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http://www.chron.com/cs/CDA/story.hts/front/1285017

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Section: Front page

Section: Local State

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Stem cells in bloodstream can grow into tissue

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March 6, 2002, 9:43PM

Stem cells in bloodstream can grow into organ tissue

M.D. finding may affect disease treatment

By TODD ACKERMAN

Copyright 2002 Houston Chronicle Medical Writer

AP

Human embryonic stem cell colonies in different stages of development.

Researchers at the University of Texas M.D. Cancer Center have shown that stem cells that circulate in the bloodstream are

capable of growing into liver, gut and skin tissue.

The discovery suggests circulating stem cells play an active role in replacing normal tissue or repairing injured organ tissue -- and

thus one day could be used to treat disease, the researchers said.

"This discovery leads us into new knowledge of what happens in the body without intervention," said Dr. Zeev Estrov, a professor of

bioimmunotherapy and one of the study's principal investigators. "If peripheral blood stem cells are capable of differentiating into

many different organs, this may affect the treatment of many diseases."

The study, published in today's New England Journal of Medicine, is the latest finding suggesting adult stem cells may

share some of the properties that make embryonic stem cells a great hope as medicine's next frontier. While embryonic stem cells

grow into any sort of tissue the body needs, adult stem cells were long thought to make only one kind of cell, depending on their

location.

The dogma was upset in 2001, when researchers reported adult stem cells in the bone marrow grew into skin, lung and gastrointestinal

tissues.

M.D. researchers noted that stem cells in the blood represent a major advance because, compared with bone marrow

stem cells, they are more plentiful and can be easily collected from the blood by a routine blood-banking procedure. The two types

of stem cells are virtually identical.

The idea for the M.D. research came from two independent clinical studies that recently reported donor-derived liver cells

were found in patients who had received bone marrow transplants. Since the bone marrow was not in direct physical contact with the

liver, gastrointestinal tract or skin, M.D. researchers hypothesized that the circulating blood might be the

"vehicle" that contains and distributes stem cells capable of morphing into various organ cells.

So the M.D. researchers examined tissue collected from 12 cancer patients after stem cell transplants. They found evidence

the stem cells manufactured new tissue in unlikely places within two weeks -- of the six women who got transplants from a brother,

cells with a male chromosome accounted for up to 7 percent of tissue samples taken from the liver, gastrointestinal tract and skin.

Estrov said the team's next step will be to learn the trigger mechanisms that reprogram circulating stem cells to become

various organ cells, and then to take them out and try to reprogram them. He said potential trigger mechanisms include tissue damage

from high-dose radiation or chemotherapy and when the immune system attacks organs following transplantation.

There have been numerous other studies suggesting nonembryonic stem cells -- in animals and human umbilical cords, for instance --

have greater flexibility than previously thought. But M.D. researchers stopped short of saying their discovery represents a

future treatment source free of the controversy that has surrounded fetal and embryonic tissue.

"We don't know yet whether these adult blood stem cells have properties that are similar to embryonic stem cells," said Dr.

Korbling, a professor of blood and marrow transplantation and the lead author of the paper. "There is no comparative study. But our

findings constitute the first clinical evidence that circulating donor-derived stem cells generate organ-specific cells in humans."

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