Years of
additional research is needed before such an experiment could be attempted in
people.
But the
work marks a tantalising new step in stem cell research that promises to one
day help repair damage from nerve-destroying illnesses such as Lou Gehrig's
disease, or from spinal cord injuries.
"This
is an important first step, but it really is a first step, a proof of principle
that ... you can rewire part of the nervous system," said Dr Douglas Kerr,
a neurologist at
Perhaps
most importantly, the experiment illustrates that if stem cells eventually live
up to their promise, treatment won't be simple - they can't just be injected
into a diseased body and repair it on their own.
Instead,
the new research details a complex recipe of growth factors and other chemicals
that entice the delicate cells to form correctly and make the right
connections.
Miss a
single ingredient, and the cells kind of wander aimlessly, unable to reach the
muscle and make it move.
The study
may bring "the appropriate tempering of expectations of stem cells",
said Kerr, considered a leader in the field.
"Some
of my patients say, 'Oh, I'm going to pull into the stem-cell station and get
my infusion of stem cells,' and it's never going to be that."
Stem cells
are building blocks that turn into different types of tissue. Embryonic stem
cells in particular have made headlines, as scientists attempt to harness them
to regenerate damaged organs or other body parts.
They're
essentially a blank slate, able to turn into any tissue given the right
biochemical instructions. But human embryonic stem cell research is politically
controversial, because culling the cells destroys embryos.
The
The new
work essentially installs new wiring: replacing motor neurons - specialised
nerve cells for movement - that have died to make a new circuit that grows
neuronal connections out of the spinal cord and down to a leg muscle.
"They
did something that people have been trying to do for at least 30 years and
literally hit a brick wall until now," said Dr Naomi Keitman of the
National Institutes of Health's neurology division.