PERINATAL STEM CELLS Edited by Curtis L. Cetrulo, M.D. Kyle J. Cetrulo Curtis L. Cetrulo, Jr., M.D. PERINATAL STEM CELLS PERINATAL STEM CELLS Edited by Curtis L. Cetrulo, M.D. Kyle J. Cetrulo Curtis L. 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Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsinprintmaynotbeavailableinelectronic formats.FormoreinformationaboutWileyproducts,visitourwebsiteatwww.wiley.com. LibraryofCongressCataloging-in-PublicationData Perinatalstemcells/editedbyCurtisL.Cetrulo,KyleJ.Cetrulo,CurtisL.CetruloJr. p.;cm. Includesbibliographicalreferencesandindex. ISBN978-0-470-42084-3(cloth) 1. Stemcells. 2. Placenta. 3. Amnioticliquid. I. Cetrulo,CurtisL. II. Cetrulo,KyleJ. III. Cetrulo,CurtisL.,1975- [DNLM:1.StemCells.2.Placenta—cytology.3.UmbilicalCord—cytology.QU325P4452009] QH588.S83P472009 6160.02774—dc22 2009020888 PrintedintheUnitedStatesofAmerica 10 9 8 7 6 5 4 3 2 1 CONTENTS PREFACE xi CONTRIBUTORS xiii INTRODUCTION:PERINATALSTEMCELLS xv 1 CORDBLOODTRANSPLANTS:PERINATALSTEMCELLSIN CLINICALPRACTICE 1 RichardL.HaspelandKarenK.Ballen Introduction 1 HematopoieticStemCellTransplants:AdultDonorCollection 1 HematopoieticStemCellTransplants:AdultDonorTesting 2 HematopoieticStemCellTransplants:RecipientIssues 3 CollectionandProcessingofCordBloodUnits 4 BoneMarrowversusSingleCordBlood:Pediatric 5 BoneMarrowversusCordBlood:Adults 6 CordBloodTransplant:AdvantagesandDisadvantages 7 DoubleCordBloodTransplants:AblativeRegimens 8 DoubleCordBloodTransplant:Non-MyeloablativeRegimens 9 Chimerism 10 PredictingtheWinner 12 AreTwoCordsBetterThanOne? 13 OtherExperimentalStrategies 14 Summary 14 References 14 2 EXPANDINGTHETHERAPEUTICPOTENTIALOFUMBILICAL CORDBLOODHEMATOPOIETICSTEMCELLS 21 RouzbehR.TaghizadehandJamesL.Sherley Introduction:HematopoieticStemCells,theTherapeuticDistributed StemCellsinUmbilicalCordBlood 21 BiologicalBarrierstoHematopoieticStemCellTherapy 24 UmbilicalCordBlood:AnIdealSourceofTherapeuticHematopoietic StemCells 27 v vi CONTENTS ShortcomingsofExVivoHSCExpansionStrategies 29 ANovelStrategyWithPotentialtoEnableExVivoExpansionof UmbilicalCordBloodHematopoieticStemCells 32 Acknowledgments 34 References 35 3 USEOFFETALCELLSINREGENERATIVEMEDICINE 41 ChristianBreymann Introduction 41 PrinciplesofTissueEngineering 42 CellSourcesforTissueEngineering 43 ExamplesofPossibleUseandImplicationsofPerinatalStemCells 43 PlacentalDerivedStemCells(Chorionic,AmnioticMembranes) 44 AmnioticDerivedStemCells(hAMSC/Placental!) 44 AmnioticFluid-DerivedStemCells(Nonplacental!) 45 Conclusion 46 References 48 4 PERINATALSTEMCELLTHERAPY 51 DanielSurbek,AnnaWagner,andAndreinaSchoeberlein TheFetusasRecipientforPre-andPerinatalStemCellTransplantation 51 PrenatalCellTransplantation:CurrentExperience 52 HowDoWeImprovetheSuccessofPrenatalStemCellTransplantation? 53 MesenchymalStemCellsforPrenatalTransplantation 54 FetalGeneTherapyasaNewStrategy 54 CurrentIssuesofPostnatalGeneTherapy 55 PrenatalGeneTherapy 57 AnimalModelsofPrenatalGeneTherapy 58 FetalGeneTherapyTargetingHematopoieticStemCells 58 SafetyAspectsofPrenatalGeneTherapy 59 EthicalConsiderations 60 References 60 5 UMBILICALCORDMESENCHYMALSTEMCELLS 69 LaurentBoissel,MonicaBetancur,HansKlingemann, andJamesMarchand PreparationandCultureofUC–MSC 69 Characteristics–PropertiesandBoneMarrowComparison 71 UC–MSCasFeederLayerforExpansionofHumanCells 73 ClinicalIndicationsforUC–MSC 75 References 75 CONTENTS vii 6 WHARTON’SJELLY-DERIVEDMESENCHYMAL STROMALCELLS 79 BarbaraLutjemeier,DerylL.Troyer,andMarkL.Weiss MesenchymalStromalCells 79 ImmunophenotypeofMesenchymalStromalCells 81 MSCsareMultipotentCells 81 MSCandStromalSupportoftheStemCellNiche 81 DefiningPrimitiveStromalCells:DifferencesbetweenFetaland AdultMSCs 81 UmbilicalCordMSCs 82 CharacterizationofWharton’sJellyDerivedCells 83 OtherMSC-LikeCellsfromUmbilicalCord 83 ComparisonofWJCstoAdultDerivedMSCs 84 InVitroDifferentiationofWJCs 85 ComparisonofWJCstoFetalMSCs 86 TransplantationofWJCs 86 WJCsasPrimitiveStromalCells 89 Summary 90 Acknowledgments 90 References 90 7 PERINATALENDOTHELIALPROGENITORCELLS 95 CurtisL.Cetrulo,Jr.andMargaretJ.Starnes TheRoleofVascularStemCellsinPostnatalBloodVesselFormation: EndothelialProgenitorCellsandPostnatalVasculogenesis 95 SourcesofEndothelialProgenitorCells 96 EPCs,VasculogenesisandAngiogenesis 96 EPCsandTissueEngineering 97 EPCsandCardiovascularTissueEngineering 98 TheFuture:VascularizedEngineeredTissue 99 References 99 8 UMBILICALCORDDERIVEDMASTCELLSASMODELS FORTHESTUDYOFINFLAMMATORYDISEASES 103 TaxiarchisKourelis,DuraisamyKempuraj,AkriviManola,andTheoharis C.Theoharides Introduction 103 MastCellTriggers 106 MastCellMediators 109 SelectiveReleaseofMastCellMediators 111 NaturalMastCellSecretionInhibitors 112 Mast–TCellInteraction 113 InflammatorySkinDiseases 113