20
KEY KNOWLEDGE The contents of this chapter are designed to enable students to: develop understanding of the function of stem cells in antenatal (pre-birth) human development gain knowledge of the different types of stem cells become aware of the potential use of stem cells in medical treatment of certain disorders recognise how disruption of the cell cycle can result in developmental abnormalities and cancers. FIGURE 12.1 This baby was once a single fertilised egg, or zygote, that underwent a remarkable developmental journey involving growth in cell numbers, cell migration and cell differentiation. By the time of its birth, a baby is a complex organism composed of billions of cells, organised into tissues, organs and systems. In this chapter we will explore some of the processes involved in this transformation, including the role of stem cells. CHAPTER 12 Cell growth and differentiation ROOFS FS nts to: nts to: n antenatal (pre- n antenatal (pre- ells ells ells in medical t ells in medical t PRO cle can result in cle can result in P

CHAPTER12 Cell growth and differentiation - Wiley · Chapter review ONLINE ... Antenatal human development In the transition from a single-celled zygote to a newborn ... Embryos at

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KEY KNOWLEDGE

The contents of this chapter are designed to enable students to: ■ develop understanding of the function of stem cells in antenatal (pre-birth) human development

■ gain knowledge of the different types of stem cells ■ become aware of the potential use of stem cells in medical treatment of certain disorders

■ recognise how disruption of the cell cycle can result in developmental abnormalities and cancers.

FIGURE 12.1 This baby was once a single fertilised egg, or zygote, that underwent a remarkable developmental journey involving growth in cell numbers, cell migration and cell differentiation. By the time of its birth, a baby is a complex organism composed of billions of cells, organised into tissues, organs and systems. In this chapter we will explore some of the processes involved in this transformation, including the role of stem cells.

CHAPTER

12 Cell growth and differentiation

CHAPTER12Cell growth and di� erentiationAntenatal human developmentKey events: embryonic development Abnormal embryonic developmentCancer and the cell cycleBiochallengeChapter review

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AGE PROOFS

PROOFSThe contents of this chapter are designed to enable students to:

PROOFSThe contents of this chapter are designed to enable students to:develop understanding of the function of stem cells in antenatal (pre-birth)

PROOFSdevelop understanding of the function of stem cells in antenatal (pre-birth)

gain knowledge of the different types of stem cells

PROOFSgain knowledge of the different types of stem cellsbecome aware of the potential use of stem cells in medical treatment of

PROOFSbecome aware of the potential use of stem cells in medical treatment of

PROOFS

PROOFSrecognise how disruption of the cell cycle can result in developmental

PROOFSrecognise how disruption of the cell cycle can result in developmental

PROOFS

NATURE OF BIOLOGY 1464

Antenatal human developmentIn the transition from a single-celled zygote to a newborn baby, remarkable changes will take place:• Many mitotic cell divisions occur that, by the time of birth, will increase the

total number of cells to many billions. Estimates of the number of cells in a newborn vary; however, a reliable indication that this � gure must be in the billions comes from one study that identi� ed, at birth, the number of cells in just the forebrain as 38 billion. (Source: GB Samuelsen et al., ‘� e changing number of cells in the human fetal forebrain and its subdivisions: A stereological analysis’, Cereb. Cortex, vol. 13, pp. 115–122, 2003.)

• A process of cell di� erentiation occurs, which will produce an estimated 200-plus di� erent cell types.

• A process of organisation of these di� erentiated cells of various types into tissue organs and systems occurs.Antenatal or pre-birth development in humans involves a number of stages.

� e starting point is a single-celled zygote formed by fertilisation of an egg by a sperm; then follows the development of an embryo and � nally a fetus.

Figure 12.2 shows a typical timeline of antenatal development. By con-vention, the standard historical method that is commonly used by doctors and hospitals to identify the duration of a pregnancy starts from the time of a woman’s last menstrual period. Why? � is is a known event, in contrast to the time of fertilisation, which is usually less well-de� ned (except of course in cases of in-vitro fertilisation (IVF)). Week and month numbers in this � gure, such as the sixth week of pregnancy, give the so-called gestational or menstrual age of a pregnancy. However, when talking about events in embryonic or fetal development in the sections below, the times given will refer to the days or weeks since fertilisation, and are based on direct observ-ations. So, 5 days after fertilisation corresponds to the third week of a preg-nancy as measured in gestational age.

11 2 3 4 5 6 7 8 9

Last menstruation

Fertilisation

Periods

Week no.Month no.

Fetal developmentEmbryogenesis

Antenatal (pre-birth) development

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Full term

FIGURE 12.2 Diagram showing the typical course of a normal human pregnancy. The weeks of a pregnancy are, by convention, counted from the time of the last period because this is a known point in time.

Egg to zygoteAfter a female reaches puberty, as part of each menstrual cycle about 20 of the immature eggs in her ovary begin their development into a mature haploid egg cell or oocyte. � e immature eggs that start this development are each enclosed in a � uid-� lled sac called a follicle (see � gure 12.3). � is process begins in response to a hormonal signal from the pituitary gland that secretes follicle-stimulating hormone (FSH). Normally, only one of these eggs will complete the developmental process and will be released from the follicle and leave the ovary. Can you suggest what might be a possible outcome if two eggs simultaneously complete development and are released?

� e mature egg is released from a follicle and out of the ovary, then normally passes into the fallopian tube. Figure 12.4 shows a striking image of a human egg being released from a follicle and from the ovary.

Unit 2 Human prenatal developmentConcept summary and practice questions

AOS 1

Topic 4

Concept 3

ODD FACT

The use of the date of a woman’s last menstrual period as a starting point to measure the duration of a pregnancy means that this start date is actually 2 weeks before ovulation — the release from the woman’s ovary of the egg that was fertilised, thus producing the pregnancy.

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Diagram showing the typical course of a normal human pregnancy. The weeks of a pregnancy are, by

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Diagram showing the typical course of a normal human pregnancy. The weeks of a pregnancy are, by convention, counted from the time of the last period because this is a known point in time.

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convention, counted from the time of the last period because this is a known point in time.

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as a starting point to measure the duration of a pregnancy ONLIN

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the duration of a pregnancy

PAGE the time of fertilisation, which is usually less well-de� ned (except of course

PAGE the time of fertilisation, which is usually less well-de� ned (except of course fertilisation (IVF)). Week and month numbers in this

PAGE fertilisation (IVF)). Week and month numbers in this � gure, such as the sixth week of pregnancy, give the so-called

PAGE � gure, such as the sixth week of pregnancy, give the so-called of a pregnancy. However, when talking about events in

PAGE of a pregnancy. However, when talking about events in

fetal development

PAGE fetal development

refer to the days or weeks

PAGE refer to the days or weeks since

PAGE since

ations. So, 5 days after fertilisation corresponds to the third week of a preg-

PAGE ations. So, 5 days after fertilisation corresponds to the third week of a preg-nancy as measured in gestational age.

PAGE nancy as measured in gestational age.

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Antenatal (pre-birth) developmentPAGE

Antenatal (pre-birth) development

PROOFSchanging number of cells in the human fetal forebrain and its subdivisions:

PROOFSchanging number of cells in the human fetal forebrain and its subdivisions:

vol. 13, pp. 115–122, 2003.)

PROOFSvol. 13, pp. 115–122, 2003.)A process of cell di� erentiation occurs, which will produce an estimated

PROOFSA process of cell di� erentiation occurs, which will produce an estimated

A process of organisation of these di� erentiated cells of various types into

PROOFSA process of organisation of these di� erentiated cells of various types into

or pre-birth development in humans involves a number of stages.

PROOFS or pre-birth development in humans involves a number of stages.

� e starting point is a single-celled zygote formed by

PROOFS� e starting point is a single-celled zygote formed by fertilisation

PROOFSfertilisation

a sperm; then follows the development of an embryo and � nally a fetus.

PROOFSa sperm; then follows the development of an embryo and � nally a fetus.

Figure 12.2 shows a typical timeline of antenatal development. By con-

PROOFSFigure 12.2 shows a typical timeline of antenatal development. By con-

vention, the standard historical method that is commonly used by doctors

PROOFSvention, the standard historical method that is commonly used by doctors and hospitals to identify the duration of a pregnancy starts from the time of

PROOFS

and hospitals to identify the duration of a pregnancy starts from the time of a woman’s last menstrual period. Why? � is is a known event, in contrast to PROOFS

a woman’s last menstrual period. Why? � is is a known event, in contrast to the time of fertilisation, which is usually less well-de� ned (except of course PROOFS

the time of fertilisation, which is usually less well-de� ned (except of course fertilisation (IVF)). Week and month numbers in this PROOFS

fertilisation (IVF)). Week and month numbers in this

465CHAPTER 12 Cell growth and differentiation

FIGURE 12.3 Photomicrograph (50X magni� cation) of a cross- section of a mammalian ovary showing egg cells (oocytes) at various stages of development within the ovarian follicles.

After releasing an egg cell, the follicle that remains develops into a structure known as the corpus luteum. � e corpus luteum releases the hormone estrogen. Release of estrogen causes the lining of the uterus to thicken. (Refer to � gure 11.4, which shows a corpus luteum developing alongside a follicle that contains a maturing egg cell.)

After release from a follicle, the oocyte moves into the fallopian tube where it remains capable of being fertilised for a period of up to 12 hours. For ferti-lisation to occur, one sperm must � rst penetrate the various layers that sur-round the egg (see Odd fact) and then enter the cytoplasm of the egg cell. When a sperm penetrates the egg, the egg rapidly completes the second div-ision of meiosis, forming a second polar body and a mature oocyte (refer to � gure 11.15). � e haploid sperm nucleus then fuses with the haploid nucleus of the egg to create a single diploid cell known as a zygote (see � gure 12.5). � e DNA of the chromosomes of the zygote, half from the mother and half from the father, creates a new genome that contains all the genetic information needed to form a unique human being.

(a)

(b)

(c)

Nucleus of matureegg cell

Fertilisingsperm

First and secondpolar bodies

Corona radiata

Zona pellucida

FIGURE 12.5 Process of fertilisation (a) A single sperm moves into the cytoplasm of the egg cell that then quickly completes the second division of meiosis, forming a second polar body and a mature oocyte. (b) Combination of the paternal chromosomes of the sperm (n = 23) and the maternal chromosomes of the egg (n = 23) (c) Formation of a diploid single-celled zygote (2n = 46) marks the completion of fertilisation.

FIGURE 12.4 Moment of ovulation in a human ovary. The egg within a jelly-like substance (yellow and arrowed) emerges from a follicle (red) that protrudes from the surface of the ovary. The silver object is a surgical instrument.

ODD FACT

As well as its plasma membrane, a mature egg (oocyte) is coated in a thick layer of carbohydrate, known as the zona pellucida (= transparent girdle). Outside this are several layers of cells that form a ring called the corona radiata (= radiating crown).

ONLINE DNA of the chromosomes of the zygote, half from the mother and half from the

ONLINE DNA of the chromosomes of the zygote, half from the mother and half from the

father, creates a new genome that contains all the genetic information needed

ONLINE father, creates a new genome that contains all the genetic information needed

to form a unique human being.

ONLINE to form a unique human being.

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FIGURE 12.5

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FIGURE 12.5 Process of

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Process of fertilisation

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moves into the cytoplasm of the egg cell that then quickly ONLIN

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PAGE to � gure 11.4, which shows a corpus luteum developing alongside a follicle

PAGE to � gure 11.4, which shows a corpus luteum developing alongside a follicle that contains a maturing egg cell.)

PAGE that contains a maturing egg cell.)After release from a follicle, the oocyte moves into the fallopian tube where

PAGE After release from a follicle, the oocyte moves into the fallopian tube where it remains capable of being fertilised for a period of up to 12 hours. For ferti-

PAGE it remains capable of being fertilised for a period of up to 12 hours. For ferti-lisation to occur, one sperm must � rst penetrate the various layers that sur-

PAGE lisation to occur, one sperm must � rst penetrate the various layers that sur-round the egg (see Odd fact) and then enter the cytoplasm of the egg cell.

PAGE round the egg (see Odd fact) and then enter the cytoplasm of the egg cell. When a sperm penetrates the egg, the egg rapidly completes the second div-

PAGE When a sperm penetrates the egg, the egg rapidly completes the second div-ision of meiosis, forming a second polar body and a mature oocyte (refer to

PAGE ision of meiosis, forming a second polar body and a mature oocyte (refer to � gure 11.15). � e haploid sperm nucleus then fuses with the haploid nucleus PAGE � gure 11.15). � e haploid sperm nucleus then fuses with the haploid nucleus of the egg to create a single diploid cell known as a PAGE of the egg to create a single diploid cell known as a DNA of the chromosomes of the zygote, half from the mother and half from the PAGE

DNA of the chromosomes of the zygote, half from the mother and half from the father, creates a new genome that contains all the genetic information needed PAGE

father, creates a new genome that contains all the genetic information needed

PROOFS

PROOFSAfter releasing an egg cell, the follicle that remains develops into a structure

PROOFSAfter releasing an egg cell, the follicle that remains develops into a structure

� e corpus luteum releases the hormone

PROOFS

� e corpus luteum releases the hormone . Release of estrogen causes the lining of the uterus to thicken. (Refer PROOFS

. Release of estrogen causes the lining of the uterus to thicken. (Refer to � gure 11.4, which shows a corpus luteum developing alongside a follicle PROOFS

to � gure 11.4, which shows a corpus luteum developing alongside a follicle

NATURE OF BIOLOGY 1466

The human embryo: two cells to blastocystA human embryo may be de� ned as the entity that is produced by the � rst mitotic division of the zygote produced after completion of the fertilisation of a human egg by a human sperm, and this stage continues up to the eighth week of development.

So the embryonic period starts when the zygote undergoes the � rst cell div-ision by mitosis to form a two-celled entity. Over a period of several days, as the embryo moves along the fallopian tube, it undergoes further mitotic div-isions to produce four cells, then eight cells, then 16 cells, and so on. � ese cells initially form a solid mass. However, by about the � fth day of embryonic development, the embryo is no longer a solid mass of cells. It now consists of a hollow � uid-� lled structure, called a blastocyst, with an inner mass of cells surrounded by an outer layer of cells (see � gure 12.6). � e inner cell mass of the blastocyst will form the tissues of the embryo, while the cells of the outer layer will become the embryonic contribution to the placenta. � e blasto-cyst has now reached the uterus where it attaches to the uterine wall. By about day 9 of embryonic development, the process of implantation of the embryo in the uterine wall is complete.

(a) (b) (c) (d)

Inner cell mass

FIGURE 12.6 (a) and (b) Embryos at very early stages of development (c) Embryo composed of a solid mass of cells (d) Early blastocyst showing the inner cell mass that will give rise to the embryonic tissues and an outer ring of cells that will later become part of the placenta

The human embryo: formation of three germ layers � e � nal event associated with embryonic development is a process known as gastrulation. Gastrulation is the name given to the complex cell migrations that re-organise the inner cell mass of the embryo blastocyst into a three-layered structure. � e cell migrations and the re-organisation produce three distinct layers of cells known as the primary germ layers:1. ectoderm2. mesoderm3. endoderm.

� ese primary germ layers are composed of stem cells that can give rise to or di� erentiate into the various cell types that form the mature organism. � e three germ layers are the embryonic source of all the di� erent kinds (about 200-plus) of body cells. Table 12.1 identi� es some of the possible di� erentiated cell types that can arise from embryonic stem cells in the three primary germ layers of an embryo.

Critical periods for organ development� e embryonic period is relatively short — about 9 weeks after fertilisation — but it is a critical period. In a following section (see p. 468), we will explore some of the critical events during embryogenesis. � e embryonic period from week 3 to week 9 is the period during which the organ system and structures of the human body are established. Not surprisingly, it is also the period during which the most serious birth abnormalities can arise, for example, through

ODD FACT

Sperm cells in the female reproductive tract remain viable for 48 to 72 hours and so can fertilise an egg up to the end of that time.

blastocyst from blastos = sprout and cystos = cavity

ODD FACT

Most pregnancy tests are designed to detect the presence of the hormone human chorionic gonadotrophin (hCG) in urine or blood. hCG is secreted by cells of a fertilised egg, but it cannot be detected until after implantation, that is, about 9 days after fertilisation.

eLessonStages of fertilisationint-2466

ONLINE The human embryo: formation of three germ layers

ONLINE The human embryo: formation of three germ layers

� e � nal event associated with embryonic development is a process known as

ONLINE � e � nal event associated with embryonic development is a process known as

gastrulation

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gastrulationre-organise the inner cell mass of the embryo blastocyst into a three-layered

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re-organise the inner cell mass of the embryo blastocyst into a three-layered structure. � e cell migrations and the re-organisation produce three distinct

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PAGE Embryos at very early stages of development

Embryo composed of a solid mass of cells

PAGE Embryo composed of a solid mass of cells Early blastocyst showing the inner cell mass that will give rise to the embryonic

PAGE Early blastocyst showing the inner cell mass that will give rise to the embryonic

tissues and an outer ring of cells that will later become part of the placentaPAGE tissues and an outer ring of cells that will later become part of the placentaPAGE

The human embryo: formation of three germ layers PAGE

The human embryo: formation of three germ layers

PROOFScells initially form a solid mass. However, by about the � fth day of embryonic

PROOFScells initially form a solid mass. However, by about the � fth day of embryonic development, the embryo is no longer a solid mass of cells. It now consists of

PROOFSdevelopment, the embryo is no longer a solid mass of cells. It now consists of , with an inner mass of cells

PROOFS, with an inner mass of cells � e

PROOFS� e inner cell mass

PROOFSinner cell massthe blastocyst will form the tissues of the embryo, while the cells of the outer

PROOFSthe blastocyst will form the tissues of the embryo, while the cells of the outer layer will become the embryonic contribution to the placenta

PROOFSlayer will become the embryonic contribution to the placentacyst has now reached the uterus where it attaches to the uterine wall. By about

PROOFScyst has now reached the uterus where it attaches to the uterine wall. By about day 9 of embryonic development, the process of implantation of the embryo in

PROOFSday 9 of embryonic development, the process of implantation of the embryo in

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467CHAPTER 12 Cell growth and differentiation

exposure to damaging chemicals, known as teratogens (teratos = monster) or teratogenic agents. A well-known teratogen is thalidomide, which in the past was taken by women to treat morning sickness during pregnancy. Ingestion of thalidomide by women during the � rst trimester (3 months) of their preg-nancies resulted in the birth of babies with severe physical abnormalities. � alidomide was available from the late 1950s but was banned in most coun-tries by 1962, when the link was established between the use of the drug and serious congenital malformations, particularly of the limbs, which were either completely missing or severely shortened (see � gure 12.7).

TABLE 12.1 Some of the differentiated cell types that can arise from embryonic stem cells in the three primary germ layers

Primary germ layer Differentiated cells/tissues/organs

ectoderm skinmelanocytesbrain, spinal cord and nervespituitary glandadrenal medullasense organs: eyessense organs: inner ears

mesoderm heart and blood vesselsadrenal cortexsmooth, skeletal and cardiac musclepart of urogenital systembone marrowblood cellsbone and cartilagelymphatic tissue

endoderm larynx, trachea and lungslining of respiratory tractlining of gastrointestinal tractliverpancreasthymusthyroid glandurinary bladder and urethra

During very early embryonic development, exposure to a teratogen can cause the death of an embryo. Exposure later in the embryonic period can result in major malformations that may either lead to a spontaneous loss of a

pregnancy or to the appearance at birth of severe congenital malformations or birth defects (such as those experienced through exposure to thalidomide, discussed above). Exposure to teratogens during fetal development may be expected to give rise to less serious congenital malformations.

� e critical periods for organ development are shown in � gure 12.8. From these data, you can see that the embryonic period is the most critical time for organ development.

ODD FACT

By 1960, thalidomide was marketed as a completely safe drug in 46 countries, including Australia, and its level of sales were close to those of aspirin.

FIGURE 12.7 Thalidomide is a teratogenic agent that can result in the birth of babies with severe malformations of the limbs.

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PROOFS Some of the differentiated cell types that can arise from

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Differentiated cells/tissues/organs

PROOFSDifferentiated cells/tissues/organs

brain, spinal cord and nerves

PROOFSbrain, spinal cord and nerves

adrenal medulla

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PROOFSsense organs: eyessense organs: inner ears

PROOFSsense organs: inner ears

heart and blood vessels

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heart and blood vesselsadrenal cortexPROOFS

adrenal cortexsmooth, skeletal and cardiac musclePROOFS

smooth, skeletal and cardiac musclepart of urogenital systemPROOFS

part of urogenital systembone marrowPROOFS

bone marrow

NATURE OF BIOLOGY 1468

Implant-ationphase

Weeks1–2

Week3

CNSEye

Eye Ear Palate EarBrain

External genitaliaTeeth

Arm

Leg

Heart Heart

Week4

Week5

Week6

Most common site of birth defect

Week7

Neural-tube defects, mental retardation

Cardiac defects

Absent/shortenedlimb

Absent/shortenedlimb

Low-set malformed ears, deafness Ears

CNS

Eyes

Teeth

Very small eyes, cataracts, glaucoma

Enamel hypoplasia,staining

Cleft palate Palate

Masculinisation offemale genitalia

Major malformationsSpont-aneousabortion

External genitalia

Minor and functional defects

Heart

Upper limb

Lower limb

Week8

Week12

Week15

Weeks20–36

Week38

Embryonic phase Fetal (growth) phase

FIGURE 12.8 The critical periods for organ development. Note that the major defects occur in the embryonic phase.

The human fetus Nine weeks after fertilisation is regarded as the point at which the fetal stage of development is reached. In general, a fetus is characterised by the presence of all the major body organs, although they are not fully developed. Organ systems that were formed during embryonic development will develop further in the fetus, and, in some cases, even after birth, for example, the circulatory system, the respiratory system and the nervous system.

Fetal development is the period during which the major growth in size of the fetus and the mass of its organs occurs (see � gure 12.9). Table 12.2 shows the change in average fetal length and weight at various times from the start of the fetal period (nine weeks after fertilisation) to full term (birth). Over a period of about 30 weeks, the mass of the fetus increases more than 400-fold (see � gure 12.9).

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Major malformations

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PAGE Lower limb

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469CHAPTER 12 Cell growth and differentiation

TABLE 12.2 Approximate fetal lengths and weights over the period of fetal development. Up to 16 weeks, lengths are given as crown–rump lengths. From and including 22 weeks, lengths are given as crown–heel lengths.

Weeks after fertilisation Length Mass 9 3 cm 8 g10 5 cm 14 g16 14 cm 190 g22 30 cm 600 g28 40 cm 1320 g34 47 cm 2600 g

40 51−52 cm 3685 g

KEY IDEAS

■ Antenatal development involves the formation of a zygote, followed by periods of embryonic and fetal development.

■ The increase in cell numbers during the periods of both embryonic and fetal development is a result of cell division by mitosis.

■ Key events in embryonic development include blastocyst formation, which produces the inner cell mass that gives rise to all the tissues of the embryo, and gastrulation, which organises the migration of embryonic cells into the three primary germ layers.

■ Cells from the primary germ layers give rise to or differentiate into a variety of different cell types.

■ Fetal development commences at about week 9 after fertilisation and is a period of major growth as well as continued development of organ systems.

■ Severe congenital malformations can result from exposure to certain chemicals (teratogens) during critical periods of organ development, in particular during the embryonic stage of development.

FIGURE 12.9 Relative change in size from late embryonic stage, through fetal development to full term

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development. Up to 16 weeks, lengths are given as crown–rump lengths. From

PAGE development. Up to 16 weeks, lengths are given as crown–rump lengths. From and including 22 weeks, lengths are given as crown–heel lengths.

PAGE and including 22 weeks, lengths are given as crown–heel lengths.

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NATURE OF BIOLOGY 1470

QUICK CHECK

1 What is the length of the period of embryonic development in humans?2 What event initiates the completion of the second meiotic division in a

human egg?3 Which is longer: the period of embryonic development or the period of fetal

development?4 What is a teratogen?5 Identify whether each of the following statements is either true or false.

a Fertilisation occurs in a woman’s ovary.b A zygote is the single diploid cell resulting from the fertilisation of an

egg by a sperm.c A zygote divides by meiosis to produce an increase in cells.d Gastrulation involves cell migrations to form a three-layered embryo.e The three primary germ layers are ectoderm, mesoderm and endoderm.

Key events: embryonic development � e embryonic period, from zygote formation to the end of about the eighth week of development, is the time during which key developmental events occur, as follows:• organisation of cells into the three primary germ layers from which all the

structures and organs of the body will develop • formation of a head–tail axis and a front–to-back (ventral-to-dorsal) axis of

the embryo• cell di� erentiation and beginning of formation of the brain, spinal cord and

nerve cells, heart, sense organs such as eyes, lungs, kidneys, digestive tract, and arms and legs. Key cells involved in the establishment of the organ systems are the embry-

onic stem cells.

Stem cells in actionStem cells are undi� erentiated or unspecialised cells that have the ability to di� erentiate into organ- or tissue-speci� c cells with specialised functions, such as nerve cells, blood cells, bone cells, heart cells, skin cells and so on.

� ese terminal cells with specialised functions, such as a liver cell or a muscle cell, are di� erentiated and, once di� erentiated, cannot normally revert to an undi� erentiated state. A second feature of stem cells is that they are capable of dividing and renewing themselves over long periods. Figure 12.10 shows mouse stem cells that have been stained to show the presence of one of the proteins (Oct4) that are essential to keep the stem cells in an undi� erentiated state.

Some stem cells in your body are constantly dividing to replace tissues. Examples of these are the stem cells in the basal layer of your skin (refer to � gure 9.17), and stem cells in the crypts of your intestine (refer to � gure 9.18). Each of these stem cells divides to produce a spe-cialised di� erentiated cell and a replacement stem cell (see � gure 12.11). � is is how stem cells self-renew.

Di� erent kinds of stem cell occur and they can be distinguished in terms of their potency to produce di� erent cell types. Descriptions of stem cell potencies include:• totipotent• pluripotent• multipotent• oligopotent• unipotent.

FIGURE 12.10 Mouse stem cells. The yellow colouring shows the presence of a protein, known as Oct4, which is essential to keep these stem cells in an undifferentiated state.

ONLINE Stem cells are undi� erentiated or unspecialised cells that have the ability to

ONLINE Stem cells are undi� erentiated or unspecialised cells that have the ability to

di� erentiate into organ- or tissue-speci� c cells with specialised functions

ONLINE di� erentiate into organ- or tissue-speci� c cells with specialised functions

such as nerve cells, blood cells, bone cells, heart cells, skin cells and so on.

ONLINE such as nerve cells, blood cells, bone cells, heart cells, skin cells and so on.

� ese terminal cells with specialised functions, such as a liver cell or a

ONLINE

� ese terminal cells with specialised functions, such as a liver cell or a

ONLINE P

AGE structures and organs of the body will develop

PAGE structures and organs of the body will develop formation of a head–tail axis and a front–to-back (ventral-to-dorsal) axis of

PAGE formation of a head–tail axis and a front–to-back (ventral-to-dorsal) axis of

cell di� erentiation and beginning of formation of the brain, spinal cord and

PAGE cell di� erentiation and beginning of formation of the brain, spinal cord and nerve cells, heart, sense organs such as eyes, lungs, kidneys, digestive tract,

PAGE nerve cells, heart, sense organs such as eyes, lungs, kidneys, digestive tract,

PAGE and arms and legs.

PAGE and arms and legs. Key cells involved in the establishment of the organ systems are the embry-

PAGE Key cells involved in the establishment of the organ systems are the embry-

onic stem cells.

PAGE onic stem cells.

Stem cells in actionPAGE Stem cells in actionStem cells are undi� erentiated or unspecialised cells that have the ability to PAGE

Stem cells are undi� erentiated or unspecialised cells that have the ability to di� erentiate into organ- or tissue-speci� c cells with specialised functionsPAGE

di� erentiate into organ- or tissue-speci� c cells with specialised functions

PROOFS

PROOFS

PROOFSA zygote is the single diploid cell resulting from the fertilisation of an

PROOFSA zygote is the single diploid cell resulting from the fertilisation of an

A zygote divides by meiosis to produce an increase in cells.

PROOFSA zygote divides by meiosis to produce an increase in cells.Gastrulation involves cell migrations to form a three-layered embryo.

PROOFSGastrulation involves cell migrations to form a three-layered embryo.The three primary germ layers are ectoderm, mesoderm and endoderm.

PROOFSThe three primary germ layers are ectoderm, mesoderm and endoderm.

Key events: embryonic development

PROOFSKey events: embryonic development � e embryonic period, from zygote formation to the end of about the eighth

PROOFS� e embryonic period, from zygote formation to the end of about the eighth week of development, is the time during which key developmental events

PROOFSweek of development, is the time during which key developmental events

organisation of cells into the three primary germ layers from which all the PROOFS

organisation of cells into the three primary germ layers from which all the structures and organs of the body will develop PROOFS

structures and organs of the body will develop formation of a head–tail axis and a front–to-back (ventral-to-dorsal) axis of PROOFS

formation of a head–tail axis and a front–to-back (ventral-to-dorsal) axis of

471CHAPTER 12 Cell growth and differentiation

FIGURE 12.11 The division of a stem cell by mitosis gives rise to two daughter cells, one of which differentiates to become a speci� c cell type and the other that replaces or renews the original stem cell. Why is this self-renewal important?

Stem cell

Self-renewal

Differentiated cellDifferentiation

� e fertilised egg is said to be totipotent (totus = entire) because such a cell has the potential to give rise to all cell types. Other totipotent cells include embryonic cells of a two-, four- or eight-cell embryo.

� e embryonic stem cells from the inner cell mass of the embryonic blastocyst are pluripotent (plures = several, many), as are the cells of the pri-mary germ layers — ectoderm, mesoderm and endoderm. � ese cells can dif-ferentiate into many cell types.

Multipotent cells have the ability to di� erentiate into a closely related family of cells; for example, a multipotent blood stem cell can develop into a red blood cell or a white blood cell or platelets (all specialised cells).

Oligopotent cells have the ability to di� erentiate into a few cells, for example, adult (somatic) lymphoid or myeloid stem cells.

Unipotent stem cells have the ability to produce only cells of their own type, but because they can self-renew they are termed stem cells. Examples include adult (somatic) muscle stem cells.

Sources of stem cellsStem cells can be obtained from the following sources:• Embryonic stem cells (ESCs) may be obtained from the inner cell mass of

an early embryo at a stage known as a blastocyst (see � gure 12.12), that is, the clump of cells adhered to the inside surface of a blastocyst (see � gure 12.13a). A single cell is isolated from the inner cell mass of a blastocyst and is grown in culture, dividing by mitosis to produce a culture of stem cells. � ese ESCs are obtained from extra embryos created as part of IVF pro-cedures and they are in excess of requirements. Taking these cells from the inner mass of a blastocyst destroys an embryo and this procedure has raised ethical issues (see below).

Fertilisedegg

Two-cellstage

Morula(10–30 cells)

(day 4)

Blastocyst(day 5)

Outer cells(form placenta)

Inner cell mass(forms embryo)Egg

nucleusPolarbody

Eggcytoplasm

FIGURE 12.12 The development of a fertilised cell to a blastocyst stage. To see some real cells, use the Embryos weblink for this chapter in your eBookPLUS.

Unit 2 Stem cell differentiationConcept summary and practice questions

AOS 1

Topic 4

Concept 1

ODD FACT

Scientists have discovered that proteins produced by three key genes maintain pluripotent stem cells in their undifferentiated state. These proteins, known as Oct4, Sox2 and Klf4, repress or silence the genes needed for embryonic development. When production of these proteins stops, the stem cells start to differentiate and are no longer stem cells.

ONLINE Embryonic stem cells

ONLINE Embryonic stem cells an early embryo at a stage known as a blastocyst (see � gure 12.12), that is,

ONLINE an early embryo at a stage known as a blastocyst (see � gure 12.12), that is, the clump of cells adhered to the inside surface of a blastocyst (see � gure

ONLINE the clump of cells adhered to the inside surface of a blastocyst (see � gure 12.13a). A single cell is isolated from the inner cell mass of a blastocyst and

ONLINE 12.13a). A single cell is isolated from the inner cell mass of a blastocyst and is grown in culture, dividing by mitosis to produce a culture of stem cells.

ONLINE is grown in culture, dividing by mitosis to produce a culture of stem cells. � ese ESCs are obtained from extra embryos created as part of IVF pro-

ONLINE � ese ESCs are obtained from extra embryos created as part of IVF pro-

ONLINE

ONLINE P

AGE blood cell or a white blood cell or platelets (all specialised cells).

PAGE blood cell or a white blood cell or platelets (all specialised cells). cells have the ability to di� erentiate into a few cells, for example,

PAGE cells have the ability to di� erentiate into a few cells, for example, adult (somatic) lymphoid or myeloid stem cells.

PAGE adult (somatic) lymphoid or myeloid stem cells. stem cells have the ability to produce only cells of their own type,

PAGE stem cells have the ability to produce only cells of their own type,

but because they can self-renew they are termed stem cells. Examples include

PAGE but because they can self-renew they are termed stem cells. Examples include adult (somatic) muscle stem cells.

PAGE adult (somatic) muscle stem cells.

Sources of stem cells

PAGE Sources of stem cellsStem cells can be obtained from the following sources:PAGE Stem cells can be obtained from the following sources:

Embryonic stem cells PAGE Embryonic stem cells an early embryo at a stage known as a blastocyst (see � gure 12.12), that is, PAGE

an early embryo at a stage known as a blastocyst (see � gure 12.12), that is,

PROOFS

PROOFS

PROOFSThe division of a stem cell by mitosis gives rise to two daughter

PROOFSThe division of a stem cell by mitosis gives rise to two daughter

cells, one of which differentiates to become a speci� c cell type and the other that

PROOFScells, one of which differentiates to become a speci� c cell type and the other that replaces or renews the original stem cell. Why is this self-renewal important?

PROOFSreplaces or renews the original stem cell. Why is this self-renewal important?

PROOFS=

PROOFS= entire) because such a cell

PROOFS entire) because such a cell

has the potential to give rise to all cell types. Other totipotent cells include

PROOFShas the potential to give rise to all cell types. Other totipotent cells include embryonic cells of a two-, four- or eight-cell embryo.

PROOFSembryonic cells of a two-, four- or eight-cell embryo.

� e embryonic stem cells from the inner cell mass of the embryonic

PROOFS� e embryonic stem cells from the inner cell mass of the embryonic

several, many), as are the cells of the pri-

PROOFS several, many), as are the cells of the pri-

mary germ layers — ectoderm, mesoderm and endoderm. � ese cells can dif-

PROOFSmary germ layers — ectoderm, mesoderm and endoderm. � ese cells can dif-

cells have the ability to di� erentiate into a closely related family PROOFS

cells have the ability to di� erentiate into a closely related family of cells; for example, a multipotent blood stem cell can develop into a red PROOFS

of cells; for example, a multipotent blood stem cell can develop into a red blood cell or a white blood cell or platelets (all specialised cells). PROOFS

blood cell or a white blood cell or platelets (all specialised cells). cells have the ability to di� erentiate into a few cells, for example, PROOFS

cells have the ability to di� erentiate into a few cells, for example,

NATURE OF BIOLOGY 1472

• Parthenotes are another potential source of embryonic stem cells. � ese are derived from unfertilised human eggs that are arti� cially stimulated to begin development. Such an egg, of course, may start development but it is not capable of developing into a human being.

• Adult stem cells (more accurately called  somatic stem cells) can be obtained from various sources throughout the body such as bone marrow, skin, the liver, the brain, adipose tissue and blood. In addition, another source of stem cells is cord blood that can be harvested from the umbilical cord of a baby after birth (see � gure 12.13b). Samples of some of these tissues are more accessible than others, such as blood, bone marrow that can be harvested by drilling into bones — typically the iliac crest or the femur, and adipose tissue, which can be obtained by liposuction. Somatic stem cells are multipotent. � is means that they can give rise to particular cell types such as di� erent kinds of blood cells or skin cells. Cord blood, for example, contains mainly stem cells that give rise to various blood cells.

Embryonic stem cells

Bone cells

Nerve cells

Skin cells

(a)

(b)

Blood cells

Adult (somatic) stem cells

Stem cells removedfrom inner cell massof blastocyst Stem cells

cultured inlaboratory

Stem cells removed from umbilical-cordblood and bone marrow

FIGURE 12.13 Stem cell lines can be created from various sources. (a) One source of stem cells is embryonic stem cells from the inner cell mass of a blastocyst. (b) Somatic stem cells can be extracted from bone marrow and from umbilical cord blood. Somatic stem cells is the preferred term for adult stem cells. Can you suggest why?

• Induced pluripotent stem cells (iPSCs) — research by Shinya Yamamaka in Japan in 2006 led to the discovery that some specialised adult somatic (skin) cells could be genetically reprogrammed to return to an undi� erentiated embryonic state. � is reprogramming was achieved by the addition to these cells of four speci� c embryonic genes, which encode proteins that are known to keep stem cells in an undi� erentiated state. One of these genes is the OCT4 gene that encodes the Oct4 protein (refer to � gure 12.10). � e creation of iPSCs does not involve the ethical issues related to the embryo deaths that necessarily accompany embryonic cell stem cells derived from blastocysts. � e ability to produce iPSCs is supporting new lines of research into disease and drug development. For example, iPSCs can be made from skin samples of patients with Parkinson’s disease, and these cells show signs of that disease. � is means that aspects of the disease can be studied in detail in cell cultures in the laboratory, allowing the e� ectiveness of new drugs to be explored using these iPSCs. Cell-based therapies using iPSCs are not practical at present. � e current procedure for reprogramming of somatic cells involves genetic modi� cation, which can sometimes cause cells to produce tumours.

ODD FACT

One advantage of somatic stem cells is that, if used for the person from whom they were taken, there is no risk of rejection.

ODD FACT

Shinya Yamamaka was the co-recipient of the Nobel Prize for Physiology or Medicine in 2012 for ‘the discovery that mature cells can be reprogrammed to become pluripotent’.

ONLINE

ONLINE

ONLINE FIGURE 12.13

ONLINE FIGURE 12.13

source of stem cells is embryonic stem cells from the inner cell mass of a

ONLINE source of stem cells is embryonic stem cells from the inner cell mass of a

blastocyst.

ONLINE blastocyst.

umbilical cord blood.

ONLINE

umbilical cord blood. cells

ONLINE

cells. Can you suggest why?

ONLINE

. Can you suggest why?

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AGE

PAGE

PAGE

PAGE Adult (somatic) stem cells

PAGE Adult (somatic) stem cells

Stem cells removed from umbilical-cord

PAGE Stem cells removed from umbilical-cordblood and bone marrow

PAGE blood and bone marrow

PAGE

PAGE

FIGURE 12.13 PAGE

FIGURE 12.13 Stem cell lines can be created from various sources. PAGE

Stem cell lines can be created from various sources. source of stem cells is embryonic stem cells from the inner cell mass of a PAGE

source of stem cells is embryonic stem cells from the inner cell mass of a PAGE PROOFS

are more accessible than others, such as blood, bone marrow that can be

PROOFSare more accessible than others, such as blood, bone marrow that can be harvested by drilling into bones — typically the iliac crest or the femur, and

PROOFSharvested by drilling into bones — typically the iliac crest or the femur, and

Somatic stem cells are multipotent. � is means that they can give rise to

PROOFS Somatic stem cells are multipotent. � is means that they can give rise to particular cell types such as di� erent kinds of blood cells or skin cells. Cord

PROOFSparticular cell types such as di� erent kinds of blood cells or skin cells. Cord blood, for example, contains mainly stem cells that give rise to various blood

PROOFSblood, for example, contains mainly stem cells that give rise to various blood

PROOFS

PROOFS

Stem cellsPROOFS

Stem cellscultured inPROOFS

cultured inlaboratoryPROOFS

laboratory

473CHAPTER 12 Cell growth and differentiation

Stem cells in regenerative medicineAs people age, a number of degenerative disorders appear more commonly, such as Parkinsonism or Parkinson’s disease. � is particular disorder results from the death of certain brain cells that normally produce a chemical (dopa-mine) that controls muscle movements. People with Parkinsonism show impairment of their motor movements, balance and speech. Early treatment for Parkinsonism involved administering dopamine to a� ected persons. � is treatment gave only short-term improvement.

Is there a way in which the lost dopamine-producing cells can be replaced? Experimental work is now proceeding on the potential use of stem cells to replace the lost cells in the brain.

Because stem cells have the unique ability to regenerate damaged tissue, research is being carried out on the potential use of stem cells in the treatment of Parkinson’s disease and on some other human disorders or conditions. Potential uses of stem cells for these purposes are called cell-based therapies, and the � eld of research is termed regenerative medicine.

In addition to Parkinson’s disease, other conditions that are potential targets for cell-based therapies include:• type 1 diabetes, a condition in which the insulin-producing cells of the pan-

creas are destroyed by people’s own immune system so that they cannot control their blood glucose levels and require the administration of insulin

• heart disease where sectors of heart muscle have died as a result of a heart attack (myocardial infarction) (refer to chapter 6)

• spinal cord injuries as a result of accident or trauma where the interrup-tions to the passage of nerve signals along the spinal cord have resulted in quadriplegia.Cell-based therapies also have the potential to restore normal function in

conditions such as macular degeneration of the retina, burns, and various forms of arthritis. However, the � eld of regenerative medicine is still experi-mental. � e present challenges are to improve the culturing of stem cells under laboratory conditions to increase their numbers, and to increase the under-standing of how stem cells di� erentiate into speci� c cell types. Once these challenges are overcome and the use of stem cells can be shown to be predict-able, reliable and to do no harm, the use of speci� c di� erentiated cell types

from stem cells in the treatment of certain diseases and injuries would be expected to become routine. However, at present, for most diseases, conditions and injuries, safe and e� ective treatments using cell-based therapies are yet to be realised.

Research in the � eld of regenerative medicine is ongoing. Scientists at the University of California reported that, following the injection of human stem cells from nerve tissue into the spinal cords of par-alysed mice, the test group of mice displayed better mobility than the non-injected controls after just nine days and, after four months, the test group of mice could walk. � e stem cells migrated up the spinal cord and developed into di� erent kinds of cells including those cells that form insulating layers of myelin around nerve cells. Figure 12.14 shows the growth of myelin around nerve cells in the damaged region of a mouse spinal cord following injection of stem cells.

Scientists at the Walter and Eliza Hall Institute of Medical Research in Melbourne identi� ed a cell line within mouse breast tissue that included multipotent

FIGURE 12.14 Injured spinal cord of mouse following injection of human stem cells. These stem cells developed into myelin-producing cells that form a wrapping (green) around nerve cells (red) (see the areas marked by arrowheads). Other nerve cells remained without a myelin wrapping (see the areas indicated with arrows).

ONLINE standing of how stem cells di� erentiate into speci� c cell types. Once these

ONLINE standing of how stem cells di� erentiate into speci� c cell types. Once these

challenges are overcome and the use of stem cells can be shown to be predict-

ONLINE challenges are overcome and the use of stem cells can be shown to be predict-

able, reliable and to do no harm, the use of speci� c di� erentiated cell types

ONLINE able, reliable and to do no harm, the use of speci� c di� erentiated cell types

ONLINE

ONLINE

ONLINE

ONLINE

ONLINE P

AGE attack (myocardial infarction) (refer to chapter 6)

PAGE attack (myocardial infarction) (refer to chapter 6)spinal cord injuries as a result of accident or trauma where the interrup-

PAGE spinal cord injuries as a result of accident or trauma where the interrup-tions to the passage of nerve signals along the spinal cord have resulted in

PAGE tions to the passage of nerve signals along the spinal cord have resulted in

Cell-based therapies also have the potential to restore normal function in

PAGE Cell-based therapies also have the potential to restore normal function in

conditions such as macular degeneration of the retina, burns, and various

PAGE conditions such as macular degeneration of the retina, burns, and various forms of arthritis. However, the � eld of regenerative medicine is still experi-

PAGE forms of arthritis. However, the � eld of regenerative medicine is still experi-mental. � e present challenges are to improve the culturing of stem cells under

PAGE mental. � e present challenges are to improve the culturing of stem cells under laboratory conditions to increase their numbers, and to increase the under-PAGE laboratory conditions to increase their numbers, and to increase the under-standing of how stem cells di� erentiate into speci� c cell types. Once these PAGE standing of how stem cells di� erentiate into speci� c cell types. Once these challenges are overcome and the use of stem cells can be shown to be predict-PAGE

challenges are overcome and the use of stem cells can be shown to be predict-

PROOFSIs there a way in which the lost dopamine-producing cells can be replaced?

PROOFSIs there a way in which the lost dopamine-producing cells can be replaced?

Experimental work is now proceeding on the potential use of stem cells to

PROOFSExperimental work is now proceeding on the potential use of stem cells to

Because stem cells have the unique ability to regenerate damaged tissue,

PROOFSBecause stem cells have the unique ability to regenerate damaged tissue, research is being carried out on the potential use of stem cells in the treatment

PROOFSresearch is being carried out on the potential use of stem cells in the treatment of Parkinson’s disease and on some other human disorders or conditions.

PROOFSof Parkinson’s disease and on some other human disorders or conditions. Potential uses of stem cells for these purposes are called

PROOFSPotential uses of stem cells for these purposes are called cell-based therapies

PROOFScell-based therapies

regenerative medicine

PROOFSregenerative medicine

In addition to Parkinson’s disease, other conditions that are potential targets

PROOFSIn addition to Parkinson’s disease, other conditions that are potential targets

type 1 diabetes, a condition in which the insulin-producing cells of the pan-

PROOFStype 1 diabetes, a condition in which the insulin-producing cells of the pan-creas are destroyed by people’s own immune system so that they cannot

PROOFScreas are destroyed by people’s own immune system so that they cannot control their blood glucose levels and require the administration of insulin

PROOFS

control their blood glucose levels and require the administration of insulinheart disease where sectors of heart muscle have died as a result of a heart PROOFS

heart disease where sectors of heart muscle have died as a result of a heart attack (myocardial infarction) (refer to chapter 6)PROOFS

attack (myocardial infarction) (refer to chapter 6)spinal cord injuries as a result of accident or trauma where the interrup-PROOFS

spinal cord injuries as a result of accident or trauma where the interrup-

NATURE OF BIOLOGY 1474

stem cells. Remarkably, they found that just one of these cells introduced to fat tissue in the laboratory could produce a branching mammary gland (see � gure 12.15a). � ese stem cells were able to give rise to the various cell types present in mammary glands (see � gure 12.15b).

FIGURE 12.15 (a) Branching mammary gland produced from a single mouse breast stem cell (b) Section through mammary tissue produced from stem cell with different cell types shown by arrows (L = lumen)

(a) (b)

Therapeutic cloning� e purpose of therapeutic cloning is to produce stem cells for use in treatment.

� erapeutic cloning involves the creation of an embryo, through the tech-nique of somatic nuclear transfer, for the purpose of obtaining stem cells from that embryo. � ese stem cells are intended for use in treating a patient who has a degenerative disease. � e cell that provides the nucleus in therapeutic cloning is a healthy cell from the patient who is to receive treatment. As a result, the embryo that is created is a genetic match to the patient and these cells do not cause an immune response. Figure 12.16 shows the process of therapeutic cloning.

Disease-freecells taken frompatient

Enucleationof egg cell

Fusion ofcell andegg

Embryocultured and stem cellsremoved

Embryonic stem cells cultured and speci�c celltypes obtained

Required celltypes introducedinto patient

FIGURE 12.16 Therapeutic cloning involves the creation of an embryo that is genetically identical to a patient. The patient’s cell is fused with an enucleated egg cell and develops into an early embryo. Stem cells are then taken from the inner cell mass of the early embryo (blastocyst) and grown in culture as pluripotent stem cells. Would these cultured cells be expected to cause an immune response if injected into the patient? Why?

ONLINE that is created is a genetic match to the patient and these cells do not cause an

ONLINE that is created is a genetic match to the patient and these cells do not cause an

immune response. Figure 12.16 shows the process of therapeutic cloning.

ONLINE immune response. Figure 12.16 shows the process of therapeutic cloning.

ONLINE P

AGE Therapeutic cloning

PAGE Therapeutic cloningtherapeutic cloning

PAGE therapeutic cloning

� erapeutic cloning involves the creation of an embryo, through the tech-

PAGE � erapeutic cloning involves the creation of an embryo, through the tech-

nique of somatic nuclear transfer, for the purpose of obtaining stem cells from

PAGE nique of somatic nuclear transfer, for the purpose of obtaining stem cells from that embryo.

PAGE that embryo. � ese stem cells are intended for use in treating a patient who has a

PAGE � ese stem cells are intended for use in treating a patient who has a

degenerative disease. � e cell that provides the nucleus in therapeutic cloning is PAGE degenerative disease. � e cell that provides the nucleus in therapeutic cloning is a healthy cell from the patient who is to receive treatment. As a result, the embryo PAGE a healthy cell from the patient who is to receive treatment. As a result, the embryo that is created is a genetic match to the patient and these cells do not cause an PAGE

that is created is a genetic match to the patient and these cells do not cause an immune response. Figure 12.16 shows the process of therapeutic cloning.PAGE

immune response. Figure 12.16 shows the process of therapeutic cloning.

PROOFS

PROOFS

475CHAPTER 12 Cell growth and differentiation

�e use of early embryos as a source of stem cells raises ethical issues because establishing an embryonic stem cell line destroys an embryo. Like-wise, ethical issues arise for therapeutic cloning because this procedure involves the arti�cial creation of an embryo solely for the purpose of obtaining stem cells, a process that then destroys the embryo.

In December 2002, the Research Involving Human Embryos Act 2002 was passed in the Australian Parliament. �is Act established a framework that regulated the use of ‘excess’ embryos. Provisions of this Act included the state-ment that ‘embryos cannot be created solely for research purposes’. Under the provisions of this Act, therapeutic cloning was not permitted in Australia. How-ever, in December 2006, the legislation was amended with Parliament lifting the ban of the cloning of human embryos for stem cell research and allowing therapeutic cloning to be undertaken.

KEY IDEAS

■ Stem cells are undifferentiated or unspecialised cells that have the ability to differentiate into organ- or tissue-speci�c cells with specialised functions and to self renew.

■ Stem cells include embryonic stem cells and somatic (adult) stem cells. ■ Stem cells from different sources differ in their potency or ability to produce differentiated cells of various types.

■ Therapeutic cloning is the creation, through the technique of somatic nuclear transfer, of an embryo for the purpose of obtaining stem cells from that embryo.

■ Regenerative medicine is still at an experimental stage but it raises promises for the treatment of degenerative conditions and severe trauma injuries.

QUICK CHECK

6 What is the difference between the members of the following pairs?a Totipotent and pluripotentb Undifferentiated and differentiatedc Embryonic stem cell and somatic (adult) stem cell

7 Identify one source of embryonic stem cells.8 List two sources that could be used to obtain somatic (adult) stem cells.9 What is a parthenote?

Abnormal embryonic developmentAbnormalities arising during antenatal development are described as con-genital malformations or birth defects. One estimate is that about three per-cent of babies are born with a congenital abnormality. Some of these cause the death of a baby soon after birth, while others leave the child with a life-long defective function, either physical or physiological. Some congenital mal-formations can be treated by surgery, such as cleft lip and palate, or by other forms of treatment.

Congenital defects arise in several ways and may be due to: 1. genetic factors. Genetic factors include single gene defects and chromosomal

abnormalities• Single-gene defects are usually inherited, for example, phenylketonuria

and cystic �brosis, which most commonly appear in newborns of unaf-fected parents who are heterozygous carriers of the allele involved.

In other cases, the single gene defect may be the result of a mutation in one of the gametes involved in fertilisation. For example, a form of

Unit 2 Factors affecting cell growthConcept summary and practice questions

AOS 1

Topic 4

Concept 4ONLIN

E

ONLINE

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PAGE nuclear transfer, of an embryo for the purpose of obtaining stem cells from

PAGE nuclear transfer, of an embryo for the purpose of obtaining stem cells from

Regenerative medicine is still at an experimental stage but it raises promises

PAGE Regenerative medicine is still at an experimental stage but it raises promises for the treatment of degenerative conditions and severe trauma injuries.

PAGE for the treatment of degenerative conditions and severe trauma injuries.

PAGE

PAGE

PAGE QUICK CHECK

PAGE QUICK CHECK

What is the difPAGE What is the difference between the members of the following pairs?PAGE

ference between the members of the following pairs?What is the difference between the members of the following pairs?What is the difPAGE What is the difference between the members of the following pairs?What is the dif

T PAGE Totipotent and pluripotentPAGE otipotent and pluripotentTotipotent and pluripotentT PAGE

Totipotent and pluripotentTUndifPAGE

Undifferentiated and differentiatedPAGE

ferentiated and differentiatedUndifferentiated and differentiatedUndifPAGE

Undifferentiated and differentiatedUndifEmbryonic stem cell and somatic (adult) stem cellPAGE

Embryonic stem cell and somatic (adult) stem cell

PROOFSprovisions of this Act, therapeutic cloning was not permitted in Australia. How

PROOFSprovisions of this Act, therapeutic cloning was not permitted in Australia. However, in December 2006, the legislation was amended with Parliament lifting

PROOFSever, in December 2006, the legislation was amended with Parliament lifting the ban of the cloning of human embryos for stem cell research and allowing

PROOFSthe ban of the cloning of human embryos for stem cell research and allowing

PROOFS

PROOFS

PROOFSStem cells are undifferentiated or unspecialised cells that have the

PROOFSStem cells are undifferentiated or unspecialised cells that have the ability to differentiate into organ- or tissue-speci�c cells with specialised

PROOFSability to differentiate into organ- or tissue-speci�c cells with specialised

Stem cells include embryonic stem cells and somatic (adult) stem cells.

PROOFSStem cells include embryonic stem cells and somatic (adult) stem cells.Stem cells from different sources differ in their potency or ability to

PROOFSStem cells from different sources differ in their potency or ability to produce differentiated cells of various types.

PROOFS

produce differentiated cells of various types.Therapeutic cloning is the creation, through the technique of somatic PROOFS

Therapeutic cloning is the creation, through the technique of somatic nuclear transfer, of an embryo for the purpose of obtaining stem cells from PROOFS

nuclear transfer, of an embryo for the purpose of obtaining stem cells from

NATURE OF BIOLOGY 1476

dwar� sm, known as achondroplasia, is a dominant trait, with about 80 per cent of cases being due to such a mutation.

• Chromosomal abnormalities, such as the presence of an extra copy of a chromosome so that instead of the normal two copies of an autosome, three copies are present — a condition termed trisomy. Examples of these chromosomal abnormalities surviving to birth are found in Down syndrome (2n = 47, +21), Edward syndrome (2n = 47, +18), and Patau syndrome (2n = 47, +13). � ese chromosomal abnormalities arise as a result of the disruption of the normal cell cycle, either during gamete formation by meiosis, or during the early cell divisions of the embryo by mitosis. If the DNA is damaged in cells undergoing mitosis, cell division is held up at the G1 checkpoint to prevent replication of damaged. DNA cell division is normally held up at another checkpoint to ensure that homologous chromosomes are attached to the correct spindle � bres. � is means that, normally, cell division continues only when DNA is not faulty and when homologous chromosomes are attached to the correct spindle � bres so that at anaphase they disjoin to opposite poles of the spindle. In chro-mosomal abnormalities, the normal operation of this second checkpoint breaks down so that two copies of a chromosome move to the same pole of the spindle. Research has shown that the risk of an egg with a chromosomal abnor-mality is much higher in older women than in younger women (see � gure 12.17). � is suggests that the operation of checkpoints is more at risk of malfunctioning in older women that in younger women.

In some cases, interactions may occur between genetic factors and environmental factors.

100%

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0%28 30 32 34 36

Female age

38 40 42 44

FIGURE 12.17 Graph showing the increase in production of chromosomally abnormal eggs with increasing maternal age

2. environmental factors. Environmental factors that can result in a birth defect are known as teratogens, for example, chemicals in the pregnant woman’s bloodstream that reach the developing embryo, such as thalidomide (refer to p. 467).

Other known teratogens include physical agents such as radiation, hyper-thermia (resulting from use of hot tubs, saunas); viral infections, such as  rubella (German measles); drugs and chemicals such as alcohol and

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PAGE � gure 12.17). � is suggests that the operation of checkpoints is more at

PAGE � gure 12.17). � is suggests that the operation of checkpoints is more at risk of malfunctioning in older women that in younger women.

PAGE risk of malfunctioning in older women that in younger women.In some cases, interactions may occur between genetic factors and

PAGE In some cases, interactions may occur between genetic factors and environmental factors.

PAGE environmental factors.

80% PAGE 80%

70% PAGE 70% PAGE

PAGE

PAGE

PAGE

PAGE

PAGE

PAGE

PAGE

PAGE PROOFS

of the normal cell cycle, either during gamete formation by meiosis,

PROOFSof the normal cell cycle, either during gamete formation by meiosis, or during the early cell divisions of the embryo by mitosis. If the DNA

PROOFSor during the early cell divisions of the embryo by mitosis. If the DNA is damaged in cells undergoing mitosis, cell division is held up at the

PROOFSis damaged in cells undergoing mitosis, cell division is held up at the G1 checkpoint to prevent replication of damaged. DNA cell division is

PROOFSG1 checkpoint to prevent replication of damaged. DNA cell division is normally held up at another checkpoint to ensure that homologous

PROOFSnormally held up at another checkpoint to ensure that homologous chromosomes are attached to the correct spindle � bres. � is means that,

PROOFSchromosomes are attached to the correct spindle � bres. � is means that, normally, cell division continues only when DNA is not faulty and when

PROOFSnormally, cell division continues only when DNA is not faulty and when homologous chromosomes are attached to the correct spindle � bres so

PROOFShomologous chromosomes are attached to the correct spindle � bres so that at anaphase they disjoin to opposite poles of the spindle. In chro-

PROOFSthat at anaphase they disjoin to opposite poles of the spindle. In chro-mosomal abnormalities, the normal operation of this second checkpoint

PROOFSmosomal abnormalities, the normal operation of this second checkpoint breaks down so that two copies of a chromosome move to the same pole

PROOFSbreaks down so that two copies of a chromosome move to the same pole

Research has shown that the risk of an egg with a chromosomal abnor-PROOFS

Research has shown that the risk of an egg with a chromosomal abnor-mality is much higher in older women than in younger women (see PROOFS

mality is much higher in older women than in younger women (see � gure 12.17). � is suggests that the operation of checkpoints is more at PROOFS

� gure 12.17). � is suggests that the operation of checkpoints is more at risk of malfunctioning in older women that in younger women.PROOFS

risk of malfunctioning in older women that in younger women.

477CHAPTER 12 Cell growth and differentiation

cocaine; and seafood with a high mercury content. Factors such as maternal diabetes, smoking or malnutrition can also contribute to the development of birth abnormalities. A dietary de� ciency may result in a birth defect, for example, a de� ciency of vitamin A; in experiments using pigs exposed to a vitamin A-de� cient diet, o� spring were born with the absence of one or both eyes, and with cleft palates.

One tragic example of the action of a teratogen is the methylmercury poi-soning that occurred in Minamata Bay, Japan for several decades as a result of unchecked industrial pollution. As well as a� ecting adults who ate � sh with high levels of methyl mercury, pregnant women gave birth to babies with severe congenital abnormalities (see � gure 12.18).

� e earlier in the stages of development that exposure to a teratogen occurs, the more serious its e� ects will be. In some cases, spontaneous mis-carriage may occur even before a woman is aware that she is pregnant.

3. unknown factors. In some cases, the cause of a birth abnormality may be unknown.

Cancer and the cell cycleIn the healthy body, some cells can divide to produce new cells and this pro-cess usually occurs in an orderly and carefully controlled manner. � is normal process enables the body to grow during childhood and adolescence, and to replace damaged, dead or lost cells during adulthood.

In contrast, cancer is a disease in which cells divide in an uncontrolled manner, forming an abnormal mass of cells (see � gure 12.19). Cancer cells are out of control because of mutations in their genes that result in a breakdown of the normal regulation of the cell cycle. So cancer is a disease that results from the loss of control of the cell cycle.

FIGURE 12.19 Section through human kidney: (a) normal kidney and (b) kidney with cancer growing

(a) (b)

FIGURE 12.18 Kazumitsu Hannaga, a congenital Minamata disease patient, at Meisui-en Hospital, Minamata, 1991. The hospital opened in 1972 to care for Minamata victims.

ODD FACT

The � rst teratogen that was not a chemical was identi� ed in 1941 by an Australian physician, Norman Gregg. He recognised the link between the rubella virus infection of mothers during the � rst two months of their pregnancies and the occurrence of eye defects in their newborn babies. ONLIN

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The � rst teratogen that was not

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The � rst teratogen that was not a chemical was identi� ed in

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a chemical was identi� ed in 1941 by an Australian physician,

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1941 by an Australian physician, Norman Gregg. He recognised

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Norman Gregg. He recognised the link between the rubella

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the link between the rubella virus infection of mothers

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during the � rst two months of their pregnancies and the

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of their pregnancies and the

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occurrence of eye defects in ONLINE

occurrence of eye defects in their newborn babies. ONLIN

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their newborn babies.

PAGE is a disease in which cells divide in an uncontrolled

PAGE is a disease in which cells divide in an uncontrolled manner, forming an abnormal mass of cells (see � gure 12.19). Cancer cells are

PAGE manner, forming an abnormal mass of cells (see � gure 12.19). Cancer cells are out of control because of mutations in their genes that result in a breakdown of

PAGE out of control because of mutations in their genes that result in a breakdown of the normal regulation of the cell cycle. So cancer is a disease that results from

PAGE the normal regulation of the cell cycle. So cancer is a disease that results from the loss of control of the cell cycle.

PAGE the loss of control of the cell cycle.

PAGE PROOFS

with high levels of methyl mercury, pregnant women gave birth to babies

PROOFSwith high levels of methyl mercury, pregnant women gave birth to babies

� e earlier in the stages of development that exposure to a teratogen

PROOFS� e earlier in the stages of development that exposure to a teratogen occurs, the more serious its e� ects will be. In some cases, spontaneous mis-

PROOFSoccurs, the more serious its e� ects will be. In some cases, spontaneous mis-carriage may occur even before a woman is aware that she is pregnant.

PROOFScarriage may occur even before a woman is aware that she is pregnant. In some cases, the cause of a birth abnormality may be

PROOFS In some cases, the cause of a birth abnormality may be

Cancer and the cell cycle

PROOFSCancer and the cell cycleIn the healthy body, some cells can divide to produce new cells and this pro-

PROOFSIn the healthy body, some cells can divide to produce new cells and this pro-cess usually occurs in an orderly and carefully controlled manner. � is normal

PROOFScess usually occurs in an orderly and carefully controlled manner. � is normal process enables the body to grow during childhood and adolescence, and to PROOFS

process enables the body to grow during childhood and adolescence, and to replace damaged, dead or lost cells during adulthood.PROOFS

replace damaged, dead or lost cells during adulthood. is a disease in which cells divide in an uncontrolled PROOFS

is a disease in which cells divide in an uncontrolled manner, forming an abnormal mass of cells (see � gure 12.19). Cancer cells are PROOFS

manner, forming an abnormal mass of cells (see � gure 12.19). Cancer cells are

NATURE OF BIOLOGY 1478

Normal control or regulation of the cell cycle involves several mechanisms including:• Checkpoints, such as the G1 checkpoint, ensure that the replication of chro-

mosomal DNA is error-free. If errors such as lesions, breaks or other damage are found, the progress of the cell cycle is delayed to allow the DNA to be repaired.

• Proteins, known as cyclins, ensure that chromosomes are attached to the correct spindle �bres so that an equal distribution of chromosomes to daughter cells occurs.

• Normal cells display so-called ‘contact inhibition’, which means they will stop dividing if they begin to overgrow adjacent cells.

• Chemical signals convey information to cells about when to divide faster and when to slow down or stop dividing. Two kinds of genes are involved in this signalling: (1) oncogenes that signal cells to continue dividing and (2) tumour suppressor genes that signal cells to stop dividing. Mutations of these genes would be expected to disrupt the control of the cell cycle.

• If cells are chromosomally abnormal or are damaged, they receive a signal to self-destruct in a process known as programmed cell death or apoptosis.In cancer cells, however, these various controls of the cell division cycle

are lost and the cells do not respond to signals to stop dividing. Instead, cancer cells divide in an uncontrolled manner, forming tumours that damage the surrounding healthy tissues. Cancer cells do not show ‘contact inhibition’ but will overgrow existing cells. While some tumours are benign, others are malignant because cells from these tumours can enter the blood-stream or lymphatics and spread to other regions of the body — a process known as metastasis (see �gure 12.20).

Many cancers have a genetic component. Some cancers are inherited, for example, retinoblastoma, a cancer of the eye. In other cases, the pres-ence of a particular gene can increase the risk of occurrence of a cancer (see table 12.3). �e BRCA1 and BRCA2 genes are rare, but between 45 and 90 per cent of women with one of those genes develop breast cancer. �ese genes also increase the risk of ovarian cancer. �e BRCA2 gene in men increases their risk of developing breast or prostate cancer. However, it should be noted that these genes are involved in only a small percentage of cancers of a particular organ; for example, less than 3 per cent of breast can-cers are caused by a faulty gene.

TABLE 12.3 Some genes that are associated with an increased risk of developing cancer in a speci�c tissue

Genes that increase risk Associated cancer

APC, MYH bowel cancer

BRCA1, BRCA2 breast and ovarian cancer

VHL, TCS1, TCS2 kidney cancer

FAMMM, CDKN2A melanoma

�e majority of cancers result from the action of environmental factors, such as exposure to ultraviolet (UV) radiation, carcinogenic chemicals in cigarette smoke, viruses and diet. Tobacco use in combination with excessive alcohol consumption is a risk factor in the development of oral cancer (cancer of the mouth). �ese environmental factors cause gene mutations and so can be called mutagens.

ODD FACT

Cancer Research UK suggests that around 4 out of 100 cancers (4%) are linked to alcohol. It increases the risk of mouth cancer, liver cancer, breast cancer, bowel cancer and throat cancer.

Unit 2 Uncontrolled cell growthConcept summary and practice questions

AOS 1

Topic 4

Concept 5

ONLINE and 90 per cent of women with one of those genes develop breast cancer.

ONLINE and 90 per cent of women with one of those genes develop breast cancer.

�ese genes also increase the risk of ovarian cancer. �e

ONLINE �ese genes also increase the risk of ovarian cancer. �e

men increases their risk of developing breast or prostate cancer. However, it

ONLINE men increases their risk of developing breast or prostate cancer. However, it

should be noted that these genes are involved in only a small percentage of

ONLINE

should be noted that these genes are involved in only a small percentage of cancers of a particular organ; for example, less than 3 per cent of breast can

ONLINE

cancers of a particular organ; for example, less than 3 per cent of breast cancers are caused by a faulty gene.

ONLINE

cers are caused by a faulty gene.

PAGE damage the surrounding healthy tissues. Cancer cells do not show ‘contact

PAGE damage the surrounding healthy tissues. Cancer cells do not show ‘contact inhibition’ but will overgrow existing cells. While some tumours are benign,

PAGE inhibition’ but will overgrow existing cells. While some tumours are benign, others are malignant because cells from these tumours can enter the blood

PAGE others are malignant because cells from these tumours can enter the bloodstream or lymphatics and spread to other regions of the body — a process

PAGE stream or lymphatics and spread to other regions of the body — a process

PAGE metastasis

PAGE metastasis (see �gure 12.20).

PAGE (see �gure 12.20).

Many cancers have a genetic component. Some cancers are inherited,

PAGE Many cancers have a genetic component. Some cancers are inherited,

for example, retinoblastoma, a cancer of the eye. In other cases, the pres

PAGE for example, retinoblastoma, a cancer of the eye. In other cases, the presence of a particular gene can increase the risk of occurrence of a cancer

PAGE ence of a particular gene can increase the risk of occurrence of a cancer (see table 12.3). �e PAGE (see table 12.3). �e and 90 per cent of women with one of those genes develop breast cancer. PAGE and 90 per cent of women with one of those genes develop breast cancer. �ese genes also increase the risk of ovarian cancer. �e PAGE

�ese genes also increase the risk of ovarian cancer. �e

PROOFS’, which means they will

PROOFS’, which means they will

Chemical signals convey information to cells about when to divide

PROOFSChemical signals convey information to cells about when to divide faster and when to slow down or stop dividing. Two kinds of genes are

PROOFSfaster and when to slow down or stop dividing. Two kinds of genes are that signal cells to continue

PROOFS that signal cells to continue that signal cells to stop dividing.

PROOFS that signal cells to stop dividing.

Mutations of these genes would be expected to disrupt the control of the

PROOFSMutations of these genes would be expected to disrupt the control of the

If cells are chromosomally abnormal or are damaged, they receive a

PROOFSIf cells are chromosomally abnormal or are damaged, they receive a signal to self-destruct in a process known as

PROOFSsignal to self-destruct in a process known as programmed cell death

PROOFSprogrammed cell death

In cancer cells, however, these various controls of the cell division cycle

PROOFSIn cancer cells, however, these various controls of the cell division cycle

are lost and the cells do not respond to signals to stop dividing. Instead, PROOFS

are lost and the cells do not respond to signals to stop dividing. Instead, cancer cells divide in an uncontrolled manner, forming tumours that PROOFS

cancer cells divide in an uncontrolled manner, forming tumours that damage the surrounding healthy tissues. Cancer cells do not show ‘contact PROOFS

damage the surrounding healthy tissues. Cancer cells do not show ‘contact inhibition’ but will overgrow existing cells. While some tumours are benign, PROOFS

inhibition’ but will overgrow existing cells. While some tumours are benign,

479CHAPTER 12 Cell growth and differentiation

KEY IDEAS

■ Abnormalities arising during antenatal development are described as congenital defects.

■ Congenital defects may be due to genetic or environmental factors or be of unknown origin.

■ Teratogens are physical, chemical or biological agents that can cause birth defects.

■ Cancer is a disease that results from the loss of normal control of the cell cycle, resulting in an uncontrolled growth of cells.

QUICK CHECK

10 Identify two of the control mechanisms that are in place in normal cells to prevent uncontrolled growth by cell division.

11 What was the teratogen that caused Minamata disease?12 What is a mutagen?13 Give two examples of environmental agents that are believed to act as

mutagens.

(b) (i)

(ii)

(iii)

Tumour

Lymphvessel

Secretory lobule

Rib

(a)

Milk duct

FIGURE 12.20 (a) Longitudinal section of a breast showing normal tissues (b) (i) Development of a discrete tumour or ‘lump in the breast’ (ii) Development of tumour into cancer. Cancer comes from the Latin for crab because cancers typically have an irregular shape. (iii) S pread of cancer within breast and migration of cancer cells from the breast through lymph vessels and blood vessel to new sites where secondary cancers develop, the process of metastasis. (c) Spread of breast cancer cell in vitro, that is, in a cell culture in the laboratory. Migrating cancer cells show the presence of a speci� c protein, vimentin, that stains green and is not present in normal cells. Note how the cancer cells (green) migrate and multiply � lling the space and crowding out the normal cells (red). (Image courtesy of Professor Leigh Ackland)

(c) (i)

(iii)

(ii)

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secondary cancers develop,

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secondary cancers develop,

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the process of metastasis.

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the process of metastasis.  Spread of breast cancer

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 Spread of breast cancer , that is, in a cell

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, that is, in a cell culture in the laboratory.

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culture in the laboratory. Migrating cancer cells show

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Migrating cancer cells show the presence of a speci� c

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the presence of a speci� c protein, vimentin, that stains ONLIN

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protein, vimentin, that stains green and is not present in ONLIN

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green and is not present in ONLINE

normal cells. Note how the ONLINE

normal cells. Note how the cancer cells (green) migrate ONLIN

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cancer cells (green) migrate ONLINE P

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PROOFS(ii)

PROOFS(ii)

480 NATURE OF BIOLOGY 1

BIOCHALLENGE

Cell growth and cell differentiation

1 The following statement appeared in an article by IR Fox et al., ‘Use of differentiated pluripotent stem cells in replacement therapy for treating disease’, which was published in the journal Science on 22 August 2014.

Unlimited populations of differentiated PSCs [pluripotent stem cells] should facilitate blood therapies and hematopoietic stem cell transplantation, as well as the treatment of heart, pancreas, liver, muscle, and neurologic disorders. However, successful cell transplantation will require optimizing the best cell type and site for engraftment, overcoming limitations to cell migration and tissue integration, and possibly needing to control immunologic reactivity.

Consider this statement and answer the following questions.a What challenges must be overcome before the use of

PSCs can become a routine clinical practice?b What is meant by the phrase ‘overcoming

immunologic reactivity’?c If this article was about the use of induced pluripotent

stem cells (iPSCs), would immunologic reactivity be a challenge? Explain your response.

2 Fetal stem cells were used to treat a boy with the genetic disorder, Ataxia Telangiectasia (A-T), a rare neurodegenerative disease that produces signi� cant disability including poor coordination, a weakened immune system and a breakdown in the DNA repair mechanism so that an affected person’s risk of cancer is increased.

Four years after the treatment with these stem cells, the boy developed abnormal growths in his brain and spinal cord. This rare event was believed to have been a result of the boy’s weakened immune system.Fortunately these tumours were benign and were able to be surgically removed. a When the tumours were removed, it was found that

they were a result of the treatment, not an independent event that occurred in the boy. How might this have been determined?

b Person A commented: ‘The use of stem cell therapy should be stopped. No further research should be done’.

Person B commented: ‘More research is needed with a focus on the safety of stem cell therapy, � nding out what can potentially go wrong and developing safeguards to reduce any risks’.

With which person do you agree, and why?

3 One form of stem cell therapy that has been in use for decades is the use of stem cells (see � gure 12.21) from bone marrow transplants for treatment of disorders of the blood and the immune system, as well as the acquired loss of bone marrow function. Advanced techniques are in practice for collecting blood stem cells and their use is well established clinically. In contrast, other stem cell therapies are still experimental.

FIGURE 12.21

a What is the difference between a clinical procedure and an experimental procedure?

b Suggest why stem cells from bone marrow have been used for treatment of blood and immune disorders for decades while stem-cell therapies for other conditions are still experimental.

ONLINE mechanism so that an affected person’s risk of cancer is

ONLINE mechanism so that an affected person’s risk of cancer is

Four years after the treatment with these stem cells,

ONLINE Four years after the treatment with these stem cells,

the boy developed abnormal growths in his brain and

ONLINE

the boy developed abnormal growths in his brain and spinal cord. This rare event was believed to have

ONLINE

spinal cord. This rare event was believed to have been a result of the boy’s weakened immune system.

ONLINE

been a result of the boy’s weakened immune system.Fortunately these tumours were benign and were able

ONLINE

Fortunately these tumours were benign and were able to be surgically removed.

ONLINE

to be surgically removed. When the tumours were removed, it was found that

ONLINE

When the tumours were removed, it was found that they were a result of the treatment, not an independent

ONLINE

they were a result of the treatment, not an independent event that occurred in the boy. How might this have

ONLINE

event that occurred in the boy. How might this have been determined?

ONLINE

been determined? Person A commented: ‘The use of stem cell therapy ONLIN

E

Person A commented: ‘The use of stem cell therapy should be stopped. No further research should be ONLIN

E

should be stopped. No further research should be done’. ONLIN

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done’.

PAGE genetic disorder, Ataxia Telangiectasia (A-T), a rare

PAGE genetic disorder, Ataxia Telangiectasia (A-T), a rare neurodegenerative disease that produces signi� cant

PAGE neurodegenerative disease that produces signi� cant disability including poor coordination, a weakened

PAGE disability including poor coordination, a weakened immune system and a breakdown in the DNA repair PAGE immune system and a breakdown in the DNA repair mechanism so that an affected person’s risk of cancer is PAGE mechanism so that an affected person’s risk of cancer is PAGE

PAGE PROOFS

With which person do you agree, and why?

PROOFSWith which person do you agree, and why?

One form of stem cell therapy that has been in use for

PROOFSOne form of stem cell therapy that has been in use for decades is the use of stem cells (see � gure 12.21) from

PROOFSdecades is the use of stem cells (see � gure 12.21) from bone marrow transplants for treatment of disorders of the

PROOFSbone marrow transplants for treatment of disorders of the blood and the immune system, as well as the acquired

PROOFSblood and the immune system, as well as the acquired loss of bone marrow function. Advanced techniques are

PROOFSloss of bone marrow function. Advanced techniques are in practice for collecting blood stem cells and their use

PROOFSin practice for collecting blood stem cells and their use is well established clinically. In contrast, other stem cell

PROOFSis well established clinically. In contrast, other stem cell

experimental.

PROOFS experimental.

PROOFS

PROOFS

481CHAPTER 12 Cell growth and differentiation

Unit 2Cell growth and cell differentiation

Sit topic test

AOS 1

Topic 4Chapter review

Key wordsadult stem cellantenatal birth defectblastocyst cancercell-based therapy congenital

malformation contact inhibition corpus luteum di�erentiation ectoderm embryo

embryonic development

embryonic stem cell endoderm estrogen fertilisation fetal development fetus follicle follicle-stimulating

hormone gastrulation germ layer

gestational age induced pluripotent

stem cell inner cell mass menstrual age mesoderm metastasis multipotent mutagenoligipotent oncogene ovulation parthenote

pluripotent programmed cell death regenerative medicine somatic (adult) stem cell stem cell teratogen thalidomide therapeutic cloning totipotent tumour suppressor gene unipotent zygote

Questions1 Making connections ➜ Use at least eight chapter

key words to draw a concept map. You may use other words to draw your map.

2 Demonstrating knowledge ➜ Stem cell therapy is a treatment that uses stem cells, or cells that come from stem cells, to replace or to repair damage to a patient’s cells or tissues. �e stem cells might be put into the blood, or transplanted into the damaged tissue directly, or even recruited from the patient’s own tissues for self-repair.a What di�erentiated cells might come from stem

cells in the case of pluripotent stem cells?b What di�erentiated cells might come from

unipotent stem cells?c Outline one procedure by which a patient’s own

cells might be recruited for self-repair.d Which, if any of these procedures, would

not entail the problem of immunological reactivity?

3 Interpreting graphical data ➜ Refer to �gure 12.8 on page 468.a Which organ is most susceptible to damage over

the most extended period of antenatal life?b Which organs would be susceptible to

damage by teratogens in the embryonic period only?

c What level of damage (major, minor or nil) would you predict from exposure to a teratogen as follows?

i To ears in weeks 10 to 12 ii To limbs in weeks 4 and 5 iii To palate in weeks 5 and 6 iv To an embryo in week 2

d A newborn has a cleft lip and a cleft palate. Over what period might exposure to a teratogen have occurred to produce this birth defect?

4 Making comparisons ➜ What is the di�erence between the members of the following pairs?a Embryonic stem cells and somatic stem cellsb Parthenote and fertilised eggc Totipotent and multipotentd Induced pluripotent stem cell and pluripotent

stem cells 5 Applying your understanding ➜ In 2012,

researchers at Harvard University’s School of Public Health and Boston University’s Slone School of Epidemiology compared the birth outcomes of 4524 pregnant women who had been prescribed anti-nausea medication ondansetron during the �rst trimester to those of 5859 women who had not sought medical treatment for morning sickness. �ey found that women who had taken ondansetron as a morning sickness treatment were 2.37 times more likely to deliver babies with a cleft palate. (Source: http://montco.legalexaminer.com/ 2015/04/09/causes-cleft-lip-palate)a What tentative conclusion might be drawn from

this observation?b What further research, if any, might be done

to provide further evidence in support of your conclusion?

ONLINE hat di�erentiated cells might come from stem

ONLINE hat di�erentiated cells might come from stem

cells in the case of pluripotent stem cells?

ONLINE cells in the case of pluripotent stem cells?

hat di�erentiated cells might come from

ONLINE

hat di�erentiated cells might come from unipotent stem cells?

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unipotent stem cells?utline one procedure by which a patient’s own

ONLINE

utline one procedure by which a patient’s own cells might be recruited for self-repair.

ONLINE

cells might be recruited for self-repair.hich, if any of these procedures, would

ONLINE

hich, if any of these procedures, would not entail the problem of immunological

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not entail the problem of immunological reactivity?

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reactivity? nterpreting graphical data

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nterpreting graphical data on page 468.ONLIN

E

on page 468.W ONLIN

E

Which organ is most susceptible to damage over ONLINE

hich organ is most susceptible to damage over Which organ is most susceptible to damage over W ONLINE

Which organ is most susceptible to damage over Wthe most extended period of antenatal life?ONLIN

E

the most extended period of antenatal life?hich organs would be susceptible to ONLIN

E

hich organs would be susceptible to

PAGE Stem cell therapy is

PAGE Stem cell therapy is

a treatment that uses stem cells, or cells that come

PAGE a treatment that uses stem cells, or cells that come from stem cells, to replace or to repair damage to a

PAGE from stem cells, to replace or to repair damage to a patient’s cells or tissues. �e stem cells might be put

PAGE patient’s cells or tissues. �e stem cells might be put into the blood, or transplanted into the damaged

PAGE into the blood, or transplanted into the damaged tissue directly, or even recruited from the patient’s PAGE tissue directly, or even recruited from the patient’s

hat di�erentiated cells might come from stem PAGE

hat di�erentiated cells might come from stem

d

PAGE d A new

PAGE A newwhat period might exposure to a teratogen have

PAGE what period might exposure to a teratogen have occurred to produce this birth defect?

PAGE occurred to produce this birth defect?4

PAGE 4 M

PAGE Making comparisons

PAGE aking comparisons

between the members of the following pairs?

PAGE between the members of the following pairs?a

PAGE a

PROOFSregenerative medicine

PROOFSregenerative medicine somatic (adult) stem cell

PROOFSsomatic (adult) stem cell stem cell

PROOFSstem cell teratogen

PROOFSteratogen thalidomide

PROOFSthalidomide therapeutic cloning

PROOFStherapeutic cloning totipotent

PROOFStotipotent tumour suppressor gene

PROOFStumour suppressor gene unipotent

PROOFSunipotent zygote

PROOFSzygote

PROOFS

A new PROOFS

A newborn has a cleft lip and a cleft palate. Over PROOFS

born has a cleft lip and a cleft palate. Over what period might exposure to a teratogen have PROOFS

what period might exposure to a teratogen have

482 NATURE OF BIOLOGY 1

6 Interpreting data ➜ Figure 12.22 shows the number of scienti� c publications in the domain of stem cell research in the period from 1996 to 2012. (ESC: embryonic stem cells; hESCs: human embryonic stem cells; iPSCs: induced pluripotent stem cells)a Explain why global research publications

on iPSCs appear much later than research publication on hECSs.

b What area of stem cell research dominates the publications?

c By what approximate factor has the number of research publication on iPSCs increased in the period from 2008 to 2012?

d In what year did the total number of publications on stem cells of all types � rst exceed 10 000?

Number of publications3000

ESCshESCsiPSCs

Stem cells

2500

2000

1500

1000

500

0

30 000

25 000

20 000

15 000

10 000

5000

01996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

# of

pub

licat

ions

: ste

m c

ells

, all

typ

es (l

ine)

# of

pub

licat

ions

: ES

Cs,

hE

SC

s, iP

SC

s (b

ars)

FIGURE 12.22

7 Analysing information ➜ Figure 12.23 shows the distribution of causes of congenital malformations.a Give one example of each of the environmental

factors listed in this chapter.b Two types of genetic causes exist. What are

they?

Genetic

Multifactorialof unknown

EnvironmentalIntrauterine infections: 3%Maternal metabolic disorders: 4%Environmental chemicals: 4%Drugs and medications: < 1%Ionising radiation: 1%–2%

65%–75%

20%–25%

FIGURE 12.23

8 Demonstrating understanding ➜ Outline the events that can initiate the conversion of a normal cell to a cancer cell.

ONLINE P

AGE

PAGE 15 000

PAGE 15 000

10 000

PAGE 10 000

5000

PAGE 5000

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012PAGE 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

# of

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, all

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PAGE #

of p

ublic

atio

ns: s

tem

cel

ls, a

ll ty

pes

(lin

e)

PROOFS

EnvironmentalPROOFS

EnvironmentalPROOFS

PROOFS

PROOFS

PROOFS

PROOFS

PROOFS65%–75%

PROOFS65%–75%

20%–25%

PROOFS20%–25%

PROOFS

PROOFS

PROOFS