�US  scientists have observed a style to transmute living pancreatic cells in mice into another type of cellphone that produces insulin without having to 
revert to the stem cell stage, creating what is now a third route for cell reprogramming to add to the existing methods of iPS  (induced pluripotent stem cells) and hES  (human 
embryologic stem cells).
The  study was the work of Harvard  Stem  Cell  Institute  co-director Doug  Melton  and post doctoral fellow Qiao  "Joe"  Zhou  , at Harvard  University,  
Boston,  Massachusetts,  and colleagues and was published as an advanced online paper in Nature  on 27th August.
Melton  and colleagues seem to have got attained the "holy grail" of stem cell research, they have turned unitary type of adult mobile phone directly into another type 
of grownup cell, opening the door to living cell transformation directly in patients.
Using  what they called "direct reprogramming," the researchers turned exocrine gland cells, which account for around 95 percent of pancreatic tissue paper, into 
rarefied insulin-producing beta cells, which account for a a great deal smaller 1 per centime or less of pancreatic cells and are consequently very precious.  Beta  cells 
are the ones that die off in Type  I  diabetes.
The  feat is being heralded as a major step in developing treatments for Type  2 and Type  1 diabetes, bringing closer the day when patients won't have 
to be checking their blood simoleons all the time, or even get hold of insulin medication.  The  researchers did nonetheless caution that it will be some time earlier 
this is a world, and there are many difficult hurdle race to get over before the method prat be tried in humans.
For  example, as with iPS,  Melton's  team used viruses to introduce various arranging factors (bits of DNA  that change the way that genes express 
themselves) into the target cells.  This  is a speculative approach in humans because the viruses could behave in former unplanned and unpredictable shipway.  
The  researchers are looking for safer alternatives based on chemicals for this reason.
Melton  pointed out that direct reprogramming will not remove the need for iPS  and hES,  and said his lab will continue to use them as well as the new 
techniques.
"We  need to attack problems from multiple angles," said Melton.
The  researchers had a bit of luck when they ascertained they could directly reprogram adult cells.  Usually,  as in iPS,  you have to usage hundreds of 
trascription factors to return a mature cell back into a pluripotent cell that can buoy then be encouraged to develop into any one of a range of cells.  If  you 
were lucky to pick the right combination of a much littler subset of transcription factors, in theory you should be able to short circuit the iPS  route 
and go straight from one type of get on cell to another.
That  is what happened with Melton's  team.  With  a heady mix of luck and two days of unvarying trial and error they hit on three arrangement factors, 
Ngn3,  Pdx1,  and MafA.   They  just unbroken asking themselves the interrogation "What  genes do you have to turn on for the cell to become a beta 
cell?"
 As  Melton  commented:
"If  you want to do reprogramming it doesn't take smashing insight to figure tabu that the key genes are transcription factors - the proteins that bind DNA  
and tell cells which genes to turn on and which to turn off."
He  said that a stem turn cell goes through many steps before it becomes a especial type of adult cadre, each step is like passing through a door with a 
specific lock in and each lock is a trascription factor.  He  and his team asked themselves which "locks" were in the beta cells, and that gave them 1,C 
possible arrangement factors.  Eventually  they ascertained that only 200 of them are expressed in the cells of the pancreas, so that helped to narrow 
the field of study somewhat.
The  future step was to retrieve which of the 200 were special to pancreatic cells that surrounded the beta cells, and that brought the number down to a 
more realizable 28.  The  28 became 9 after the did further "linage studies", as Joe  explained,  "my best guess is it's these nine".  And  he was 
right.  They  then mixed all 9 and injected them into the pancreas.  Then  by removing them one by one they discovered it worked best when only three 
transcription factors were present, the other six-spot weren't as important, said Joe.
The  fate of destiny came when they chose those 9, because if they had not produced results, Melton  and his team would have given up, they 
said.
Through  the experiment Melton  and colleagues were capable to show that the newly induced beta-cells were "indistinguishable from endogenous islet 
beta-cells in size, shape and ultrastructure".
They  expressed genes essential for beta-cell function and were able to "ameliorate hyperglycemia by remodelling local vasculature and secreting 
insulin".
The  researchers concluded that:
"This  study provides an exercise of cellular reprogramming using defined factors in an adult organ and suggests a general paradigm for directing cellular phone 
reprogramming without reversion to a pluripotent stem cadre state."
"In  vivo reprogramming of adult pancreatic exocrine cells to beta-cells."
Qiao  Zhou,  Juliana  Brown,  Andrew  Kanarek,  Jayaraj  Rajagopal  & Douglas  A.  Melton
Nature  Advance  published on-line 27 August  2008.
doi:10.1038/nature07314
Click  here for 
Abstract.
Sources:  Journal  Abstract,  Harvard  Medical  School.  
Written  by: Catharine  Paddock,  PhD
Copyright:  Medical  News  Today
Not  to be reproduced without permission of Medical  News  Today
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Monday, 8 September 2008
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