The human body contains remarkable master cells that can turn into almost any type of cell – from blood to nerve cells. These special cells are stem cells, and they stand apart from all other cells in our body. They can divide and renew themselves without limits, while regular cells eventually die off.
Stem cells act as our body’s natural repair system. These building blocks of life exist in tissues of all types – from bone marrow to brain, blood vessels, skin and heart. Regular cells can only make copies of themselves, but stem cells can separate into specialized cells. This makes them vital to understanding diseases and creating new treatments. Scientists see significant potential in using them to treat Parkinson’s disease, Alzheimer’s, spinal cord injuries, heart disease, and diabetes.
This piece will take you through the captivating world of stem cells. You’ll learn about different types of stem cells, their functions, and how they save lives in modern medicine.
What Are Stem Cells: The Master Cells Defined
Stem cells are the building blocks of life—they’re the amazing cellular architects that create all other cells in our body. Stem cells are undifferentiated cells that haven’t chosen their final cell type yet [1]. These biological wonders create and maintain every tissue and organ in the human body. They work non-stop to repair and maintain our bodies throughout our lives.
Knowing how to transform into specialized cells
Stem cells have an incredible power to separate into different specialized cell types with specific jobs. These cells can take two paths when they divide: they either stay as stem cells or turn into specialized cells like muscle, blood, or nerve cells [1]. This change doesn’t happen randomly but follows a complex process that specific signals guide.
These signals that drive change include:
- Factors secreted by neighboring cells
- Physical contact with adjacent cells
- Molecules present in the microenvironment
Each stem cell goes through several stages as it specializes, becoming more focused at each step [1]. This power to change into specialized cells sets them apart from other body cells that can’t switch their identity.
How stem cells differ from regular body cells
Regular body cells (somatic cells) are different from stem cells in three basic ways. Stem cells can self-renew—they create perfect copies of themselves over and over [2]. Regular cells like neurons or muscle cells can only live and multiply for a limited time.
Stem cells can divide in three ways:
- Both daughter cells stay as stem cells
- Both daughter cells become specialized
- One stays a stem cell while the other specializes (asymmetric division) [1]
Asymmetric division helps the body keep its stem cell supply while making specialized cells [3]. Stem cells stay unspecialized until they get signals to change, unlike specialized cells that have specific structures and jobs [4].
Potency is another key difference—it shows how many types of cells a stem cell can become. Pluripotent stem cells can turn into almost any cell type. Multipotent stem cells can only become certain types of cells, usually within one tissue type [5].
The rise of stem cell research
Ernst Haeckel first used “Stammzellen” (stem cells) in 1868 [6]. Back then, this term meant single-cell organisms that created multi-cell organisms, and later it described fertilized eggs.
The field took off in the 1950s. Georges Mathé performed the first bone marrow transplant in 1956, marking the first real stem cell therapy [7]. British biologists Martin Evans and Matthew Kaufman made a breakthrough in 1981. They found and grew embryonic stem cells from mouse blastocysts [7].
American biologist James Thomson revolutionized the field in 1998. He isolated human embryonic stem cells, which created new possibilities for transplants and treatment testing [8]. Shinya Yamanaka made another breakthrough in 2006. He found a way to turn adult cells back into embryonic-like stem cells, creating induced pluripotent stem cells (iPSCs) [1].
Our knowledge of stem cells and their potential has grown steadily. Modern stem cell therapies now save lives and offer hope for conditions that once had no treatment. These discoveries are the foundations of today’s advanced research and treatments.
Types of Stem Cells and Their Potency Levels
Stem cells follow an amazing hierarchy of power and potential. Scientists group these cellular powerhouses into different categories based on where they come from and what they can do. Each type has its own unique properties and uses.
Embryonic stem cells: The ultimate transformers
Scientists isolate Embryonic stem cells (ESCs) from a blastocyst’s inner cell mass. A blastocyst is an early-stage pre-implantation embryo that forms 4-7 days after fertilization. These cells are a great way to get research insights. ESCs can multiply almost endlessly – cell lines can go through 300-400 population-doubling cycles without chromosome problems.
ESCs stand out because they’re pluripotent. They know how to turn into cells from all three embryonic germ layers: ectoderm, mesoderm, and endoderm. This means they can develop into any of the 200+ cell types in our bodies. These cells form “embryoid bodies” that create multiple cell types when grown in suspension away from their special environment. You’ll find beating heart cells, neural cells, and cells that show liver and pancreas genes.
Adult stem cells: Specialized maintenance teams
Adult stem cells, also known as tissue-specific stem cells, live in organs throughout the body – bone marrow, brain, liver, skin, and heart. These cells are usually multipotent, which means they can only become certain types of cells related to their original tissue.
Hematopoietic stem cells (HSCs) are the perfect example of adult stem cells. They can develop into all blood cell types but can’t normally become brain or muscle cells. Mesenchymal stem cells (MSCs) are another key type that typically turns into bone, fat, muscle, and cartilage.
Our body’s internal repair system relies on adult stem cells. They replace cells we lose through normal wear and tear or injury. In spite of that, researchers face challenges working with them. They’re hard to find (only one in 10,000 bone marrow cells is an HSC), tough to isolate, and don’t grow well in labs.
Induced pluripotent stem cells (iPSCs): Reprogrammed wonders
Scientist Shinya Yamanaka made a breakthrough in 2006. He found that adult cells could return to an embryonic-like state. These induced pluripotent stem cells (iPSCs) come from adult cells that receive specific transcription factors (usually Oct4, Sox2, Klf4, and c-Myc). This process rewires their gene expression and reshapes their DNA methylation patterns.
iPSCs share core features with embryonic stem cells. They can self-renew and potentially become cells from all three germ layers. They also avoid ethical issues linked to embryonic cells and let us create patient-specific stem cells to study diseases and develop personalized treatments.
Comparing potency: Totipotent vs. pluripotent vs. multipotent
Stem cells’ potency – their ability to become different cell types – varies:
- Totipotent stem cells sit at the top of the potency scale. They can become any cell type in the body and create extraembryonic tissues like the placenta. The zygote (fertilized egg) and early blastomeres (2-4 cell stage embryo cells) are totipotent.
- Pluripotent stem cells can turn into almost all body cell types but not extraembryonic tissues. This group includes embryonic stem cells and iPSCs.
- Multipotent stem cells develop into several cell types within a specific tissue family. Adult stem cells like HSCs (blood cells) and neural stem cells (brain cells) show this multipotency.
The path from totipotency to multipotency shows a natural drop in both self-renewal ability and differentiation potential. This represents the natural order of cell development.
How Do Stem Cells Work in Your Body
Your body contains stem cells that work through complex mechanisms to keep tissues healthy and repair injuries. These amazing cells act as both builders and fixers of your body’s systems. They work non-stop to keep your cells balanced throughout your life.
The self-renewal process: Creating perfect copies
Stem cells can divide and create copies of themselves through self-renewal. This cellular process involves multiplication while keeping both multipotency and tissue regenerative potential [9]. Self-renewal requires two key events: the cell must enter the cell cycle and divide, and at least one new cell must stay undifferentiated [9].
Self-renewal happens in two distinct ways:
- Symmetric division: produces two similar stem cells or two differentiated cells
- Asymmetric division: creates one stem cell and one cell that differentiates [10]
Your body carefully controls the timing and frequency of these divisions to maintain stem cell populations throughout life [9]. Tissue aging and premature deterioration can happen if stem cells deplete too fast or genetic defects limit their growth potential [9].
Differentiation: Becoming specialized cell types
Stem cells turn into specialized cell types with specific functions through differentiation. These cells can develop into tissue-specific cells like bone, blood, nerve, or heart cells under specific conditions [11]. This change follows progressive stages where cells become more specialized at each step.
Stem cells gradually lose their multipotency as they develop into specific cell types during differentiation. Neural stem cells create neuronal and glial progenitor cells that further develop into neurons, astrocytes, and oligodendrocytes [12].
Cell signaling: How stem cells know what to become
Cell signaling pathways create a communication network that guides stem cell behavior. These pathways use complex molecular interactions to tell stem cells when to divide, differentiate, or stay dormant. Several key pathways control stem cell activity:
- Wnt signaling: keeps stem cells undifferentiated [13]
- BMP (Bone Morphogenetic Protein): shapes neural differentiation [14]
- Notch signaling: manages neural stem cell differentiation [12]
The stem cell niche—a specialized microenvironment where stem cells live—provides vital signals that determine their fate [15]. These signals include direct cell-cell contact, secreted factors, and interactions with the extracellular matrix [16].
Natural repair systems: Your body’s built-in healing mechanism
Stem cells serve as your body’s repair system by replacing cells lost to normal wear and tear or injury [17]. Adult stem cells activate to generate healthy cells that replace damaged ones when illness or injury occurs [17]. Hematopoietic stem cells constantly make new blood cells, while skin stem cells rebuild the outer skin layer.
Medical professionals use adult stem cells in bone marrow transplants to replace damaged or abnormal bone marrow stem cells [18]. Mesenchymal stem cells (MSCs) also help wound healing through their immune system effects and by releasing growth factors that help tissue repair [11].
The Remarkable Journey of Stem Cell Development
Your body started from a single fertilized egg that divided over and over to build who you are today. Stem cells coordinated this amazing process to create more than 200 specialized cell types.
From embryo to adult: How stem cells create your body
4-7 days after fertilization, embryonic stem cells (ESCs) emerge in the blastocyst’s inner cell mass [2]. These remarkable cells are the foundations for human development. They transform into three embryonic tissue layers. Scientists can extract and grow ESCs in labs, where they show their ability to multiply through 300-400 population-doubling cycles without chromosome changes [2].
These cells combine to form “embryoid bodies” that produce many cell types [2]. ESCs demonstrate their incredible potential when scientists inject them into mice. They create teratomas with complex tissues like teeth, gut, hair follicles, and neural cells [2].
Stem cell niches: Where stem cells live in your body
Your body houses stem cells in special environments called niches. These niches work as regulatory centers where external signals blend to guide stem cell behavior [7].
Each niche has key components that work together. Support cells provide adhesion molecules and important factors. Matrix proteins anchor the cells. Blood vessels deliver nutrients, and neural inputs help with cell movement [19]. You can find this complex structure in tissues of all types, from bone marrow to brain, skin, muscle, and intestine [19].
The cell cycle: How stem cells divide and multiply
Stem cells follow a unique division pattern that is different from regular cells. Embryonic stem cells divide faster—about every 12 hours. Their G1 phase lasts only 3 hours, which is unusually brief [20].
These cells maintain high levels of cyclins E and A throughout their cycle. This pattern stands out from what we see in somatic cells [20]. So, CDK2, cyclin E and cyclin A-associated kinases stay active all the time, which helps them multiply faster [20].
This special cell cycle serves a vital purpose—it maintains pluripotency. Research shows that blocking cell cycle parts like CDK1, CDK2, or cyclins E or B leads to differentiation. This proves the cell cycle’s significant role in keeping stem cells in their unique state [20].
Medical Applications: How Stem Cells Save Lives
Stem cells have evolved from simple lab experiments into revolutionary medical treatments that give hope to patients with previously incurable conditions. These remarkable cells can heal and regenerate tissue in many therapeutic areas.
Bone marrow transplants: The first stem cell therapy
Bone marrow transplants emerged as the breakthrough stem cell therapy in the 1950s when Georges Mathé performed the first procedure in 1956 [3]. The treatment replaces damaged blood-forming stem cells with healthy ones from either the patient (autologous) or a donor (allogeneic) [21]. This transplantation of hematopoetic stem cells has become the main cure for many genetic and blood disorders in the last six decades [3].
Treating blood disorders and cancers
Blood cancers make up roughly 10% of all annual cancer cases in the U.S [22]. Doctors use hematopoietic stem cell transplants to fight leukemia through the graft-versus-leukemia effect – where donor immune cells target and destroy remaining cancer cells [23]. These transplants help patients with leukemia, lymphoma, multiple myeloma, myelodysplastic syndromes, and more recently, sickle cell anemia [23].
Regenerative medicine: Repairing damaged tissues
Stem cells show remarkable potential in regenerative medicine by boosting the body’s natural healing abilities. Mesenchymal stem cells extracted from bone marrow or fat tissue help wounds heal through their immune-modulating properties and growth factor production [24]. Adult stem cells have proven particularly effective in cell therapy and regenerative treatments [3].
Current FDA-approved stem cell treatments
The FDA has only approved blood-forming stem cell products derived from umbilical cord blood in the United States [25]. These treatments specifically help patients with blood production disorders [26]. Six cord blood products have received FDA approval, including HEMACORD and REGENECYTE [27].
Experimental therapies and clinical trials
Scientists continue to explore stem cell applications through many clinical trials for:
- Neurological disorders (stroke, Alzheimer’s)
- Cardiac conditions
- Diabetes
- Autoimmune diseases
The University of Miami’s Interdisciplinary Stem Cell Institute currently runs six clinical trials that test mesenchymal stem cells against various conditions [28]. Dr. Joshua Hare believes doctors will prescribe stem cell-based therapies for numerous conditions within 5-10 years [28]. Patients should talk to their doctor before seeking treatment since many unapproved procedures lack scientific evidence and could be dangerous [29].
Conclusion
Stem cells are the remarkable building blocks of life that can transform into specialized cells and renew themselves indefinitely. These cellular marvels range from simple building blocks to powerful tools for life-saving medical treatments.
Scientists have discovered several types of stem cells with unique therapeutic possibilities. Embryonic stem cells show the greatest potential to differentiate, while adult stem cells and induced pluripotent stem cells provide practical treatment options. These cells work within specialized niches in our bodies to maintain tissue health and respond to injuries through complex signaling pathways.
Medical applications of stem cells grow continuously, especially when you have blood disorders and cancers to treat. FDA-approved treatments focus on blood-forming stem cells, but research and clinical trials point to promising developments for neurological disorders, cardiac diseases, and diabetes.
Stem cell research moves faster than ever, bringing hope to people with previously untreatable conditions. These cellular architects play a vital role in human development, tissue maintenance, and therapeutic applications. What a world of breakthrough treatments awaits as we tap into the full potential of these remarkable cells to fight various diseases.
FAQs
Q1. What are the primary functions of stem cells in the human body?
Stem cells serve as the body’s natural repair system, capable of developing into various specialized cell types. They play crucial roles in tissue maintenance, replacing cells lost to wear and tear or injury. Additionally, stem cells are vital for blood formation and show potential in treating various diseases and disorders.
Q2. How do stem cells differ from regular body cells?
Unlike regular body cells, stem cells have the unique ability to self-renew indefinitely and differentiate into specialized cell types. They remain unspecialized until receiving signals to transform, whereas regular cells have specific structures and limited lifespans. Stem cells can also divide asymmetrically, producing both stem and specialized cells.
Q3. What are the main types of stem cells?
There are three primary types of stem cells: Adult Stem Cells (ASCs) found in various tissues, Embryonic Stem Cells (ESCs) derived from early-stage embryos, and Induced Pluripotent Stem Cells (iPSCs) created by reprogramming adult cells. Each type has different potency levels and potential applications in research and medicine.
Q4. What are some current medical applications of stem cells?
Stem cells are currently used in bone marrow transplants to treat blood disorders and certain cancers. They also show promise in regenerative medicine for repairing damaged tissues. While most FDA-approved treatments involve blood-forming stem cells, ongoing research explores their potential in treating neurological disorders, cardiac conditions, and diabetes.
Q5. Are there any risks associated with stem cell therapies?
While stem cells offer significant therapeutic potential, there are concerns about their use. Some researchers worry about the possibility of tumor formation from uncontrolled cell growth. Additionally, in cancer patients, there’s a risk that a small number of stem cells in tumors might survive treatment and lead to regrowth. It’s crucial to consult with medical professionals and rely on scientifically validated treatments.
References
[1] – https://stemcells.nih.gov/info/basics/stc-basics
[2] – https://www.ncbi.nlm.nih.gov/books/NBK223690/
[3] – https://pmc.ncbi.nlm.nih.gov/articles/PMC6691074/
[4] – https://www.azolifesciences.com/article/Stem-Cell-Properties.aspx
[5] – https://pmc.ncbi.nlm.nih.gov/articles/PMC4104807/
[6] – https://www.sciencedirect.com/science/article/pii/S221367112200193X
[7] – https://pmc.ncbi.nlm.nih.gov/articles/PMC4505728/
[8] – https://pmc.ncbi.nlm.nih.gov/articles/PMC8105090/
[9] – https://pmc.ncbi.nlm.nih.gov/articles/PMC3537149/
[10] – https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/stem-cell-self-renewal
[11] – https://pmc.ncbi.nlm.nih.gov/articles/PMC8022285/
[12] – https://www.sciencedirect.com/science/article/pii/S1084952122002762
[13] – https://www.nature.com/articles/cr200847
[14] – https://www.nature.com/articles/cr2008323
[15] – https://pmc.ncbi.nlm.nih.gov/articles/PMC3620919/
[16] – https://pmc.ncbi.nlm.nih.gov/articles/PMC3285265/
[17] – https://suncoastorthopaedic.com/how-the-body-heals-itself-and-what-stem-cells-have-to-do-with-it/
[18] – https://my.clevelandclinic.org/health/body/24892-stem-cells
[19] – https://pmc.ncbi.nlm.nih.gov/articles/PMC4020242/
[20] – https://pmc.ncbi.nlm.nih.gov/articles/PMC7065707/
[21] – https://www.mdanderson.org/treatment-options/stem-cell-transplantation.html
[22] – https://www.fda.gov/news-events/press-announcements/fda-approves-cell-therapy-patients-blood-cancers-reduce-risk-infection-following-stem-cell
[23] – https://www.cancer.gov/about-cancer/treatment/types/stem-cell-transplant
[24] – https://umiamihealth.org/en/treatments-and-services/sports-medicine-institute/conditions-and-treatments/regenerative-medicine-(stem-cell-therapy)
[25] – https://www.fda.gov/vaccines-blood-biologics/consumers-biologics/important-patient-and-consumer-information-about-regenerative-medicine-therapies
[26] – https://www.fda.gov/vaccines-blood-biologics/consumers-biologics/consumer-alert-regenerative-medicine-products-including-stem-cells-and-exosomes
[27] – https://www.fda.gov/vaccines-blood-biologics/cellular-gene-therapy-products/approved-cellular-and-gene-therapy-products
[28] – https://news.med.miami.edu/developing-the-cell-based-therapies-of-the-future/
[29] – https://regenerative-medicine.ed.ac.uk/about/stem-cells-regenerative-medicine