CorpusHuman Anatomy
Cells & TissuesCell process

Cell differentiation

Also known as: differentiation, potency, metaplasia, reprogramming, iPS cells, induced pluripotent stem cells

The process by which unspecialised cells become specialised cell types by switching on cell-type-specific sets of genes, while keeping the same genome.

Overview

All somatic cells of a person carry essentially the same DNA (exceptions: rearranged antigen-receptor genes of lymphocytes and loss of the nucleus in erythrocytes); they differ because they express different genes. During development, cells become progressively committed — first specified (reversible), then determined (irreversible) — and finally differentiated, with characteristic structure and function (e.g. haemoglobin in erythroblasts, myosin in muscle, keratin in keratinocytes). Potency narrows from totipotent to pluripotent, multipotent and unipotent.

Differentiation is driven by extracellular signals — morphogen gradients (Sonic hedgehog, Wnt, BMP/TGF-β, FGF, retinoic acid), contact-dependent Notch signalling and the extracellular matrix — which activate master transcription factors (e.g. MyoD and myogenin in muscle, PU.1 and GATA-1 in blood, SOX9 in cartilage, RUNX2 in bone, PPARγ in fat). Their effects are locked in by epigenetic marks (DNA methylation, histone modifications), so differentiated states are stable and heritable through cell division. Terminally differentiated cells often leave the cell cycle permanently.

Differentiation can be reversed experimentally: John Gurdon's nuclear transfer (1962) showed that a differentiated nucleus can still direct development, and Shinya Yamanaka (2006) reprogrammed adult cells into induced pluripotent stem (iPS) cells with four transcription factors — Oct4, Sox2, Klf4 and c-Myc (Nobel Prize 2012).

Function

  • Generates the ≈200+ specialised cell types of the body.
  • Maintains tissue function through renewal from stem cells.

Clinical significance

Metaplasia

Reversible replacement of one differentiated cell type by another (reprogramming of stem cells): squamous metaplasia of the bronchi in smokers and of the endocervix (transformation zone); intestinal metaplasia in Barrett oesophagus; myeloid metaplasia. Can progress to dysplasia and carcinoma.

Anaplasia and differentiation therapy

Loss of differentiation (anaplasia) is a hallmark of aggressive cancers. All-trans retinoic acid induces differentiation of malignant promyelocytes in acute promyelocytic leukaemia with t(15;17) (PML-RARA).

Teratoma

Germ-cell tumours of pluripotent cells that differentiate into tissues of all three germ layers (hair, teeth, skin, neural tissue) — e.g. mature cystic teratoma of the ovary.

Compiled from standard anatomy and physiology references — see the Cells & Tissues sources. For education only; not medical advice.