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What Are iPS Cells? The Two Treatments Japan Approved in 2026

Twenty years on from the 2006 paper: what iPS cells are, and what happened in 2026.

Conceptual illustration of iPS cells and regenerative medicine, Ginza YR Clinic

This article covers two things.

① What iPS cells are
② What happened in 2026

① What Are iPS Cells?

In simple terms: cells rewound to the beginning

Once a cell in your body becomes a skin cell, it stays a skin cell for life. It never turns into anything else.

iPS cells reverse that process.

When a handful of specific genes are introduced into a fully developed cell, it returns to a state where it hasn’t decided what to become yet. From there, it can be guided into becoming a nerve cell, a heart cell, or almost anything else.

When they were created

The work was done by Professor Shinya Yamanaka’s team at Kyoto University.

2006
First created in mice

November 2007
Created in human cells

2012
Nobel Prize in Physiology or Medicine

The year 2026 marks exactly 20 years since that first paper.

Why it mattered so much

Before iPS cells, scientists already knew of cells that could turn into any other cell type. They were called ES cells (embryonic stem cells) are taken from an embryo at a very early stage, shortly after the fertilised egg begins dividing. They can become any cell type in the body. They were first obtained in mice in 1981 and established from human cells in 1998. Like iPS cells, they belong to the group known as pluripotent stem cells.

The problem was how to obtain them. ES cells could only be taken from a fertilised egg.

A fertilised egg, left to develop, becomes a person. Once cells are taken from it, that development ends.

For decades this created a global argument: is it acceptable to sacrifice an unborn life in order to save a living patient? Some said yes; others said absolutely not. Several countries banned the research outright, and progress stalled.

iPS cells removed the very premise of that argument.

They are made from ordinary skin or blood cells. A tiny sample is enough, and no one is harmed.

What they can be used for

There are two main applications.

1  Replacing cells that have been lost
Nerve cells in the brain and muscle cells in the heart don’t grow back once damaged. iPS cells open up the possibility of growing those cells outside the body and returning them.

2  Studying disease itself
You can’t experiment on a patient. But you can take a small sample of their cells, turn it into iPS cells, and guide those into the affected cell type. The disease can then be observed in a dish, and new drugs tested against it.

In practice, the second application has been the more widely used one for years.

Growing cells in culture fluid in a research laboratory, disease modelling and drug discovery
Growing cells in culture fluid in a research laboratory

② What Happened in 2026

Automated cell dispensing equipment in a regenerative medicine research laboratory, iPS cell-derived products
The research stage that precedes clinical trials and state review of a regenerative medicine product

March: Japan approved two treatments for the first time

This was the first time anywhere in the world that a treatment product made from iPS cells received national approval.

AMCHEPRY
 / Sumitomo Pharma / Parkinson’s disease
In Parkinson’s disease, the brain cells that produce dopamine gradually decline. This product uses iPS cells to create precursors of those neurons, which are then transplanted into the brain.

RiHeart
 / Cuorips / severe heart failure
For patients whose heart function has weakened due to insufficient blood supply. iPS cells are turned into heart muscle cells, formed into a thin sheet, and applied to the surface of the heart.

One important point, however

Both were granted “conditional and time-limited approval.” This means they were approved at the stage where safety has been confirmed and effectiveness looks promising. Over the next seven years, data must continue to be gathered through actual treatment. Only once that data is sufficient does it become a full approval.

It does not mean effectiveness has been definitively established.

May and July: both became covered by insurance

After approval, both products were brought under Japan’s public health insurance.

AMCHEPRY
Listed on the national drug price standard on 20 May 2026, at roughly ¥55.3 million per patient.

RiHeart
Insurance coverage approved on 22 July 2026, taking effect 1 September, at roughly ¥53.2 million.

Both figures are high, but because insurance applies, what a patient actually pays depends on schemes such as Japan’s High-Cost Medical Expense Benefit system.

January: early results in cancer treatment were published

RIKEN and Chiba University Hospital created immune cells that attack cancer from iPS cells, and administered them to patients with head and neck cancer. The results were published in January 2026.

Of the eight patients evaluated by imaging, five showed stable tumour size during the trial period, and in two of those, tumour growth was reported to have been suppressed.

This was a Phase I trial, meaning its main purpose was to confirm safety. Practical use is still some way off, but the direction is now visible.

Research is also under way in type 1 diabetes, spinal cord injury, and corneal disease, among others.

Sources

Last updated: ● ● 2026 / Regulations and approval status may change. Please check each organisation’s published material for the latest information. Sources are listed in the original Japanese with their original links.

This article is provided for informational purposes and does not guarantee any specific treatment outcome. The approved products described here can only be provided at a limited number of institutions and are not available at general aesthetic clinics. All regulatory frameworks referred to are those of Japan.

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