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Best Practice Research Clinical Obstetrics and Gynaecology
Vol. 18, No. 6, pp. 827–842, 2004
doi:10.1016/j.bpobgyn.2004.09.002
available online at
1
History and perspective of stem cell research
Ariff Bongso* DSc, DVM, MSc, PhD, FRCOG (ad eundem)
Mark Richards BSc
Department of Obstetrics and Gynaecology, National University Hospital, Kent Ridge, Singapore 119074
Several types of stem cell have been discovered from germ cells, the embryo, fetus and adult. Each
of these has promised to revolutionize the future of regenerative medicine through the provision
of cell-replacement therapies to treat a variety of debilitating diseases. Stem cell research is
politically charged, receives considerable media coverage, raises many ethical and religious
debates and generates a great deal of public interest. The tremendous versatility of embryonic
stem cells versus the unprecedented reports describing adult stem cell plasticity have ignited
debates as to the choice of one cell type over another for future application. However, the
biology of these mysterious cells have yet to be understood and a lot more basic research is
needed before new therapies using stem-cell-differentiated derivatives can be applied. Stem cell
research opens-up the new field of ‘cell-based therapies’ and, as such, several safety measures
have also to be evaluated.
Key words: adult stem cell; differentiation; embryonic stem cell; hESC; multipotent; plasticity;
pluripotent; reparative medicine; self-renewal; stem cell; totipotent; transdifferentiation.
Man has long been fascinated by the regenerative abilities of certain animals.
Regeneration is a remarkable physiological process in which remaining tissues organize
to reform a missing body part. Several invertebrates, such as planarian flatworms and
Hydra, regenerate tissues with speed an
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