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Flab and freckles could advance stem cell research
Alternative tissues shown to yield reprogrammed cells aplenty.
Elie Dolgin

Fat cells are more easily turned into iPS cells than fibroblasts.Punchstock

Fat cells and pigment-producing skin cells can be reprogrammed into stem 
cells much faster and more efficiently than the skin cells that are usually 
used - suggesting large bellies and little black moles could provide 
much-needed material for deriving patient-specific stem cells.
"More than one type of adult somatic cell can serve as a target for 
reprogramming to a pluripotent state," says William Lowry, a stem-cell 
biologist at the University of California, Los Angeles, who was not involved 
in the research. "You don't have to use fibroblasts. There are other 
possibilities."

Reprogramming human skin cells remains woefully inefficient; typically, it 
takes about a month for 1 in 10,000 fibroblast skin cells to give rise to 
induced pluripotent stem (iPS) cells. Such iPS cells can, like embryonic 
stem cells, develop into any cell type. So researchers have been on the 
lookout for tissue types that can more speedily and easily be turned 
pluripotent. Several alternative human cells have been shown to work - 
including blood, hair, bone marrow, and neural stem cells - but most have 
these have not boosted success rates. One exception is hair-like 
keratinocytes plucked from a baby's foreskin1, but this is an unsuitable 
source for adult patients.

Now, a pair of research groups have generated iPS cells from two easily 
obtainable cell types in half the time and with much-improved success rates. 
In one study, reported online today in the Proceedings of the National 
Academy of Sciences, a team led by Joseph Wu and Michael Langaker at 
Stanford University School of Medicine in California converted fat tissue 
into iPS cells2. In the other, published last week in the Journal of Cell 
Science, Konrad Hochedlinger and his colleagues at the Massachusetts General 
Hospital in Boston reprogrammed melanocytes, the skin cells that produce 
pigmented skin3.

Fat chance
The Stanford researchers used liposuction to extract a couple litres of fat 
from the bellies of four overweight individuals aged 40 to 65. They then 
treated the tissue to remove all the gooey, globular fat, leaving behind a 
collection of fat tissue stem cells. Unlike standard techniques, which 
require about a month to culture skin biopsies to populations large enough 
for the reprogramming process, the fat tissue was ready to go after two days 
of pretreatment.

What's more, the cellular reprogramming took only two more weeks and was 
20-times more efficient than when converting fibroblasts using the same 
technique. "We basically shave off six to eight weeks compared to what the 
other guys are doing with fibroblasts," says Wu, who is now working to find 
safer ways to reprogram fat without using viruses.

"This is thus far the most efficient and effective cell type yet to be 
described."
Ron Evans
Salk Institute

"This is thus far the most efficient and effective cell type yet to be 
described for generation" of iPS cells, says Ron Evans, a molecular 
physiologist at the Salk Institute in La Jolla, California, who has "eerily 
similar" unpublished results, due to be published in PNAS, showing that more 
than 1% of fat cells can be turned pluripotent.

Wu and his colleagues also created the first human iPS cells using a 
slightly tweaked protocol that did not involve mouse "feeder" cells, which 
nurture the tissue with supportive proteins but can lead to contamination 
with animal products - a big no-no for therapeutic purposes. "That 
eliminates a number of problems years from now when we try to translate this 
work into the clinic," says Farshid Guilak, a tissue engineer at the Duke 
University Medical Center in Durham, North Carolina.

Skin deep
The poor chances of successfully reprogramming skin fibroblasts also led 
Hochedlinger's team to look for alternative sources. The researchers found 
that melanocytes undergo reprogramming after just 10 days and with five-fold 
greater success rates compared with fibroblasts.

Despite the improved efficiencies, Lowry doubts that many researchers will 
abandon skin cells in favour of fat cells or melanocytes. Huge banks of skin 
cells and bone marrow cells already exist, he says, so "you're probably 
going to stick with what you already have access to".
Langaker disagrees. "There's a lot of fat in America, unfortunately, and 
it's a renewable source of cells," he says. "I believe that the number of 
cells you get from fat and how quickly you're ready to go with them is a 
huge strategic advantage."

References
Aasen, T. et al. Nat. Biotechnol. 26, 1276-1284 (2008). | Article | PubMed | 
ChemPort |
Sun, N. et al. Proc. Natl. Acad. Sci. USA advance online publication 
doi:10.1073/pnas.0908450106 (2009).
Utikal, J., Maherali, N., Kulalert, W. & Hochedlinger, K. J. Cell Sci. 
advance online publication doi:10.1242/jcs.054783 (2009).

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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