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Peer-reviewedCC BYFrontiers in Cell and Developmental Biology

The translational journey of human pluripotent stem cells

  1. 1Tata Institute for Genetics and Society, Karnataka, Bengaluru, India
  2. 2Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, India

Abstract

Human pluripotent stem cells (hPSCs), comprising embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs), have emerged as a versatile platform connecting developmental biology with disease modelling, drug discovery, and regenerative medicine. Their capacity for indefinite self-renewal and differentiation into derivatives of all three germ layers provides an essentially renewable source of human cells that are otherwise inaccessible from patients. In this review, we discuss the biological principles governing hPSC identity, with emphasis on the transcriptional, epigenetic, metabolic, and extracellular signalling networks that regulate pluripotency and the distinct features of naive and primed states. We further examine culture systems for maintaining pluripotency and directed differentiation strategies for generating lineage-specific cell types. The application of hPSCs to disease modelling and therapeutic discovery is considered through two-dimensional cellular models and increasingly sophisticated three-dimensional organoids and organoid-on-chip systems, which provide progressively greater tissue complexity and physiological relevance. We also highlight the integration of CRISPR-based genome editing with hPSC platforms to generate isogenic disease models, establish genotype–phenotype relationships, identify therapeutic targets, and enable precise correction of disease-associated variants. Finally, we review the emerging clinical applications of hPSC-derived cell therapies and clinical translation, which remains constrained by challenges related to genomic stability, cellular heterogeneity and maturation, immune compatibility, tumorigenicity, manufacturing, and scalability. Addressing these challenges through improved differentiation, quality control, genome engineering, and scalable manufacturing will be essential for translating the broad potential of hPSCs into safe, reproducible, and accessible clinical therapies.

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BibTeX
@article{thamodaran2026translational,
  title = {{The translational journey of human pluripotent stem cells}},
  author = {Vasanth Thamodaran and Vasanth Thamodaran and Roja K and Nimisha Goswami and Nimisha Goswami and Kiran Kumar Balu and Vibhaa Kokkanda Kumar and Vibhaa Kokkanda Kumar and Rakesh Kumar Mishra and Rakesh Kumar Mishra},
  journal = {Frontiers in Cell and Developmental Biology},
  year = {2026},
  month = nov,
  doi = {10.3389/fcell.2026.1978203},
  url = {https://doi.org/10.3389/fcell.2026.1978203},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - The translational journey of human pluripotent stem cells
AU  - Vasanth Thamodaran
AU  - Vasanth Thamodaran
AU  - Roja K
AU  - Nimisha Goswami
AU  - Nimisha Goswami
AU  - Kiran Kumar Balu
AU  - Vibhaa Kokkanda Kumar
AU  - Vibhaa Kokkanda Kumar
AU  - Rakesh Kumar Mishra
AU  - Rakesh Kumar Mishra
PY  - 2026
DA  - 2026/11/06
JO  - Frontiers in Cell and Developmental Biology
DO  - 10.3389/fcell.2026.1978203
UR  - https://doi.org/10.3389/fcell.2026.1978203
AB  - Human pluripotent stem cells (hPSCs), comprising embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs), have emerged as a versatile platform connecting developmental biology with disease modelling, drug discovery, and regenerative medicine. Their capacity for indefinite self-renewal and differentiation into derivatives of all three germ layers provides an essentially renewable source of human cells that are otherwise inaccessible from patients. In this review, we discuss the biological principles governing hPSC identity, with emphasis on the transcriptional, epigenetic, metabolic, and extracellular signalling networks that regulate pluripotency and the distinct features of naive and primed states. We further examine culture systems for maintaining pluripotency and directed differentiation strategies for generating lineage-specific cell types. The application of hPSCs to disease modelling and therapeutic discovery is considered through two-dimensional cellular models and increasingly sophisticated three-dimensional organoids and organoid-on-chip systems, which provide progressively greater tissue complexity and physiological relevance. We also highlight the integration of CRISPR-based genome editing with hPSC platforms to generate isogenic disease models, establish genotype–phenotype relationships, identify therapeutic targets, and enable precise correction of disease-associated variants. Finally, we review the emerging clinical applications of hPSC-derived cell therapies and clinical translation, which remains constrained by challenges related to genomic stability, cellular heterogeneity and maturation, immune compatibility, tumorigenicity, manufacturing, and scalability. Addressing these challenges through improved differentiation, quality control, genome engineering, and scalable manufacturing will be essential for translating the broad potential of hPSCs into safe, reproducible, and accessible clinical therapies.
SN  - 2296-634X
ER  -