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IMS Magazine - Summer 2012 edition in PDF format - Institute of ...

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COMMENTARY<br />

Photo by Yekta Dowlati<br />

The Sex <strong>of</strong> Stem Cells<br />

Does sex have an effect on the regenerative<br />

potential <strong>of</strong> stem cells?<br />

By Anna Podnos, MSc student<br />

In the last several decades, sex and gender<br />

have become widely recognized as important<br />

biological and social variables <strong>in</strong> human<br />

research, and many strategies for <strong>in</strong>corporat<strong>in</strong>g<br />

sex <strong>in</strong> research design have been developed.<br />

However, as discussed <strong>in</strong> our <strong>Summer</strong><br />

2011 <strong>edition</strong> (see “Sexism <strong>in</strong> Biomedical<br />

Research”), stratify<strong>in</strong>g experiments by sex<br />

is much rarer <strong>in</strong> animal and cell-based research<br />

1 . Regenerative therapies, such as stem<br />

cell transplantation, are be<strong>in</strong>g developed<br />

based on animal and cellular models, and<br />

a fundamental component may be miss<strong>in</strong>g.<br />

Significant sex differences have recently been<br />

found <strong>in</strong> the regenerative properties <strong>of</strong> various<br />

stem cells. Stems cells have the unique<br />

ability to differentiate <strong>in</strong>to specific cell types<br />

and self-renew, so they have the potential to<br />

treat organ failure, cancers, and degenerative<br />

diseases.<br />

When patients’ own stem cells cannot be<br />

used therapeutically, they may require a cellular<br />

transplant from a donor. The success<br />

<strong>of</strong> transplantation depends on the type <strong>of</strong><br />

donor stem cells, the characteristics <strong>of</strong> host<br />

cells, and their <strong>in</strong>teractions with pathways<br />

associated with the illness 2 . Research us<strong>in</strong>g<br />

animal models has found that biological sex<br />

is an important variable <strong>in</strong> proliferation and<br />

differentiation rates <strong>of</strong> stem cells 3 . For example,<br />

animal studies <strong>of</strong> hematopoietic stem cell<br />

transplantation (the only stem cell therapy<br />

<strong>in</strong> standard medical practice 4 ) have found<br />

that that the sex <strong>of</strong> both donor and recipient<br />

animals affect the transplantation outcome 4 .<br />

In addition, there are significant differences<br />

<strong>in</strong> the activation <strong>of</strong> mesenchymal stem cells<br />

(MSC) depend<strong>in</strong>g on their biological sex 3 .<br />

Researchers found that female stem cells<br />

produced more proliferation- and <strong>in</strong>flammation-promot<strong>in</strong>g<br />

factors than male cells.<br />

Female muscle-derived stem cells (MDSC),<br />

which have the capacity for myocardial repair,<br />

were another type <strong>of</strong> stem cell found to<br />

have more regenerative capacity than male<br />

MDSC 5 . These sex differences may be therapeutically<br />

relevant, but there are few studies<br />

directly compar<strong>in</strong>g different cell types <strong>in</strong> dis-<br />

ease models 6 .<br />

Given that sex differences exist <strong>in</strong> stem cells, it<br />

is necessary to exam<strong>in</strong>e the causes <strong>of</strong> the dissimilarities,<br />

which may arise on genetic, epigenetic<br />

or hormonal levels. Male and female<br />

cells differ genetically, and it is important to<br />

<strong>in</strong>vestigate the differences both between and<br />

with<strong>in</strong> sexes. The hormonal environment is a<br />

key covariate to sex, because it may also regulate<br />

the differentiation and proliferation <strong>of</strong><br />

stem cells. Epigenetic differences result<strong>in</strong>g <strong>in</strong><br />

vary<strong>in</strong>g gene expression levels are covariates<br />

as well. In mouse models <strong>of</strong> muscular dystrophy,<br />

it was found that not only do female<br />

MDSC promote more regeneration than<br />

male MDSC, but also that the female recipient<br />

animals undergo more regeneration than<br />

male animals do, regardless <strong>of</strong> the sex <strong>of</strong> the<br />

donor cells. However, this is not the case <strong>in</strong><br />

immune-deficient animals, which suggests<br />

that the effect <strong>of</strong> host’s sex on the MDSC regenerative<br />

potential may be immunologically<br />

modulated, and therefore <strong>in</strong>fluenced by the<br />

hormonal environment.<br />

It is challeng<strong>in</strong>g to appropriately <strong>in</strong>corporate<br />

sex as a variable <strong>in</strong> animal and cell-based<br />

study designs, so an <strong>in</strong>terdiscipl<strong>in</strong>ary approach<br />

is <strong>of</strong>ten required. Recently, Stanford<br />

University launched “Gendered Innovations”<br />

2 (gendered<strong>in</strong>novations.stanford.edu),<br />

which has an abundance <strong>of</strong> <strong>in</strong><strong>format</strong>ion<br />

about the <strong>in</strong>clusion <strong>of</strong> sex and/or gender <strong>in</strong><br />

eng<strong>in</strong>eer<strong>in</strong>g, science and medic<strong>in</strong>e. It provides<br />

practical methods and checklists for<br />

consider<strong>in</strong>g biological sex <strong>in</strong> basic research.<br />

The development and implementation <strong>of</strong><br />

specific guidel<strong>in</strong>es for <strong>in</strong>corporat<strong>in</strong>g sex <strong>in</strong><br />

stem cell research as an <strong>in</strong><strong>format</strong>ive variable,<br />

rather than just a bias, will improve regenerative<br />

therapies.<br />

References<br />

1. Beery, A., & Zucker, I. 2011. Sex Bias <strong>in</strong> Neuroscience and<br />

Biomedical Research. Neuroscience and Biobehavioral Reviews,<br />

35 (3), 565-572<br />

2. gendered<strong>in</strong>novations.stanford.edu<br />

3. Crisostomo, P., Markel, T., Wang, M., Lahm, T., Lillemoe, K., &<br />

Meldrum, D. 2007. In the Adult Mesenchymal Stem Cell Population,<br />

Source Gender Is a Biologically Relevant Aspect <strong>of</strong> Protective<br />

Power. Surgery, 142 (2), 215-221<br />

4. Gahrton, G., Iacobelli, S., Apperley, J., Band<strong>in</strong>i, G., Björkstrand,<br />

B., Bladé, J., Boiron, J., Cavo, M., Cornelissen, J., Corrad<strong>in</strong>i,<br />

P., Kröger, N., Ljungman, P., Michallet, M., Russell, N.,<br />

Samson, D., Schattenberg, A., Sirohi, B., Verdonck, L., Vol<strong>in</strong>,<br />

L., Zander, A., & Niederwieser, D. 2005. The Impact <strong>of</strong> Donor<br />

Gender on Outcome <strong>of</strong> Allogeneic Hematopoietic Stem Cell<br />

Transplantation for Multiple Myeloma: Reduced Relapse Risk <strong>in</strong><br />

Female to Male Transplants. Bone Marrow Transplantation, 35<br />

(6), 609-617<br />

5. Deasy, B., Lu, A., Rub<strong>in</strong>, R., Huard, J., Tebbets, J., Feduska,<br />

J., Schugar, R., Pollett, J., Sun, B., Urish, K., Gharaibeh, B., &<br />

Coo, B. 2007. A Role for Cell Sex <strong>in</strong> Stem Cell-Mediated Skeletal<br />

Muscle Regeneration: Female Cells Have Higher Muscle Regeneration<br />

Efficiency. The Journal <strong>of</strong> Cell Biology, 177 (1), 73-86<br />

6. Zenovich, A., Davis, B., & Taylor, D. 2007. Comparison <strong>of</strong><br />

Intracardiac Cell Transplantation: Autologous Skeletal Myoblasts<br />

versus Bone Marrow Cells. In Kauser, K., & Zeiher, A.<br />

(Eds.), Bone Marrow-Derived Progenitors, pp. 117-165. Berl<strong>in</strong>:<br />

Spr<strong>in</strong>ger Verlag<br />

Disclaimer: The op<strong>in</strong>ions expressed by the author<br />

are <strong>in</strong> no way affiliated with the <strong>Institute</strong><br />

<strong>of</strong> Medical Science or the University <strong>of</strong> Toronto.<br />

Comments are welcome at theimsmagaz<strong>in</strong>e@<br />

gmail.com.<br />

What to look for next issue:<br />

In cont<strong>in</strong>uation <strong>of</strong> our Genomic Medic<strong>in</strong>e feature,<br />

we highlight Dr. Berge M<strong>in</strong>assian’s work<br />

<strong>in</strong> uncover<strong>in</strong>g genetic causes <strong>of</strong> rare, pr<strong>of</strong>oundly<br />

debilitat<strong>in</strong>g neurological diseases.<br />

Contact Us<br />

We encourage our readers to send their feedback<br />

-- comments, questions, corrections, and<br />

letters to the editor -- to theimsmagaz<strong>in</strong>e@<br />

gmail.com.<br />

www.facebook.com/groups/imsmagaz<strong>in</strong>e/<br />

@<strong>IMS</strong><strong>Magaz<strong>in</strong>e</strong><br />

<strong>IMS</strong> MAGAZINE SUMMER <strong>2012</strong> GENOMIC MEDICINE | 04

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