Stem cell therapy: the next wave in regenerative medicine?

All it involved was a quick injection no different, really, than a flu shot.

A few weeks later, Bill Ambrose realized hed become significantly less reliant on taking Aleve for knee pain, and he was re-learning how to walk without shuffling his feet.

Surgery, it turned out, might not be necessary after all.

Last November, Ambrose scheduled knee surgery to alleviate discomfort in his knees caused by what orthopedic doctors called true bone-on-bone at the joint. But for one reason or another, he kept missing pre-surgery and the surgery never happened.

The next month, Ambrose met with Dr. Bill Nolan, of Cherry Street Health Group, to discuss advertising space in the Danvers Herald.

For the purpose of full disclosure, Ambrose is an employee of Gatehouse Media Company, and he works in the advertising department for Wicked Local, the local branch of GHM newspapers.

After Nolans ads ran inthe Jan. 5issue of the Herald, Ambrose said he reached out to Nolan again. This time, for himself.

Nolans practice offered a solution to his knee pain an alternative to knee surgery he had never considered before: stem cell therapy.

Essentially, the solutionCherry StreetHealth Group offered was an injection of amniotic fluid into Ambrose's knee joint. The stem cells and other growth factorsin the fluid would allow for the regeneration of the cartilage at the joint.

I became interested so I decided to go ahead with it, Ambrose said.

He brought in scans to show Nolan, who said, contrary to what orthopedic doctors had told him, he didnt have true bone on bone. There was still a small space between the bones.

I decided to have one leg done and my knee started getting much better, he said.

Satisfied with the results of the first injection, Ambrose decided to get his left knee done in April.

I still experience some pain in [the left knee], but I get up in the morning and theres very little pain at all, he said in an interview a few weeks following the appointment.

The stem cell option

In the U.S., there are three ways that stem cells are used, Nolan said. Theyre either taken from bone marrow, fat cells, or the amniotic membrane of a healthy c-section from a consenting woman.

When stem cellsare injected into the body,they're expected to increase space at the joint, rebuild cartilage, and ultimately, provide more stability in the joint. As many as 570 businesses across the country advertise some kind of stem cell therapy, according to a 2016 paper.

Stem cell therapy is not necessarily a new discovery, but it is relatively recent in the world of regenerative medicine.Stem cells were first used as much as century ago, first for eye procedures and as filler for the spinal cord, according to Regenexx, which claims to have pioneered orthopedic stem cell treatments in 2005.

Adult stem cells are retrieved directly from the patient, either frombone marrow or fat cells,and concentrated beforeits reinjectedinto the patient's site of pain.

In the case of amniotic fluid therapy,amniotic fluid, which contains stem cells and other growth factors, is injected into the site. These cellshave been shown to "expand extensively" and show "high renewal capacity,"according to research published in the National Library of Medicine.

We know that as you age, your stem cell count decreases,Nolan said, explaining the benefit of using cells from the amniotic membrane. We know that when we get it from the amniotic membrane, theres a large amount of stem cells that are present. From the amniotic membrane, there are no antibodies or antigens, so its safe for anyone to get.

At Cherry Street Health Group, theproduct usedis produced by General Surgical and distributed by RegenOMedix, according to Nolan.The product, which is called ReGen Anu RHEO, is American Tissue Bank approved and FDA cleared.

RHEO is marketed as "a human tissue allograft derived from placental tissue; amniotic membrane and amniotic fluid."Its a"powerful combination" of amniotic fluid and mesencymal stem cells, which are known to differentiate into a variety of cell types, according to RegenOMedix.It also contains growth factor proteins andis "rich" in other necessary components for tissue regeneration.

The product is non-steroidal and comes with no side effects, and the company says no adverse events have been recorded using the product.

Nolan said stem cell therapy has been offered as a treatmentat Cherry Street since 2016.

Across the U.S., there are as many as 56 businesses marketing some form of amniotic stem cellsto its consumers, according to the same paper.

At Rush University Medical Center in Chicago, for example, orthopedic surgeon Adam Yanke enrolled one of his patients into an experimental amniotic cell therapy treatment program. The woman, a 65-year-old suffering from osteoarthritis in both knees, told reporters the injections were "by far the most effective pain treatment" she had tried, and so farthat relief has lasted up to a year.

But while the use of amniotic fluid therapyas a regenerative medicine is becoming increasingly popular throughout the U.S.,the use of amniotic stemcellsdoesn't comewithout concern from some within the community.

Dr. Chris Centeno, who specializes in regenerative medicine andthe clinical use of adult stem cells, has blogged numerous times for Regenexx on the "scam" of using amniotic stem cells most recently in sharply worded post on May 22.

"Regrettably, we have an epidemic on our hands that began when sales reps began telling medical providers thattheir dead amniotic and cord tissues had loads of live cells on it," he wrote.

Nolan said he was familiar with Centeno's posts.

"A lot of the stem cell stuff is new," he said. "Some of the products out there ... They were doing testing on them and not finding cells."

Cherry Street Health Group has treatedabout 50patients with this form of regenerative medicine and had significant success, according to Nolan. Although Nolan owns the health group on Cherry Street in Danvers, the stem cell treatments are provided under the medical practice of Dr. Pat Scanlan.

Weve had really, really amazing success, Nolan said. Weve had over 95 percent success of all the patients weve had in the office. Its been a game changer from a practice standpoint.

The "worst thing" that could happen is there might not be any regeneration, he explained.

"You might get pain relief, but no regeneration," Nolan said. "But from what weve seen, there have been no negative side effects."

At Cherry Street, knees are the most commonly treated joints, followed by hips, shoulders and the lower back. The cervical spine is the least common.

"I hesitated on the surgery, and I'm gladI did," Ambrose said. "Even if[the stem cells]don't do any more than what they've done, its been well worth it."

Patients who do present with true bone on bone, however, are not candidates for this form of therapy, Nolan said.

The cost comparison

At Cherry Street Health Group, the cost of the injection comes toroughly $4,000 per knee, a cost that isn't covered by insurance. By comparison, health-care providers often charge insurers more than $18,000 for knee replacement surgeries in the Boston area, according to a report by the Blue Cross and Blue Shield Association.

The report, however, doesn't account for what the patient actually pays.

Nolan said when other factors of post-op are considered time off of work, rehabilitation time and cost the out-of-pocketcost for surgery compared to stem cell treatment is comparable.

"When you really boil it down, it can be the same or, in a lot of cases, a savings," he said.

Ambrose said it "boggles his mind" that more people don't choose this treatment over surgery.

"Why would you spend $40,000 on a car and not want to spend $4,000 on a knee?," he said."Its crazy. Yes, its out of pocket. So what? We buy a lot of stuff we dont need, and then for something like this, something that people, if they do it, theyll be glad they did it. Its just hard to convince them to do it."

In arecent report in STAT news, a health news start up of the Boston Globe, a study of orthopedic procedures in the U.S. suggested an estimated one-third of knee replacement surgeries are inappropriate. More than 640,000 of these surgeries are performed each year, making for a $10 billion dollar industry in knee surgery.

The study said that evidence isn't limited to just knee surgeries.

"There's a lot that needs to change when we look at health care in general,"Nolan said. "It's really no surprise that something like doing this regenerative medicine is going to take time for it to really take off."

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ANI | New Delhi [India] July 4, 2017 Last Updated at 20:22 IST

Regenexx, the world's most advanced stem cell procedures for treating orthopedic conditions and sports injuries has entered in Mumbai. This is their second branch in Asia. It would offer two stem cell procedures using imaging and interventional orthopedic techniques to non-surgically repair and regenerate.

The first one is a same-day procedure where stem cells are harvested, isolated and re-implanted on the same day. The second one is blood-derived plasma-rich platelet procedure. They would help athletes and non-athletes overcome early, mild, moderate ortho problems in a way that is devoid of surgery.

Regenexx is the most advanced stem cell and platelet procedures for treating orthopedic injuries, arthritis and other degenerative conditions. These procedures offer non-surgical alternatives to commonly occurring musculoskeletal conditions. Patented Regenexx procedures use precise injections of your own stem cells or blood platelets to help your body's ability to heal damaged muscles, tendons, ligaments, cartilage, spinal disc and bone.

Regenexx Stem Cell Therapy and Platelet Procedures, avoid the need for invasive surgery, in turn eliminating any complications that are typically seen with surgeries.

"The only option till now was total knee replacement. Now with this technology we can heal and regenerate the lost tissues like cartilage, meniscus and ligaments to reverse the arthritis and in turn avoid any major surgery. Patients return to their loved activities in no time. We could also treat conditions like lower back pain, hip arthritis, bulging discs, ankle and shoulder rotator cuff tears with stem cells orthopedics procedure. Majority of these are lifestyle related conditions," said Dr. Venkatesh Movva, MD, Regenexx India.

Regenexx procedures are image-guided needle-based procedures, so the downtime for recovery is minimal or none. These are truly ambulatory procedures without the need for hospitalisation. The procedure process involves harvesting bone marrow stem cells, using our sophisticated lab process to separate cells and precise image guided injections into the target joints in an outpatient setting.

"Regenexx procedures are out-patient procedues and that patients can walk out of the treatment the same day. Physiotherapy team at Regenexx will help patients make the necessary changes to their physical movements so that the procedures are effective," said Dr. Apurv Mahalle, MGIMS.

There is no alternative for arthritis patients but to wait until the joint is bad enough for a replacement and then go through a surgery. Regenexx procedures are going to help these patients get back to the normal routine without the necessity of a replacement surgery.

(This story has not been edited by Business Standard staff and is auto-generated from a syndicated feed.)

Regenexx, the world's most advanced stem cell procedures for treating orthopedic conditions and sports injuries has entered in Mumbai. This is their second branch in Asia. It would offer two stem cell procedures using imaging and interventional orthopedic techniques to non-surgically repair and regenerate.

The first one is a same-day procedure where stem cells are harvested, isolated and re-implanted on the same day. The second one is blood-derived plasma-rich platelet procedure. They would help athletes and non-athletes overcome early, mild, moderate ortho problems in a way that is devoid of surgery.

Regenexx is the most advanced stem cell and platelet procedures for treating orthopedic injuries, arthritis and other degenerative conditions. These procedures offer non-surgical alternatives to commonly occurring musculoskeletal conditions. Patented Regenexx procedures use precise injections of your own stem cells or blood platelets to help your body's ability to heal damaged muscles, tendons, ligaments, cartilage, spinal disc and bone.

Regenexx Stem Cell Therapy and Platelet Procedures, avoid the need for invasive surgery, in turn eliminating any complications that are typically seen with surgeries.

"The only option till now was total knee replacement. Now with this technology we can heal and regenerate the lost tissues like cartilage, meniscus and ligaments to reverse the arthritis and in turn avoid any major surgery. Patients return to their loved activities in no time. We could also treat conditions like lower back pain, hip arthritis, bulging discs, ankle and shoulder rotator cuff tears with stem cells orthopedics procedure. Majority of these are lifestyle related conditions," said Dr. Venkatesh Movva, MD, Regenexx India.

Regenexx procedures are image-guided needle-based procedures, so the downtime for recovery is minimal or none. These are truly ambulatory procedures without the need for hospitalisation. The procedure process involves harvesting bone marrow stem cells, using our sophisticated lab process to separate cells and precise image guided injections into the target joints in an outpatient setting.

"Regenexx procedures are out-patient procedues and that patients can walk out of the treatment the same day. Physiotherapy team at Regenexx will help patients make the necessary changes to their physical movements so that the procedures are effective," said Dr. Apurv Mahalle, MGIMS.

There is no alternative for arthritis patients but to wait until the joint is bad enough for a replacement and then go through a surgery. Regenexx procedures are going to help these patients get back to the normal routine without the necessity of a replacement surgery.

(This story has not been edited by Business Standard staff and is auto-generated from a syndicated feed.)

ANI

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By Lieutenant D. Bittner #3252, Antioch Police Investigations Division

On Monday, July 3, 2017 at approximately 8:26 PM, a robbery and homicide occurred at the corner of Hillcrest Avenue and E. 18th Street. An officer involved shooting by an Antioch Police Department patrol officer occurred at the scene of the robbery and homicide. The homicide was not a result of the officer involved shooting. The Antioch Police Department and the Contra Costa County Office of the District Attorney are currently investigating the incident. The investigation is in its early stages and no further information will be released, at this time.

Anyone with information is asked to call the Antioch Police Department non-emergency line at (925) 778-2441. You may also text-a-tip to 274637 (CRIMES) using the key word ANTIOCH.

Publisher @ July 4, 2017

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A copy of the Declaration of Independence.

Following is the text of the Declaration of Independence in celebration of Independence Day, July 4th, 2017:

IN CONGRESS, July 4, 1776.

The unanimous Declaration of the thirteen united States of America,

When in the Course of human events, it becomes necessary for one people to dissolve the political bands which have connected them with another, and to assume among the powers of the earth, the separate and equal station to which the Laws of Nature and of Natures God entitle them, a decent respect to the opinions of mankind requires that they should declare the causes which impel them to the separation.

We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed, That whenever any Form of Government becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute new Government, laying its foundation on such principles and organizing its powers in such form, as to them shall seem most likely to effect their Safety and Happiness. Prudence, indeed, will dictate that Governments long established should not be changed for light and transient causes; and accordingly all experience hath shewn, that mankind are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they are accustomed. But when a long train of abuses and usurpations, pursuing invariably the same Object evinces a design to reduce them under absolute Despotism, it is their right, it is their duty, to throw off such Government, and to provide new Guards for their future security.Such has been the patient sufferance of these Colonies; and such is now the necessity which constrains them to alter their former Systems of Government. The history of the present King of Great Britain is a history of repeated injuries and usurpations, all having in direct object the establishment of an absolute Tyranny over these States. To prove this, let Facts be submitted to a candid world.

He has refused his Assent to Laws, the most wholesome and necessary for the public good.

He has forbidden his Governors to pass Laws of immediate and pressing importance, unless suspended in their operation till his Assent should be obtained; and when so suspended, he has utterly neglected to attend to them.

He has refused to pass other Laws for the accommodation of large districts of people, unless those people would relinquish the right of Representation in the Legislature, a right inestimable to them and formidable to tyrants only.

He has called together legislative bodies at places unusual, uncomfortable, and distant from the depository of their public Records, for the sole purpose of fatiguing them into compliance with his measures.

He has dissolved Representative Houses repeatedly, for opposing with manly firmness his invasions on the rights of the people.

He has refused for a long time, after such dissolutions, to cause others to be elected; whereby the Legislative powers, incapable of Annihilation, have returned to the People at large for their exercise; the State remaining in the mean time exposed to all the dangers of invasion from without, and convulsions within.

He has endeavoured to prevent the population of these States; for that purpose obstructing the Laws for Naturalization of Foreigners; refusing to pass others to encourage their migrations hither, and raising the conditions of new Appropriations of Lands.

He has obstructed the Administration of Justice, by refusing his Assent to Laws for establishing Judiciary powers.

He has made Judges dependent on his Will alone, for the tenure of their offices, and the amount and payment of their salaries.

He has erected a multitude of New Offices, and sent hither swarms of Officers to harrass our people, and eat out their substance.

He has kept among us, in times of peace, Standing Armies without the Consent of our legislatures.

He has affected to render the Military independent of and superior to the Civil power.

He has combined with others to subject us to a jurisdiction foreign to our constitution, and unacknowledged by our laws; giving his Assent to their Acts of pretended Legislation:

For Quartering large bodies of armed troops among us:

For protecting them, by a mock Trial, from punishment for any Murders which they should commit on the Inhabitants of these States:

For cutting off our Trade with all parts of the world:

For imposing Taxes on us without our Consent:

For depriving us in many cases, of the benefits of Trial by Jury:

For transporting us beyond Seas to be tried for pretended offences

For abolishing the free System of English Laws in a neighbouring Province, establishing therein an Arbitrary government, and enlarging its Boundaries so as to render it at once an example and fit instrument for introducing the same absolute rule into these Colonies:

For taking away our Charters, abolishing our most valuable Laws, and altering fundamentally the Forms of our Governments:

For suspending our own Legislatures, and declaring themselves invested with power to legislate for us in all cases whatsoever.

He has abdicated Government here, by declaring us out of his Protection and waging War against us.

He has plundered our seas, ravaged our Coasts, burnt our towns, and destroyed the lives of our people.

He is at this time transporting large Armies of foreign Mercenaries to compleat the works of death, desolation and tyranny, already begun with circumstances of Cruelty & perfidy scarcely paralleled in the most barbarous ages, and totally unworthy the Head of a civilized nation. He has constrained our fellow Citizens taken Captive on the high Seas to bear Arms against their Country, to become the executioners of their friends and Brethren, or to fall themselves by their Hands. He has excited domestic insurrections amongst us, and has endeavoured to bring on the inhabitants of our frontiers, the merciless Indian Savages, whose known rule of warfare, is an undistinguished destruction of all ages, sexes and conditions.

In every stage of these Oppressions We have Petitioned for Redress in the most humble terms: Our repeated Petitions have been answered only by repeated injury. A Prince whose character is thus marked by every act which may define a Tyrant, is unfit to be the ruler of a free people.

Nor have We been wanting in attentions to our Brittish brethren. We have warned them from time to time of attempts by their legislature to extend an unwarrantable jurisdiction over us. We have reminded them of the circumstances of our emigration and settlement here. We have appealed to their native justice and magnanimity, and we have conjured them by the ties of our common kindred to disavow these usurpations, which, would inevitably interrupt our connections and correspondence. They too have been deaf to the voice of justice and of consanguinity. We must, therefore, acquiesce in the necessity, which denounces our Separation, and hold them, as we hold the rest of mankind, Enemies in War, in Peace Friends.

We, therefore, the Representatives of the united States of America, in General Congress, Assembled, appealing to the Supreme Judge of the world for the rectitude of our intentions, do, in the Name, and by Authority of the good People of these Colonies, solemnly publish and declare, That these United Colonies are, and of Right ought to be Free and Independent States; that they are Absolved from all Allegiance to the British Crown, and that all political connection between them and the State of Great Britain, is and ought to be totally dissolved; and that as Free and Independent States, they have full Power to levy War, conclude Peace, contract Alliances, establish Commerce, and to do all other Acts and Things which Independent States may of right do. And for the support of this Declaration, with a firm reliance on the protection of divine Providence, we mutually pledge to each other our Lives, our Fortunes and our sacred Honor.

The 56 signatures on the Declaration appear in the positions indicated:

Column 1

Georgia:

Button Gwinnett

Lyman Hall

George Walton

Column 2

North Carolina:

William Hooper

Joseph Hewes

John Penn

South Carolina:

Edward Rutledge

Thomas Heyward, Jr.

Thomas Lynch, Jr.

Arthur Middleton

Column 3

Massachusetts:

John Hancock

Maryland:

Samuel Chase

William Paca

Thomas Stone

Charles Carroll of Carrollton

Virginia:

George Wythe

Richard Henry Lee

Thomas Jefferson

Benjamin Harrison

Thomas Nelson, Jr.

Francis Lightfoot Lee

Carter Braxton

Column 4

Pennsylvania: Robert Morris

Benjamin Rush

Benjamin Franklin

John Morton

George Clymer

James Smith

George Taylor

James Wilson

George Ross

Delaware: Caesar Rodney

George Read

Thomas McKean

Column 5

New York:

William Floyd

Philip Livingston

Francis Lewis

Lewis Morris

New Jersey:

Richard Stockton

John Witherspoon

Francis Hopkinson

John Hart

Abraham Clark

Column 6

New Hampshire:

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Two-year-old Nathan DeAndrea who underwent two stem cell transplants to treat neuroblastoma is free of cancer, according to his mother.

Testing last week that included a CT scan and a full-body scan showed no evidence of cancer, Shannon DeAndrea said during an interview at her home Monday morning.

No more cancer! said Nathans sister, 4-year-old Kailynn.

However, the DeAndreas are awaiting the results of a bone marrow biopsy performed on Nathan last week, Shannon said. Everyone is optimistic.

The doctor said he has never seen a bone marrow biopsy come back positive when everything else is clear, she said.

Results are expected this week, Shannon said.

Nathan was diagnosed with stage 4 neuroblastoma on Aug. 23, 2016. He had a tumor in his abdomen that spread to his bone marrow. He had spots on his skull, ribs and spine. He has had several rounds of chemotherapy, radiation and two stem cell transplants.

Neuroblastomas are cancers that begin in early nerve cells of the sympathetic nervous system, according to the American Cancer Society.

The scans results brought relief to Shannon and her family.

Its like I could breathe, she said.

As Kailynn put it, We said, hooray!

The next phase of treatment will include strengthening Nathans immune system. He will be in the hospital one week a month for six months, Shannon said.

Its to keep it [the cancer] from coming back, she said.

His immune system is still compromised. The genetic makeup of Nathans tumor put him at a higher risk of relapse, Shannon said.

Nathans first transplant included four or five days of chemo. The new stem cells following the chemo that killed off his old stem cells from the transplant were like a rescue, she said.

Its wiping you out and then giving you your cells back to restart your immune system, DeAndrea said.

A second round of heavy chemo was to try to kill what was left of the cancer and replenish cells, she said.

Nathans stem cell transplants were from his own cells, Shannon said.

Two types of stem cell transplants include autologous, which uses stem cells from the patients own body, and allogeneic using stem cells from another person.

The procedure is used for conditions including multiple myeloma, lymphoma, sickle cell anemia and leukemia, and other blood and immune disorders.

Stem cell transplants began in the late 50s/early 60s with the first successful procedure done in an identical twin. However, stem cell transplants were limited until medicines that prevent rejections became available.

The number of procedures increased in the 1980s.

Betsie Letterle, community engagement representative with BeTheMatch in Burlington, North Carolina, said there are more than 14 million bone marrow/stem cell donors in the BeTheMatch registry.

Bone marrow transplants traditionally involved taking the marrow from the back of the donors hip. But since then, weve progressed tremendously, Letterle said.

The newest way is to take stem cells from a vein in the donors arm, Letterle said. The donor receives an injection of medication to help their body manufacture a large amount of stem cells, she said.

Those are taken from the vein, similar to a plasma donation. Letterle said.

Anyone aged 18-44 can join the registry, but commitment is paramount among donors, she said.

Commitment is important because patients depend on us, Letterle said. We dont want anyone whos not really sure they could donate if called.

Only about one in 540 registered donors end up donating, she said. Everyone is an active donor until they turn 61, Letterle said.

Younger donors are healthier and make the most stem cells, she said.

We want to give the patient the optimum opportunity to get the best stem cells they can, she said.

If a donor comes up as a match, they will be asked for about 20-30 hours of their time over several weeks, Letterle said.

We work around the donors schedule, she said.

They get blood work done, and a physical to make sure theyre healthy enough to donate, Letterle said.

The donor never pays for anything, she said.

The doctor determines whether the procedure would be a stem cell or a traditional bone marrow transplant. That depends on the patients or recipients age and condition, Letterle said.

About 80 percent of registered donors are Caucasian, and BeTheMatch is looking for more minority donors, Letterle said. Many minority patients have trouble finding a match, she said.

The recipients blood type becomes whatever blood type the donor has, Letterle said.

Dr. William Clark with the Massey Cancer Center at Virginia Commonwealth University will speak about bone marrow and stem cell transplants from 11:30 a.m. to 1 p.m. July 11 at Ballou Recreation Center. A bone marrow/stem cell donor drive will also be held that day.

For more information on stem cell/bone marrow transplants, call Betsie Letterle at BeTheMatch at (877) 601-1926, ext. 7721.

JohnCrane reports for the Danville Register & Bee. Contact him atjcrane@registerbee.comor(434) 791-7987.

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Emerald baseball coach Stanley Moss called current College of Charleston infielder Bradley Dixon one of the better players and kids he's ever coached.

The former Emerald standout was a slick-fielding shortstop, according to Moss, who was a cornerstone to the Emerald program.

"He was one of my favorites of all time," Moss said. "He always did what he was asked to do and went above and beyond to try to represent our program."

Dixon shared the field with current Clemson commit Sheldon Reed, who was a year under him at Emerald. Having the two of them play together was a joy and pleasure to be a part of, Moss said.

"(Dixon) and Sheldon hit in the middle of our lineup the whole time," Moss said. "They were big producers for us offensively."

Dixon's dominant play at Emerald earned him an opportunity to play Division I baseball with the Cougars. Dixon's senior season at Emerald, College of Charleston made it to a Super Regional which was just the second appearance in the program's history.

"It's what you grow up dreaming to do, playing Division I baseball," Dixon said. "Whenever you get an opportunity to do it, you take it and make the best of it."

But dreams have sometimes been met with struggles for Dixon. His freshman year in 2015 a week before opening weekend he sprained his MCL, ACL and suffered a bone contusion, forcing him to redshirt.

The following season, though, Dixon's redshirt freshman campaign, everyone got a glimpse of what he could do on the ball field when he's healthy.

Dixon started 45 games and was fourth on the team in batting average hitting .273 with a homer. They weren't the most eye-popping stats, but they proved what he was worth when on the field.

His 2017 season, however, was met with more injuries. Dixon recently had to get stem cells taken from the bone marrow in his hip and injected into the sesamoid bones in both his feet.

All the cartilage had worn down, which meant Dixon didn't have any protection around his bones. He played through the injury the entire season, hitting just .251.

Moss believes he'll be a force again once healthy.

"Bradley's work ethic has always been where you would like to be," he said. "He's that kid in the offseason. Obviously if he can get himself completely healthy he's the kind of kid that can definitely go out and have a big year for College of Charleston."

The recovery time for his injury is 12 weeks, Dixon said, which means he'll be ready for the fall.

The team put together an underwhelming year last season, going just 13-11 in the Colonial Athletic Association, 28-31 overall and losing to Northeastern in the conference tournament.

On top of that, College of Charleston's coach, Matt Heath, was fired on Friday.

Despite the setbacks, Dixon is looking help right the ship.

"I really want to increase some of the numbers I had last year," Dixon said. "And just do better for my teammates, know my role and do whatever I can to help us win."

Contact staff writer Julian McWilliams at 864-223-1814 or on Twitter @JulianMack105

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Zhongju Shi,1,2 Hongyun Huang,3 Shiqing Feng1,2

1Department of Orthopaedics, Tianjin Medical University General Hospital, 2Institute of Neurology, Key Laboratory of Post-Neuroinjury Neuro-Repair and Regeneration in Central Nervous System, Ministry of Education, Tianjin City, Tianjin, 3Institute of Neurorestoratology, General Hospital of Armed Police Forces, Beijing, Peoples Republic of China

Abstract: Spinal cord injury (SCI) is a devastating condition and major burden on society and individuals. Currently, neurorestorative strategies, including stem cell therapy products or mature/functionally differentiated cell-derived cell therapy products, can restore patients with chronic complete SCI to some degree of neurological functions. The stem cells for neurorestoration include neural stem cells, mesenchymal stem cells, embryonic stem cells, induced pluripotent stem cells, etc. A better understanding of the merits, demerits and precise function of different stem cells in the treatment of SCI may aid in the development of neurorestorative strategies. However, the efficacy, safety and ethical concerns of stem cell-based therapy continue to be challenged. Nonetheless, stem cell-based therapies hold promise of widespread applications, particularly in areas of SCI, and have the potential to be novel therapeutics, which contributes to the repair of SCI. This review mainly focused on recent advances regarding the stem cell-based therapies in the treatment of SCI and discussed future perspectives in this field.

Keywords: spinal cord injury, neural stem cells, bone marrow-derived mesenchymal stem cells, adipose-derived stem cells, embryonic stem cells, induced pluripotent stem cells

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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Stem cell-based therapies to treat spinal cord injury: a review - Dove Medical Press

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The arthritis in Maureen Munsies ankles was so intense until barely a year ago, she literally had to crawl on hands and knees to get upstairs.

The pain, she recalls now, took my breath away, and played havoc with the avid hikers favourite pastime.

In desperation, Munsie turned to a Toronto-area clinic that provides a treatment many experts consider still experimental, unproven and of questionable safety.

The 63-year-old says the stem cells she received at Regenervate Medical Injection Therapy 18 months ago were transformational, all but eliminating the debilitating soreness and even allowing her to hike Argentinas Patagonia mountains two months ago.

For me its been a life saver, Munsie says. Ive been able to do it all again I dont have any of that pain, at all.

Canadians drawn to the healing promise of stem cells have for years travelled outside the country to such places as Mexico, China or Arizona, taking part in a dubious form of medical tourism.

But Regenervate is one of a handful of clinics in Canada that have begun offering injections of stem cells, satisfying growing demand but raising questions about whether a medical idea with huge potential is ready for routine patient care.

Especially when those patients can pay thousands of dollars for the service.

Clinics in Ontario and Alberta are treating arthritis, joint injuries, disc problems and even skin conditions with stem cells typically taken from patients fat tissue or bone marrow.

The underlying idea is compelling: stem cells can differentiate or transform into many other types of cell, a unique quality that evidence suggests allows them to grow or regenerate tissue damaged by disease or injury.

Researchers including hundreds in Canada alone are examining stem-cell treatments for everything from ailing hearts to severed spinal cords.

With few exceptions, however, the concept is still being studied in the lab or in human trials; virtually none of the treatments have been definitively proven effective by science or approved by regulators like Health Canada.

The fact that Canadian clinics are now offering stem-cell treatments commercially is concerning on a number of levels, not least because of safety issues, says Ubaka Ogbogu, a health law professor at the University of Alberta.

Three U.S. women were blinded after receiving stem-cell injections in their eyes, while other American patients have developed bony masses or tumours at injection sites, Ogbogu said.

Stem cells have to be controlled to act exactly the way you want them to act, and thats why the research takes time, he said. It is simply wrong for these clinics to take a proof of concept and run with it.

Ogbogu says Health Canada must crack down on the burgeoning industry but says the regulator has so far been conspicuous by its inaction.

Other experts say the procedures provided here typically for joint pain are likely relatively safe, but still warn that care must be taken that the stem cells do not develop into the wrong type of tissue, or at the wrong place.

Alberta Health Services convened a workshop on the issue late last year, concluding there is an urgent need to develop a certification system for cell preparation and delivery to avoid spontaneous transformation of (stem cells) into unwanted tissue.

But one of the pioneers of the service in Canada says theres no empirical evidence that such growths can develop, and suggests the treatments only real risk as with an invasive procedure is infection.

Meanwhile, patients at Regenervate have enjoyed impressive outcomes after paying fees from $750 to $3,900, says Dr. Douglas Stoddard, the clinics medical director.

About 80 per cent report less pain, stiffness and weakness within a few months of getting their stem-cell injection, he said.

I believe medical progress is not just limited to the laboratory and randomized double-blind trials, Stoddard said. A lot of progress starts in the clinic, dealing with patients You see something works, you see something has merit, and then its usually the scientists that seem to catch up later.

The Orthopedic Sport Institute in Collingwood, Ont., the Central Alberta Pain and Rehabilitation Institute and Cleveland Clinic in Toronto all advertise similar stem-cell treatments for orthopedic problems.

Edmontons Regen Clinic says it plans to start doing so this fall.

Ottawas Innovo says it also treats a range of back conditions with injections between the vertebrae, and uses stem cells to alleviate nerve damage.

Orthopedic Sport says its doctor focuses on FDA and Health Canada approved stem-cell injection therapy for patient care.

In fact, no treatment of the sort the clinics here provide has ever been authorized.

Health Canada says the vast majority of stem-cell therapies would constitute a drug and therefore need to be authorized after a clinical trial or new drug submission.

A number of stem-cell trials are underway, but only one treatment Prochymal has been approved, said department spokesman Eric Morrissette. Designed to combat graft-versus-host disease where bone marrow transplants for treating cancer essentially attack the patients body its unlike any of the services the stem-cell providers here offer.

But as the U.S. Food and Drug Administration aggressively pursues the hundreds of clinics in America, Health Canada says only that its committed to addressing complaints it receives.

It will take action based on the risk posed to the general public, said Morrissette, who encouraged people to pass on to the department information about possible non-compliant products.

Stoddard said the injections his clinics provide are made up of minimally manipulated tissue from patients own bodies and any attempt to crack down would be regulation for the sake of regulation.

But academic experts remain skeptical about the effectiveness of the treatments.

Scientific evidence suggests the injections may help alleviate joint pain temporarily, but probably just because of anti-inflammatory secretions from the cells not regeneration, said Dr. David Hart, an orthopedic surgery professor at the University of Calgary who headed the Alberta workshop.

Theres a need for understanding whats going on here and theres a need for regulation, he said.

Most of the clinics say they use a centrifuge to concentrate the stem cells after removing them from patients fat tissue or bone marrow. But its unclear if the clinics even know how many cells they are eventually injecting into patients, says Jeff Biernaskie, a stem-cell scientist at the University of Calgary.

Munsie, on the other hand, has no doubts about the value of her own treatment, even with a $3,000 price tag.

The procedure from extraction of fat tissue in her behind to the injection of cells into her ankles took barely over an hour.

Within three months, the retired massage therapist from north of Toronto says she could walk her dogs again. Last week, she was hiking near Banff.

Im a real believer in it, and the possibility of stem cells, says Munsie. I just think Wow, if we can heal with our own body, its pretty amazing.

tblackwell@nationalpost.com

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Canadian clinics begin offering stem-cell treatments experts call unproven, possibly unsafe - National Post

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BAREILLY: Dog owners from across the country, including Delhi and Gujarat, are turning up with their paralytic pets at the Indian Veterinary Research Institute (IVRI) here for stem cell therapy. Scientists treat a paralyzed dog by transplanting stem cells from healthy dogs. IVRI is the second institute in the country to offer this treatment, after Madras Veterinary College, Chennai.

According to scientists, no research has been conducted to determine the number of dogs who suffer from paralysis every year in India. However, the institute receives at least four cases every week of spinal trauma which causes paralysis in dogs. IVRI recorded 143 cases of posterior paralysis in 2016. These were treated with stem cell therapy and medicines.

"If dogs are treated only with medicines, recovery is witnessed only in a few cases," said Amarpal (who goes by his first name), head and principal scientist, division of surgery, IVRI. On an average, 17% recovery rate was noted among dogs administered only medicines.

However, the best response was recorded among severely affected dogs when they were treated using stem cells, where almost all the patients responded to treatment to variable extent, said the scientist. "Though we have cases where recovery was 100%, the average recovery rate is about 50%. The experiment proved the efficacy of stem cell therapy in cases of paralysis due to spinal trauma," said Amarpal. After seven years of research, stem cell therapy was started at IVRI five years ago for clinical purposes on a nominal registration fee of Rs 30.

Due to its success, pet owners from various parts of the country have started visiting the institute.

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Dog owners flock IVRI for pets' cure | Bareilly News - Times of India - Times of India

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NASA says astronaut Jack Fischer shot this photo of the SpaceX Dragon capsule reentering Earths atmosphere before splashing down in the Pacific Ocean west of Baja California on at 5:12 a.m. Pacific time Monday July 3, 2017.

Heres more from NASAs statement:

Fischer commented, Beautiful expanse of stars-but the long orange one is SpaceX-11 reentering! Congrats team for a successful splashdown & great mission!

A variety of technological and biological studies conducted on the International Space Station are returning in Dragon. The Fruit Fly Lab-02 experiment seeks to better understand the effects of prolonged exposure to microgravity on the heart. Samples from the Systemic Therapy of NELL-1 for osteoporosis will return as part of an investigation using rodents as models to test a new drug that can both rebuild bone and block further bone loss, improving crew health. The Cardiac Stem Cells experiment investigated how microgravity affects stem cells and the factors that govern stem cell activity.

The Dragon spacecraft launched June 3 on a SpaceX Falcon 9 rocket from historic Launch Complex 39A at NASAs Kennedy Space Center in Florida, and arrived at the station June 5.

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See SpaceX Dragon capsule reenter Earth's atmosphere in this amazing photo - LA Daily News

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Are you suffering from chronicjoint pain? If so, you may want to ask your doctor whetherstem cellinjections are right for you. If you want to avoid the surgical route of repairing a damaged knee or treating an arthritic shoulder, a stem cell injection may give you the relief you need.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Stem cells are specialtypes of cells with the ability to self-renew or multiply. They have the potential to replicate any cell in your body. In other words, they canbecome a cartilage cell, a muscle cell or a nerve cell, says orthopedic surgeonAnthony Miniaci, MD.

They have a tremendous capacity to differentiate and form different tissues, so thats the thought behind regenerating cartilage, regenerating nerve cells and healing any injured tissues, he says.

The source of stem cells isfound in your own bone marrow orfat or you can also receive stem cells from donor sources, particularlyamniotic sourcessuch as the placenta or the amniotic fluid and lining surrounding a fetus. These cells are not part of the embryo, Dr. Miniaci says.

The number of stem cells that you have and theirquality and activity diminish as you get older, he says. Amniotic stem cells, on the other hand, are from young tissue, so theoretically these are younger, more active cells.

Thetreatment team harvests stem cells from your bone marrow or fat or uses donor cells . Later on, your treatment team injects the cells preciselyinto your joint, ligament or tendon.

Theoretically, the cells will then divide and duplicate themselves and develop into different types of cells depending on the location into which they have been injected. For example, if you have damagedknee cartilage, stem cells placed near the damaged cartilage can develop into new cartilage tissue.

However, for patients with asevere loss of cartilageor no cartilage at all, a stem cell injection is unlikely to createa new joint, Dr. Miniaci says.

Severe loss of cartilage typically leads to bone erosion or bone deformity, so a stem cell injection is highly unlikely to work in terms of reversing those changes, he says.

It can, however, improve your symptoms of pain and swelling.

The earlier you can treat someones joint pain, the better chance this has of working, making it less painful for thepatient, less inflamed, and improve their function, he says.

The main risk from a stem cell injection is in harvesting the stem cells. When taking the cells from your bone marrow, the treatment team inserts a large needle into your pelvis and removes some blood and the cells.

Any time you make incisions or insert sharp instrument into somebodys pelvis, they can have problems such as acquiring an infection, Dr. Miniaci says.

If youre taking the stem cells from fat, you you can remove some out from under the skin, he says. Again, you have a risk for an infection because were making little nicks into the skin to get to the fat.

While the use of stem cell injections to treatjoint painholds much promise, Dr. Miniaci cautions that this treatment option is still very new. Researchers needto study its effectiveness further.

We dont have a lot of data or proof indicating that stem cell injections actually repair the joint, he says.

He explains that if you have cartilage orbone damage, stem cells candifferentiate and produce bone and cartilage and tissues. So, theoretically, they could heal damaged tissue within a muscle, tendon, bone or cartilage.

Thats the theory behind it, but this type of treatment and research is just in its infancy, he says.

We really dont know whats effective, whats not effective, how many cells are necessary, how many actual injections you need and how often, he says. Nobody knows how well it works yet. But we will eventually.

Anecdotally, Dr. Miniaci finds that some patients can have significant improvement in their symptoms with stem cellinjections. But he has not seen any proof yet that they are regrowing or regenerating a joint.

Many people think that theyre going to come in with their arthritic joint and leave with a newer version of their knee joint. That doesnt happen, he says.

What does occur is a biological reaction which makes the environment in their joints a little healthier, which probably makes it less inflamed, and as result, gives them less pain.

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Stem Cell Injections: Emerging Option for Joint Pain Relief - Health Essentials from Cleveland Clinic (blog)

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Cells destined to become nerve cells in developing mouse embryos use two different signals spreading from opposite sides of the spinal cord the back and belly side to measure their position accurately. Based on this map, they turn into the appropriate nerve cell type.

These are the findings from a new a study by researchers at the Francis Crick Institute, the Institute of Science and Technology and Ecole Polytechnique Fdrale de Lausanne. The results could give insight into regenerative medicine.

As embryos grow and develop they need the right cell types to end up in the right places inside forming organs. This is particularly important in the spinal cord where different nerve cell types must be accurately positioned so that circuits can assemble properly to control muscle movement.

But until now the mechanism underlying nerve cell organization in the spinal cord has remained poorly understood.

The team of biologists, physicists and engineers found that the amounts of the two signals originating from the back and belly sides of the body affect gene activity in developing nerve cells. Based on this gene activity in early development, the cells turn into the appropriate nerve cell type for that position in the spinal cord.

Weve made an important step in understanding how the diverse cell types in the spinal cord of a developing embryo are organised in a precise spatial pattern. The quantitative measurements and new experimental techniques we used, as well as the combined effort of biologists, physicists and engineers were key. This allowed us to gain new insight into the exquisite accuracy of embryonic development and revealed that cells have remarkable ability of to orchestrate precise tissue development,

says Anna Kicheva, Group Leader at IST Austria.

We have shed light on the long-standing question of how developing tissues produce the right cells in the right place in the right numbers. Its likely that similar strategies are used in other developing tissues and our findings might be relevant to these cases. In the long run this will help inform the use of stem cells in approaches such as tissue engineering and regenerative medicine. However, there is still much more to learn and we need to continue developing these interdisciplinary collaborations to further our biological understanding,

says James Briscoe, Group Leader at the Francis Crick Institute.

Image: normal developing spinal cord (left) showing precise patterns of gene activity (red, blue, green demarcating different types of cells). In a spinal cord in which one of the signals is disrupted (right) the accuracy of gene activity has been lost. Credit: Anna Kicheva

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Spinal Cord Nerve Cells Positional Decoding In Development - ReliaWire

Spinal Cord Stem Cells Comments Off on Spinal Cord Nerve Cells Positional Decoding In Development – ReliaWire | July 2nd, 2017

| Newsline

UCI-led study to advance understanding of the role of micoglia in Alzheimers disease

Using human skin cells, University of California, Irvine neurobiologists and their colleagues have created a method to generate one of the principle cell types of the brain called microglia, which play a key role in preserving the function of neural networks and responding to injury and disease. The finding marks an important step in the use of induced pluripotent stem (iPS) cells for targeted approaches to better understand and potentially treat neurological diseases such as Alzheimers. These iPS cells are derived from existing adult skin cells and show increasing utility as a promising approach for studying human disease and developing new therapies. Skin cells were donated from patients at the UCI Alzheimers Disease Research Center. The study, led by Edsel Abud, Wayne Poon and Mathew Blurton Jones of UCI, used a genetic process to reprogram these cells into a pluripotent state capable of developing into any type of cell or tissue of the body.

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Skin Stem Cells Used to Generate New Brain Cells - AANS ...

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Says most American procreation will begin by selecting from a range of embryos created with the parents DNA in a lab

This computer reconstruction of an embryo developing in the womb shows the foetus at eight weeks. PHOTO: File

It doesnt take long for seemingly outlandish ideas to become normalized. Today, Stanford University professor Hank Greelys assertion that Americans will stop having sex to procreate sounds absurd. But in a couple of decades, he predicts, that will be the accepted reality.

Greely, director of Stanford Law Schools Center for Law and the Biosciences, believes that were 20 to 30 years away from a time when most American procreation will begin by selecting from a range of embryos created with the parents DNA in a lab.

This already happens on a limited basis for disease prevention and occasionally sex selection, but he argues it will become far cheaper and widely available thanks to stem cell technology that will allow couples to make eggs and sperm out of stem cells from their skin.

Scientists create first artificial mouse embryo from stem cells

Prospective parents will start by screening those embryos for genetic diseases such as Huntingtons, but quickly expand to other traits, he predicts. Perhaps theyll weed out the BRAC1 gene for breast cancer, predispositions for Alzheimers, or theyll be able to select cosmetic features such as hair and eye color, and even more complex traits such as intelligence.

I dont think were going to be able to say this embryo will get a 1550 on its two-part SAT, Greely said this week at Aspen Ideas Festival. But, this embryo has a 60 per cent chance of being in the top half, this embryo has a 13 per centchance of being in the top 10 per cent I think thats really possible.

And, though he recognises that there are ethical issues, Greely views this scenario as far from dystopian. People say, How can we let this happen? I think we will, he said.

At times, he sounded flippant about the prospect. I think one of the hardest things about this will be all the divorces that come about when she wants embryo number 15 and he wants embryo number 64, he said. I think the decision making will be a real challenge for people. How do you weigh a slightly higher chance of diabetes with slightly lower risk of schizophrenia against better musical ability and a much lower risk of colon cancer? Good luck.

Indias RSS promises couples customised, fair super babies

Greely brushed aside the concern that what hes describing meddles too much with nature. This is not designer babies or super babies, he said. This is selecting embryos. You take two people, all you can get out of a baby is what those two people have.

There are already concerns that CRISPR, the tool that scientists use to edit DNA, will be put to use to create perfect embryos. But Greely dismisses this as unlikely. He argues that the embryo selection process will simply begin as an infertility treatment before expanding. People, particularly where I live in Silicon Valley, will want to do it to get their perfect egg, he added.

Greely acknowledges that ethical issues will likely arise around safety, coercion, fairness, and family structure, but does not see any of these as obstacles that will halt the development of this practice.

And what of a world where the elites have perfectly selected children while those less well off are left to deal with the diseases and imperfections that no longer affect the wealthy? Greely has the answer: The whole thing will be free. The parents wont be charged.

The key is the health care cost savings, he said, pointing out that, should it cost $10,000 to make a baby this way, then 100 babies would cost $1 million dollars. Meanwhile, the cost of caring for a truly sick baby is so great, Greely said the births of just 0.3 sick babies would need to be avoided to save $1 million.

Scientists achieve milestone in quest to produce blood cells

Greelys scenario could well prove overly optimistic in the US, and it certainly doesnt apply internationally. I think different cultures will pick it up at different rates. I think the US will be relatively accepting, Germany with its history is very anti any genetic interventions and I think theyre going to be slow, said Greely.

Should his vision come to pass, wealthy nations such as the US and China could begin this practice long before Somalia, for example. And so it seems almost inevitable that the world would become genetically divided between those who can breed out the flaws, and those who cannot.

Greely foresees a scenario where future generations will be much healthier, and possibly a little taller and smarter. From his telling, this unnerving prophesy sounds almost normal which is the most terrifying prospect of all.

This article originally appeared on Quartz.

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Stanford professor believes in the future we won't have sex to procreate - The Express Tribune

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Visakhapatnam: Lack of awareness on the importance of becoming a blood stem cell donor is hindering the treatment of people suffering from blood cancer and other fatal blood disorders like thalassemia and aplastic anaemia.

Since the only cure is a blood stem cell transplant, the need of the hour is to sensitise people of the city on the necessity of becoming a potential blood stem cell donor to save lives, experts say.

According to oncologists based in Vizag, the cases of blood cancer are increasing and the treatment options are very few. Moreover, patients with blood cancer are sent to Hyderabad and other centres for treatment as neither there are donors nor equipment for stem cell transplant in the port city.

For a successful transplant, patients suffering from fatal blood disorders need blood stem cells from a healthy and genetically matched donor. Unfortunately, the probability of finding a genetically matched donor is one in 10,000 to one in over a million.

Only about 25 per cent of the patients find a donor from within their family. Rest need to wait for a life-saving donor.

"The chances of finding a match for patients suffering from these fatal blood disorders could only widen if there are more number of donors registered," says Ravindranath Chava, co-ordinator of a Chennai-based blood stem cell donors registry- DATRI.

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Lack of stem cell donations plagues patients - Times of India

Bone Marrow Stem Cells Comments Off on Lack of stem cell donations plagues patients – Times of India | July 2nd, 2017

Bareilly: Dog owners from across the country, including Delhi and Gujarat, are turning up with their paralytic pets at the Indian Veterinary Research Institute (IVRI) here for stem cell therapy. Scientists treat a paralyzed dog by transplanting stem cells from healthy dogs. IVRI is the second institute in the country to offer this treatment, after Madras Veterinary College, Chennai.

According to scientists, no research has been conducted to determine the number of dogs who suffer from paralysis every year in India. However, the institute receives at least four cases every week of spinal trauma which causes paralysis in dogs. IVRI recorded 143 cases of posterior paralysis in 2016. These were treated with stem cell therapy and medicines.

If dogs are treated only with medicines, recovery is witnessed only in a few cases, said Amarpal (who goes by his first name), head and principal scientist, division of surgery, IVRI. On an average, 17% recovery rate was noted among dogs administered only medicines.

However, the best response was recorded among severely affected dogs when they were treated using stem cells, where almost all the patients responded to treatment to variable extent, said the scientist. Though we have cases where recovery was 100%, the average recovery rate is about 50%. The experiment proved the efficacy of stem cell therapy in cases of paralysis due to spinal trauma, said Amarpal.

The paralytic dog is first administered anesthesia before the stem cells are injected into its spinal cord. It takes only one session for a dog to undergo the therapy and it is discharged the same day.. After this, the owner has to bring his pet for check-ups for two or more times so that vets can monitor how the animal is responding to the treatment and if it is suffering from any reaction, said Amarpal.

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Stem cell therapy to treat paralytic dogs draws pet owners from across country to IVRI - Times of India

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For over 20 years autologous hematopoietic stem cell treatment (AHSCT) has been a therapy for autoimmune diseases such as multiple sclerosis, rheumatoid arthritis and lupus; however, the exact mechanism of action remains unclear. Recent clinical research has also been exploring the use of stem cell therapy for type 1 diabetes, another autoimmune disease which affects over 422 million individuals globally.

Type 1 diabetes, formerly known as juvenile or insulin-dependent diabetes, is a chronic condition where little or no insulin is produced by the pancreas. Immune cells attack pancreatic beta cells which produce insulin, leading to inflammation. Insulin is an essential hormone for energy production as it enables the breakdown of sugars to enter the cells and produce energy. The onset of type 1 diabetes occurs when significant inflammation damages beta cells and results in insufficient maintenance of glucose haemostasis (balance of insulin and glucagon to maintain blood glucose levels).

Therapies currently used in type 1 diabetes treatment include insulin administration, blood glucose monitoring and screening for common comorbidities and diabetes-related complications. However, these treatments fail to reduce the damage on a patients immune system. The use of autologous hematopoietic stem cells as a potential type 1 diabetes therapy is based upon the ability of the stem cells to reset the immune system. Autologous hematopoietic stems cells are retrieved from a patients own bone marrow or peripheral blood (blood which circulates the body and contains red blood cells, white blood cells and platelets) and after conditioning are injected intravenously.

A recent study by Ye and colleagues published in Stem Cell Research & Therapy (2017) investigated the effects AHSCT had on the immune response in recently diagnosed diabetes type 1 patients. The study included 18 patients (12-35 years old) with type 1 diabetes who had been diagnosed within less than 6 months. Of these 18 participants, 10 received a traditional insulin injection as treatment and eight received AHSCT. An additional 15 patients who matched in age, gender and BMI of these two groups were enrolled as a control group.

To test the effects of the treatment on immune response, patients peripheral blood cells were assessed. Samples were taken before they started treatment and then again 12 months after either the AHSCT or insulin-only therapies were administered.

Before treatment, peripheral blood cell distribution was almost equivalent in the two groups; however, after 12 months a significant difference was observed. The results of this clinical trial showed that patients receiving AHSCT exhibited significantly reduced development and function of Th1 and Th17 cells (types of T cells which cause inflammation in autoimmune diseases), compared to those only receiving the insulin treatment.

The inhibition of T-cell proliferation and function, along with decreased production of cytokines (pivotal chemical messengers which aid an immune response) observed in patients receiving AHSCT treatment suggests there is a strong link between the therapy and effects on the patients immune response. This may explain why AHSCT results in better therapeutic effects when compared with insulin-only traditional therapy.

The authors note that the small number of participants and length of the study are the two main limitations. Future clinical studies should include a larger number of patients and long-term follow up, especially since AHSCT can cause damage to the bone marrow and lead to potentially serious infections.

Progression of type 1 diabetes, as mentioned above, results in unavoidable immune damage from inflammation. This study suggests the combination of therapies including AHSCT treatment and high-dose immunosuppressive drugs may be a potential new therapeutic approach to type 1 diabetes. It is hypothesized that this combination has the ability reset the immune system and increase the recovery capacity of beta cells. Further clinical studies are essential though, to shed more light on the mechanism and use of stem cell therapy for type 1 diabetes.

Written By:Lacey Hizartzidis, PhD

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Stem Cell Therapy for Type 1 Diabetes - Medical News Bulletin

Bone Marrow Stem Cells Comments Off on Stem Cell Therapy for Type 1 Diabetes – Medical News Bulletin | July 2nd, 2017

The calls had been coming for a few years, and Bill Holowaty couldn't say yes. His baseball spirit was willing. His body wasn't.

Holowaty won four national championships and 1,404 games before he stepped down in 2013 after 45 years as coach at Eastern Connecticut. Becoming president of the Greater Hartford Twilight Baseball League seemed perfect for a septuagenarian with baseball in his DNA, baseball in his blood.

The problem was this: Holowaty's DNA isn't the same. His blood type isn't the same.

That's what happens with Myelodysplastic Syndrome. That's what happens when your body that had carried you through the third most victories in Division III history no longer could make enough healthy blood cells. In short, Holowaty had bone marrow failure and needed a stem cell transplant last June 23 that changed his DNA and blood type from O to A. Otherwise, he wasn't going to be around for long.

"I'm celebrating my first birthday," Holowaty said recently. "June 23, my new birthday."

Fortunately, Type A loves baseball, too.

So Holowaty said yes this past winter to becoming president of the GHTBL, the amateur wood-bat league now in its 88th year. Over the decades, it is a league that has produced a large number of major leaguers, including 2017 Hall of Fame inductee Jeff Bagwell. It also is a league that has had to fight softball, other baseball leagues and the evolution of modern sports interest to keep its place on the map.

The first thing Holowaty did was bring together the managers for a couple of meetings at his house.

"I was extremely impressed with their enthusiasm and their desire to make the league better," Holowaty said. "I needed that. They motivated me. Look, I'm not going to change the world and make it the best league in the United States, etc. I told them I'll try to help. I just love to watch baseball and see it played the right way."

Holowaty, who played basketball at UConn, played for Wally Widholm on the playoff champion Hamilton Standard team in the summer of 1966. His sons played in the GHTBL, too.

"Wally taught me how to win, how to play the game of baseball," Holowaty said. "Later on, my son came to me and he said, 'Dad, I played in wood-bat leagues and played all over the place. I had my best experience playing for Gene Johnson this past summer.' Winning was important, not showing off. I loved that."

There was no way Holowaty could do this by himself. He surrounded himself with a strong executive committee that includes vice presidents Bill DePascale, Ed Slegeski and former UConn coach Andy Baylock.

"I've known Billy forever, since the '60s," said Baylock, who played two summers in the GHTBL. "He has had a lot health problems, but this is something he can put his heart into. He called and asked me to be a vice president. I said, 'Billy, will this make you happy if I join?' He said yes. I told him, 'I'll be with you.' Gene Johnson, who was such a mainstay in the league, died [in November 2014] and I felt this would be a good way to give back to the league and Gene."

The two state baseball legends obviously add recognition to the league. Yet it had to be more than that.

There is nothing worse, Holowaty said, than playing on a lousy field. Trinity College has a beautiful new facility. The league secured it for the playoffs. The teams are going to play throughout July 9 at Dunkin' Donuts Park. Holowaty, convinced the job of running a team is too big for one guy, wants each team to have a general manager. There were a couple of new teams added this year. There were sponsorships found. Holowaty also wants each team to have a mentor or two. On opening day, Holowaty and Baylock talked to the players about playing the game smart, aggressively, hustling, showing up on time. Little things that can become big things, like coaches wearing protective helmets at first and third base.

They've gone to games at various sites.

"Not to be a cop," Baylock said, "but to try to make sure things look good."

"We're not out there second-guessing managers," Holowaty said. "But a lot of great players have played in the league over nearly 90 years. I don't want a beer league. Baseball is one of the hardest games to teach and play. We've got a good league and want to make it better, a nice, competitive league where the guys enjoy themselves and learn the right way to play."

Those words came over the phone from Omaha a couple of weekends ago. He was out there for the College World Series. Holowaty is on the board of the American Baseball Coaches Association, its past president. This was a big trip for Holowaty.

"I couldn't go on an airplane for a year, or go out to eat," he said. "I had to wear a mask and gloves on the plane. The doctor told me I could go but have to be careful. My daughter [Jennifer] came with me to give my wife [Jan] four days' vacation.

"My wife has been taking care of me. Thank God for her."

In 2015, he was inducted into the National College Baseball Hall of Fame. It was in August of that year that Holowaty, after undergoing knee surgery, was told his blood cell counts had been dropping. He consulted a hematologist. He would have a bone marrow test late in 2015. Holowaty would need a stem cell transplant or else to use his words "I wasn't going to be around long, maybe a year." With plans to spend the winter in Florida, he would go to the Mayo Clinic in Jacksonville. There he began his treatment before returning to Connecticut.

A match in Germany, a young man, was found for Holowaty. On June 17, 2016, he went to the Dana-Farber/Brigham and Women's Cancer Center in Boston. For nearly a week he underwent chemotherapy for six hours a day to kill his old blood cells. The stem cells were flown overnight from Germany and the next day, June 23, Holowaty was receiving a transplant.

There would be more chemo. The fight has been hard. His immune system had to start from scratch. He must be ultra-careful to avoid germs, mold, etc., thus the gloves and the mask.

Holowaty went through his problems like he was reading a lineup card. He had pneumonia. A blood vessel broke when he had a lung biopsy. He had some blood clots in his legs and lung that took months to be rid of. His heart went out of rhythm. He had an aneurysm in his stomach. The man always was a tough coach and now, physically, mentally, spiritually, he has been called on to be even tougher.

Jan drives Bill up to Boston once or twice a week.

"They take my blood and see where I am with red and white blood cells," Holowaty said. "You get new blood. The remaining old blood tries to fight off the new blood.

"You feel good. You want to feel good. You just can't feel good. You go to bed, get a night's sleep and wake up tired. I'll feel great and then last week I had a hard time walking across the room. It's exhausting. It's not painful. I'm fighting it. I could never do this alone."

He has found a source of inspiration in his former ECSU assistant coach Ron Jones.

"Ron has had the same thing," Holowaty said. "He started calling me up and telling me how to prepare myself, helping me get through this. Here's the thing he has called me every day since last June. We just talked today. He has had a tough time. Last October, he had pacemaker put in, and he's doing well now.

"Think about that. He calls me every single day."

That's what great baseball guys do. They take care of each other.

Holwaty paused for a second on the phone.

"The Twilight League," he said softly, "this is my way of giving back to the game I love."

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Jeff Jacobs: Hall Of Fame Coach Holowaty Fights Illness And Gives Back - Hartford Courant

Bone Marrow Stem Cells Comments Off on Jeff Jacobs: Hall Of Fame Coach Holowaty Fights Illness And Gives Back – Hartford Courant | July 2nd, 2017

Logan Van Dyk hopes stem cell operation in Central America will open doors for him ones that shut abruptly on Aug. 3, 2008.

It took seconds for the now 26-year-old Fort Langley residents life to change.

On that day nearly nine years ago, just after he graduated from R.E. Mountain Secondary, Van Dyk suffered a life-altering spinal cord injury in a mountain biking incident.

I was fooling around on a construction site with some friends and I accidentally fell off a dirt pile on my bike, recalled Van Dyk, who was born and raised in Langley. I fell 25 feet and landed on my face.

Van Dyk suffered a spinal cord injury that left him bound to a wheelchair, as a partial quadriplegic.

I got a C56 spinal cord injury, but its incomplete which means theres always a possibility for recovery, Van Dyk said.

Its that hope that has Van Dyk looking to travel to Panama for therapy.

He started doing some research on stem cells and found an institute in Panama City that offers treatments.

Van Dyk sent in an application and on March 8 received an email saying he will make an excellent candidate for stem cell therapy.

Of course there is no guarantee that I will gain anything back but at this point Im willing to try anything to improve the quality of my life, said Van Dyk, who hopes to get into broadcasting.

He has created a GoFundMe page to raise what he believes is the $45,000 necessary to pay for flights, treatments, accommodations, and a personal nurse in Panama City. Visit http://www.gofundme.com/anw8ce-stem-cell-research.

The therapy itself will cost roughly $37,400 US. As well, there are no nurses at the institute who would assist Van Dyk directly.

I receive care twice a day in order to get in and out of my wheelchair and in and out of bed, Van Dyke explained. So I need to get a bit of extra money so I can hire a nurse to come down with me. Im not sure how much that is going to cost.

A friend who works as a nurse guided Van Dyk towards the possibility of travelling to Panama.

She couldnt believe there was nothing that could be done given the circumstances of my injury, Van Dyke said, because Ive got feeling all the way down to my toes. She looked into it and she found this down in Panama City. We looked at it and found some testimonials from some people who have gone down. They say they have about a 75 per cent success rate.

Van Dyk said he always does his best to remain positive and happy in everything he does.

Even the most basic of things take all my effort to achieve, Van Dyk said on his GoFundMe page. There just had to be something out there that could make things easier.

However, time is running out.

Unfortunately, the cutoff is 10 years, Van Dyk said. They wont do this treatment on anybody whose injury is over 10 years old. Im at my deadline.

Positive attitude

After the accident, Van Dyk was told by doctors that it was very unlikely he would ever walk again and would need to be in a power wheelchair for the rest of his life.

Van Dyk said much to their surprise, he wasnt able to accept that and he worked as hard as possible to overcome the barriers the medical world presented him with, and within a few months started using a manual wheelchair every day.

Mobility however, did not return and life has been a constant struggle ever since.

Keeping Van Dyk moving forward has been a positive attitude, and he quickly adapted to his new life in a wheelchair. It was pretty easy to get over it. I never had trouble finding the positives in life. I kind of adapted. A lot of people would say that I am the most positive person that theyve ever met. I get compliments a lot on how well I actually dealt with the injury. It was difficult but it was easy at the same time.

Van Dyk is now turning to the public to help him regain some freedom.

I miss the active lifestyle I led prior to injury, and am getting really tired of sitting all day long with a limited amount of things I can do to entertain myself, Van Dyk said. Im as independent as a I can be and I still rely on a lot of help. If I can get anything back, even just a bit more upper body Im just looking for anything at this point.

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Wheelchair-bound Langley man raising funds for stem cell therapy in Central America - Surrey Now-Leader

Spinal Cord Stem Cells Comments Off on Wheelchair-bound Langley man raising funds for stem cell therapy in Central America – Surrey Now-Leader | July 1st, 2017

References

1. F.T. Moutos et al., Anatomically shaped tissue-engineered cartilage with tunable and inducible anticytokine delivery for biological joint resurfacing, Proc. Natl. Acad. Sci. U.S.A. 113 (31) E4513E4522, doi: 10.1073/pnas.1601639113.

2. B. Zhang et al., Biodegradable scaffold with built-in vasculature for organ-on-a-chip engineering and direct surgical anastomosis, Nat. Materials 15, 669678 (2016), doi:10.1038/nmat4570.

3. S. Shukla et al., Progenitor T-cell differentiation from hematopoietic stem cells using Delta-like-4 and VCAM-1, Nat. Methods 14(5), 531-538 (May 2017),doi: 10.1038/nmeth.4258. Epub Apr 10, 2017.

4. M.M. Pakulska, S. Miersch, and M.S. Shoichet, Designer protein delivery: from natural occurring to engineered affinity controlled release systems, Science 351(6279):aac4750, doi: 10.1126/science.aac4750.

5. M.M. Pakulska, C.H. Tator, and M.S. Shoichet, Local delivery of chondroitinase ABC with or without stromal cell-derived factor 1 promotes functional repair in the injured rat spinal cord, Biomaterials (accepted April 2017).

6. TissueGene, TissueGene to Highlight Invossa, the Worlds First Cell-Mediated Gene Therapy for Degenerative Osteoarthritis, at JP Morgan Healthcare Conference, Press Release,accessed June 12, 2017.

7. O.J.L. Rackham et al., A predictive computational framework for direct reprogramming between human cell types, Nat. Genetics 48, 331335 (2016), doi:10.1038/ng.3487.

8. D.B. Kolesky et al., Three-dimensional bioprinting of thick vascularized tissue, Proc. Natl. Acad. Sci. U.S.A. 113 (12), 31793184, doi: 10.1073/pnas.1521342113.

9. M.M. Laronda et al., A Bioprosthetic Ovary Created Using 3D Printed Microporous Scaffolds Restores Ovarian Function in Sterilized Mice, Nat. Commun. 8, 15261 (May 16, 2017).

10. I. Sagi et al., Derivation and differentiation of haploid human embryonic stem cells, Nature 532, 107111 (April 7, 2016), doi:10.1038/nature17408.

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GEN Roundup: Top Trends in Tissue Engineering - Genetic Engineering & Biotechnology News

Spinal Cord Stem Cells Comments Off on GEN Roundup: Top Trends in Tissue Engineering – Genetic Engineering & Biotechnology News | July 1st, 2017

When 14-year-old Aarav Gulati (name changed on request) met with an accident a couple of years ago while playing football, he injured his knee. A portion of the cartilage was damaged, and doctors used turned to a radical new procedure for a solution. They took Gulatis own cells, grew them in a lab and used them to replace the cartilage and repair the damage in a natural way.

He was an ideal case for the use of regenerative cell therapy that was a fairly new phenomenon in orthopaedic treatment in India, says Dr Yash Gulati, senior joint replacement and spine surgeon, New Delhis Indraprastha Apollo Hospital.

The regenerative cell therapy got US FDA approval this year, and the Apollo group partnered with RMS REGROW, a company that specialises in cell therapy technology, to exclusively offer the treatment to patients in India.

Instead of using artificial implants, the technique helps in healing the bone or cartilage damage in a natural way using a persons own cells to regain normal function. Cultured cells (grown in a lab) are injected into a patient to replace diseased or dysfunctional cells.

Instead of using artificial implants, the technique helps in healing the bone or cartilage damage in a natural way using a persons own cells to regain normal function. Cultured cells (grown in a lab) are injected into a patient to replace diseased or dysfunctional cells. (Illustration: Siddhant Jumde)

A small part of the joint cartilage is taken through a keyhole procedure, and is grown in a special manner to convert it into stem cells in the laboratory, says Dr Gulati. This is then applied on the area showing loss of joint cartilage.

Dr Gulati has so far treated 10 people using this therapy in Apollo, Delhi.

Stem cells lead to growth of joint cartilage in defective areas, and normal new cartilage re-grows. In bone damage, bone marrow cells are harvested, cultured and implanted in the area to be able to re-grow in a healthy way, Dr Gulati says.

In Mumbai, those in need of joint replacement because of injury, wear and tear or other lifestyle and ageing, are also realising that new cartilage can be grown in a lab from ones own cells and used instead of artificial materials.

Chondron or cartilage cell therapy is a patient-specific regenerative medical treatment which naturally regrows original cartilage. The therapy is used for repairing articular cartilage of the knee, ankle and shoulder joints and to help replace missing areas of cartilage.

This is a process where a biopsy of cartilage cells (chondrocytes) is taken from the patients knee, ankle or shoulder, says Satyen Sanghavi, chief scientific officer of Regenerative Medical Services Regrow, a biotechnology company in Mumbai.

Causes of bone or cartilage damage

They are then cultured to grow and multiply in a lab for 3-4 weeks into a surplus population of several million. The cultured cells are then re-implanted in the damaged area in a minimally invasive surgical procedure.

The process comes from eight years of work in cell and tissue therapy research. Chondron ACI is the countrys first cell therapy product.

These cells grow and repair tissue with properties similar to that of normal cartilage present in other joints, says Sanghavi. But replacement alone doesnt solve problems. Patients are expected to follow a rehabilitation program, to help the body adjust to new cells and them get back to day-to-day physical.

Its easy to see the advantages of a process like this. Experts say it may avoid the need for future prosthetic joints replacement (especially partial joint replacement) and allows patients the freedom to continue physical activities as before.

It also poses less risk of disease transmission or infection since it comes from the patients own tissue (no foreign material or metal goes inside the body). It may also halt further progression to osteoarthritis, a common problem with those in need of joint replacement.

The procedure costs Rs.3 to 3.5 lakhs.

In India, more than 500 patients have been treated with both bone and cartilage cell therapy procedures, says Sanghavi.

There is a success rate of more than 95%. During our clinical trials and research, we have treated working professionals, housewives, athletes, army men and mountaineers. Almost all of them have successfully recovered and got back to their active life.

However, this new technique has a flip side, too.

The price could be a bit steep for some because stem cell treatment is expensive; and the treatment gets prolonged as a patient has to wait for some time as cell culture takes time and one cannot bear weight on the affected area while the healing is on. Also, not all patients are suitable for it because it can correct only if damage isnt extensive, says Dr Ankit Goyal, associate professor, Safdarjung Sports Injury Centre (SIC) in Delhi.

Safdarjung Hospital had also treated about 35 patients, who had damaged their cartilage, with the technique a few years ago.

We would send cartilage for culture but only in cases where damage was limited. This is definitely not a substitute for knee or hip replacement procedure where the entire joint is extensively damaged. However, it may prevent the need for replacement later on in life, especially in young patients, he says.

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Damaged bone or cartilage? Now, grow your own cells in a lab - Hindustan Times

Bone Marrow Stem Cells Comments Off on Damaged bone or cartilage? Now, grow your own cells in a lab – Hindustan Times | July 1st, 2017