School of Dentistry, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Graduate Institute of Medicine, Department of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Int J Mol Sci. 2024 May 9;25(10):5177. doi: 10.3390/ijms25105177.
The reprogramming of somatic cells to pluripotent stem cells has immense potential for use in regenerating or redeveloping tissues for transplantation, and the future application of this method is one of the most important research topics in regenerative medicine. These cells are generated from normal cells, adult stem cells, or neoplastic cancer cells. They express embryonic stem cell markers, such as OCT4, SOX2, and NANOG, and can differentiate into all tissue types in adults, both in vitro and in vivo. However, tumorigenicity, immunogenicity, and heterogeneity of cell populations may hamper the use of this method in medical therapeutics. The risk of cancer formation is dependent on mutations of these stemness genes during the transformation of pluripotent stem cells to cancer cells and on the alteration of the microenvironments of stem cell niches at genetic and epigenetic levels. Recent reports have shown that the generation of induced pluripotent stem cells (iPSCs) derived from human fibroblasts could be induced using chemicals, which is a safe, easy, and clinical-grade manufacturing strategy for modifying the cell fate of human cells required for regeneration therapies. This strategy is one of the future routes for the clinical application of reprogramming therapy. Therefore, this review highlights the recent progress in research focused on decreasing the tumorigenic risk of iPSCs or iPSC-derived organoids and increasing the safety of iPSC cell preparation and their application for therapeutic benefits.
体细胞重编程为多能干细胞在用于移植的组织再生或再发育方面具有巨大的潜力,该方法的未来应用是再生医学中最重要的研究课题之一。这些细胞来源于正常细胞、成体干细胞或肿瘤性癌细胞。它们表达胚胎干细胞标志物,如 OCT4、SOX2 和 NANOG,并可在体外和体内分化为成人的所有组织类型。然而,细胞群体的致瘤性、免疫原性和异质性可能会阻碍该方法在医学治疗中的应用。癌症形成的风险取决于多能干细胞向癌细胞转化过程中这些干性基因的突变,以及干细胞龛位的微环境在遗传和表观遗传水平上的改变。最近的报告表明,使用化学物质可以诱导来自人成纤维细胞的诱导多能干细胞(iPSCs)的产生,这是一种安全、简便且临床级别的制造策略,可用于改变再生治疗所需的人细胞的命运。该策略是重编程治疗临床应用的未来途径之一。因此,本综述强调了最近在降低 iPSCs 或 iPSC 衍生类器官的致瘤风险、提高 iPSC 细胞制备的安全性以及将其应用于治疗益处方面的研究进展。