Center for Neuropsychiatry, China Medical University and Hospital, Taichung, Taiwan.
Cell Transplant. 2011;20(1):15-9. doi: 10.3727/096368910X532828. Epub 2010 Sep 30.
Stem cells are capable of self-renewal and differentiation into a wide range of cell types with multiple clinical therapeutic applications. The two most important issues associated with embryonic stem (ES) cells are immune rejection and medical ethics. In 2006, induced pluripotent (iPS) cells were generated from somatic cells via the introduction of four transcriptional factors: OCT4, SOX2, c-MYC, and KLF4. Researchers found that iPS cell morphology, proliferation, surface antigens, gene expression, telomerase activity, and the epigenetic status of pluripotent cell-specific genes were similar to the same characteristics in ES cells. iPS cells are capable of overcoming hurdles associated with ES cells due to their generation from mature somatic cells (e.g., fibroblasts). For this reason, iPS cells are considered an increasingly important cell therapy technology. iPS cell production entails the use of retroviruses, lentiviruses, adenoviruses, plasmid transfections, transposons, or recombinant proteins. In this article we discuss the advantages and limitations of each strategy and address issues associated with clinical trials, including the potential for liver tumor formation and low generation efficiency.
干细胞具有自我更新和分化为多种细胞类型的能力,具有多种临床治疗应用。与胚胎干细胞(ES 细胞)相关的两个最重要的问题是免疫排斥和医学伦理。2006 年,通过引入四个转录因子:OCT4、SOX2、c-MYC 和 KLF4,从体细胞中产生了诱导多能(iPS)细胞。研究人员发现,iPS 细胞的形态、增殖、表面抗原、基因表达、端粒酶活性以及多能细胞特异性基因的表观遗传状态与 ES 细胞的相同特征相似。iPS 细胞由于是由成熟的体细胞(如成纤维细胞)产生的,因此能够克服与 ES 细胞相关的障碍。出于这个原因,iPS 细胞被认为是一种越来越重要的细胞治疗技术。iPS 细胞的产生需要使用逆转录病毒、慢病毒、腺病毒、质粒转染、转座子或重组蛋白。在本文中,我们讨论了每种策略的优点和局限性,并讨论了与临床试验相关的问题,包括肝肿瘤形成的可能性和低生成效率。