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Opinion Review
Copyright: ©Author(s) 2026.
World J Stem Cells. Jun 26, 2026; 18(6): 118524
Published online Jun 26, 2026. doi: 10.4252/wjsc.118524
Table 1 Key mechanisms underlying the long-term effects of mesenchymal stem cell-based therapy on aging acceleration
Physiological process
Cell-mediated mechanism(s)
Short-term and long-term effects
Resource depletion and structural damagePrimarily cellular microenvironment-mediated mechanisms (extracellular matrix and cellular glycocalyx)Short-term: Visible
Long-term: Altered non-functional tissue maturation
Disrupting the balance between positive and negative physiological feedback mechanismsExtremely specific stimulation through the secretion of targeted molecular complexes and extracellular vesiclesShort-term: Primarily not visible
Long-term: Reducing reparation abilities
Formation of closed positive feedback loops (also known as vicious cycles)Induction of a chain reaction of metabolic secretion, such as inflammagingShort-term: Not visible, but rather anti-inflammation effects
Long-term: Systemic physiological effects related to accelerated aging


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