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Who Are We? Stem Cells, Complexity and  the Science of Being Neil Theise MD Departments of Pathology & Medicine Beth Israel Medical Center – Albert Einstein College of Medicine New York City www.neiltheise.com
“ Thinking is better than knowing… Goethe – “Maxims”
“ Thinking is better than knowing, but LOOKING is even better!” Goethe – “Maxims”
Haruna et al.  Hepatology 1996; 23: 476
 
 
 
 
 
 
 
 
Aleta and James Crawford for  Theise et al.,  Hepatology. 1999; 30: 1425. Definitions according to:  Roskams, Theise et al.,  Hepatology 2004; 39: 1739-45.
 
The Normal Liver Lobule:
The  NEW  Normal Liver Lobule:
 
 
 
Lethal Irradiation Male Bone Marrow Transplant FISH for Y-Chromosome Theise & Krause, et al.  Hepatology Jan 2000
 
Sort PKH-bright Male Donor BM Lin Deplete Elutriate PKH26 Label 48 Hours Transplant  single  cell into  2 o  Female Recipient 1 o  Female Recipient
 
 
 
 
 
 
 
Bone Marrow One  Adult Cell Epithelia of  Liver Lung Gut, (Pancreas) Skin, Hair follicles
True clonality = True adult stem cell plasticity! MESODERM ENDODERM ECTODERM One  Adult Cell
The Standard Paradigm: Restricted Plasticity
Irreversible gene restrictions Embryology & Adult Tissue Reconstitution Self renewal
What if gene restrictions are REVERSIBLE?
 
Proof of Principle
BEWARE OF   DOGMA
3 Principles of Plasticity Theise & Krause BCMD , May 2001 Leukemia,  April Fool’s Day 2002 Comptes Rendus Biologies,  December 2002
1. Genomic Completeness 2. Cellular Uncertainty 3. Stochasticity of  Cell Origins and Fates
1. Genomic Completeness 2. Cellular Uncertainty 3. Stochasticity of  Cell Origins and Fates
“… the internal and the external co-determine the cell.” Richard Lewontin, 2000
2 nd  Principle: Cellular Uncertainty Any attempt to observe a cell alters the state of that cell at the time of characterization and  potentially  alters the likelihood of subsequent differentiation events.
2 nd  Principle: Cellular Uncertainty Any attempt to observe a cell alters the state of that cell at the time of characterization and   potentially   alters the likelihood of subsequent differentiation events. ?
Meanwhile,  back at the plasticity debates…
Controversy!!!
trivial... vs. ROBUST!!!
Conversations with Jane Prophet New Media Artist and Professor, Interdisciplinary Studies University of Westminster, London UK SciArt Award, Wellcome Trust  2002
Date: 9th May 2002  Location: Neil's office, New York     Jane says: “Ideas about pathways are interesting. A lot of people who are involved in digital biology are interested in things like swarming people and so called ’soup organism’ behaviour. And one of the useful models to take forward is about ant colonies…”
Complex Adaptive Systems: 1,2 1 Lewin R, Complexity: Life at the Edge of Chaos. 2nd ed.  Chicago IL: University of Chicago Press; 2002. 2 Johnson S, Emergence. New York NY: Scribner; 2001.
… Complex Adaptive Systems: Interacting individuals that,  if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures
Complex Adaptive Systems: Interacting individuals that,  if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures  that appear planned from the top, downward ,
Complex Adaptive Systems: Interacting individuals that,  if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures  that appear planned from the top, downward, BUT ARE NOT!
Complex Adaptive Systems: Interacting individuals that,  if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures  that appear planned from the top, downward, BUT ARE NOT! These structures are  ADAPTIVE and are referred to as emergent self-organization
Complex Adaptive Systems: Interacting individuals that,  if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures  that appear planned from the top, downward, BUT ARE NOT! How do we know?
Complex Systems Real world
Complex Systems Real Virtual
Complex Systems Real Virtual
Complex Adaptive Systems: Rise and fall of economic markets Urban development Beatlemania Rise and fall of civilizations Evolution and speciation Immunology
Complex Adaptive Systems: Rise and fall of economic markets Urban development Beatlemania Rise and fall of civilizations Evolution and speciation Immunology Conciousness
Complex Adaptive Systems: Numbers matter
Complex Adaptive Systems: Numbers matter Negative feedback loops
Complex Adaptive Systems: Numbers matter Negative feedback loops   Interactions are local without global sensing
Complex Adaptive Systems: Numbers matter Negative feedback loops  Interactions are local without global sensing   Low level randomness
Complex Adaptive Systems: Numbers matter Negative feedback loops  Interactions are local without global sensing   “ Quenched disorder”
 
 
 
Low level engraftment  is not only NOT trivial,  but it is VITAL  –  literally so. 1-3 1 Theise ND. Exp Hematology 2003 2 D’Inverno M, Theise ND. BCMD 2004 3 D’Inverno M, Theise ND, Prophet J.   In: Potten C, Wilson J, Clarke R, Renahan A:  Tissue stem cells: Biology and applications
Implications of Cell Lineages as Complex Adaptive Systems Mass extinctions.
order disorder “ chaos”
disorder “ chaos” complex adaptive   systems order
Implications of Cell Lineages as Complex Adaptive Systems Mass extinctions, eg: ? Aplastic anemia ? Fulminant liver failure
Implications of Cell Lineages as Complex Adaptive Systems The price of adaptation,  i.e. of LIFE, is DEATH
Implications of Cell Lineages as Complex Adaptive Systems Hierarchies of complex systems…
 
 
 
Implications of Cell Lineages as Complex Adaptive Systems Hierarchies of complex systems… thing  vs. phenomena depends on scale of observation
 
Communities Bodies Cells
e.g. cities, cultures, ecosystems, Gaia Bodies Cells
Communities Bodies Cells Biomolecules ?
Communities Bodies Cells Biomolecules Toshio Yanagida  & Company
Communities Bodies Cells Biomolecules More implications, of course.
1. Genomic Completeness ? Cellular Uncertainty 3. Stochasticity of  Cell Origins and Fates
Theise ND.  Now you see it, now you don’t. Nature , May 2005 “ Cell doctrine: modern biology and medicine see the cell as the fundamental building block of living organisms, but this concept breaks down at different perspectives and scales.” Communities Bodies Cells Biomolecules
“ The validity of cell doctrine depends on the scale at which the body is observed… Communities Bodies Cells Biomolecules
“ The validity of cell doctrine depends on the scale at which the body is observed.   To limit ourselves to the perspective of this model may mean that explications of some bodily phenomena remain outside the capacity of modern biology… Communities Bodies Cells Biomolecules
“ The validity of cell doctrine depends on the scale at which the body is observed.   To limit ourselves to the perspective of this model may mean that explications of some bodily phenomena remain outside the capacity of modern biology… e.g. Acupuncture Communities Bodies Cells Biomolecules
“ The validity of cell doctrine depends on the scale at which the body is observed. To limit ourselves to the perspective of this model may mean that explications of some bodily phenomena remain outside the capacity of modern biology.   It is perhaps time to dethrone the doctrine of the cell, to allow alternative models of the body for study and exploitation in this new, postmodern era of biological investigation.” Communities Bodies Cells Biomolecules
What kind of models?
for example, 2 models from Ancient Greece: Is the body made of…  indivisible subunits   or   an endlessly divisible fluid
 
 
 
 
Models of the body are  perspective/technique  dependent Look at it this way (cell membranes):  the body is made of cells Look at it that way (organelles):  the body is an endlessly divisible fluid
A study of acupuncture mechanism by magnetic resonance elastography Chan QC, Li G, Ehman RL, Rossman PJ, Cao G, Li R, Yang ES Conf Proc IEEE Eng Med Biol Soc. 2004;2:1022-4.
Models are  perspective/technique  dependent Look at it this way (cell membranes):  the body is made of cells Look at it that way (organelles):   the body is an endlessly divisible fluid Yet another way (the genome): …  overlapping spatial/temporal fields of molecular organization
Communities Bodies Cells Biomolecules Atoms
Communities Bodies Cells Biomolecules Atoms We are walking, talking Earth…
Communities Bodies Cells Biomolecules Atoms Subatomic Particles
Put group portrait from menla conference HERE
Beyond cell doctrine: Complexity thery informs alternate models of the bdy For cross cultural dialogue Neil D. Theise www.neiltheise.com
Macroscopic body Microscopic body Nanoscopic body Quantum body
Macroscopic body Microscopic body Nanoscopic body Quantum body e.g. physical therapy surgery e.g.  cell therapies e.g. molecular medicine antibiotics e.g.  electromagnetics
Macroscopic body Microscopic body Nanoscopic body Quantum body e.g. yoga tai chi e.g. acupuncture? e.g. traditional remedies e.g. energy healing? meditation?
Macroscopic body Microscopic body Nanoscopic body Quantum body Coarse Body ? Energy Body ? Subtle Body ? Indo-Tibetan Medicine/Physiology
Macroscopic body Microscopic body Nanoscopic body Quantum body Coarse Body ? Energy Body ? Subtle Body ? Indo-Tibetan Medicine/Physiology
Communities Bodies Cells Biomolecules Atoms Subatomic Particles Strings (or whatever)
Communities Bodies Cells Biomolecules Atoms Subatomic Particles Strings (or whatever) The Quantum Foam
We don’t live  in  the universe . . .
. . . we  are  the universe
The Relative
The Absolute
Implications of   Everything as Hierarchical Complex Systems Buddhist Metaphysics
Implications of   Everything as Hierarchical Complex Systems Jewish Mysticism
Implications of   Everything as Complex Adaptive Systems Hindu Mysticism
Marrow-Liver Plasticity Diane Krause James Crawford Tavi Henegariu Romil Saxena Sunil Badve Single Cell Plasticity Diane Krause Michael Collector Saul Sharkis Tavi Henegariu Canals of Hering James Crawford Romil Saxena Bernard Portmann Swan Thung Agent-based modeling of stem cell systems Mark D’Inverno Rob Saunders Jane Prophet Peter Ride

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Touro 2010

  • 1. Who Are We? Stem Cells, Complexity and the Science of Being Neil Theise MD Departments of Pathology & Medicine Beth Israel Medical Center – Albert Einstein College of Medicine New York City www.neiltheise.com
  • 2. “ Thinking is better than knowing… Goethe – “Maxims”
  • 3. “ Thinking is better than knowing, but LOOKING is even better!” Goethe – “Maxims”
  • 4. Haruna et al. Hepatology 1996; 23: 476
  • 5.  
  • 6.  
  • 7.  
  • 8.  
  • 9.  
  • 10.  
  • 11.  
  • 12.  
  • 13. Aleta and James Crawford for Theise et al., Hepatology. 1999; 30: 1425. Definitions according to: Roskams, Theise et al., Hepatology 2004; 39: 1739-45.
  • 14.  
  • 15. The Normal Liver Lobule:
  • 16. The NEW Normal Liver Lobule:
  • 17.  
  • 18.  
  • 19.  
  • 20. Lethal Irradiation Male Bone Marrow Transplant FISH for Y-Chromosome Theise & Krause, et al. Hepatology Jan 2000
  • 21.  
  • 22. Sort PKH-bright Male Donor BM Lin Deplete Elutriate PKH26 Label 48 Hours Transplant single cell into 2 o Female Recipient 1 o Female Recipient
  • 23.  
  • 24.  
  • 25.  
  • 26.  
  • 27.  
  • 28.  
  • 29.  
  • 30. Bone Marrow One Adult Cell Epithelia of Liver Lung Gut, (Pancreas) Skin, Hair follicles
  • 31. True clonality = True adult stem cell plasticity! MESODERM ENDODERM ECTODERM One Adult Cell
  • 32. The Standard Paradigm: Restricted Plasticity
  • 33. Irreversible gene restrictions Embryology & Adult Tissue Reconstitution Self renewal
  • 34. What if gene restrictions are REVERSIBLE?
  • 35.  
  • 37. BEWARE OF DOGMA
  • 38. 3 Principles of Plasticity Theise & Krause BCMD , May 2001 Leukemia, April Fool’s Day 2002 Comptes Rendus Biologies, December 2002
  • 39. 1. Genomic Completeness 2. Cellular Uncertainty 3. Stochasticity of Cell Origins and Fates
  • 40. 1. Genomic Completeness 2. Cellular Uncertainty 3. Stochasticity of Cell Origins and Fates
  • 41. “… the internal and the external co-determine the cell.” Richard Lewontin, 2000
  • 42. 2 nd Principle: Cellular Uncertainty Any attempt to observe a cell alters the state of that cell at the time of characterization and potentially alters the likelihood of subsequent differentiation events.
  • 43. 2 nd Principle: Cellular Uncertainty Any attempt to observe a cell alters the state of that cell at the time of characterization and potentially alters the likelihood of subsequent differentiation events. ?
  • 44. Meanwhile, back at the plasticity debates…
  • 47. Conversations with Jane Prophet New Media Artist and Professor, Interdisciplinary Studies University of Westminster, London UK SciArt Award, Wellcome Trust 2002
  • 48. Date: 9th May 2002 Location: Neil's office, New York    Jane says: “Ideas about pathways are interesting. A lot of people who are involved in digital biology are interested in things like swarming people and so called ’soup organism’ behaviour. And one of the useful models to take forward is about ant colonies…”
  • 49. Complex Adaptive Systems: 1,2 1 Lewin R, Complexity: Life at the Edge of Chaos. 2nd ed. Chicago IL: University of Chicago Press; 2002. 2 Johnson S, Emergence. New York NY: Scribner; 2001.
  • 50. … Complex Adaptive Systems: Interacting individuals that, if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures
  • 51. Complex Adaptive Systems: Interacting individuals that, if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures that appear planned from the top, downward ,
  • 52. Complex Adaptive Systems: Interacting individuals that, if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures that appear planned from the top, downward, BUT ARE NOT!
  • 53. Complex Adaptive Systems: Interacting individuals that, if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures that appear planned from the top, downward, BUT ARE NOT! These structures are ADAPTIVE and are referred to as emergent self-organization
  • 54. Complex Adaptive Systems: Interacting individuals that, if they fulfill 4 criteria, organize themselves from the bottom up, into larger structures that appear planned from the top, downward, BUT ARE NOT! How do we know?
  • 58. Complex Adaptive Systems: Rise and fall of economic markets Urban development Beatlemania Rise and fall of civilizations Evolution and speciation Immunology
  • 59. Complex Adaptive Systems: Rise and fall of economic markets Urban development Beatlemania Rise and fall of civilizations Evolution and speciation Immunology Conciousness
  • 60. Complex Adaptive Systems: Numbers matter
  • 61. Complex Adaptive Systems: Numbers matter Negative feedback loops
  • 62. Complex Adaptive Systems: Numbers matter Negative feedback loops Interactions are local without global sensing
  • 63. Complex Adaptive Systems: Numbers matter Negative feedback loops Interactions are local without global sensing Low level randomness
  • 64. Complex Adaptive Systems: Numbers matter Negative feedback loops Interactions are local without global sensing “ Quenched disorder”
  • 65.  
  • 66.  
  • 67.  
  • 68. Low level engraftment is not only NOT trivial, but it is VITAL – literally so. 1-3 1 Theise ND. Exp Hematology 2003 2 D’Inverno M, Theise ND. BCMD 2004 3 D’Inverno M, Theise ND, Prophet J. In: Potten C, Wilson J, Clarke R, Renahan A: Tissue stem cells: Biology and applications
  • 69. Implications of Cell Lineages as Complex Adaptive Systems Mass extinctions.
  • 70. order disorder “ chaos”
  • 71. disorder “ chaos” complex adaptive systems order
  • 72. Implications of Cell Lineages as Complex Adaptive Systems Mass extinctions, eg: ? Aplastic anemia ? Fulminant liver failure
  • 73. Implications of Cell Lineages as Complex Adaptive Systems The price of adaptation, i.e. of LIFE, is DEATH
  • 74. Implications of Cell Lineages as Complex Adaptive Systems Hierarchies of complex systems…
  • 75.  
  • 76.  
  • 77.  
  • 78. Implications of Cell Lineages as Complex Adaptive Systems Hierarchies of complex systems… thing vs. phenomena depends on scale of observation
  • 79.  
  • 81. e.g. cities, cultures, ecosystems, Gaia Bodies Cells
  • 82. Communities Bodies Cells Biomolecules ?
  • 83. Communities Bodies Cells Biomolecules Toshio Yanagida & Company
  • 84. Communities Bodies Cells Biomolecules More implications, of course.
  • 85. 1. Genomic Completeness ? Cellular Uncertainty 3. Stochasticity of Cell Origins and Fates
  • 86. Theise ND. Now you see it, now you don’t. Nature , May 2005 “ Cell doctrine: modern biology and medicine see the cell as the fundamental building block of living organisms, but this concept breaks down at different perspectives and scales.” Communities Bodies Cells Biomolecules
  • 87. “ The validity of cell doctrine depends on the scale at which the body is observed… Communities Bodies Cells Biomolecules
  • 88. “ The validity of cell doctrine depends on the scale at which the body is observed. To limit ourselves to the perspective of this model may mean that explications of some bodily phenomena remain outside the capacity of modern biology… Communities Bodies Cells Biomolecules
  • 89. “ The validity of cell doctrine depends on the scale at which the body is observed. To limit ourselves to the perspective of this model may mean that explications of some bodily phenomena remain outside the capacity of modern biology… e.g. Acupuncture Communities Bodies Cells Biomolecules
  • 90. “ The validity of cell doctrine depends on the scale at which the body is observed. To limit ourselves to the perspective of this model may mean that explications of some bodily phenomena remain outside the capacity of modern biology. It is perhaps time to dethrone the doctrine of the cell, to allow alternative models of the body for study and exploitation in this new, postmodern era of biological investigation.” Communities Bodies Cells Biomolecules
  • 91. What kind of models?
  • 92. for example, 2 models from Ancient Greece: Is the body made of… indivisible subunits or an endlessly divisible fluid
  • 93.  
  • 94.  
  • 95.  
  • 96.  
  • 97. Models of the body are perspective/technique dependent Look at it this way (cell membranes): the body is made of cells Look at it that way (organelles): the body is an endlessly divisible fluid
  • 98. A study of acupuncture mechanism by magnetic resonance elastography Chan QC, Li G, Ehman RL, Rossman PJ, Cao G, Li R, Yang ES Conf Proc IEEE Eng Med Biol Soc. 2004;2:1022-4.
  • 99. Models are perspective/technique dependent Look at it this way (cell membranes): the body is made of cells Look at it that way (organelles): the body is an endlessly divisible fluid Yet another way (the genome): … overlapping spatial/temporal fields of molecular organization
  • 100. Communities Bodies Cells Biomolecules Atoms
  • 101. Communities Bodies Cells Biomolecules Atoms We are walking, talking Earth…
  • 102. Communities Bodies Cells Biomolecules Atoms Subatomic Particles
  • 103. Put group portrait from menla conference HERE
  • 104. Beyond cell doctrine: Complexity thery informs alternate models of the bdy For cross cultural dialogue Neil D. Theise www.neiltheise.com
  • 105. Macroscopic body Microscopic body Nanoscopic body Quantum body
  • 106. Macroscopic body Microscopic body Nanoscopic body Quantum body e.g. physical therapy surgery e.g. cell therapies e.g. molecular medicine antibiotics e.g. electromagnetics
  • 107. Macroscopic body Microscopic body Nanoscopic body Quantum body e.g. yoga tai chi e.g. acupuncture? e.g. traditional remedies e.g. energy healing? meditation?
  • 108. Macroscopic body Microscopic body Nanoscopic body Quantum body Coarse Body ? Energy Body ? Subtle Body ? Indo-Tibetan Medicine/Physiology
  • 109. Macroscopic body Microscopic body Nanoscopic body Quantum body Coarse Body ? Energy Body ? Subtle Body ? Indo-Tibetan Medicine/Physiology
  • 110. Communities Bodies Cells Biomolecules Atoms Subatomic Particles Strings (or whatever)
  • 111. Communities Bodies Cells Biomolecules Atoms Subatomic Particles Strings (or whatever) The Quantum Foam
  • 112. We don’t live in the universe . . .
  • 113. . . . we are the universe
  • 116. Implications of Everything as Hierarchical Complex Systems Buddhist Metaphysics
  • 117. Implications of Everything as Hierarchical Complex Systems Jewish Mysticism
  • 118. Implications of Everything as Complex Adaptive Systems Hindu Mysticism
  • 119. Marrow-Liver Plasticity Diane Krause James Crawford Tavi Henegariu Romil Saxena Sunil Badve Single Cell Plasticity Diane Krause Michael Collector Saul Sharkis Tavi Henegariu Canals of Hering James Crawford Romil Saxena Bernard Portmann Swan Thung Agent-based modeling of stem cell systems Mark D’Inverno Rob Saunders Jane Prophet Peter Ride

Editor's Notes