In most animals, stem cells rely on nearby cells to tell them what to do. However, new research from the Stowers Institute for Medical Research shows that flatworm, or planarian, stem cells behave differently. Instead of listening to their immediate neighbors, they take their instructions from cells located farther away in the body. This surprising behavior may explain how flatworms can regrow missing parts so effectively and could reveal new ways to repair or replace human tissues in the future.

The findings, published in Cell Reports on October 15, 2025, come from a study led by Postdoctoral Research Associate Frederick "Biff" Mann, Ph.D., in the laboratory of Stowers President and Chief Scientific Officer Alejandro Sánchez Alvarado, Ph.D. The work challenges a long-held biological principle: that most stem cells live in a fixed "niche," a physical location where neighboring cells dictate when to divide and what to become.

"For instance, human blood-forming stem cells reside in niches within bone marrow where they divide to self-renew and make new blood cells," said Mann.

Flatworms Rewrite the Rules of Regeneration

The researchers discovered that flatworms' extraordinary ability to rebuild lost parts -- whether an amputated head or an entire body from a fragment -- is tied to stem cells that operate more freely than those in most other animals.

"Understanding how stem cells are regulated in living organisms is one of the great challenges in the fields of stem cell biology and regenerative medicine," said Sánchez Alvarado. "This finding challenges our concept of a stem cell 'niche' and may significantly advance our understanding of how to control stem cells' abilities to restore damaged tissues."

Adult planarian stem cells can transform into any type of cell, unlike most animals' stem cells, which are carefully restricted to forming only a few cell types. That tight control helps prevent uncontrolled growth -- a process that can lead to cancer.

"Our hope is to uncover the basic rules that guide stem cells to become specific tissues as opposed to going rogue, as most tumors in humans begin when stem cells stop following these rules," said Sánchez Alvarado.

"The role of a traditional niche may be more in line with a micromanager -- instructing cells, 'You can be a stem cell, but only one particular type'," explained Mann. "However, we've now shown having a normal niche may not be essential for stem cells to work. Some stem cells, like those in the planarian flatworm, have figured out a way to be independent and can turn into any type of cell without needing a nearby niche."

Discovering a New Cell Type: The Hecatonoblast

Using an advanced technique called spatial transcriptomics, the team examined which genes were active in individual cells and their surroundings. This revealed unexpected neighboring cells, including one never described before -- a large cell with many fingerlike projections extending from its surface. The researchers named these cells "hecatonoblasts," after Hecatoncheires, a many-armed giant from Greek mythology.

"Because they were located so close to stem cells, we were surprised to find that hecatonoblasts were not controlling their fate nor function, which is counterintuitive to a typical stem cell-niche connection," said Mann.

Instead of nearby cells taking charge, the strongest instructions for the stem cells came from intestinal cells -- the next most common type found in the dataset. These distant cells appeared to influence the planarian stem cells' position and function during regeneration, even from afar.

"I tend to think about this as local versus global communication networks," said co-corresponding author Blair Benham-Pyle, Ph.D., an Assistant Professor at the Baylor College of Medicine in Houston, Texas, and former Stowers Postdoctoral Research Associate. "While interactions between stem cells and their neighboring cells influence how a stem cell reacts immediately, distant interactions may control how that same stem cell responds to big changes in an organism."

Rethinking the Nature of a Stem Cell Niche

The research revealed that planarian stem cells operate without a fixed, contact-based niche. "We found that there isn't a specific cell type or factor right next to stem cells that is controlling their identity," said Benham-Pyle. The team believes this unique independence may explain why planarians can regenerate so completely when most animals cannot.

"The big discovery is a property of the whole planarian permitting both subtle local interactions and global signaling events that allow stem cells to achieve these remarkable feats of regeneration," said Benham-Pyle.

"The most surprising finding is that, at least in planarians, the environment in which the stem cells reside is not fixed. Instead, it's dynamic -- where stem cells reside is essentially made up by 'friends' that the stem cells and their progeny make along the way to differentiation," said Sánchez Alvarado. "The more we understand how nearby cells and overall signals in the body work together to boost the ability and power of our stem cells, the better we'll be at creating ways to improve the body's natural healing. This knowledge could help develop new treatments and regenerative therapies for humans in the future."

Additional authors include Carolyn Brewster, Ph.D., Dung Vuu, Riley Galton, Ph.D., Enya Dewars, Mol Mir, Carlos Guerrero-Hernández, Jason Morrison, Mary KcKinney, Ph.D., Lucinda Maddera, Kate Hall, Seth Malloy, Shiyuan Chen, Brian Slaughter, Ph.D., Sean McKinney, Ph.D., Stephanie Nowotarski, Ph.D., and Anoja Perera.

This work was funded by the National Institute for General Medical Sciences of the National Institutes of Health (NIH) (award: R37GM057260) and by institutional support from the Stowers Institute for Medical Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Read more …“Immortal” flatworm rewrites the science of healing

Adults who suffer from gum disease could be more likely to show signs of injury in the brain's white matter, according to new research published on October 22, 2025, in Neurology® Open Access, a journal of the American Academy of Neurology. These signs, known as white matter hyperintensities, are small bright spots that appear on brain scans and are thought to reflect areas of tissue damage. The study found an association between gum disease and these brain changes, though it does not prove that one causes the other.

White matter consists of bundles of nerve fibers that allow different parts of the brain to communicate. When this tissue is damaged, it can interfere with memory, reasoning, balance, and coordination, and it has also been linked to an increased risk of stroke.

White matter hyperintensities often increase with age and are considered a marker of underlying brain injury. Researchers believe that chronic inflammation in the mouth could potentially influence blood vessel health in the brain, although more work is needed to confirm how the two are connected.

Oral Health and Brain Health Connection

"This study shows a link between gum disease and white matter hyperintensities suggesting oral health may play a role in brain health that we are only beginning to understand," said study author Souvik Sen, MD, MS, MPH, of the University of South Carolina in Columbia. "While more research is needed to understand this relationship, these findings add to growing evidence that keeping your mouth healthy may support a healthier brain."

Researchers examined 1,143 adults with an average age of 77. Each participant underwent a dental exam to assess gum health. Of the total group, 800 had gum disease, while 343 did not. Participants also received brain scans to look for evidence of cerebral small vessel disease, a condition involving damage to tiny blood vessels in the brain. This type of disease can appear on imaging as white matter hyperintensities, cerebral microbleeds, or lacunar infarcts, all of which become more common with aging and are tied to stroke risk, memory problems, and movement difficulties.

Measuring Brain Changes

Those with gum disease were found to have a higher average volume of white matter hyperintensities, measuring 2.83% of total brain volume, compared to 2.52% in those without gum disease. Researchers grouped participants based on the volume of these hyperintensities. Individuals in the highest category had more than 21.36 cubic centimeters (cm³) of affected tissue, while those in the lowest group had less than 6.41 cm³.

Among people with gum disease, 28% were in the highest group, compared with 19% of those without the condition. After adjusting for other factors including age, sex, race, blood pressure, diabetes, and smoking, participants with gum disease had a 56% greater likelihood of being in the group with the most extensive white matter damage.

The researchers did not find any connection between gum disease and two other types of brain changes associated with small vessel disease: cerebral microbleeds and lacunar infarcts. This suggests that the observed link may be specific to white matter damage rather than all forms of small vessel injury.

Why Oral Care Could Matter for the Brain

"Gum disease is preventable and treatable," said Sen. "If future studies confirm this link, it could offer a new avenue for reducing cerebral small vessel disease by targeting oral inflammation. For now, it underscores how dental care may support long-term brain health."

One limitation of the study is that both dental evaluations and brain scans were performed only once, making it difficult to track how these conditions might change over time. Even so, the findings add to a growing body of research suggesting that maintaining oral health could play a larger role in protecting the brain than previously recognized.

Read more …Gum disease may quietly damage the brain, scientists warn

Significant Figures[1] is a series from The Conversation in which scholars explain an important number in the news.
The Conversation, CC BY-ND[2] When the Affordable Care Act[3], also known as the ACA or Obamacare, was enacted in 2010, lawmakers hoped it would help reduce the number of uninsured Americans. That year, an estimated 48.2 million people – about 18% of the U.S. population under age 65 – did not have
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