• Question: How is the safety of stem cells in patients guaranteed that it will not grow uncontrollably and perhaps form cancer one day. Are pregenitor cells perhaps safer to use? What else is considered to prevent this?

    Asked by karthika to James, Jayne, Kara, Sharon on 24 Mar 2011 in Categories: .
    • Photo: Sharon Sneddon

      Sharon Sneddon answered on 23 Mar 2011:


      HI Karthika,
      You are right, the main danger of using embryonic stem cells is that if we do not control their growth properly, they sometimes form cancer cells, or other type of cells that we do not want which would be a disaster if we were to transplant stem cells into a patient, and maybe cure their liver disease, but as a side effect give them cancer. That is why it seems that stem cell research is taking a really long time, we need to be 100% sure that the stem cells will do EXACTLY what we want them to.

      The way we stop them from forming the wrong types of cells all depends on the way in which they are grown in the laboratory, we give them certain kinds of chemicals, called growth factors, and sometimes hormones and other things to make sure they behave themselves and act like they should, but we need to do the experiments over and over again, so we are sure that we are not going to harm anyone if they were to get put into a patient. Using other cells is good, and works in many cases, like in bone marrow transplants which are a kind of adult stem cell transplant are very effective and safe so we at least know that stem cells can behave themselves in the human body! However, not all cell types can be made from adult stem cells which is why we are using and testing embryonic stem cells.

    • Photo: James Chan

      James Chan answered on 23 Mar 2011:


      Hi Karthika,
      Spot on. We cannot guarantee that the stem cells won’t cause cancer in patients. It is one of the hot topics because we need to be sure stem cell therapy will be safe before we can use them routinely in clinical practice. Stem cells can differentiate into other cell types, and their potential to do that is greater in embryonic stem cells, so we can’t say for sure they won’t turn into cancer cells, especially when we know that stem cells are really good at replicating themselves. That’s why, as you suggest, progenitor cells, or adult stem cells, may be safer. The problem is that there have not been many trials using stem cells and the field is young, so there is as yet no long term data on how patients did after stem cell therapy. At the moment, there hasn’t been any reported cases of cancer due to stem cell therapy that I know of, but we need to continue with research looking into its safety.

    • Photo: Jayne Charnock

      Jayne Charnock answered on 24 Mar 2011:


      That is a major concern with stem cell therapy and something alot of scientists are working on to prevent. Progenitor cells are ones that have developed a bit more, so what they can become is more restricted but they are prehaps a little easier to use. they too have the potential to become cancerous though.

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