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The Stem State: Plasticity Is Essential, Whereas Self-Renewal and Hierarchy Are Optional
http://www.100md.com 《干细胞学杂志》
     Department of Molecular Cell Biology, Weizmann Institute of Science, Rehovot, Israel

    Key Words. Stem state ? Stem cells ? Plasticity ? Hierarchy ? Self-renewal

    Correspondence: Dov Zipori, Ph.D., Department of Molecular Cell Biology, Weizmann Institute of Science, Rehovot, 76100, Israel. Telephone: 972-8-9342484; Fax: 972-8-9344125; e-mail: dov.zipori@weizmann.ac.il

    ABSTRACT

    While observing the whereabouts and changes that cell populations undergo in vivo and in vitro, investigators arrived at the "stem cell" notion that basically explains a major puzzle: cells in the embryo and in the adult organism reach a state of full functional differentiation that is viewed as "terminal" in that it is irreversible. The cells may further die through apoptosis or other death mechanisms. How is this cell loss compensated? The prevailing explanation is that tissues contain a small fraction of stem cells that are endowed with unique properties inherently different from those of the mature ones. These rare cells can divide by producing more of themselves; thus, they are capable of self-renewal and also possess the potential to differentiate into many different mature cell types and therefore are multipotential. This theory was dramatically successful upon the isolation of rare cells within the bone marrow, hemopoietic stem cells (HSCs), which are multipotent in that they give rise to all types of cells in the blood and are capable of long-term repopulation of irradiated recipients. Isolated HSCs have been shown to give rise to committed progenitors that are restricted to a single lineage within the hemopoietic system (myeloid, erythroid, megakaryocytic, or lymphocytic series). However, intermediate stages wherein the cells are still multipotent but are already biased to a particular pathway have been described. The committed progenitors are followed by yet further differentiated progeny that are gradually losing their proliferation potential while maturing and acquiring differentiated functions (Fig. 1A) (reviewed by ). This succession of steps from the early stem cell to differentiated products is referred to as the stem cell tree. Thus, the hemopoietic system is viewed as a hierarchical organization wherein the stem cell is positioned at the origin, while branching leads to the differentiation into mature cells that are the end products (Fig. 1A). The direction of flow in this system is from the stem cell down to the mature cell, a flow that is irreversible. The identification of HSCs and the hemopoietic tree is commonly regarded as the ultimate proof of the stem cell concept, pointing to the possible presence of such cells in different organs and tissue. Indeed, evidence to this effect exists for the embryo , adult skin , nervous system , pancreas , heart , liver , and others. The depth of the available information about these other stem cell–based systems is not as detailed as that relating to HSCs. Nevertheless, while examining the different kinds of stem cells, the general impression that emerges is that indeed the stem cell theory has a sound basis.

    Figure 1. The established hierarchy of increasing specification in the hemopoietic system is not matched by a similar organization of cells derived from the mesenchymal stem cell (MSC). Question mark denotes the lack of information regarding uncommitted and lineage-restricted steps of mesenchymal differentiation. Dotted line marks putative differentiation steps. Abbreviations: B, B lymphocyte; CL, common lymphoid; CM, common myeloid; DGM, dendritic/granulocyte/macrophage; E, erythroid; LTRSC, long-term repopulating stem cell; MAPC, multipotential adult progenitor cell; MK, megakaryoid; NK, natural killer cell; OB, osteoblast; OP, osteogenic progenitor; P, progenitor; STRSC, short-term repopulating stem cell; T, T lymphocyte; USSC, unrestricted somatic stem cells; VSMC, vascular smooth muscle cell.

    The early mouse or human embryo at the blastocyst stage is a source of cells designated embryonic stem (ES) cells. The mode of derivation of these, which are in fact cell lines capable of continuously growing in culture, is isolation of the inner cell mass (ICM) from the blastocyst and propagation of this tissue fragment in tissue culture. At a later stage it is possible to clone single cells and further propagate them while maintaining their growth potential. ES cell lines are pluripotential, as judged by their capacity to differentiate in vitro into a variety of mature progeny according to the stimulus provided to them. More importantly, upon introduction into an early embryo, cultured mouse ES cells integrate into the developing animal and give rise to cells of most tissues and organs, including the germ line. This pluripotentiality is suggested to be a distinct property of embryo-derived stem cells, a notion that seems reasonable and logical in view of the fact that the cells within the embryo are indeed capable of differentiating into all eventual cellular constituents of the organism. By contrast, HSCs are multipotent in that they give rise to all the constituents of the blood system; however, they are viewed as being tissue-specific and capable of giving rise to cells of their tissue of origin only. Accordingly, stem cells derived from other tissues, such as the heart, liver, and brain, are supposed to be restricted to their respective organ of origin. Figures 2A–2C show schematically how a totipotent zygote is supposed to give rise to pluripotent ES cells that characterize the early embryo, whereas these will eventually produce tissue-specific stem cells that are first multipotent and eventually oligopotent or monopotent. At this stage they are ready to terminally differentiate. Once again, this is logical in view of our knowledge of development and differentiation. However, data accumulated in recent years seem to shatter the current model of stemness. Alternative models have been proposed , and I have recently suggested the concept of the "stem state"; cells may enter a stem state reversibly, and thus stemness is a state rather than a cellular entity . The present review is aimed at further re-evaluating the stem cell notion and suggests that plasticity is the major trait of the stem state. On the other hand, properties such as ability to self-renew or give rise to a hierarchy of branching specificities are dispensable options.

    Figure 2. (A, B): Appearance and persistence of stem cells with varying potencies as a function of development. (C): Several key steps in development aligned with the prevailing notion of decreasing stem cell potentials associated with the progression of development and maturation. (D): This view is contrasted to the new findings indicating that highly pluripotent stem cells prevail and persist until old age.

    INCONSISTENCIES IN THE PREVAILING STEM CELL THEORY

    Thanks are due to the Charles and David Wolfson Charitable Trust for the support of Stem Cell Research at the Weizmann Institute of Science. The study was supported by grants from the Gabrielle Rich Center for Transplantation Biology, the Minerva Foundation, Germany, Michael Krasny, Daniel and Rhonda Shapiro, Jerrald and Helene Wulff, Dr. and Mrs. Murray Goldberg, and the Isabelle and Leonard Goldenson Association. The author is an incumbent of the Joe and Celia Weinstein Professorial Chair at the Weizmann Institute of Science.

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