Breakthrough of 2008 - Reprogramming
January 26, 2009 by Aaron Cheung
In December 2008, the scientific journal Science, named the incredible process of stem cell reprogramming breakthrough of the year 2008. Reprogramming is the reversal of the state of a somatic cell (i.e. a differentiated cell or a cell that has become a skin cell or kidney cell) back to a state reminiscent to that of a pluripotent state (i.e. an embryonic stem cell).
Long before Science named reprogramming breakthrough of the year, reprogramming had already been shown possible when pluripotent stem cells were made by other processes such as cell-cell fusion where a somatic cell was fused with an embryonic stem cell and the resulting “hybrid” exhibited embryonic traits.
Another process is somatic cell nuclear transfer (SCNT) where the nucleus of a somatic cell is transferred into an enucleated oocyte (oocyte that lacks a nucleus) and the resulting cell is able to become a pluripotent stem cell. In fact, SCNT was how the first mammal, Dolly the sheep, was cloned by Dr Ian Wilmut at the Roslin Institute in UK (reported in scientific journal Science in February 1997). As promising as these studies were, both these processes had severe limitation as cell-cell fusion created pluripotent stem cells that had the wrong number of chromosomes, and SCNT required the use of oocytes which led to ethical concerns.
However, the reprogramming that Science considered being a breakthrough was first brought to light by Dr. Shinya Yamanaka at the Kyoto University (reported in scientific journal Cell in August 2006). Dr. Yamanaka hypothesized that during cell-cell fusion or SCNT, there must be something in the environment of the pluripotent stem cell (in cell-cell fusion) or the oocyte (in SCNT) that causes the differentiated nucleus to return back to a pluripotent state. He hypothesized that the “something in the environment” are transcription factors, proteins that transcribe genes into transcripts.
For that reason, Dr. Yamanaka screened 24 transcription factors that he thought were important in pluripotent stem cells. To his surprise, when he introduced all 24 transcription factors into mouse fibroblasts, they reprogrammed to an embryonic state, which he called induced Pluripotent Stem (iPS) cells. He then very systematically narrowed the 24 transcription factors down to the 4 minimally needed transcription factors (Oct4, Sox2, Klf4, and c-Myc) also known as the “Yamanaka Factors” in the scientific community.
Little over a year later, Dr. Yamanaka repeated this incredible feat in the human system where he was able to generate human iPS cells from human fibroblasts by using the same original Yamanaka Factors (reported in scientific journal Cell in November 2007). This work took the stem cell community by storm as there is now a system that allows the generation of personalised pluripotent stem cell without the surrounding ethical issues related to the use of embryos (for human embryonic stem cells) and/or oocytes (for human pluripotent stem cells from SCNT – although this feat has not been achieved to date).
With the possibility to generate personalized iPS cells, the potential in regenerative medicine is huge. Personalized iPS cells will allow us to generate disease-specific iPS cells from patients to model human diseases which I have blogged in my last two blogs. Personalized iPS cells will allow one to perform drug screens that are specific for each patient. Finally, one day, personalised iPS cells can be used in cell therapy such that patient will be treated using their own cells such that immune rejection will not be an issue.
However, many obstacles still need to be overcome, for example, the current method of delivering the Yamanaka Factors require the use of viruses which integrate randomly into our genome which may cause oncogenic transformation leading to tumor formation. Scientists hypothesize that iPS cells will one day be able to be generated without the use of viruses such as by using chemicals. This has already been done in mouse iPS cells which I have blogged about previously. It will be a matter of time before this is achieved in human iPS cells too.
As a graduate student who started merely after a month on the achievement of human iPS cells, it was truly a blessing to have the opportunity to work in this exciting field and to see how fast this field has been growing since its birth. Not only has iPS cell field impacted the stem cell community; it is also being introduced in undergraduate studies as I am also a TA at the University of Toronto. For the first tutorial of an Introductory Genetics course; students were instructed to read about the breakthrough of the year article in Science.
Since the first human embryonic stem cells isolated back in 1998 by Dr. James Thomson at the University of Wisconsin (reported in scientific journal Science in November 1998), stem cell scientists have come a long way to generate personalized pluripotent stem cells for its use in regenerative medicine, with the discovery of cell-cell fusion, SCNT, and now reprogramming using the Yamanaka factors. Only time will tell where the iPS field will lead us to.
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