Stem cells are self-renewing cells that can differentiate into specialized cell type(s). Pluripotent stem cells, i.e. embryonic stem cells (ESC) or induced pluripotent stem cells (iPSC) differentiate into cells of all three embryonic lineages. Multipotent stem cells, like hematopoietic stem cells (HSC), can develop into multiple specialized cells in a specific tissue. Unipotent cells differentiate only into one cell type, like e.g. satellite cells of skeletal muscle. There are many examples of successful clinical applications of stem cells. Over million patients worldwide have benefited from bone marrow transplantations performed for treatment of leukemias, anemias or immunodeficiencies. Skin stem cells are used to heal severe burns, while limbal stem cells can regenerate the damaged cornea. Pluripotent stem cells, especially the patient-specific iPSC, have a tremendous therapeutic potential, but their clinical application will require overcoming numerous drawbacks. Therefore, the use of adult stem cells, which are multipotent or unipotent, can be at present a more achievable strategy. Noteworthy, some studies ascribed particular adult stem cells as pluripotent. However, despite efforts, the postulated pluripotency of such events like "spore-like cells", "very small embryonic-like stem cells" or "multipotent adult progenitor cells" have not been confirmed in stringent independent studies. Also plasticity of the bone marrow-derived cells which were suggested to differentiate e.g. into cardiomyocytes, has not been positively verified, and their therapeutic effect, if observed, results rather from the paracrine activity. Here we discuss the examples of recent studies on adult stem cells in the light of current understanding of stem cell biology.
The primitive anuran amphibian, the yellow-bellied toad, Bombina variegata, possesses the spleen with a large white pulp, containing the immune-complex-trapping-cells (ICTCs). The handling of immunologically different substances in the spleen of B. variegata was investigated. Adult toads were injected into dorsal lymph sacs with a mixture of rabbit peroxidase-antiperoxidase, FITC-Ficoll and latex beads. Two hours after injection antigens were found in the blood vessels of the spleen where some cells had also PAP on their surface. At that time antigens also reached the white and the red pulps. Finally PAP was trapped on the surface of ICTCs in the white pulp and was phagocytized by the white and red pulp macrophages. FITC-Ficoll was detected in the red pulp macrophages while latex beads in macrophages of both compartments. The present study suggests that ICTCs are specialized in trapping only immune complexes.
Summary: Background: Vascular endothelial growth factor (VEGF), produced in response to hypoxia or some proinflammatory cytokines, is a fundamental regulator of angiogenesis.Methods: In this review we describe the reciprocal relationships between VEGF, endothelial nitric oxide synthase (eNOS), and haem oxygenase-1 (HO-1) pathways.Results: Proangiogenic activities of VEGF depend on the enhanced generation of nitric oxide (NO), a downstream mediator of VEGF signalling in endothelial cells. Additionally, NO can operate upstream of VEGF, inducing its synthesis and producing a positive NO/VEGF feedback involved in regulation of angiogenesis. NO also activates HO-1, the stress inducible enzyme, metabolizing haem to iron, carbon monoxide (CO), and biliverdin. Haem oxygenase generates both inducer (CO) and inhibitor (iron) of VEGF synthesis and can be suggested as an important modulator of NO- and VEGF-mediated activities.Conclusions: Further studies should elucidate to what extent the by-products of HO activity play a protective or a detrimental role in pathological angiogenesis. Zusammenfassung: Grundlagen: Der Vascular Endothelial Growth Factor (VEGF) wird als Reaktion auf Hypoxie und einige proinflammatorische Zytokine gebildet und ist ein grundlegender Regulator der Angiogenese.Methodik: Anhand einer Übersicht werden die verschiedenen Verbindungen zwischen VEGF, eNOS und Hämoxygenase-1 (HO-1)-Stoffwechselwegen beschrieben.Ergebnisse: Die proangiogenetische Aktivität des VEGF ist von einer verstärkten Bildung von Stickoxid (NO), einem Mediator von VEGF, abhängig. NO kann auch VEGF regulieren, indem es seine Synthese induziert, und eine positive Rückkopplung, die an der Regulation der Angiogenese beteiligt ist, zwischen NO und VEGF entsteht. NO aktiviert auch HO-1, stressinduzierbare Enzyme und metabolisiert Häm zu Eisen, Kohlenmonoxyd und Biliverin. Hämoxygenase bildet sowohl einen Agonist (CO) als auch einen Inhibitor (Eisen) der VEGF-Synthese und könnte deshalb ein wichtiger Modulator der NO- und VEGF-mediierten Vorgänge sein.Schlußfolgerungen: Weitere Studien werden zeigen, inwieweit Nebenprodukte der HO-Aktivität förderlich oder nachteilig auf eine gestörte Angiogenese wirken.