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Human Lung Stem Cells Discovered

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A Promising Discovery

If the findings by Dr. Kajstura and colleagues are borne out, this discovery "promises to overcome one of the major hurdles in human lung regeneration: the identification and isolation of a native lung cell that could be used to replenish functioning lung tissue in a patient with lung disease, averting the hazards of allogeneic transplantation or reprogramming," Dr. Harold A. Chapman said.

It is tempting to theorize that such cells also would make appealing "parents" for bioengineered lung tissue, but it’s important to keep in mind that there is no evidence thus far showing that the regenerated bronchioles, alveoli, and pulmonary vessels integrate sufficiently with host vasculature or airways to support perfusion or ventilation, he noted.

While it remains to be seen whether these stem cells "efficiently assemble into a permanent, fully functional unit," Dr. Kajstura’s findings "should energize the field," he added.

Harold A. Chapman, M.D., is in pulmonary and critical care medicine at the University of California, San Francisco. He reported ties to the National Institutes of Health, Fate Therapeutics, and Genzyme. These remarks were taken from his editorial comment accompanying Dr. Kajstura’s report (N. Engl. J. Med. 2011;364:1867-8).


 

FROM THE NEW ENGLAND JOURNAL OF MEDICINE

Researchers believe they have isolated human lung stem cells for the first time, according to a report in the May 12 issue of the New England Journal of Medicine.

Cells from normal human lung tissue obtained from 12 unused donor lungs were identified as stem cells using the stem-cell antigen c-kit, which has been used before to identify cardiac and hematopoietic stem cells.

These lung cells were then expanded and, in a series of in vitro and in vivo studies, the researchers demonstrated the three properties fundamental to stem cells: self-renewal, clonogenicity, and multipotentiality, said Jan Kajstura, Ph.D., of the departments of anesthesia and medicine at Brigham and Women’s Hospital and Harvard Medical School, Boston, and associates.

The undifferentiated cells were nested in niches within the distal airways in the lung samples. Other types of stem cells also typically are located in such anatomical niches, the researchers noted.

In addition to these cells from adult donor lungs, identical cells also were found in lung tissue specimens from nine cases of fetal death.

When the stem cells were transplanted into deliberately injured mouse lungs, they became structurally and functionally integrated into the damaged organs and created human bronchioles, alveoli, and pulmonary vessels within 14 days, Dr. Kajstura and colleagues said (N. Engl. J. Med. 2011 May 12;364:1795-806).

These findings indicate that the lung stem cells might play a crucial role in lung tissue regeneration after injury and in lung tissue homeostasis, they said.

This study was supported by the National Institutes of Health and Cardiocentro Ticino. A patent has been filed for this class of human lung stem cells on behalf of Partners HealthCare (which includes Brigham and Women’s Hospital). Dr. Kajstura reported no conflicts of interest; a coauthor reported ties to Autologous.

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