejuvenation through epigenetic reprogramming (2023) · cites this paper as [23]
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“Direct cellular reprogramming retains age-related signatures stored in pre-reprogrammed non-neural somatic cells such as fibroblasts, including the epigenetic age, telomere length, and gene expression changes (22, 23).”
From Modeling late-onset Alzheimer’s disease neuropathology via direct neuronal reprogramming (2024) · cites this paper as [22]
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“Conversely, other works have shown that aging-associated DNA methylation patterns and biomarkers persisted when cells were transdifferentiated (Box 1) to different cell types, emphasizing the necessity of partial de-differentiation for rejuvenation (Box 1) to occur [22][23][24][25] .”
From Mechanisms, pathways and strategies for rejuvenation through epigenetic reprogramming (2023) · cites this paper as [23]
In the citing paper
“Fibroblast-derived iNs preserve substantial signatures of human aging, including transcriptomic, nuclear pore, mitochondrial, epigenetic, and other aspects of aging (Herdy et al., 2019; Huh et al., 2016; Kim et al., 2018; Mertens et al., 2015a; Traxler et al., 2019).”
From Age-dependent instability of mature neuronal fate in induced neurons from Alzheimer’s patients (2021) · cites this paper as Huh et al., 2016
In the citing paper
“Clearly, iN DNAm ages reflect the adult and old chronological ages of their donors, whereas pluripotent stem cells and their derivatives reflect pre-natal DNAm ages (Figure 7H; Huh et al., 2016; Kim et al., 2014; Lo Sardo et al., 2017).”
From Age-dependent instability of mature neuronal fate in induced neurons from Alzheimer’s patients (2021) · cites this paper as Huh et al., 2016
In the citing paper
“Clearly, iN DNAm ages reflect the adult and old chronological ages of their donors, whereas pluripotent stem cells and their derivatives reflect pre-natal DNAm ages (Figure 7H; Huh et al., 2016; Kim et al., 2014; Lo Sardo et al., 2017).”
From Age-dependent instability of mature neuronal fate in induced neurons from Alzheimer’s patients (2021) · cites this paper as Huh et al., 2016
In the citing paper
“AD iNs did not display signs of accelerated epigenetic aging over control iNs (Figures 7I and 7J; Figure S6; Horvath, 2013; Huh et al., 2016).”
From Age-dependent instability of mature neuronal fate in induced neurons from Alzheimer’s patients (2021) · cites this paper as Huh et al., 2016
In the citing paper
“Cellular aging features (Huh et al., 2016; Mertens et al., 2015a, 2018; Tang et al., 2017; Victor et al., 2014) and adult-like neuronal identity of iNs (Luo et al., 2019) are likely critical for the emergence of such phenotypes in sporadic AD neurons, because erasure of aging signatures and re-gaining of fetal identity represents a potent rescue in this study (Miller et al., 2013; Ocampo et al., 2”
From Age-dependent instability of mature neuronal fate in induced neurons from Alzheimer’s patients (2021) · cites this paper as Huh et al., 2016
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“The “bioreactors” used in culture may also improve the health of the cells (Marion et al., 2009; Corti et al., 2012; Baxter et al., 2015; Huh et al., 2016; Mertens et al., 2018).”
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“Indeed, several studies have shown that iNs appear to retain transcriptomic and epigenetic characteristics similar to the aged donor somatic cells (Huh et al., 2016; Mertens et al., 2015).”
BackgroundTelomere shortening induces aging-associated phenotypes in hiPSC-derived neurons and astrocytes
Harley, J., Santosa, M. M., Ng, C. Y., Grinchuk, O. V., Hor, J., Liang, Y., Lim, V. J. W., Tee, W., Ong, D. S. T., & Ng, S. (2023) · Biogerontology · doi:10.1007/s10522-023-10076-5 · Cited by 37
“Fibroblast-derived iNs preserve features of human aging including transcriptomic, epigenetic, mitochondrial and nuclear pore changes (Herdy et al. 2019; Huh et al. 2016; Kim et al. 2018; Mertens et al. 2015).”
BackgroundGhaffari, L., Starr, A., Nelson, A. T., & Sattler, R. (2018) · Frontiers in Neuroscience · doi:10.3389/fnins.2018.00056 · Cited by 35
“also showed that direct conversion using this protocol preserves age-related epigenetic and cellular signatures from the donor, similar to established transcription factor-only methods (Huh et al., 2016).”
BackgroundResultInfluentialAversano, S., Caiazza, C., & Caiazzo, M. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.1069482 · Cited by 33
Nwanaji‐Enwerem, J. C., Weisskopf, M. G., & Baccarelli, A. (2018) · Ageing Research Reviews · doi:10.1016/j.arr.2018.04.005 · Cited by 29
Precision Medicine in Rare Diseases
Villalón-García, I., Álvarez-Córdoba, M., Suarez-Rivero, J. M., Povea-Cabello, S., Talaverón-Rey, M., Suárez-Carrillo, A., Munuera-Cabeza, M., & Sánchez-Alcázar, J. A. (2020) · Diseases · doi:10.3390/diseases8040042 · Cited by 33
“In addition, iNs, unlike iPSCs, maintain the ageing [30] and the epigenetic marks of the donor [31,32], making them excellent candidates for modelling neuronal pathophysiology in age-related disorders.”
BackgroundRose, S. E., Frankowski, H., Knupp, A., Berry, B. J., Martinez, R. A., Dinh, S. Q., Bruner, L. T., Willis, S. L., Crane, P. K., Larson, E. B., et al. (2018) · Journal of Neuropathology & Experimental Neurology · doi:10.1093/jnen/nly013 · Cited by 29
“Finally, because reprogramming of somatic cells to hiPSCs erases epigenetic marks (12) we tested whether leptomeningeal cells are a viable starting cell source for direct neuron conversion.”
BackgroundInduced pluripotent stem cell‐based modeling of mutant LRRK 2‐associated Parkinson's disease
Weykopf, B., Haupt, S., Jungverdorben, J., Flitsch, L. J., Hebisch, M., Liu, G., Suzuki, K., Belmonte, J. C. I., Peitz, M., Blaess, S., et al. (2019) · European Journal of Neuroscience · doi:10.1111/ejn.14345 · Cited by 29
“Besides transcriptomic signatures, iN preserve the donor cell's age‐associated epigenetic memory and other aging hallmarks such as shortened telomere lengths, elevated ROS levels and accumulated DNA damage (Huh et al., 2016).”
BackgroundMicroRNA Roles in Cell Reprogramming Mechanisms
Pascale, E., Caiazza, C., Paladino, M., Parisi, S., Passaro, F., & Caiazzo, M. (2022) · Cells · doi:10.3390/cells11060940 · Cited by 30
Sato, M., Takizawa, H., Nakamura, A., Turner, B. J., Shabanpoor, F., & Aoki, Y. (2019) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2019.00297 · Cited by 29
The Importance of Non-neuronal Cell Types in hiPSC-Based Disease Modeling and Drug Screening
Gonzalez, D. M., Gregory, J. K., & Brennand, K. (2017) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2017.00117 · Cited by 26
“…is an essential part of the cellular reprogramming process; while important epigenetic markers associated with complex genetic diseases may be lost during hiPSC reprogramming, this does not seem to occur to the same extent during neuronal induction (Huh et al., 2016; Mertens et al., 2016).”
BackgroundSimple Generation of a High Yield Culture of Induced Neurons from Human Adult Skin Fibroblasts
Shrigley, S., Pircs, K., Barker, R. A., Parmar, M., & Drouin‐Ouellet, J. (2018) · Journal of Visualized Experiments · doi:10.3791/56904 · Cited by 26
Impact of traumatic brain injury on amyotrophic lateral sclerosis: from bedside to bench
Franz, C. K., Joshi, D., Daley, E. L., Grant, R. A., Dalamagkas, K., Leung, A., Finan, J. D., & Kiskinis, E. (2019) · Journal of Neurophysiology · doi:10.1152/jn.00572.2018 · Cited by 26
“Recent developments in direct neuronal transdifferentiation from adult somatic cell types appear to preserve aspects of cellular age (Abernathy et al. 2017; Huh et al. 2016; Victor et al. 2018; Yoo et al. 2011) and may facilitate the development of more accurate in vitro models of TBI pathogenesis.”
BackgroundCell reprogramming: Therapeutic potential and the promise of rejuvenation for the aging brain
López-León, M., Outeiro, T. F., & Goya, R. G. (2017) · Ageing Research Reviews · doi:10.1016/j.arr.2017.09.002 · Cited by 27
“Using a miRNAbased cellular reprogramming approach, human fibroblasts obtained from donors ranging from neonates to near centenarians could be efficiently converted into neurons that retain multiple age-associated signatures (Huh et al., 2016).”
Aging-relevant human basal forebrain cholinergic neurons as a cell model for Alzheimer’s disease
Ma, S., Zang, T., Liu, M.-L., & Zhang, C. (2020) · Molecular Neurodegeneration · doi:10.1186/s13024-020-00411-6 · Cited by 24
Lee, S. W., Oh, Y. M., Victor, M. B., Yang, Y., Chen, S., Strunilin, I., Dahiya, S. M., Dolle, R. E., Pak, S. C., Silverman, G. A., et al. (2023) · Nature Aging · doi:10.1038/s43587-023-00538-3 · Cited by 25
“…whether it would be feasible to reduce the RCAN1 adult fibroblasts to neurons has been shown to propagate chronological age-related characteristics such as epigenetic cellular age stored in starting fibroblasts, thereby generating neurons that mimic the epigenetic age of fibroblast donors 6 .”
InfluentialGeneration of Human Neurons by microRNA-Mediated Direct Conversion of Dermal Fibroblasts
Church, V. A., Cates, K. L., Capano, L. S., Aryal, S., Kim, W. K., & Yoo, A. S. J. (2020) · Methods in molecular biology · doi:10.1007/978-1-0716-1084-8_6 · Cited by 24
Screening Platforms for Genetic Epilepsies—Zebrafish, iPSC-Derived Neurons, and Organoids
Shcheglovitov, A., & Peterson, R. T. (2021) · Neurotherapeutics · doi:10.1007/s13311-021-01115-5 · Cited by 23
Neuroprotective Effects of Cryptotanshinone in a Direct Reprogramming Model of Parkinson’s Disease
Lee, J., Sim, H., Yoo, H. M., Lee, M., Baek, A., Jeon, Y., Seo, K.-S., Son, M., Yoon, J. S., & Kim, J. (2020) · Molecules · doi:10.3390/molecules25163602 · Cited by 24
The iNs and Outs of Direct Reprogramming to Induced Neurons
Carter, J., Halmai, J. A. N. M., & Fink, K. D. (2020) · Frontiers in Genome Editing · doi:10.3389/fgeed.2020.00007 · Cited by 21
Gropman, A. L., Uittenbogaard, M. N., & Chiaramello, A. (2024) · Neurotherapeutics · doi:10.1016/j.neurot.2023.e00311 · Cited by 23
“…the differentiation process [103]; and 6) reprogramming into iPSCs can reset cellular age of lineage-speci fi c derived cells, such as neurons [104], and/or induces mitochondrial rejuvenation [105], thereby no longer exhibiting the original pathophysiological characteristics of a PMD.…”
BackgroundMcCaughey‐Chapman, A., & Connor, B. (2023) · Journal of Neuroscience Research · doi:10.1002/jnr.25173 · Cited by 21
Hicks, E. M., Seah, C., Cote, A. C., Marchese, S., Brennand, K., Nestler, E. J., Girgenti, M. J., & Huckins, L. M. (2023) · Translational Psychiatry · doi:10.1038/s41398-023-02412-7 · Cited by 21
“It is hypothesized that the conservation of epigenetic markers may be achieved through direct reprogramming strategies [43] if donor-specific epigenetic profiles, such as with aging [44, 45], are of interest.”
BackgroundPrecision medicine in pantothenate kinase-associated neurodegeneration
Álvarez-Córdoba, M., Paz, M. V., Villalón-García, I., Povea-Cabello, S., Suarez-Rivero, J. M., Talaverón-Rey, M., Abril-Jaramillo, J., Vintimilla-Tosi, A. B., & Sánchez-Alcázar, J. A. (2019) · Neural Regeneration Research · doi:10.4103/1673-5374.251203 · Cited by 21
“In addition, iNs, unlike iPSCs, maintain the ageing (Mertens et al., 2015) and the epigenetic marks of the donor (Horvath, 2013; Huh et al., 2016), making them excellent candidates for modelling neuronal pathophysiology in age-related disorders.”
Koh, Y. H., Tan, L. Y., & Ng, S. (2018) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2018.00413 · Cited by 20
Human neurons to model aging: A dish best served old
Böhnke, L., Traxler, L., Herdy, J. R., & Mertens, J. (2018) · Drug Discovery Today Disease Models · doi:10.1016/j.ddmod.2019.01.001 · Cited by 23
“A recent study found that the epigenetic age (or more precisely termed ‘DNA methylation (DNAm) age’), a distinctive pattern of DNA methylation marks from which a donor’s age can be predicted, was the same between iNs and their parental fibroblast [30].”
BackgroundPrytkova, I., & Brennand, K. (2017) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2017.00360 · Cited by 20
“While reprogramming of fibroblasts into hiPSCs erases age-related epigenetic marks and gene expression profiles, these can be at least partially maintained by inducing patient somatic cells directly into neurons (Mertens et al., 2015; Huh et al., 2016).”
BackgroundDirect Conversion of Human Fibroblasts to Induced Neurons
Zhou-Yang, L., Eichhorner, S., Karbacher, L., Böhnke, L., Traxler, L., & Mertens, J. (2021) · Methods in molecular biology · doi:10.1007/978-1-0716-1601-7_6 · Cited by 20
Monk, R., Lee, K. C., Jones, K. S., & Connor, B. J. (2021) · Stem Cells · doi:10.1002/stem.3420 · Cited by 17
“The lack of cellular rejuvenation, shorter reprogramming durations and reduced labor required for iN generation are attractive for disease modeling.(14,15) However, iNs do not follow successive stages of neurodevelopment.”
BackgroundSchlachetzki, J. C. M., Toda, T., & Mertens, J. (2020) · Experimental Gerontology · doi:10.1016/j.exger.2020.110876 · Cited by 18
“Unlike iPSC-derived neurons, iNs show mature neuronal 5-hmC methylation and show transcriptomic aging signatures and preservation of their donors’ DNAm clock ages (Table 1)(Herdy et al., 2019; Huh et al., 2016).”
BackgroundCell reprogramming: methods, mechanisms and applications
Zhu, F., & Nie, G. (2025) · Cell Regeneration · doi:10.1186/s13619-025-00229-x · Cited by 26
“…(MET) (Li et al. 2010; Samavarchi-Tehrani et al. 2010), (4) a metabolic remodeling from oxidative phosphorylation to glyco-lysis-based metabolism (Zhang et al. 2016; Zhu et al. 2024), (5) the activation of early pluripotency-associ-ated genes (such as alkaline phosphatase and SSEA-1 in mouse;…”
Kajtez, J., Nilsson, F., Laurin, K., Bruzelius, A., Cepeda-Prado, E., Birtele, M., Barker, R. A., Herborg, F., Ottosson, D. R., Storm, P., et al. (2025) · Science Advances · doi:10.1126/sciadv.adq7855 · Cited by 16
“Besides being an invaluable tool to create patient and disease-specific neurons for modeling of age-associated neurological disorders ( 11 – 15 ), direct reprogramming offers a promising nonpluripotent cell source for personalized transplantation-based therapies for neurodegenerative diseases.”
Wheeler, H. B., Madrigal, A. A., & Chaim, I. A. (2024) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2317860121 · Cited by 17
“Excitingly, a recent technological advancement that can help overcome this limitation is the direct differentia - tion of fibroblasts to desired neuronal populations (143, 144).”
A cellular identity crisis? Plasticity changes during aging and rejuvenationPreprint
Gorelov, R. A., & Hochedlinger, K. (2024) · Genes & Development · doi:10.1101/gad.351728.124 · Cited by 18
“2; Horvath 2013; Huh et al. 2016; Sheng et al. 2018).”
Szabo, L., Lejri, I., Grimm, A., & Eckert, A. (2024) · Antioxidants · doi:10.3390/antiox13121482 · Cited by 18
“Specifically, common findings in humans, animals, and reprogrammed neurons have demonstrated an age-related decrease in the antioxidative defense system [42,54,55] together with heightened ROS levels [56,57], leading to an augmentation in oxidative stress [58,59].”
Flitsch, L. J., & Brüstle, O. (2019) · F1000Research · doi:10.12688/f1000research.18926.1 · Cited by 16
Neurodegeneration in a dish: advancing human stem-cell-based models of Alzheimer’s disease
Klimmt, J., Dannert, A., & Paquet, D. (2020) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2020.01.008 · Cited by 16
Habekost, M., Qvist, P., Denham, M., Holm, I. E., & Jørgensen, A. L. (2021) · Molecular Neurobiology · doi:10.1007/s12035-020-02258-w · Cited by 14
“In contrast, direct conversion of fibroblasts into induced neurons (iNs) circumvents the pluripotent intermediate state, and it has been demonstrated that iNs retain the transcriptomic and epigenetic age of the starting cells [29, 35].”
BackgroundDirect Reprogramming of Somatic Cells to Neurons: Pros and Cons of Chemical Approach
Mollinari, C., & Merlo, D. (2021) · Neurochemical Research · doi:10.1007/s11064-021-03282-5 · Cited by 15
Human iPSC-Derived Neurons as A Platform for Deciphering the Mechanisms behind Brain Aging
Chao, C., Shen, P.-W., Tzeng, T., Kung, H., Tsai, T., & Wong, Y. (2021) · Biomedicines · doi:10.3390/biomedicines9111635 · Cited by 13
Gudenschwager, C., Chavez, I., Cárdenas, C., & González-Billault, C. E. (2021) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2021/5586052 · Cited by 12
“Moreover, in iMSNs, the length of telomeres is unaltered, and it corresponds to the telomere length of the starting fibroblasts, which is related to the donor’s age [4].”
BackgroundInfluentialGenetic and Epigenetic Interplay Define Disease Onset and Severity in Repeat Diseases
Barbé, L., & Finkbeiner, S. M. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.750629 · Cited by 15
“…Junien, 1993; Sabouri et al., 1993; Shaw et al., 1993; Jansen et al., 1996; Benders et al., 1997; Berul et al., 1999; Eriksson et al., 2000, 2001; Inukai et al., 2000; Klesert et al., 2000; Mounsey et al., 2000; Sarkar et al., 2000; Depardon et al., 2001; Coffee et al., 2002) YES (Tabolacci et…”
BackgroundAdvances in mt-tRNA Mutation-Caused Mitochondrial Disease Modeling: Patients’ Brain in a Dish
Povea-Cabello, S., Paz, M. V., Suarez-Rivero, J. M., Álvarez-Córdoba, M., Villalón-García, I., Talaverón-Rey, M., Suárez-Carrillo, A., Munuera-Cabeza, M., & Sánchez-Alcázar, J. A. (2021) · Frontiers in Genetics · doi:10.3389/fgene.2020.610764 · Cited by 14
Applications of Functional Genomics for Drug Discovery
Kabadi, A. M., McDonnell, E., Frank, C. L., & Drowley, L. (2020) · SLAS DISCOVERY · doi:10.1177/2472555220902092 · Cited by 15
Research models to study lewy body dementia
Boschen, S. L., Mukerjee, A. A., Faroqi, A. H., Rabichow, B. E., & Fryer, J. D. (2025) · Molecular Neurodegeneration · doi:10.1186/s13024-025-00837-w · Cited by 16
“Direct neuronal reprogramming, by which a neuron is formed via direct conversion from a somatic cell without going through a pluripotent intermediate stage, allows the possibility to generate patient-derived neurons that maintain the aging and epigenetic signatures of the donor [128, 129].”
Stem Cell Models for Context-Specific Modeling in Psychiatric Disorders
Seah, C., Huckins, L. M., & Brennand, K. (2022) · Biological Psychiatry · doi:10.1016/j.biopsych.2022.09.033 · Cited by 12
Transcriptomic reprogramming for neuronal age reversal
Pleşa, A. M., Shadpour, M., Boyden, E. S., & Church, G. M. (2023) · Human Genetics · doi:10.1007/s00439-023-02529-1 · Cited by 13
Metadata
- Authors
- Huh, C. J., Zhang, B., Victor, M. B., Dahiya, S., Batista, L. F., Horvath, S., & Yoo, A. S.
- Affiliations
- Washington University in St. Louis (US)
- Department of Developmental Biology, Washington University School of Medicine, St. Louis, United States
- University of California, Los Angeles (US)
- Corresponding author
- Yoo, Andrew S
- Venue
- eLife
- Publisher
- eLife Sciences Publications, Ltd
- Published
- 2016-09-20
- Volume
- 5
- ISSN
- 2050-084X (ISSN-L)
- PMC
- PMC5067114
- OpenAlex
- W2521543069
- Cited by
- 213
- References
- 57
- Citations by year
- 2026: 16 · 2025: 18 · 2024: 23 · 2023: 22 · 2022: 17 · 2021: 33 · 2020: 29 · 2019: 17 · 2018: 26 · 2017: 11
- FWCI
- 9.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- eLife (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute on Drug Abuse (R25 DA027995)
- National Institutes of Health (K99/R00, 4R00HL114732-03, 1U34AG051425-01, 5R01, AG042511-02, DP2NS083372-01)
- Washington University in St. Louis (DDRCC, NIDDK P30 DK052574)
- Ellison Medical Foundation (AG-NS-0878-12)
- Cure Alzheimer's Fund
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Aging › Genetics, Aging, and Longevity in Model Organisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
- Keywords
- neuronal aging, fibroblast-to-neuron conversion, epigenetic clocks, DNA methylation, age-related gene expression, oxidative stress, DNA damage, telomere length, neurodegenerative diseases, human neurons
- MeSH terms
- Aging, Cytological Techniques, DNA Damage, Fibroblasts, Humans, Neurons, Telomere, Oxidative Stress, Gene Expression Profiling, MicroRNAs, Epigenesis, Genetic, Cell Transdifferentiation
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