Targeting cell plasticity for regeneration: From in vitro to in vivo reprogramming

Adv Drug Deliv Rev. 2020:161-162:124-144. doi: 10.1016/j.addr.2020.08.007. Epub 2020 Aug 19.

Abstract

The discovery of induced pluripotent stem cells (iPSCs), reprogrammed to pluripotency from somatic cells, has transformed the landscape of regenerative medicine, disease modelling and drug discovery pipelines. Since the first generation of iPSCs in 2006, there has been enormous effort to develop new methods that increase reprogramming efficiency, and obviate the need for viral vectors. In parallel to this, the promise of in vivo reprogramming to convert cells into a desired cell type to repair damage in the body, constitutes a new paradigm in approaches for tissue regeneration. This review article explores the current state of reprogramming techniques for iPSC generation with a specific focus on alternative methods that use biophysical and biochemical stimuli to reduce or eliminate exogenous factors, thereby overcoming the epigenetic barrier towards vector-free approaches with improved clinical viability. We then focus on application of iPSC for therapeutic approaches, by giving an overview of ongoing clinical trials using iPSCs for a variety of health conditions and discuss future scope for using materials and reagents to reprogram cells in the body.

Keywords: Biophysical factors; Cell reprogramming; Cell therapy; Direct reprogramming; Small molecules; iPSC.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Biological Specimen Banks
  • Cardiovascular Diseases / physiopathology
  • Cell Plasticity / physiology*
  • Cellular Reprogramming Techniques / methods
  • Drug Discovery / methods
  • Humans
  • Induced Pluripotent Stem Cells / metabolism*
  • Liver Diseases / physiopathology
  • Neoplasms / physiopathology
  • Nervous System Diseases / physiopathology
  • Regeneration / physiology*
  • Regenerative Medicine / methods
  • Signal Transduction / physiology
  • Transcription Factors / metabolism

Substances

  • Transcription Factors