Abstract

Reprogramming strategies allow for the generation of virtually any cell type of the human body, which could be useful for cell-based therapy. Among the different reprogramming technologies available, direct lineage conversion offers the possibility to change the phenotype of a cell type to another one without pushing cells backwards to a plastic/proliferative stage. This approach has raised the possibility to apply a similar process in vivo in order to compensate for functional cell loss. Historically, the cerebral tissue is a prime choice for developing cell-based treatments. As local pericyte accumulation is observed after central nervous system injury, it can be reasoned that this cell type might be a good candidate for the conversion into new neurons in vivo. In this article, and by focusing on recent observations from Karow and colleagues demonstrating the possibility to convert human brain-derived pericytes into functional neurons, we present a brief overview of the state of the art and attempt to offer perspective as to how these interesting laboratory findings could be translated in the clinic.

Highlights

  • Reprogramming strategies allow for the generation of virtually any cell type of the human body, which could be useful for cell-based therapy

  • Numerous cocktails of transcription factor (TF) have to date been identified for the conversion of somatic cells all the way back to pluripotency or into more specialized cell types

  • By combining pluripotency-associated reprogramming factors with neural specifiers or defined media, other laboratories have reported that it is feasible to convert fibroblasts into expandable neural stem cells [6]. From these and other reports, two main lineage conversion strategies can be envisaged for clinical applications: the generation of the desired cell type(s) in vitro and its further transplantation; and the local in vivo conversion of one cell type into the one(s) required, in a similar way to what has been experimentally done with pancreatic cells

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Summary

Introduction

Reprogramming strategies allow for the generation of virtually any cell type of the human body, which could be useful for cell-based therapy. Over the past 60 years, from the first nuclear transfer experiment to the description of cell fate conversions by forced expression/inhibition of cell-type specific transcription factors (TFs) and/or miRNAs, a great deal of evidence showing cell identity switches has been accumulated [1]. Numerous cocktails of TFs have to date been identified for the conversion of somatic cells all the way back to pluripotency or into more specialized cell types.

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