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    The Elusive Pluripotency Program
    By Jennifer Wong | July 9th 2010 05:07 PM | 5 comments | Print | E-mail | Track Comments
    About Jennifer

    I am a full time science journalist who writes about research news in the life-sciences discipline. I am currently an active contributor to Science...

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    Can somatic cells be reprogrammed to become pluripotent stem cells? Well, the answer is yes or no, depending on your perspective, and perhaps your definition of what pluripotent stem cells should be.

    A classical example of the pluripotent stem cell is embryonic stem (ES) cells found in the inner cell mass of the developing embryo. These cells are capable of multi-lineage differentiation to produce any cell type in the body, and are thus considered not only as an ideal medical tool for tissue regeneration and organ replacement, but also a great research tool to understand molecular basis of genetic disorders. But the ethical issues with the use of human ES cells for research or medical purposes have lead the Bush administration to ban such use, holding back research in this field.

    In search for alternative sources of pluripotent stem cells, exasperated researchers began to explore ways to reprogram differentiated somatic cells into the much needed pluripotent stem cells.

    Evidence that somatic cells could be reprogrammed into pluripotent stem cells came from initial studies in the 1960s, revealing that reprogramming can be achieved by transferring the nucleus of a pluripotent stem cell into a somatic cell, albeit at a low success rate. This is because the nuclear transfer has erased the key epigenetic program crucial for establishing pluripotency. A breakthrough came in the 1980s with the emergence of cell fusion technology, where reprogramming was achieved at high efficiency by fusing ES cells with somatic cells, without erasing the pluripotent epigenetic program. While the fused cells provide an ideal tool for scientists to understand the molecular basis for pluripotency, the resulting heterokaryons created from the cell fusion are not usable for clinical and disease modelling applications.

    Since ethical issues have stalled ES cell research to a frustrating standstill, scientists are beginning to turn to somatic cell reprogramming as an alternative source of pluripotent stem cells suitable for disease modeling and clinical purposes. Using molecular data from insightful cell fusion studies in the past, Yamanaka and colleagues from Kyoto University in 2006 discovered that somatic cells could be reprogrammed into pluripotent stem cells simply by overexpressing the four pluripotency transcription factors OCT4, SOX2, Klf4, Myc, which was soon dubbed the Yamanaka factors. The resulting induced pluripotent stem cells (or IPS cells) generated much excitement in the field at the time, particularly with preliminary studies demonstrating the remarkable similarities between IPS cells and ES cells (Takahashi et al., 2006).

    Excitement was soon hampered when researchers further investigated whether IPS cells are truly indistinguishable from ES cells. The research opened a can of worms, revealing the IPS cells have distinctive molecular flaws, including epigenetic codes and microRNA profiles, that make them quite different from the classical ES cells (reviewed in Yamanaka&Blau, 2010). A major blow came from a relative recent study revealing the IPS cells carry a key epigenetic flaw that disrupt their differentiation program and ultimately their ability to produce viable embryos (Statfeld et al., 2010).

    In light of these flaws, concerns began to emerge in research labs as well as the clinic. On the research front, scientists have begun to use generate IPS cells from somatic tissue of patients suffering from a genetic disorder known as the LEOPARD syndrome, which is characterized with multiple symptoms including cardiac hypertrophy. The IPS cells from these patients were used to generate cardiac cells that display classical hypertrophy phenotype of the disease, which could be used as a relatively inexpensive in vitro disease model suited for drug screens (Carvajal-Vergara et al., 2010). However, the apparent flaws of IPS cells could have serious implications on the validity of the in vitro disease model and their relevance to the actual disease.

    In the clinical end of things, the IPS cell flaws have driven many questions with regards to the safety for the application of IPS cells in the clinic. Could IPS cells differentiate to produce normal tissue for transplantation? Or could they produce cancerous cell types that could cause cancer? These questions suggest that IPS cells may pose a threat to one of the golden rules in medicine, which is to “do no harm”. Clearly, better understanding of IPS flaws, and how to get around them in future generations of IPS cells, are much needed for their safe and ethical clinical applications.

    So, can we really reprogram somatic cells into pluripotent stem cells? Generally speaking, the answer is yes, provided pluripotent stem cells are simply defined by their ability to undergo multi-lineage differentiation to generate any cell type in the body. However, as research begins to show disturbing differences between ES cells and IPS cells, it is clear that researchers have not yet totally mastered the molecular secrets of pluripotency. In a perfectionist’s point of view (which is what we require for medical applications), the answer to the question is “not quite”.


    References:

    Takahashi et al (2006). Cell. 126, 663-76.
    Yamanaka&Blau (2010). Nature. 465, 704–712
    Statfeld et al. (2010) Nature. 465, 175-181.
    Carvajal-Vergara et al (2010). Nature. 465, 808–812

    Comments

    Hank
    Bush restricted human embryonic stem cells to existing lines, they were never banned.  Not unreasonable, since the technology was only invented 18 months before he was elected so the ethics were unclear, and it was only $15 million in total research when he restricted them - it has gotten billions since then, from states like California who wanted to stick it to him.  If anything, the Bush restrictions did a world of good for the research, since it would have gotten nowhere near as much from the NIH and other places without all of the attention.

    Obama also restricted human embryonic stem cell research.   So if we are going to imply presidents are anti-science for their positions on this, let's name them all.
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    jenwong
    The Bush administration have banned federal funding for embryonic stem cell research for all cell lines, except those that were created prior to 2001. The economical castration have just as well shut down research in this field- with the exception of ongoing research activities funded by private companies.

    I think the Bush administration is clearly anti-science. Rather than taking the time to understand what stem cell research is all about, and what it takes to keep the country as a leader in stem cell technology while maintaining the country's ethical vlues, the administration simply stopped funding to this type of research.

    On the other hand, Obama have at least lifted this unreasonable ban in 2009, and have set out to develope new funding regulations and guidelines, which I think are reasonable to protect our moral values. Indeed, cutting funding (like what Bush did) is not the way to handle this.

    I think if we want to name a president for being anti-science, I would probably name Bush and Clinton (read links below). I think among the presidents thus far, Obama has the least to answer for.

    Interesting reads:
    http://www.nature.com/news/2009/090309/full/458130a.html
    http://www.pbs.org/wgbh/nova/sciencenow/dispatches/050413.html
    Hank
    Okay, but we have to be as clear on policy matters as we are on science data, and my point was Bush did not 'ban' anything - the word bans means something specific.   He restricted it when federal money was involved, the same thing Obama has done.  Maybe you think a Bush restriction is different than an Obama one but that could also be because you don't like Bush.

    I don't like anyone so I am able to criticize Republicans and Democrats.   :)

    Bush also did not cut funding.  Federal funding for hESC research was $15 million when he got elected and hundreds of millions in federal money when he left, and billions more in state and private money.   He stalled for time so scientists could help figure out the ethics (a guy did this in a lab in the late 1990s so you cannot say the ethics were decided by 2000) and then some people made it into a political football and he had no reason to rescind it, since none of the people complaining were going to vote for him anyway.

    To see why it is important that civilians make these policy decisions and not scientists, you just have to substitute "the military" for science.    Science, by its very nature, should not be deciding policy because it is the job of science to break the laws of nature and then policymakers can decide what that will mean for the public.

    I certainly agree that modern presidents may look more anti-science than prior but that is because more information is available immediately.    Yes, Clinton gutted NASA but Bush boosted its budget and the NIH budget doubled under Republicans - so you may be regarding them as anti-science because your prism is too narrow and limited to one issue.   One issue, a human embryonic stem cell research restriction, should not decide his legacy any more than killing NASA should decide Clinton's.
     
    Obama will have 7 years to make his legacy but it would be unfair to decide his legacy based on his continued restriction of Bush policy on hESC research.  Unless you are a policy expert, I cannot see any difference in his restriction and that of Bush.   hESC remains restricted while they work on new guidelines.

    All politicians are anti-science.     Both McCain and Obama rehashed popular swill about vaccines perhaps causing autism.   

    P.S.  I am making a relatively minor clarification in one article but I really like the rest of this, and the other pieces you have written.   But you write to get a discussion going, I assume.
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    jenwong
    I see your point. Bush didn't ban ES cell research in a literal sense- he restricted it (not a lot of news articles say that clearly). But despite the millions of dollars that was used to fund ES cell research, his federal non-support for the development of new human embryonic stem cell lines have been one of the killers in stem cell research. Why can't researchers use the 60 some approved pre-2001 cell lines? Well apparently, that was an over-estimate. There has been reports that many of the cell lines were not available or not suitable for use. In order to obtain the much needed cell lines, subsequent efforts have been made to loosen these federal restrictions. But Bush adamantly stood firm with his policy- two vetoes to be precise. Well- how can research proceed if scientists don't have access to usable embryonic stem cell lines? It wouldn't matter how much money scientists would receive from the so called 15million federal support....

    Could this be the reason why many news reports have unjustly labelled the Bush's policy as the famous "ES research ban"?  Pretty misleading given the facts you've just pointed out....

     
    Hank
    The media are out to sell things, not be neutral arbiters, and many of them did not like Bush.   How many news sources reported that Obama said vaccines may cause autism?  Very few, but when Sarah Palin criticized overseas fruit fly research it was everywhere.

    Basically, if we do not give the audience science data based on media interpretation (though it may be vaguely or contextually correct) we should be as accurate in how we verify policy information.

    I am inclined to give policymakers then - and the restriction was bi-partisan - a bit of a break; the scientific assumption in 2001 was that the existing lines would be enough and that turned out to not be true.   But Bush had little reason to rescind it when academics made it clear he was never going to get their vote and in a sense the more militant progressives in science hurt the cause because they spoke loudly against him and so Bush stopped increasing money for the NIH too - and he was validated in renewing restrictions because states and the private sector did it instead.  hESC research was never going to get $3 billion in federal money but California alone allocated that to stick it to Bush.

    Research did not die because of the restriction - federally funded research is under 70% of all research and hESC a tiny fraction of even biology - but the persistent belief that it did is a sign of the media's power to distort, even among researchers who have access to the actual facts.

    That is why Science 2.0 was created.  :)
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