Embryonic Stem Cells Overview

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Questions and Answers

Which type of stem cells can differentiate into any of the over 200 different cell types found in the body?

  • Totipotent Stem Cells
  • Multipotent Stem Cells
  • Adult Stem Cells
  • Pluripotent Stem Cells (correct)

Totipotent stem cells are found only in adult tissues.

False (B)

What is the primary characteristic of stem cells that allows them to self-renew?

Self-Renewal

________ stem cells are harvested from the inner cell mass of the blastocyst seven to ten days after fertilization.

<p>Embryonic</p> Signup and view all the answers

Match the type of stem cell with its source:

<p>Embryonic stem cells = Inner cell mass of blastocyst Fetal stem cells = Germline tissues of aborted fetuses Umbilical cord stem cells = Umbilical cord blood Placenta-derived stem cells = Placenta tissue</p> Signup and view all the answers

Which type of stem cell has a more limited ability to differentiate, but has a history of success in therapies?

<p>Multipotent Stem Cells (B)</p> Signup and view all the answers

Pluripotent stem cells can only form a complete organism.

<p>False (B)</p> Signup and view all the answers

Name one source of adult stem cells.

<p>Bone marrow</p> Signup and view all the answers

What percentage of patients typically have an HLA-identical sibling?

<p>25 to 30% (B)</p> Signup and view all the answers

Marrow donation from unrelated living donors is a complex procedure.

<p>False (B)</p> Signup and view all the answers

What is one reason for the need for alternative donors in bone marrow transplantation?

<p>Only 25 to 30% of patients have an HLA-identical sibling.</p> Signup and view all the answers

Autologous transplantation involves the removal of the patient's own __________ when a complete remission has been induced.

<p>marrow</p> Signup and view all the answers

What is a major limitation of autologous bone marrow transplantation?

<p>Possible contamination of the marrow with tumor cells. (D)</p> Signup and view all the answers

Match the type of donor to its description:

<p>HLA-identical sibling = Best chance for successful transplant Unrelated living donor = Expanding national and international registries Autologous donor = Uses patient's own marrow Related but non-HLA identical donor = Increasingly used with lower success rates</p> Signup and view all the answers

Post-transplant problems with graft-versus-host disease (GVHD) are significant with autologous BMT.

<p>False (B)</p> Signup and view all the answers

What are two major obstacles remaining for successful application of autologous BMT?

<p>Contamination of marrow with tumor cells and absence of graft-versus-tumor activity.</p> Signup and view all the answers

Which model describes the channel activation due to changes in the extracellular matrix and cytoskeleton?

<p>Force-from-filaments model (C)</p> Signup and view all the answers

Glucose is the primary energy source for metabolic processes in living organisms.

<p>True (A)</p> Signup and view all the answers

What is the role of hexokinase in glucose metabolism?

<p>To phosphorylate glucose and trap it in the cell.</p> Signup and view all the answers

The general chemical formula of carbohydrates can be represented as Cn (H2O) n, where 'n' indicates the number of __________.

<p>carbon atoms</p> Signup and view all the answers

Match the type of carbohydrate with its description:

<p>Starch = A complex carbohydrate stored in plants Glycogen = A stored form of glucose in animals Simple sugars = Monosaccharides like glucose and fructose Complex sugars = Polysaccharides composed of multiple monosaccharide units</p> Signup and view all the answers

Which statement accurately describes the role of calcium in mechanosensitive ion channels?

<p>Calcium acts as a signal molecule to trigger vesicular release. (C)</p> Signup and view all the answers

Phosphofructokinase is classified as an enzyme involved in the preparatory phase of glycolysis.

<p>False (B)</p> Signup and view all the answers

Calcium-permeable mechanosensitive channels respond to __________, leading to the release of biopharmaceuticals.

<p>music</p> Signup and view all the answers

What role do amylase enzymes play in the body?

<p>They break down starch into sugar. (D)</p> Signup and view all the answers

Blood glucose levels can vary by as much as 50% throughout the day.

<p>True (A)</p> Signup and view all the answers

What is the typical blood sugar level in humans in mg/dL?

<p>90 mg/dL</p> Signup and view all the answers

The pancreas secretes hormones such as _______ and _______ to regulate blood sugar levels.

<p>insulin, glucagon</p> Signup and view all the answers

Match the organ systems with their role in blood sugar regulation:

<p>Intestines = Absorption of nutrients, including glucose Liver = Storage of glucose Pancreas = Secretion of insulin and glucagon</p> Signup and view all the answers

What happens to blood glucose levels after eating a meal high in starch or sugar?

<p>They increase significantly. (C)</p> Signup and view all the answers

The pancreas only secretes insulin to lower blood sugar levels.

<p>False (B)</p> Signup and view all the answers

What is the primary function of glucagon?

<p>To raise blood sugar levels.</p> Signup and view all the answers

What is the optimal set-point for blood sugar levels in mg/dL?

<p>80-110 (B)</p> Signup and view all the answers

Frequent monitoring of blood glucose levels can help maintain insulin administration within a normal range.

<p>True (A)</p> Signup and view all the answers

What are the two types of glucose level monitoring systems mentioned?

<p>Blood Glucose Meters (BGM) and Continuous Glucose Monitoring (CGM) systems.</p> Signup and view all the answers

Continuous Glucose Monitoring (CGM) systems consist of a glucose sensor, a transmitter, and a small external ______________.

<p>monitor</p> Signup and view all the answers

Match the following terms with their definitions:

<p>Hypoglycemic = Low glucose levels Hyperglycemic = High glucose levels Insulin pump = Delivers insulin when needed Urine glucose monitoring = Not recommended for diabetics</p> Signup and view all the answers

Why is monitoring glucose in urine not recommended for diabetics?

<p>Both B and C are correct. (A)</p> Signup and view all the answers

Type II diabetics cannot experience hypoglycemia.

<p>False (B)</p> Signup and view all the answers

What was the outcome of a recent study on intensive management of blood sugar levels among type I diabetics?

<p>It resulted in a significantly decreased mortality rate.</p> Signup and view all the answers

What is the primary function of GLUT1 in alpha cells?

<p>Transporting glucose at lower concentrations (A)</p> Signup and view all the answers

Alpha cells are primarily responsive to increases in blood glucose concentration.

<p>False (B)</p> Signup and view all the answers

What is the common name for the syndrome associated with GLUT1 deficiency?

<p>Common GLUT1 deficiency syndrome</p> Signup and view all the answers

In individuals with common GLUT1 deficiency syndrome, normal growth of the brain and skull may result in a condition known as ______.

<p>microcephaly</p> Signup and view all the answers

Match the following symptoms to GLUT1 deficiency syndrome:

<p>Frequent seizures = Common symptom Involuntary eye movements = First sign in newborns Normal head size at birth = Initial condition Developmental delay = Possible negative effect</p> Signup and view all the answers

What is the Km value for glucokinase in relation to glucose?

<p>5.5 mM (D)</p> Signup and view all the answers

GLUT1 deficiency syndrome typically has no neurological symptoms.

<p>False (B)</p> Signup and view all the answers

What is the consequence of impaired glucose transport in GLUT1 deficiency syndrome?

<p>Insufficient glucose for brain function</p> Signup and view all the answers

Flashcards

ESC

Embryonic Stem Cells, harvested from the inner cell mass of a blastocyst.

ASC

Adult Stem Cells, found in various adult tissues.

iPSC

Induced Pluripotent Stem Cells, artificially created from adult cells.

Stem Cell Self-Renewal

Stem cells' ability to create identical copies of themselves.

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Stem Cell Differentiation

Stem cells transforming into specialized cells (e.g., heart cell, nerve cell).

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Pluripotent Stem Cells

Stem cells having the potential to become any cell type.

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Totipotent Stem Cells

Stem cells capable of forming a complete organism.

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Multipotent Stem Cells

Stem cells able to form many, but not all, cell types.

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Umbilical Cord Stem Cells

Stem cells found in umbilical cord blood, with properties similar to bone marrow stem cells.

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Fetal Stem Cells

Stem cells originating from germline tissues of aborted fetuses.

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Placenta Derived Stem Cells

Stem cells obtained from the placenta, potentially higher in yield than umbilical cord stem cells.

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HLA-identical sibling donor

A sibling who has the same human leukocyte antigen (HLA) type as the recipient, a crucial factor for successful bone marrow transplantation (BMT).

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Unrelated living donor

A person, not related to the recipient, who donates bone marrow; usually found through national or international registries.

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Related non-identical donors

Relatives who are not HLA-identical, but are used as bone marrow donors for BMT.

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Autologous Transplantation

Using a patient's own bone marrow, after remission, as a source for BMT.

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GVHD

Graft-versus-host disease (GVHD); a potential complication of allogeneic BMT where transplanted cells attack the recipient's tissues. It's less common with autologous BMT.

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Autologous BMT indications

Relapsed, chemotherapy-sensitive lymphoma and acute leukemia in remission are suitable cases for autologous BMT.

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Marrow purging

A technique to remove tumor cells from the bone marrow before transplantation to improve outcomes in autologous BMT.

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Immune Modulation

Post-transplantation strategies to control or modify the recipient's immune system to reduce and manage post-transplant complications for BMT.

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Tumor contamination

The presence of tumor cells in the bone marrow graft, a major issue in autologous BMT, leading to recurrence.

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Graft-vs-tumor activity

An effect where transplanted cells target and destroy the remaining tumor cells in the recipient, crucial for success in allogeneic BMT but is not common with autologous BMT.

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Blood Glucose Regulation

The process by which the human body maintains blood sugar levels within a narrow range.

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Blood Glucose Set Point

The target level of blood sugar that the body aims to maintain, typically around 90 mg/dL.

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Blood Glucose Level Variation

Blood sugar levels can fluctuate by up to 50% during the day.

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Starch Digestion

Amylase enzymes break down starch into simple sugars (glucose).

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Glycogen Structure

Branching in starch and glycogen allows enzymes easy access to break glucose bonds.

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Blood Glucose Rise

Blood sugar increases after consuming carbohydrates.

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Homeostatic Mechanisms

Processes that maintain blood sugar levels.

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Insulin and Glucagon

Pancreatic hormones that regulate blood glucose.

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Pancreas Role

The pancreas secretes insulin and glucagon in response to high or low blood sugar levels, respectively.

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Blood Sugar Units

Blood sugar is measured in milligrams per deciliter (mg/dL).

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Alpha Cell Glucose Sensor

Composed of GLUT1 and glucokinase, it detects lower blood glucose levels, triggering glucagon secretion.

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Calcium signaling pathways

Calcium ions act as messengers in numerous cellular processes, often triggering responses like cell growth.

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Beta Cell Glucose Sensor

Responds to rising blood glucose levels, initiating insulin release.

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Mechanosensitive ion channels

Channels in cell membranes that open or close in response to mechanical forces or changes in cell shape.

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GLUT1

A glucose transporter with a low glucose affinity (Km ~1 mM).

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Force-from-lipids model

Mechanism of mechanosensitive channel activation where changes in membrane structure cause the channel to open.

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Glucokinase

An enzyme crucial for glucose metabolism in alpha cells, its Km for glucose is ~5.5 mM.

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Force-from-filaments model

Mechanism of mechanosensitive channel activation involving changes in structures outside the cell membrane (like the extracellular matrix and cytoskeleton).

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GLUT1 Deficiency Syndrome

A genetic disorder affecting glucose transport, primarily to the brain, resulting in neurological symptoms.

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MUSIC cellular device

A device that uses music-triggered calcium surges to release drugs from vesicles.

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Carbohydrates

Organic compounds containing carbon, hydrogen, and oxygen, often with the general formula C(Hâ‚‚O)â‚™.

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Glucose (as brain fuel)

The primary energy source for the brain.

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Saccharide

The basic unit structure of carbohydrates.

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Common GLUT1 Deficiency

A prevalent form of GLUT1 deficiency characterized by seizures, developmental delays, and potentially microcephaly.

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Glucose

Primary source of energy for living things.

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Glycolysis

Breakdown of glucose into smaller molecules, producing energy.

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Phosphorylation

Adding a phosphate group to a molecule.

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Hexokinase

Enzyme that catalyzes the phosphorylation of glucose.

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ATP

Adenosine triphosphate, a molecule that stores and releases energy for cellular processes.

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Phosphofructokinase

Rate-limiting enzyme in glycolysis.

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Optimal blood sugar level range

The ideal blood sugar level range for good health is between 80-110 mg/dL.

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Diabetes blood sugar swings

Frequent fluctuations between high and low blood sugar levels are common in people with diabetes.

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Continuous Glucose Monitoring (CGM)

A system that continuously tracks blood glucose levels throughout the day and night.

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Blood Glucose Meter (BGM)

Measures blood glucose at a single point in time.

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Urine glucose monitoring

Checking glucose levels in the urine is not a reliable way to monitor blood sugar levels in diabetes.

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Insulin pump

Delivers insulin automatically when needed to manage blood glucose levels.

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Intensive blood sugar management

Closely monitoring and controlling blood sugar levels can lead to reduced mortality in type 1 diabetics.

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Blood glucose sensor

Measures glucose in the fluid surrounding cells, not directly in blood.

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Hypoglycemia

Low blood glucose levels.

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Hyperglycemia

High blood glucose levels.

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Study Notes

  • Embryonic Stem Cells (ESCs) are harvested from the inner cell mass of a blastocyst, a stage in early embryonic development.
  • Adult Stem Cells (ASCs) are found in various adult tissues and can differentiate into a limited number of cell types.
  • Induced Pluripotent Stem Cells (iPSCs) are created by reprogramming adult cells into a pluripotent state.
  • Stem cells are categorized by their differentiation potential: totipotent (capable of forming a complete organism), pluripotent (capable of forming any cell type), and multipotent (capable of forming a limited number of cell types).
  • Embryonic stem cells are pluripotent.
  • Adult stem cells are multipotent.
  • iPSCs are pluripotent.
  • Self-renewal is the ability of stem cells to divide and make identical copies of themselves.
  • Differentiation is the process by which stem cells become specialized cells with specific functions.

Stem Cell Types and Examples

  • Totipotent: Cells that can develop into any cell type in an organism, including extraembryonic tissues. Cells from early (1-3 days) embryos.
  • Pluripotent: Cells that can form any of the over 200 cell types. Some cells of the blastocyst stage (5-14 days).
  • Multipotent: Cells that are already differentiated but can potentially form a limited number of other cell types. Fetal tissue, cord blood, and adult stem cells.

Stem Cell Sources

  • Embryonic stem cells
  • Fetal stem cells
  • Umbilical cord stem cells
  • Placenta derived stem cells
  • Adult stem cells

Stem Cell Applications

  • Study organism growth and development.
  • Replace diseased or damaged cells.
  • Test drugs and chemicals on stem cells.
  • Understand genetic machinery.

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