Tani Jowy, Umbas Rainy
Faculty of Medicine, University of Indonesia, Jakarta Pusat, Indonesia.
Acta Med Indones. 2009 Jan;41(1):30-5.
Stem cell studies have been conducted to study characteristics of stem cells, to develop better techniques for patient-specific stem cell lines generation, and to explore the therapeutic potential of stem cells. Techniques that enable efficient generation of new stem cell lines would facilitate research and allow generation of patient-specific stem cell lines for transplantation therapy. Somatic-Cell Nuclear Transfer (SCNT), which involves injection of donor cell nucleus into enucleated ovum, is the standard technique for new embryonic stem (ES) cell lines generation; presently its efficiency is low. A newer technique, pluripotent stem cell induction, reprograms somatic cells into induced pluripotent stem (iPS) cells by introducing certain factors into somatic cells. While certain adult stem cell treatments have been investigated on human participants, most ES cell or iPS cell treatments were still experimented on animal models. Recently, therapeutic potential of stem cell for several disorders was demonstrated. Researchers demonstrated stem cell's potential for treating hematologic disorders by correcting sickle cell anemia in rat model with iPS cells. Its potential role in treating cardiovascular disorder was demonstrated as injection of damaged rat heart with human ES cells derived cardiomyocyte plus "prosurvival" cocktail improved heart function. It might also treat nervous system disorders; injected into brain, ES cells derived neurons replace some loss cells in stroke rats and iPS cells derived neurons improved Parkinsonian syndrome in rats. Progress was also seen in other aspects of regenerative medicine. To overcome controversies caused by embryo destruction for obtaining ES cells, single blastomer stem cell derivation, Cdx2-inactivation, and parthenogenesis were proposed. All ES cell, iPS cell, and adult stem cell research should be continued with support from all sides.
干细胞研究旨在研究干细胞的特性,开发更好的技术以生成患者特异性干细胞系,并探索干细胞的治疗潜力。能够高效生成新干细胞系的技术将促进研究,并允许生成用于移植治疗的患者特异性干细胞系。体细胞核移植(SCNT),即将供体细胞细胞核注入去核卵母细胞,是生成新的胚胎干细胞(ES)系的标准技术;目前其效率较低。一种更新的技术,多能干细胞诱导,通过将某些因子导入体细胞,将体细胞重编程为诱导多能干细胞(iPS)。虽然已经在人类受试者身上研究了某些成体干细胞治疗方法,但大多数ES细胞或iPS细胞治疗仍在动物模型上进行实验。最近,干细胞对几种疾病的治疗潜力得到了证实。研究人员通过用iPS细胞纠正大鼠模型中的镰状细胞贫血,证明了干细胞治疗血液疾病的潜力。其在治疗心血管疾病中的潜在作用也得到了证实,因为向受损的大鼠心脏注射人ES细胞来源的心肌细胞加“促存活”鸡尾酒改善了心脏功能。它也可能治疗神经系统疾病;注入大脑后,ES细胞来源的神经元替代了中风大鼠中一些受损的细胞,iPS细胞来源的神经元改善了大鼠的帕金森综合征。再生医学的其他方面也取得了进展。为了克服因获取ES细胞而破坏胚胎所引起的争议,提出了单卵裂球干细胞衍生、Cdx2失活和孤雌生殖。所有ES细胞、iPS细胞和成体干细胞研究都应在各方支持下继续进行。