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Cell Therapy in CV Disease: Newest Evidence 2 Induction of pluripotent stem cells from human fibroblasts Transcription factors introduced via retroviral transduction Study Takahashi, 2007 Yu, 2007 Yield (iPS colonies/ 106 fibroblasts) Source of fibroblasts Transcription factors Adult dermis Oct3/4, Sox2, Klf4, c-Myc ~200 Postnatal foreskin Oct4, Sox2, NANOG, Lin28 ~95 iPS = induced pluripotent stem cells Takahashi K et al. Cell. 2007. Yu J et al. Science. 2007. 3 Evidence for successful reprogramming of human fibroblasts* • Morphologic similarities with human embryonic stem (ES) cells • Expression of surface antigens found in ES • Telomerase activity • Ability to sustain continuous culture • Expression of pluripotency-associated genes • Pluripotency demonstrated in vivo via teratoma formation in mice *Demonstrated in both studies. Takahashi K et al. Cell. 2007. Yu J et al. Science. 2007. 4 Effects of composite transcription factor modulation of human fibroblasts: Conclusions • Induced pluripotent stem cells can be generated from human fibroblasts by retroviral transduction of transcription factors • Use of vectors that may integrate into genome, introducing mutations, precludes any clinical application at present Takahashi K et al. Cell. 2007. Yu J et al. Science. 2007.