Vertebrate animals exhibit three mechanisms of tissue regeneration. The most common mechanism is the proliferation and differentiation of adult stem cells, used by epithelia, muscle, bone and blood. Urodele salamanders are able to regenerate complex structures such as limbs by the dedifferentiation of adult cells to mesenchymal stem cell-like cells at the site of amputation. Tissue lost from the vertebrate liver regenerates by compensatory hyperplasia. The mouse pancreas also regenerates by compensatory hyperplasia. The cellular activities in all these mechanisms are regulated by a wide variety of growth factors and hormones. Regenerative medicine aims to use three strategies based on regenerative mechanisms, transplants of stem cells or their derivatives, construction of bioartificial tissues composed of natural or synthetic biomaterials seeded with cells, and the pharmaceutical induction of regeneration at the site of injury by natural or synthetic regeneration-promoting molecules.
Key Concepts
- Regeneration restores the original structure and function of damaged or missing tissues.
- Tissues use three mechanisms to regenerate: adult stem cells sequestered during tissue development (epithelia, bone, muscle, blood), creation of stem cells by the dedifferentiation of differentiated cells (salamander limb regeneration) and proliferation of cells in their differentiated state (liver, pancreas).
- Growth factors are important regulators of regeneration.
- Regenerative medicine uses three strategies to regenerate damaged tissue: cell transplants, bioartificial tissue implants and pharmaceutical induction of regeneration directly at the site of damage by scaffolds or soluble molecules.
- The source of cells for transplants and bioartificial tissues is a crucial issue for regenerative medicine. Induced pluripotent stem cells (iPSCs) may solve many of the problems presented by adult and embryonic stem cells.
Keywords: regeneration; stem cells; growth factors and hormones; dedifferentiation; compensatory hyperplasia; biomaterials








