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Updated: Sep 1, 2025

Reprogramming Primary Amniotic Fluid and Membrane Cells to Pluripotency in Xeno-free Conditions
Published on: November 27, 2017
Regenerative medicine: prenatal approaches
Paolo de Coppi1, Stavros Loukogeorgakis1, Cecilia Götherström2
1Stem Cell and Regenerative Medicine Section, Department of Developmental Biology and Cancer Research and Teaching, Great Ormond Street Institute of Child Health, University College London, London, UK; Department of Specialist Neonatal and Paediatric Surgery, Great Ormond Street Institute of Child Health, University College London, London, UK.
Insights
Regenerative medicine advances, including stem-cell and gene therapies, offer new hope for treating congenital and incurable pediatric diseases. Innovations in prenatal diagnostics and in-utero treatments are paving the way for future pediatric therapies.
Area of Science:
- Regenerative Medicine
- Genomics
- Paediatric Health
Background:
- Recent advancements in genomic, stem-cell, and tissue-based technologies are driving progress in regenerative medicine.
- Congenital and incurable pediatric diseases present significant challenges requiring novel therapeutic approaches.
- Prenatal diagnostic and therapeutic strategies are emerging as critical areas of research.
Purpose of the Study:
- To review recent advances and applications of regenerative medicine relevant to pediatric patients.
- To highlight innovations in disease modeling and the development of new therapies for pediatric conditions.
- To discuss the opportunities and challenges associated with prenatal and in-utero therapeutic approaches.
Main Methods:
- Review of current literature on regenerative medicine, genomics, and stem-cell technologies.
- Analysis of noninvasive prenatal screening methods, including maternal plasma fetal DNA analysis.
- Examination of in-utero therapies such as stem-cell, gene, and gene-modified cell treatments.
Main Results:
- Genomic and stem-cell innovations have improved disease modeling and therapeutic development for pediatric disorders.
- Noninvasive prenatal testing using maternal plasma fetal DNA is becoming standard for genetic disorder screening.
- In-utero stem-cell, gene, and cell-based therapies show early promise for various pediatric conditions.
Conclusions:
- Regenerative medicine holds significant potential for treating congenital and incurable pediatric diseases.
- Prenatal and in-utero approaches offer unique therapeutic opportunities but face technical and ethical hurdles.
- Future directions include utilizing fetal cells for postnatal treatment and artificial placentas for ex-utero therapies.
Abstract:
This two-paper Series focuses on recent advances and applications of regenerative medicine that could benefit paediatric patients. Innovations in genomic, stem-cell, and tissue-based technologies have created progress in disease modelling and new therapies for congenital and incurable paediatric diseases. Prenatal approaches present unique opportunities associated with substantial biotechnical, medical, and ethical obstacles. Maternal plasma fetal DNA analysis is increasingly adopted as a noninvasive prenatal screening or diagnostic test for chromosomal and monogenic disorders. The molecular basis for cell-free DNA detection stimulated the development of circulating tumour DNA testing for adult cancers. In-utero stem-cell, gene, gene-modified cell (and to a lesser extent, tissue-based) therapies have shown early clinical promise in a wide range of paediatric disorders. Fetal cells for postnatal treatment and artificial placenta for ex-utero fetal therapies are new frontiers in this exciting field.
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