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Regenerative Research 3(2) 2014 120-121 PRIMARY CULTURE OF HUMAN AMNIOTIC FLUID CELLS HARVESTED FROM FULLTERM PREGNANCIES Muhammad K J1,2, Thilakavathy K1,2, Zulida R1, Yazid M N1 and Norshariza N1,2* 1 2 Department of Obstetrics & Gynaecology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia Genetic and Regenerative Medicine Research Centre, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia ARTICLE INFO Published: 1st December, 2014 *Corresponding author email: [email protected] KEYWORDS Amniotic Fluid, Stem cells, Primary culture ABSTRACT Heterogeneous cells contained in human amniotic fluid (AF) are believed to hold therapeutic potential. Mid-term AF has been discovered to harbor high potency stem cell population. However, it is not clear whether AF of full-term pregnancy contains this type of cells. In an effort to explore this possibility, primary culture of AF harvested from full-term pregnancies or during deliveries needs to be established. Here, we aimed to culture and propagate AF cells of 38-40 weeks gestation collected during normal (ARM) and cesarean section (C-Sect) deliveries. The time taken for both cells to reach confluency and the cell morphology were compared and evaluated. We found C-Sect samples took shorter time to confluent compared to ARM samples in Amniomax with both exhibiting similar cell morphology. These results prove the presence of viability cells residing in full-term AF, thus, giving us high hope for the existence of stem cell population in the fluid, which is normally discarded. 1.0 Introduction 2.0 Materials and Methods Human amniotic fluid has been used for prenatal diagnosis since many years (1). More studies have discovered the presence of stem cell population in AF (1-4). However, most stem cells were isolated from AF of mid-term gestation through an invasive procedure, amniocentesis. There are concerns on the possible risks pose by the invasive procedure in collecting mid-term AF samples, such as infection of the amnion sac from the needle, leakage of the sac and in more serious note; miscarriage (5,6). Alternatively, stem cells could be isolated from AF of full-term pregnancies, specifically during delivery. Thus, we are now trying to culture and establish amniotic fluid stem cells from full-term pregnancies. Here, we aimed to see whether AF cells can be cultured from full-term pregnancies. Human amniotic fluid was collected from normal, through artificial rupture membrane (ARM, n=2), and cesarean section (C-Sect, n=2) deliveries. Samples were cautiously collected by O&G specialists at Medical Putra Medical Centre and Serdang Hospital upon approval by the appropriate Ethics Committee into a sterile container. The collected samples were immediately processed. The AF was first washed with PBS to get rid of blood contamination or other unwanted debris, centrifuged and grown in Amniomax until attached and confluent in a 370C incubator. Cells were observed daily to see first day of attachment and also the cell morphology. Regenerative Research Vol 3 Issue 2 Dec 2014 120 Fig 1: Culturing of ARM sample from day 1 to day 24, showing the stages of culturing and the cell morphology. 3.0 Results Full-term AF cells from both the ARM and C-Sect samples can grow in Amniomax. C-Sect samples took only 14 days to confluent as compared to 24 days for the ARM samples. All samples exhibited heterogeneous cells population with mostly fibroblast- and epithelial-like morphology (Figure 1, 2). 4.0 Discussion and Conclusion We managed to grow amniotic fluid cells from full-term pregnancies indicating the presence of viable cells at this stage of gestation. Fig 2: Culturing of C-Sect sample from day 1 to day 14, showing the stages of culturing and the cell morphology. 2. De Coppi P, Bartsch G Jr, Siddiqui MM, Xu T, Santos CC, Perin L, Mostoslavsky G, Serre AC, Snyder EY, Yoo JJ, Furth ME, Sooker S, Atala A. Isolation of amniotic stem cell lines with potential for therapy. Nat Biotechnol. 2007; 25:100-106. 3. Tsai MS, Lee JL, Chang YJ, Hwang SM. Isolation of human multipotent mesenchymal stem cells from secondtrimester amniotic fluid using a novel two-stage culture protocol. Hum Reprod. 2004; 19(6):1450-1456. 4. In`t Anker PS, Scherjon SA, Kleijburg-van der Keur C. Amniotic fluid as a novel source of mesenchymal stem cells for therapeutic transplantation. Blood. 2003; 102:1548-1549. Acknowledgement This research was funded by Ministry of Science, Technology and Innovation (Mosti) and Graduate Research Fellow (GRF), UPM; E-Science fund project no 02-10-04SF1651. 5. Nelson MM. Amniotic fluid cell culture and chromosome studies. In: Emery AEH, eds. Antenatal Diagnosis of Genetic Disease. Edinburgh: Churchill Livingstone. 1973; 69-81. References 6. You Q, Tong X, Guan Y et al. The biological characteristics of human third trimester amniotic fluid stem cells. J INT MED RES 2009; 37(1):105-112 1. Ferdaos N, Nathan S, and Nordin N. Prospective full-term derived pluripotent amniotic fluid stem (AFS) cells. Med J Malaysia. 2008;3:75-76 Regenerative Research Vol 3 Issue 2 Dec 2014 121