Regenerative Medicine: Induced Pluripotent Stem Cells (iPSCs)

Don’t let the name scare you, these cells start as any cell type and are forced to become embryonic stem cell like cells. A starting cell type such as a skin fibroblast (tissue cell) is given a few genes to reprogram them and give them the properties of an embryonic stem cell which are self-renewal (immortality) and pluripotency (can differentiate into any body cell). The main advantage of this cell type is the improved ethics when compared to embryonic stem cells as no embryo is destroyed during their production. Ideally the iPSC will resemble an embryonic stem cell very closely and stay that way however this is easier said than done.

Four main genes are used to reprogram the starting cell types which are SOX2, Oct4, c-Myc and Klf4. These genes are delivered in any different ways such as using viruses, microinjection or chemical transformation (using chemicals to induce uptake of surrounding DNA). These genes can also have negative effects; c-Myc in particular increases cell proliferation (growth and division) and therefore gives a cell cancer like characteristics. Additionally the reprogramming process requires heavy manipulation and growth outside the body (in vitro) which changes the cell overtime to make it less stable and more likely to have deleterious mutations.

The reprogramming process is continually being refined and improved so iPSCs have great potential in the future however currently the most effective method uses viruses and therefore these cannot be given to humans due to possible pathogen transmission and immune rejection. iPSCs may replace embryonic stem cells and be capable of treating many diseases and regrow damaged or defective tissues.

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