Washington, Jan. 11 : Researchers have developed a prototype of artificial bone marrow that may be used to reproduce hematopoietic stem cells.

The porous structure developed by the scientists of KIT, the Max Planck Institute for Intelligent Systems, Stuttgart, and Tubingen University, possesses essential properties of natural bone marrow and can be used for the reproduction of stem cells at the laboratory.

This might facilitate the treatment of leukemia in a few years.

Blood cells, such as erythrocytes or immune cells, are continuously replaced by new ones supplied by hematopoietic stem cells located in a specialized niche of the bone marrow.

Hematopoietic stem cells can be used for the treatment of blood diseases, such as leukemia. The affected cells of the patient are replaced by healthy hematopoietic stem cells of an eligible donor.

However, not every leukemia patient can be treated in this way, as the number of appropriate transplants is not sufficient. This problem might be solved by the reproduction of hematopoietic stem cells.

The stem cell niche is a complex microscopic environment having specific properties. The relevant areas in the bone are highly porous and similar to a sponge.

This three-dimensional environment does not only accommodate bone cells and hematopoietic stem cells but also various other cell types with which signal substances are exchanged. Moreover, the space among the cells has a matrix that ensures certain stability and provides the cells with points to anchor. In the stem cell niche, the cells are also supplied with nutrients and oxygen.

The newly developed artificial bone marrow that possesses major properties of natural bone marrow can now be used by the scientists to study the interactions between materials and stem cells in detail at the laboratory.

The study was published in the Biomaterials journal.

Read more:
Artificial bone marrow development brings leukemia treatment closer to reality

Posted: Thursday, January 9, 2014, 9:00 AM

THURSDAY, Jan. 9, 2014 (HealthDay News) -- A patient's own bone marrow stem cells might someday be used to treat multidrug-resistant tuberculosis, a new study suggests.

The phase 1 study to assess the safety of the treatment included 30 patients, aged 21 to 65, with multidrug-resistant tuberculosis or the even more dangerous extensively drug-resistant tuberculosis. They received standard tuberculosis antibiotic treatment and an infusion of about 10 million of their own bone marrow stem cells.

A comparison group of 30 patients with either type of tuberculosis received standard treatment only.

After 18 months, 16 patients treated with bone marrow stem cells were cured, compared with five patients in the standard group, the study authors said. The most common side effects in the stem cell group were high cholesterol (14 patients), nausea (11), and lymphopenia (low white blood cell count) or diarrhea (10).

There were no serious side effects, according to the study, which was published Jan. 8 in The Lancet Respiratory Medicine.

Conventional treatment for multidrug-resistant tuberculosis uses a combination of antibiotics that can cause harmful side effects in patients, study leader Markus Maeurer, a professor at Karolinska University Hospital in Sweden, said in a journal news release.

"Our new approach, using the patients' own bone marrow stromal cells, is safe and could help overcome the body's excessive inflammatory response, repair and regenerate inflammation-induced damage to lung tissue, and lead to improved cure rates," Maeurer said in the news release.

Longer follow-up with more patients is needed to confirm the safety and effectiveness of the stem cell therapy, he said.

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Could Stem Cells Cure Drug-Resistant Tuberculosis?

24OrasGMA January 10, 2014, 7:34 pm Friday Bawal na bawal ang magsakay sa motorsiklo ng batang 8 taong gulang pababa, may helmet

24OrasGMA January 10, 2014, 7:30 pm Friday Sen. Jinggoy Estrada, nagsumite na rin ng counter-affidavit kaugnay ng pork barrel scam. #BantayKaban

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24OrasGMA January 10, 2014, 7:21 pm Friday #ChikaMinute: Laking pasalamat ni Geoff Eigenmann dahil sa mga bago niyang projects kasunod ng pagbabawas

24OrasGMA January 10, 2014, 7:20 pm Friday Mga prepaid card ang gagamitin sa pagbabayad ng pasahe sa COMET.

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24OrasGMA January 10, 2014, 7:19 pm Friday City Optimized Managed Environmental Transport o COMET, mas pina-high tech daw na e-jeepney. Nakatutok si

24OrasGMA January 10, 2014, 7:18 pm Friday Nasa okasyon din sina Sarangani Representative @MannyPacquiao at BIR Commissioner Kim Henares na nakita pang

More here:
Bone marrow stem cells could defeat drug-resistant TB, trial study finds

LONDON (Reuters) - Patients with potentially fatal "superbug" forms of tuberculosis (TB) could in future be treated using stem cells taken from their own bone marrow, according to the results of an early-stage trial of the technique.

The finding, made by British and Swedish scientists, could pave the way for the development of a new treatment for the estimated 450,000 people worldwide who have multi drug resistant (MDR) or extensively drug-resistant (XDR) TB.

In a study in The Lancet Respiratory Medicine journal on Thursday, researchers said more than half of 30 drug-resistant TB patients treated with a transfusion of their own bone marrow stem cells were cured of the disease after six months.

"The results ... show that the current challenges and difficulties of treating MDR-TB are not insurmountable, and they bring a unique opportunity with a fresh solution to treat hundreds of thousands of people who die unnecessarily," said TB expert Alimuddin Zumla at University College London, who co-led the study.

TB, which infects the lungs and can spread from one person to another through coughing and sneezing, is often falsely thought of as a disease of the past.

In recent years, drug-resistant strains of the disease have spread around the world, batting off standard antibiotic drug treatments.

The World Health Organization (WHO) estimates that in Eastern Europe, Asia and South Africa 450,000 people have MDR-TB, and around half of these will fail to respond to existing treatments.

TB bacteria trigger an inflammatory response in immune cells and surrounding lung tissue that can cause immune dysfunction and tissue damage.

Bone-marrow stem cells are known to migrate to areas of lung injury and inflammation and repair damaged tissue. Since they also modify the body's immune response and could boost the clearance of TB bacteria, Zumla and his colleague, Markus Maeurer from Stockholm's Karolinska University Hospital, wanted to test them in patients with the disease.

In a phase 1 trial, 30 patients with either MDR or XDR TB aged between 21 and 65 who were receiving standard TB antibiotic treatment were also given an infusion of around 10 million of their own stem cells.

Read more:
Bone marrow transfusion could cure drug resistant tuberculosis

22 hours ago by Jennifer Dimas

Chronic kidney disease in older cats is the focus of a fifth clinical trial under way at Colorado State University's James L. Voss Veterinary Teaching Hospital, where veterinarians are exploring novel stem-cell therapy that could, for the first time, hold promise for treating one of the most perplexing feline diseases.

CSU researchers seek area cats with the disease to participate in the clinical trial; cats with concurrent diseases are not eligible. For information about the trial and to determine eligibility for enrollment, visit col.st/1lB4KHf .

Studies suggest that about 50 percent of cats older than 10 suffer from chronic kidney disease.

Although the disease is very common, risk factors are poorly understood and it is tough to treat: Chronic kidney disease is considered irreversible, and treatment typically centers on slowing progression of the disease through supportive care, such as dietary changes, injected fluids and blood-pressure medication.

Yet in a pilot study last year, CSU veterinarians determined that stem-cell therapy could provide a new treatment option for cats. After preliminary results, the research team is further investigating the ability of stem cells to repair damaged kidneys.

Veterinarians are intrigued by use of stem-cell therapy for chronic kidney failure in cats because earlier studies demonstrated that the approach could decrease inflammation, promote regeneration of damaged cells, slow loss of protein through urine and improve kidney function, said Dr. Jessica Quimby, a veterinarian leading the CSU research.

"In our pilot study last year, in which stem cells were injected intravenously, we found stem-cell therapy to be safe, and we saw evidence of improvement among some of the cats enrolled in the trial," Quimby said. "In this study, we will further explore stem-cell therapy with the new approach of injecting the cells close to the damaged organs. We hope this proximity could yield even better results."

For the CSU study, the stem cells used have been cultivated from the fat of young, healthy cats; donor animals are not harmed.

The study will track cats with chronic kidney disease for about two months, with a variety of diagnostic tests conducted before and after stem-cell treatment to analyze kidney function.

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Researchers study stem-cell therapy for feline kidney disease

Sugar Land orthopedic surgeon Dr. Mark Maffet of Houston Methodist Orthopedics & Sports Medicine is the first orthopedic surgeon in Fort Bend County who is using stem cells to help accelerate healing and recovery after surgery.

Stem cells hold a great deal of promise in orthopedics, Dr. Maffet said. Right now, their use is cutting edge but I believe they will ultimately play a huge role in making surgical repair more successful.

Stem cells are found in bone marrow, blood and various types of tissue. Because they can differentiate into specialized cells and continuously divide, stem cells act as a repair system for the body and can replenish damaged tissue.

Dr. Maffet used stem cells to surgically repair Amy Statlers ACL tear. ACL tears are a common sports injury that often requires reconstruction of the knee.Statleris an active woman who enjoys playing softball and exercising and wanted to get back to her active lifestyle quickly.

Dr. Maffet made me feel comfortable by explaining the process and answering all of my questions about the surgery;it was important for me to have a quick recovery,"Statlerexplained."I am currently in physical therapy and am expected to be back on the softball field for our first practice in February. I am so happy with my recovery thus far and I feel better every day.

During ACL reconstruction surgery, orthopedic surgeons take a tendon from the knee or hamstring (either a patient's own or from a donor) and use it to replace the damaged ACL ligament. Dr. Maffet has begun using stem cells to help the body accept the new tendon and to speed the healing process.

The new ACL graft is soaked in a concentrate full of stem cells and other growth factors prior to fixation, he explained. In other cases, we can simply suture the torn ligament and inject the stem cell concentrate into the affected area.

Dr. Maffet is also using stem cells in rotator cuff repairs of the shoulder. By creating vascular channels down into the bone at the repair site, his goal is to trigger the stem cells located there and improve tendon healing. Other physicians throughout Houston Methodist, including Dr. David Lintner in the Medical Center, are also offering this procedure.

In time, I believe we will be able to show that the use of stem cells in orthopedic applications is making a difference in the lives of our patients, he said. The potential to repair and regenerate damaged tissue or bone, using the patients own stem cells, will give us a fantastic new tool in treating sports injuries and other orthopedic issues. The ability to make our patients recoveries easier and more successful is exciting.

For more information about Houston Methodist Orthopedics & Sports Medicine located in Sugar Land, visit methodistorthopedics.com. For an appointment, call 281.690.4678 or emailmostappts@houstonmethodist.org.

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Sugar Land surgeon becomes first in Fort Bend to use stem cells in orthopedic surgery

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Newswise With the help of biomimetic matrices, a research team led by bioengineers at the University of California, San Diego has discovered exactly how calcium phosphate can coax stem cells to become bone-building cells. This work is published in the Proceedings of the National Academy of Sciences the week of Jan. 6, 2014.

UC San Diego Jacobs School of Engineering professor Shyni Varghese and colleagues have traced a surprising pathway from these biomaterials to bone formation. Their findings will help them refine the design of biomaterials that encourage stem cells to give rise to new bone. The researchers say their study may also point out new targets for treating bone defects and bone metabolic disorders such as major fractures and osteoporosis.

The materials are built to mimic the bodys own cellular niches, in which undifferentiated or blank-slate stem cells from bone marrow transform into specific bone-forming cells. We knew for years that calcium phosphate-based materials promote osteogenic differentiation of stem cells, but none of us knew why, Varghese said.

As engineers, we want to build something that is reproducible and consistent, she explained, so we need to know how building factors contribute to this end.

The researchers found that when phosphate ions gradually dissolve from these materials, they are taken up by the stem cells and used for the production of ATP, a key metabolic molecule. An ATP metabolic product called adenosine then signals the stem cells to commit to becoming bone-forming cells.

Varghese said it was a surprise to her team that the biomaterials were connected to metabolic pathways. And we didnt know how these metabolic pathways could influence stem cells commitment to bone formation.

While the PNAS findings only apply to bone building, Varghese and her students at UC San Diego are working on a variety of projects to understand how stem cells thrive and differentiate into a variety of cell types. With this information, they hope to design biomaterials that can be used to help transform stem cells into tissues that may someday replace diseased or degenerated bone, muscle, or blood vessels.

Stem cell research may seem like an unusual endeavor for engineers, but tissue construction and the development of biomaterials have become one more type of building in the engineering repertoire, Varghese said.

The rest is here:
Biomaterials Get Stem Cells to Commit to a Bony Future

Orange County, CA (PRWEB) January 06, 2014

Top West Coast Stem Cell Clinic, TeleHealth, is now offering stem cell injections for ligament sprains. This includes injuries of the ankle, knee, wrist and other extremity joints. Board Certified doctors administer the outpatient injections which can help patients heal quicker than conventional treatments. For more information and scheduling, call (888) 828-4575.

In adults, ligament sprains can take months to heal due to limited blood supply and healing potential. This can keep athletes off the field and inhibit the ability of even recreational athletes to walk and run without pain.

Conventional pain relief treatments are able to provide pain relief. This may include steroid injections or anti-inflammatories by mouth. However, these treatments do not alter the course of the healing.

With the advent of regenerative medicine treatments, the potential exists for quicker healing. These treatments include fat or bone marrow derived stem cell injections along with platelet rich plasma therapy.

Platelet rich plasma therapy, known as PRP therapy, involves a simple blood draw from the patient. The blood is spun in a centrifuge, which concentrates the platelets and growth factors. These are then injected into the area of ligament injury.

With the fat or bone marrow derived stem cells, the material is harvested in an outpatient procedure from the patient. It is processed immediately to concentrate the patient's stem cells and then injected right away into the injured region.

Small published studies have shown the treatment to be very effective for healing the injuries faster than with conventional treatments. There is low risk involved, the treatments are outpatient and performed by highly experienced Board Certified doctors who have over twenty years combined experience in regenerative medicine treatments.

Along with the injections for ligament injury, stem cell injections are also offered for degenerative arthritis, rotator cuff injury, back and neck pain, achilles tendonitis, plantar fasciitis and more.

TeleHealth has two offices for treatment, one in Orange and a second in Upland, CA. Call (888) 828-4575 for more information and scheduling.

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West Coast Stem Cell Clinic, TeleHealth, Now Offering Stem Cell Injections for Ligament Sprains

BERLIN, Jan. 3 (Xinhua) -German scientists have developed a prototype of artificial bone marrow, which can simplify the treatment of leukemia in a few years, Karlsruhe Institute of Technology (KIT) announced on Friday.

Scientists from KIT, Max Planck Institute for Intelligent Systems in Stuttgart and the University of Tubingen have recreated basic properties of the natural bone marrow artificially in a laboratory.

The haematopoietic stem cells provide replenishment of red blood cells or immune cells, so they can be used for the treatment of leukemia, in a way that the diseased cells of the patient are replaced with healthy haematopoietic stem cells from a matched donor.

However, at present not every leukemia patient can find a matchable doner, so a simple solution to this problem would be to increase hematopoietic stem cells.

As the hematopoietic stem cells retain their stem cell properties only in their natural environment, the scientists need to create an environment that resembles the stem cell niche in the bone marrow.

To accomplish this goal, the German scientists created with synthetic polymer a porous structure that mimics the structure of the spongy bone in the area of the hematopoietic bone marrow.

In the artificial bone marrow, the researchers directed isolated hematopoietic stem cells freshly from umbilical cord blood and incubated them for several days.

Analyzes with different methods showed that the cells actually proliferate in the newly developed artificial bone marrow.

Now the scientists can study the interactions between materials and stem cells in detail in the laboratory to find out how the behavior of stem cell is influenced and controlled by synthetic materials.

This knowledge could help to realize an artificial stem cell niche for the targeted increase of stem cells to treat leukemia patients in 10 to 15 years.

Read the original here:
German scientists develope artificial bone marrow - Xinhua ...

Bone marrow stem cells

Diseases such as aplastic anaemia, or infections (such as tuberculosis) can negatively impact the ability of the bone marrow to produce blood cells or platelets. Other diseases, such as leukaemia, also affect the progenitor/stem cells in the bone marrow and are diagnosed by a bone marrow biopsy where a sample of the tissue is taken using a large hollow needle inserted into the iliac crest (the pelvic bone). Harvesting bone marrow is usually done under general anaesthetic, although local anaesthetic is also a possibility.

Recent advances in stimulating and harvesting stem cells from the peripheral blood may mean that the invasiveness of bone marrow harvesting can be avoided for some donors and patients. Stimulatory pharmaceuticals, such as GM-CSF, and G-CSF, which drive the stem cells out of the bone marrow and into the peripheral circulation, can allow for a large yield of stem cells during apheresis. However, bone marrow stem cells have been found through research in the past five years or so to be able to differentiate into more cell types than previously thought. Mesenchymal stem cells from bone marrow have been successfully cultured to create beta-pancreatic cells, and neural cells, with possible ramifications for treatment of diabetes and neurodegenerative diseases. Clinical trials involving stem cell treatments for such conditions in humans remain theoretical however as there are a number of issues that need further investigation to confirm efficacy and safety.

The stem cells contained within bone marrow are of three types; haematopoietic stem cells, mesenchymal stem cells, and endothelial stem cells. Haematopoietic stem cells differentiate into both white and red blood cells, and platelets. These leukocytes, erythrocytes, and thrombocytes, respectively, play a role in immune function, oxygen transportation, and blood-clotting and are destroyed by chemotherapy for cancers such as leukaemia. This is why bone marrow transplants can mean the difference between life and death for someone suffering from such a disease as it is vital to replace and repopulate the bone marrow with stem cells that can then create new blood- and immune-forming cells.

Mesenchymal stem cells are also found in the bone marrow and are responsible for creating osteoblasts, chrondrocytes, and mycocytes, along with a number of other cell types. The location of these stem cells differs from that of the haematopoietic stem cells as they are usually central to the bone marrow, which makes it easier to extract specific populations of stem cells during a bone marrow aspiration procedure.

Bone marrow mesenchymal stem cells have also been found to differentiate into beta-pancreatic islet cells, with potential ramifications for treating those with diabetes (Moriscot, et al, 2005). Neural-like cells have also been cultured from bone marrow mesenchymal stem cells making the bone marrow a possible source for stem cell treatment of neurological disorders (Hermann, et al, 2006). More recent research appears to show that donor-heterogeneity (genetic differences between those donating the bone marrow) is at the heart of the variability in mesenchymal stem cells ability to differentiate to neural cells (Montzka, et al, 2009). This means that careful selection of donor stem cells would have to be carried out in order for treatment to be successful if the research ever displays clinical significance. Conditions such as spinal cord injury, Alzheimers Disease, and Multiple Sclerosis, may be able to be treated in the future using mesenchymal stem cells from bone marrow that were previously thought to only be able to produce bone and cartilage cell types.

Patients with leukaemia or other cancer are likely to be treated with radiation and/or chemotherapy. Both of these treatements kill the stem cells in the bone marrow to some degree and it is the effect that this has on the immune system that is responsible for many of the symptoms of chemotherapy and radiation sickness. In some cases, a patient with cancer may have bone marrow harvested and some stem cells stored prior to radiation treatment or chemotherapy. They then have their own stem cells infused after the cancer treatment in order to repopulate their immune system. This presents little risk of graft versus host disease which is a concern with, non-autologous, allograft bone marrow transplants. The use of a patients own stem cells is unlikely to be helpful in cases where an in-borne mutation of the blood and lymph system is present and such procedures are not usually performed in such cases.

Bone marrow transplantation from a donor source will normally require the destruction of the patients own bone marrow in a process called myeloablation. Patients who undergo myeloablation will lose their acquired immunity and are usually advised to undergo all vaccinations for diseases such as mumps, measles, rubella, and so on. Myeloablation also means that the patient has extremely low white blood cell (leukocyte) levels for a number of weeks as the bone marrow stem cells begin to create new blood and immune system cells. Patients undergoing this procedure are, therefore, extremely susceptible to infection and complication making bone marrow transplants only appropriate in life-threatening situations. Many patients will take antibiotics during this time in an attempt to avoid sepsis, infections, and septic shock. Some patients will be given immunosuppressant drugs to lower the risk of graft versus host disease and this can make them even more susceptible to infection.

It is also possible that the new stem cells do not engraft, which means that they do not begin to create new blood and immune-system cells at all. Peripheral blood stem cells harvested at the same time as bone marrow harvesting were found in one study to speed the recovery of the patients immune systems following myeloablation, thus reducing the risk if infection (Rabinowitz, et al, 1993). Peripheral blood stem cells do appear to be quicker in general at engrafting and they may become more widely involved in the treatment of diseases traditionally addressed through bone marrow transplants (Lewis, 2005).

Read more:
Bone Marrow Stem Cells – Stem Cell Treatment

Berlin, Jan 3 : German scientists have developed a prototype of artificial bone marrow, which can simplify the treatment of leukemia in a few years, Karlsruhe Institute of Technology (KIT) announced Friday.

Scientists from KIT, Max Planck Institute for Intelligent Systems in Stuttgart and the University of Tubingen have artificially recreated basic properties of the natural bone marrow in a laboratory, Xinhua reported.

The haematopoietic stem cells provide replenishment of red blood cells or immune cells, so they can be used for the treatment of leukemia, in a way that the diseased cells of the patient are replaced with healthy haematopoietic stem cells from a matched donor.

However, at present not every leukemia patient can find a matchable donor, so a simple solution to this problem would be to increase hematopoietic stem cells.

As the hematopoietic stem cells retain their stem cell properties only in their natural environment, the scientists need to create an environment that resembles the stem cell niche in the bone marrow.

To accomplish this goal, the German scientists created with synthetic polymer a porous structure that mimics the structure of the spongy bone in the area of the hematopoietic bone marrow.

In the artificial bone marrow, the researchers directed isolated hematopoietic stem cells freshly from umbilical cord blood and incubated them for several days.

Analyses with different methods showed that the cells actually proliferate in the newly developed artificial bone marrow.

Now the scientists can study the interactions between materials and stem cells in detail in the laboratory to find out how the behaviour of stem cell is influenced and controlled by synthetic materials.

This knowledge could help to realise an artificial stem cell niche for the targeted increase of stem cells to treat leukemia patients in 10 to 15 years.

See original here:
German scientists develop artificial bone marrow

London (PRWEB UK) 3 January 2014

Research on how to harness the potential use of stem cells for common conditions is a worldwide subject of scientific discovery spanning over 3 decades. Incredible results in laboratory experiments have been recorded in 2013 for areas such as tissue regeneration for coronary disease, diabetes, cancer, Parkinsons and Alzheimers disease. All stem cells, whether gathered from an early embryo, a foetus or an adult, have two key properties.

Stem cells have the ability to replicate themselves as needed and can generate any specialised cells that make up the tissues and organs of the body with proper direction. This opens up an exciting potential for the generation of therapies for repair and replacement of damaged and diseased tissues and organs, as models for the testing of new drugs and helping us to understand at a cellular level what goes wrong in many conditions. 1

Stem cells derived from bone marrow or fat has been found to improve recovery from stroke in experiments using rats. This study was published in BioMed Central's open access journal Stem Cell Research & Therapy early last year. Treatment with stem cells improved the amount of brain and nerve repair and the ability of the animals to complete behavioural tasks. Using stem cell therapy holds promise for patients but there are still many questions which need to be answered, regarding treatment protocols and which cell types to use. 2

Other areas in which stem cell transplants are already being successfully used in the clinic trials are for treatment for spinal lesions and the regeneration of epidermal surfaces and in leukaemia, where stem cells are replaced during stem cell-containing bone marrow transplants. 3 These treatments demonstrate the potential of stem cells and intensive research is being performed all over the world to improve our understanding of stem cells and how these can be used therapeutically for PD.

Recently published research by a team of scientists in Wales has shown early signs of being able to regenerate damaged heart tissue. By experimenting at Cardiff and Swansea university laboratories, a team of scientists working in the private sector hopes to develop new treatments for heart failure over the next five years.

In a statement for the research team Ajan Reginald said, "We've identified what we think is a very potent type of stem cell which is heart specific. The interim analysis looks very positive and very fortunately the study does show some signs of early regeneration. What the therapy does is reproduce more cells in large numbers to regenerate the part of the heart that is damaged. The first stage of clinical trial is now completed which was focused on safety. 4

Further research during the next five years will produce more alternative solutions to diseases which currently have treatment but no permanent cures for. 5

References

1.http://www.hta.gov.uk/_db/_documents/stem_cell_pack_200806170144.pdf 2.http://www.parkinsonsnsw.org.au/assets/attachments/research/Stem-Cells.pdf 3.http://stemcellres.com/content/4/1/11 4.http://www.bbc.co.uk/news/uk-wales-25560547 5.http://www.cell.com/stem-cell-reports/abstract/S2213-6711(13)00126-4#Summary

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Chemist Direct reports continued benefits of stem cell research for potential tissue regeneration

Clinical Policy Bulletin: Stem Cells for Bone Marrow Transplant

Aetna considers compatibility testing of prospective donors who are members of the immediate family (first-degree relatives, i.e., parents, siblings and children) and harvesting and short-term storage of peripheral stem cells or bone marrow from the identified donor medically necessary when an allogeneic bone marrow or peripheral stem cell transplant is authorized by Aetna.

Aetna considers umbilical cord blood stem cells an acceptable alternative to conventional bone marrow or peripheral stem cells for allogeneic transplant.

Aetna considers medically necessary the short-term storage of umbilical cord blood for a member with a malignancy undergoing treatment when there is a match. Note: The harvesting, freezing and/or storing umbilical cord blood of non-diseased persons for possible future use is not considered treatment of disease or injury. Such use is not related to the persons current medical care.

Notes:

When a covered family member of a newborn infant has a medically necessary indication for an allogeneic bone marrow transplant and wishes to use umbilical cord blood stem cells as an alternative, Aetna covers the testing of umbilical cord blood for compatibility for transplant under the potential recipients plan.

Performance of HLA typing and identification of a suitable donor does not, in and of itself, guarantee coverage of allogeneic bone marrow or peripheral stem cell transplantation. Medical necessity criteria and plan limitations and exclusions may apply.

See also the following CPBs related to bone marrow and peripheral stem cell transplantation:

According to the American Academy of Pediatrics (2007), cord blood transplantation has been shown to be curative in patients with a variety of serious diseases. Physicians should be familiar with the rationale for cord blood banking and with the types of cord blood banking programs available. Physicians consulted by prospective parents about cord blood banking can provide the following information:

Cord blood donation should be discouraged when cord blood stored in a bank is to be directed for later personal or family use, because most conditions that might be helped by cord blood stem cells already exist in the infant's cord blood (i.e., pre-malignant changes in stem cells). Physicians should be aware of the unsubstantiated claims of private cord blood banks made to future parents that promise to insure infants or family members against serious illnesses in the future by use of the stem cells contained in cord blood. Although not standard of care, directed cord blood banking should be encouraged when there is knowledge of a full sibling in the family with a medical condition (malignant or genetic) that could potentially benefit from cord blood transplantation.

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Stem Cells for Bone Marrow Transplant

A Vietnamese girl adopted by a Swiss family underwent a stem cell transplant last Friday, months after she was diagnosed with acute lymphoblastic leukemia.

Joon Gremillet, 18, is under special care at the Geneva General Hospital with visits restricted to protect her from infections, given that her immune system drops close to zero, according to a post on the blog site Help Joon, which was opened to look for a matching donor by her adoptive father Patrick Gremillet, a senior program coordinator at the United Nations Development Program.

Patrick received Joon from a maternity hospital in Hai Phong in northern Vietnam and she has grown up with the family, traveling through Laos, Thailand, US, Austria and France.

Joon, who started her university studies last year in Geneva, was diagnosed with leukemia last May.

She was hospitalized immediately and received chemotherapy before the search began for a bone marrow donor that considerably increases chances of survival.

The father said a donor was a stressful issue as Joon was adopted and there was little chance of finding a matching donor in her current community.

He said there are also few Asians, and Vietnamese in particular, who are enrolled in the international stem cell donor registry.

Fortunately, a compatible donor was found in November, although details are being kept confidential.

Patrick said the donors stem cells were infused into his daughter in a process that lasted nearly two hours.

He said Joon will have to wait for between ten to 30 days before the transplanted cells begin to circulate in her bones and gradually resume production of bone marrow and blood cells. If things go well, she can regain immunity after three months.

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A miracle and a clarion call for more

Four year old Hannah Day has spent most of her young life in and out of hospital.

She has Leukemia and its the second time in as many years that she is battling cancer.

She underwent 15 months of chemotherapy for a tumour in her stomach, but weeks later was diagnosed with Leukemia. Hannahs family says her only hope for survival is a stem-cell transplant, but neither her sister nor her parents are a perfect match, so theyre hoping a donor will be found. They set up a web page called Angels for Hannah to try and find a donor.

A stem-cell transplant is her last chance.

To become a stem-cell donor you can fill out a questionnaire online if youre between the ages of 17 and 35, and youll be sent a kit in the mail. A swab of your cheeks will reveal if youre a suitable donor. Once identified as a match, donors will undergo one of two procedures. Stem cells can be harvested from bone marrow under general anesthetic, or throughperipheral blood stem cell donation.

The donor does not experience pain during either procedure.

Our age criteria is 17 to 35 to register, saysMary Lynn Pride from Canadian Blood Services. So were really looking to those young people to step forward to provide an opportunity to help patients like Hannah who are in need. Were also asking young men to step forward because we do have a particular need for young men to register as they have been deemed as the optimal donor patients in need of transplant.

Pride says generally men produce a higher volume of stem cells for donation but also post-transplant there is better recovery for patients with a male donor over a female donor.

We do know that younger donors provide better post-transplant recovery for patients as well as the longevity of ensuring that they are on the registry longer to support patients in need, she says.

Canada currently has 326,000 people who are already registered as potential stem-cell donors. Hannah is one of 750 Canadians who are currently awaiting a stem-cell transplant.

See the article here:
Stem-cell transplant needed for 4-year-old Hannah Day: How to help

Stem cell transplants are sometimes used to treat lymphoma patients who are in remission (that is, they seem to be disease-free after treatment) or who have had the cancer come back (relapse) during or after treatment.

In a stem cell transplant, doctors give higher doses of chemotherapy (chemo) than would normally be safe. Giving high-dose chemo destroys the bone marrow, which prevents new blood cells from being made. This could normally lead to life-threatening infections, bleeding, and other problems due to low blood cell counts. To get around this problem, after chemo (and sometimes radiation treatment) is finished, the patient gets an infusion of blood-forming stem cells to restore the bone marrow. Blood-forming stem cells are very early cells that can make new blood cells. They are different from embryonic stem cells.

There are 2 main types of stem cell transplants. The difference is the source of the blood-forming stem cells.

Autologous stem cell transplant: For this type of transplant, blood-forming stem cells from the patient's own blood or, less often, from the bone marrow, are removed, frozen, and stored until after treatment. Then the stored stem cells are thawed and given back to the patient through a vein. The cells enter the bloodstream and return to the bone, replacing the marrow and making new blood cells.

This is the most common type of transplant used to treat lymphoma, but it generally isn't an option if the lymphoma has spread to the bone marrow or blood. If that happens, it may be hard to get a stem cell sample with no lymphoma cells in it.

Donor (allogeneic) stem cell transplant: In this approach, the stem cells come from someone else usually a matched donor whose tissue type is very close to the patient's. The donor may be a brother or sister or someone not related to the patient. Sometimes umbilical cord stem cells are used.

This type of transplant is not used a lot in treating non-Hodgkin lymphoma (NHL) because it can have severe side effects that are especially hard for patients who are older or who have other medical problems. And it is often hard to find a matched donor.

"Mini transplant": Many older patients can't have a regular allogeneic transplant that uses high doses of chemo. But some may be able to have what is called a "mini transplant" (or a non-myeloablative transplant or reduced-intensity transplant). For this type of allogeneic transplant, lower doses of chemo and radiation are used so they do not destroy all the stem cells in the bone marrow. The patient is then given the donor stem cells. These cells enter the body and form a new immune system, which sees the cancer cells as foreign and attacks them (called a "graft-versus-lymphoma" effect).

Patients can often do a mini transplant as an outpatient. But this is not yet a standard part of the treatment for most types of lymphoma.

Stem cell transplant is a complex treatment, so it is important to have it done at a hospital where the staff has experience with the procedure. Some transplant programs may not have experience in certain transplants, especially those from unrelated donors.

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Bone marrow or peripheral blood stem cell transplant for non ...

It's the Christmas gift one little boys family thought they would never receive a life-saving transplant after a worldwide search for a donor.

But miraculously, two-year-old Gaurav Bains has finally had the operation he desperately needed.

His family have endured a torturous ordeal as the months counted down to a Christmas deadline to find a bone marrow donor with a 100 per cent match.

The young lad had always been ill after being born premature, but earlier this year, after a series of chest infections, he was diagnosed with Monosomy 7 Syndrome, a rare blood condition.

Then in the summer, his family was told his best chance of a healthy life would be if a donor was found before Christmas

Had a match not been found, Gauravs condition meant he would have been likely to develop an aggressive form of childhood leukaemia, which he may not have survived.

But thanks to a huge campaign, and the determination of his family, thousands of people signed up to the donation register from around the country and the world.

And this week the youngster finally had the operation that could save his life.

The whole procedure, which saw donated stem cells passed into his body, only took 90 minutes, and now his family, from Alexandra Road in Tipton, are optimistic.

Dad Sunny Bains, aged 31 and a shopkeeper, said: Everything went alright and he didnt have any side effects.

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Best Christmas ever as Gaurav gets the gift of life

Keith Leishman, a retired RCMP staff sergeant and former CSIS officer, was sent on a critical international mission this year but not the kind youd think.

It had nothing to so with detective work or espionage: Leishman completed a high-stakes medical mission as a volunteer bone marrow stem cell courier.

The 72-year-old South Surrey resident is one of a dozen retired Mounties recruited and trained by the Bruce Denniston Bone Marrow Society to make crucial deliveries of human tissue to B.C. patients awaiting life-saving treatments.

The Bone Marrow Courier Program was set up by the Society and Vancouver Coastal Health in 2012. Formerly, Vancouver General Hospital staff served as couriers, but as more treatments were performed, some staff were away 50 per cent of the year. And, it was costly.

Because of the delicate nature of human tissue transport, not just any volunteer would do. Yet retired Mounties have experience with stressful operations, understand the importance of securing evidence and confidentiality, and are accustomed to dealing calmly and authoritatively with security.

One of the advantages they see with RCMP officers is the experience they have with continuity of possession, Leishman explained. Just like you take a piece of evidence, once we take possession of those stem cells they cant leave our sight until we turn them over at the lab at VGH. There is a very strict protocol in place.

Deliveries must be made within 72 hours of removal from a donor, as the tissue starts to degrade. Samples must be kept at a precise temperature and in sight at all times even while navigating customs and airport security.

Leishman went on his first mission in mid-September, flying to Berlin to collect a sample. He secured it as his carry-on luggage, got it safely through customs but never through X-rays, which damage the material and completed his mission without incident. Others have faced flight delays, airline strikes and bad weather.

Volunteers often spend just 24 hours on the ground.

Its not a holiday, he said. You are focused on getting that package back to someone who is very ill. It could be someones last chance.

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Ex-Mounties serve as couriers for life-saving bone marrow stem cells

Durham, NC (PRWEB) December 18, 2013

A new study released today in STEM CELLS Translational Medicine demonstrates that the therapeutic value of stem cells collected from fat declines when the cells come from older patients.

This could restrict the effectiveness of autologous cell therapy using fat, or adipose-derived mesenchymal stromal cells (ADSCs), and require that we test cell material before use and develop ways to pretreat ADSCs from aged patients to enhance their therapeutic potential, said Anastasia Efimenko, M.D., Ph.D. She and Nina Dzhoyashvili, M.D., were first authors of the study led by Yelena Parfyonova, M.D., D.Sc., at Lomonosov Moscow State University, Moscow.

Cardiovascular disease remains the most common cause of death in most countries. Mesenchymal stromal cells (MSCs), stem cells collected from either bone marrow or adipose tissue, are considered one of the most promising therapeutic agents for regenerating damaged tissue because of their proliferation potential and ability to be coaxed into different cell types. Importantly, they also have the ability to stimulate the growth of new blood vessels, a process known as angiogenesis.

Adipose tissue in particular is considered an ideal source for MSCs because it is largely dispensable and the stem cells are easily accessible in large amounts using a minimally invasive procedure. ADSCs have been used in several clinical trials looking at cell therapy for heart conditions, but most of the studies employed cells taken from relatively healthy young donors rather than sick, older ones the typical patient when it comes to heart disease.

We knew that aging and disease itself may negatively affect MSC activities, Dr. Dzhoyashvili said. So the aim of our study was to investigate how patient age affects the properties of ADSCs, with special emphasis on their ability to stimulate angiogenesis.

The team analyzed age-associated changes in ADSCs collected from patients of different age groups, including some with coronary artery disease and some without. The results showed that ADSCs from the older patients in both groups expressed various age markers, including shorter telomeres, and, thus, confirmed that ADSCs did age. Telomeres, the regions of repetitive DNA at the end of a chromosome, protect it from deterioration.

We showed that ADSCs from older patients both with and without coronary artery disease produced significantly less amounts of angiogenesis-stimulating factors compared with the younger patients in the study and their angiogenic capabilities lessened, Dr. Efimenko concluded. The results provide new insight into molecular mechanisms underlying the age-related decline of stem cells therapeutic potential.

These findings are significant because the successful development of cell therapies depends on a thorough understanding of how age may affect the regenerative potential of autologous cells, said Anthony Atala, M.D., editor of STEM CELLS Translational Medicine and director of the Wake Forest Institute for Regenerative Medicine.

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Study Shows Therapeutic Potential of Fat-derived Stem Cells Declines As Donor’s Age Rises

In a typical stem cell transplant for cancer very high doses of chemo are used, often along with radiation therapy, to try to destroy all the cancer cells. This treatment also kills the stem cells in the bone marrow. Soon after treatment, stem cells are given to replace those that were destroyed. These stem cells are given into a vein, much like a blood transfusion. Over time they settle in the bone marrow and begin to grow and make healthy blood cells. This process is called engraftment.

There are 3 basic types of transplants. They are named based on who gives the stem cells.

These stem cells come from you alone. In this type of transplant, your stem cells are taken before you get cancer treatment that destroys them. Your stem cells are removed, or harvested, from either your bone marrow or your blood and then frozen. To find out more about that process, please see the section Whats it like to donate stem cells? After you get high doses of chemo and/or radiation the stem cells are thawed and given back to you.

One advantage of autologous stem cell transplant is that you are getting your own cells back. When you donate your own stem cells you dont have to worry about the graft attacking your body (graft-versus-host disease) or about getting a new infection from another person. But there can still be graft failure, and autologous transplants cant produce the graft-versus-cancer" effect.

This kind of transplant is mainly used to treat certain leukemias, lymphomas, and multiple myeloma. Its sometimes used for other cancers, like testicular cancer and neuroblastoma, and certain cancers in children. Doctors are looking at how autologous transplants might be used to treat other diseases, too, like systemic sclerosis, multiple sclerosis, Crohn disease, and systemic lupus erythematosis.

A possible disadvantage of an autologous transplant is that cancer cells may be picked up along with the stem cells and then put back into your body later. Another disadvantage is that your immune system is still the same as before when your stem cells engraft. The cancer cells were able to grow despite your immune cells before, and may be able to do so again.

To prevent this, doctors may give you anti-cancer drugs or treat your stem cells in other ways to reduce the number of cancer cells that may be present. Some centers treat the stem cells to try to remove any cancer cells before they are given back to the patient. This is sometimes called purging. It isnt clear that this really helps, as it has not yet been proven to reduce the risk of cancer coming back (recurrence).

A possible downside of purging is that some normal stem cells can be lost during this process, causing the patient to take longer to begin making normal blood cells, and have unsafe levels of white blood cells or platelets for a longer time. This could increase the risk of infections or bleeding problems.

One popular method now is to give the stem cells without treating them. Then, after transplant, the patient gets a medicine to get rid of cancer cells that may be in the body. This is called in vivo purging. Rituximab (Rituxan), a monoclonal antibody drug, may be used for this in certain lymphomas and leukemias, and other drugs are being tested. The need to remove cancer cells from transplants or transplant patients and the best way to do it is being researched.

Doing 2 autologous transplants in a row is known as a tandem transplant or a double autologous transplant. In this type of transplant, the patient gets 2 courses of high-dose chemo, each followed by a transplant of their own stem cells. All of the stem cells needed are collected before the first high-dose chemo treatment, and half of them are used for each transplant. Most often both courses of chemo are given within 6 months, with the second one given after the patient recovers from the first one.

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Types of stem cell transplants for treating cancer