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A new concept of stem cell disorders and their new therapy
1First Department of Pathology, Transplantation Center, Regeneration Research Center for Intractable Diseases, Center for Cancer Therapy, Kansai Medical University, Moriguchi City, Osaka, Japan. ikehara@takii.kmu.ac.jp
Insights
This study proposes a novel stem cell disorder classification and presents a new bone marrow transplantation method. This technique shows promise for treating autoimmune diseases and other intractable conditions.
Area of Science:
- Hematology
- Immunology
- Regenerative Medicine
Background:
- Stem cell disorders are categorized into aplasia, monoclonal proliferative syndromes (leukemia, MDS), and polyclonal proliferative syndromes (autoimmune diseases).
- Mesenchymal stem cell disorders include age-associated diseases like Alzheimer's and osteoporosis.
- Organ-specific stem cell disorders encompass cancers such as lung carcinosarcoma.
Purpose of the Study:
- To review mesenchymal and organ-specific stem cell disorders.
- To introduce a novel allogeneic bone marrow transplantation method for treating stem cell disorders.
- To evaluate the efficacy of this new transplantation method in preclinical models.
Main Methods:
- Developed a new allogeneic bone marrow transplantation technique using MRL/lpr mice.
- Administered whole bone marrow cells, including T cells and mesenchymal stem cells, via direct bone marrow cavity injection.
- Established a bone marrow cell harvesting method in cynomolgus monkeys for potential human application.
Main Results:
- MRL/lpr mice treated with stem cells survived over 2 years, showing no autoimmune disease symptoms.
- The novel bone marrow cell harvesting method was successfully established in cynomolgus monkeys.
- The proposed transplantation strategy demonstrated potential for treating various intractable diseases.
Conclusions:
- The new bone marrow transplantation method offers a promising therapeutic strategy for stem cell disorders.
- This approach may be applicable to a range of intractable diseases, including autoimmune conditions and age-related ailments.
- Further research and clinical application of this method are warranted.
Abstract:
The author previously proposed a new concept of categorizing stem cell disorders as: (1) stem cell aplasia (aplastic anemia), (2) monoclonal hematopoietic stem cell proliferative syndrome (leukemia and myelodysplastic syndrome), and (3) polyclonal hemopoietic stem cell proliferative syndrome (systemic and organ-specific autoimmune diseases). This review includes the following two stem cell disorders: mesenchymal stem cell disorders and organ-specific stem cell disorders. Age-associated diseases such as Alzheimer's disease, osteoporosis, and lung fibrosis belong to the former, whereas carcinosarcoma in the lung and adeno-endocrine cell carcinoma in the stomach belong to the latter. Recently, we have established a new method for allogeneic bone marrow transplantation using chimerism-resistant autoimmune-prone MRL/lpr mice. In this method, whole bone marrow cells containing a small number of T cells and mesenchymal stem cells are directly injected into the bone marrow cavity. MRL/lpr mice treated by injection of stem cells survived more than 2 years without showing symptoms of autoimmune disease. To apply this method to humans, we established a new method for bone marrow cell harvesting using cynomolgus monkeys. In this method, cells are harvested from the long bones using a perfusion method and are then injected directly into the bone marrow cavity of recipients. In this review, we show that this new method may become a powerful strategy for the treatment of various intractable diseases.
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