National Primate Research Center, University of Wisconsin Graduate School, 1220 Capitol Court, Madison, WI 53715, USA.
Int J Hematol. 2012 Jun;95(6):617-23. doi: 10.1007/s12185-012-1094-x. Epub 2012 May 31.
A number of malignant and non-malignant hematological disorders are associated with the abnormal production of mature blood cells or primitive hematopoietic precursors. Their capacity for continuous self-renewal without loss of pluripotency and the ability to differentiate into adult cell types from all three primitive germ layers make human embryonic stem cells and induced pluripotent stem cells (hiPSCs) attractive complementary cell sources for large-scale production of transfusable mature blood cell components in cell replacement therapies. The generation of patient-specific hematopoietic stem/precursor cells from iPSCs by the regulated manipulation of various factors involved in reprograming to ensure complete pluripotency, and developing innovative differentiation strategies for generating unlimited supply of clinically safe, transplantable, HLA-matched cells from hiPSCs to outnumber the inadequate source of hematopoietic stem cells obtained from cord blood, bone marrow and peripheral blood, would have a major impact on the field of regenerative and personalized medicine leading to translation of these results from bench to bedside.
许多恶性和非恶性血液系统疾病与成熟血细胞或原始造血前体细胞的异常产生有关。人类胚胎干细胞和诱导多能干细胞 (hiPSC) 具有持续自我更新而不失多能性的能力,并且能够分化为所有三个原始胚层的成体细胞类型,这使得它们成为细胞替代疗法中大规模生产可输用成熟血细胞成分的有吸引力的互补细胞来源。通过调控各种重编程相关因子的操作,可以从 iPSC 生成患者特异性造血干/祖细胞,以确保完全的多能性,并开发创新的分化策略,从 hiPSC 中生成无限供应的临床安全、可移植、HLA 匹配的细胞,以弥补从脐带血、骨髓和外周血获得的造血干细胞的不足来源,这将对再生和个性化医学领域产生重大影响,从而将这些结果从实验室转化到临床。