In no particular order…
— Atul Gawande, speaking to the graduating class at Stanford’s School of Medicine (via haunted).
T-34 days and counting to Roche Continents at the Salzburg Festival.
— Robert Sapolsky, neuroscientist and author (via @sciencegoddess)
berezina asked: How serious is the problem of stem cells developing into tumors rather than the desired tissue? Also, is there any way to chemically deactivate stem cells without affecting ordinary cells?
“How serious is the problem of stem cells developing into tumors rather than the desired tissue?”
The regulators take it very seriously, and this is why commercial stem cell therapies are still a long way from the market. By ensuring that cell populations are strictly defined and that pluripotent cell types are removed this risk is likely controllable.
The big fear for cell therapies derived from pluripotent cells (both embryonic and iPS) is teratoma formation. These are tumours with tissue or organ components resembling derivatives of all three germ layers—essentially big balls of hair, teeth, bone, and even eyes. Adult stem cell populations, from sources such as the bone marrow, can only form a smaller range of tissues and hence the tumour risk is lower.
The first commercial (rather than experimental/cowboy) stem cell treatments are likely to be progenitor cell populations derived from human embryonic stem cells (hESCs). Let’s take the example of Geron’s GRNOPC1, an hESC derived therapy for spinal cord injury, soon to start Phase 1 clinical trials. GRNOPC1 composed of oligodendrocyte progenitor cells derived from hESCs. The progenitors mature to form glial cells, which can replace the damaged myelin sheath, ‘re-insulating’ the neurons in the wound site restoring their function.
The progenitors have been shown to spread to fill the extent of the wound site. However, once they reach an area of healthy tissue they stop their migration. The cell population used is extensively defined to ensure that only the progenitors, and not any undifferentiated hESCs make it into the product, reducing the risk of teratoma. Trial patients will be subjected to a 15 year follow up. No one is taking any chances with hESC derived products, just one of the reasons why therapies are still a long way from the market.
“Is there any way to chemically deactivate stem cells without affecting ordinary cells?”
Possibly. This is the focus of much research in cancer cell biology.
Understanding how stem cells work will provide critical breakthroughs in understanding cancer cell biology. The key features of a stem cell is that it divide to form multiple cell types including copies of itself, and can go on doing so forever. Those last two features—self-replication and immortality—perfectly describe a cancer cell. By understanding which mechanisms and gene expressions control these functions, in both stem cell and cancer models, we may be able to find that elusive ‘off-switch’. Cures for common cancers are a real possibility.
I’d love to hear your thoughts or questions about my area of research?
GPOYW — Returned sober from lab christmas meal to work on presentation for tomorrow. Roll on three weeks of freedom starting in 18 hours time!