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Differentiation capacity decreases with the age of the donor and the time in culture
MESENCHYMAL STEM CELLS
MESENCHYMAL STEM CELLS AND ITS DIFFERENTIATION CAPACITY
ISOLATION AND CULTURE
Sterile needle is inserted through the abdominal wall into the amniotic sac
Small amount of amniotic fluid is withdrawn through needle
Amniotic fluid contains fetal cells which are separated from amniotic fluid
Cultured
Tests are performed on cultured cells Chemical analysis
DNA analysis Chromosomal Analysis
MESENCHYMAL STEM CELLS : FIRST TRIMESTER
CD291
CD441
SH21
SH31
SH41
prolyl-4-hydroxylase
Actin
CD452
CD342
CD142
CD682
Vwf2
HLA-DR2
Fibronectin
Laminin
Vimentin
In undifferentiated state, fetal blood, liver and bone marrow MSCs express
MSCs differentiate into Adipocytes Osteocytes Chondrocytes.
Provide novel targets for in utero cellular and gene therapy.
MESENCHYMAL STEM CELLS : FIRST TRIMESTER
MSCs exhibit a phenotype and multilineage differentiation potential similar to postnatal bone marrow (BM) – derived MSCs .
Multipotent (CD29)
Pluripotent (Oct-4)
MESENCHYMAL STEM CELLS : SECOND TRIMESTER
Express Oct-4.
Samples can be collected in larger amount than the second trimester, with a much lower risk of uterine contamination.
High renewal capacity and therapeutic applications.
Share same properties and differentiation capabilities as human embryonic stem cells .
Differ from embryonic stem cells in promising ways :
1. Do not produce teratomas when transplanted into animals.
2. Low antigenicity is an advantage for cell transplantation or cell replacement therapy.
MESENCHYMAL STEM CELLS : THIRD TRIMESTER
PRESERVATION
Vitrification
Amniotic stem cell banks
VITRIFICATION
AMNIOTIC STEM CELL BANKS
Biocell center, European biotechnology company is the first firm to harvest and preserve amniotic stem cells
Biocell Center captures the stem cells from amniotic fluid if the family requests and pays for the preservation of the stem cells
Amniotic fluid withdrawn during amniocentesis is sent to the Biocell Center laboratory. The stem cells are frozen in liquid nitrogen and preserved in the company's state-of-the-art cryo-bank.
“H.R. 1892—National Amniotic and Placental Stem Cell Bank of 2007
The bill shows the importance of amniotic stem cells bank
which would
Establish a National Amniotic and Placental Stem Cell Bank for the purpose of obtaining, storing, and making available for research and treatment human stem cells derived from amniotic fluid or placenta .
Will maintain a collection of at least 100,000 samples of stem cells in order to ensure genetic diversity
Will obtain stem cells only if informed consent is provided
REGENERATIVE MEDICINE
As regenerative medicine amniotic fluid stem cells has many applications .
Cultured MSCs have been transplanted in children with osteogenesis imperfecta (OI), a disease causing bone fractures and fragility.
Reduced bone fractures and increased bone density were reported to be found when MSCs were engrafted into the defective bone
MYOCARDIAL INFARCTION
MSCs can be engrafted at the damaged
site(s), attenuate pathologic remodeling of
the heart tissue and reduce scar size,
leading to improved post-MI cardiac
function
ETHICAL ASPECTS
Amniotic fluid solve a lot of problems
It's possible to catch amniotic stem cells without destroying embryos
They are not necessary to choose an alternative between donor or autologuous use
NEXT STEPS TO DO
For the future it is of great importance to obtain more insights into the spectrum of cells contained in human amniotic fluid.
Using RT-PCR the expression of a wide variety of genes, known as markers for stem cells, progenitor cells and differentiated cell types, should be analysed.
Amniotic fluid contains Oct-4 positive cells, a major issue for the future is to investigate the differentiation potential of the Oct-4 positive amniotic fluid cells
It is essential to think about strategies to isolate/enrich Oct-4 positive cells out of amniotic fluid.