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Abbreviations: Escs, epithelial stem cells; Melscs, melano-
cytes stem cells; Ncscs, neural crest stem cells; Ipscs, patient-speci-
fc stem cells; Hfscs, hair follicle stem cells; ORS, outer root sheath;
BMP, bone morphogenetic proteins; EDN3, endothelin 34
Introduction
The epidermal melanocytes protect the skin from UV rays and their
functional destruction causes pigmentation disorders. The mutations
of melanocyte stem cells cause melanomas. The mechanism of
melanocyte differentiation and defning characteristics of melanocyte
stem cells in humans are still not fully known. The autologous
cultured melanocytes may be useful in the treatment of vitiligo.
1,2
In
contrast to the foreskin melanocytes, expansion of adult melanocytes
is not easy. Transplanted pigment cells are known to have repaired
the affected area of skin discoloration from vitiligo. Vitiligo affects
about two million people in the US. Vitiligo occurs when the body
considers melanocytes, cells which give color to the skin, as foreign.
In vitiligo the body’s own immune system attacks those cells, hence
it is an autoimmune disease. Hair follicle has three types of stem cells
which are vital to hair development. These incorporate epithelial stem
cells (ESCs), melanocytes stem cells (MelSCs) and neural crest stem
cells (NCSCs) which are known as human fetal stem cells (hFSCs).
3
Modeling of neural crest induction, melanocyte specifcation, and
disease-related pigmentation defects in hESCs and patient-specifc
iPSCs has been reported.
4
The safety and tolerability of subretinal
transplantation of human embryonic-stem-cell (hESCs)-derived
retinal pigment epithelium in Asians for the treatment of macular
degeneration has been reported.
5
It has been confrmed that Protease-
activated receptor-2 is involved in melanogenesis by mediating stem
cell factor production in keratinocytes.
6
The enthusiasm for vitiligo
exploration is coordinated towards the repositories of stem cells,
especially the hFSCs. We hereby summarize recent advances in
studies of pluripotent stem cells and its utility in vitiligo with specifc
accentuation on hFSCs.
Reconstruction of pigmentary system using stem cell
technology
Melanin production gives the skin its characteristic pigmentation
and increases during sun exposure to protect the cells from the DNA-
damaging effects of UV light. Melanocytes have been generated from
human embryonic stem cells. The approach involves growing the stem
cells in a carefully controlled manner while subjecting them to the
specifc chemical signals that drive the formation of melanocytes in a
developing embryo. It has not been possible to generate melanocytes
at different stages of development including mature, fully functional
and immature precursors. How melanocytes develop ad function
normally, and how failure in these processes lead to diseases, is a
matter of study.
The hair follicle is a constantly renewing, where 66% of the
lower follicle (travel part) totally is recovered over the hair cycle,
while the staying upper lasting segment is kept up.
7
The irregular
hair cycle comprises three phases of hair follicle viz. development
(anagen), trailed by a relapse stage (catagen), and a resting stage
(telogen). Melanocytes show up at the onset of anagen stage where
they effectively multiply and separate into developed melanocytes.
Throughout catagen, the melanocytes are drained from the follicles
by apoptosis. Melanocytes go missing in telogen hair follicle until
melanogenesis starts in the ensuing anagen stage. Given this
regenerative cycle of melanogenesis, the presence of the stem cells
for follicular melanocytes has been recommended over 10years.
8
Pluripotent stem cell technology offers a promising approach
for studying human melanocyte development and disease. Timed
exposure to activators of WNT, Bone morphogenetic proteins (BMP),
and Endothelin 3 (EDN3) signaling triggers the sequential induction
of neural crest and melanocyte precursor fates under dual-SMAD-
inhibition condition.
4
Using a SOX10::GFP human embryonic stem
cell (hESC) reporter line, it was demonstrated that the temporal
onset of WNT activation is critical for human neural crest induction.
J Stem Cell Res Ther. 2017;2(5):162‒164. 162
© 2017 Zaidi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Pluripotent stem cell technology: a promising
remedy for hypopigmentation disorders
Volume 2 Issue 5 - 2017
Kamal Uddin Zaidi,
1
Sharique AA,
2
Ayesha
SA,
2
Vijay Thawani
1
1
Biotechnology Pharmacology Laboratory CSRD, Peoples
University, India
2
Department of Biotechnology and Zoology, Saifa College of
Science, India
Correspondence: Kamal Uddin Zaidi, Biotechnology
Pharmacology Laboratory CSRD, Peoples University, Bhopal,
(M.P) 462037, India, Email Zaidi.kamal92@gmail.com
Received: April 23, 2017 | Published: May 25, 2017
Abstract
Pigment cells - epidermal melanocytes play physiological role in providing defense
against harmful UV rays. Defect or deficiency of melanocytes and/or melanocyte
stem cells can lead to pigmentation disorder such as vitiligo. The vitiligo forms white
patches on the skin on the body. It is an autoimmune disease because the pigment
inducing cells are damaged. Amongst its therapies, are UV light, cosmetic cover-up
and corticosteroid local application. Human epidermis has been produced in vitro
from mature epidermal stem cells of donors to provide the cell remedy. Source of
pluripotent stem cells, either of embryonic origin or genetic reprogramming offers
a substitute for epidermal cell treatment as these cells are immortal and pluripotent
- theoretically capable of providing any number of cells of any desired phenotype.
Keratinocytes and melanocytes resulting from pluripotent stem cells can be used
for pathological modelling of genodermatoses allowing recognition of new disease-
specific pharmacological treatment. We discuss the current approaches and imminent
scenario of stem cells in hypopigmentation.
Keywords: stem cell, melanocytes, vitiligo, melanin, pigmentation
Journal of Stem Cell Research & Terapeutics
Review article
Open Access