Regenerative Medicine: Adult Stem Cells

As the name suggests adult stem cells are found throughout the adult body occupying their own little environments called stem cell niches. A stem cell niche is a highly controlled environment that’s designed to stop stem cells differentiating into other cell types, maintain a population of stem cells and also allow a response to injury via endogenous signalling. A common example of a stem cell niche can be found within bone where haematopoietic stem cells and mesenchymal stem cells (Image) reside.  Adult stem cells are far more ethically acceptable than using human embryonic stem cells but unfortunately are more limited in their use.

Human embryonic stem cells can differentiate into any body cell whereas adult stem cells are restricted to a few differentiation pathways each (Multipotent) depending on the starting stem cell, for example, mesenchymal stem cells have a tri-lineage differentiation ability where they can give rise to only osteogenic (bone), chondrogenic (cartilage) and adipogenic (fat) tissues. However the abilities and identity of mesenchymal stem cells is still a matter of debate between biomedical scientists.

Adult stem cells are usually autologous (donated and received by the same individual) so no immune rejection occurs however a major limitation of adult stem cells is a marked decline in population with age, therefore as an individual ages less stem cells are available for collection in a clinical setting. Currently they have been used to treat many diseases with some success such as the use of mesenchymal stem cells given intravenously to treat myocardial infarction but their potential is yet to be realised.

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