A stem cell is an undifferentiated cell capable of giving rise to other cell types and participating in tissue building and repair.Stem cells are distinguished by two properties: self-renewal (unlimited division without loss of potential) and potency — the ability to differentiate into specialized types. Totipotent cells (zygote) can create an entire organism; pluripotent (embryonic) — all tissues except extraembryonic membranes; multipotent (adult) — a limited set of cells. Induced pluripotent stem cells (iPSCs) are obtained by activating certain genes in mature cells.
The idea of stem cells dates back to the work of Ernst Haeckel (1868) and August Weismann (1885). Experimental confirmation was provided by Canadian hematologists Ernest McCulloch and James Till, who discovered spleen colony-forming units — hematopoietic stem cells of the mouse in 1963. The isolation of human embryonic stem cells by Martin Evans (1981 for mouse, 1998 for human) and the creation of induced pluripotent stem cells by Shinya Yamanaka (2006, Nobel Prize 2012) opened the era of regenerative medicine.
The molecular machinery of pluripotency includes mutually reinforcing transcription factors OCT4, SOX2, NANOG, which bind their own promoters and each other's promoters, and also repress differentiation genes through recruitment of polycomb repressor complexes. Signaling molecules of the niche (SCF, Notch ligands, Wnt) activate intracellular cascades that alter the epigenetic landscape of DNA methylation and histone modifications, switching the cell from a naive to a primed state of pluripotency. Differentiation proceeds as a sequential loss of potencies with parallel activation of tissue-specific genes. Upon transplantation, stem cells are subject to the risk of teratoma formation, therefore methods of directed in vitro differentiation with subsequent purification of target populations are being developed.
Stem cells repair damaged tissues and organs — they are used to treat leukemia, burns, and test new drugs.
More than 80 diseases, including some types of cancer and anemia, are successfully treated with umbilical cord blood stem cells.











