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Preface
5
Contents
7
Contributors
9
1 Introduction
13
References
18
Part I Bone Marrow-Derived Stem Cells
20
2 Hematopoietic Stem and Progenitor Cells in Clinical Use Transplantation and Mobilization
21
2.1 Historical Aspects
22
2.2 Stem Cell Donors
23
2.3 Stem Cell Mobilization and Autologous Transplantation
25
2.4 Allogeneic Transplantation
27
2.5 Outlook
30
References
31
3 Ex Vivo Expansion of HSPCs
37
3.1 The Sources of HSPCs
38
3.1.1 Bone Marrow HSPCs
38
3.1.2 Peripheral HSPCs
39
3.1.3 Umbilical Cord Blood HSPCs
39
3.2 The Expansion of HSPCs
40
3.2.1 Cytokines
41
3.2.2 Ex Vivo Expansion of HSPCs
41
3.2.3 Regulation of HSPCs Expansion
44
3.2.4 Free Radical Regulation on HSPCs Expansion
45
3.2.5 Megakaryocytic Progenitor Cells Expansion
46
3.2.6 Red Cells Expansion
46
3.2.7 T-Cell Expansion
47
3.2.8 NK Cell Expansion
48
3.2.9 DC Expansion
49
3.2.10 HSPC Ex Vivo Expansion and Gene Therapy
51
3.3 Expansion Bioreactor
51
3.4 The Application of Expanded HSPCs
54
3.4.1 Transplantation of HSPCs in Animal Model
54
3.4.2 Transplantation of HSPCs in Human
57
3.5 The Future of HSPCs Expansion
58
References
58
4 Modulation of Hematopoietic Stem/Progenitor Cell Migration
67
4.1 Introduction
68
4.2 The SDF-1/CXCR4 Axis
68
4.2.1 Stromal Cell-Derived Factor-1 (SDF-1)
68
4.2.2 CXCR4
69
4.2.3 SDF-1/CXCR4 Signaling
70
4.3 Homing of HSPCs to Bone Marrow and Organs
71
4.4 Influence of Culture Conditions on the Migration of Human CD34+/CD133+ Cord Blood HSPCs
73
4.5 Influence of Culture Conditions on the Migration of Murine Lin- c-kit+ HSPCs
76
4.6 Termination of the SDF-1 Induced Migration of HSPCs
78
4.7 Conclusion
82
References
83
5 Properties of Mesenchymal Stem Cells to Consider for Cancer Cell Therapy
88
5.1 Identifying MSCs
89
5.2 Tissue Origin of MSCs
90
5.3 Induced Pluripotent Stem Cells and MSCs
91
5.4 MSC Homing in Tissue Repair and Oncogenesis
91
5.5 MSCs Tumor Tropism and Pro-metastatic Effects
92
5.6 Chemokine Receptors Regulating MSCs Homing
94
5.7 Growth Factor Receptors Regulating MSCs Homing
95
5.8 Toll-Like Receptors and Death Receptors in MSC Migration
95
5.9 Oncogenic Potential of MSCs
96
5.10 Immunosuppressive Effects of MSCs
97
5.10.1 T Cells
97
5.10.2 NK Cells
97
5.10.3 DCs
98
5.10.4 B Cells
98
5.11 Modulation of MSCs Immunosuppression
98
5.12 MSCs for Cellular Gene Therapy
99
5.13 Retroviral Vectors for MSC Gene Transfer
99
5.14 Electroporation for MSC Gene Transfer
100
5.15 Ex Vivo Reprogramming of MSCs Without Gene Transfer
100
5.16 Cytokine-Producing MSCs for Cancer Cell Therapy
100
5.17 Oncolytic Virus-Infected MSCs
101
5.18 Conclusion
102
References
102
Part II Embryonic Stem Cells
108
6 Alternative Embryonic Stem Cell Sources
109
6.1 Introduction
110
6.2 Embryonal Carcinoma (EC) Cells
110
6.3 Embryonic Stem (ES) Cells
111
6.3.1 Hallmarks of ES Cells
112
6.3.2 Regulation of Self-Renewal and Pluripotency of ES Cells
112
6.3.2.1 Extrinsic Factors
113
6.3.2.2 Transcriptional Regulation
116
6.3.2.3 Epigenetic Regulation
118
6.3.2.4 MicroRNAs
119
6.4 Alternative Sources of Pluripotent Stem Cells
121
6.4.1 Derivation of Pluripotent Stem Cells by Reprogramming of a Somatic Nucleus
122
6.4.1.1 Somatic Cell Nuclear Transfer (SCNT)
122
6.4.1.2 Cytoplasmic Hybrids
123
6.4.1.3 Altered Nuclear Transfer (ANT)
123
6.4.1.4 Nuclear Reprogramming by Cell Fusion
124
6.4.1.5 Nuclear Reprogramming by Cell Extracts
125
6.4.1.6 Nuclear Reprogramming by Defined Transcription Factors
127
6.4.1.7 Alternative Ways for Obtaining Pluripotent Stem Cells from Early Embryos
137
6.4.2 Pluripotent Stem Cells Derived from Germ Cells
138
6.4.2.1 Pluripotent Stem Cells from Testis
138
6.4.2.2 Pluripotent Stem Cells from Oocytes
138
6.5 Future Prospects and Conclusions
140
References
142
7 Cell Therapy in Parkinsons Disease
152
7.1 Introduction
152
7.2 Fetal Ventral Mesencephalon
154
7.3 Fetal Neural Precursor Cells
155
7.4 Embryonic Stem Cells
156
7.5 Induced Pluripotent Stem Cells (iPS Cells)
157
7.6 Adult Stem Cells
158
7.7 Conclusions
158
References
159
8 Transplantation of Stem Cells and Their Derivatives in the Treatment of Multiple Sclerosis
162
8.1 Introduction
163
8.2 The Pathology of Multiple Sclerosis
164
8.3 Current Treatments for Multiple Sclerosis
166
8.4 The Need for Repair-Oriented Therapies for Multiple Sclerosis
167
8.4.1 Transplantation of Exogenous Stem Cells
167
8.4.2 Mobilization of Endogenous Stem Cells
168
8.5 Which Exogenous Stem Cells Can Be Used for Transplantation?
168
8.5.1 Embryonic Stem Cells
168
8.5.2 Induced Pluripotent Stem Cells
170
8.5.3 Neural Stem Cells
172
8.5.4 Hematopoietic Stem Cells (HSCs) and Mesenchymal Stem Cells (MSCs)
172
8.6 Stem Cells and Stem Cell-Derived Precursors are Capable of Myelination in Animal Models
174
8.6.1 Remyelination in Genetic Disease Models
174
8.6.2 Remyelination Following Chemically-Induced Demyelination
176
8.7 Studies of Stem Cells in Experimental Autoimmune Encephalomyelitis Models
176
8.7.1 Survival and Migration of Stem Cell-Derived Progenitors in EAE
177
8.7.2 Immunomodulatory Effects of Stem Cell-Derived Progenitors in EAE
178
8.7.3 Remyelination by Stem Cell-Derived Progenitors in EAE
178
8.8 Initial Investigations into Exogenous Cell-Based Therapy in Multiple Sclerosis
179
8.9 Future Directions
179
8.9.1 Establishing the Myelinating Capacity of Stem Cells in MS
179
8.9.2 Inflammation and Astrocytes
180
8.9.3 Method of Cell Delivery to MS Patients
180
8.9.4 The Use of Genetically Modified Cells for Transplantation
181
8.9.5 Selection of MS Patients for Transplantation Therapy
182
References
182
Part III Cancer Stem Cells
189
9 Cancer: A Stem Cell-based Disease?
190
9.1 Introduction
191
9.2 Evolution of Homeostatic Control of the Hierarchical and Cybernetic Nature of Human Health
192
9.3 The Concept of Stem Cells in the Evolutionary Transition from Single Cell Organisms and the Metazoan
195
9.4 Gap Junctional Intercellular Communication as the Evolutionary Biological Rosetta Stone for Understanding the Homeostatic Regulation of Cellular Functions in Metazoans
197
9.5 Cancer as the Result of a Disease of Homeostatic Control of Cell Communication
199
9.6 Role of Gap Junctions in the Multi-Stage/Multi-Mechanism Hypothesis of Carcinogenesis
200
9.7 What Is Source of the Initiated Cell?
205
9.8 Adult Stem Cells, Immortalizing Viruses and Cancers:
208
9.9 Tumors and Tumor Cell Lines: A Mixture of Cancer Stem Cells and Cancer Non-stem Cells
209
9.10 Characteristics of Normal Adult Stem Cells, Cancer Stem Cells and Cancer Non-stem Cells
211
9.11 Cancer Stem Cells, Drug-Resistant Cancer Cells and Side-Population Cells
212
9.12 Two Types of Cancer Cells
213
9.13 Stem Cells, Hypoxia, Drug Resistance and Oct-4 A
214
9.14 Dietary Modulation of Cancer: The Barker Hypothesis, Stem Cell Frequency and Risk to Cancer
215
9.15 Does the Adult Stem Cell or the Differentiated Somatic Cell Act as the Target Cell for the Initiation of Cancer
217
9.16 Conclusion
218
References
219
10 Stem Cell Niche Versus Cancer Stem Cell Niche Differences and Similarities
228
10.1 Introduction
229
10.2 The Stem Cell Niche in Normal Tissue
229
10.3 The Inflammatory Niche
232
10.4 The Immunological Niche
233
10.5 The Tumor Cell Niche
234
10.6 Conclusion
235
References
235
11 The Chronically Inflamed Microenvironment and Cancer Stem Cells
239
11.1 Introduction
239
11.2 The Association of Inflammation and Cancer
240
11.3 What Does the Chronic Inflammatory Environment Look Like?
242
11.4 What are the Long Term Effects of Chronic Inflammation?
246
11.5 Inflammation and Tumors Inflammations Many Roles
247
11.6 Summary
248
References
250
12 Does the Chronically Inflamed Periodontium Harbour Cancer Stem Cells?
255
12.1 Introduction
256
12.2 Stem Cells and Periodontal Tissue Regeneration
260
12.3 Animal Models in Periodontal Research
262
12.4 Tumor Induction Mediated by pdSCs?
263
12.5 Discussion
266
12.5.1 Stem Cells in the Periodontium
266
12.5.2 The Periodontal Defect
269
12.5.3 Source of pdSCs
273
12.5.4 Special Features
273
12.5.5 Considering the Nude Rats
273
12.5.6 pdSCs and Tumor Initiation
274
12.6 Conclusion
277
12.6.1 Periodontal Stem Cells as Functional Elements of Regenerative Periodontology
277
12.6.2 Possible Periodontal Tissue Regeneration
278
References
278
13 Leukemia Stem Cells
284
13.1 Introduction
285
13.2 Stem cells in acute myeloid leukemia are defined by their ability to reconstitute leukemia in serially transplanted NOD/SCID mice
285
13.3 Phenotype of Leukemia Stem Cells in AML
286
13.4 Leukemia Stem Cells in CML
287
13.5 Stem Cells in Acute Lymphoblastic Leukemia (ALL)
288
13.6 Identity of Leukemia Stem Cells in ALL Is Controversial
289
13.7 Leukemia Stem Cells and Drug-Resistance in ALL
289
13.8 Mechanisms of Leukemia Stem Cell Self-renewal
290
13.8.1 The PTEN/PI3K/AKT/FOXO Axis
290
13.8.2 Deregulation of CDX2/HOX Genes
291
13.8.3 Nuclear Reprogramming by OCT4
291
13.8.4 WNT/ -Catenin Signaling Pathway
292
13.9 Perspective
293
References
294
14 Cancer Stem Cells in Solid Tumors
298
14.1 Introduction
299
14.2 Finding the Needle in the Haystack: Identifying Phenotypically Distinct Prospective Cancer Stem Cells
300
14.2.1 Sphere Assays
300
14.2.2 Side Population Cells
303
14.2.3 Cancer Stem Cell Markers
305
14.2.3.1 Brain
306
14.2.3.2 Breast
308
14.2.3.3 Colon
311
14.2.3.4 Head and Neck
311
14.2.3.5 Kidney
311
14.2.3.6 Liver
312
14.2.3.7 Ovary
312
14.2.3.8 Pancreas
313
14.2.3.9 Prostate
314
14.2.3.10 Skin
315
14.3 Cell of Origin of Cancer Stem Cells
316
14.4 Perspectives and Challenges
322
References
324
15 One for All or All for One? The Necessity of Cancer Stem Cell Diversity in Metastasis Formation and Cancer Relapse
330
15.1 Introduction
331
15.2 The Necessity of Different CSC Subtypes
333
15.3 The Origin of Primary Tumor CSCs
334
15.3.1 Do pCSCs Originate from Adult Stem Cells?
334
15.3.2 Do pCSCs Originate from Progenitor Cells?
336
15.3.3 Do pCSCs Originate from Cell Fusion Events?
338
15.4 Metastatic CSCs
339
15.4.1 The Origin of Metastatic CSCs
340
15.4.1.1 Cell Fusion and Metastatic CSCs
341
15.4.2 Do Organ-Specific Gene Signatures Point to the Existence of Organ-Specific mCSCs?
342
15.5 Cancer Relapse and CSCs
344
15.5.1 Oncogenic Resistance and Recurrence CSCs (rCSCs)
346
15.5.2 How Do rCSCs Originate?
346
15.5.3 Cell Fusion and rCSCs
348
15.6 Conclusions
352
References
354
16 Elimination of Cancer Stem Cells
360
16.1 The Cancer Stem Cell Hypothesis
361
16.2 The Failure of Conventional Cancer Therapies
362
16.3 Searching for a Valid Target: Knowledge of Stem Cell Biology
363
16.3.1 Self-renewal
363
16.3.2 Differentiation Potential
364
16.3.3 Quiescence/Long-Life
364
16.3.4 Metastasis
365
16.3.5 Migration
366
16.3.6 Transplantation
366
16.4 Therapeutic Approaches Against Cancer Stem Cells: Eliminating CSCs
366
16.4.1 Differentiation Therapies
368
16.4.2 Destruction Therapies
368
16.4.2.1 Targeted Therapy Against Self-renewal Signaling Pathways
368
16.4.2.2 Modulation of Chemoresistance Mechanisms
376
16.4.2.3 Others Mechanism Affecting CSCs or Their Niche
378
16.5 Imaging CSCs
380
16.6 Future Prospects
381
References
382
17 Potential Molecular Therapeutic Targets in Cancer Stem/Progenitor Cells: Are ATP-Binding Cassette Membrane Transporters Appropriate Targets to Eliminate Cancer-Initiating Cells?
388
17.1 Introduction
389
17.2 Phenotypic and Functional Properties of Cancer Stem/Progenitor Cells
390
17.3 Intrinsic Properties Associated with the Treatment Resistance of Cancer Stem/Progenitor Cells
391
17.3.1 Structures of ABC Transporters and Their Functions in Multidrug Resistance
392
17.3.2 Therapeutic Strategies for Overcoming ABC Transporter-Mediated MDR
395
17.3.2.1 Inhibitors of ABC Transporters
395
17.3.2.2 Modulatory Agents of the Transduction Signaling Elements Involved in the Regulation of ABC Transporter Expression and Functions
397
17.4 Implications of Cancer Stem/Progenitor Cells in Cancer Development, Treatment Resistance and Potential Molecular Therapeutic Targets
398
17.4.1 Functions of Leukemic Stem/Progenitor Cells in Leukemias and Potential Therapeutic Targets
398
17.4.1.1 Molecular Therapeutic Targets in AML and APL
399
17.4.1.2 Molecular Therapeutic Targets in CML
401
17.4.1.3 Stem Cell-Based Transplantation Therapies
402
17.4.2 Functions of Melanoma Stem Cells in Cutaneous Melanoma and Potential Therapeutic Targets
403
17.4.3 Functions of Brain Tumor Stem Cells in Brain Cancers and Potential Therapeutic Targets
404
17.4.4 Functions of Tumorigenic Stem/Progenitor Cells in Epithelial Cancers and Potential Therapeutic Targets
406
17.4.4.1 New Therapies Against Epithelial Cancers by Molecular Targeting of Tumorigenic and Migrating Cancer Stem/Progenitor Cells and Their Progenies
407
17.5 Conclusions and Perspectives
410
References
411
Index
425
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