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Home/Large Joints and Extremities/Stem Cells Under Nails Regenerate Fingers
Large Joints and Extremities

Stem Cells Under Nails Regenerate Fingers

July 8, 2013 1 min read Premium comments

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Stem Cells Under Nails Regenerate Fingers
Magnified Fluoroscopic Image of Fingertip / Source: Wikimedia Commons and Gil Zweig
Secondary

Don’t bite that fingernail! Stem cells underneath the nail have been found capable of regenerating finger tips and the tips of toes after amputation. According to Jack Phillips, writing in Epoch Times, mammals, including humans, can regenerate skin and bone at the ends of fingers. The new findings are published in the journal Nature.

Mayuni Ito, at New York University, found stem cells at the base of each toenail that can stimulate not only the nail regrowth but the entire tip of the digit after amputation. “We at least partly retain the mechanisms that operate limb regeneration in amphibians, ” Ito said, according to the publication. “Knowing more about how nail epidermal cells induce digit-tip regeneration may provide direct clues to extend our ability for regeneration.”

Scientists amputated the toes on two groups of mice in the study. One group of mice received no medications and was called the “normal” group. The other group received a drug that makes them unable to develop new nails. They found that the normal group could regenerate the tips of digits in a few weeks, while the treated group could not. When the other mice were taken off the drug, they then could regenerate their toe tips.

Phillips quoted LiveScience.com as reporting that the regeneration of an amputated digit has to do with where the stem cells are located. It said that if the stem cells beneath the nail are amputated along with part of the digit, then there is no regrowth.

Phillips quoted James Monaghan, a regeneration biologist at Northeastern University in Boston, Massachusetts, who told Nature’s website: “It’s really striking that the cellular mechanisms and signaling pathways all seem to be the same as those in salamanders.” Salamanders are capable of regenerating a limb after losing it.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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