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The discovery of versatile stem cells in the amniotic fluid surrounding
babies in the womb could make it possible for all mothers to save the cells
as "spares" for baby. If the child suffers tissue or organ damage later in
life, the cells could be retrieved and grown into the perfect graft, with no
problems of tissue rejection by the immune system.
Alternatively, the cells could be stored en masse from many babies in a
public tissue bank, so that "off-the-peg" tissues would be available
matching that of almost any patient.
Doctors could extract the cells either from amniotic fluid withdrawn from
the womb for prenatal testing, or directly from the placenta once the women
had given birth. The cells could then be stored in liquid nitrogen,
preserving them for rest of the babies' life.
At least that is the theory, now that new research has demonstrated for the
first time that amniotic fluid-derived stem (AFS) cells can be extracted and
turned into many tissue types.
"We've shown the cells can grow into nerve, blood vessels, liver cells,
cartilage, bone and cardiac muscle," says Anthony Atala, head of the team
which isolated and tested the cells at Wake Forest University School of
Medicine in Winston-Salem, North Carolina, US.
Halfway houses
Atala says the AFS cells are "halfway houses" between embryonic stem cells -
the primitive cells in embryos capable of forming every cell in the body -
and adult stem cells, which are dispersed round the body and which replenish
and repair tissue during life. "AFC cells have properties of both," says
Atala.
As well as growing into almost as many types of tissue as their embryonic
counterparts, AFS cells also grow just as fast, doubling in number within 36
hours. Equally encouraging, nerve cells created from the amniotic stem cells
successfully amalgamated with brain cells in mice, suggesting they may also
be able to repair tissue in humans.
Unlike embryonic stem cells (ESCs), AFC cells do not form tumours. Nor are
there any ethical problems with saving amniotic cells, whereas ESCs have to
be extracted from spare human embryos which perish in the process. This ESC
procedure attracts passionate opposition from some groups.
Atala would not comment on whether this made the amniotic cells more
ethically acceptable, but he stressed that in his view, all avenues of stem
cell research should continue to be pursued.
Hybrid clones
Other researchers welcome the findings. "If the cells can be extracted from
the placenta, it's a very convenient way of getting large numbers of cell
lines that repair all types of cells," says Ian Wilmut of the University of
Edinburgh, UK.
Lyle Armstrong, of the University of Newcastle-upon-Tyne, UK, says: "It's
likely that therapies will arise from cells like these way before they're
available from ESCs."
They insist that ESCs will be invaluable for other applications, however,
especially for research to understand disease and test new drugs. Wilmut,
Armstrong, and a third team led by Stephen Minger of King's College London,
UK, have each applied for permission to try and produce human ESCs from
cloned "cow-human" or "rabbit-human" hybrid embryos.
Their plan is to use animal eggs emptied of their own chromosomes to trick
human cells back into an embryonic state from which the ESCs could be
extracted and then studied to unravel the causes of disease.
This week, the UK Human Fertilisation and Embryology Authority will rule on
whether the three teams are to be permitted to proceed with this avenue of
research. See our latest Short Sharp Science blog on this contentious issue,
and give us your views.
Journal reference: Nature Biotechnology (DOI: 10.1038/nbt1274)

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