Multipotent nestin-positive hair follicle pluripotent stem (hfPS) cells can promote regeneration of impinged severed peripheral-nerve injury

  • MD, PhD Yasuyuki Amoh, Department of Dermatology, Kitasato University School of Medicine, Japan
  • Ryoichi Aki, Japan
  • Kenichi Tanabe, Japan
  • Sumiyuki Mii, Department of Dermatology Kitasato University School of Medicine, Japan
  • Yuko Hamada, Japan
  • Katsumasa Kawahara, Japan
  • Robert Hoffman, United States
  • Kensei Katsuoka, Japan

Embryonic stem cells have shown promise for pluripotency but have ethical issues and potential to form teratomas. Induced pluripotent cells (iPS) cells have been produced from skin cells by either viral-, plasmid- or transposon-mediated gene transfer. iPS cells may also have malignant potential and are inefficiently produced. Embryonic stem cells may not be suited for individualized therapy, since they can undergo immunologic rejec-tion. To address these fundamental problems, our group has developed pluripotent stem cells from the hair follicle (hfPS cells). Our previous studies have shown that mouse hfPS cells can differentiate to neurons, glial cells in vitro, and other cell types, and can promote nerve and spinal cord regeneration in vivo. hfPS cells are located above the hair follicle bulge in what we have termed the hfPS cell area (hfPSCA) and are nestin positive and keratin 15 (K-15) negative. Human hfPS cells can also differentiate into neurons, glia, keratinocytes, smooth muscle cells, and melanocytes in vitro. Human hfPS cells were transplanted to the impinged as well as the severed sciatic nerve of the mouse where they differentiated into glial fibrillary-acidic-protein (GFAP)-positive Schwann cells and promoted the recovery of pre-existing axons, leading to nerve generation. The regenerated nerve recovered function and, upon electrical stimulation, contracted the gastrocnemius muscle. The hfPS cells can be readily isolated from the human scalp, thereby providing an accessible, autologous and safe source of stem cells for regeneration therapy of severed nerves or nerves impinged by compression between bony or other hard surfaces.