What are VSELs and why are more clinics selling them?

One of the more controversial areas in the stem cell field has been over a stem cell type that only a handful of researchers have been able to find and study: very small embryonic-like stem cells or VSELs.

These days some are calling them V-cells too.

I’ve been getting an increasing number of questions from patients about VSELs and V-cells so I thought I would update this post.

vsel ratajczak paper issues
Annotated figure as an example of apparent VSEL Ratajczak paper issues raised by Dr. Bik.

VSELs probably aren’t real

VSELs received a trio of bad news with three skeptical and even outright negative pieces coming out:

  • A research article in Stem Cell Reports from Irv Weissman’s group (Miyanishi, et al) entitled “Do Pluripotent Stem Cells Exist in Adult Mice as Very Small Embryonic Stem Cells?”
  • An opinion piece in Cell Stem Cell by Henry Nicholls
  • And a skeptical newsy piece in Nature by Alison Abbott entitled, “Doubt cast over tiny stem cells”.

A quote from the Abbott piece citing the Weissman article tells the story about how  much skepticism there is today:

“…in a major blow to the field, a paper published on 24 July in Stem Cell Reports suggests that the diminutive stem cells are not real1.”

Mariusz Ratajczak, the main proponent of VSELs.
Mariusz Ratajczak, the main proponent of VSELs.

Mariusz Ratajczak (see image at left from Nature) is the main proponent of VSELs. He’s facing a lot of heat today.

In the piece, entitled “VSELs: Is Ideology Overtaking Science”, Henry Nicholls discusses the main VSEL issues and includes a quote from stem cell leader, George Daley, which is very critical of VSELs:

“This rigorous approach just hasn’t been taken with VSELs. I find the work mystifying and lacking in rigor.”

That is very harsh for a public statement.

Nicholls’ piece also quotes Ratajczak that even he thinks that maybe things have moved a bit too fast for VSELs:

“Even Mariusz Ratajczak, director of the developmental biology research program at the University of Louisville’s James Graham Brown Cancer Center and the lead author of the paper that brought VSELs into the literature, is anxious about the pace at which they are being pushed. “I’m a little bit scared because I know that NeoStem would like to go fast to the clinic,” he says. “I still think we need to do more basic research.”

Overall, I don’t believe VSELs are real. Adding to my skepticism, the wonderful Dr. Elisabeth Bik has recently identified more than 2 dozen VSEL papers with concerning issues. Bik found that many figures seem to have duplications or other changes across multiple papers.

All in the isolation methods?

However, Ratajczak explains the difficulties that other researchers have had with VSELs as being due to lack of consistency in experimental methodology:

“In studying rare populations of cells, one needs to compare apples to apples, which unfortunately was not done”

And other researchers are quoted who believe very much in VSELs.

“I don’t see the controversy — we have seen bone grow” from VSELs in mice, says Russell Taichman, a researcher in dental medicine at the University of Michigan in Ann Arbor. Taich­man will be running the Neostem-backed VSEL trial, which will look for bone regrowth in dental patients. Announced in April, the trial is awaiting approval by the US Food and Drug Administration.

Abbott’s piece suggests there is a major political element to the VSEL area of stem cell research involving alleged retaliation against those who report negative findings about VSEL:

… Józef Dulak at the Jagiellonian University in Krakow, failed to find traces of VSELs in his experiments. When he published his findings in May, Ratajczak tried to force him out of the consortium. Dulak, like Weissman, found no molecular signatures associated with pluripotency in any mouse bone-marrow cells smaller than 7 micrometres across.

In the end, science will prevail and tell us if VSEL are real or not, but there is no place for politics, religion, or retaliation here.

Again, tell us what you think in the poll above about VSELs.

References

6 thoughts on “What are VSELs and why are more clinics selling them?”

  1. Pingback: Cells Weekly – July 28, 2013 | Stem Cell Assays

  2. It’s always a warning sign when (1) no independent lab can reproduce a result that claims to be a breakthrough in the field and (2) the lab that made the discovery publishes about 10X more review articles than primary research.

  3. As I stated in my letter in Stem Cells Dev. 2012 Sep 20;21(14):2561-2:

    “…one cell could “deserve” a “stem cell” “title” on the basis of what it is able to do and not what it looks like. With that respect, the pluripotent nature of VSELs could be judged and proved only on the basis of their potential to differentiate into functional cells of all tissues (meaning of term “pluripotent”)”.

    Thus, if one is referring to a “stem cell” only functional definition is able to confirm the existence of this entity. Of course, this way relies on complex and time-consuming in vivo and ex vivo approaches, it is tedious and time consuming. It is, however, unavoidable.

  4. The other poll on the question of the reality of VSELs, also being conducted right now, is the stock market, where NeoStem’s shares are down a bruising 16% today on news of the Weissman article.

    1. Bill- I liked Irv’s article. Interestingly, StemCells, Inc (Irv’s company) had a spike in trading on the 23rd and 24th. Investors seem to be reading the literature…whatever will they think of doing next?

  5. Pingback: Research Report on existence of VSELs in BM

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