There is real, concrete, you can smell/feel/see kind of evidence.... From the Archives -- WSJ Interactive Edition April 13, 1999 Stem Cells From Adults Have an Edge Battling Disease By LAURA JOHANNES Staff Reporter of THE WALL STREET JOURNAL The isolation of stem cells from an aborted fetus a few months ago sparked great excitement among scientists. Some of them speculated that the embryonic cells were a kind of miraculous clay that, given the proper nudge, could be turned into any type of human cell -- and even entire organs. But a humbler type of stem cell may prove much more useful to medical science. Unlike the embryonic cell, this type, called a "precursor" cell, has already had its fate broadly determined. For example, scientists have discovered a blood precursor cell that can become any type of blood cell --say, a white cell or red cell -- but never a skin or bone cell. While precursor cells' morphing potential is narrower, many scientists believe that turning them into medical treatments will be much easier, because they are further along in their development. That opens up a whole world of potential injectable therapies that would harness the body's capacity to regenerate itself. "If you're trying to travel from Boston to San Francisco, this would be the equivalent of starting in Des Moines instead of Boston," says Mitchell J. Weiss, a senior scientist at Ontogeny Inc., of Cambridge, Mass. Ontogeny is working with Biogen Inc. to activate precursor cells that it believes are in the brain in an effort to regenerate brain cells lost in Parkinson's disease. Scientists used to think that such potential for cellular regeneration was present only in embryos -- that, for example, humans had made their lifetime supply of brain cells by age 17. But that canon is steadily eroding. In the early 1990s, researchers isolated human blood stem cells from adults. And earlier this month, researchers at Osiris Therapeutics Inc. in Baltimore found a stem cell in adult bone marrow that is capable of becoming bone, cartilage or fat. Researchers also believe they may be close to identifying stem cells in the liver, brain and pancreas. They're Everywhere "I think we will find these stem cells in any organ that we look," says Harvard Medical School researcher Evan Y. Snyder, who has already isolated brain stem cells from a human fetus and believes it won't be long before someone finds them in adult humans. "I think that when nature develops a strategy for development and a strategy for self-repair, it doesn't make it up each time for every organ." Some scientists remain skeptical that stem cells will be found in every organ. And hunting is a laborious process. Brain stem cells were found in animals a decade ago, but scientists are still working to find them in humans. But if and when they are found, precursor cells would circumvent the ethical and legal problems of working with embryonic stem cells taken from aborted fetuses. Douglas A. Melton, chairman of the department of molecular and cell biology at Harvard University, has found promising results in mouse and frog stem cells but hasn't been able to obtain human embryonic cells to apply the work to humans. The National Institutes of Health has said it will permit federally funded researchers to use stem cells as long as they don't actually handle aborted fetuses, but the cells won't be available until formal guidelines for their use have been published. Meanwhile, work with the stem cells found in adults is moving along rapidly. In early clinical trials in the area of AIDS, Novartis AG is purifying blood stem cells from HIV patients' own blood, altering them by inserting anti-HIV genes and then reinjecting them in the patients. "We expect the modified stem cells will give rise to progeny cells that are HIV-resistant," says Carol Grundfest, a Novartis spokeswoman. Margaret Tuchman Princeton, NJ B1941/Dx1980 [log in to unmask]