Monday, 19 November 2012

Heroes of Stem Cell Research



By Azilleo Kristo Mohinim




The Nobel Prize is considered globally to be the most prestigious accolade that can be awarded to a person or an institution for contributing to specific fields of human endeavour. One of these fields is Medicine or Physiology. The Nobel Prize for Physiology or Medicine is annually awarded to people who have immensely contributed to the advancement of Physiology or Medicine. It represents the zenith of intellectual originality and creativity in the field of Physiology or Medicine. For the year 2012, the Nobel Prize of Medicine or Physiology was awarded to and shared by two distinguished scientists who are Shinya Yamanaka and Sir John Gurdon for their peerless contribution in stem cell research.

Shinya Yamanaka (right) and John B Gurdon (left), the winners of the 2012 Nobel prize in Physiology or Medicine. Photograph: The Guardian


Shinya Yamanaka

Shinya Yamanaka was born on the 4th of September 1962 in Osaka, Japan. He obtained his MD from Kobe University in 1987 and his PhD from Osaka City University in 1993. From 1993 to 1996 he was a postdoctoral fellow in the Gladstone Institute of Cardiovascular Disease in San Francisco. After that he went back to Osaka City University Medical School to assume the position of an assistant professor and became an associate professor at Nara Institute of Science and Technology in 1999 which led to a full professorship in 2003. In 2008, he became the Director of Centre for Induced Pluripotent Stem Cell Research and Application (CiRA). He is also the member of the International Society of Stem Cell Research (ISSCR) Board of Directors.


Sir John B. Gurdon

Sir John B. Gurdon was born at Dippenhall, United Kingdom on 2nd October 1933. He attended Eton College before undertaking Classics at Christ Church, Oxford. During his course of studying Classics, he decided to switch to Zoology. He obtained his doctorate from the University of Oxford in 1960. He did his postdoctoral research at California Institute of Technology and in 1962 he returned to England and was given a teaching post at the Department of Zoology of the University of Oxford. He is currently at the Gurdon Institute in Cambridge.

Removal of a cell from a dividing fertilised animal egg.
Photograph: The Telegraph
The Nobel Prize for Physiology or Medicine was awarded for reprogramming mature differentiated cells into pluripotent stem cells. In 2007, Yamanaka managed to induce mature human skin cells to become stem cells. These stem cells which are were artificially derived from mature cells are called induced pluripotent stem (iPS) cells. He managed to accomplish such a feat by introducing four pieces of genetic material which are now called Yamanaka factors into the genome of the cell. The Yamanaka factors in actuality are four distinct transcription factors called Oct 3/4, Sox2, Klf 4 and c-Myc. These transcriptions factors regulate cellular gene expressions and are highly expressed in embryonic stem cells.

For John B. Gurdon, his main concern was regarding the genes which were present in the nucleus of specialised cells. He was wondering whether cellular specialisation involved the loss of unwanted genes from the genome of cell or merely the inactivation of the unneeded genes. In 1962, he did an experiment which involved the removal of the nucleus of an egg of a frog and transferring the nucleus of a tadpole’s intestinal cells into the enucleated frog egg. Instead of differentiating into intestinal cells, the egg developed into a normal tadpole. The result gave concrete evidence that the nucleus of mature differentiated cells still contain the genes required to develop into a fully functional organism.

Our understanding of cell biology and the discovery of new experimental techniques to form iPS have opened many to avenues to improve the quality of life of mankind as well as give us a glimmer of hope in curing previously incurable disease. An example of the incurable disease is cardiovascular disease. It is the main killer disease in the world currently with, according to the World Health Organisation (WHO), an estimated 7.3 million people died of ischemic heart disease in 2008 alone. Heart cells cannot regenerate and once they are dead due to restricted supply of blood, they are replaced with fibrous tissues which cannot function as heart muscle. With iPS, it is possible to replace these dead heart cells by substituting with heart cells differentiated from iPS. In the near future, it is possible that stem cell therapy for many currently incurable diseases will become routine clinical practice.

One of the main concerns when it comes to stem cell research is the usage of embryos in order to obtain the stem cells. Many religious bodies are fervently against the usage of embryos in stem cell research since it violates the concept of sanctity of life espoused by them. Religious opposition to stem cell research significantly impeded the advancements in stem cell research. However, with the new technique discovered by Yamanaka, the ethical controversy shrouding stem cell research can be circumvented considering the fact that the stem cells obtained are derived from mature cells instead of from embryos. With the absence of religious opposition, stem cell research can be elevated to greater heights more quickly.

We are a species of curiosity. We strive to understand the world as well as ourselves. The achievements of the two great men mentioned in this article and their benefits are just a few out of many that exist. As humans accumulate more knowledge, we are able to manipulate nature in accordance of our will in order to improve our quality of life. However, bear in mind that we should do so within ethically acceptable boundaries. 

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