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    Stem Cell and ItsClinical Implications

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    Presented by:

    DR.Mahfujun NaharMS Phase-A Resident

    Department of Anatomy

    BSMMU

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    Guided by

    Dr. Nahid Farhana minAssistant Professor

    Department of Anatomy

    BSMMU

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    !bjecti"es

    Define stem cell

    Outline brief history of stem cell research

    Mention the types of stem cells based on

    potential

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    !bjecti"es contd!

    Outline the sources of stem cell

    "#plain the steps of stem cell therapy

    Discuss the health problems that mi$ht be

    treated by stem cells

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    !bjecti"es %ontd!

    Debate for and a$ainst stem cell research

    Mention the responsibilities re$ardin$

    stem cell issues

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    Stem Cells: Definition

    - unspeciali&ed

    - self rene'al

    - can be induced to form specific cell

    types

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    # stem cell

    Self rene$al -maintains the stem cell

    pool

    % speciali&ed cellsDifferentiation replaces dead or dama'edcells throu'ht the life

    (hy self)rene$ ND differentiate*# stem cell

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    Clono'enic+ a sin$le "S cell $i(es rise to a colony of

    $enetically identical cells) 'hich ha(e the same properties

    as the ori$inal cell

    ,-presses the transcription factor !ct)%

    %an be induced to continue proliferatin$ or

    to differentiate

    ac/s the 0# chec/point in the cell cycle

    ,S cells spend most of their life cycle in S phase

    Don1t sho$ 2 inacti"ation

    Properties of stem cell3.

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    Stem Cell Mar/ers

    c)4it

    !ct% A*G%AAA*! POU +amily Protein

    CD5%

    CD56

    Cd%%

    CD#55

    Nestin

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    Cells in suspension are ta''ed

    $ith fluorescent mar/ers

    specific for undifferentiated

    stem cell

    abeled cells are sent under

    pressure throu'h a small no&&le

    and pass throu'h an electricfield

    cell 'enerates a ne'ati"e

    char'e

    if it fluoresces and a positi"echar'e

    if it does not.

    aser beam

    passes

    throu'h one cell

    F7R!SC,N8

    C8I98,D

    C, S!R8IN0

    Stemcell

    S,PR8I!N !F S8,M C,

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    istory of

    Stem Cell Research

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    ,n ../) 0ames *homson

    isolated stem cells from the

    inner cell mass of the earlyembryo1

    ,n ../) 0ohn Gearhart deri(edhuman embryonic $erm cells

    from fetal $onadal tissue

    primordial $erm cells!1

    istory of

    Stem Cell Research

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    istory of Stem Cell Research %ontd!

    ... - +irst Successful human transplant of

    insulin-ma2in$ cells from cada(ers

    344 - President Bush restricted federal

    fundin$ for embryonic stem-cell

    research

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    istory of Stem Cell Research %ontd!

    3445 - 6ar(ard researchers $ro' stem cells

    from embryos usin$ pri(ate fundin$1

    Asia) 0apan) South 7orea and Sin$apore is

    mo(in$ for'ards on stem cell research1

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    SCAN Stem Cell Action Network

    Stem Cell Research (orld$ide

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    0lobal status

    On$oin$ debate re$ardin$ use of embryos

    United 8ations9 proposal for a $lobal

    policy to ban reproducti(e clonin$ only

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    Debate in 7S

    +ederal fundin$ a(ailable for research usin$the Bush lines only

    "S cell lines from /:.:4

    Disad(anta$e of Bush stem cell lines9

    may ha(e mutations or infections

    Pri(ate companies continue to pursue stemcell research

    therapeutic cloniin$ mainly

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    Stem cell research in other

    countries

    Great Britain; *herapeutic clonin$ ) use of e#cess

    embryos < creation of embryos allo'ed

    +rance

    ; Reproducti(e and therapeutic clonin$banned

    Germany

    ; Use of e#cess embryos and creation ofembr os banned

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    8ypes of Stem Cells

    based on potential

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    8ypes of Stem Cells based on

    potentialStem celltype Description ,-amples

    *otipotent"ach cell can de(elop

    into a ne' indi(idual

    %ells from early-= days!embryos

    Pluripotent%ells can form anyo(er 344! cell types

    Some cells ofblastocyst > to

    5 days!

    Multipotent%ells differentiated)but can form a numberof other tissues

    +etal tissue) cordblood) and adultstem cells

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    *his cell

    %an form the

    "mbryo and placenta

    *his cell

    %an ?ust form the

    embryo

    8otipotent

    Pluripotent

    Multi)potent

    +ully mature

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    Pluripotent Stem Cellsmore potential to become any type of cell

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    Multipotent stem cells

    Multipotent stemcells ; limited in

    'hat the cells canbecome

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    Sources of Stem Cell

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    Sources of Stem Cell

    "mbryonic stem "S! cells

    *issue Adult! stem cells

    ,nduced pluripotent stem cells iPS cells!

    Somatic cell nuclear transfer therapeutic

    clonin$!

    S f t ll

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    Sources of stem cells

    embryonic stemcells

    blastocyst - a (ery early

    embryo

    tissue stem cellsfetus) baby and throu$hout life

    , b i t ;,S< ll

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    ,mbryonic stem ;,S< cells:

    blastocyst

    outer layer of cells

    @ trophectoderm

    cells inside

    @ inner cell mass

    embryonic stem cells ta2en from

    the inner cell mass

    culture in the lab

    to $ro' more cells

    fluid 'ith nutrients

    , b i t ;,S< ll

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    ,mbryonic stem ;,S< cells:

    embryonic stem cells

    P7RIP!8,N8

    all possible types of speciali&ed

    cells

    differentiation

    8i t ll

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    8issue stem cells:

    muscles

    s2in

    surface of the eye brain

    breast

    intestines $ut!

    bone marro'

    testicles

    8i t ll

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    8issue stem cells:

    M78IP!8,N8

    blood stem cell

    found in

    bone marro'

    differentiation

    only speciali&ed types of blood cell9

    red blood cells) 'hite blood cells)

    platelets

    I d d l i t t t ll

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    Induced pluripotent stem cell

    cell from the body

    $enetic repro$rammin$

    @ add certain $enes to the cell

    induced pluripotent stem iPS!

    cell

    beha(es li2e an embryonic stem

    cell

    d"anta'e: no need for embryos=all possible types of

    speciali&ed cells

    culture iPS cells in the lab

    differentiation

    I d d l i t t t ll

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    Induced pluripotent stem cell ;Contd different types of clonin':

    Reproducti(e clonin$

    Used to ma2e t'o identical

    indi(iduals

    ery difficult to do

    ,lle$al to do on humans

    Molecular clonin$

    Used to study 'hat a $ene

    does

    Routinely used in the biolo$y

    labs

    gene 1

    gene2

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    Reproducti"e clonin'

    remove nucleus

    and take the rest of the cell

    egg

    take the nucleus

    (containing DNA)

    cell from the body

    Clone

    identical to the individual

    that gave the nucleus Dolly the sheep

    Molecular clonin'

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    Molecular clonin'

    gene 1

    gene 2

    Make a new piece of DNA

    gene 1

    gene2

    ake DNA out of the nucleus

    cell 1 cell 2

    gene

    1

    gene 2

    !) "ut new DNA into a test cell and growcopies

    gene1

    cell divides

    Daughter cells

    contain same DNA

    !enes 1 and 2 have been cloned

    gene2

    insert newDNA

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    Steps of Stem Cell8herapy

    Steps of Stem Cell 8herapy

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    Steps of Stem Cell 8herapy

    Definin' the problem

    Findin' 8he Ri'ht 8ype of Stem Cell

    Match 8he Stem Cell (ith 8he Recipient

    Put the stem cells in the ri'ht place

    Ma/e 8he 8ransplanted Stem Cells Perform

    St f St C ll 8h

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    Steps of Stem Cell 8herapy

    Define the problem

    Researchers 'ant to replace dead dopamine

    neurons 'ith healthy ones

    Steps of Stem Cell 8herapy

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    Findin' 8he Ri'ht 8ype ofStem Cell

    ?lastocyst stem cells*

    At the time) unable to

    differentiate into neurons

    Fetal stem cells*+ "#cellentcandidates) ethical problems

    dult stem cells*+ 6ard to $et)

    too little 2no'n

    Steps of Stem Cell 8herapy

    Steps of Stem Cell 8herapy ; td

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    Match 8he Stem Cell (ith 8he Recipient

    8eeds a $ood immunonlo$ical match1

    Steps of Stem Cell 8herapy ;contd.