目前分類:Cell 細胞 (179)

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BX1A00_P_03_02  

美國《細胞移植雜誌》(Cell Transplantation):幹細胞治中風台灣醫療大突破

20140413

中國時報林欣儀/台中報導

進行幹細胞移植的醫療團隊,將濃縮成1cc的細胞注入患者受傷的腦神經內。(林欣榮提供)

 

台灣醫療大突破!

中國醫藥大學北港附設醫院院長林欣榮,5年來針對30名中風導致偏癱的患者,透過自體幹細胞移植,百分百改善了他們的失能情況。原本必須靠輪椅行動的患者,現在都能站立行走;林欣榮的研究成果也被美國知名期刊採用,最近將刊出。

7年前因中風導致右手右腳無力的黃先生,歷經治療及復健後仍倚賴輪椅進出;因右手無法使力,生活起居都得靠家人協助,在歷經1年半輪椅人生後,5年前他加入林欣榮的醫療實驗,採用自體周邊血液幹細胞移植方式做治療。

林欣榮說,這項研究是收集患者本身的周邊血液,經濃縮為1cc後,進入手術室,採最安全的局部麻醉方式;將濃縮後的幹細胞注入患者腦部神經受損處,前後時間約1小時。

經注入幹細胞後,黃先生原本無法動彈的右手,在1個月後就發現小拇指可以隨心意上下移動,讓他相當雀躍;更令人高興的是,緊接著2根指頭、3根指頭陸續能隨心所欲活動,到了半年後,他的右手已能舉起。原本要依賴輪椅的腿部也能站起並緩慢移動。現在黃先生雖右腳仍有些跛,但快步走不再困難,甚至可踏上跑步機小跑步做復健;昨天還高興的參加兒子婚禮。

林欣榮說,這起實驗目前進行到第2期,是針對偏癱的30名患者作實驗,原本採一半進行幹細胞移植配合復健的研究組,一半只做復健的控制組,結果發現研究組恢復快速,並將控制組的患者加入進行自體幹細胞移植,結果30人都有顯著進步,現都不必再靠輪椅行動。

林欣榮說,這起研究已獲美國《細胞移植雜誌》(Cell Transplantation)接受,將於近日刊出他的實驗成果;這本雜誌在細胞研究方面排行世界第四,顯示台灣在幹細胞移植方面的成果確實獲得肯定。

為幫助更多患者,林欣榮下一步決定嘗試臍帶血移植的方式,目前與永生臍帶血公庫取得合作。他說,預計實驗人數為12人,只要80歲以下、中風超過半年者都可以報名。

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日本「STAP」萬能細胞論文確定造假

自由時報 – 201442

〔編譯林翠儀/綜合報導〕日本理化學研究所(簡稱理研)研究員小保方晴子領導美國和日本研究團隊發表論文,宣稱成功開發出新型萬能細胞「STAP」,被踢爆圖片造假後,理研調查委員會1日公布調查報告,認定該STAP細胞論文存在捏造及竄改圖片等違規行為。這份被譽為「世紀大發現」的論文,瞬間變成日本科學史上的重大醜聞。

不過,對於STAP細胞是否存在,理研調查委員會強調,必須進行科學研究,並未做出判斷。而被指論文造假的小保方則透過律師發表聲明,表示十分驚訝和憤慨,無法接受論文存在竄改、捏造的結論,近期將向理研提出申訴。

小保方領導由美國哈佛大學、日本山梨大學等學者組成的研究團隊,於今年1月底在英國科學期刊「自然」發表論文,宣稱成功地從實驗鼠採集淋巴細胞,加入弱酸性溶液刺激後培養出STAP細胞,這種新型萬能細胞可變成各種細胞。由於打破學界以往認定體細胞一旦角色確定後,光是靠外部刺激不可能產生初期化的說法,所以被譽為繼ES細胞(胚胎幹細胞)、iPS細胞(誘導性多功能幹細胞)之後的「世紀大發現」。

然而,論文發表後未久,網路便傳出質疑聲浪,指控論文提供的部分影像資料和過去發表的影像雷同,以及影像中出現疑似加工過的不自然線條等。面對外界質疑聲浪,連日本文部科學省都出面要求理研展調查。理研於是組成調查委員會,約談小保方等相關人員,1日由調查委員長石井俊輔公布結果。

石井表示,STAP細胞論文裡某張照片和小保方博士論文的照片極為相似,雖然小保方辯稱「疏失」誤用,但難以令調查委員會信服,判定此部分為捏造。另外,以體細胞培養STAP細胞的實驗結果照片,也被判定遭到加工竄改。調查報告以嚴厲口吻指出,多次犯下無法被容忍的行為,不能單純歸咎於研究者只是不夠成熟,而是缺乏研究倫理,對科學不夠謙虛與誠實。

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『細針抽吸』取得皮下『完整脂肪球』注射自體脂肪改善聲帶麻痹

作者:【記者蘇湘雲/台北報導】 | 台灣新生報 – 2014331

 

感冒、中樞性神經疾病、氣管發炎、腫瘤、外傷等因素都可能造成聲帶麻痹,患者聲音會變得比較沙啞,且講話很容易中氣不足、上氣不接下氣。雙和醫院耳鼻喉科主治醫師王興萬提醒,聲帶麻痹若持續兩個月以上,要恢復會變得較為困難,一旦超過六個月,聲音恢復正常機會更是微乎其微。

王興萬醫師表示,聲帶麻痹有時不只影響說話,有些患者甚至因聲門閉不起來導致吃東西容易嗆到、咳嗽,這樣就會很危險,嚴重還可能危及生命。對於聲帶麻痹患者,會觀察兩到六個月,症狀若持續沒有改善,就得考慮積極治療。

傳統治療聲帶麻痹方式為甲狀軟骨成型術,做法為打開聲帶,然後放入矽膠塊等植入物,幫助聲帶功能恢復正常,不過這種手術方式會產生明顯疤痕,且植入物可能會跑掉、改變位置,有時也可能產生排斥。近幾年來已經出現一種新技術,可運用肚子、大腿、臀部自體脂肪解決聲帶麻痹問題。

王興萬醫師指出,注射自體脂肪治療聲帶麻痹最大好處在於幾乎沒有疤痕,且較不會產生位移、排斥。加上抽取、萃取脂肪技術越來越進步,使得脂肪細胞存活率增加不少。如果因老化、講話過於頻繁引起聲帶閉鎖不全、聲帶萎縮等問題,也可考慮用這種方式進行治療。但若有凝血異常問題,便不適合接受這種治療。

王興萬醫師叮嚀,想要好好保護聲帶,講話最好不要太快、太大聲,也不宜過度講話。平常最好少吃刺激性食物,以免對聲帶造成不當刺激。

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f_419678_1f_419678_35774996-2394198regenerative-1  

醫學大未來:幹細胞當家

撰文哈爾蒙(Katherine Harmon

翻譯張薰文

http://sa.ylib.com/MagCont.aspx?Unit=featurearticles&id=2165

新興的再生醫學領域,可能會澈底改變心臟疾病和神經退化性疾病的治療方法,不但可以解決捐贈器官不足的問題,還能讓受損肌肉和肌腱組織等完全復原。

這裡列出幾種最有潛力的療法:【受損心肌的再生之道】【超強黏膠】【用糖培養的器官】【重建腦內森林】

人體幾個大型器官中,肝臟受創後有驚人的恢復能力。如果肝臟因事故受損或在手術過程中失去一大塊,只要有1/4以上完整且無傷疤,它就能重新長回原來大小並恢復功能。可惜身體其他部位沒有這種自我再生的能力。蠑螈的尾巴可以再生,但人類一旦斷了腿或者因為阿茲海默症而失去部份腦組織,就無法恢復原狀。要達成這個目標,人體需要額外的幫助,這也是再生醫學這個新興的研究領域所希望達成的。

幹細胞是能產生多種組織的前驅細胞,對再生能力極為重要。科學家正在學習如何創造混合了糖分子、蛋白質和纖維的複雜環境,讓幹細胞得以發展成組織。下面的報導顯示研究人員在更換壞損心臟組織和重建肌肉方面,已取得很大的進展,他們也開始研究如何培育新的神經細胞。這些尖端研究有些可能會在幾年內就成為臨床療法;有的可能需要幾十年的努力,當然最後有的也可能失敗。這裡列出幾種最有潛力的療法。

 

【用糖培養的器官】

要培養出能夠順利運作的大型器官,科學家必須想辦法替它們接上血管。

參加TED(科技、娛樂、設計)演講的觀眾已經習慣先進科技所帶來的驚奇,即使如此,2011年美國威克富瑞斯特大學再生醫學研究所的艾塔拉(Anthony Atala)的演講仍讓人覺得不可思議。觀眾在第一時間,並沒有看到舞台上艾塔拉背後有一堆發出嗡嗡聲的瓶子和管子正在進行著神秘的實驗。當演講進行到2/3時,鏡頭拉近到這個設備的內部噴頭,畫面中它來回移動,以極為精確的立體藍圖為本,把實驗室中培養的活細胞一層一層放置到中央平台上。這個過程稱為3D列印,和墨水列印類似,但在這裡使用的不是墨水,而是含有活細胞的液體。最後,艾塔拉的機器把人類細胞層層疊成與活體大小相同的腎臟,就像用3D印表機製作出咖啡機的塑膠零件。

這種直接且快速的器官製造方式,將造福105000名仍在等待器官捐贈的美國人。但艾塔拉兩年前所示範的這種列印腎臟還不能移植,它缺少了兩項重要的元素:運送血液的血管和收集尿液的腎小管。缺少了這些內部管道,腎臟這類大型器官內部深處的細胞就無法獲得重要的養份和氧氣,也不能移除代謝廢物,很快就會死亡。在列印這些具有空洞的結構時,他試著在每層細胞的對應位置上留空,但這樣所產生的管道會塌陷,且接合處會因為血壓而破損。

由美國賓州大學和麻省理工學院所組成的研究團隊則針對這個問題提供了一種「甜美的」解決方式。他們不同時列印腎臟和內部血管,而是先用可溶解的糖列印出血管和腎小管模型,再讓細胞附著其上,接著洗去這個糖製的模型,留下足以承受身體不同血壓的堅固管路。

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200407stemcell-1  

幹細胞的挑戰:幹細胞療法帶來的曙光與實際的臨床治療之間,橫亙著哪些障礙?

 

http://sa.ylib.com/MagCont.aspx?Unit=featurearticles&id=489

 

撰文/藍札(Robert Lanza)、羅森塔爾(Nadia Rosenthal

翻譯/涂可欣

這是受精後5~6天的人類細胞,稱為胚囊。剝開囊胚取出的內部細胞圖(圖中紅色突出部份),可用來製造胚胎幹細胞。

 

幹細胞(stem cell)為衰敗的器官和目前無可醫的疾病,燃起了重生的希望。病患看到幹細胞幾乎神乎其技的報導後大受鼓舞,然而大部份炒得最熱的科學研究,隨後都遭到反駁。在爭論人類胚胎的幹細胞取得的正當性之際,還有其他研究結果也遭扭曲失真。

聳動與對立的聲音,已讓大眾和大部份科學家迷惑,究竟幹細胞治療在醫學上可不可行。如果美國和其他國家現在就撤銷對幹細胞的法律與經費限制,是不是隔天醫師就可以開始利用幹細胞來治療病患?目前可能不行,因為還有許多技術障礙有待克服。在幹細胞能安全地實現它們的許諾前,得先解決一些懸而未決的問題。

舉例來說,光是確認真正的幹細胞,就是一件很棘手的事。要讓科學家能夠分享研究結果,並評估控制幹細胞行為技術的成功率,首先得確定研究中使用的細胞,的確具備做為根源或莖幹(stem的能力。它必須能夠衍生出各種細胞類型,而自身仍維持能繼續衍生的狀態。但儘管對幹細胞的詳審究查,也無法憑外表將它們區分出來,因為幹細胞是根據它們的行為而定義的。

在各種形式的幹細胞中,最多才多藝的就屬「胚胎幹細胞」(embryonic stem cell, ES cell),而最早的胚胎幹細胞是在20多年前從小鼠的胚胎中分離出來的。胚胎幹細胞來自非常早期的胚胎,在正常狀況下,它們會形成較晚期胚胎中,三種不同的胚層,最後再衍生出身體內所有不同的組織。由於胚胎幹細胞保有製造體內任何類型細胞的潛在能力,因此它們是多能性的(pluripotent)。

全世界大部份現存的人類胚胎幹細胞,都源自體外人工受精後未使用的胚胎。科學家在研究這些胚胎幹細胞後發現,它們通常在冰凍和解凍後能夠復原,並在培養皿中分化出各式各樣的細胞。現在我們也越來越清楚,這些人類胚胎幹細胞株並不完全相同。

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health0001b.140329002003  

人造染色體進步能改造動植物

法新社 – 2014329

(法新社巴黎28日綜合外電報導)

科學家已為複雜細胞生物創造出第一個人造染色體,這項成就今天被譽為邁向爭議性能力的一大步,以重新設計植物或動物。

國際團隊在「科學」雜誌(Science)報導,已將一個合成染色體植入啤酒廠的酵母細胞中,而這個細胞的功能如常,這是試驗能否成功的關鍵。

紐約大學(New York University)系統遺傳學研究所(Institute for Systems Genetics)所長博克(Jef Boeke)說:「我們的研究將合成生物學指針由理論移到現實。」

酵母可代表一群有複雜系統的真核生物,受到高度研究。真核細胞有細胞核與細胞膜內的其他結構。所有植物與動物,包括人類在內,都有真核細胞。

人類已替細菌合成過染色體,細菌是較簡單的原核生物。

酵母可用來釀造啤酒、製造生質燃料與藥物,研究人員認為,基因改造可使酵母發揮更大功用。

酵母有16條染色體,博克團隊解開其中一條染色體的編碼,然後使用軟體改變染色體,移除重複且比較少用的區域。

接著他們從頭開始建造這個改變過染色體的合成版本,將個別核酸聚合起來。

博克說:「這是有史以來人造染色體的最大改變。我們已對這個染色體的DNA編碼做了5萬多次改變,我們的酵母還活著,這很值得注意。」

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胖子呷重鹹細胞老化快

作者:【記者蘇湘雲/綜合外電報導】 | 台灣新生報 – 2014324

美國研究發現,體型肥胖青少年如果又攝取高鹽分飲食,會加快細胞老化速度。

這項研究已發表於美國心臟協會所舉辦的流行病學、疾病預防、營養、運動與新陳代謝醫學研討會。

過去研究顯示,細胞染色體尾端的「端粒」(Telomeres)會隨著年齡老化而逐漸縮短,像抽菸、缺少運動、體脂肪過多等生活習慣、生理狀況也會讓端粒變短。這是首次研究發現,鹽分攝取量也會影響到端粒長度

研究團隊以七百六十六名十四歲到十八歲青少年為研究對象,依據其飲食習慣將他們分成兩組,其中一組一天鈉攝取量平均為兩千三百八十八毫克,另一組一天鈉攝取量平均為四千一百四十二毫克。而美國心臟協會建議,一般人一天鈉攝取量最好控制在一千五百毫克以下,攝取較少鹽分青少年的鹽分攝取量還是超過標準。

研究人員發現,肥胖且攝取高鹽分食物的青少年細胞染色體端粒明顯縮短。研究人員指出,從研究結果來看,鈉攝取過多、肥胖都會加速細胞老化,就算是相對較健康的年輕人也會受高鹽分食物傷害,年輕人若想降低心臟病風險,除了減重,最好盡量減少鹽分攝取,而減少鹽分攝取可能比減重更容易執行。

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02b520f4009bb980260676_Still0124_000151017958041_l2917715455236270e815322601020dcf

vn124900b  

傳幹細胞治療終止珣珣媽po文稱「累了」

東森新聞 – 2014314

全身癱瘓的女童珣珣,今年以來,在國內神經醫學權威「林欣榮」的照料下,健康狀況明顯好轉,但卻傳出,第二階段的治療計畫生變,讓珣珣媽媽萬念俱灰在臉書po文說了喪氣話,說自己真的好累,不過晚間查詢林欣榮他澄清,因為原本提供幹細胞的業者,有些要求他們無法配合,於是更換合作的業者,絕非終止治療。

去年一月因車禍導致全身癱瘓一度只剩眼睛能動的珣珣,在接受了蔣友柏岳父神經醫學權威林欣榮半年來以「內生性幹細胞」的中西醫合併治療下,今年春節前夕不但已經可以生猛有力搖頭,甚至還能說話,手指也可以彎曲,讓珣珣的父母高興地說「這是最棒的新年禮物」,但沒想到原本寄望可使全身神經網,四肢生長的二階段人體神經治療竟傳出計畫生變,也讓珣珣媽難過又疲憊地在臉書留言心情很難過「真的累了」,消息一出引發關注,林欣榮趕緊幫忙澄清。

中國醫學大學北港分院長林欣榮:「因為幹細胞業者他們不願意,不是我們故意中止的啦,不願意沒關係,還有很多有愛心的幹細胞公司,我們再重新改一改、修一修治療計畫,會再跟衛福部申請。」林欣榮強調不是終止計畫,只是更換合作的幹細胞廠商,因為原本的合作廠商有些要求,像是簽約他無法配合,關注珣珣的國人們不用擔心,計畫不會終止,珣珣的健康還會持續進步。

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d52867320140130001463  

抄論文還直接剪貼STAP細胞」日美女博士小保方晴子學位不保

作者:黃菁菁東京12日電 | 中時電子報 – 2014313上午5:56

中國時報【黃菁菁東京12日電】

因發表新的萬能細胞「STAP細胞」論文,而紅極一時的日本美女研究員小保方晴子,繼遭到質疑論文不實之外,連她過去所撰博士論文的參考文獻,都被懷疑可能抄襲自台灣醫學研究人員們在醫學期刊發表的論文,以及美國國家衛生研究院的文章。若查證屬實,小保方恐將因而被取消博士學位。

日本理化學研究所日前召開記者會宣布,以小保方等人為首的研究小組,研發出「STAP細胞」。後來不少研究學者質疑,按照該論文內容進行實驗都無法製造出「STAP細胞」,且小保方在論文中使用的部分照片,疑似沿用她過去的博士論文相片,並非研究萬能細胞時所拍的相片。

《朝日新聞》12日報導,小保方20112月,在早稻田大學提出的「從動物體內找出萬能性的幹細胞」之英文博士論文,參考文獻名單內有38件文獻,酷似台灣的醫院研究團隊發表的論文。

《朝日新聞》指出,台灣研究論文的文獻名單裡共有53件文獻,小保方的論文文獻名單中,138件幾乎內容都一致。小保方的論文有部分出現亂碼,有可能是直接剪貼自其他論文。

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Comorbidities, not age, impact outcomes in autologous stem cell transplant for relapsed non-Hodgkin lymphoma.

Wildes TM1, Augustin KM, Sempek D, Zhang QJ, Vij R, Dipersio JF, Devine SM.

Biol Blood Marrow Transplant. 2008 Jul;14(7):840-6.

doi: 10.1016/j.bbmt.2008.05.002.

 

Abstract

High-dose chemotherapy followed by autologous peripheral blood stem cell transplantation is a widely applied treatment for advanced non-Hodgkin lymphoma (NHL), but few studies have analyzed the tolerability and outcomes in older patients compared with younger patients treated in a homogeneous manner. We retrospectively reviewed 152 consecutive patients who underwent autologous stem cell transplantation (ASCT) following BEAM conditioning (carmustine, etoposide, cytarabine, and melphalan) for NHL from January 2000 through August 2004 at our institution. We compared 59 patients age > or =60 years and 93 patients age <60 years. Supportive care was identical for all patients. The frequency of comorbidities was similar between both groups. CD34+ cell doses, days to neutrophil recovery, and days to platelet count >20,000/mm3 were similar in younger and older patients, although days to platelet count >50,000/mm3 were longer in the older patients (median 30.0 days versus 22.5 days, P = .01). Patients over the age of 60 were more likely to develop grade III/IV mucositis than their younger counterparts (37.7% versus17.4%, P = .0063). Otherwise, the frequency of other grade III/IV toxicities were similar between younger and older patients. Treatment-related mortality (TRM) was similar between older and younger patients (8.5% versus 5.4%, P = .45). Although age was not associated with TRM, the Charlson Comorbidity Index Score was significantly correlated with TRM (P = .03). Median disease-free survival was similar between older and younger patients (21.8 months versus 29.9 months, P = .93), as was overall survival (OS) (47.7 months versus 62.5 months, P = .20). After controlling for age, the Charlson Comorbidity Index Score influenced OS [P = .013]. Overall, our cohort of patients with NHL over the age of 60 who underwent ASCT following BEAM conditioning experienced toxicities and survival similar to their younger counterparts. Comorbidities significantly influenced TRM and OS in this retrospective cohort. Future study should focus on improving tolerability of conditioning and careful prospective evaluation of comorbidities and their association with outcomes.

PMID: 18541205 [PubMed - indexed for MEDLINE]

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螢幕擷取畫面 (121)  1393163141-28101129091393163141-3391011566  1393163141-290945481

Donor age negatively impacts adipose tissue-derived mesenchymal stem cell expansion and differentiation

Mahmood S Choudhery12, Michael Badowski2, Angela Muise2, John Pierce3 and David T Harris2*

* Corresponding author : David T Harris davidh@email.arizona.edu

 

Author Affiliations

1 Advanced Centre of Research in Biomedical Sciences, King Edward Medical University, Lahore, Pakistan

2 Department of Immunobiology, College of Medicine, The University of Arizona, PO Box 245221, 85724, Tucson, AZ, USA

3 Aesthetic Surgery of Tucson, Tucson, AZ, USA

 

Journal of Translational Medicine 2014, 12:8

doi:10.1186/1479-5876-12-8

 

 

The electronic version of this article is the complete one and can be found online at : http://www.translational-medicine.com/content/12/1/8

Received : 23 September 2013

Accepted : 3 December 2013

Published : 7 January 2014

 

© 2014 Choudhery et al.; licensee BioMed Central Ltd.

 

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

 

Abstract

Background

Human adipose tissue is an ideal autologous source of mesenchymal stem cells (MSCs) for various regenerative medicine and tissue engineering strategies. Aged patients are one of the primary target populations for many promising applications. It has long been known that advanced age is negatively correlated with an organism’s reparative and regenerative potential, but little and conflicting information is available about the effects of age on the quality of human adipose tissue derived MSCs (hAT-MSCs).

 

Methods

To study the influence of age, the expansion and in vitro differentiation potential of hAT-MSCs from young (<30 years), adult (35-50 years) and aged (>60 years) individuals were investigated. MSCs were characterized for expression of the genes p16INK4a and p21 along with measurements of population doublings (PD), superoxide dismutase (SOD) activity, cellular senescence and differentiation potential.

 

Results

Aged MSCs displayed senescent features when compared with cells isolated from young donors, concomitant with reduced viability and proliferation. These features were also associated with significantly reduced differentiation potential in aged MSCs compared to young MSCs.

 

Conclusions

In conclusion, advancing age negatively impacts stem cell function and such age related alterations may be detrimental for successful stem cell therapies.

 

Keywords : Adipose tissue; Mesenchymal stem cells; Donor age; Regenerative potential; Growth kinetics; In vitro differentiation potential

  

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img_fatGrafting10

000  

Fat Stem Cells are not affected by Weight or Age

Mojallal et al.

Aesthetic Plast Surg.

 

Fat represents a potent source of autologous stem cells. Historically, the majority of research using autologous stem cells involved stem cells collected from the bone marrow. This source is associated with a painful extraction procedure and relatively low concentrations of mesenchymal stem cells. In contract, mini-liposuctions represent a less invasive extraction approach. Additionally, adipose tissue has been shown to contain substantially higher number of mesenchymal stem cells as well as hematopoietic stem cells and endothelial progenitor cells.

The use of fat derived stem cells has grown exponentially in recent years for numerous indications. Perhaps the largest data set for fat derived stem cells is possessed by Dr. Bob Harman from Vet Stem, who has treated a total of more than 10,000 large animals with this procedure. The Cellmedicine clinic has had an excellent track record of success using autologous fat for treatment of multiple sclerosis having treated more than 200 patients.

One of the major limiting factors of stem cell therapy using your own stem cells (autologous) is that the potency and number of stem cells is believed to decrease with age and disease. These studies, however, have been performed primarily from bone marrow sources of stem cells. Any hematologist will tell you that with age the bone marrow becomes drier and possesses less cells. Studies have shown that bone marrow stem cells from patients with Diabetes or from Obese patients have less activity as compared to age matched controls. There has been some thought that the stem cells in the adipose tissue are protected from age and disease. A current studyMojallal et al. Influence of Age and Body Mass Index on the Yield and Proliferation Capacity of Adipose-Derived Stem Cells. Aesthetic Plast Surg. 2011 May 26from the Service de Chirurgie Plastique, Reconstructrice et Esthétique in Lyon France sought to address this. The investigators assessed 42 women who were divided into two groups: age ≤ 40 or >40 and BMI ≤ 25 or >25. Fat tissue was harvested via manual lipoaspiration from the abdominal region. After centrifugation, 100 ml of lipoaspirate was sent to the laboratory for isolation and cultivation of ASCs. The investigators found that average cell yield was 0.380 × 10(6)/ml. Cell yield and proliferation capacity did not show statistically significant correlation to the Age and BMI of patients, nor was there a statistically significant difference between cell yield and proliferation capacity between the different groups.

The study looked at some very basic parameters : cell number, viability and proliferative ability. It may be that adipose stem cells may exhibit differences in immune modulatory potential or differentiation potential between donors. This was not assessed. Additionally, the adipose derived cells were not assessed between donors suffering from different conditions. Despite these shortcomings, the data appears to support the hypothesis that adipose derived stem cells may have some advantages as compared to bone marrow stem cells, at least for autologous uses.

 

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Chondrogenic Potential of Human Adult Mesenchymal Stem Cells Is Independent of Age or Osteoarthritis Etiology

Alwin Scharstuhl1,2, Bernhard Schewe3, Karin Benz1, Christoph Gaissmaier3,

Hans-Jörg Bühring4, Reinout Stoop Ph.D.1,*

 

Article first published online: 13 SEP 2007

DOI: 10.1634/stemcells.2007-0300

Copyright © 2007 AlphaMed Press

STEM CELLS Volume 25, Issue 12, pages 3244–3251, December 2007

 

Keywords :

Mesenchymal stem cells ; Differentiation ; Isolation ; Chondrogenic differentiation ; Age-related ; Etiology

 

Abstract

Osteoarthritis (OA) is a multifactorial disease strongly correlated with history of joint trauma, joint dysplasia, and advanced age. Mesenchymal stem cells (MSCs) are promising cells for biological cartilage regeneration. Conflicting data have been published concerning the availability of MSCs from the iliac crest, depending on age and overall physical fitness. Here, we analyzed whether the availability and chondrogenic differentiation capacity of MSCs isolated from the femoral shaft as an alternative source is age- or OA etiology-dependent. MSCs were isolated from the bone marrow (BM) of 98 patients, categorized into three OA-etiology groups (age-related, joint trauma, joint dysplasia) at the time of total hip replacement. All BM samples were characterized for cell yield, proliferation capacity, and phenotype. Chondrogenic differentiation was studied using micromass culture and analyzed by histology, immunohistochemistry, and quantitative reverse transcriptase-polymerase chain reaction. Significant volumes of viable BM (up to 25 ml) could be harvested from the femoral shaft without observing donor-site morbidity, typically containing >107 mononuclear cells per milliliter. No correlation of Age or OA etiology with the number of mononuclear cells in BM, MSC yield, or cell size was found. Proliferative capacity and cellular spectrum of the harvested cells were independent of age and cause of OA. From all tested donors, MSCs could be differentiated into the chondrogenic lineage. We conclude that, irrespective of age and OA etiology, sufficient numbers of MSCs can be isolated and that these cells possess an adequate chondrogenic differentiation potential. Therefore, a therapeutic application of MSCs for cartilage regeneration of OA lesions seems feasible.

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p1-w1-stap-a-20140312-870x575  

日本學者小保方晴子Haruko Obokata STAP cell資料有瑕疵幹細胞學者籲撤研究

作者:林步昇 | 中央廣播電台 – 2014311

 

一項日本研究先前宣稱發現製造幹細胞的全新方式,備受科學界矚目,但卻有共同作者表示,由於研究的資料有誤,因此希望能撤除這項報告。

這項研究報告刊登於英國期刊自然Nature 1月號,由日本學者小保方晴子Haruko Obokata與駐美科學家共同發表,內容引介了一項簡單的技術,可望藉此於實驗室培養可供移植的細胞組織。

然而,由於使用的資料可信度受部分學者質疑,因此贊助這項研究的日本理化學研究所上月已展開調查,但目前仍表示支持研究結果。

其中一項指控為,自然期刊所刊登的那篇文章中,研究人員用錯了圖片資料。

身為文章共同作者的日本山梨大學教授若山照彥Teruhiko Wakayama表示,該團隊的研究應予以撤除,並說道,「資料本身就有這麼多錯誤,教人難以相信研究結果」。

自然期刊則透過電子郵件聲明說,將儘快展開內部調查。

但另一位共同作者、哈佛醫學院細胞組織工程師維肯提Charles Vacanti則支持研究結果,認為儘管資料有「小錯」,這份報告仍不應就此被撤除,資料和結論都經得起檢驗。

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0828-00180-016b216609838375711748398-4-2cc_fig03_01  

線粒體移植(Mitochondria transplantation英擬年底實施

作者:【記者陳敬哲/綜和外電報導】 | 台灣新生報 – 201434

 

英國廣播公司報導,英國正在規劃線粒體捐贈草案,預計在今年底正式實施,希望能夠降低幼兒遺傳性疾病風險,但部分民眾強烈反對,認為設計嬰兒非常不道德,恐淪為富人育兒計畫,但主管單位說明,受贈者必須有高度殘疾遺傳高風險,從嚴認定開放標準,達到社會共識。

線粒體是微型生物發電機,能夠提供所有細胞能量,每六千五百個新生兒中,就有一個線粒體異常,導致肌肉無力、失明、心臟衰竭等;線粒體主要是由母親卵子遺傳,如果確認具有高度風險,可藉由第三捐贈者的卵子線粒體,結合孩子基因,形成健康胚胎,能夠大幅降低遺傳疾病發生機會。

英國紐卡斯爾大學道格教授表示,非常欣慰英國政府正在規劃線粒體捐贈草案,這是預防遺傳疾病非常重要的步驟;英國首席醫療官薩莉表示,受贈線粒體讓高度遺傳疾病風險女性,不但能確保自己基因,也能有健康小孩,整體降低遺傳疾病風險,但是法案正式實施以前,越多意見進行討論越好。

英國遺傳學者大衛教授認為,一旦法案通過,英國將是第一個修飾基因合法化政府,但該技術到現在都沒通過安全測試,過早推動上路依舊有疑慮;另外,雖孩子仍然保有母親基因,但仍然在道德範圍外,沒有人能保證基因修飾合法後,社會成本到底是增加還是減少。

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US20100267134A1-20101021-D00000nbt0606-663-F1nrurol.2009.263-f3  

Inducing pluripotency5

http://www.stembook.org/node/514

4. Cell explantation

The derivation of pluripotent ES and EG cells from mammalian embryos and EC cells from tumors is well-established, but until very recently there was little evidence for the generation of pluripotent cells directly from post-natal or adult mammals by simply explanting cells into appropriate culture conditions. Initial reports of the discovery of Multipotent adult progenitor cellsMAPCsin the bone marrowJiang et al., 2002and the Transdifferentiation of adult somatic stem cellsKrause et al., 2001; Lagasse et al., 2000have to date proven refractory to independent verification, perhaps a reflection of the low stringency of analysis with which such claims of pluripotency have often been evaluatedJaenisch and Young, 2008; Wagers et al., 2002. For instance, the mere expression of “marker” genes for different lineages does not necessarily reflect a functional demonstration of pluripotency, and is thus insufficient to justify a claim of pluripotency. A particularly noteworthy example is the recent finding that three ubiquitously-used and widely accepted markers of neuronal lineagesNestin, NeuroD1, and beta-III-Tubulincan be activated in response to cellular stress without corresponding changes in cell fate or identityCroft and Przyborski, 2006; Neuhuber et al., 2004. Even in the very limited instances where a novel cellular function was demonstrated following a claim of transdifferentiation or culture-induced reprogrammingLagasse et al., 2000, subsequent studies found that results were better explained by fusion of donor cells with cells in either recipient animalsVassilopoulos et al., 2003; Wang et al., 2003or co-culture conditionsTerada et al., 2002; Ying et al., 2002.

Although these early reports proved erroneous, a series of three recent studies indicates that pluripotent stem cells can be derived directly from neonatalKanatsu-Shinohara et al., 2004, and adultGuan et al., 2006; Seandel et al., 2007, testes following cell explantation and culture in the presence of appropriate growth factors. Reasoning that EG and EC cells originate from germ cells in the embryo, and noting that some authors have suggested ES cells may have an origin in very early Primordial germ cellsPGCsZwaka and Thomson, 2005, the germline seemed the most reasonable place to look for a conserved post-natal ability to give rise to pluripotent cells. These cells, termed Multipotent adult germline stem cellsmaGSCsGuan et al., 2006or Multipotent adult spermatogonial-derived stem cellsMASCsSeandel et al., 2007, share many of the hallmark properties of ES cells including marker expression, multilineage differentiation, and even contribution to germline chimeras in some casesGuan et al., 2006; Kanatsu-Shinohara et al., 2004.

A key difference, however, between adult testes-derived pluripotent cells and ES cells is the status of their Epigenetic imprints. Beginning with PGCs and throughout the process of spermatogenesis, Somatic imprints are erased and replaced with paternal imprintingHernandez et al., 2003. Reflecting these developmental changes, the testes-derived pluripotent cells, as well as EG cells, have erased somatic imprints and have partially established male imprintsKanatsu-Shinohara et al., 2004. ES cells, on the other hand, maintain the somatic imprints found in the developing embryo and most normal adult tissuesKanatsu-Shinohara et al., 2004; Tada et al., 2001. The significance of this difference is highlighted when one considers the phenotypes of ES cells, and the mice derived from them, which carry either no imprintsHolm et al., 2005or dipaternal imprintsHernandez et al., 2003. Transient deactivation of the DNA methytransferase Dnmt1 was used in one study to erase the imprints in mouse ES cells. Although these ES cells continued to self-renew in culture and contribute to high-grade chimeric mice, these chimeras developed widespread tumorigenesis within their first yearHolm et al., 2005. The case for dipaternal imprints is even more severe. Fibroblasts derived from androgenetic embryosthat is, produced from two male gametesgrow with an overtly transformed phenotype and ES cells derived from these embryos fail to contribute appreciably to chimerasHernandez et al., 2003. Although the maGSCs/MASCs are neither fully imprint-free nor entirely dipaternal, their intermediate state between these two extremes is still cause for concern. Hence, besides the obvious limitation in the exclusion of roughly half of the adult population, these questions and risks surrounding the imprinting status of testes-derived pluripotent cells makes them an inherently unattractive source of material for cell therapy.

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Rodolfa04  

Inducing pluripotency4

http://www.stembook.org/node/514

3. Cellular fusion

Fusion of various somatic cells and cell lines, generally using interspecies hybrids to distinguish genes expressed from each nucleus, has long been used to investigate phenotypic dominance at the cellular level. For instance, when fibroblasts are fused to myoblasts, are the resulting hybrids more like fibroblasts, myoblasts, or something in between?(Harris, 1965; Mevel-Ninio and Weiss, 1981; Wright, 1984. Initial results indicating that some cellular identities could dominate over others in hybrids generated hope that this system could be used to investigate the mechanisms of this fate respecification as a proxy for understanding the effectors of cell fate decisions normally made in the process of developmentBlau et al., 1985; Boshart et al., 1993. However, between technical problems with interspecies fusion and the derivation of Embryonal carcinomaEC; Martin and Evans, 1975, and subsequently ES cellsEvans and Kaufman, 1981; Martin, 1981, as more accurate in vitro models for cell fate determination, work with fusion waned considerably for several decades. Interest in this line of investigation was reinvigorated following the advent of mammalian NT and the subsequent speculation about the prospects of nuclear reprogramming for regenerative medicine. The observation that a pluripotent phenotype appeared to dominate following the fusion of murine somatic cells to ECMiller and Ruddle, 1976, Embryonic germEG; Tada et al., 1997, and ESTada et al., 2003; Tada et al., 2001cells seemed to promise that somatic-stem cell fusion might be an appealing alternative to inefficient and challenging NT. It was hoped that this system could be used for either the study of the mechanisms of nuclear reprogramming or perhaps eventually the direct production of patient-specific pluripotent stem cells. A report demonstrating that this capacity to reprogram somatic cells was conserved in human, as well as mouse, ES cells was further encouragement and represented the first demonstration of successful nuclear reprogramming of human somatic cellsCowan et al., 2005.

Despite this excitement, the fusion of ES and Somatic cells, as well as the subsequent Reprogramming, has proven to be quite inefficientCowan et al., 2005; Hochedlinger and Jaenisch, 2006; Tada et al., 2001, limiting its usefulness in the study of the genetics and epigenetics of reprogramming. To date, therefore, investigators have focused on increasing these efficiencies by overexpressing genes already known to be important for pluripotencySilva et al., 2006, rather than providing new insights about pluripotency and reprogramming through fusion. Moreover, the problems associated with inefficiency are only compounded by the Tetraploid nature of the Hybrids generated by the Fusion itself. The presence of two complete genomes has severely limited the utility of this methodology for the study of reprogramming as well as presenting an enormous technical barrier to the production of autologous stem cells.

While the use of mature lymphocyteswhich undergo a genetic rearrangement late in developmentas the somatic fusion partner in the initial reports with mouse ES cells left no question that a terminally differentiated cell was being subjected to an ES cell environmentTada et al., 2003; Tada et al., 2001, determination of the extent of reprogramming has been less straightforward. Notably, the inability of tetraploid cells to contribute significantly to a chimeric embryo has limited the characterization of the pluripotency of the hybrid cells to less-stringent in vitro assaysJaenisch and Young, 2008; Nagy et al., 1990; Tada et al., 2001. Even more pressing, however, are questions regarding the state of the Somatic chromatin in the hybrid. Has the somatic nucleus truly been restored to a pluripotent state, or has it simply silenced the transcription of genes specific to the differentiated state, allowing the pluripotent ES nucleus control the hybrid cell's identityStudies have sought to address this concern by demonstrating the Reactivation of the silent X-chromosome in hybrids formed with female somatic cellsTada et al., 2001, activation of reporter genesCowan et al., 2005; Tada et al., 2001, the absence of appreciable DNA methylation at pluripotency-associated lociindicating Demethylation occurred in the Somatic chromatin; Cowan et al., 2005, and the expression of some Somatic-nucleus derived ES cell-associated genes by looking for specific Single nucleotide polymorphismsSNPsin hybrid cell transcriptsCowan et al., 2005; Tada et al., 2003. Although some studies have made use of relatively divergent strains of mice to facilitate these analysesTada et al., 2003, genome-wide allele-specific expression analysis would help to elucidate the state of the somatic nucleus, but has yet to be performed with either mouse or human hybrid ES cells.

Tetraploidy also presents the most significant hindrance to the use of fusion in generating patient-specific stem cells as elimination of the ES cell genome after reprogramming will be necessary to produce autologous cells. The requirement for an ES cell nucleus was demonstrated directly by one study which used ultracentrifugation of ES cellsprior to fusionto separate nuclear and cytoplasmic material. Pluripotent cell lines could be generated following Fusion of isolated nucleiNucleoplastswith somatic cells, but Not following fusion to the enucleated cytoplastsDo and Scholer, 2004. While these authors concluded that ES cell chromatin was required for Reprogramming after hybrid formation, the successful NT results with metaphase-arrested zygotes discussed aboveEgli et al., 2007raises the possibility that mitotically arrested ES cell cytoplasts might also be capable of inducing a pluripotent state on somatic chromatin and may present a worthwhile avenue for future study. In addition to attempts to mechanically eliminate the ES cell chromatin with ultracentrifugation, a genetic system aimed at the same goal has also been developed, but to date only the elimination of a single chromosome has been demonstratedMatsumura et al., 2007. This system, depicted in Figure 4, makes use of Cre-mediated DNA recombination between sister chromatids to generate abnormal chromosomes which are eliminated during cell division. Although promising in principle, it remains unclear whether this technique could be used to simultaneously remove the entire ES-cell genome without introducing widespread genomic rearrangements and instability. Without an effective strategy for the disposal of the ES cell's genetic material, it may never be possible to use fusion to produce therapeutically relevant stem cells, nor for that matter, even to determine unambiguously whether the somatic chromatin has been fully reprogrammed.

 

Figure 4. Progress towards the elimination of ES nucleus following fusion, as described by Matsumura et al.Matsumura et al., 2007. A “Chromosome Elimination CassetteCECconsisting of two oppositely-oriented LoxP sites flanking a GFP transgene is introduced into the ES cell genome in a single copy. Following DNA replication, the introduction of Cre mediates recombination between the CEC's on the two sister chromatids, yielding abnormal chromosomes with either no centromerenullicentricor two centromeresdicentric. During cell division, these abnormal chromosomes are naturally eliminated, thereby removing the ES cell-derived chromosome from the hybrid cell.

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human_blastocyst_hair_scale

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image1iPSCwhatcando_3nature09228-f1.2nature10397-f2.2nbt.2139-F1ncb0511-490-f2nm.3225-F2nrm1744-f1nrm1744-f3scrt99-1-lstem_cells_categorieste-166-4  

Human blastocyst-derived pluripotent cell

Human blastocyst-derived, pluripotent cell lines are described that have normal karyotypes, express high levels of telomerase activity, and express cell surface markers that characterize primate embryonic stem cells but do not characterize other early lineages.

After undifferentiated proliferation in vitro for 4 to 5 months, these cells still maintained the developmental potential to form trophoblast and derivatives of all three embryonic germ layers, including gut epithelium (endoderm); cartilage, bone, smooth muscle, and striated muscle (mesoderm); and neural epithelium, embryonic ganglia, and stratified squamous epithelium (ectoderm).

These cell lines should be useful in human developmental biology, drug discovery, and transplantation medicine.

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Rodolfa03  

Inducing pluripotency3

Four techniques for restoring developmental potential to a somatic nucleus have been described in the literature. In nuclear transfer, the genetic material of an oocyte or zygote is replaced with that of a differentiated cell such as a fibroblast. Following development to the blastocyst stage, Pluripotent ntES cells can be derived as from fertilized embryos. In cellular fusion, hybridization between ES cells and somatic cells yields Tetraploid ES cell lines. In direct reprogramming, the retroviral-mediated introduction of a small number of transcription factors is sufficient to confer a pluripotent phenotype. Finally, explantation of testes tissue from neonatal and adult mice into appropriate culture conditions has been shown to result in the production of Multipotent adult spermatagonialMAScells.

 

2. Nuclear transfer

Building on the early work of developmental biology pioneers such as SpemannGurdon and Byrne, 2003; Spemann, 1938, Nuclear transferNTalso commonly called Somatic cell nuclear transferSCNTexperiments were first devised in the 1950s as a means to investigate the constancy of the genome: that is, whether cells maintained the full complement of genomic information as they became more differentiated. At the time, many believed that each cell fate decision during development involved the progressive loss of genes that would not be used by the more differentiated progeny. For instance, ectoderm precursors eliminating all endoderm- and mesoderm-specific genes, then eliminating skin-specific genes as the decision to become a neural precursor is made, eventually yielding a specific type of neuron with a minimal genome containing only the genes which would actually be transcribed. NT experiments in the frogs Rana pipiens by Briggs and KingBriggs and King, 1952and Xenopus laevis by GurdonGurdon et al., 1958Gurdon et al., 1975indicated that, although the generation of clones became less and less efficient as the developmental age of the donor nucleus increased, it was possible to obtain heartbeat-stage tadpoles from terminally differentiated adult cells. It was not until the more recent cloning of Dolly the sheepWilmut et al., 1997, however, that researchers succeeded in using a cell from an adult animal to generate another healthy, fertile adult, thereby demonstrating that the nuclei of at least some cells in the adult maintained a full developmental capacity. While an important finding, many speculated that the rare cloned adult animals could have arisen from the nucleus of an equally rare somatic stem cell. Definitive demonstration that terminally differentiated adult nuclei maintain full developmental capacity was later achieved in mouse studies using Mature lymphocytesHochedlinger and Jaenisch, 2002Inoue et al., 2005and Olfactory neuronsEggan et al., 2004as NT donors.

Dolly's birth and an initial report of the derivation of human ES cells from discarded in vitro fertilizationIVFembryos shortly thereafterThomson et al., 1998led to wide speculation in both the media and scientific community about the possibility of therapeutic cloning. That is, performing Nuclear transfer with a patient's Somatic cells to generate a Preimplantation embryo from which patient-specific ES cells might be derived for use in personalized regenerative medicine. With this motivation, several studies in mouse have sought to compare the properties of SCNT-derived ESntEScells with those derived from naturally fertilized embryosBrambrink et al., 2006; Wakayama et al., 2006, as well as show proof-of-principle demonstrations of these cells’ utility in regenerative medicineBarberi et al., 2003; Rideout et al., 2002; Tabar et al., 2008. The equivalence of ntES cells to ES cells from fertilized embryos was of particular concern because of the low efficiencies and common health defects associated with animals brought to term after reproductive cloningEggan et al., 2001; Gurdon and Byrne, 2003; Humpherys et al., 2001. Despite these defects, however, two studies evaluating the transcriptional profiles, DNA methylation patterns, and in vitro differentiation capacity found that mouse ntES cell lines were identical in all regards to genetically-matched control ES cell lines derived after fertilizationBrambrink et al., 2006; Wakayama et al., 2006. These reassuring results, paired with reports using ntES cells to treat mouse models of both severe compromised immunodeficiencyRideout et al., 2002and Parkinson's diseasesBarberi et al., 2003Tabar et al., 2008after in vitro genetic manipulations and differentiation into the required cell types, generated immense hope that applications to human diseases were immediately on the horizon.

While ntES cells hold great promise for the field of regenerative medicine, the technique has several significant drawbacks that hinder its potential for widespread application to medicine or even to the study of the process of nuclear reprogramming. Obstacles associated with the requirement for a scarce and politically charged cell type, human oocytes, as a recipient cytoplasm are only amplified by the extreme technical challenge of a method plagued with inherent inefficiencies. Moreover, the experimental requirements for successful nuclear transfer in primates appear to be considerably different than other species, with attempts to apply the methods and techniques from mouse directly to human thus far yielding nothing more than false startsKennedy, 2006and the rare report of NT-derived blastocysts but with no ES cell lines derived from themFrench et al., 2008; Stojkovic et al., 2005. Likewise, only very recently has successful nuclear transfer in monkeys been reportedByrne et al., 2007, but the technical refinements developed here have failed to immediately translate into advances with human cells.

A particularly severe limitation of human therapeutic cloning which has significantly hindered researchers’ capacity to develop the technique is the difficulty in obtaining donated oocytes. A 2007 study in mouse suggests that there may be alternative sources for the recipient cytoplastEgli et al., 2007. While early mouse NT studies in which the enucleated interphase zygote was used as a recipient lead to the conclusion that reprogramming capacity was lost following fertilizationMcGrath and Solter, 1984Wakayama et al., 2000, Egli and coworkers demonstrated that by removing the chromatin from a zygote arrested in metaphase just prior to the first cell division and introducing the chromatin from a metaphase-arrested somatic cell into this cytoplast, reprogramming could occur with success rates comparable to NT into the mature oocytewhich is naturally arrested in metaphasesee Figure 3. The authors reasoned, therefore, that nuclear factors, trapped in the interphase nucleus but present in the cytoplasm during metaphase due to nuclear envelope breakdown, were necessary for reprogramming to occur. Not only might the Metaphase zygote therefore serve as an appropriate recipient for NT, but this result suggests that other Cleavage-stage blastomeres, arrested in mitosis, may be as well. These findings both shed some mechanistic light on the process of reprogramming and open the door to using a wider range of materials for human NT experiments. Although on the surface this study holds great promise for human NT experiments, it is unfortunately not common IVF practice to freeze or discard zygotes or early cleavage-stage embryos, as embryo quality can be difficult to assess so soon following fertilizationSalumets et al., 2001. Of particular interest, however, Egli et al. further demonstrated that Polyspermic zygotesthat is, embryos fertilized with multiple spermcould be used for successful nuclear transfer. Multiple fertilization is relatively common in IVFroughly 3–5% of zygotesand these embryos, which have no clinical use, are routinely discardedAnon, 2004van der Ven et al., 1985. As such, discarded polyspermic IVF embryos may present a valuable new avenue towards success in human nuclear transfer.

 

Figure 3. Reprogramming capacity in NT depends on cell-cycle status, as demonstrated by Egli et al.Egli et al., 2007.

 

Development fails after replacing the interphase nucleus of either a germinal-vesicle stage oocyte or pronuclear zygote with somatic chromatin. However, Transfer of somatic chromatin into either the MII-arrested oocyte or a Zygote arrested with a drug in the first mitosis allows for the generation of cloned mice and ntES cells.

Despite the challenges and limited achievements in human, NT remains the “Gold standard” in Nuclear reprogramming with clear demonstrations of the production of both Healthy clones and Pluripotent stem cells identical to those derived from fertilized embryos. Nevertheless, the development of more robust and technically simple reprogramming methodsdiscussed belowappears to be at hand, leading some authors to write obituaries for SCNTCibelli, 2007Highfield, 2007. Whether these eulogies are premature or whether the quality of pluripotent cells generated by newer techniques will prove to be as high as ntES is presently an area of intense investigation.

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Rodolfa02  

Inducing pluripotency2

The second advantage of autologous ES cells over existing lines concerns the ability to create effective disease models. While some success has been reported recently in the in vitro Modeling of degenerative diseases by introducing known Disease-causing alleles into ES cellsDi Giorgio et al., 2007; Nagai et al., 2007; Yamashita et al., 2006, or by using ES cell lines established from embryos following Preimplantation genetic diagnosisEiges et al., 2007, such models are severely limited in their scope as they can only investigate the mechanisms of diseases for which causal genetic liaisons have been identified. Unfortunately, however, this is not the case for many conditions. For instance, fewer than 10% of patients with Amyotrophic Lateral SclerosisALS, also know as Lou Gehrig's Diseasesuffer from a familial form of the disease with a known genetic correlateDunckley et al., 2007. It therefore remains unclear whether recent progress with models studying a handful of known disease-causing alleles is applicable to the vast majority of patients with sporadic forms of this degenerative condition. Disease models using pluripotent cells generated directly from patients with these sporadic conditions could directly address such questions, as well as provide new insights into the mechanisms and progression of such syndromes.

This chapter focuses on the methods and techniques available for the production of Patient-specific pluripotent cells, the promises and limitations of each technology, and a discussion of the current progress towards this goal. Several techniques have been described for restoring developmental potential to a terminally differentiated nucleussee Figure 2. These includeNuclear transfer, wherein the chromatin of an oocyte or zygote is replaced with that of a somatic donor cell;

Fusion of somatic cells to ES cells;

Cell-culture-induced reprogramming after explantation of tissue from neonatal or adult testes;

and the Retroviral-mediated introduction of a small number of genes known to play a role in pluripotency. The advances, breakthroughs, and challenges surrounding each of these methods are discussed in detail below.

 

Figure 2. Methods of nuclear reprogramming, their advantages and limitations.

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