(content below) http://www.rdmag.com/ShowPR.aspx?PUBCODE=014&ACCT=1400000101&ISSUE=0808&RELTYPE=LST&PRODCODE=00000000&PRODLETT=MZ&CommonCount=0 Jacob Kruger Blind Biker Skype: BlindZA '...Fate had broken his body, but not his spirit...' ---article--- One cell becomes another: no stem cells needed Aug. 28, 2008 In an unprecedented flourish of genetic alchemy, scientists used a virus to coax one type of cell to become another, without the intermediate stem cell step. Courtesy of Nature, standard beta cells (left) and beta cells produced by reprogramming (right). In terms of shape and structure, researchers call them "indistinguishable." The research, conducted with cells from the pancreas, could soon be used to treat people with diabetes-but its long-term impacts could be even greater. "This represents a parallel approach for how to make cells in regenerative medicine," says Douglas Melton, co-director of the Harvard Stem Cell Institute. "And now that it's shown that you can turn one of your cells into another, it makes you think of what other cells you'd like to convert." Cell transformation has traditionally been accomplished by harvesting and reproducing stem cells. These are able to become other types of cells, raising the much-anticipated possibility of replacing disease-damaged and age-ravaged organs and tissues. But stem cells are tricky. Using highly-versatile embryonic stem cells requires embryo destruction, a steady supply of human eggs and potentially dangerous hormone treatments for the women who produce those eggs. Adult stem cells, though ethically uncontroversial, are also hard to handle. Another technique, known as de-differentiation, can turn skin cells to stem cells-but tends to introduce cancer-causing mutations. Melton's team avoided stem cells, and their baggage, altogether by using a virus to tweak three developmental genes in pancreatic tissue cells in mice. Three days later, these became insulin-producing beta cells, and appear free from the complications that have frustrated stem cell researchers. If the technique, described today in Nature, is replicated in humans, it could be used to treat insulin deficiencies in people with diabetes-and that's just the start. start. "Neurodegenerative diseases come to mind, as does cardiovascular disease," says Melton. Arthur Caplan, a Univ. of Pennsylvania bioethicist who wasn't involved in the study, called the findings a "breakthrough" for both diabetes and the field of regenerative medicine. Pancreas tissue cells transformed into insulin-producing beta cells at work, courtesy of Nature. "It's a system that's easier to manipulate than getting a new stem cell to turn into something you want," he says. "The kind of work done here has the promise to go into clinical practice in a relatively short time." Caveats remain, the foremost being the replication of the work in human tissue. The team managed to cause the transformation inside the mice, but in humans the transformation will need to be done in a tissue culture, producing cells than can be injected into recipients. And though Melton's team used a safe and well-characterized virus to induce the changes, the long-term safety of the new cells isn't proven. Melton must also coax the transformed cells into forming groups known as islets, which produce the insulin used in humans. "We've made a cell type, but we haven't yet made a whole tissue," says Melton. "But we're reasonably confident." Melton's team is also seeing whether the same kind of cell transformation can be achieved in liver cells, or triggered by drugs. Other researchers, he says, will apply the technique to other diseases. "If you've got extra cells of one type and need another, why go all the way back to a stem cell?" says Melton. Still a need for human stem cells The transformation of pancreas cells from one type to another has been hailed as a breakthrough: until now, such tricks required of scientifically-and sometimes ethically-tricky stem cells. But for all its promise, the new technique-like de-differentiation before it-won't replace embryonic stem cells, and wouldn't have been possible without them. "We wouldn't be where we are today without working with human embryonic stem cells. They provide a unique window into human development and disease. We still need those," says Melton. As of now, Melton's technique doesn't appear to have provoked the same commentary as de-differentiation, in which adult cells are reprogrammed into an embryonic state. When that feat was announced in November, President Bush hailed it in his State of the Union address as an alternative to embryonic stem cells, and many conservatives followed suit. Scientists soon pointed out that de-differentiated cells were unproven-and, that aside, de-differentiation wouldn't have been possible without insights generated from the research that embryonic stem cell critics had condemned. The same holds true for the latest breakthrough. "The goal of regenerative medicine is to make useful cells," says Melton. "I'll use induced pluripotency, embryos, direct reprogramming-if I knew which path worked best, I'd try it, but I'm not smart enough. So we're trying all ways. I'm obsessed with beta cells, and I'll try any way of making them." The abstract to the study "In vivo reprogramming of adult pancreatic exocrine cells to b-cells" is available here, http://www.nature.com/nature/journal/vaop/ncurrent/abs/nature07314.html ---------- To send a message to the list, send any message to blindza@xxxxxxxxxxxxx ---------- To unsubscribe from this list, send a message to blindza-request@xxxxxxxxxxxxx with 'unsubscribe' in the subject line --- The 'homepage' for this list is at http://www.blindza.co.za