1. Tissue repair (1 of 4) Ali Al Khader, M.D. Faculty of Medicine
Al-Balqa’ Applied University

2. What will we discuss today?
General principles of cell proliferation
Stem cells

3. Cell number determinants
Robbins basic pathology 9th edition

4. Cells that proliferate in repair
Depending on polypeptide growth factors
Tissue remnants
Endothelial cells
fibroblasts

5. The cell cycle
Non-dividing cells are in cycle arrest in G1 phase or exited the cycle (G0)
GFs, cyclins and cyclin-dependent kinases…cell cycle progression

6. Different proliferative capacities of tissues
Labile tissues…continuously dividing
…continuous loss and replacement (renewal)
Stable tissues…quiescent with only minimal replicative activity
…capable to proliferate in response to injury or decrease in tissue
mass…minimal capability in general (except ….)
…parenchyma of most solid organs
…endothelial cells, fibroblasts, and smooth muscle cells
especially in wound healing

7. Different proliferative capacities of tissues, cont’d
Permanent tissues…non-proliferative
…repair is dominated by fibrosis (scarring)
…cardiac muscle, neurons and skeletal muscle
…what are satellite cells?

8. Stem cells 2 important properties: -self renewal capacity
-asymmetric replication
when a stem cell divides, one daughter cell enters a differentiation pathway and gives rise to mature cells, while the other remains an undifferentiated
stem cell that retains its self-renewal capacity

9. 2 major types of stem cells
Embryonic stem cells (ES cells)
…the most undifferentiated
…present in inner cell mass of the blastocyst
…extensive renewal capacity
…can be maintained in culture for over a year without differentiation
Can be induced to differentiate into any of the 3 germ cell layers

10. 2 major types of stem cells, cont’d
Adult stem cells… = tissue stem cells
…less undifferentiated
…within organs/tissues
…restricted lineage potential

11. Stem cells, cont’d They need special niches (stem cell niches)
…examples of stem cell niches:
-brain: subventricular zone & dentate gyrus
-skin: -basal layer
-bulge region of hair follicle
-cornea: limbus

12. Stem cell niches
Robbins and Cotran pathologic basis of disease 9th edition

13. Experiments Hematopoietic stem cells are the most studied
…taken from bone marrow or from blood
…used for treating leukemia and lymphoma
Needs mobilization by the administration of granulocyte colony stimulating factor (G-CSF)
What is regenerative medicine?

14. Experiments, continued
ES cells:
…from blastocyst (usually by in vitro fertilization)
…rejection is a problem (tissue incompatibility due to HLA molecules
on donor cells)
Introduction of genes into fully differentiated cells, such as fibroblasts or skin epithelial cells from the patient reprogramming of the somatic cell nucleus
the cells acquire many of the properties of ES cells
…the new cells are called induced pluripotent stem cells (iPS cells)
To solve the problem

15. Robbins basic pathology 9th edition

16. Thank You