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A simpler twist of fate

Until the day it dies, a cell that has become a skin cell remains a skin cell — or so scientists used to think.

Over the past decade, it has become clear that cellular identity is not written in stone but can be rewritten by activating specific genetic programs. Today, the field of regenerative medicine faces a question: should this rewriting take the conventional route, in which mature cells are first converted back into stem cells, or, where feasible, a more direct approach?