90.07.07A General Review on Stem Cells

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    A General Review on

    Stem Cells

    Yu-Li Liu, Ph.D.

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    What is Embryonic Stem Cells?

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    Human Development

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    Embryonic Stem Cells

    Derived from the inner cell mass of an early-stage embryo

    Undifferentiated cells

    Unlike any specific adult cell

    Ability to form any adult cell

    Proliferate indefinitely in culture

    An unlimited source of specific, clinically

    important adult cells

    Bone, muscle, liver, neural, gut, or blood cells

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    How long have embryonic

    stem cells been studied?

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    A science and political issue 1981 . culture mouse ESCs.

    1986 . mouse knockout technology. 1992 . discovery of embryonic germ (EG) cells.

    1996 . ESCs made from pigs, cows, rabbits, and sheep, from rhesus monkeysand marmosets.

    JULY 1997 . cultured ESCs derived from primordial germ cells (taken fromaborted

    fetuses) for seven months.

    NOVEMBER 1998 .cultures of ESCs from human blastocysts

    MARCH 1999 . FDA (UPDRS), the patient improves 4050 percent in certainmotor tasks, and his dopamine uptake increases 62 percent.

    DECEMBER 1999 .Adult stem cells (ASCs), Science names stem cell researchthe Breakthrough of the Year.

    JUNE 2000 .ASCs turns skeletal muscle stem cells into blood cells.

    AUGUST 2000 . Identify progenitor cells in hair follicle in mice.

    OCTOBER 2000 . Nature Neuroscience publishes findings that neural ASCs

    can be directed to differentiate into skeletal muscle cells.

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    JANUARY 31, 2000 .Stem Cell Research Act of 2000.

    AUGUST 25, 2000 .NIH Guidelines for Research Using Human Pluripotent Stem Cells, which permit use but notderivation of stem cells from human embryos.

    JANUARY 2001 . President George W. Bush takes office.

    JANUARY 17, 2001 .Bush receives a letter from 123 organizations asking him to allow HSC research tocontinue with federal support.

    MARCH 15, 2001 . Deadline for submitting applications to the NIH for human ESC research projects.

    APRIL 2001 .Stem Cell Research Act of 2001 allow federally funded researchers to derive ESCs independently.

    APRIL 25, 2001 .Postpone Human Pluripotent Stem Cell Review Group (HPSCRG) until NIH guidelines havebeen reviewed.

    JUNE 2001 . Expected announcement of reassessments of NIH guidelines regarding funding of humanpluripotent stem cell research.

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    Embryonic Stem Cells and

    Embryonic Germ Cells

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    Where do human embryonic

    stem cells come from?

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    Human Embryonic Stem Cells

    From in vitro fertilized embryos less

    than a week old

    These embryos were produced for

    clinical purposes

    No longer wanted for implantation

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    Why are they important?

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    Importance

    Capability to develop into virtuallyany other cell

    Possibility to grow into medicalimportant organs

    bone marrow, neural tissue or muscle.

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    How might they be used to

    treat disease?

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    Applications of Stem Cells

    Growing tissues for transplantation

    purposes

    Treating disease because of defects inone of just a few cells types

    Juvenile onset diabetes mellitus

    Parkinson's disease

    Replacing faulty cells with healthy ones

    Failing hearts and other organs

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    Are there other potential uses

    for these cells?

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    Other Potential Applications

    Drug discovery

    New medications could be initially tested using

    human stem cell lines.

    This would not replace testing in whole animals

    and testing in human beings, but it would

    streamline the process of drug development.

    Permit the rapid screening of hundreds of

    thousands of chemicals

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    Offer insights into cell

    development

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    Development

    Human development have been difficult or

    impossible to study

    Offer opportunities to study developmental

    events in humans in utero

    Preventing or treating birth defects, infertility

    and pregnancy loss

    Reduce the risk of drug-related birth defects.

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    If these cells were transferred

    to a woman, could a

    pregnancy result?

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    No !!

    They are not intact embryo

    Fail to implant

    Fail to develop into a fetus

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    Is stem cell research the same

    as cloning?

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    Goals in Stem Cell Research

    Develop new life-saving treatments

    Cannot be used to develop a human being

    Embryonic stem cells cannot give rise to a

    placenta, so a human being could not

    develop, even if the stem cells were

    implanted into a woman's uterus

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    Why not using stem cells from

    adults?

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    Disadvantages in Adult Stem

    Cells

    Already specialized

    Regenerate damaged tissue is very limited

    Adults do not have stem cells in many vital

    organs

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    Human tissues harbored adult

    stem cells

    Skin

    Neurons

    Adipose

    P.A. Zuk et al: Multilineage cells from human

    adipose tissue: implications for cell-based

    therapies. Tissue Engineering 7:211-8 April 2001

    Placenta

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    Problems encountered for

    cell-based therapy

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    Technical Problems

    This research is still in its infancy

    How to control the differentiation of stem cells

    so they will be therapeutically effective ?

    Study the potential of immune rejection of the

    cells, and how to overcome that problem

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    Stem Cell Therapy

    Therapeutic cloning

    involves growing replacement organs

    (heart, liver, pancreas, skin, etc) from a

    sample of a patients DNA.

    Cellular reprogramming Fuse patients DNA with embryonic germ

    cells

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    Does adult stem cell serve

    less in cell-based therapy?

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    Adult Stem Cells

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    Multilineage potential of adult

    human mesenchymal stem

    cells

    M.F.Pittenger, A.M.Mackay, S.C.Beck, R.K.

    Jaiswal, R.Douglas, J.D.Mosca, M.A.Moorman,

    D.W.Simonetti, S.Craig, D.R.Marshak,"Multilineage potentialofadulthuman

    mesenchymalstemcells," Science, 284:143-7, April

    2, 1999. (Citedin 145 papers)

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    OrlicD.etal.Bonemarrowcellsregenerateinfarctedmyocardium.Nature.410 6829 :701-5 2001 A r 5.

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    Bone marrow stem cells may repair

    vital tissues and organs

    A transplanted bone marrow stem cell can

    not only reconstitute bone marrow, but alsomay play a role in healing these other

    tissues and organs as well.

    D.S. Krause et al. Multi-organ, multi-lineage

    engraftment by a single bone marrow stem

    cell. Cell, 105: 369-77 May 4, 2001

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    Using mice pancreatic duct to

    generate insulin-producingcells

    Ramiya VK. Maraist M. Arfors KE.Schatz DA. Peck AB. Cornelius JG.

    Reversal of insulin-dependent diabetes

    using islets generated in vitro frompancreatic stem cells.

    Nature Medicine. 6(3):278-82, 2000 Mar

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    How to overcome the immune

    rejection ?

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    Differentiation of Embryonic

    Stem Cell Lines Generated

    from Adult Somatic Cells by

    Nuclear Transfer

    TeruhikoWakayama, VivianeTabar, Ivan

    Rodriguez, AnthonyC. F.Perry, LorenzStuder,

    andPeterMombaerts

    Science Apr27 2001: 740-743.

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    Somatic Cell Nuclear Transfer

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    NT of Embryonic stem cells differentiated

    into all kinds of tissues

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    TeruhikoWakayama

    University ofHawaii researcher

    TeruhikoWakayama holds

    cloned mice.

    He is leaving after helpingdevelop the Honolulu

    Technique, which enabled the

    mice to be cloned.

    His studies have utilized

    microinjection techniques toanalyze the biology of

    fertilization.

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    How far should we go to reach

    cell-based therapy ?

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    Cellular replacement therapies for

    neurological disorders

    Human stem cell sources Source control

    Eliminate HIV-positive donor

    Records of cell preparation with donors and

    patients What record should be kept?

    Who could access to them?

    How long should records be maintained?

    IF tissue origin is not traceable

    Stem cell source qualification Should genetic markers be evaluated?

    Are genetic tests sufficient and reliable?

    Source of derivation Autologous donation, allogeneic donation, embryonic

    stem cells or embryonic germ cells

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    Cellular replacement therapies for

    neurological disorders

    Manufacturing of stem cells

    Do stem cells isolation and maintenance

    procedures determine desirable cell fatesand preclude undesired cell fates?

    Critical manufacturing process controls

    Qualification of sources

    Standard procedures to expand or maintain

    stem cells

    Development of validated tests to monitor the

    stem cell identity and heterogeneity

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    Cellular replacement therapies for

    neurological disorders

    Characterization of stem cell preparation andselection of specifications

    Heterogeneous cell populations Essential to intended effect, some deleterious,

    and some inert

    Purity specification

    Markers to identify cell phenotype,determination or fate

    Markers necessary to ensure correctfunctional phenotype expression

    Markers to indicate adverse events Ectopic tissue differentiation, tumor genesis etc

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    Cellular replacement therapies for

    neurological disorders

    Potency assays for stem cell products

    Stem cell potency assays

    Assessing intended bioactivity of stem cell

    implants

    Inter-assay variability

    Dosage unit of potency be expected?

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    TheFourthUS-Taiwan

    NeuroscienceSymposium: Stem Cells, from cell level to

    functional genomics

    SanDiegoConventionCenter, SanDiego, CaliforniaNov. 10, 2001 (1:30 pmto 5:30 pm)

    Asatellitesymposiumofthe 31stannualmeetingoftheSocietyforNeuroscienceoftheUnitedStates

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    TBA meeting

    This symposium of Taiwanese Bioscientists

    of America (TBA) highlights recent advances

    in stem cell research, focusing on the

    functional and phenotypic analysis of differentstem cells and their plasticity for multiple

    potentialities. The symposium program

    includes four major themes:

    (1) neural stem cells, (2) mesenchymal stem cells,

    (3) embryonic stem cells, and

    (4) functional genomic analysis.

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    TBA meeting Howstemcellsmakeabrain, andhowtofindthegenestheyuse

    todoit. Derek van der Kooy, Ph.D. Professor, Cell Biology, Universityof Toronto, Toronto

    Neuralstemcellsintheadultbrain: a perspectiveonneuropoiesis. Dennis A. Steindler, Ph.D. Professor, Neuroscience,University of Florida, Gainesville, FL

    Neuralcreststemcells. David J. Anderson, Ph.D. Professor, Biology,and Howard Hughes Investigator, California Institute of Technology,

    Pasadena, CA Plasticityofmultipotentstemcellsfromhumanbone

    marrow. Catherine M. Verfaillie, M.D. Professor, Stem Cell Institute,University of Minnesota, Minneapolis, MN

    Mesenchymalstemcellsinhomeostasisand pathogenesisofmaturearticularcartilage. Martin K. Lotz, M.D. Professor and Head,

    Division of Arthritis Research, Scripps Research Institute, La Jolla, CA Geneand proteinexpressionwithmicroarray

    technologies. Edison T. Liu, M.D. Director, Singapore GenomeProject, Republic of Singapore

    Overviewonthefunctionalgenomics projectinTaiwan. Yuan-Tsong Chen, M.D., Ph.D. Professor & Chief, Medical Genetics, DukeUniversity Medical Center, Durham, NC

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    Have a

    Happy

    Weekend !!