We expect that the direct beneficiaries of our work will be academic and clinical scientists working in the field of regenerative medicine. In the longer term, the wider public will benefit from our work, as our scientific advances could improve medical treatments and hence enhance quality of life.
As humans age, the function of their cells and tissues very commonly begins to deteriorate, and an ideal way of alleviating the discomfort and malfunction of ageing cells and tissues is to be able to provide replacement cells of the same genetic constitution as the recipient, thereby eliminating the need for immunosuppression if cells from other individuals are used. The provision of whole organs or complex tissues from accessible cells, such as skin, would be a formidable task, but the derivation of individual cell-types seems realistic. It is now possible to derive functional photoreceptors, neurons, cardiac cells, etc. from adult skin, and these can be transplanted to recipient hosts. There is still much to be discovered about the integration of such replacement cells into a recipient’s tissue and their continued function after transfer to an individual, but it is likely that improvements in this area will be forthcoming. A current disadvantage of the suggested production of specialized cells of one kind from another unrelated cell-type is the low efficiency of the process by transcription factor overexpression and hence the need for extensive multiplication of the derived cells, during which time genetic and other changes in these cells may arise. Therefore, an improved efficiency of person-specific replacement cell derivation would be highly beneficial.
We point out that the short-term outcome of our proposed project is to elucidate how vertebrate eggs reprogram differentiated nuclei at high efficiencies and within hours. We successfully identified changes of proposed reprogramming barriers during the conversion of a specialised cell to a totipotent kind after nuclear transplantation to vertebrate eggs. We revealed candidate factors that prevent and facilitate these changes, which were validated until the end of this project. In the long run, we anticipate that our results will contribute to scientific developments that (1) improve the efficiency of deriving person-specific stem cells from accessible adult tissues and (2) improve the quality of the reprogrammed cells by ensuring a complete switch in cell identity. Lastly, results from this project will be of great help for scientists in the broad area of research dealing with the stability of the differentiated state and its dysregulation (embryonic development, in vitro differentiation, reprogramming, ageing, and cancer).