'This is a very exciting advance'

reposted from: http://news.bbc.co.uk/1/hi/health/7103787.stm

'This is a very exciting advance'

By Dr Lyle Armstrong Geneticist

Fibroblast skin cells were transformed by the new technology

Scientists have discovered a way to reprogramme human skin cells so that they mimic embryonic stems with the potential to become any tissue in the body.

The breakthrough promises to have signficant implications for medical research.

Scientists are very excited by the announcement of these findings, that cells that look and act like stem cells can be created from skin cells (known in science as fibroblasts).

Last year similar work was done in mice, and we were waiting with bated breath to see if it would also work in humans.

Embryonic stem cells have great potential for treating human disease because of their ability to generate almost all the cell types found in the adult body.

These stem cells are important to study many diseases, but in the future they may also be used to as a treatment in their own right.

There is potential that stem cells could help replace diseased, damaged or dying cells and contribute towards improved function of that person's organs, possibly representing a cure for the disease from which they suffered.

If there is any hope of getting to this stage, researchers have a major hurdle to get over - preventing the immune system rejecting the new cells.

The best way to prevent this is to match the stem cells to the person - in the same way as doctors match organs in transplant operations.

So researchers are looking for ways to make stem cell lines to match individual patients.

Patient specific cells

Scientists have been hoping that therapeutic cloning would hold the key to creating patient specific stem cells.

In therapeutic cloning the DNA of one of the patient¿s cells is transferred into a human (or animal) egg from which the DNA had been removed, this is tricked into dividing into an embryo that scientists extract stem cells from.

However, therapeutic cloning uses human eggs which are not readily available and the procedure is technically difficult.

Additionally, there are people who have ethical concerns about the use of embryos to create stem cells.

For all of these reasons, this research gives us some hope of finding an alternative source of embryonic stem cells.

It is important that this breakthrough should not prevent work on therapeutic cloning.

But rather we should seek to embrace both techniques.

We do not clearly understand the mechanism by which new technique works and further research is needed.

Dr Armstrong is based at the North East England Stem Cell Institute, International Centre For Life, University of Newcastle.

Skin transformed into stem cells

reposted from: http://news.bbc.co.uk/1/hi/health/7101834.stm

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Skin transformed into stem cells

Pluripotent cell created by Japanese researchers

Human skin cells have been reprogrammed by two groups of scientists to mimic embryonic stem cells with the potential to become any tissue in the body.

The breakthrough promises a plentiful new source of cells for use in research into new treatments for many diseases.

Crucially, it could mean that such research is no longer dependent on using cells from human embryos, which has proved highly controversial.

The US and Japanese studies feature in the journals Science and Cell.

The induced cells do all the things embryonic stem cells do - its going to completely change the field Professor James Thomson University of Wisconsin-Madison Q&A: Creating stem cells 'An exciting advance'

Until now only cells taken from embryos were thought to have an unlimited capacity to become any of the 220 types of cell in the human body - a so-called pluripotent state.

Compare the two techniques for 'stem cell' creation

But campaigners have objected to their use on the grounds that it is unethical to destroy embryos in the name of science.

In the US only limited use of embryonic stem cells is allowed by scientists receiving public funding.

The Japanese team used a chemical cocktail containing just four gene-controlling proteins to transform adult human fibroblasts - skin cells that are easy to obtain and grow in culture - into a pluripotent state.

For once we have better science coinciding with better ethics Josephine Quintavalle Comment on Reproductive Ethics

The cells created were similar, but not identical, to embryonic stem cells, and the researchers used them to produce brain and heart tissue.

After 12 days in the laboratory clumps of cells grown to mimic heart muscle tissue started beating.

The US team, from the University of Wisconsin-Madison, achieved the same effect by using a slightly different combination of chemicals.

They have created eight new stem cell lines for potential use in research.

Cloning superceded

Using skin cells should mean that treatments could be personalised for individual patients, minimising the risk of rejection.

Although it is early days for this technique it may well prove to be every bit as significant as the first derivation of human embryonic stem cells nine years ago Dr Lyle Armstrong University of Newcastle Upon Tyne

Not only does the new technique remove the need to create embryos in the lab, it is also more simple, and more precisely controlled than current cloning technology.

Professor Ian Wilmut, of the University of Edinburgh, who led the team which created Dolly the sheep in 1996, has said it represents a significant advance.

However, the researchers have warned more work is needed to refine the process, and ensure its safety.

At present both techniques rely on viruses to introduce new material into the cells, which carries a potential risk.

Researcher Professor James Thomson said: "The induced cells do all the things embryonic stem cells do.

"It's going to completely change the field."

Dr Shinya Yamanaka, of Kyoto University, a member of the Japanese research team, said: "These cells should be extremely useful in understanding disease mechanisms and screening effective and safe drugs."

Positive reaction

Professor Azim Surani, of the University of Cambridge, said the research should allow scientists to create a large range of human stem cell types, which could prove invaluable in studying disease.

He said: "It is relatively easy to grow an entire plant from a small cutting, something that seems inconceivable in humans.

"Yet this study brings us tantalisingly close to using skin cells to grow many different types of human tissues.

Dr Lyle Armstrong, of the International Centre For Life at the University of Newcastle Upon Tyne, called the studies a "major development".

He said: "Although it is early days for this technique it may well prove to be every bit as significant as the first derivation of human embryonic stem cells nine years ago."

Professor Robin Lovell-Badge, of the Medical Research Council's National Institute For Medical Research, said the work was exciting, but work was required to end the reliance on viruses, and to tease out why two different techniques produced similar results.

Josephine Quintavalle, of Comment on Reproductive Ethics, said: "News that embryonic stem cells can be created successfully from human cells without cloning, without using human embryos or human eggs, or without getting involved in the creation of animal-human embryos, is most warmly welcomed.

"We congratulate these world-class scientists who have had the courage to state their change of tack so cogently.

"For once we have better science coinciding with better ethics."

TECHNIQUES FOR MAKING 'STEM CELLS' Therapeutic cloning produces stem cells which can develop into different types of body cell, making them ideal for research into treatment of disease. But this technology involves the creation and destruction of embryos, which is ethically controversial. The stem cells created also run the risk of being rejected by the body. The new technology, nuclear reprogramming, creates stem-like cells from the patient's own cells, avoiding both these problems.