If adult stem cells work, are embrionic cells necessary?

http://www.thestar.com/article/253699

Sep 06, 2007 04:30 AM 
Megan Ogilvie 
Health Reporter

A Toronto-led team of researchers has found a way to use stem cells derived 
from skin to treat spinal cord injuries in rats.

The finding lends promise to the idea that stem cells could one day be used to 
heal spinal cord injuries in humans, helping thousands of Canadians to walk 
again. 

Injured rats injected with skin-derived stem cells regained mobility and had 
better walking co-ordination, according to the study published yesterday in the 
Journal of Neuroscience. The skin-derived stem cells, injected directly into 
the injured rats' spinal cords, were able to survive in their new location and 
set off a flurry of activity, helping to heal the cavity in the cord.

Freda Miller, a senior scientist at The Hospital for Sick Children and lead 
author of the study, said skin-derived stem cells have some advantages over 
other stem cell types. Scientists who use skin to generate stem cells do not 
need to use embryos, for example, and skin-derived stem cells can potentially 
be harvested from patients themselves, she said. 

"You can imagine a scenario for people with spinal cord injuries, that maybe, 
just maybe, we could take a piece of their skin, grow the cells up and 
transplant them (the patient) with their own cells," she said. "You wouldn't 
have to give them immunosuppressive drugs. That's a tremendous clinical 
advantage if it comes true."

Miller and her colleagues from The Hospital for Sick Children and the 
University of British Columbia have been exploring the possibilities of using 
skin to derive stem cells since 2001. 

Over the course of their research, the team found that skin-derived stem cells 
share characteristics with embryonic neural stem cells, which generate the 
nervous system. They also showed skin-derived stem cells can produce Schwann 
cells, a cell type that creates a good growth environment to repair injured 
central nervous system axons – the long nerve cell fibres that conduct 
electrical impulses between nerves – and that these Schwann cells put down 
myelin along the injured spinal cord. Like the insulation around an electrical 
cord, myelin wraps around nerves, creating a sheath that helps quickly conduct 
nerve impulses.

Miller said the next step was to see whether transplanting the Schwann cells 
directly into spinal cords would help treat injured rats. 

To test their hypothesis, Miller and her team generated stem cells from the 
skin of rats and mice and forced them to differentiate into Schwann cells, 
which were then transplanted into the rats. After 12 weeks, the rats were able 
to walk better, with more co-ordination.

Miller said the cells thrived within the injured spinal cord. Before treatment, 
the injured rats had a cavity in their spinal cord, a result of their injury. 
But after treatment, Miller said the Schwann cells had created a bridge that 
spanned the cavity, and helped nerves grow through the bridge. 

The next step is to see whether stem cells derived from human skin can produce 
similar results. 

"We are highly encouraged," said Miller.



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