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What can regenerative medicine do
Induce stimulation of endogenous repair, human tissue transplantation, cell and gene therapies, engineered tissues and xenotransplantation
Aim of regenerative medicine
Replace, repair or regenerate cells, tissue and organs to restore health
What are stem cells
Unspecialized cells which have the ability to self-renew, produce more stem cells and differentiate into other cell types - embyonic, induced pluripotent and adult/somatic s.c
Totipotent
Cell can differentiate into any other cell with in their organism
most plastic
Pluripotent
Any cell within an dult organism
Multipotent
Specialised U
Unipotent
one lineage
Detection
Identified by the expression or absence of a number of transcription factors and cell surface markers
How can you determine the expression
Western blotting, RT-PCR, Immunocytochemistry, flow cytometry
How do they enrich cell populations
Centrifugation
MACS
Flow cytometry
Density centrifugation
Cell w.in blood can separate dependent on density
Density centrifugation method
Plasma at top layer, layer of mononuclear cells then Ficoil and RBCs and granulocytes
Get rid of unwanted cells by using cocktail of a.b (tetrameric complex)
1 a.b recognise cell on ag that we want to get rid off and other rec ag on RBC
big aggregate of RBC around unwanted
Centrifuge - RBC and unwanted = increase density to sit at the bottom
Collect enriched cells
Which layer are stem cells found in
Mononuclear cells
MACS magnetic
Activated cell sorting
antibody rec ag on cell of interest/unwanted cell with NP
incubate cell with magnet taggeed ab to bind to cells we want
Pass thru column with a magnet
flush cells out
collect wanted cells
Flow cytometry
Method for detecting specific molecules on and with in cells
can also sort/isolate specific sub populations cells
Flow cytometry in medicine
Immunophenotyping
diagnosis
cell sorting
what are the 2 main detectors in flow cytometry
FSC, forward scatter cell detector
SSC, side scatter cell detector
How does Flow cytometry work
Cells pass rapidly thru laser
when they hit laser beam they dim the light
FSC = detect dimness of light = longer dimming = bigger cell
SSC = detect side scatter of light from cell = increased ssc = bigger cell
FACS, fluorescent activated cell sorting
Flow cytometry but a.b used with fluorescent tag
mainly used for proteins - DNA and RNA can also be detected
can measure up to 18 colours
emerge in droplet of buffer where they ca be given a charge to separate cells
2 types of pluripotent stem cells
ESCs
iPSC
Embryonic stem cells
Derived from blastocyst at day 5/6
inner cell mast cel89ls derived and then grown in culture and can differentiate
Master regulators of pluripotency
OCT-4
SOX-2
NANOG (transcription factor)
Issues with ESCs
Ethical issues
teratoma risk
allogenic
iPSCs, induced PSC
Take adult fibroblasts and expose them/transfected them with genes known to be involved in pluripotency (ESCs)
Similar morphology, unlimited proliferation, surface markers, gene expression, differentiate into cells of all 3 germ layers
Potential for hPSCs
transfect someones cells with pluripotency to reprogramme to produce patient specific pluripotent SC w/o rejection
used to make disease models in la for drug testing, correct genes, infused into patient, regenerative tissue
can differentiate into all cell types in the body incl SC
Stem cell niches
microenvironment in which a cell finds itself
niche regulates cell function
controlled by cell interaction, cell matrix interaction, soluble factors
want to replicate the conditions in particular tissue and signalling for specific differentiation
Directed differentiation
mechanical properties of the growth surface can influence sc fate
change phenotype of a cell by changing elasticity of the surface the cell is growing on
Personalised cancer vaccines
Fibroblasts turned into iPSCs
Autologous iPSCs could act as p.c.v.
iPSCs express a number of tumour associated antigens to train immune system to fight against a tumour
they have been eradicated so they cant proliferate or form a teratoma
Transplant rejection
Donor fibroblasts
HLA is recruited as a non-self
large combinations
if recipient HLA isnt matched it is sseen as non self and risks rejection
careful matching
cant be used as off the shelf cell type due to HLA - class 1 markers when differentiated these levels can change = careful matching
Hypoimmunogenic iPSCs
interface between mother and foetus revealed molecules may be involved in immune shedding n
non recognition
lacked HLA molecules but increase CD47