Cellular Reprogramming and the Risk of Teratomas
BiologyComments
Was it really toxicity or just bad timing? Maybe we are just repeating the same mistake with a different tool.
The titration part sounds fine in a lab, but how does that actually work in a human body? You cannot just dial back a viral vector once it is dispersed through a target organ.
small molecule cocktails are already bypassing the osk transcription risk.
We tried the chemical route a decade ago. The toxicity profiles were a nightmare and the efficiency was laughable.
Chemical cocktails are a step forward, but I do not think they eliminate the identity risk. The biological window for partial reprogramming is likely a property of the cell itself, not just the delivery method.
The Horvath clock data is so fascinating... it shows we can actually track the methylation changes in real time before the cell hits that pluripotency cliff!
The epigenetic clock is a proxy, not a cause. We have seen malignant cells exhibit youthful methylation patterns while remaining aggressively oncogenic.