Open Access

Anatolij Iosifovič Bykorez, Jurij Dmitrievič Ivaščenko

• Comparing the modern level in the biology of gastrointestinal stem cells with that achieved in the hemopoietic stem cell studies, we can say, using Till's expression (1982), that at present the "morphological phase" in the investigations of the former is continuing. Still urgent is the problem of morphological verification of presumable stem cells in colonic crypts and gastric glands. Also important is to clarify the ways of renewal of the well-differentiated but low proliferating activity endocrine cells, the chief cells of the fundic glands, and the cells of Brunner's glands. Further studies of interaction between epithelial and stromal cells are needed. The knowledge of relationships between stem cells and their differentiated "neighbors" in the niches, as well as of peculiarities of contacts between epithelial cells proper and of the cells with the basement membrane is of major importance. It is also necessary to clarify the mechanisms of the stem cells "anchoring" as well as of the disturbances of this important property during carcinogenesis. Briefly summarized below are the most essential, in our opinion, directions of the study of stem cells; some of these have already been started, whereas others can only be predicted. 1. The isolation from normal tissues of the fractions of intact cells enriched with the stem cells, with their subsequent culture. 2. The clarification of the factors governing the regulation of renewal of stem cells: specific stimulators and inhibitors of proliferation; and characterization of the receptor apparatus of stem cells, particularly for the enteropancreatic hormones. 3. The antigenic characteristic of stem cells. 4. The study of molecular peculiarities of DNA replication of clonogenic cells. 5. The molecular aspects of commitment and differentiation of stem cells. 6. The quantitative and qualitative characteristics of stem cells in the process of carcinogenesis. 7. The qualitative evaluation of the dynamics of formation and disappearance of carcinogenic DNA adducts in stem cells. 8. The clarification of interspecies features of stem cells as well as of their morphogenetic potentialities in onto- and phylogenesis. 9. The characterization of metaplastic changes in stem cells.