The body contains many cellular systems that require the continuous
production of new, fully functional, differentiated cells to replace
cells lacking or having limited self-renewal capabilities that die or
are damaged during the lifetime of an individual. Such systems include
the epidermis, the epithelial lining of the gut, and the blood. For
example, erythrocytes (red blood cells) lack nuclei and thus are
incapable of self-replication. They have a life span in the circulation
of about 120 days. Mature granulocytes, which also lack proliferative
capacity, have a much shorter life span - typically 12 hours, though
this may be reduced to only two or three hours in times of serious
tissue infection. Perhaps a more familiar example is the outermost layer
of the skin. This layer is composed of fully mature, dead epidermal
cells that must be replaced by the descendants of stem cells lodged in
lower layers of the epidermis (cf. Alberts et al., 1983). In total, to
supply the normal steady-state demands of cells, an average human must
produce approximately 3. 7 x 1011 cells a day throughout life (Dexter
and Spooncer, 1987). Common to each of these cellular systems is a
primitive (undifferentiated) stem cell which replenishes cells through
the production of offspring, some of which proliferate and gradually
differentiate until mature, fully functional cells are produced.