Thursday, November 26, 2009

Stem Cell Therapy (2)


11.

PLoS One. 2009 Nov 16;4(11):e7850.

Widespread dysregulation of MiRNAs by MYCN amplification and chromosomal imbalances in neuroblastoma: association of miRNA expression with survival.

Bray I, Bryan K, Prenter S,Buckley PG, Foley NH, Murphy DM, Alcock L, Mestdagh P,Vandesompele J, Speleman F,London WB, McGrady PW,Higgins DG, O'Meara A,O'Sullivan M, Stallings RL.

Department of Cancer Genetics, Royal College of Surgeons in Ireland, Dublin, Ireland.

MiRNAs regulate gene expression at a post-transcriptional level and their dysregulation can play major roles in the pathogenesis of many different forms of cancer, including neuroblastoma, an often fatal paediatric cancer originating from precursor cells of the sympathetic nervous system. We have analyzed a set of neuroblastoma (n = 145) that is broadly representative of the genetic subtypes of this disease for miRNA expression (430 loci by stem-loop RT qPCR) and for DNA copy number alterations (array CGH) to assess miRNA involvement in disease pathogenesis. The tumors were stratified and then randomly split into a training set (n = 96) and a validation set (n = 49) for data analysis. Thirty-seven miRNAs were significantly over- or under-expressed in MYCN amplified tumors relative to MYCN single copy tumors, indicating a potential role for the MYCN transcription factor in either the direct or indirect dysregulation of these loci. In addition, we also determined that there was a highly significant correlation between miRNA expression levels and DNA copy number, indicating a role for large-scale genomic imbalances in the dysregulation of miRNA expression. In order to directly assess whether miRNA expression was predictive of clinical outcome, we used the Random Forest classifier to identify miRNAs that were most significantly associated with poor overall patient survival and developed a 15 miRNA signature that was predictive of overall survival with 72.7% sensitivity and 86.5% specificity in the validation set of tumors. We conclude that there is widespread dysregulation of miRNA expression in neuroblastoma tumors caused by both over-expression of the MYCN transcription factor and by large-scale chromosomal imbalances. MiRNA expression patterns are also predicative of clinical outcome, highlighting the potential for miRNA mediated diagnostics and therapeutics.

PMID: 19924232 [PubMed - in process]

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12.

Cancer Biol Ther. 2009 Nov 27;8(22). [Epub ahead of print]

The combination of 5-Fluorouracil plus p53 pathway restoration is associated with depletion of p53-deficient or mutant p53-expressing putative colon cancer stem cells.

Huang C, Zhang XM, Tavaluc RT, Hart LS, Dicker DT, Wang W, El-Deiry WS.

Laboratory of Molecular Oncology and Cell Cycle Regulation, Departments of Medicine (Hematology/Oncology), Genetics and Pharmacology, the Institute for Translational Medicine and Therapeutics, and the Abramson Comprehensive Cancer Center, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.

The cancer stem cell hypothesis suggests that rare populations of tumor-initiating cells may be resistant to therapy, lead to tumor relapse and contribute to poor prognosis for cancer patients. We previously demonstrated the feasibility of p53 pathway restoration in p53-deficient tumor cell populations using small molecules including ellipticine or its derivatives. We now establish a single cell p53-regulated green fluorescent protein (EGFP)-reporter system in human DLD1 colon tumor cells expressing mutant p53 protein. We use these p53-EGFP reporter DLD1 cells to investigate the status of p53 transcriptional activity in putative colon cancer stem cell populations following exposure to p53 pathway-restoring drugs and/or classical chemotherapy. We demonstrate induction of p53-specific EGFP reporter fluorescence following overexpression of p53 family member p73 by an Adenovirus vector. We further show that p53-reporter activity is induced in DLD1 putative cancer stem cell side-populations analyzed by their Hoechst dye efflux properties following treatment with the p53 pathway restoring drug ellipticine. Combination of ellipticine with the cytotoxic agent 5-fluorouracil resulted in increased cytotoxicity as compared to either agent alone and this was associated with depletion of putative cancer stem cell populations as compared with 5-FU alone treatment. Our results support the feasibility of therapeutic targeting of mutant p53 in putative cancer stem cells as well as the potential to enhance cytotoxic chemotherapy.

PMID: 19923910 [PubMed - as supplied by publisher]

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13.

Cancer Biol Ther. 2009 Nov 27;8(22). [Epub ahead of print]

Visualization and enrichment of live putative cancer stem cell populations following p53 inactivation or Bax deletion using non-toxic fluorescent dyes.

Allen JE, Hart LS, Dicker DT,Wang W, El-Deiry WS.

Laboratory of Molecular Oncology and Cell Cycle Regulation, Departments of Medicine (Hematology/Oncology), Genetics and Pharmacology, the Institute for Translational Medicine and Therapeutics, and the Abramson Comprehensive Cancer Center, University of Pennsylvania School of Medicine, Philadelphia, PA, USA; Biochemistry and Molecular Biophysics Graduate Group, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.

Putative cancer stem cell (CSC) populations efflux dyes such as Hoechst 33342 giving rise to side populations (SP) that can be analyzed or isolated by flow cytometry. However, Hoechst 33342 is highly toxic, more so to non-SP cells, and thus presents difficulties in interpreting in vivo studies where non-SP cells appear less tumorigenic than SP cells in immunodeficient mice. We searched for non-toxic dyes to circumvent this problem as well as to image these putative CSCs. We found that the fluorescent dye calcein, a product of intracellular Calcein AM cleavage, is effluxed by a small subpopulation, calcein low population (C(lo)P). This population overlaps with SP and demonstrated long term cell viability, lack of cell stress and proliferation in several cancer cell lines when stained whereas Hoechst 33342 staining caused substantial apoptosis and ablated proliferation. We also found that the effluxed dye D-luciferin exhibits strong UV-fluorescence that can be imaged at cellular resolution and spatially overlaps with Calcein AM. In order to evaluate the hypothesis that p53 loss promotes enrichment of putative CSC populations we used Calcein AM, D-luciferin and Mitotracker Red FM as a counterstain to visualize dye-effluxing cells. Using fluorescence microscopy and flow cytometry we observed increased dye-effluxing populations in DLD-1 colon tumor cells with mutant p53 versus wild-type (WT) p53-expressing HCT116 cells. Deletion of the wild-type p53 or pro-apoptotic Bax genes induced the putative CSC populations in the HCT116 background to significant levels. Restoration of WT p53 in HCT116 p53(-/-) cells by an adenovirus vector eliminated the putative CSC populations whereas a control adenovirus vector, Ad-LacZ, maintained the putative CSC population. Our results suggest it is possible to image and quantitatively analyze putative CSC populations within the tumor microenvironment and that loss of pro-apoptotic and tumor suppressing genes such as Bax or p53 enrich such tumor-prone populations.

PMID: 19923899 [PubMed - as supplied by publisher]

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14.

J Immunol. 2009 Nov 18. [Epub ahead of print]

Mesenchymal Stem Cells Derived from Human Gingiva Are Capable of Immunomodulatory Functions and Ameliorate Inflammation-Related Tissue Destruction in Experimental Colitis.

Zhang Q, Shi S, Liu Y, Uyanne J, Shi Y, Shi S, Le AD.

*Center for Craniofacial Molecular Biology, University of Southern California, School of Dentistry, Los Angeles, CA 90033.

Aside from the well-established self-renewal and multipotent differentiation properties, mesenchymal stem cells exhibit both immunomodulatory and anti-inflammatory roles in several experimental autoimmune and inflammatory diseases. In this study, we isolated a new population of stem cells from human gingiva, a tissue source easily accessible from the oral cavity, namely, gingiva-derived mesenchymal stem cells (GMSCs), which exhibited clonogenicity, self-renewal, and multipotent differentiation capacities. Most importantly, GMSCs were capable of immunomodulatory functions, specifically suppressed peripheral blood lymphocyte proliferation, induced expression of a wide panel of immunosuppressive factors including IL-10, IDO, inducible NO synthase (iNOS), and cyclooxygenase 2 (COX-2) in response to the inflammatory cytokine, IFN-gamma. Cell-based therapy using systemic infusion of GMSCs in experimental colitis significantly ameliorated both clinical and histopathological severity of the colonic inflammation, restored the injured gastrointestinal mucosal tissues, reversed diarrhea and weight loss, and suppressed the overall disease activity in mice. The therapeutic effect of GMSCs was mediated, in part, by the suppression of inflammatory infiltrates and inflammatory cytokines/mediators and the increased infiltration of regulatory T cells and the expression of anti-inflammatory cytokine IL-10 at the colonic sites. Taken together, GMSCs can function as an immunomodulatory and anti-inflammatory component of the immune system in vivo and is a promising cell source for cell-based treatment in experimental inflammatory diseases.

PMID: 19923445 [PubMed - as supplied by publisher]

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15.

J Cancer Res Clin Oncol. 2009 Nov 17. [Epub ahead of print]

The effect of endostatin mediated by human mesenchymal stem cells on ovarian cancer cells in vitro.

Jiang J, Chen W, Zhuang R,Song T, Li P.

Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Harbin Medical University, No. 246, Xue Fu Road, Nan Gang District, 150001, Harbin, Hei Longjiang, China.

INTRODUCTION: Endostatin is the most potent inhibitor of tumor angiogenesis. However, endostatin protein has a short half-time and virus-mediated endostatin gene therapy has serious toxicity, which limits the application of endostatin in clinical therapy. Mesenchymal stem cells (MSCs) are considered to be able to accumulate at the site of cancers with high specificity and may be used as a new delivery of endostatin. MATERIALS AND METHODS: The MSCs from the human bone marrow were transfected with recombinant adenovirus encoding endostatin and EGFP (MSC-EN cells). The tropism capacity of MSCs was quantitatively assayed in vitro using the Millicell system. To investigate the impact of secreted endostatin on cancer cells, SKOV3 cells were co-cultured with MSC-EN cells in Millicell for 48 h, then apoptosis and cell cycle were analyzed on a flow cytometer. RESULTS: In contrast with 293 cells and saline, SKOV3 cells significantly stimulated migration of MSCs, the number reached 919.67 +/- 19.96 (P <>

PMID: 19921255 [PubMed - as supplied by publisher]

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16.

Drug Des Devel Ther. 2009 Sep 21;3:89-101.

Nilotinib: optimal therapy for patients with chronic myeloid leukemia and resistance or intolerance to imatinib.

Swords R, Mahalingam D,Padmanabhan S, Carew J,Giles F.

Institute for Drug Development, Cancer Therapy and Research Centre, University of Texas Health Science Centre at San Antonio, USA.

Chronic myeloid leukemia (CML) is the consequence of a single balanced translocation that produces the BCR-ABL fusion oncogene which is detectable in over 90% of patients at presentation. The BCR-ABL inhibitor imatinib mesylate (IM) has improved survival in all phases of CML and is the standard of care for newly diagnosed patients in chronic phase. Despite the very significant therapeutic benefits of IM, a small minority of patients with early stage disease do not benefit optimally while IM therapy in patients with advanced disease is of modest benefit in many. Diverse mechanisms may be responsible for IM failures, with point mutations within the Bcr-Abl kinase domain being amongst the most common resistance mechanisms described in patients with advanced CML. The development of novel agents designed to overcome IM resistance, while still primarily targeted on BCR-ABL, led to the creation of the high affinity aminopyrimidine inhibitor, nilotinib. Nilotinib is much more potent as a BCR-ABL inhibitor than IM and inhibits both wild type and IM-resistant BCR-ABL with significant clinical activity across the entire spectrum of BCR-ABL mutants with the exception of T315I. The selection of a second generation tyrosine kinase inhibitor to rescue patients with imatinib failure will be based on several factors including age, co-morbid medical problems and ABL kinase mutational profile. It should be noted that while the use of targeted BCR-ABL kinase inhibitors in CML represents a paradigm shift in CML management these agents are not likely to have activity against the quiescent CML stem cell pool. The purpose of this review is to summarize the pre-clinical and clinical data on nilotinib in patients with CML who have failed prior therapy with IM or dasatinib.

PMID: 19920925 [PubMed - in process]

PMCID: 2769239

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17.

J Biosci. 2009 Oct;34(4):523-8.

Human pancreatic islet progenitor cells demonstrate phenotypic plasticity in vitro.

Dalvi MP, Umrani MR, Joglekar MV, Hardikar AA.

Stem Cells and Diabetes Section, Lab 12, National Center for Cell Science, Ganeshkhind Road, Pune 411 007, India.

Phenotypic plasticity is a phenomenon that describes the occurrence of 2 or more distinct phenotypes under diverse conditions. This article discusses the work carried out over the past few years in understanding the potential of human pancreatic islet-derived progenitors for cell replacement therapy in diabetes. The phenotypic plasticity exhibited by pancreatic progenitors during reversible epithelial-to-mesenchymal transition (EMT) and possible role of microRNAs in regulation of this process is also presented herein.

PMID: 19920338 [PubMed - in process]

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18.

Cancer Res. 2009 Nov 17. [Epub ahead of print]

Magnetic Resonance Imaging of Mesenchymal Stem Cells Homing to Pulmonary Metastases Using Biocompatible Magnetic Nanoparticles.

Loebinger MR, Kyrtatos PG,Turmaine M, Price AN,Pankhurst Q, Lythgoe MF,Janes SM.

Centre for Respiratory Research, Rayne Institute, Centre for Advanced Biomedical Imaging, Department of Medicine and Institute of Child Health, and Division of Biosciences, University College London; and Davy-Faraday Research Laboratory, The Royal Institute of Great Britain, London, United Kingdom.

The ability of mesenchymal stem cells (MSC) to specifically home to tumors has suggested their potential use as a delivery vehicle for cancer therapeutics. MSC integration into tumors has been shown in animal models using histopathologic techniques after animal sacrifice. Tracking the delivery and engraftment of MSCs into human tumors will need in vivo imaging techniques. We hypothesized that labeling MSCs with iron oxide nanoparticles would enable in vivo tracking with magnetic resonance imaging (MRI). Human MSCs were labeled in vitro with superparamagnetic iron oxide nanoparticles, with no effect on differentiation potential, proliferation, survival, or migration of the cells. In initial experiments, we showed that as few as 1,000 MSCs carrying iron oxide nanoparticles can be detected by MRI one month after their coinjection with breast cancer cells that formed subcutaneous tumors. Subsequently, we show that i.v.- injected iron-labeled MSCs could be tracked in vivo to multiple lung metastases using MRI, observations that were confirmed histologically. This is the first study to use MRI to track MSCs to lung metastases in vivo. This technique has the potential to show MSC integration into human tumors, allowing early-phase clinical studies examining MSC homing in patients with metastatic tumors. [Cancer Res 2009;69(23):8862-7].

PMID: 19920196 [PubMed - as supplied by publisher]

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19.

Clin Cancer Res. 2009 Nov 17. [Epub ahead of print]

Therapeutic Potential of Adult Bone Marrow-Derived Mesenchymal Stem Cells in Prostate Cancer Bone Metastasis.

Chanda D, Isayeva T, Kumar S,Hensel JA, Sawant A,Ramaswamy G, Siegal GP,Beatty MS, Ponnazhagan S.

Authors' Affiliations: Departments of Pathology and Biomedical Engineering, The University of Alabama at Birmingham, Birmingham, Alabama.

PURPOSE: Current evidence indicates that an osteoblast lesion in prostate cancer is preceded by osteolysis. Thus, prevention of osteolysis would reduce complications of bone metastasis. Bone marrow-derived mesenchymal stem cells have the ability to differentiate into osteoblast and produce osteoprotegerin, a decoy receptor for the receptor activator for nuclear factor kappaB ligand, naturally. The present study examined the potential of unmodified mesenchymal stem cells to prevent osteolytic bone lesions in a preclinical mouse model of prostate cancer. EXPERIMENTAL DESIGN: The human prostate cancer cell line PC3 was implanted in tibiae of severe combined immunodeficient mice. After establishment of the tumor, either unmodified or genetically engineered mesenchymal stem cells overexpressing osteoprotegerin was injected at the site of tumor growth. The effects of therapy were monitored by bioluminescence imaging, micro-computed tomography, immunohistochemistry, and histomorphometry. RESULTS: Data indicated significant (P <>

PMID: 19920103 [PubMed - as supplied by publisher]

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20.

Lupus. 2009 Nov 17. [Epub ahead of print]

Autologous mesenchymal stem cell treatment increased T regulatory cells with no effect on disease activity in two systemic lupus erythematosus patients.

Carrion F, Nova EL, Ruiz CS,Diaz FO, Inostroza CS, Rojo DM, Mönckeberg GF, Figueroa FF.

Facultad de Medicina, Universidad de los Andes, Santiago, Chile.

Mesenchymal stem cells (MSCs) exert suppressive effects in several disease models including lupus prone mice. However, autologous MSC therapy has not been tested in human systemic lupus erythematosus (SLE). We evaluate the safety and efficacy of bone marrow (BM)-derived MSCs in two SLE patients; the suppressor effect of these cells in-vitro and the change in CD4+CD25+FoxP3+ T regulatory (Treg) cells in response to treatment. Two females (JQ and SA) of 19 and 25 years of age, fulfilling the 1997 American College of Rheumatology (ACR) criteria for SLE were infused with autologous BM-derived MSCs. Disease activity indexes and immunological parameters were assessed at baseline, 1, 2, 7 and 14 weeks. Peripheral blood lymphocyte (PBL) subsets and Treg cells were quantitated by flow cytometry, and MSCs tested for in-vitro suppression of activation and proliferation of normal PBLs. No adverse effects or change in disease activity indexes were noted during 14 weeks of follow-up, although circulating Treg cells increased markedly. Patient MSCs effectively suppressed in-vitro PBL function. However, JQ developed overt renal disease 4 months after infusion. MSC infusion was without adverse effects, but did not modify initial disease activity in spite of increasing CD4+CD25+FoxP3+ cell counts. One patient subsequently had a renal flare. We speculate that the suppressive effects of MSC-induced Treg cells might be dependent on a more inflammatory milieu, becoming clinically evident in patients with higher degrees of disease activity.

PMID: 19919974 [PubMed - as supplied by publisher]

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Saturday, November 7, 2009

Databases of Stem Cell Information

Annotated Bibliography

Cellular Therapy: Potential Treatment for Heart Disease, Food and Drug Administration (FDA), 2004.
Despite advances in treatment, ischemic heart disease and congestive heart failure are major causes of death in the United States. Cell therapies for treating these diseases are of interest to medical researchers. This resource outlines the issues surrounding clinical studies of human stem cells and the FDA's role in ensuring safe studies.

Stem Cell Therapy for Heart Patients, National Public Radio Talk of the Nation Audio, April 2004.
This one-hour audio program discusses injecting stem cells into heart patients to improve blood flow. This new treatment for heart disease uses the patient's own bone marrow to restore heart function.

Reaping the Benefits of Genomic and Proteomic Research: Intellectual Property Rights, Innovation, and Public Health, Committee on Intellectual Property Rights in Genomic and Protein Research and Innovation, National Research Council, 2005.

The National Academy of Sciences reports on the granting and licensing of intellectual property rights on discoveries relating to genetics and proteomics and the effects of these practices on research and innovation.

Stem Cells and the Future of Regenerative Medicine, by Commission on Life Sciences, 2002.
Stem Cells and the Future of Regenerative Medicine summarizes what we know about adult and embryonic stem cells. It also provides an overview of the moral and ethical problems that arise from the use of embryonic stem cells, compares the likely impact of public and private research funding on progress in the field, and discusses approaches to appropriate research oversight. Based on the insights of leading scientists, ethicists, and other authorities, the authors make recommendations regarding the use of existing stem cell lines versus new lines in research, the important role of the federal Related Federal Government Sites in this field of research, and other fundamental issues impacting potential stem cell-based therapies.

Unlocking the Promise of Stem Cells, Harvard Stem Cell Institute, March 2004.
View an interactive videoconference in which University researchers discuss the Harvard Stem Cell Institute, created to move cutting-edge research on embryonic stem cells from the lab to the clinic.

Beyond Therapy: Biotechnology and the Pursuit of Happiness, Report from Former President Bush's Council on Bioethics, 2003.
Can biotechnology satisfy our human desires—for better children, superior performance, ageless bodies, and happy souls? This report from the President's Council on Bioethics says these possibilities present us with profound ethical challenges and choices. Not declaring "findings," but holding an inquiry—inviting us all to think and debate—the President's Council sought the ideas of dozens of celebrated scientists, thinkers and writers, including such Council members as Francis Fukuyama, Charles Krauthammer, Michael Sandel, and James Q. Wilson, as well as witnesses Steven Pinker, Daniel Schacter, Lawrence Diller, Steven Austad, and S. Jay Olshansky.

Directories and Databases

MEDLINEplus—Stem Cells/Stem Cell Transplantation A consumer health database that includes news, health resources, clinical trials, and more.

Nature Biotechnology Directory A directory of companies engaged in biotechnology research.

PubMed Contains references to literature from more than 4,300 life sciences journals.

Stem Cell Database A joint project of Princeton University and the University of Pennsylvania that contains data on the molecular phenotype of hematopoietic stem cells.

Disease-Specific Organizations and Advocacy Groups

Adult Stem Cell Research Network An internet-based project of The Cell Therapy Foundation designed to be a well-maintained and reliable source of information for the public regarding adult stem cell research, as well as to be a community of practice and collaboration among fellow researchers.

Alliance for Aging Research This citizen advocacy organization works to improve the health and independence of Americans as they age.

ALS Association (ALSA) Dedicated to the fight against Amyotrophic Lateral Sclerosis (also known as Lou Gehrig's Disease), ALSA offers this primer on stem cells.

American Cancer Society Offers information on stem cell transplantation for children with leukemia.

Arthritis Foundation Discusses whether a stem cell transplant cures arthritis.

Christopher and Dana Reeve Foundation Funds research on treatments for central nervous system disorders and works to improve the lives of people with disabilities through a grants program, paralysis resource center, and advocacy efforts.

Coalition for the Advancement of Medical Research Advocates the advancement of breakthrough research and technologies in regenerative medicine, including stem cell research and somatic cell nuclear transfer.

Juvenile Diabetes Research Foundation Using stem cells to restore normal blood sugar, plus information on recent research and policy.

Lymphoma Information Network A page on bone marrow and stem cell transplants.

March of Dimes Aims to give babies a fighting chance against such threats to their health as prematurity, birth defects, and low birthweight.

Research!America Stem cell research FAQs

Michael J. Fox Foundation for Parkinson’s Research Dedicated to ensuring the development of a cure for Parkinson's disease within this decade through an aggressively funded research agenda.

National Health Council (NHC) Works to promote the health of all people by advancing the voluntary health movement.

National Marrow Donor Program® (NMDP) Maintains an international registry of donors for all sources of blood stem cells used in transplantation: bone marrow, peripheral blood, and umbilical cord blood.

Spinal Cord Injury Information Network Links to articles about stem cells, particularly for spinal cord injuries.

Educational Resources

Stem Book is an open access collection of invited, original, peer-reviewed chapters covering a range of topics related to stem cell biology written by top researchers in the field at the Harvard Stem Cell Institute and worldwide. Stem Book is aimed at stem cell and non-specialist researchers.

ExploreStemCells A UK resource for the general public that discusses the use of stem cells in medical treatments and therapies.

How Embryonic Stem Cell Lines Are Made An online animation from the Dolan DNA Learning Center, Cold Spring Harbor Laboratory. (Requires Flash player)

Human Embryonic Stem Cells An animated tutorial for the general public. (Requires Flash player)

The National Academies Publications on stem cells, including Understanding Stem Cells: An Overview of the Science and Issues from the National Academies (2006), Guidelines for Human Embryonic Stem Cell Research (2005), Stem Cells and the Future of Regenerative Medicine (2002), and Scientific and Medical Aspects of Human Reproductive Cloning (2002).

NIH-Supported Science Education Partnership Award (SEPA) Projects

Cellular Universe: The Promise of Stem Cells Educates visitors about advances in cell biology and stem cells so they can make more informed health-related decisions, explore new career options, and better understand the role of scientific research in healthcare.

If a Starfish Can Grow a New Arm, Why Can't I? This Pittsburgh Tissue Engineering Initiative (PTEI) educational program informs middle school students, their teachers, and the general public about tissue engineering and its applications.

Regenerative Medicine Partnership in Education Duquesne University's SEPA project offers planetarium shows, movies, and educational Web tools.

NWABR Stem Cell Resources Lessons, diagrams, vocabulary, and more from the Northwest Association for Biomedical Research.

A Stem Cell Story This 15-minute movie from EuroStemCell introduces the world of stem cell research and is available as a video podcast.

Stem cells: Cells with Potential Part of the San Francisco Exploratorium's Microscope Imaging Station.

Stem Cells: Engage A high school teaching resource on stem cell research developed in Canada.

Stem Cells in the Spotlight and Cloning In Focus The Genetic Science Learning Center at the University of Utah presents these outreach education programs for high school and undergraduate students and teachers.

Stem Cell ResourcesSM A resource for the educational community on stem cells.

Tissue Engineering Planetarium Show Online movies about the body's ability to heal itself.

Tissues of Life: Stem Cells An interactive comic explaining where stem cells are found in the body and how they are gathered.

World Stem Cell Map A resource designed to reflect national policy and whether or not public funds may be used to pursue stem cell research using IVF embryos donated from fertility clinics.

International Research

Australian Stem Cell Centre Unites leading Australian academic researchers with the biotechnology industry to develop innovative therapeutic products.

Canadian Institutes of Health Research (CIHR) CIHR is the major federal agency responsible for funding health research in Canada. The site offers links to stem cell research guidelines, the Stem Cell Oversight Committee, and funding opportunities.

Centre for Stem Cell Biology (UK) Part of the University of Sheffield.

EuroStemCell Eleven academic institutes and enterprises from eight European countries compare stem cell information and evaluate their therapeutic potential.

The Goldyne Savad Institute of Gene Therapy (Hadassah University Hospital, Israel) Information on the Institute's Research Group on human embryonic stem cells.

Health Insite (Australia) List of stem cell resources.

Human Embryonic Stem Cell Research in China A September 2002 Report from the U.S. Embassy, Beijing.

Institute for Stem Cell Research (UK) Includes links to its research groups and collaborative initiatives.

Institute of Human Genetics at the University of Newcastle upon Tyne Outlines their current research projects.

The International Stem Cell Forum (ISCF) Encourages international collaboration and funding support for stem cell research.

Kyoto University (Japan) Home page for the University's Stem Cell Research Center

RIKEN Center for Developmental Biology (Japan) Home page for the Center's Laboratory for Stem Cell Biology

Scottish Stem Cell Network A multidisciplinary forum of scientists and clinicians advancing stem cell biology into identifiable health benefits.

Stem Cell Society Singapore Serving the stem cell research community of Singapore.

Stem Cells: Therapies for the Future? (EU) News and information about this 2001 European Union conference.

Tekes—National Technology Agency of Finland Tekes is the main public funding organization for research and development in Finland.

UK Medical Research Council Information on the MRC's stem cell initiative.

The UK Stem Cell Bank Information about stem cell lines available from the UK bank.

UK National Stem Cell Network Promotes research activities and events at the national level to speed the translation of basic stem cell research into therapeutic applications in the control of degenerative diseases.

News Sources

Biotechnology Industry Organization Up-to-date news on stem cells, cloning, and regenerative medicine.

EurekAlert! A science news site provided by the American Association for the Advancement of Sciences.

Forum on Science Ethics & Policy Links to informational, legislative, editorial, and other sites discussing stem cell research.

National Geographic: The Power to Divide Feature story on the science and politics of stem cell research.

Nature: Focus on Stem Cells A selection of articles and features on stem cells, including the specially commissioned Stem Cells Insight.

NewScientist: Cloning and Stem Cells A monthly update on stem cell technology.

The New York Times: Stem Cells A free collection of articles about stem cells published in The New York Times.

NOVA scienceNOW: Stem Cells Update From the PBS series (originally aired April 19, 2005). Includes dispatches on the politics of stem cells, the cloning process, and related science news.

PBS: Miracle Cell This episode of the series Innovation explores the use of stem cells for regenerative therapies. (Originally aired April 13, 2004)

Scientific American Provides news coverage on stem cell research. See The Stem Cell Challenge, a feature article from the June 2004 issue.

SciTech Daily Review Offers a range of news articles, features, and commentaries about science and technology topics.

Stem Cell Research News An online newsletter that features stories about stem cells of all types.

Stem Cells The International Journal of Cell Differentiation and Proliferation.

Time: The Stem Cell Debate Stories and resource links on stem cell news.

The Washington Post: Stem Cell Research A collection of articles on stem cell research. (Free registration required to search for other articles within the previous two weeks; fee required to search for older archived articles.)

News Web Logs

Stem Cell News Abstracts of current news articles regarding stem cells, with links to sources.

Stem Cell Research Progress Blog—Information about Stem Cells Discussion of stem cell news and events.

The Niche A blog hosted by Nature Reports Stem Cells to provide an informal forum for debate and commentary on stem cell research and its wider implications for ethics, policy, business, and medicine.

The Stem Cell Blog Discussion on the science, ethics, business and politics of stem cell research.

Professional Associations

American Association for the Advancement of Science (AAAS) The AAAS policy brief on stem cell research.

American Medical Association (AMA) Provides information on the basics of stem cell research and highlights relevant policy developments.

American Society for Cell Biology (ASCB) Facilitates the exchange of scientific knowledge about cell biology by disseminating research and training students and young investigators.

American Society for Reproductive Medicine (ASRM) FAQs about cloning, stem cell research, and ASRM's position on the issues.

Association of American Medical Colleges (AAMC) Discussion of stem cell research.

Federation of American Societies for Experimental Biology (FASEB) Seeks to help biomedical and life scientists improve people's health, well-being, and productivity.

The International Cord Blood Society (ICBS) Dedicated to the advancement of stem cell research with an emphasis on umbilical cord blood stem cells.

International Society for Stem Cell Research (ISSCR) Works to exchange information on stem cells, encourage research involving stem cells, and educate the public in all areas of stem cell research and application.

Related Federal Government Sites

Health Resources and Services Administration's The C.W. Bill Young Cell Transplantation Program provides information and support to patients who need a potentially life-saving bone marrow transplant or umbilicial cord blood transplant.

FDAA's Center for Biologics Evaluation and Research Determines whether stem cells are safe to use in clinical trials.

NIDDK Investigator's Guide to Human Embryonic Stem Cell Research Provides information for researchers supported by the National Institute of Diabetes & Digestive & Kidney Diseases.

NIH Bioethics Resources on the Web Contains a broad collage of annotated web links that provide background information and various positions on issues in bioethics.

The President's Council on Bioethics Advises the President on ethical issues related to advances in biomedical science and technology, including stem cells.

Research Programs at Universities and Institutions

Harvard Stem Cell Institute Supports research into all aspects of stem cell biology, with special emphasis on those areas with the greatest potential for improving human health.

McGowan Institute for Regenerative Medicine Established for University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center scientists and clinical faculty working to develop tissue engineering, cellular therapies, biosurgery, and artificial and biohybrid organ devices.

National Human Neural Stem Cell Resource Provides neural stem cells harvested from the post-natal, post-mortem, human brain to the research community for stem cell research.

The New York Stem Cell Foundation (NYSCF) Offers grants, fellowships, and symposia for stem cell researchers; educates the public about stem cells; and establishes collaborative stem cell research facilities.

Pittsburgh Development Center of Magee-Womens Research Institute Explores the molecular biology of cell function, including the potential of stem cells for treating human disease.

Sloan-Kettering Institute Part of the Memorial Sloan-Kettering Cancer Center, the world's oldest and largest private institution devoted to patient care, education, and research into cancer.

Stanford University School of Medicine/Institute for Cancer/Stem Cell Biology and Medicine Explains Stanford's involvement and perspective on stem cell issues, with links to related sites.

Texas Heart Institute Stem Cell Center Dedicated to the study of adult stem cells and their role in treating cardiovascular disease, including clinical trials (in human patients), as well as many preclinical studies (in the laboratory) using stem cells.

Tulane University Center for Gene Therapy Prepares and distributes well-characterized marrow stromal cells (MSCs) derived from adult human and rodent bone marrow using standardized protocols.

University of California, San Francisco/Developmental and Stem Cell Biology Program Highlights of UCSF human embryonic stem cell research.

University of Massachusetts: International Stem Cell Registry The Potential of Human Pluripotent Stem Cells

University of Minnesota: Stem Cell Institute Works to enhance understanding of stem cells' potential to improve human and animal health.

University of Wisconsin/Embryonic Stem Cell Research Scientists at UW-Madison were the first to successfully isolate and culture human embryonic stem cells.

State Initiatives for Stem Cell Research

California Institute for Regenerative Medicine (CIRM) Makes grants and provides loans for stem cell research, research facilities, and other research opportunities at California universities and research institutions.

Connecticut Stem Cell Research Program Provides grants-in-aid for conducting embryonic or human adult stem cell research.

Illinois Regenerative Medicine Institute (IRMI) Awards grants to Illinois medical research facilities to fund stem cell research involving adult, cord blood, and embryonic stem cells.

Maryland Technology Development Corporation (TEDCO) Provides emerging technology companies and university researchers with funding and specialized technical assistance.

New Jersey Stem Cell Research Program Awards individual research and core facility grants to support human embryonic stem cell research.

New York Stem Cell Science (NYSTEM) Supports basic, applied, translational or other research and development activities that will advance scientific discoveries in fields related to stem cell biology.

Ohio Center for Stem Cell and Regenerative Medicine A multi-institutional center (Case Western Reserve University, University Hospitals Case Medical Center, the Cleveland Clinic, Athersys, Inc., and Ohio State University). Provides basic and clinical research programs, biomedical and tissue engineering programs, and the development and administration of new therapies.

Stem Cell Research State Laws The National Conference of State Legislatures provides an overview of the state laws and pending legislation on stem cell research.

Interstate Alliance on Stem Cell Research (IASCR) Fosters effective interstate collaboration, helps states develop research programs, and promotes efficient and responsible use of public funds.

Saturday, July 11, 2009

Frequently asked questions about stem cells

Basic Questions

What are stem cells?
Stem cells are cells that have the potential to develop into some or many different cell types in the body, depending on whether they are multipotent or pluripotent. Serving as a sort of repair system, they can theoretically divide without limit to replenish other cells for as long as the person or animal is still alive. When a stem cell divides, each "daughter" cell has the potential to either remain a stem cell or become another type of cell with a more specialized function, such as a muscle cell, a red blood cell, or a brain cell.

For a discussion of the different kinds of stem cells, such as embryonic stem cells, adult stem cells, or induced pluripotent stem cells, see Stem Cell Basics.

What classes of stem cells are there?
Stem cells may be pluripotent or multipotent.

Pluripotent stem cells can give rise to any type of cell in the body except those needed to support and develop a fetus in the womb.

Stem cells that can give rise only to a small number of different cell types are called multipotent.

Where do stem cells come from?
There are several sources of stem cells. Pluripotent stem cells can be isolated from human embryos that are a few days old. Cells from these embryos can be used to create pluripotent stem cell "lines" —cell cultures that can be grown indefinitely in the laboratory. Pluripotent stem cell lines have also been developed from fetal tissue (older than 8 weeks of development).

In late 2007, scientists identified conditions that would allow some specialized adult human cells to be reprogrammed genetically to assume a stem cell-like state. These stem cells are called induced pluripotent stem cells (iPSCs). IPSCs are adult cells that have been genetically reprogrammed to an embryonic stem cell–like state by being forced to express genes and factors important for maintaining the defining properties of embryonic stem cells. Although these cells meet the defining criteria for pluripotent stem cells, it is not known if iPSCs and embryonic stem cells differ in clinically significant ways. Mouse iPSCs were first reported in 2006, and human iPSCs were first reported in late 2007. Mouse iPSCs demonstrate important characteristics of pluripotent stem cells, including expressing stem cell markers, forming tumors containing cells from all three germ layers, and being able to contribute to many different tissues when injected into mouse embryos at a very early stage in development. Human iPSCs also express stem cell markers and are capable of generating cells characteristic of all three germ layers.

Although additional research is needed, iPSCs are already useful tools for drug development and modeling of diseases, and scientists hope to use them in transplantation medicine. Viruses are currently used to introduce the reprogramming factors into adult cells, and this process must be carefully controlled and tested before the technique can lead to useful treatments for humans. In animal studies, the virus used to introduce the stem cell factors sometimes causes cancers. Researchers are currently investigating non-viral delivery strategies.

Non-embryonic, or "adult" stem cells have been identified in many organs and tissues. Typically there is a very small number of multipotent stem cells in each tissue, and these cells have a limited capacity for proliferation, thus making it difficult to generate large quantities of these cells in the laboratory. Stem cells are thought to reside in a specific area of each tissue (called a "stem cell niche") where they may remain quiescent (non-dividing) for many years until they are activated by a normal need for more cells, or by disease or tissue injury. These cells are also called somatic stem cells.

Why do scientists want to use stem cell lines?
Once a stem cell line is established from a cell in the body, it is essentially immortal, no matter how it was derived. That is, the researcher using the line will not have to go through the rigorous procedure necessary to isolate stem cells again. Once established, a cell line can be grown in the laboratory indefinitely and cells may be frozen for storage or distribution to other researchers.

Stem cell lines grown in the lab provide scientists with the opportunity to "engineer" them for use in transplantation or treatment of diseases. For example, before scientists can use any type of tissue, organ, or cell for transplantation, they must overcome attempts by a patient's immune system to reject the transplant. In the future, scientists may be able to modify human stem cell lines in the laboratory by using gene therapy or other techniques to overcome this immune rejection. Scientists might also be able to replace damaged genes or add new genes to stem cells in order to give them characteristics that can ultimately treat diseases.

Healthcare Questions

Why are doctors and scientists so excited about human embryonic stem cells?
Stem cells have potential in many different areas of health and medical research. To start with, studying stem cells will help us to understand how they transform into the dazzling array of specialized cells that make us what we are. Some of the most serious medical conditions, such as cancer and birth defects, are due to problems that occur somewhere in this process. A better understanding of normal cell development will allow us to understand and perhaps correct the errors that cause these medical conditions.

Another potential application of stem cells is making cells and tissues for medical therapies. Today, donated organs and tissues are often used to replace those that are diseased or destroyed. Unfortunately, the number of people needing a transplant far exceeds the number of organs available for transplantation. Pluripotent stem cells offer the possibility of a renewable source of replacement cells and tissues to treat a myriad of diseases, conditions, and disabilities including Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, burns, heart disease, diabetes, and arthritis.

Have human embryonic stem cells been used successfully to treat any human diseases yet?
Scientists have only been able to do experiments with human embryonic stem cells (hESCs) since 1998, when a group led by Dr. James Thomson at the University of Wisconsin developed a technique to isolate and grow the cells. Although hESCs are thought to offer potential cures and therapies for many devastating diseases, research using them is still in its early stages.

In late January 2009, the California-based company Geron received FDA clearance to begin the first human clinical trial of cells derived from human embryonic stem cells.

Read the Geron press release

Adult stem cells such as blood-forming stem cells in bone marrow (called hematopoietic stem cells, or HSCs) are currently the only type of stem cell commonly used to treat human diseases. Doctors have been transferring HSCs in bone marrow transplants for over 40 years and advances in techniques of collecting, or "harvesting" HSCs have been made. HSCs are now used to reconstitute the immune system after leukemia, lymphoma, or various blood or autoimmune disorders have been treated with chemotherapy.

The clinical potential of adult stem cells has also been demonstrated in the treatment of other human diseases that include diabetes and advanced kidney cancer. However, these newer uses have involved studies with a very limited number of patients.

What will be the best type of stem cell to use for therapy?
Pluripotent stem cells, while having great therapeutic potential, face formidable technical challenges. First, scientists must learn how to control their development into all the different types of cells in the body. Second, the cells now available for research are likely to be rejected by a patient's immune system. Another serious consideration is that the idea of using stem cells from human embryos or human fetal tissue troubles many people on ethical grounds.

Until recently, there was little evidence that multipotent adult stem cells could change course and provide the flexibility that researchers need in order to address all the medical diseases and disorders they would like to. New findings in animals, however, suggest that even after a stem cell has begun to specialize, it may be more flexible than previously thought.

There are currently several limitations to using adult stem cells. Although many different kinds of multipotent stem cells have been identified, adult stem cells that could give rise to all cell and tissue types have not yet been found. Adult stem cells are often present in only minute quantities and can therefore be difficult to isolate and purify. There is also evidence that they may not have the same capacity to multiply as embryonic stem cells do. Finally, adult stem cells may contain more DNA abnormalities—caused by sunlight, toxins, and errors in making more DNA copies during the course of a lifetime. These potential weaknesses might limit the usefulness of adult stem cells.

I have Parkinson’s Disease. Is there a clinical trial that I can participate in that uses stem cells as therapy?
The public may search a database of NIH-sponsored clinical trials at www.clinicaltrials.gov. Enter the search terms of interest (in this case, Parkinson's Disease and stem cells) to search for applicable clinical trials.

Where can I donate umbilical cord stem cells?

NIH cannot accept donated umbilical cord stem cells from the general public. The National Marrow Donor Program maintains a Web page on donating cord blood at http://www.marrow.org/HELP/Donate_Cord_Blood_Share_Life/index.html, and the International Cord Blood Society has one at http://www.cordblood.org/index.php?rm=common_page&id=10.

Research and Policy Questions

Which research is best to pursue?
The development of stem cell lines that can produce many tissues of the human body is an important scientific breakthrough. This research has the potential to revolutionize the practice of medicine and improve the quality and length of life. Given the enormous promise of stem cell therapies for so many devastating diseases, NIH believes that it is important to simultaneously pursue all lines of research and search for the very best sources of these cells.

Why not use adult stem cells instead of using human embryonic stem cells in research?
Human embryonic stem cells are thought to have much greater developmental potential than adult stem cells. This means that embryonic stem cells may be pluripotent—that is, able to give rise to cells found in all tissues of the embryo except for germ cells rather than being merely multipotent—restricted to specific subpopulations of cell types, as adult stem cells are thought to be.

What are the NIH Guidelines on the utilization of stem cells derived from human fetal tissue (embryonic germ cells)?
The Federal Register Announcement National Institutes of Health Guidelines for Research Using Human Pluripotent Stem Cells (230k PDF; get Adobe Reader), published August 25, 2000, was "superceded as it pertains to embryonic stem cell research" on November 14, 2001). However, Section II. B, titled "Utilization of Human Pluripotent Stem Cells Derived from Human Fetal Tissue," still governs human embryonic germ cell research. In addition, Section III, titled "Areas of Research Involving Human Pluripotent Stem Cells That Are Ineligible for NIH Funding," governs both human embryonic stem cell and human embryonic germ cell research.

May individual states pass laws to permit human embryonic stem cell research?
Individual states have the authority to pass laws to permit human embryonic stem cell research using state funds. Unless Congress passes a law that bans it, states may pay for research using human embryonic stem cell lines that are not eligible for federal funding.

Where can I find information about patents obtained for stem cells?
The U.S. Patent and Trademark Office offers a full-text search of issued patents and published applications. Try searching for "stem cell" or "stem cells."

Cell Line Availability and the Registry

I am a scientist funded by the NIH. How many cell lines are available to me, and how do I get them?

NIH is currently developing new guidelines for embryonic stem cell eligibility.

These guidelines will be finalized in early July.

For interim guidance see "Implementation of Executive Order on Removing Barriers to Responsible Scientific Research Involving Human Stem Cells."

Under prior presidential policy, there were 21 independent, fully developed stem cell lines available for distribution. Some of these cell lines are available through the National Stem Cell Bank at reduced cost. The remaining lines may be purchased by contacting the cell line providers directly. Information on the lines and how to contact the National Stem Cell Bank and the individual providers can be found on the NIH Stem Cell Registry.

I'm interested in purchasing more than one cell line from the NIH Stem Cell Registry. What is known about the status of the cell lines and their availability?
Many of the cell lines have been characterized as embryonic stem cells by detecting expression of surface antigen markers specific to embryonic stem cells, determining if the cells are pluripotent, and demonstrating that the cells are undifferentiated. A number of scientific publications have described the characterization of human embryonic stem cells. Although the characterization approaches may differ across laboratories, an example of the strategies used can be found in Thomson et al. (1998), Science, 282,1145–1147.

The National Stem Cell Bank and the individual providers of the federally eligible cells are working to make them available to researchers. This includes developing quality control measures to grow and reproduce the cell lines in sufficient numbers, having the administrative structure to receive and process requests, and establishing material transfer agreements with research purchasers. The National Stem Cell Bank and the individual providers of federally eligible cell lines have the most up-to-date information on availability. A list of these sources and contact information is available on the NIH Stem Cell Registry.

Who owns the cells?
The stem cell lines remain the property of the individual stem cell providers, as listed on the NIH Stem Cell Registry. Researchers may negotiate a material transfer agreement (MTA) with either the National Stem Cell Bank on behalf of the individual providers, or directly with the cell providers in order to specify their rights and responsibilities concerning resulting data, publications, and potential patents. Examples of MTAs negotiated between the Department of Health and Human Services/NIH and various stem cell line providers are listed by provider on the NIH Stem Cell Registry.

What policies govern use of stem cell lines from WiCell Research Institute?
WiCell has published FAQs About WiCell's Policies on the Use of Its hESC Lines to address this question.