Abstract
Hematopoietic stem cells isolated from bone marrow (BM), mobilized peripheral blood (mPB), and umbilical cord blood (UCB) have been employed for many years as sources of stem cells for hematopoietic transplants. Based on this encouraging experience, regenerative medicine is searching for stem cells that can be safely and efficiently employed for regeneration of damaged solid organs (e.g., heart, brain, or liver). Ideal for this purpose would be pluripotent stem cells (PSCs), which, according to their definition, have broad potential to differentiate into cells from all three germ layers (meso-, ecto-, and endoderm). Based on encouraging data in experimental animals, several types of stem cells isolated from embryonic and adult tissues have been proposed for solid organ regeneration, with some showing promise for treating patients. In this chapter, we will discuss the current status of different types of stem cells that have potential application in regenerative medicine.
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References
Popiela T (2003) Medycyna kliniczna na progu trzeciego millenium—refleksje osobiste. Adv Clin Exp Med 12:405–408
O’Farrell PH, Stumpff J, Su TT (2004) Embryonic cleavage cycles: how is a mouse like a fly? Curr Biol 14:35–45
Moore KA, Lemischka IR (2006) Stem cells and their niches. Science 311:1880–1884
Alison MR, Islam S (2009) Attributes of adult stem cells. J Pathol 217:144–160
Kucia M, Ratajczak J, Ratajczak MZ (2005) Are bone marrow stem cells plastic or heterogenous—that is the question. Exp Hematol 33:613–623
Lo B, Kriegstein A, Grady D (2008) Clinical trials in stem cell transplantation: guidelines for scientific and ethical review. Clin Trials 5:517–522
Lo B, Zettler P, Cedars MI, Gates E, Kriegstein AR, Oberman M et al (2005) A new era in the ethics of human embryonic stem cell research. Stem Cells 23:1454–1459
Hipp J, Atala A (2008) Sources of stem cells for regenerative medicine. Stem Cell Rev 4:3–11
Leedham SJ, Brittan M, McDonald SAC, Wright NA (2005) Intestinal stem cells. J Cell Mol 9:11–24
Ratajczak MZ (2008) Phenotypic and functional characterization of hematopoietic stem cells. Curr Opin Hematol 15:293–300
Lo Celso C, Scadden D (2007) Isolation and transplantation of hematopoietic stem cells (HSCs). J Vis Exp 4:157–162
Prockop DJ (1997) Marrow stromal cells as stem cells for nonhematopoietic tissues. Science 276:71–74
Stocum DL, Zupanc GK (2008) Stretching the limits: stem cells in regeneration science. Dev Dyn 237:3648–3671
Zhu WZ, Hauch KD, Xu C, Laflamme MA (2009) Human embryonic stem cells and cardiac repair. Transplant Rev 23:53–68
Cabrera CM, Cobo F, Nieto A, Concha A (2006) Strategies for preventing immunologic rejection of transplanted human embryonic stem cells. Cytotherapy 8:517–518
Blum B, Benvenisty N (2008) The tumorigenicity of human embryonic stem cells. Adv Cancer Res 100:133–158
Andrews PW, Matin MM, Bahrami AR, Damjanov I, Gokhale P, Draper JS (2005) Embryonic stem (ES) cells and embryonal carcinoma (EC) cells: opposite sides of the same coin. Biochem Soc Trans 33:1526–1530
Hwang WS, Lee BC, Lee CK, Kang SK (2005) Cloned human embryonic stem cells for tissue repair and transplantation. Stem Cell Rev 1:99–109
Yang X, Smith SL, Tian XC, Lewin HA, Renard JP, Wakayama T (2007) Nuclear reprogramming of cloned embryos and its implications for therapeutic cloning. Nat Genet 39:295–302
McHugh PR (2004) Zygote and ‘‘clonote’’ - the ethical use of embryonic stem cells. N Engl J Med 351:209–211
Tachibana M, Amato P, Sparman M, Gutierrez NM, Tippner-Hedges R, Ma H et al (2013) Human embryonic stem cells derived by somatic cell nuclear transfer. Cell 153:1228–1238
Green RM (2007) Can we develop ethically universal embryonic stem-cell lines? Nat Rev Genet 8:480–485
Tsunoda Y, Kato Y (2002) Recent progress and problems in animal cloning. Differentiation 69:158–161
Takahashi K, Yamanaka S (2006) Induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors. Cell 126:663–676
Kim JB, Sebastiano V, Wu G, Araúzo-Bravo MJ, Sasse P, Gentile L et al (2009) Oct4-induced pluripotency in adult neural stem cells. Cell 136:411–419
Okita K, Nakagawa M, Hyenjong H, Ichisaka T, Yamanaka S (2008) Generation of mouse induced pluripotent stem cells without viral vectors. Science 322:949–953
Obokata H, Wakayama T, Sasai Y, Kojima K, Vacanti MP, Niwa H (2014) Stimulus-triggered fate conversion of somatic cells into pluripotency. Nature 505:641–647
Obokata H, Sasai Y, Niwa H, Kadota M, Andrabi M, Takata N et al (2014) Bidirectional developmental potential in reprogrammed cells with acquired pluripotency. Nature 505:676–680
Ronen D, Benvenisty N (2012) Genomic stability in reprogramming. Curr Opin Genet Dev 22:444–449
Mezey E, Chandross KJ, Harta G, Maki RA, McKercher SR (2000) Turning blood into brain: cells bearing neuronal antigens generated in vivo from bone marrow. Science 290:1779–1782
Quesenberry PJ, Abedi M, Aliotta J, Colvin G, Demers D, Dooner M et al (2004) Stem cell plasticity: an overview. Blood Cells Mol Dis 32:1–4
Orlic D, Kajstura J, Chimenti S, Jakoniuk I, Anderson SM, Li B et al (2001) Bone marrow cells regenerate infarcted myocardium. Nature 410:701–705
Hess DC, Abe T, Hill WD, Studdard AM, Carothers J, Masuya M et al (2004) Hematopoietic origin of microglial and perivascular cells in brain. Exp Neurol 186:134–144
Corti S, Locatelli F, Donadoni C, Strazzer S, Salani S, Del Bo R et al (2002) Neuroectodermal and microglial differentiation of bone marrow cells in the mouse spinal cord and sensory ganglia. J Neurosci Res 70:721–733
Petersen BE, Bowen WC, Patrene KD, Mars WM, Sullivan AK, Murase N et al (1999) Bone marrow as a potential source of hepatic oval cells. Science 284:1168–1170
Mezey E, Chandross KJ (2000) Bone marrow: a possible alternative source of cells in the adult nervous system. Eur J Pharmacol 405:297–302
Prockop DJ (2003) Further proof of the plasticity of adult stem cells and their role in tissue repair. J Cell Biol 160:807–809
Wagers AJ, Weissman IL (2004) Plasticity of adult stem cells. Cell 116:639–648
Murry CE, Soonpaa MH, Reinecke H, Nakajima H, Nakajima HO, Rubart M et al (2004) Haematopoietic stem cells do not transdifferentiate into cardiac myocytes in myocardial infarcts. Nature 428:664–668
Castro RF, Jackson KA, Goodell MA, Robertson CS, Liu H, Shine HD (2002) Failure of bone marrow cells to transdifferentiate into neural cells in vivo. Science 297:1299
Lucas JJ, Terada N (2003) Cell fusion and plasticity. Cytotechnology 41:103–109
Vassilopoulos G, Russell DW (2003) Cell fusion: an alternative to stem cell plasticity and its therapeutic implications. Curr Opin Genet Dev 13:480–485
Scott EW (2004) Stem cell plasticity or fusion: two approaches to targeted cell therapy. Blood Cells Mol Dis 32:65–67
Eisenberg LM, Eisenberg CA (2003) Stem cell plasticity, cell fusion, and transdifferentiation. Birth Defects Res C Embryo Today 69:209–218
Janowska-Wieczorek A, Majka M, Kijowski J, Baj-Krzyworzeka M, Reca R, Turner AR et al (2001) Platelet- derived microparticles bind to hematopoietic stem/progenitor cells and enhance their engraftment. Blood 98:3143–3149
Ratajczak J, Wysoczynski M, Hayek F, Janowska-Wieczorek A, Ratajczak MZ (2006) Membrane-derived microvesicles: important and underappreciated mediators of cell-to-cell communication. Leukemia 20:1487–1495
Ratajczak MZ, Kucia M, Reca R, Majka M, Janowska-Wieczorek A, Ratajczak J (2004) Stem cell plasticity revisited: CXCR4-positive cells expressing mRNA for early muscle, liver and neural cells ’hide out’ in the bone marrow. Leukemia 18:29–40
Kucia M, Reca R, Campbell FR, Zuba-Surma E, Majka M, Ratajczak J et al (2006) A population of very small embryonic-like (VSEL) CXCR4(+) SSEA-1(+)Oct-4+  stem cells identified in adult bone marrow. Leukemia 20:857–869
McGuckin CP, Forraz N, Baradez MO, Navran S, Zhao J, Urban R et al (2005) Production of stem cells with embryonic characteristics from human umbilical cord blood. Cell Prolif 38:245–255
McGuckin C, Jurga M, Ali H, Strbad M, Forraz N (2008) Culture of embryonic-like stem cells from human umbilical cord blood and onward differentiation to neural cells in vitro. Nat Protoc 3:1046–1055
Howell JC, Lee WH, Morrison P, Zhong J, Yoder MC, Srour EF (2003) Pluripotent stem cells identified in multiple murine tissues. Ann N Y Acad Sci 996:158–173
Ratajczak J, Zuba-Surma E, Klich I, Liu R, Wysoczynski M, Greco N et al (2011) Hematopoietic differentiation of umbilical cord blood-derived very small embryonic/epiblast-like stem cells. Leukemia 25:1278–1285
Ratajczak MZ, Zuba-Surma EK, Wojakowski W, Ratajczak J, Kucia M (2008) Bone marrow-home of versatile stem cells. Transfus Med Hemother 35:248–259
Kassmer SH, Krause DS (2013) Very small embryonic like cells: biology and function of these potential endogenous pluripotent stem cells in adult tissues. Mol Reprod Dev 80:677–690
Virant-Klun I, Stimpfel M, Cvjeticanin B, Vrtacnik-Bokal E, Skutella T (2013) Small SSEA-4-positive cells from human ovarian cell cultures: related to embryonic stem cells and germinal lineage? J Ovarian Res 6:24
Anjos-Afonso F, Bonnet D (2007) Nonhematopoietic/endothelial SSEA-1+cells define the most primitive progenitors in the adult murine bone marrow mesenchymal compartment. Blood 109:1298–1306
Cesselli D, Beltrami AP, Rigo S, Bergamin N, D’Aurizio F, Verardo R et al (2009) Multipotent progenitor cells are present in human peripheral blood. Circ Res 104:1225–1234
Kajstura J, Rota M, Hall SR, Hosoda T, D’Amario D, Sanada F et al (2011) Evidence for human lung stem cells. N Engl J Med 364:1795–1806
Atari M, Barajas M, Hernandez-Alfaro F, Gil C, Fabregat M, Ferres Padro E et al (2011) Isolation of pluripotent stem cells from human third molar dental pulp. Histol Histopathol 26:1057–1070
Wang X, Ouyang H, Yamamoto Y, Kumar PA, Wei TS, Dagher R et al (2011) Residual embryonic cells as precursors of a Barrett’s-like metaplasia. Cell 145:1023–1035
d’Aquino R, Tirino V, Desiderio V, Studer M, De Angelis GC, Laino L et al (2011) Human neural crest-derived postnatal cells exhibit remarkable embryonic attributes either in vitro or in vivo. Eur Cell Mater 21:304–316
Andreadis D, Bakopoulou A, Leyhausen G, Epivatianos A, Volk J, Markopoulos A et al (2013) Minor salivary glands of the lips: a novel, easily accessible source of potential stem/progenitor cells. Clin Oral Investig [Epub ahead of print]. doi:10.1007/s00784-013-1056-6
Roy S, Gascard P, Dumont N, Zhao J, Pan D, Petrie S et al (2013) Rare somatic cells from human breast tissue exhibit extensive lineage plasticity. Proc Natl Acad Sci U S A 110:4598–4603
Murrell W, Palmero E, Bianco J, Stangeland B, Joel M, Paulson L et al (2013) Expansion of multipotent stem cells from the adult human brain. PLoS ONE 8:e71334
Stimpfel M, Skutella T, Cvjeticanin B, Meznaric M, Dovc P, Novakovic S et al (2013) Isolation, characterization and differentiation of cells expressing pluripotent/multipotent markers from adult human ovaries. Cell Tissue Res 354:593–607
Dyce PW, Liu J, Tayade C, Kidder GN, Betts DH, Li J (2011) In vitro and in vivo germ line potential of stem cells derived from newborn mouse skin. PLoS ONE 6:e20339
Song SH, Kumar BM, Kang EJ, Lee YM, Kim TH, Ock SA et al (2011) Characterization of porcine multipotent stem/stromal cells derived from skin, adipose, and ovarian tissues and their differentiation in vitro into putative oocyte-like cells. Stem Cells Dev 20:1359–1370
Shirazi R, Zarnani AH, Soleimani M, Abdolvahabi MA, Nayernia K, Ragerdi Kashani I (2012) BMP4 can generate primordial germ cells from bone-marrow-derived pluripotent stem cells. Cell Biol Int 36:1185–1193
Johnson J, Bagley J, Skaznik-Wikiel M, Lee HJ, Adams GB, Niikura Y et al (2005) Oocyte generation in adult mammalian ovaries by putative germ cells in bone marrow and peripheral blood. Cell 122:303–315
Selesniemi K, Lee HJ, Niikura T, Tilly JL (2009) Young adult donor bone marrow infusions into female mice postpone age-related reproductive failure and improve offspring survival. Aging 1:49–57
Nayernia K, Lee JH, Drusenheimer N, Nolte J, Wulf G, Dressel R et al (2006) Derivation of male germ cells from bone marrow stem cells. Lab Invest 86:654–663
Heo YT, Lee SH, Yang JH, Kim T, Lee HT (2011) Bone marrow cell-mediated production of transgenic chickens. Lab Invest 91:1229–1240
Hua J, Yu H, Dong W, Yang C, Gao Z, Lei A et al (2009) Characterization of mesenchymal stem cells (MSCs) from human fetal lung: potential differentiation of germ cells. Tissue Cell 41:448–455
Beltrami AP, Cesselli D, Bergamin N, Marcon P, Rigo S, Puppato E et al (2007) Multipotent cells can be generated in vitro from several adult human organs (heart, liver, and bone marrow). Blood 110:3438–3446
Jiang Y, Jahagirdar BN, Reinhardt RL, Schwartz RE, Keene CD, Ortiz-Gonzalez XR et al (2002) Pluripotency of mesenchymal stem cells derived from adult marrow. Nature 418:41–49
Jiang Y, Vaessen B, Lenvik T, Blackstad M, Reyes M, Verfaillie CM (2002) Multipotent progenitor cells can be isolated from postnatal murine bone marrow, muscle, and brain. Exp Hematol 30:896–904
Kogler G, Sensken S, Airey JA, Trapp T, Muschen M, Feldhahn N et al (2004) A new human somatic stem cell from placental cord blood with intrinsic pluripotent differentiation potential. J Exp Med 200:123–135
D’Ippolito G, Diabira S, Howard GA, Menei P, Roos BA, Schiller PC (2004) Marrow-isolated adult multilineage inducible (MIAMI) cells, a unique population of postnatal young and old human cells with extensive expansion and differentiation potential. J Cell Sci 117:2971–2981
Ratajczak MZ, Zuba-Surma E, Kucia M, Poniewierska A, Suszynska M, Ratajczak J (2012) Pluripotent and multipotent stem cells in adult tissues. Adv Med Sci 57:1–17
Jones RJ, Collector MI, Barber JP, Vala MS, Fackler MJ, May WS et al (1996) Characterization of mouse lymphohematopoietic stem cells lacking spleen colony-forming activity. Blood 88:487–491
Kassmer SH, Jin H, Zhang PX, Bruscia EM, Heydari K, Lee JH et al (2013) Very small embryonic-like stem cells from the murine bone marrow differentiate into epithelial cells of the lung. Stem Cells [Epub ahead of print]. doi:10.1002/stem.1413
Wu JH, Wang HJ, Tan YZ, Li ZH (2012) Characterization of rat very small embryonic-like stem cells and cardiac repair after cell transplantation for myocardial infarction. Stem Cells Dev 21:1367–1379
Kuroda Y, Wakao S, Kitada M, Murakami T, Nojima M, Dezawa M (2013) Isolation, culture and evaluation of multilineage-differentiating stress-enduring (Muse) cells. Nat Protoc 8:1391–1415
Wakao S, Kitada M, Kuroda Y, Shigemoto T, Matsuse D, Akashi H et al (2011) Multilineage-differentiating stress-enduring (Muse) cells are a primary source of induced pluripotent stem cells in human fibroblasts. Proc Natl Acad Sci U S A 108:9875–9880
Le Blanc K, Pittenger M (2005) Mesenchymal stem cells: progress toward promise. Cytotherapy 7:36–45
Vacanti MP, Roy A, Cortiella J, Bonassar L, Vacanti CA (2001) Identification and initial characterization of spore-like cells in adult mammals. J Cell Biochem 80:455–460
Li L, Clevers H (2010) Coexistence of quiescent and active adult stem cells in mammals. Science 327:542–545
Kucia M, Wysoczynski M, Ratajczak J, Ratajczak MZ (2008) Identification of very small embryonic like (VSEL) stem cells in bone marrow. Cell Tissue Res 331:125–134
Zuba-Surma EK, Kucia M, Wu W, Klich I, Lillard JW, Ratajczak J et al (2008) Very small embryonic-like stem cells are present in adult murine organs: ImageStream-based morphological analysis and distribution studies. Cytometry A 73A:1116–1127
Wojakowski W, Tendera M, Kucia M, Zuba-Surma E, Paczkowska E, Ciosek J et al (2009) Mobilization of bone marrow-derived Oct-4 +SSEA-4 + very small embryonic-like stem cells in patients with acute myocardial infarction. J Am Coll Cardiol 53:1–9
Paczkowska E, Kucia M, Koziarska D, Halasa M, Safranow K, Masiuk M et al (2009) Clinical evidence that very small embryonic-like stem cells are mobilized into peripheral blood in patients after stroke. Stroke 40:1237–1244
Marlicz W, Zuba-Surma E, Kucia M, Blogowski W, Starzynska T, Ratajczak MZ (2012) Various types of stem cells, including a population of very small embryonic-like stem cells, are mobilized into peripheral blood in patients with Crohn’s disease. Inflamm Bowel Dis 18:1711–1722
Drukala J, Paczkowska E, Kucia M, Mlynska E, Krajewski A, Machalinski B et al (2012) Stem cells, including a population of very small embryonic-like stem cells, are mobilized into peripheral blood in patients after skin burn injury. Stem Cell Rev 8:184–194
Krause DS, Theise ND, Collector MI, Henegariu O, Hwang S, Gardner R et al (2001) Multi-organ, multi-lineage engraftment by a single bone marrow-derived stem cell. Cell 105:369–377
Jones RJ, Wagner JE, Celano P, Zicha MS, Sharkis SJ (1990) Separation of pluripotent haematopoietic stem cells from spleen colony-forming cells. Nature 347:188–189
Kassmer SH, Bruscia EM, Zhang PX, Krause DS (2012) Nonhematopoietic cells are the primary source of bone marrow-derived lung epithelial cells. Stem Cells 30:491–499
Virant-Klun I, Zech N, Rozman P, Vogler A, Cvjeticanin B, Klemenc P et al (2008) Putative stem cells with an embryonic character isolated from the ovarian surface epithelium of women with no naturally present follicles and oocytes. Differentiation 76:843–856
Parte S, Bhartiya D, Telang J, Daithankar V, Salvi V, Zaveri K et al (2011) Detection, characterization, and spontaneous differentiation in vitro of very small embryonic-like putative stem cells in adult mammalian ovary. Stem Cells Dev 20:1451–1464
Virant-Klun I, Skutella T, Hren M, Gruden K, Cvjeticanin B, Vogler A et al (2013) Isolation of small SSEA-4-positive putative stem cells from the ovarian surface epithelium of adult human ovaries by two different methods. Biomed Res Int 2013:690415
Bhartiya D, Kasiviswananthan S, Shaikh A (2012) Cellular origin of testis-derived pluripotent stem cells: a case for very small embryonic-like stem cells. Stem Cells Dev 21:670–674
Bhartiya D, Unni S, Parte S, Anand S (2013) Very small embryonic-like stem cells: implications in reproductive biology. Biomed Res Int 2013:682326
Bhartiya D, Shaikh A, Nagvenkar P, Kasiviswanathan S, Pethe P, Pawani H et al (2012) Very small embryonic-like stem cells with maximum regenerative potential get discarded during cord blood banking and bone marrow processing for autologous stem cell therapy. Stem Cells Dev 21:1–6
Halasa M, Baskiewicz-Masiuk M, Dabkowska E, Machalinski B (2008) An efficient two-step method to purify very small embryonic-like (VSEL) stem cells from umbilical cord blood (UCB). Folia Histochem Cytobiol 46:239–243
Sovalat H, Scrofani M, Eidenschenk A, Pasquet S, Rimelen V, Henon P (2011) Identification and isolation from either adult human bone marrow or G-CSF-mobilized peripheral blood of CD34(+)/CD133(+)/CXCR4(+)/Lin(-)CD45(-) cells, featuring morphological, molecular, and phenotypic characteristics of very small embryonic-like (VSEL) stem cells. Exp Hematol 39:495–505
Havens AM, Shiozawa Y, Jung Y, Sun H, Wang J, McGee S et al (2013) Human very small embryonic-like cells generate skeletal structures, in vivo. Stem Cells Dev 22:622–630
Mikhail MA, M’Hamdi H, Welsh J, Levicar N, Marley SB, Nicholls JP et al (2008) High frequency of fetal cells within a primitive stem cell population in maternal blood. Hum Reprod 23:928–933
Habich A, Jurga M, Markiewicz I, Lukomska B, Bany-Laszewicz U, Domanska-Janik K (2006) Early appearance of stem/progenitor cells with neural-like characteristics in human cord blood mononuclear fraction cultured in vitro. Exp Hematol 34:914–925
Kucia M, Halasa M, Wysoczynski M, Baskiewicz-Masiuk M, Moldenhawer S, E Z-S (2007) Morphological and molecular characterization of novel population of CXCR4+SSEA-4+Oct-4+ very small embryonic-like cells purified from human cord blood: preliminary report. Leukemia 21:297–303
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This work was supported by NIH grants 2R01 DK074720 and R01HL112788, the Stella and Henry Endowment, and Maestro grant 2011/02/A/NZ4/00035 to MZR.
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Ratajczak, M. (2014). Regenerative Medicine and the Search for Pluripotent/Multipotent Stem Cells. In: Ratajczak, M. (eds) Adult Stem Cell Therapies: Alternatives to Plasticity. Stem Cell Biology and Regenerative Medicine. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1001-4_1
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