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Activin A from inflammatory macrophages impairs stem cell regulation in aging human muscle

Researchers mapped signaling pathways between senescent-like immune cells and muscle stem cells across multiple human transcriptomic datasets.

International Journal of Molecular Sciences

In human skeletal muscle tissue and isolated cells, researchers integrated bulk and single-cell RNA sequencing to study immune and stem cell communication during aging. Bulk transcriptomics showed increased inflammation, reduced metabolic and mitochondrial programs, and elevated macrophage signatures in aged muscle. Single-cell analysis revealed that inflammatory macrophages had the highest SenMayo senescence scores, while early-primed muscle stem cells underwent remodeling linked to inflammation and the extracellular matrix. Ligand-target modeling and an independent older adult cohort prioritized macrophage-derived INHBA, also known as Activin A, which paired with Activin receptors on muscle stem cells. In primary human muscle stem cells, Activin A suppressed myogenic regulators, while the ALK4/5/7 inhibitor SB431542 attenuated these inhibitory effects.

Why it matters

The findings define a candidate communication route linking immune system alterations directly to disrupted regenerative stem cell programs in human muscle aging.

Caveats

The proposed macrophage-stem cell communication axis is based largely on computational modeling of observational transcriptomic data alongside in vitro cell cultures.

The paper

Integrated Transcriptomic Analysis Identifies a Candidate INHBA/Activin A-Associated Macrophage-MuSC Communication Axis in Human Skeletal Muscle Ageing

Liu X, Li Z, Yuan Y et al.

International Journal of Molecular Sciences · 17 Sep 2026

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