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Totipotent stem cells

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Classification based on level of differentiation

Totipotent stem cells

Pluripotent stem cells

Multipotent stem cells

Unipotent stem cells

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Totipotent stem cells

The fertilized egg is said to be totipotent.

It has the potential to generate all the cells and tissues that make up an embryo.

It supports embryonic development in uterus.

Pluripotent stem cells

These cells develop about four days after fertilization

These cells cannot re-create a complete organism but differentiate into any cell type, except for totipotent stem cells and the cells of the placenta.

Multipotent stem cells

Can only differentiate to some types of cells.

For example, hematopoietic stem cells, which are found primarily in the bone marrow, give rise to all of the cells found in the blood, including red blood cells, white blood cells, and platelets.

Unipotent stem cells

Can differentiate along only one lineage.

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What is the difference between adult and embryonic stem cells?

The function of embryonic stem cells (obtained from embryo and fetus) is to produce all the tissues of the body during development.

The function of adult stem cells (obtained from umbilical cords,

placentas, amniotic fluid, bone marrow, liver, epidermis, retina,

skeletal muscle, intestine, brain, dental pulp …..) is to maintain,

replenish and repair the tissues from which it is originated.

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Comparison of embryonic and adult stem cells

Advantages of Embryonic Stem Cell

Flexible - appear to have the potential to make any cell.

Immortal - one embryonic stem cell line can potentially provide an endless supply of cells with defined characteristics.

Availability - embryos from in vitro fertilization clinics.

Disadvantages of Embryonic Stem Cell

Difficult to differentiate uniformly and homogeneously into a target tissue.

Immunogenic - embryonic stem cells from a random embryo donor are likely to be rejected after transplantation

Tumorigenic - capable of forming tumors or promoting tumor formation.

Destruction of developing human life.

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Advantages of Adult Stem Cells

Adult stem cells from bone marrow and umbilical cords appear to be as flexible as the embryonic type

Somewhat specialized - inducement may be simpler.

Not immunogenic - recipients who receive the products of their own stem cells will not experience immune rejection.

Relative ease of procurement - some adult stem cells are easy to harvest (skin, muscle, marrow, fat)

Non-tumorigenic-tend not to form tumors.

No harm done to the donor.

Disadvantages of Adult stem cells

Limited quantity - can sometimes be difficult to obtain in large numbers.

Finite - may not live as long as embryonic stem cells in culture.

Less flexible - may be more difficult to reprogram to form other tissue types

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Clinical applications of stem cells

Cancer treatment

Nervous system repair

Cardiac repair

Gene therapy

mesenchymal stem cells to deliver a cancer-toxic protein into developing tumors.

The advantages of embryonic stem cells in clinical applications are:

easily accessible for genetic manipulation.

rapid growth.

remarkable stability.

ability to mature in vitro into multiple cell types of the body.

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Two possible ways whereby embryonic stem cells can be used in the gene therapy field are:

They could be genetically manipulated to introduce the therapeutic gene.

They can be differentiated in vitro into many cell types, so, they

can provide a constant in vitro source of cellular material, like

neurons and cardiac cells.

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Problems and disadvantages

Three major problems remain to be overcome:

The more the genetic modification, the longer the stem cells have to remain in vitro. The cells may accumulate genetic changes that might harm the patient.

Undifferentiated embryonic stem cells have the potential to form a type of cancer called a teratocarcinoma (teratoma).

The patient’s immune system response. Transgenic genes trigger

immune system responses. If stem cells are not autologous, they

eventually cause immuno-rejection of the transplanted cell type.

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iPSCs (induced-pluripotent stem cells), are a type of pluripotent stem cells artificially derived from non-pluripotent cells, typically adult somatic cells, by inducing a "forced" expression of certain genes.

first produced in 2006 from mouse cells and in 2007 from human cells.

What are iPSCs ?

Referencias

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