Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem...

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Stem Cells and Cancer THERAPEUTIC CLONING ORGANISM CLONING Nuclear transfer oocyte Donor cell Nuclear Transfer Reproductive cloning Blastocyst NT to create patient-specific ES cells Inner Cell Mass Customized patient-specific ES cell G. Daley Potential therapeutic uses of stem cells Transplantation of bone marrow for muscular dystrophies Direct injection of bone marrow stem cells for cardiac regeneration Bone marrow injections for neurodegenerative diseases

Transcript of Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem...

Page 1: Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem cells ¥Acute myeloid leukemia: CD34 + CD38neg cells are tumor initiating (only

Stem Cells and CancerTHERAPEUTIC CLONING

ORGANISM CLONING

Nuclear transfer

oocyteDonor

cell

Nuclear

Transfer

Reproductive cloning

Blastocyst

NT to create patient-specific ES cells

Inner

Cell Mass

Customized patient-specific

ES cell

G. Daley

Potential therapeutic uses of stem cells

• Transplantation of bone marrow for

muscular dystrophies

• Direct injection of bone marrow stem cells

for cardiac regeneration

• Bone marrow injections for

neurodegenerative diseases

Page 2: Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem cells ¥Acute myeloid leukemia: CD34 + CD38neg cells are tumor initiating (only

What are stem cells?

Units of development and regeneration

Stem cell

Differentiated cell

Liver, blood, nerve

What are stem cells?

Units of development and regeneration

Why are stem cells unique?

1. They are unspecialized

2. The can produce more stem cells

3. They can produce specialized cells

Liver

Gut

Pancreas

Blood

Muscle

Bone

Nervous system

Skin

Differentiation

Human development: a stem cell hierarchy

Endoderm

Mesoderm

Ectoderm

Embryonic

stem cells

Developmental potential

Page 3: Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem cells ¥Acute myeloid leukemia: CD34 + CD38neg cells are tumor initiating (only

HSC

Thymus

T cells

B cells

NK cells

Neutrophil

Eosinophil

Erythrocyte

Megakaryocyte

Mast cell

Macrophage

Differentiation

Developmental potential

Developmental hierarchies:

the hematopoietic system Embryonic versus adult

• Isolated from early

embryos

• Can expand

indefinitely in culture

• Can give rise to all

cell types

• Isolated from adult

human tissue

• Can not be

expanded in culture

• Can only give rise to

same tissue

Nuclear transfer

oocyteDonor

cell

Nuclear

Transfer

Reproductive cloning

Blastocyst

NT to create patient-specific ES cells

Inner

Cell Mass

Customized patient-specific

ES cell

G. Daley

WHY ORGANISM CLONING MIGHT NOT WORK

1. TECHNICAL REASONS---

2. GENES OR CHROMOSOMES ARE LOST OR CHANGED IN

DEVELOPMENT

Page 4: Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem cells ¥Acute myeloid leukemia: CD34 + CD38neg cells are tumor initiating (only

CH 3

5- methylcytosine

DNA IS MODIFIED DURING DEVELOPMENT

IN HUMAN FEMALES ONE X INACTIVATED IN DEVELOPMENT

Nuclear transfer

oocyteDonor

cell

Nuclear

Transfer

Reproductive cloning

Blastocyst

NT to create patient-specific ES cells

Inner

Cell Mass

Customized patient-specific

ES cell

G. Daley

Page 5: Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem cells ¥Acute myeloid leukemia: CD34 + CD38neg cells are tumor initiating (only

Rudolf Jaenisch

Potential therapeutic uses of stem cells

• Transplantation of bone marrow for

muscular dystrophies

• Direct injection of bone marrow stem cells

for cardiac regeneration

• Bone marrow injections for

neurodegenerative diseases

Page 6: Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem cells ¥Acute myeloid leukemia: CD34 + CD38neg cells are tumor initiating (only

Nuclear transfer

oocyteDonor

cell

Nuclear

Transfer

Reproductive cloning

Blastocyst

NT to create patient-specific ES cells

Inner

Cell Mass

Customized patient-specific

ES cell

G. Daley

Cancer as a stem cell disease?

• Low clonogenic ability of tumors in vitro

• Most tumors are morphologically

heterogeneous

Models of cancer cell growth

Stochastic Model

Cancer Cancer Cancer

Stem Cell Model

Cancer NORMAL

Experimental evidence of

cancer stem cells

• Acute myeloid leukemia: CD34+ CD38neg cells

are tumor initiating (only 0.1% of total tumor

cells)

• Breast cancer: CD44+CD24neg (2% of all tumor

cells)

• Brain cancer: CD133+ (~20% of all tumor cells)

Page 7: Stem Cells and Bone marrow injections for Cancerweb.mit.edu/7.03/documents/LECTURE36.pdfcancer stem cells ¥Acute myeloid leukemia: CD34 + CD38neg cells are tumor initiating (only