The chiaroscuro stem cell: a unified stem cell theory

Blood. 2002 Dec 15;100(13):4266-71. doi: 10.1182/blood-2002-04-1246. Epub 2002 Aug 8.

Abstract

Hematopoiesis has been considered hierarchical in nature, but recent data suggest that the system is not hierarchical and is, in fact, quite functionally plastic. Existing data indicate that engraftment and progenitor phenotypes vary inversely with cell cycle transit and that gene expression also varies widely. These observations suggest that there is no progenitor/stem cell hierarchy, but rather a reversible continuum. This may, in turn, be dependent on shifting chromatin and gene expression with cell cycle transit. If the phenotype of these primitive marrow cells changes from engraftable stem cell to progenitor and back to engraftable stem cell with cycle transit, then this suggests that the identity of the engraftable stem cell may be partially masked in nonsynchronized marrow cell populations. A general model indicates a marrow cell that can continually change its surface receptor expression and thus responds to external stimuli differently at different points in the cell cycle.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Animals
  • Cats
  • Cell Cycle
  • Cell Differentiation / drug effects
  • Cell Division
  • Cells, Cultured / drug effects
  • Chromatin / physiology
  • Cytokines / pharmacology
  • Gene Expression Regulation, Developmental*
  • Graft Survival
  • Hematopoiesis* / drug effects
  • Hematopoietic Stem Cell Transplantation
  • Hematopoietic Stem Cells / cytology*
  • Hematopoietic System / embryology
  • Hematopoietic System / growth & development
  • Humans
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Inbred NOD
  • Mice, SCID
  • Models, Biological*
  • Receptors, Cell Surface / physiology

Substances

  • Chromatin
  • Cytokines
  • Receptors, Cell Surface