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STEM CELLS IN
 REGENERATIVE THERAPY
                       PRESENTED BY
                       B.RAGHAVENDRA
                      UNDER THE GUIDANCE OF
       Asst PROFESSOR A.SWAPNA Mtech (Bio-tech)




                                           Page 1
STEM CELL
  Primitive cell with a very
high potential and infinite
ability of self –renewal and
differentiation into other
cell types

                       Page 2
Symmetrical cell division



           Self
         renewal




                       Page 3
Asymmetrical cell division




                       Page 4
STEM CELL TYPE   DESCRIPTION             EXAMPLE

                 Each cell can
                                         Cells from early (1-3
Totipotent       develop into a new
                                         days) embryos
                 individual

                                         Some cells of
                 Cells can form any
Pluripotent                              blastocyst (5 to 14
                 (over 200) cell types
                                         days)
                 Cells differentiated,
                                         Fetal tissue, cord
                 but can form a
Multipotent                              blood, and adult
                 number of other
                                         stem cells
                 tissues


                                                       Page 5
CLONING
Somatic cell nuclear transfer




                         Page 6
Page 7
Page 8
Page 9
Page 10
Page 11
Page 12
Page 13
Page 14
IDENTIFYING STEM CELLS


                                          In vitro


Peripheral blood




 Colony forming units




                   Erythroid stem cells              Page 15
SOURCES OF STEM CELLS
 Adult stem cells
 Embryonic stem cells
 Cord blood cells


 From adults stem cells can be collected
  mostly from brain and bone marrow.
 From embryo stem cells can be collected
  from blastocyst.


                                            Page 16
Page 17
Page 18
APPLICATIONS OF ADULT STEM CELLS AS
   Haemopoitic cells,
   Cardiac Cells
   Neuronal Cells
   Hepatocytes
   Skeletal Muscles




                                   Page 19
Page 20
APPLICATIONS OF STEM CELLS
   Neurodegenerative disorders
   Cancer
   Heart failure
   Diabetes
   Haematopoitic diseases
   Hepatocytic diseases




                                      Page 21
NEUROGENRATIVE DISORDERS
 Parkinson’s disease
 Alzheimer’s disease
 Huntington’s disease
 Amyotrophic lateral sclerosis
Parkinson’s treatment
 Due to loss of dopaminergic neurons in substantia nigra disease
   occurs
 Symptoms are muscle rigidity, resting tremor, and slowing of
   movement. Over time, patients sustain a loss of mobility and
   dysautonomia , dystonic cramps and dementia
 Cell transplantation from fetal tissues has offered some success in the
   treatment of Parkinson's disorder
   There are two principalvdifferent ways of using ESCs
   predifferentiated into DA neurons and stem or progenitorcells with
   different commitment transplanted into the striatum or SN.
                                                               Page 22
Page 23
HUNTINGTON’S DISEASE TREATMENT
HD is a fatal hereditary and neurodegenerative disease characterized by
cognitive impairment, and emotional disorder.

 HD is caused by mutation of a gene, which resulted in an abnormal
expansion of CAG-encoded polyglutamine repeats in a protein called
huntingtin (Walker, 2007). This leads to loss of medium spiny neurons
(GABAergic neurons) in the striatum
 cell transplantation serve as a hopeful strategy for reducing neural
damage and replacing the lost neurons in the HD brain
ALZHEIMER’S TREATMENT
loss of cholinergic neurons of forebrain due to formation of beta
amyloid insoluble protiens          Replacement of damged cholinergic
neurons by transplantation of developed stem cells




                                                               Page 24
subventricular zone (SVZ) and olfactory bulb and the
  dentate gyrus of the hippocampus
Types of stem cell transplants for treating cancer
 Autologous —the cells come from you
 Allogeneic —the cells come from a matched related or unrelated
   donor
 Syngeneic —the cells come from your identical twin or triplet
 In a typical stem cell transplant very high doses of chemo are used,
   often along with radiation therapy, . This treatment also kills the stem
   cells in the bone marrow. Soon after treatment, stem cells are given to
   replace those that were destroyed. These stem cells are given into a
   vein, much like a blood transfusion. Over time they settle in the bone
   marrow and begin to grow and make healthy blood cells. This process
   is called engraftment




                                                                  Page 25
Page 26
MECHANISM OF ACTION OF STEM CELLS ON
CANCER




                                       Page 27
Page 28
HEART FAILURE TREATMENT

 Hematopoietic stem cells could transdifferentiate into

  cardiomyocytes when injected in the border zone of
  infarcted myocardium, making them of particular interest
  in the treatment of cardiac disease because they represent
  a well-characterized and ample source of progenitor cells.




                                                     Page 29
Page 30
HEMATOPOIESIS




                Page 31
HEMATOPOIETIC STEM CELL




                          Page 32
THE SOURCES OF HEMATOPOIETIC STEM
               CELLS
 Bone marrow
 Peripheral blood
 Umbilical cord blood


 Use of allogeneic bone marrow transplants is in the
  treatment of hereditary blood disorders, such as different
  types of inherited anemia (failure to produce blood cells),
  and inborn errors of metabolism
 Leukemia      ,       beta-thalassemia,    globoid    cell
  leukodystrophy, sickle-cell anemia


                                                    Page 33
STEM CELLS FOR DIABETES




                     Page 34
 Production of growth factors
 Differentiation of ductal epithelium
 Replication of pre existing beta cells
 Acinar transdifferentiation




                                           Page 35
CONCLUSION

 Neurodegenrative disorders are incurable can more

  effective therapy by stem cells. Tissue damage cells can
  be replaced by stem cells




                                                  Page 36
REFERENCES
 Alison, M.R., Poulsom, R., Jeffery, R., Dhillon, A.P., Quaglia, A.,
   Jacob, J., Novelli, M., Prentice, G., Williamson, J., and Wright, N.A.
   (2000). Hepatocytes from non-hepatic adult stem cells.
   Nature. 406, 257.
 Audet, J., Miller, C.L., Rose-John, S., Piret, J.M., and Eaves, C.J.
   (2001). Distinct role of gp130 activation in promotingself-renewal
   divisions by mitogenically stimulated murine hematopoietic stem cells.
   Proc. Natl. Acad. Sci. U. S. A. 98, 1757–1762.
 Baum, C.M., Weissman, I.L., Tsukamoto, A.S., Buckle, A.M., and
   Peault, B. (1992). Isolation of a candidate human hematopoietic stem-
   cell population. Proc. Natl. Acad. Sci. U. S. A. 89, 2804–2808.
 Bittner, R.E., Schofer, C., Weipoltshammer, K., Ivanova, S., Streubel,
   B., Hauser, E., Freilinger, M., Hoger, H., Elbe-Burger, A., and
   Wachtler, F. (1999). Recruitment of bone-marrow-derived cells by
   skeletal and cardiac muscle in adult dystrophic mdx mice. Anat.
   Embryol. (Berl) 199, 391–396.
                                                                  Page 37
ha nk you
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             Page 38

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Stem cells in regenrative therapy

  • 1. STEM CELLS IN REGENERATIVE THERAPY PRESENTED BY B.RAGHAVENDRA UNDER THE GUIDANCE OF Asst PROFESSOR A.SWAPNA Mtech (Bio-tech) Page 1
  • 2. STEM CELL Primitive cell with a very high potential and infinite ability of self –renewal and differentiation into other cell types Page 2
  • 3. Symmetrical cell division Self renewal Page 3
  • 5. STEM CELL TYPE DESCRIPTION EXAMPLE Each cell can Cells from early (1-3 Totipotent develop into a new days) embryos individual Some cells of Cells can form any Pluripotent blastocyst (5 to 14 (over 200) cell types days) Cells differentiated, Fetal tissue, cord but can form a Multipotent blood, and adult number of other stem cells tissues Page 5
  • 15. IDENTIFYING STEM CELLS In vitro Peripheral blood Colony forming units Erythroid stem cells Page 15
  • 16. SOURCES OF STEM CELLS  Adult stem cells  Embryonic stem cells  Cord blood cells  From adults stem cells can be collected mostly from brain and bone marrow.  From embryo stem cells can be collected from blastocyst. Page 16
  • 19. APPLICATIONS OF ADULT STEM CELLS AS  Haemopoitic cells,  Cardiac Cells  Neuronal Cells  Hepatocytes  Skeletal Muscles Page 19
  • 21. APPLICATIONS OF STEM CELLS  Neurodegenerative disorders  Cancer  Heart failure  Diabetes  Haematopoitic diseases  Hepatocytic diseases Page 21
  • 22. NEUROGENRATIVE DISORDERS  Parkinson’s disease  Alzheimer’s disease  Huntington’s disease  Amyotrophic lateral sclerosis Parkinson’s treatment  Due to loss of dopaminergic neurons in substantia nigra disease occurs  Symptoms are muscle rigidity, resting tremor, and slowing of movement. Over time, patients sustain a loss of mobility and dysautonomia , dystonic cramps and dementia  Cell transplantation from fetal tissues has offered some success in the treatment of Parkinson's disorder There are two principalvdifferent ways of using ESCs predifferentiated into DA neurons and stem or progenitorcells with different commitment transplanted into the striatum or SN. Page 22
  • 24. HUNTINGTON’S DISEASE TREATMENT HD is a fatal hereditary and neurodegenerative disease characterized by cognitive impairment, and emotional disorder. HD is caused by mutation of a gene, which resulted in an abnormal expansion of CAG-encoded polyglutamine repeats in a protein called huntingtin (Walker, 2007). This leads to loss of medium spiny neurons (GABAergic neurons) in the striatum cell transplantation serve as a hopeful strategy for reducing neural damage and replacing the lost neurons in the HD brain ALZHEIMER’S TREATMENT loss of cholinergic neurons of forebrain due to formation of beta amyloid insoluble protiens Replacement of damged cholinergic neurons by transplantation of developed stem cells Page 24
  • 25. subventricular zone (SVZ) and olfactory bulb and the dentate gyrus of the hippocampus Types of stem cell transplants for treating cancer  Autologous —the cells come from you  Allogeneic —the cells come from a matched related or unrelated donor  Syngeneic —the cells come from your identical twin or triplet  In a typical stem cell transplant very high doses of chemo are used, often along with radiation therapy, . This treatment also kills the stem cells in the bone marrow. Soon after treatment, stem cells are given to replace those that were destroyed. These stem cells are given into a vein, much like a blood transfusion. Over time they settle in the bone marrow and begin to grow and make healthy blood cells. This process is called engraftment Page 25
  • 27. MECHANISM OF ACTION OF STEM CELLS ON CANCER Page 27
  • 29. HEART FAILURE TREATMENT  Hematopoietic stem cells could transdifferentiate into cardiomyocytes when injected in the border zone of infarcted myocardium, making them of particular interest in the treatment of cardiac disease because they represent a well-characterized and ample source of progenitor cells. Page 29
  • 31. HEMATOPOIESIS Page 31
  • 33. THE SOURCES OF HEMATOPOIETIC STEM CELLS  Bone marrow  Peripheral blood  Umbilical cord blood  Use of allogeneic bone marrow transplants is in the treatment of hereditary blood disorders, such as different types of inherited anemia (failure to produce blood cells), and inborn errors of metabolism  Leukemia , beta-thalassemia, globoid cell leukodystrophy, sickle-cell anemia Page 33
  • 34. STEM CELLS FOR DIABETES Page 34
  • 35.  Production of growth factors  Differentiation of ductal epithelium  Replication of pre existing beta cells  Acinar transdifferentiation Page 35
  • 36. CONCLUSION  Neurodegenrative disorders are incurable can more effective therapy by stem cells. Tissue damage cells can be replaced by stem cells Page 36
  • 37. REFERENCES  Alison, M.R., Poulsom, R., Jeffery, R., Dhillon, A.P., Quaglia, A., Jacob, J., Novelli, M., Prentice, G., Williamson, J., and Wright, N.A. (2000). Hepatocytes from non-hepatic adult stem cells. Nature. 406, 257.  Audet, J., Miller, C.L., Rose-John, S., Piret, J.M., and Eaves, C.J. (2001). Distinct role of gp130 activation in promotingself-renewal divisions by mitogenically stimulated murine hematopoietic stem cells. Proc. Natl. Acad. Sci. U. S. A. 98, 1757–1762.  Baum, C.M., Weissman, I.L., Tsukamoto, A.S., Buckle, A.M., and Peault, B. (1992). Isolation of a candidate human hematopoietic stem- cell population. Proc. Natl. Acad. Sci. U. S. A. 89, 2804–2808.  Bittner, R.E., Schofer, C., Weipoltshammer, K., Ivanova, S., Streubel, B., Hauser, E., Freilinger, M., Hoger, H., Elbe-Burger, A., and Wachtler, F. (1999). Recruitment of bone-marrow-derived cells by skeletal and cardiac muscle in adult dystrophic mdx mice. Anat. Embryol. (Berl) 199, 391–396. Page 37
  • 38. ha nk you T Page 38