2015
DOI: 10.1182/blood-2014-10-570234
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De novo generation of HSCs from somatic and pluripotent stem cell sources

Abstract: Generating human hematopoietic stem cells (HSCs) from autologous tissues, when coupled with genome editing technologies, is a promising approach for cellular transplantation therapy and for in vitro disease modeling, drug discovery, and toxicology studies. Human pluripotent stem cells (hPSCs) represent a potentially inexhaustible supply of autologous tissue; however, to date, directed differentiation from hPSCs has yielded hematopoietic cells that lack robust and sustained multilineage potential. Cellular repr… Show more

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Cited by 100 publications
(104 citation statements)
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“…114,115 The major challenge is to develop efficient protocols to produce hematopoietic stem cells or other clinically relevant cellular outputs. 116 Irrespective of the target cell, a successful clinical gene editing approach must consider the fraction of the tissue that must be corrected to achieve therapeutic benefit. This may depend on the degree of selective advantage of effector cell relative to target cell (eg, survival advantage to be expected for erythrocytes and erythroid precursors deriving from corrected HSCs in hemoglobinopathy or for B-lymphocytes derived from corrected HSCs in X-linked agammaglobulinemia 117 ).…”
Section: Target Cellmentioning
confidence: 99%
“…114,115 The major challenge is to develop efficient protocols to produce hematopoietic stem cells or other clinically relevant cellular outputs. 116 Irrespective of the target cell, a successful clinical gene editing approach must consider the fraction of the tissue that must be corrected to achieve therapeutic benefit. This may depend on the degree of selective advantage of effector cell relative to target cell (eg, survival advantage to be expected for erythrocytes and erythroid precursors deriving from corrected HSCs in hemoglobinopathy or for B-lymphocytes derived from corrected HSCs in X-linked agammaglobulinemia 117 ).…”
Section: Target Cellmentioning
confidence: 99%
“…In addition to their therapeutic potential, iPSCs can also be used as in-vitro disease models 67 . Off-target nuclease binding activity 68 , efficient means of delivering the genome editing tools to target stem cell populations without loss of 'stemness' , genomic variation occurring with somatic reprogramming, efficient gene targeting by homology directed repair 69 , and developing functional HSCs from these genetically modified iPSC 70,71 are some of the challenges in the field.…”
Section: Recent Advances In Genetic Manipulation Technologymentioning
confidence: 99%
“…Potential sources for future HCT constitute embryonic stem cells, induced pluripotent stem cells and, lately, directly reprogrammed cells [61]. These strategies however are currently at a very early experimental stage, and their clinical use critically depends on the development of robust differentiation protocols that generate sufficient HCT for long-term and multi-lineage reconstitution in due time.…”
Section: What Are Current Challenges In Hematopoietic Cell Transplantmentioning
confidence: 99%