Similarities and Differences
between Embryonic and Adult stem cells
Human
embryonic and adult stem cells each have advantages and disadvantages regarding
potential use for cell-based regenerative therapies. One major difference
between adult and embryonic stem cells is their different abilities in the
number and type of differentiated cell types they can become. Embryonic stem
cells can become all cell types of the body because they are pluripotent. Adult
stem cells are thought to be limited to differentiating into different cell
types of their tissue of origin. Embryonic stem cells can be grown relatively
easily in culture. Adult stem cells are rare in mature tissues, so isolating
these cells froman adult tissue is challenging, and methods to expand their
numbers in cell culture have not yet been worked out. This is an important
distinction, as large numbers of cells are needed for stem cell replacement
therapies. Scientists believe that tissues derived from embryonic and adult
stem cells may differ in the likelihood of being rejected after
transplantation. We don’t yet know for certain whether tissues derived from
embryonic stem cells would cause transplant rejection, since relatively few
clinical trials have tested the safety of transplanted cells derived from
hESCS. Adult stem cells, and tissues derived from them, are currently believed
less likely to initiate rejection after transplantation. This is because a
patient’s own cells could be expanded in culture, coaxed into assuming a
specific cell type (differentiation), and then reintroduced into the patient.
The use of adult stem cells and tissues derived from the patient’s own adult
stem cells would mean that the cells are less likely to be rejected by the
immune system. This represents a significant advantage, as immune rejection can
be circumvented only by continuous administration of immunosuppressive drugs,
and the drugs themselves may cause deleterious side effects.
Induced pluripotent stem cells
(iPSCs) are adult cells that havebeen genetically
reprogrammed to an embryonic stem cell–like state by being forced to express
genes and factors important for maintaining the defining properties of
embryonic stem cells. Although these cells meet the defining criteria for
pluripotent stem cells, it is not known if iPSCs and embryonic stem cells
differ in clinically significant ways. Mouse iPSCs were first reported in 2006,
and human iPSCs were first reported in late 2007. Mouse iPSCs demonstrate
important characteristics of pluripotent stem cells, including expressing stem
cell markers, forming tumors containing cells from all three germ layers, and
being able to contribute too many different tissues when injected into mouse
embryos at a veryearly stage in development. Human iPSCs also express stem cell
markers and are capable of generating cells characteristic of all three germ
layers. Although additional research is needed, iPSCs are already useful tools
for drug development and modeling of diseases, and scientists hope to use them
in transplantation medicine. Viruses are currently used to introduce the
reprogramming factors into adult cells, and this process must be carefully
controlled and tested before the technique can lead to useful treatments for
humans. In animal studies, the virus used to introduce the stem cell factors
sometimes causes cancers. Researchers are currently investigating non-viral
delivery strategies. In any case, this breakthrough discovery has created a
powerful new way to “de-differentiate” cells whose developmental fates had been
previously assumed to be determined. In addition, tissues derived from iPSCs
will be a nearly identical match to the cell donor and thus probably avoid
rejection by the immune system. The iPSC strategy creates pluripotent stem
cells that, together with studies of other types of pluripotent stem cells,
will help researchers learn how to reprogram cells to repair damaged tissues in
the human body.
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