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Monday, January 08, 2007
Adult Stem Cell Tripe
Both the WaPo, BBC, SfGate, CNN and many others are reporting on a
ostensibly new type of stem cells derived from amniotic fluid (Nature
Biotech link). While these come from amniotic fluid, they are not embryonic
stem cells, since it's not clear that they are totipotent (can make all
tissues), but the articles are suggesting that they might be.

Now, reading these articles and the Nature Biotech paper, I immediately had
a bunch of red flags pop up in my head. Here's some of the problems that
come immediately to mind.

Nothing about these cells suggests they are any more or less novel than cord
blood stem cells and many other "adult" stem cells types which can be
transdifferentiated in vitro
Atala's research does not suggest these cells have equivalent plasticity as
embryonic stem cells (although they are quite plastic).

Conflicts of interest exist that cause concern about the timing of this
release - the potential for ES cell debate in Congress this week, Atala
being on the board of the company that uses these cells etc.

The method of purification of these cells (here's probably the most detailed
article on them) is selection for c-kit, a common marker identifying adult
stem cells - makes me think that these aren't any more exceptional than
hematopoietic stem cells which can do many of the same tricks in culture but
are of questionable in vivo untility for transdifferentiation.

No functional in vivo data exists on the totipotency of these cells - namely
the isolation of equivalent cells from rodents and formation of chimeras to
show pluripotency. This is really too bad since the authors do say they
isolated cells from mice and rats, a chimeric injection experiment really
would have been definitive and as a reviewer I would have asked for it
before publication.

They only showed absence of fusion in vitro not in vivo in recent studies.

No evidence exists these cells are totipotent so claims they can replace
embryonic stem cells are just as inappropriate with these cells as every
other adult stem cell line that has had promise and ultimately failed to
perform.

If you want to see what testing for pluripotency looks like with adult stem
cells check out this old post on the spermatagonial stem cells, which seemed
to have real promise. Critically, the formation of mice using the stem cells
which would be proof of real totipotency - contribution in vivo to all three
germ layers. The experiment would be useful even if the cells aren't
totipotent because they can compare the relative potency to ES cells, and
determine which tissues, if any, these cells will not contribute to. Until
then, with the literature not showing the necessary experiments to justify
these claims of equivalence to embryonic stem cells, I find it irresponsible
for the researchers or the press to suggest some incredible breakthrough -
especially in this political climate. This is really too bad, because Dr.
Atala is an excellent scientist with a really impressive body of research in
tissue engineering, and I hope this isn't a purposeful effort to reinject
yet another unproven adult stem cell line into the debate over stem cells.

I wonder if that was even his intention; it is quite possible his research
being highlighted at a particularly sensitive time to help drive a political
wedge. This publication is certainly interesting, but I worry it's being
over-hyped in preparation for our coming debates on this science.
Labels: embryonic stem cells, stem cells
posted by Rev. Dr. at 2:22 AM, permalink,


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