Berlin, June 27, 2004

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1 Stem and Progenitor Cell Biology - an introduction Berlin, June 27, 2004 m.alison@imperial.ac.uk

2 Properties of adult stem cells Plasticity Disease: 1) metaplasia 2) fibrosis 3) cancer

3 Organ-specific stem cells

4 Adult Tissue-Specific Stem Cells S Probability of self-renewal = 0.5 * Low level of proliferation High clonogenicity TA TA TA Limited self-renewal Rapidly cycling TA TA TA TA Low clonogenicity TD TD TD TD Reproductive sterility Cell Death

5 Stem Cells: a hierarchy of potential Totipotent - fertilized oocyte Pluripotent - capable of forming many cell types, contributing to all 3 germ layers Multipotent - gives rise to a limited number of cell types Unipotent - gives rise to a single cell type

6 Adult tissue-specific stem cells: intestine Differentiated Progeny Stem Cell

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8 Neogenesis more common than enlarged islets in obese human pancreas Mayo series, 48 yr male, obese, insulin stained

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11 GFAP Ki-67

12 Trilineage potential in vitro Are clonogenic

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14 Demonstrate clonal growth in vitro GATA4 Nkx2 alphasma Von-Willebrand So are multipotential

15 The stem cell niche (Fr. recess)

16 Stem cells are self-maintaining Asymmetrical division S TA S

17 The Drosophila ovariole Cap cells secrete BMPs (dpp)

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19 Centrosomin mutant

20 Stem cell renewal Delta/Notch TGFβ (BMPs) SC Wnts EGF Hedgehog

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23 Wnt 1 Wnt 2 Wnt 3a Wnt 4 Wnt 5a Wnt 7b Wnt 9a Wnt 16 Fzd 1 Fzd 2 Fzd 4 Fzd 7 β-actin Wnt Expression in Colonic SEMFs Colonic SEMFs Colonic crypts RPMI 10%FCS RPMI EGF HC INS 10%FCS Wnt Fzd Wnt proteins Colonic SEMFs (+) (+) EGF Colonic crypts (-) (+) Wnt 2

24 Wnt signalling determines the stem cell phenotype van de Wetering, Cell, Vol. 111, , October 18, 2002,

25 β-catenin is in the nuclei of crypt stem cells

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27 Bone marrow

28 Y chromosome, αsma positive cells in lamina propria of female mouse colon 6wks after BMTx (arrows)

29 Lung Kidney Stomach Skin Adrenal capsule

30 How can you find stem cells?

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32 The immortal strand hypothesis

33 Stem cells can be identified as label-retaining cells Kristen Braun, et al. Development 2003; 130: Many injections of BrdU in neonatal mice - examine tail skin (BrdU green Keratin 14 red) HF IFE SG 2 days post-brdu 140 days post-brdu

34 Side population (SP) cells

35 Bone Marrow hosts multipotent stem cells Haematopoietic Stem Cells Mesenchymal Stem Cells Endothelial Precursor Cells and what else? MSC HSC EPC Stem Cell Plasticity - challenges traditional views of lineage commitment

36 Against Cell fusion? For

37 MI model BM lin-, c-kit +ve expressing egfp Injected into heart New myocardium occupied 68% of infarcted ventricle LV developed pressure 41% higher in treated group

38 Orlic et al Nature 410, 701 Lin- bone marrow from a GFP mouse co-expresses GFP and cardiac myosin in healing myocardium

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40 Report from the American Association for Thoracic Surgery -Toronto April 25, st randomized trial of adult stem cell (CD34+) injections in heart failure patients University of Pittsburgh, Baylor College, Benetti Foundation in Rosario, Argentina Significant improvements in ejection fraction Cellular therapy is an option for congestive heart failure patients

41 Renal Ischaemia-Reperfusion Injury (IRI) in C57BL/6 Mice: Experimental Design Male Renal IRI for 45 min on LEFT kidney only whole BMT 8 Gray Female PCR Weeks Elina Prodromidi: NKRF

42 2 wks post-iri: detection of donor-derived epithelium by Lectin histochemistry and Y-FISH Y paint (dots) = donor-derived cells Lotus Tetragonolobus Agglutinin,LTA = proximal convoluted tubule epithelium DAPI =nuclei

43 2 wks post-iri: detection of donor-derived epithelium by Lectin histochemistry and Y-FISH Y paint (dots) = donor-derived cells Lotus Tetragonolobus Agglutinin,LTA = proximal convoluted tubule epithelium DAPI = nuclei

44 Distal tubule (PNA staining)

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46 Male Female (4d) - no MSCs Female (4d) - with male MSCs

47 No intervening culture Isolate single cells Functional Should occur naturally Clonogenic in new environment

48 Positive selection pressure for transplanted cells

49 Hereditary type 1 tyrosinaemia Lack fumarylacetoacetate hydrolase (FAH) Accumulate fumarylacetoacetate (FAA) Highly toxic to hepatocytes

50 Tyrosine NTBC FAA

51 Tyrosine NTBC FAA

52 The proof of principle of the therapeutic potential of BM? 1 million bone marrow cells from ROSA-26 mouse injected into lethally irradiated FAH- mouse 7 months 50% liver replaced Lagasse et al. (2000) Nature Medicine 6,

53 Reprogramming of deficient hepatocyte FAH+ WT FAH-

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56 Venule formed entirely from transplanted bone marrow? Courtesy of Mairi Brittan

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58 Stem Cell Diseases

59 Can bone marrow contribute to liver fibrogenesis? Cirrhosis

60 Section of Hepatology 1, Histopathology 2, Imperial College London Section of Gastroenterology 3, Pathology 4, Universita degli Studi di Padova Histopathology Unit, Cancer Research UK London 5

61 Y positive (green), Vimentin positive (red) cells within fibrotic band Female liver in male recipient

62 of stem cells

63 Cancer is a stem cell disease Tumours have stem cells

64 Is this a stem cell? Alison MR 2001, Encyclopaedia of Life Sciences, Nature Publishing Group

65 Skin cancer in mice (initiators and promoters) No tumours Tumours Tumours No tumours No tumours

66 Evidence for cancer stem cells CD34+, CD38- are only 0.2% of AML cells but they are the only cells to form tumours in NOD/SCID mice

67 CD44+ CD24- Lin- can make tumours in NOD/ SCID mice

68 Successful chemotherapy: kill the stem cells!

69 are stem cells or

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