Recently, human amniotic fluid (AF) cells have attracted a great deal of attention as an alternative cell source for transplantation
and tissue engineering. AF contains a variety of cell types derived from fetal tissues, of which a small percentage is believed
to represent stem cell sub-population(s). In contrast to human embryonic stem (ES) cells, AF cells are not subject to extensive
legal or ethical considerations; nor are they limited by lineage commitment characteristic of adult stem cells. However, to
become therapeutically valuable, better protocols for the isolation of AF stem cell sub-populations need to be developed.
This study was designed to examine the molecular components involved in self-renewal, neural commitment and differentiation
of AF cells obtained at different gestational ages. Our results showed that, although morphologically heterogeneous, AF cells
derived from early gestational periods ubiquitously expressed KERATIN 8 (K8), suggesting that the majority of these cells may have an epithelial origin. In addition, AF cells expressed various
components of NOTCH signaling (ligands, receptors and target genes), a pathway involved in stem cell maintenance, determination
and differentiation. A sub-population of K8 positive cells (<10%) co-expressed NESTIN, a marker detected in the neuroepithelium,
neural stem cells and neural progenitors. Throughout the gestational periods, a much smaller AF cell sub-population (<1%)
expressed pluripotency markers, OCT4a, NANOG and SOX2, from which SOX2 positive AF cells could be isolated through single cell cloning. The SOX2 expressing AF clones showed the
capacity to give rise to a neuron-like phenotype in culture, expressing neuronal markers such as MAP2, NFL and NSE. Taken
together, our findings demonstrated the presence of fetal cells with stem cell characteristics in the amniotic fluid, highlighting
the need for further research on their biology and clinical applications.
Keywords Brain - Neurogenesis - Notch - Regenerative medicine - Stem cells - SOX2