1 Introduction
Advances in human stem cell isolation [1–7] has led to a resurgence of interest in the biology of stem cells. This interest is due, in large part, to the therapeutic potential of stem cells for curing degenerative diseases and repairing injuries. However, before the recent breakthroughs in studies of human stem cells can be effectively and safely applied in the clinic, several fundamental questions about the basic biology of stem cells need to be addressed. How is their proliferation regulated in vivo to generate the appropriate number of daughter stem cells and differentiating progeny? Is there something special in the microenvironment of the stem cell that controls its proliferation and differentiation? How are the developmental potentials of stem cells restricted to a particular fate? How is pluripotentiality maintained and what steps lead to its loss?
A number of established methodologies and recent technical advances make planarians an excellent model system in which to address these types of questions (Fig. 1). A collection of ∼15,000 non-redundant cDNAs are now available, and methods for large-scale, automated, whole-mount in situ hybridization have been established to begin analyzing the spatio-temporal patterns in which these genes are expressed in the animal [8]. We have also shown that double-stranded RNA (dsRNA) can be used to inhibit specifically gene function in planarians [9]. Furthermore, planarians can be fed an artificial food mixture containing E. coli cells engineered to produce dsRNA [10], resulting in specific gene inhibition as initially described in C. elegans [11,12]. This technology has greatly expedited large-scale screens for genes that are involved in regenerative processes [13]. Moreover, if planarians are subjected to gamma irradiation (10,000 rad) the organisms lose their neoblasts and their ability to regenerate and survive. In order to take advantage of these tools to study planarian stem cells, it will be necessary to further characterize the cell and molecular biology of neoblasts.

The planarian Schmidtea mediterranea. (A) A specimen of the asexual, clonal strain CIW4. (B) Labeled neoblasts and their division progeny six days after a single pulse of BrdU. (C) Magnification of labeled proliferating neoblasts 8 h after a single pulse of BrdU (see [16] for experimental details). Scale bars for A, B and C are 1 mm, 100 μm and 50 μm, respectively.
2 The planarian stem cells: the neoblasts
The term neoblast was first coined by Harriet Randolph in 1892 to describe the small, undifferentiated, embryonic-like cells found in the adult body plan of earthworms [14]. The term was extended to planarians when similar cells were found in their body plan (Fig. 1B and C). With respect to studying stem cell biology, the planarian neoblasts can give rise to any part of the worm (in sexual forms, this includes the germ line), regardless of their position in the animal [15]. Given the apparent immortality of asexually reproducing planarian strains, these stem cells also appear to be immortal. Thus, the large and experimentally accessible population of stem cells in planarians [16] should allow for the identification of events leading to aplasias, hypoplasias, and dysplasias, for example. The recently sequenced S. mediterranea genome and the availability of the human, as well as other vertebrate (mouse and zebrafish) and deuterostome (ascidians and sea urchins) genome sequences will help us determine if what is learned in planarians at the molecular level could be applied to the study of vertebrate stem cell biology and to the treatment of stem cell disorders in humans caused by defects in stem cell maintenance (aniridia), proliferation (leukemias) and differentiation (teratocarcinomas).
3 Defining the in vivo population dynamics of animal stem cells
We have already shown that the neoblasts are the only proliferating cells in the planarian as they are the only cells that can be labeled specifically with bromodeoxyuridine [16]. In addition, we have generated cDNA libraries from a cell fraction enriched in neoblasts and have begun to identify neoblast-specific genes [17]. These molecular reagents, along with our ability to abrogate gene expression by using RNA-interference (RNAi) have allowed us to begin a delineation of key molecular characteristics of the roles these cells play during both regeneration and tissue homeostasis [13,18]. However, this information will be truly useful if more knowledge on the behavior of neoblast populations under a variety of conditions were to be acquired.
Yet, we know little about the mechanisms by which stem cell populations are regulated in vivo in general, and during growth and regeneration in particular, or how their numbers are maintained during the normal physiological turnover experienced by most tissues. In fact, models for the regulation of the population dynamics of metazoan stem cells have been worked out primarily in vitro (Fig. 2). Such models, therefore, suffer of at least the following caveats. First, because of the strong selective pressures imposed by tissue culture on cell survival and their downstream activities, it is difficult to recapitulate in vivo conditions. Second, most available models, therefore, do not allow us to distinguish between multiple concurrent processes, e.g., self-renewal and differentiation, likely to be predominant in mixtures of cells with many subpopulations at different stages of differentiation.

Models of stem-cell population dynamics: mortality, proliferation, and differentiation of stem cells. (A) Probabilistic outcomes of mortality events in effecting regulation of stem cell population numbers. Red crosses indicate death. (B) Deterministic and stochastic models of stem cell population dynamics of cells that scape death (boxed in green). The deterministic model posits that a small number of stem cells reside in a niche, each of which divides asymmetrically to produce a stem cell and a transient amplifying cell. Stem cells in this model are, thus, ‘immortal’. The stochastic model postulates multiple stem cells occupying a niche, and each stem cell division yielding two, one, or no stem cells (or alternatively zero, one, or two proliferating transient amplifying cells). The net result is a ‘drift’ in the numbers of descendants of each stem cell lineage over time [23,24].
Such lack of knowledge regarding cell population dynamics of stem cells in vivo also extends to the planarian neoblasts. Therefore, defining the molecular characteristics of a metazoan stem cell population such as the planarian neoblasts, in combination with the ability to study its cell behavior in vivo will provide a unique model system for trying to understand how multicellular organisms regulate the pluripotentiality of their cells. Mechanistic insight at both the molecular and cellular level of this fundamental biological property is bound to have deep implications in our understanding of stem cell biology and the rational development of stem-cell-based therapeutic strategies.
4 Improving the isolation of neoblasts
Until recently [17,19] the state of the art for neoblast isolation consisted in the dissociation of whole planarians in a medium free of calcium and magnesium, and then serial passage of this cell suspension through Nytex sieves of different pore diameters (160, 100, 60, 40, and 10 μm) [20]. Since neoblasts range between 5–8 μm in diameter, the fraction obtained after passage through the last sieve (10 μm) is rich in neoblasts (∼70%). However this fraction is usually contaminated with a variety of cells (gastric and muscle cells as well as some neurons) that due to their geometry will sometimes pass through the 10-μm filter. Agata and colleagues have improved on the methods to purify isolated neoblasts by developing fluorescence activated cell sorting (FACS) methods suitable for planarian cells [19].
The method takes advantage of irradiation, which is known to eliminate dividing cells (neoblasts, in the case of planarians). Wild type and irradiated planarians are cut into pieces, treated with trypsin and are dissociated into single cells by gentle pipetting, and passed through a 40 μm pore-size filter to eliminate any aggregated cells. The cell suspension is then stained with propidium iodide to label dead cells for later elimination during sorting. Since no surface-specific antigens are known for planarian neoblasts yet, neoblasts are identified by labeling the dissociated cells of wild type and irradiated animals with Hoechst 323342 blue (stains DNA) and Calcein AM (labels the cytosol of viable cells). The labeled specimens are then subjected to FACS analysis. First, PI-labeled cells are excluded from the samples. The degree of forward-angle light scatter (FSC) is also used to exclude non-cellular debris and/or any large cells present in the samples. Once debris and undesired cells are excluded, the samples will be analyzed based on the intensities of DNA and vital dyes (Hoechst 323342 blue, and Calcein AM, for example). By comparing wild type and irradiated planarian samples, two major cell fractions are found missing in the irradiated animals. These correspond to cells which are dividing (X1; DNA content ), and a side population of small cells ranging in size from 6–8 μm in diameter (Fig. 3). Because of their size and morphology, it is believed that populations X1 and X2 are enriched in neoblasts. Hence, these fractions of cells can be sorted and utilized for downstream applications such as in situ hybridizations [17], RNA and protein isolation, as well as injection into irradiated animals, for example.

Fluorescence activated cell sorting profiles of planarian cells. In the upper-left plot, Calcein emission is plotted on the X-axis and Hoechst blue on the Y-axis. The analysis gates from which the other three plots are sorted are shown in color. The remaining three plots are of the forward (size) and side (granularity) scatter characteristics of the two radiation sensitive populations, X1 and X2, and the radiation resistant cells in Xins. The inset in each of these plots shows representative morphologies of the sorted cells. For all cell insets, scale bar is 10 μm.
5 Conclusions
In recent years, much progress has been made in the identification of molecules associated with the regulation of stem cells in mammals [3,4]. However, the relatively small number of these cells in mammalian tissues and their relative scarcity in traditional invertebrate model systems has hampered progress in our understanding of stem cell biology. We have endeavored to bridge this gap by identifying an invertebrate organism that possesses large numbers of experimentally accessible adult stem cells and in which large numbers of hypotheses can be tested in relatively short periods of time. This organism is the planarian Schmidtea mediterranea, a stable diploid with a relatively small (∼800 Mbases) and now sequenced genome for which clonal lines (e.g., CIW4) have been developed to reduce naturally occurring variabilities and to standardize the study of its biology. We have also introduced the necessary methods to study the stem cells of these organisms at high levels of functional resolution. Hence, it is now possible to measure biological processes in planarians [21], catalog genes and visualize their expression [22], as well as to specifically and robustly interfere with their functions [13].
Because S. mediterranea is composed of a large number of stem cells (neoblasts), yet possess a relatively small number of differentiated cell types, it has now become possible to embark on a systematic in vivo analysis of the population dynamics of this stem cell population. It is our expectation that much will be learned soon from these studies, not only about the neoblasts themselves, but also about the evolutionarily conserved cellular and molecular mechanisms that must regulate the maintenance, function and differentiation of stem cells in multicellular organisms.
Acknowledgements
I thank Mr. & Mrs. Kurt and Ilse Piotrowski for support during the preparation of this manuscript, Dr. Kiyokazu Agata for sharing sorting protocols, Mr. James Jenkin for assisting with FACS experiments, all other members of my laboratory for discussions, and NIH NIGMS RO-1 GM57260 and the Howard Hughes Medical Institute for funding.