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Updated: Jul 18, 2026

Evidence for EpCAM and Cytokeratin Expressing Epithelial Cells in Normal Human and Murine Blood and Bone Marrow
Published on: April 21, 2023
Engraftment of bone marrow-derived epithelial cells
John S Van Arnam1, Erica Herzog, Joanna Grove
1Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06520, USA.
Transplanted bone marrow cells can generate diverse epithelial cells beyond the hematopoietic system. This finding opens new avenues for gene therapy and tissue regeneration using bone marrow-derived epithelia.
Area of Science:
- Stem cell biology
- Regenerative medicine
- Cellular plasticity
Background:
- Bone marrow (BM)-derived cells were traditionally considered exclusive to the hematopoietic system.
- Recent findings challenge this dogma, suggesting broader differentiation potential.
- Understanding BM cell plasticity is crucial for regenerative medicine.
Purpose of the Study:
- To investigate the mechanisms of BM-derived epithelial cell generation.
- To explore the therapeutic potential of BM-derived cells for gene therapy and tissue regeneration.
- To clarify the role of cell fusion in BM-derived epithelial cell formation.
Main Methods:
- Utilized a Cre-lox system to differentiate between fusion-dependent and independent mechanisms.
- Employed costaining and single-cell analyses to validate findings.
- Conducted proof-of-principle experiments for gene therapy applications using BM transplantation.
Main Results:
- Demonstrated that a single bone marrow cell can generate hematopoietic and mature epithelial cells in multiple organs.
- Showed that cell fusion is not a prerequisite for BM-derived epithelial cell generation.
- Confirmed that autologous BM-derived cells, engineered with a transgene, can differentiate into functional type-II pneumocytes.
Conclusions:
- Bone marrow cells possess a greater differentiation capacity than previously understood, contributing to epithelial lineages.
- Cell fusion is not the primary mechanism for generating BM-derived epithelial cells post-transplantation.
- Engineered autologous BM cells hold promise for targeted gene therapy and tissue repair strategies.
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