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Stem cells Hessah Alshammari • Stem cells are distinguished from other cell types by two important characteristics. • They are unspecialized cells capable of renewing themselves through cell division, sometimes after long periods of inactivity. • Under certain conditions, they can be induced to become tissue- or organ-specific cells with special functions e.g. in bone marrow, stem cells regularly divide to repair and replace worn out or damaged tissues. Stem cells types • Embryonic stem cells. • Adult stem cells. • Cancer stem cells. Embryonic stem cells • Embryonic stem cells derived from embryo in typically four or five days old which called the blastocyst. • The blastocyst includes three structures: the trophoblast, which is the layer of cells that surrounds the blastocoel, a hollow cavity inside the blastocyst; and the inner cell mass, which is a group of cells at one end of the blastocoel that develop into the embryo proper. Adult stem cells • An adult stem cell is an undifferentiated cell, found among differentiated cells in a tissue or organ that can renew itself and can differentiate to yield some or all of the major specialized cell types of the tissue or organ. • The primary roles of adult stem cells in a living organism are to maintain and repair the tissue. • In fact, adult hematopoietic, or blood-forming, stem cells from bone marrow have been used in transplants for 40 years Similarities and differences between embryonic and adult stem cells Embryonic stem cells adult stem cells Differentiation ability Pluripotent stem cells can become all cell types of the body multipotent stem cells limited to differentiating into different cell types of their tissue culture grown easily in culture Isolation and expansion challenging Rejection after transplantation Do not cause rejection cause rejection Tumour formation after injection tumour genesis is not tumour genesis Colony forming form embryoid bodys MSC form colony forming units NSC form neurispheres embryoid bodys colony forming units Neurispheres Adult stem cells in human body • Neural stem cells. • Heamatopeotic stem cells. •Mesenchymal stem cells. •Adipose stem cells. •Skin stem cells. •Liver stem cells. •Multipotent adult precursor cells MAPC. •Mammary stem cells. Mesenchymal stem cell •Somatic progenitors able to self-renew and produce mesenchymal derivatives such as osteroblast, adipocytes and chondrocytes. •CD29 & CD105 is MSCs marker. Mesenchymal stem cell isolation Isolation of bone marrow. Lysis blood cells using buffer and culture MSC. Biomedical applications 1- Pharmacological screening. 2- Orthopaedic tissue repair (bone, cartilage, tendon). 3- Non-orthopaedic application (heart,spinal cord). 4- Gene delivery. Pharmacological screening Research into bone metabolism & drug discovery such as osteoprosis (caused by decreased in bone formation and increase fatty marrow). Misregulation in MSC differentiation. Therefore, identify components regulate MSC differentiation is leading to drug discovery. Orthopaedic tissue repair (bone, cartilage, tendon) The Effect of Implants Loaded with Autologous Mesenchymal Stem Cells on the Healing of Canine Segmental Bone Defects* SCOTT P. BRUDER, M.D., PH.D., BALTIMORE, KARL H. KRAUS, D.V.M., NORTH GRAFTON, MASSACHUSETTS, VICTOR M. GOLDBERG, M.D. and SUDHA KADIYALA, PH.D., BALTIMORE, MARYLAND Investigation performed at Osiris Therapeutics, Baltimore, and Tufts University School of Veterinary Medicine, North Grafton Radiographs of a segmental defect that had been treated with a ceramic cylinder that had not been loaded with MSCs(A) and loaded with MSC (B). Non-orthopaedic application (heart,spinal cord) Cardiac repair with intramyocardial injection of allogeneic mesenchymal stem cells after myocardial infarction Luciano C. Amado,Anastasios P. Saliaris,Karl H. Schuleri, and Joshua M. Hare MSC cardiomyoplasty augments development of new myocardium (Left). At 8 weeks after MI, the subendocardial rim is thicker in the MSC group (arrows). Hematoxylin/eosin (H&E) stain of the subendocardial rim demonstrates cardiomyocytes in both control and MSC (×100 magnification). Bar graph, depicting enhanced thickness of subendocardial viable tissue with MSCs (*, P < 0.05 vs. nontreated) after 8 weeks. Adipose stem cells Adipose-derived stem cells was reported first time in 2002 by Hedrick et al. Human Adipose Tissue Is a Source of Multipotent Stem Cells Patricia A. Zuk,* Min Zhu,* Peter Ashjian,* Daniel A. De Ugarte,* Jerry I. Huang,* Hiroshi Mizuno,* Zeni C. Alfonso, John K. Fraser, Prosper Benhaim,* and Marc H. Hedrick* *Departments of Surgery and Orthopedics, Regenerative Bioengineering and Repair Laboratory, UCLA School of Medicine, Los Angeles, California 90095; and Department of Medicine and the Jonsson Comprehensive Cancer Center, Division of Hematology and Oncology, UCLA School of Medicine, Los Angeles, California 90095 Submitted February 25, 2002; Revised June 21, 2002; Accepted August 23, 2002 Monitoring Editor: Martin Raff CD45, CD105, CD90 and CD29 is marker of adipose-derived stem cells, So it is closely to MSC. Isolation of adipose stem cells Lipoas pirate wash collagenease digest density gradient centrifugation plating Morphology and multilineage differentiation potential of ASCs Primary ASCs exhibited a fibroblast-like morphology as observed under a phase contrast microscope adipogenic differentiatio n was confirmed by positive Oil Red O staining chondrogenic differentiation was verified by immunofluoresc ence staining for the presence of collagen type II deposition osteogenic differentiation was revealed by ALP staining Adipose stem cells application •Plastic & cosmetic application e.g breast reconstruction. • As a source of non-adipogenic cell types e.g. Bone / cartilage repair applications. •As a vector for gene delivery or cell therapy. Adipose stem cells applications Adipose-derived adult stromal cells heal critical-size mouse calvarial defects Catherine M Cowan1,Yun-Ying Shi1, Oliver O Aalami1,Yu-Fen Chou2, Carina Mari3, Romy Thomas1, Natalina Quarto1, Christopher H Contag4, Benjamin Wu2 & Michael T Longaker1. 1The Department of Surgery, Stanford University School of Medicine, Stanford University, 257 Campus Drive, Stanford, California 94305, USA Neural stem cells in brain Neural stem cells in the brain -the lining of the lateral ventricles. -the dentate gyrus of the hippocampus. neural stem cells markers Nestin,Sox1 , Sox2 and Sox9 Neural stem cells • Precursors for neuronal and glial lineages. Isolation and culture of Neural stem cells Brain digestion determine the location of NSC in brain Tissue disaggregation by using enzyme e.g accumax Culture NSC In serum-free medium with EGF and bFGF NSC form neurosphere in culture and has Sox1 & Sox2 marker Neural stem cells application • Transplantation of NSC to repair damaged tissue (trauma, strok), neurodegeneration (Alzheimer) and delivery of genes. Neurosci Res. 2005 Jul;52(3):243-9. Intravenous administration of human neural stem cells induces functional recovery in Huntington's disease rat model. Lee ST, Chu K, Park JE, Lee K, Kang L, Kim SU, Kim M. Department of Neurology, Clinical Research Institute, Seoul National University Hospital, 28, Yongon-Dong, Chongro-Gu, Seoul 110-744, South Korea. • Fetal human NSC •Chemically induced lesion •Cell injection •Analysis at 9 week Phenotype is significantly improved Limitations of neural stem cells application • • • • Ethics of collection Availability of healthy tissue Viability of isolated cells immunocompatibility Skin stem cells Stem cells have been found in three regions of the epidermis: • the bulge region of the follicle • The sebaceous gland • The interfollicular epidermis. Skin stem cells properties • Have a high colony-forming ability in vitro. • • • • • Long-term proliferative capability. Strong adhsion to extrcellular matrix. Small cells with a high nuclear to cytoplasmic ratio Divide when skin is injured. Express keratin 19, keratin 15 and CD34. Skin stem cells isolation Tissue digestion Enzymatic digestion Mechanical disaggregati on Culture condition: • On irradiated feeder layer or ECM. • In the media containing of FCS. •Presences of FGF. Centrifugati on Plating Skin stem cells applications • Burns and skin damage. • • • • • • Doctors from the University of Sydney and Concord Hospital have formed the Sydney Burns Foundation in 2010. Under laboratory conditions scientists use the patient's own skin stem cells and grow the top layer of the skin, the 'epidermis'. Professor Maitz treated farmer John Heffernan who suffered burns to 80 per cent of his body in 2006. They've had to replace his skin from where ever he got burnt. They did multiple surgeries and some areas wouldn't heal up, so they'd have to go back and put in a bit of a graft on that. While it will close the wound, it has no elasticity, it cannot sweat, it cannot regulate temperature. Mr Heffernan has returned to farming but every day is a challenge as his skin is so fragile and easily damaged. The treatment for burns survivors has made great advances, but still has a long way to go. The hope is that one day they'll be able to grow a full three dimensional skin which can perform all the vital functions of healthy skin. • Genetic conditions ( epidermolysis bullosa). Correction of junctional epidermolysis bullosa by transplantation of genetically modified epidermal stem cells, Michele De Luca et .al ,2006, University of Modena and Reggio Emilia, Italy. Mutation in laminin 5 gene (basement membrane component). Epidermolysis Bullosa Extensive blistering of the skin generating infected lesions • Genetic conditions ( epidermolysis bullosa). Experimental strategy: •Biopsy from palm skin •Isolation of stem cells •Genetic modification of mutated LAM5 •Control for restored LAM5 production in vitro •Transplantation of multiple grafts (each ~55cm2) They observed complete epidermal regeneration on both legs at day 8, and a normal-looking epidermis was maintained throughout the 1-year follow-up (Fig. 3a,