May 4, 2001
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Bone marrow stem cells can transform into lung, liver

by Michael O'Leary

SEATTLE -- May 4, 2001 (Cancer Digest) -- Researchers have shown for the first time that transplanted bone marrow stem cells can not only reconstitute bone marrow, but also may play a role in healing specialized cells lining the intestines, lung and skin.

The study, done in mice, is the first evidence that stem cells in bone marrow can generate other tissues and organs.

A research team led by Dr. Saul Sharkis, director of Johns Hopkins Oncology Center, in collaboration with colleagues at Yale University School of Medicine, reported the findings in the May 4, 2001, issue of Cell. He says the results hold promise for repairing tissues damaged by disease or certain treatments.

"This study suggests that an infusion of stem cells after toxic cancer treatments may be able to repair damaged tissue throughout the body," Sharkis said in a prepared statement. "These cells might even serve as treatments for a variety of diseases characterized by tissue and organ damage, such as diabetes and cystic fibrosis."

A stem cell holds a unique property among cells in the body. When it divides, it produces two types of cells, rather than identical copies of itself. One daughter cell remains a stem cell, while the other matures into a specialized cell type needed in that part of the body.

Researchers thought, until recently, that stem cells in bone marrow would only divide to form a new bone marrow stem cell, and a cell that would develop into one of the many specialized cell types that make up the blood and immune systems. Likewise, stem cells found in other tissues in the body that need to be continually replenished, such as skin, were thought to be capable of generating only the cell types needed for skin.

In the National Institutes of Health-funded study, the researchers treated female mice with high doses of radiation, which destroyed the bone marrow and the lining of tissues and organs such as the intestine and lung.

They then transplanted each mouse with a single purified bone marrow stem cell from a male mouse that had been tagged with a fluorescent dye, allowing investigators to track and recover cells made by the single transplanted stem cell after transplantation.

In all five female mice, they found the male chromosome not only in the bone marrow and blood, as expected, but also in tissue lining the lungs, esophagus, stomach, small and large intestine, liver and skin.

The findings surprised researchers, says co-author Dr. Diane Krause, assistant professor of laboratory medicine and pathology at Yale University School of Medicine.

"It's astounding that there are cells in our bone marrow that can become so many different cell types," said Krause. "The challenges now are to elucidate how these changes occur and to harness these findings to develop therapies for many different human diseases and injuries."

How the finding affects the national debate surrounding research into embryonic stem cells remains to be seen. For her part, Krause stressed only continued research into both adult-derived stem cells and embryonic stem cells will be able to answer the question of whether they are functionally the same.

"Because this field is very much in its infancy, we need to keep working with embryonic stem cells. Our findings are very exciting, but, in order for the field of stem cell research to move ahead, work on both embryonic and adult-derived stem cells needs to be pursued," she said.


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