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== Introduction ==
== Introduction ==
Placenta and placental cord blood (umbilical cord blood, UCB) contains stem cells that can be harvested at birth (More? Placenta Notes). The total amout of blood that can be collected is about 90 ml, from which stem cells can be collected, typed and stored in Cord Blood Banks.
Placenta and placental cord blood (umbilical cord blood, UCB) contains stem cells that can be harvested at birth (More? Placenta Notes). The total amout of blood that can be collected is about 90 ml, from which stem cells can be collected, typed and stored in Cord Blood Banks. Both public and private Cord Blood Banks have arisen in this area. These cells provide a resource for bone marrow replacement therapy in many diseases.


Both public and private Cord Blood Banks have arisen in this area. These cells provide a resource for bone marrow replacement therapy in many diseases.
Placental cord blood is a rich souce of haematopoietic stem cells for transplantation. Cord blood can collected at birth, with no impact on the mother or neonate, and stured in cord blood banks for later use.


"Stem cell donors are submitted to the national registries by regional donor centres. These in turn collaborate with tissue typing laboratories, that provide the HLA characteristics, the primary matching criterion for a donor and a patient." (From: Bone Marrow Donors Worldwide)
'''BBC''' (UK) A brief article on [http://news.bbc.co.uk/hi/english/in_depth/sci_tech/2001/san_francisco/newsid_1177000/1177766.stm Cord Blood stem cells] and their therapeutic potential.


A useful guide (online PDF document) to stem cells was produced in a report by the National Institute of Health (NIH, USA, May 2000) [http://embryology.med.unsw.edu.au/pdf/fullrptstem.pdf Stem Cells: A Primer] (note large size - 4.84 Mb) and more recently NIH has established a [http://stemcells.nih.gov/index.asp Stem Cell information] page.
A useful guide (online PDF document) to stem cells was produced in a report by the National Institute of Health (NIH, USA, May 2000) [http://embryology.med.unsw.edu.au/pdf/fullrptstem.pdf Stem Cells: A Primer] (note large size - 4.84 Mb) and more recently NIH has established a [http://stemcells.nih.gov/index.asp Stem Cell information] page.
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== Some Recent Findings ==
== Some Recent Findings ==


== Stem Cell Use ==
Results from a recent Australian survey into couples' views on the use of supernumerary embryos:<ref><pubmed>16716313</pubmed></ref>


* 40% (123/311) returned completed questionnaires.  
== Cord Blood Registries ==
* 42% most common decision was donation to research (altruistic motives and desire not to waste embryos were determinants of embryo donation).
Cord blood collection statistics began in 1994 and have been increasing ever since. In January 2007, there were 254,000 cord blood units collected in worldwide registries.
 
 
<center>Cord Blood Units Register (Data from: Bone Marrow Donors Worldwide [http://www.bmdw.org/index.php?id=statistics_cordblood Cord Blood Registries)] </center>


Determinants of disposal were not wanting a full sibling to existing children and opposition of embryo research.
'''CBU''' Cord Blood Units
* 45% found deciding distressing.
* 69% approved of embryo donation to stem-cell research.


== Cord Blood Stem Cell ==
'''NVC''' Net Volume Collected of CBU Volume of the unit in milliliters; see note below.  
Placental cord blood is a rich souce of haematopoietic stem cells for transplantation. Cord blood can collected at birth, with no impact on the mother or neonate, and stured in cord blood banks for later use. (More? [http://embryology.med.unsw.edu.au/Notes/stemcell4.htm Stem Cells - Cord Blood])


'''BBC''' (UK) A brief article on [http://news.bbc.co.uk/hi/english/in_depth/sci_tech/2001/san_francisco/newsid_1177000/1177766.stm Cord Blood stem cells] and their therapeutic potential.
'''TNC''' Total Nucleated Cells count of CBU The rounded number of nucleated cells in the units of 10 million.  


== Spermatogonial Stem Cell (SSC) ==
'''CD34P''' Collected number of CD34+ cells of CBU Cell count after volume reduction; numeric value with decimal point in units of 1 million.  
In the male testes are a population of spermatogonia cells that differentiate and meiotically divide to form spermatozoa cells (male germ cells).  


* Production of knockout mice by random or targeted mutagenesis in spermatogonial stem cells.<ref><pubmed>16679411</pubmed></ref>
'''MONONUC''' Collected number of mononuclear cells of CBU The rounded number of mononuclear cells in the units of 10 million.  


* Spermatogonial stem cells: questions, models and perspectives.<ref><pubmed>16446319</pubmed></ref>
== Diseases ==
* [Spermatogonial stem cells: characteristics and experimental possibilities.<ref><pubmed>16480445</pubmed></ref>
The list of diseases that were transplanted with cord blood include the following: Acute Lymphoblastic Leukaemia, Acute Myeloblastic Leukaemia, Adrenoleukodystrophy, Blackfan-Diamond, Cancer-miscellaneous, Chronic Myeloid Leukaemia, Chronic Lymphocytic leukaemia, Fanconi's Anaemia, Genetic disorders - miscellaneous, Hurler's Syndrome, Immune deficiency-Miscellaneous, Krabbe's disease, Lymphomas, Myelodysplastic Syndrome, Mucolipopolysaccharide deficiency, Osteopetrosis, Syndrome Severe Aplastic Anaemia, Severe Combined Immunodeficiency Disease, Storage disorders, Thalassaemia, Wiskott-Aldrich Syndrome (From: [http://www.sch.edu.au/departments/acbb/ The Sydney Cord Blood Bank])
* Genetic and epigenetic properties of mouse male germline stem cells during long-term culture.<ref><pubmed>16107472</pubmed></ref>
* Expansion of murine spermatogonial stem cells through serial transplantation.<ref><pubmed>12493728</pubmed></ref>


== Adult Stem Cell ==
== Australia ==
Adult stem cells, with pluropotentiality, are found in three main body systems: intestinal epithelium, epidermis, and bone marrow. (More? [http://embryology.med.unsw.edu.au/stemcell5.htm Adult Stem Cells])
Australia has three cord blood banks (CBBs) located in Brisbane (Queensland), Sydney (New South Wales) and Melbourne (Victoria). AusCord is the Australian national network of umbilical cord blood banks and cord blood collection centres.  


==Inducible Stem Cells==
'''Links: '''[http://www.abmdr.org.au/ Australian Bone Marrow Donor Registry] | [http://www.sch.edu.au/departments/acbb/default.asp The Sydney Cord Blood Bank (SCBB)] | [http://www.bmdi.org.au/default.asp?id=40 Melbourne - BMDI Cord Blood Bank] | [http://www.materfoundation.com.au/ Queensland Cord Blood Bank] | [http://www.abmdr.org.au/AusCord_Brochure.pdf PDF - AusCord Brochure]
Inducible pluripotent stem cells (iPS) require a minimum of  key defined transcription factors (Oct3/4, Sox2, Klf4, c-Myc, Nanog and Lin28) are required to be introduced into a cell to "induce" that cell to revert to a stem cell phenotype.


* Induction of pluripotent stem cells from adult human fibroblasts by defined factors.<ref><pubmed>18035408</pubmed></ref>
== United States ==
* Generation of induced pluripotent stem cells by reprogramming mouse embryonic fibroblasts with a four transcription factor, doxycycline inducible lentiviral transduction system.<ref><pubmed>19915522</pubmed></ref>
On August 9, 2001, at 9:00 p.m. EDT, the President announced his decision to allow Federal funds to be used for research on existing human embryonic stem cell lines as long as prior to his announcement (1) the derivation process (which commences with the removal of the inner cell mass from the blastocyst) had already been initiated and (2) the embryo from which the stem cell line was derived no longer had the possibility of development as a human being.


== Stem Cell Markers ==
In addition, the President established the following criteria that must be met:
In order to carry out research on stem cells, it is important to be able to identify them. A number of different research groups in the late 90's generated several antibodies which specifically identified undifferentiated, differentiating or differentiated stem cells from a number of different sources and species. Note that the nomenclature in some cases is based upon the antibody used to identify the cell surface marker.


* '''Stage-Specific Embryonic Antigen-1 (SSEA-1)''' cell surface embryonic antigen which has a role in cell adhesion, migration and differentiation and is often differentially expressed during development. Can be identified by Davor Solter (monoclonal antibody MC-480) (SSEA-1).
* The stem cells must have been derived from an embryo that was created for reproductive purposes;
* '''Stage-Specific Embryonic Antigen-4 (SSEA-4)''' cell surface embryonic antigen of human teratocarcinoma stem cells (EC), human embryonic germ cells (EG) and human embryonic stem cells (ES) which is down-regulated following differentiation of human EC cells. Antigen not expressed on undifferentiated murine EC, ES and EG cells but upregulated on differentiation of murine EC and ES cells. Can be identified by Davor Solter (monoclonal antibody MC-813-70) (SSEA-4)
* The embryo was no longer needed for these purposes;
* '''Tumor Rejection Antigen (TRA-1-60)''' Sialylated Keratan Sulfate Proteoglycan expressed on the surface of human teratocarcinoma stem cells (EC), human embryonic germ cells (EG) and human embryonic stem cells (ES).
* Informed consent must have been obtained for the donation of the embryo;
* '''Tumor Rejection Antigen (TRA-1-81)''' antigen expressed on the surface of human teratocarcinoma stem cells (EC), human embryonic germ cells (EG) and human embryonic stem cells (ES). Both TRA antibodies identify a major polypeptide (Mr 240 kDa) and a minor polypeptide (Mr 415 kDa).
* No financial inducements were provided for donation of the embryo.  
* '''Oct-4''' (Pou5f1 – Mouse Genome Informatics) gene has an essential role in control of developmental pluripotency (Oct4 knockout embryo blastocysts die at the time of implantation). Oct4 also has a role in maintaining viability of mammalian germline.
* '''Stem Cell Antigen 1 (Sca-1)''' member of the Ly-6 family of GPI-linked surface proteins (Mr 18 kDa) and a major phenotypic marker for mouse hematopoietic progenitor/stem cell subset.  
* '''CD133, AC133, prominin''' 5 transmembrane glycoprotein (865 aa) expressed on stem cells with hematopoietic and nonhematopoietic differentiation potential.
* '''Alpha 6 integrin'''


===References===
In order to facilitate research using human embryonic stem cells, the NIH is creating a Human Embryonic Stem Cell Registry that will list the human embryonic stem cell lines -- at varying stages of development -- that meet the [http://grants.nih.gov/grants/guide/notice-files/NOT-OD-02-005.html eligibility criteria]. Listed below are entities that have developed stem cell lines that meet the President's criteria and are therefore eligible for federal funding. Please click on the name of the laboratory or company for contact information.


* Shamblott M.J. et. al. (1998). ''PNAS'' '''95''': 13726-13731 ; Schuldiner M. et. al. (2000). ''PNAS'' '''97''': 11307 - 11312 ; Thomson J.A. et. al. (1998). ''Science'' '''282''': 1145-1147 ; Reubinoff B.E. et. al. (2000). ''Nature Biotechnology'' '''18''': 399-404 ; Henderson J.K. et. al. (2002). ''Stem Cells'' '''20''': 329-337; Pera M. et. al. (2000). ''J. Cell Science'' '''113''': 5-10. [http://cancerres.aacrjournals.org/cgi/content/abstract/59/18/4715 The Human Embryonal Carcinoma Marker Antigen TRA-1-60 Is a Sialylated Keratan Sulfate Proteoglycan]  [www.ncbi.nlm.nih.gov/entrez/query.fcgi%3Fcmd=Retrieve&%20db=pubmed&dopt=Abstract&list_uids=15486564 Oct4 is required for primordial germ cell survival.] ;[http://www.pnas.org/cgi/content/full/102/20/7180 Sca-1 expression identifies stem cells in the proximal region of prostatic ducts with high capacity to reconstitute prostatic tissue]  
Dartmouth ethics professor [http://www.dartmouth.edu/~news/releases/2005/11/30a.html discusses promise and pitfalls of stem cell research] (2005)


Data based on information from Appendix E.II. NIH Report "Stem Cells: Scientific Progress and Future Research Directions", [http://www.chemicon.com/Featured/stemcellmarker.asp Chemicon International- Stem cell marker antibodies] OMIM and other sources.
'''NIH Clinical Trials''' (May 2004) Launches Study of Hematopoietic Stem Cell Transplantation for Severe, Treatment-Resistant Lupus (NIAMS, May 13,2004)


== Stem Cell Fake Result ==
A clinical therapeutic trial in the USA for hematopoietic stem cells in an autoimmune disease.


[http://bmj.bmjjournals.com/cgi/content/full/332/7532/7?etoc Hwang Woo-suk (Korean pioneer of stem cell research) Resigns] A Seoul National University investigation of the original data in Science paper Jun (2005;308: 1777-83) "Eleven human embryonic stem cells (hESC) lines were established by nuclear transfer (SCNT; NT) of skin cells from patients with disease or injury into donated oocytes." announced 29 Dec 2005 that he had faked the results.
"A five-year study to see whether a therapy using transplantation of hematopoietic stem cells, blood stem cells found in bone marrow, can produce long-term remission for patients with severe, treatment-resistant systemic lupus erythematosus (or lupus), a rheumatic autoimmune disease that can affect the body's major organs. The study will include a basic research component to examine the roles of B and T cells, white blood cells in the immune system, in triggering lupus symptoms."  


The journal '''Science''' retracted the original paper, the original reference with link to the erratum.<ref><pubmed>15905366</pubmed></ref>
Read more of the [http://www.nih.gov/news/pr/may2004/niams-13.htm NIH Press Release]


'''Science''' [http://www.sciencemag.org/cgi/content/full/311/5757/22 News 06 Jan] | [http://www.sciencemag.org/sciext/hwang2005/ Special Online Collection: Hwang et al. and Stem Cell Issues]
Note that a May search of NIH Clinical Trials with "stem cell" found 302 study results.  


== Cancer ==
Repeat search: [http://clinicaltrials.gov/ct/search?term=stem+cell⊂mit=Search NIH Clinical Trials with "stem cell"]
There is a hypothesis that several cancers may arise from somatic stem or progenitor cells that exist in different tissues. These cancer stem cells are called "side population" (SP) cells and have been identified in: leukemia, breast cancer and several human cancer cell lines (central nervous system, gastrointestinal tumors, retinoblastoma). There is still a "chicken and egg" problem to be resolved, in that the cancer cells may have dedifferentiated to a stem cell-like population.


A recent paper has also identified SP cells in ovarian cancer which have properties similar to stem cells.<ref><pubmed>16574858</pubmed></ref>
A recent paper has also identified SP cells in ovarian cancer which have properties similar to stem cells.<ref><pubmed>16574858</pubmed></ref>

Revision as of 12:08, 30 July 2010

Introduction

Placenta and placental cord blood (umbilical cord blood, UCB) contains stem cells that can be harvested at birth (More? Placenta Notes). The total amout of blood that can be collected is about 90 ml, from which stem cells can be collected, typed and stored in Cord Blood Banks. Both public and private Cord Blood Banks have arisen in this area. These cells provide a resource for bone marrow replacement therapy in many diseases.

Placental cord blood is a rich souce of haematopoietic stem cells for transplantation. Cord blood can collected at birth, with no impact on the mother or neonate, and stured in cord blood banks for later use.

BBC (UK) A brief article on Cord Blood stem cells and their therapeutic potential.

A useful guide (online PDF document) to stem cells was produced in a report by the National Institute of Health (NIH, USA, May 2000) Stem Cells: A Primer (note large size - 4.84 Mb) and more recently NIH has established a Stem Cell information page.

Stem Cell Links: Introduction | Timeline | Placental Cord Blood | Adult | Induced pluripotent stem cell | Yamanaka Factors | Somatic Cell Nuclear Transfer | Ethics | Organoids | Adult Human Cell Types | Category:Stem Cell

Some Recent Findings

Cord Blood Registries

Cord blood collection statistics began in 1994 and have been increasing ever since. In January 2007, there were 254,000 cord blood units collected in worldwide registries.


Cord Blood Units Register (Data from: Bone Marrow Donors Worldwide Cord Blood Registries)

CBU Cord Blood Units

NVC Net Volume Collected of CBU Volume of the unit in milliliters; see note below.

TNC Total Nucleated Cells count of CBU The rounded number of nucleated cells in the units of 10 million.

CD34P Collected number of CD34+ cells of CBU Cell count after volume reduction; numeric value with decimal point in units of 1 million.

MONONUC Collected number of mononuclear cells of CBU The rounded number of mononuclear cells in the units of 10 million.

Diseases

The list of diseases that were transplanted with cord blood include the following: Acute Lymphoblastic Leukaemia, Acute Myeloblastic Leukaemia, Adrenoleukodystrophy, Blackfan-Diamond, Cancer-miscellaneous, Chronic Myeloid Leukaemia, Chronic Lymphocytic leukaemia, Fanconi's Anaemia, Genetic disorders - miscellaneous, Hurler's Syndrome, Immune deficiency-Miscellaneous, Krabbe's disease, Lymphomas, Myelodysplastic Syndrome, Mucolipopolysaccharide deficiency, Osteopetrosis, Syndrome Severe Aplastic Anaemia, Severe Combined Immunodeficiency Disease, Storage disorders, Thalassaemia, Wiskott-Aldrich Syndrome (From: The Sydney Cord Blood Bank)

Australia

Australia has three cord blood banks (CBBs) located in Brisbane (Queensland), Sydney (New South Wales) and Melbourne (Victoria). AusCord is the Australian national network of umbilical cord blood banks and cord blood collection centres.

Links: Australian Bone Marrow Donor Registry | The Sydney Cord Blood Bank (SCBB) | Melbourne - BMDI Cord Blood Bank | Queensland Cord Blood Bank | PDF - AusCord Brochure

United States

On August 9, 2001, at 9:00 p.m. EDT, the President announced his decision to allow Federal funds to be used for research on existing human embryonic stem cell lines as long as prior to his announcement (1) the derivation process (which commences with the removal of the inner cell mass from the blastocyst) had already been initiated and (2) the embryo from which the stem cell line was derived no longer had the possibility of development as a human being.

In addition, the President established the following criteria that must be met:

  • The stem cells must have been derived from an embryo that was created for reproductive purposes;
  • The embryo was no longer needed for these purposes;
  • Informed consent must have been obtained for the donation of the embryo;
  • No financial inducements were provided for donation of the embryo.

In order to facilitate research using human embryonic stem cells, the NIH is creating a Human Embryonic Stem Cell Registry that will list the human embryonic stem cell lines -- at varying stages of development -- that meet the eligibility criteria. Listed below are entities that have developed stem cell lines that meet the President's criteria and are therefore eligible for federal funding. Please click on the name of the laboratory or company for contact information.

Dartmouth ethics professor discusses promise and pitfalls of stem cell research (2005)

NIH Clinical Trials (May 2004) Launches Study of Hematopoietic Stem Cell Transplantation for Severe, Treatment-Resistant Lupus (NIAMS, May 13,2004)

A clinical therapeutic trial in the USA for hematopoietic stem cells in an autoimmune disease.

"A five-year study to see whether a therapy using transplantation of hematopoietic stem cells, blood stem cells found in bone marrow, can produce long-term remission for patients with severe, treatment-resistant systemic lupus erythematosus (or lupus), a rheumatic autoimmune disease that can affect the body's major organs. The study will include a basic research component to examine the roles of B and T cells, white blood cells in the immune system, in triggering lupus symptoms."

Read more of the NIH Press Release

Note that a May search of NIH Clinical Trials with "stem cell" found 302 study results.

Repeat search: NIH Clinical Trials with "stem cell"

A recent paper has also identified SP cells in ovarian cancer which have properties similar to stem cells.[1]

References

  1. <pubmed>16574858</pubmed>

Journals

  • Cell Stem Cell is the official affiliated journal of the International Society for Stem Cell Research (ISSCR).
  • Stem Cells welcomes original articles and concise reviews describing basic laboratory investigations of stem cells and the translation of their clinical aspects of characterization and manipulation from the bench to patient care. The journal covers all aspects of stem cells: embryonic stem cells; tissue-specific stem cells; cancer stem cells; the stem cell niche; stem cell genomics and proteomics; and translational and clinical researc

Reviews

<pubmed>19570509</pubmed> <pubmed>16574858</pubmed> <pubmed>16212509</pubmed>

Articles

<pubmed>16728281</pubmed> <pubmed>16723974</pubmed> <pubmed>16719047</pubmed> <pubmed>16716780</pubmed> <pubmed>16716313</pubmed> <pubmed>16574858</pubmed>

Search PubMed

May 2006 "stem cell" 154,176 reference articles of which 16,449 were reviews.

Search PubMed Now: stem cell | embryonic stem cell | adult stem cell |

Australia

The Australian Health Ethics Committee was approached by human research ethics committees (HRECs) seeking advice on how to review research protocols that involve stem cell research. The following guidance is interim. Formal guidelines will be developed by AHEC in the context of its review of the 1996 NHMRC Ethical guidelines on assisted reproductive technology.

INFORMATION FOR HUMAN RESEARCH ETHICS COMMITTEES SHEET NUMBER 5 - STEM CELL RESEARCH

USA

National Institute of Health (NIH) Stem Cell Information NIH Stem Cell Basics | NIH Stem Cell Information | NIH Stem Cell Reports | Regenerative Medicine 2006 | Stem Cells: Scientific Progress and Future Research Directions (2001) | National Human Genome Research Institute - Cloning/Embryonic Stem Cells

Stem Cell News (2001)

During the earlier Bush administration there was much political controversy about Stem cells in the USA.

External Links

Original UNSW Embryology Pages: Stem Cells | Stem Cell Ethics | Cord Blood | Adult Stem Cells | Neural Stem Cells | Week 2 Stem Cells | Cloning

International Society for Stem Cell Research (ISSCR) is an independent, nonprofit organization formed in 2002 to foster the exchange of information on stem cell research.

University of Michigan Stem Cells Explained

Transcript of discussion on ABC Radio (Dr. J Kahn , Dr. JWagner) on Genetic Technology And Ethics

A brief article on Cord Blood stem cells and their therapeutic potential from the BBC.

Monash University (Australia) [%20http://www.med.monash.edu.au/miscl/ Monash Immunology and Stem Cell Laboratories (MISCL)]

Human Stem cells in the News mainly in regard to USA political position on Human Stem Cell Research (BBC links)

The external link to CNN requires Quicktime Stem Cell Animation === Navigation ===


Glossary Links

Glossary: A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | Numbers | Symbols | Term Link

Cite this page: Hill, M.A. (2024, April 24) Embryology Stem Cells - Placental Cord Blood. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Stem_Cells_-_Placental_Cord_Blood

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