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Profilaksa DVT kod velikih ortopedskih operacija - Depol ...

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STEM CELLS FOR THE CURIOUS<br />

Stanimir Vuk-Pavlović, College of Medicine, Mayo Clinic, Rochester, United States<br />

20 - 22 September 2012, Opatija, Croatia<br />

Recent evidence for induction of stem cell characteristics in somatic cells by epithelial–mesenchymal transition,<br />

by induced activation of a small number of transcription factors, or by modification of microenvironment has<br />

invalidated the once held notion of differentiation as a strictly unidirectional deterministic process. Together with<br />

the broad interest elicited by current clinical trials testing different cellular preparations dubbed “stem cells,” this<br />

necessitates reconsideration of the very definition of the stem cell. As a result, the focus has shifted from consideration<br />

of “stem cells” as a class of cells to “stemness” as a property that can be acquired, conferred and/or retained<br />

by cells. What is stemness that allows a cell (population) to divide, maintain the size of its pool and differentiatiate<br />

at the same time? How is it defined, induced, maintained? A recent view posits “stemness as a cell default state”<br />

(cf. Casanova, EMBO Reports, 13: 396, 2012). It is based on experimental evidence compatible with a deterministic<br />

model of stemness maintained as long as maintained is the intrinsic/inherent inhibition to differentiation. Another<br />

model invokes stochastic gene and protein expression that drives transitions among deterministic attractors<br />

characterizing stemness and the possible differentiation states (MacArthur et al., Nature Rev. Mol. Cell Biol. 10: 672,<br />

2012). As a further development, one can interrogate the factors that define all levels of cell differentiation (i.e.,<br />

attractors) as properties emergent within complex biological systems.<br />

Oral<br />

25

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