A brain is a terrible
thing to waste.
Once you damage it, there’s often no turning back, because the
human brain, unlike other parts of the human body, does not appear
to create new cells to replace those that have died or been
destroyed.
“It doesn’t heal itself the way your skin does,” said Dr. Warren
Tourtellotte, a professor of pathology, neurology, and neuroscience
at Northwestern University.
Some animals’ brains seem to have the capacity to create new
neurons, the primary cells that transmit signals through the brain,
but humans seem to have lost this trait, scientists said.
That is one of the things that makes diseases like Alzheimer’s
and Parkinson's, which destroy and disable portions of the brain, so
permanent and debilitating.
But a group of scientists at the University of California, San
Francisco has discovered a new twist to this evolutionary mystery:
certain brain cells, they say, appear to be able to create new
neurons in adult humans.
In a paper published Thursday in the journal Nature, the
researchers announced that they had coaxed cells from a part of the
brain called the subventricular zone, or SVZ, to act as stem cells
under laboratory conditions, said Nader Sanai, one of the paper’s
authors.
Sanai said scientists have known for a while that the SVZ
contained stem cells – so-called for their ability to transform into
a number of different types of cells. Most of the cells in the body,
by contrast, are differentiated cells, which can only produce copies
of themselves.
However, while scientists knew that some cells in the SVZ, and in
another brain area called the hippocampus, could act like stem
cells, they didn’t know which cells, or what by what mechanism they
would operate, Sanai said.
But by studying a collection of cells collected from brain
surgeries and autopsies, Sanai and his colleagues found they could
stimulate cultures of cells called astrocytes to produce new
neurons.
It is this ability to create new neurons that makes stem cells
valuable to researchers, who believe they could be used medically.
In the very long run, scientists said, understanding how the
production of neurons worked could allow scientists to grow new
brain tissue for people whose brains were damaged by injury or
disease.
“The significance [of this research] is quite great,” said
Tourtellotte, who was not an author of the study. “Because
astrocytes can be easily cultured in a dish, there’s the potential
of creating a neuron that could be eventually put back into
someone’s brain.”
“In all fairness it’s a bit futuristic, but certainly it’s a
step,” he said.
Adult neural stem cells, which might possibly be used to grow new
brain tissue, are different from embryonic stem cells, which
researchers believe have the potential to grow any type of human
tissue.
There remains the question of why human brains don’t appear to
create new neurons naturally. In the brains of rodents and other
animals, including primates, SVZ astrocytes actively produce large
numbers of neurons, which travel to other regions of the brain,
where they constantly replace dying neurons, Sanai said.
Interestingly, Sanai’s group found no evidence of a similar cell
replacement pathway in human brains.
Scientists do not yet understand the reason for this difference
between humans and other classes of mammals but in a commentary in
Nature, Yale University neurobiologist Pasko Rakic suggested that
the complex networks of the human brain might actually resist the
addition of new neurons that could disrupt established pathways.
The idea that the brain’s software is, in a sense, proprietary,
could explain why neurons are not known to be replaced in humans,
although the potential to do so appears to be present, Rakic writes.
Sanai said the idea was interesting, though unproven.
“When people talk about stem cells they automatically think about
the potential of the cells themselves, but it’s much more
complicated than that,” he said. “It’s not about simply the
potential of the cell, it’s about the niche in which the cell
exists. Perhaps the environment [of the brain] is repressing this
potential for the greater good. Maybe the complexity of the system
is so much that it’s not flexible enough to accommodate [new
neurons].”
The results, Sanai said, brings up both promising results, and
new questions that need to be answered before the promise of adult
stem cell therapies can be realized.
“Not much is really known about human stem cells in the adult
brain,” Sanai said.