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Encyclopedia of Health and Medicine

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stem cell therapy 141<br />

Researchers have had some success with stimulating<br />

blood stem cells, in the laboratory, to function<br />

as though they were other types <strong>of</strong> cells such<br />

as NERVE cells or MUSCLE cells, <strong>and</strong> are hopeful that<br />

stem cells will someday become a source <strong>of</strong> cultivated<br />

replacement tissues <strong>and</strong> organs. Multipotent<br />

stem cells that occur in other tissues are difficult<br />

to identify <strong>and</strong> extract from their source tissues<br />

though may also hold similar potential.<br />

For further discussion <strong>of</strong> stem cells within the<br />

context <strong>of</strong> the structures <strong>and</strong> functions <strong>of</strong> genetics,<br />

please see the overview section “Genetics <strong>and</strong><br />

Molecular <strong>Medicine</strong>.”<br />

See also ETHICAL ISSUES IN GENETICS AND MOLECU-<br />

LAR MEDICINE; GAMETE; HEMATOPOIESIS; STEM CELL<br />

THERAPY.<br />

stem cell therapy Implantation <strong>of</strong> STEM CELLS to<br />

become specialized cells for tissue <strong>and</strong> organ repair<br />

or replacement. Though most STEM CELL therapy<br />

applications remain experimental, BONE MARROW<br />

TRANSPLANTATION (also called BLOOD stem cell transplantation)<br />

has become a st<strong>and</strong>ard <strong>of</strong> treatment<br />

for many cancers affecting the blood <strong>and</strong> the lymphatic<br />

system (leukemias <strong>and</strong> lymphomas) as well<br />

as certain other cancers. Researchers have also<br />

been successful in cultivating stem cells into SKIN<br />

for skin grafting, to treat severe BURNS, <strong>and</strong> into<br />

pancreatic islet cells that produce INSULIN, to treat<br />

severe type 1 DIABETES. Though these applications<br />

<strong>of</strong> stem cell therapy remain experimental, they<br />

raise the potential for stem cell therapy to become<br />

viable in treating numerous health conditions.<br />

Two significant concerns with stem cell therapy<br />

are the potential for cancer to develop <strong>and</strong> the<br />

rejection <strong>of</strong> the cultivated cells or tissue. A prime<br />

value <strong>of</strong> the stem cell is its unlimited ability to<br />

divide. However, a function called APOPTOSIS limits<br />

most division <strong>of</strong> the cells in the body. It appears<br />

that cells can divide only a certain number <strong>of</strong><br />

times, then begin to shut down. The exceptions<br />

are stem cells <strong>and</strong> cancer cells, <strong>and</strong> researchers are<br />

not certain what will keep stem cells from becoming<br />

cancer cells. Apoptosis remains a focus <strong>of</strong><br />

much research. And as is the case with organs<br />

donated for transplantation, the body can reject<br />

stem cell transplantations. When this occurs the<br />

body’s IMMUNE SYSTEM attacks the transplanted<br />

stem cells, killing them.<br />

See also BLOOD STEM CELLS; CELL STRUCTURE AND<br />

FUNCTION; GENE THERAPY; ISLETS OF LANGERHANS;<br />

LEUKEMIA; MOLECULARLY TARGETED THERAPY.

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