Why embryonic stem cells are important




















But most of those lines, it was later determined, do not contain viable embryonic stem cells. And all of them are contaminated with animal products. By growing embryonic stem cells that carry disease-causing genetic defects, scientists hope to learn what goes wrong inside cells — and to test new drug candidates to combat those diseases. One of the fundamental principles of clinical trials is that we test new medicines in a diverse patient population that mirrors the diversity that is present in our society.

For example, if we only test new medicines on white males, there would be a risk that we would only develop medicines that work for white males. Myth Adult stem cells are as useful as embryonic stem cells. Fact Embryonic stem cells have the ability to create any cell type in the human body.

Adult stem cells are more specialized; they generally make cells only from their tissue of origin. Thus, embryonic stem cells can do things that adult stem cells cannot do.

To maximize the chances of discovering new cures, it is essential to pursue research on both embryonic and adult stem cells. In addition, the technique can cause mutations that predispose cells to cancer. As a result, some scientists are concerned that the reprogrammed cells will never be suitable for use in patients. For the foreseeable future, stem cell researchers agree that research should continue along all avenues, using embryonic stem cells, adult stem cells, and reprogrammed cells.

Myth Adult stem cells have been proven effective in treating more than 70 diseases. Fact While adult stem cell research holds much promise, blood stem cells offer the only proven adult stem cells therapies. The claim that adult stem cells have been used to cure more than 70 diseases has been widely discredited. Myth Stem cells from amniotic fluid and umbilical cord blood can be used instead of embryonic stem cells. Fact Amniotic fluid and umbilical cord blood contain adult stem cells.

They hold promise for therapy but do not have the properties or potential of embryonic stem cells. Myth The stem cell lines approved by the federal government provide an adequate source of embryonic stem cells for research.

Fact The approved stem cell lines were created on or before Aug. Scientists later determined that those lines are contaminated with animal proteins. In addition, none of the approved lines was created to model human disease. Although President Bush initially intended to make more than 70 federally approved lines available to scientists, most of these lines turned out to be inadequately characterized, and only 16 such lines remain.

Furthermore, many of these lines come from a single clinic in Israel, thus they do not mirror the ethnic and racial diversity in American society. Fact Some religious people are in opposition. Others believe that embryonic stem cell research is pro-life and that it is immoral not to pursue this research, because of its potential to reduce human suffering.

Most religious traditions, including Judaism, Hinduism, Islam, Buddhism, and some branches of Christianity do not consider embryonic stem cell research to be immoral. Myth Embryonic stem cell research uses embryos that have begun to develop as babies. Fact Stem cells are derived from blastocysts that have only developed for about five days after fertilization.

These early stage embryos consist of about cells and are the size of the period at the end of this sentence. At this stage, the cells are undifferentiated: They have no nervous system, no heart, no limbs and no specialized human tissues. Fact There is no connection between abortion and human embryonic stem cells. By the time a human embryo has implanted in the uterus, its cells have specialized to the point where they can no longer be used for the derivation of embryonic stem cell lines.

The embryos used to derive stem cells are created in dishes in fertility clinics. They are never transferred into the human body and are donated for medical research only when parents decide they are no longer needed for fertility treatment. Myth Embryos discarded by fertility clinics could be donated to another family rather than discarded or used for research.

Fact Snowflake Children is a term used to describe some babies born from leftover IVF clinic embryos donated to other infertility patients. But the Snowflakes Frozen Embryo Adoption Program claims fewer than births since it began in Meanwhile, thousands of leftover embryos are discarded each year and more than , embryos are currently frozen in fertility clinics; most will eventually be discarded.

Many embryos created for IVF are discarded because they do not develop normally or are known to carry serious genetic abnormalities. Such embryos are not suitable for implantation. But in the laboratory, these defective embryos could help researchers understand genetically linked diseases and develop treatments for them. Myth Stem cell research is unregulated and unrestricted, thus paving the way for scientists to go down a dangerous path. There are additional restrictions being introduced in a Michigan ballot proposal.

For example, under this ballot proposal, embryos could not be bought or sold, could only be generated for the purpose of fertility treatment, and then could only be used for stem cell research if they could no longer be used for fertility treatment and were donated with the informed consent of the donor.

This microscope image x magnification shows an oval cluster of roughly 1, human embryonic stem cells growing together as a colony. Image courtesy of Gary Smith. Skip to content contact us. Stem Cell Research. What is an adult stem cell?

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Oh M, et al. Promotive effects of human induced pluripotent stem cell-conditioned medium on the proliferation and migration of dermal fibroblasts. Bioprocess Eng. The advances in disease research with ES cells have not all come smoothly. He hopes to transplant them into people with type 1 diabetes to end, or at least reduce, their reliance on insulin injections. The last hurdle in the work is introducing the cells so that they are not destroyed by the immune system. Semma Therapeutics, a company that Melton founded in Cambridge, aims to do this by ensconcing the cells in a pouch that would allow nutrients in and insulin out, but would block access to immune cells.

He expects to start clinical trials within three years. ViaCyte in San Diego, California, paused enrolment for a clinical trial it launched in to redesign its encapsulation technology.

Last year, it started a separate clinical trial using a modified delivery mechanism. And other companies, such as Novo Nordisk in Denmark are starting up programmes for diabetes using cells derived from ES cells.

In the clinical realm, many have assumed that iPS cells would eventually win out over ES cells. One potential advantage is that they can produce cells and tissues with the same DNA as the patient and thus not cause an immune reaction when transplanted.

But for most genetic diseases, including type 1 diabetes, iPS cells created from a patient would contain the mutation that causes the problem, and the cells would have to be modified to confer any therapeutic benefit. So far, researchers have initiated just one human trial using cells derived from iPS cells. Led by ophthalmologist Masayo Takahashi at the RIKEN Center for Developmental Biology, it aims to treat macular degeneration, but was halted in when investigators decided to simplify the procedure and use donor-derived, rather than patient-derived, stem cells.

It restarted in , but hit another roadblock in January, when a membrane developed in the eye of a participant and had to be surgically removed.

Macular degeneration has been a popular target for ES-cell therapies. On 19 March, researchers led by ophthalmologist Pete Coffey, director of the London Project to Cure Blindness and the University of California, Santa Barbara, reported the results of a study to implant a patch of cells made from ES cells into the damaged retinas of two individuals 2.

A year after the procedure, the participants regained the ability to read, albeit slowly. Coffey says the breakthroughs are finally arriving because scientists are now working out how best to put the cells into people.

The disorder is caused by a loss of the neurotransmitter dopamine, and half a dozen companies and clinics are gearing up to use ES cells or iPS cells to replace dopamine-producing neurons. One crucial question is how far the pluripotent cells should be taken down the road towards maturity before transplanting them. An Australian trial started in and a Chinese trial begun in use immature neural precursor cells, which do not produce dopamine.

But leaders of a group of ES- and iPS-cell trials known collectively as GForce-PD say that the more-mature cells they use turn into the desired type of dopamine-producing cell more reliably and are less likely to grow out of control.

ES-cell research still has room to grow, if it can get past some hurdles. One big problem is that many cell types are challenging to produce. Melton estimates that only about ten cell types created so far are truly functional equivalents of normal human cells.

And some with the most far-reaching uses, such as eggs and sperm, are expected to remain a challenge for the foreseeable future. The field also faces uncertainty about funding. Scientists have heard frequent rumours that US president Donald Trump might impose new restrictions on federal funding for research on ES cells. But despite their sometimes rocky history, ES cells have proved their value repeatedly, and in some unpredictable ways, say many investigators.

Some researchers have even scaled back their use of animal models because ES cells seem to provide a better path to studying human disease. Yamanaka says that ES cells were the motivation for his own work on iPS cells. ES cells are just as crucial today, he says, for better understanding the mechanism of pluripotency and for improving the medical application of any pluripotent cell.

Correction 26 April : An earlier version of this story incorrectly stated that ViaCyte had restarted a clinical trial after redesigning its encapsulation technology. Sagi, I. Nature , — Nature Biotechnol. Article Google Scholar. Martin, G. Natl Acad.

USA 78 , — Evans, M. Thomson, J. USA 92 , — Science , — Murray, C. Cell , —



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