الفهرس | Only 14 pages are availabe for public view |
Abstract Stem cell is defined as an undifferentiated cell that has continuous proliferative ability. Additional characteristics include the ability to repopulate a tissue or organ after transplantation and the potential to be serially transplanted. Stem cells have been categorized according to their origin into: Embryonic, fetal, adult and HSCs (including cells of other types). Although ESCs proved to give rise to cells derived from all the three germ layers, but still this high differentiation capacity has the disadvantage of forming teratomas. As well as the high ethical concerns it raises about methods of obtaining these cells and the moral status of the embryos involved in this research. These concerns are much more less for other sources. The study of HSCs is one of the most exciting and rapidly advancing researches in the medical field today. HSCs will be one of the most powerful tools for healing. HSCs were obtained from BM, peripheral blood and UCB which begins to flourish now with the development of UCB banks but its application and its cost-effectiveness is still questionable. SCT nowadays carry a great hope for many diseases that before were thought to be non-curable. With great success in certain malignant and hematological diseases such as; leukemia, lymphoma, neuroblastoma, aplastic anemia, thalassemia and sickle cell disease. On the other hand, more research is required for SCT to be applicable for a great variety of diseases as; type I DM, brain damage, cancer, spinal cord injury, Parkinson’s disease, cardiovascular diseases, blindness and metabolic diseases. Complications of SCT are numerous. Infectious complications are frequent and include bacterial, fungal and viral infections. Immuno-suppression with break down of skin and mucosal barriers, decreased immunoglobin production and impairment of cell mediated immunity are predisposing factors. GVHD represents one of the major complications of allogeneic SCT. It is an immunologic reaction of donor Tlymphocytes against recipient tissue. It may be acute or chronic. Other complications include veno-occlusive disease, cataract, diarrhea, mucositis, pneumonitis and endocrine disorders. |