With more than 50 years of experience studying blood-forming stem cells called hematopoietic stem cells, scientists have developed sufficient understanding to actually use them as a therapy. Currently, no other type of stem cell, adult, fetal or embryonic, has attained such status. Hematopoietic stem cell transplants are now routinely used to treat patients with cancers and other disorders of the blood and immune systems. Recently, researchers have observed in animal studies that hematopoietic stem cells appear to be able to form other kinds of cells, such as muscle, blood vessels, and bone. If this can be applied to human cells, it may eventually be possible to use hematopoietic stem cells to replace a wider array of cells and tissues than once thought.

Despite the vast experience with hematopoietic stem cells, scientists face major roadblocks in expanding their use beyond the replacement of blood and immune cells. First, hematopoietic stem cells are unable to proliferate (replicate themselves) and differentiate (become specialized to other cell types) in vitro (in the test tube or culture dish). Second, scientists do not yet have an accurate method to distinguish stem cells from other cells recovered from the blood or bone marrow. Until scientists overcome these technical barriers, they believe it is unlikely that hematopoietic stem cells will be applied as cell replacement therapy in diseases such as diabetes, Parkinson's Disease, spinal cord injury, and many others.

Blood cells are responsible for constant maintenance and immune protection of every cell type of the body. This relentless and brutal work requires that blood cells, along with skin cells, have the greatest powers of self-renewal of any adult tissue.

The stem cells that form blood and immune cells are known as hematopoietic stem cells (HSCs). They are ultimately responsible for the constant renewal of bloodthe production of billions of new blood cells each day. Physicians and basic researchers have known and capitalized on this fact for more than 50 years in treating many diseases. The first evidence and definition of blood-forming stem cells came from studies of people exposed to lethal doses of radiation in 1945.

Basic research soon followed. After duplicating radiation sickness in mice, scientists found they could rescue the mice from death with bone marrow transplants from healthy donor animals. In the early 1960s, Till and McCulloch began analyzing the bone marrow to find out which components were responsible for regenerating blood [56]. They defined what remain the two hallmarks of an HSC: it can renew itself and it can produce cells that give rise to all the different types of blood cells (see Chapter 4. The Adult Stem Cell).

A hematopoietic stem cell is a cell isolated from the blood or bone marrow that can renew itself, can differentiate to a variety of specialized cells, can mobilize out of the bone marrow into circulating blood, and can undergo programmed cell death, called apoptosisa process by which cells that are detrimental or unneeded self-destruct.

A major thrust of basic HSC research since the 1960s has been identifying and characterizing these stem cells. Because HSCs look and behave in culture like ordinary white blood cells, this has been a difficult challenge and this makes them difficult to identify by morphology (size and shape). Even today, scientists must rely on cell surface proteins, which serve, only roughly, as markers of white blood cells.

Identifying and characterizing properties of HSCs began with studies in mice, which laid the groundwork for human studies. The challenge is formidable as about 1 in every 10,000 to 15,000 bone marrow cells is thought to be a stem cell. In the blood stream the proportion falls to 1 in 100,000 blood cells. To this end, scientists began to develop tests for proving the self-renewal and the plasticity of HSCs.

The "gold standard" for proving that a cell derived from mouse bone marrow is indeed an HSC is still based on the same proof described above and used in mice many years ago. That is, the cells are injected into a mouse that has received a dose of irradiation sufficient to kill its own blood-producing cells. If the mouse recovers and all types of blood cells reappear (bearing a genetic marker from the donor animal), the transplanted cells are deemed to have included stem cells.

These studies have revealed that there appear to be two kinds of HSCs. If bone marrow cells from the transplanted mouse can, in turn, be transplanted to another lethally irradiated mouse and restore its hematopoietic system over some months, they are considered to be long-term stem cells that are capable of self-renewal. Other cells from bone marrow can immediately regenerate all the different types of blood cells, but under normal circumstances cannot renew themselves over the long term, and these are referred to as short-term progenitor or precursor cells. Progenitor or precursor cells are relatively immature cells that are precursors to a fully differentiated cell of the same tissue type. They are capable of proliferating, but they have a limited capacity to differentiate into more than one cell type as HSCs do. For example, a blood progenitor cell may only be able to make a red blood cell (see Figure 5.1. Hematopoietic and Stromal Stem Cell Differentiation).

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5. Hematopoietic Stem Cells - NIH Stem Cell Information Home Page

Bone marrow is the spongy tissue inside some of your bones, such as your hip and thigh bones. It contains immature cells, called stem cells. The stem cells can develop into the red blood cells that carry oxygen through your body, the white blood cells that fight infections, and the platelets that help with blood clotting.

If you have a bone marrow disease, there are problems with the stem cells or how they develop.Leukemiais a cancer in which the bone marrow produces abnormal white blood cells. Withaplastic anemia, the bone marrow doesnt make red blood cells. Other diseases, such aslymphoma, can spread into the bone marrow and affect the production of blood cells. Other causes of bone marrow disorders include your genetic makeup and environmental factors.

Symptoms of bone marrow diseases vary. Treatments depend on the disorder and how severe it is. They might involve medicines, blood transfusions or abone marrow transplant.

Bone marrow tests check whether your bone marrow is healthy. These tests also show whether your bone marrow is making normal amounts of blood cells.

Bone marrow is a sponge-like tissue inside the bones. It contains stem cells that develop into the three types of blood cells that the body needs:

Another type of stem cell, called an embryonic (em-bre-ON-ik) stem cell, can develop into any type of cell in the body. These cells arent found in bone marrow.

Doctors use bone marrow tests to diagnose blood and bone marrow diseases and conditions, including:

Bone marrow tests also help doctors figure out how severe cancer is and how much it has spread in the body. The tests also are used to diagnose fevers and infections.

The two bone marrow tests are aspiration (as-pih-RA-shun) and biopsy.

Bone marrow aspiration usually is done first. For this test, your doctor removes a small sample of fluid bone marrow through a needle. He or she may have some idea of what the problem is, and the sample gives him or her useful information about the cells in the marrow.

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Bone Marrow Cells & Tissue

AllCells is able to provide whole bone marrow aspirate and

collected from healthy individuals. These bone marrow products are available in fresh or frozen format.

The following bone marrow cells and tissue product types are available from AllCells:

Please view all of our Bone Marrow Products below.

Bone Marrow (BM) contains hematopoietic stem/progenitor cells, which are self-renewing, proliferating, and differentiating into multi-lineage blood cells. Multipotent, non-hematopoietic stem cells, such as bone marrow mesenchymal stem cells, can be isolated from human bone marrow as well. These non-hematopoietic, bone marrow stromal cells are capable of both self-renewal and differentiation into bone, cartilage, muscle, tendons, and fat. 100 mL of bone marrow cells and tissue is drawn into a 60cc syringe containing heparin (80 U/mL of BM) from the posterior iliac crest, at a maximum of eight separate sites. Whole bone marrow products are diluted with PBS. Please see our entire Bone Marrow Product inventory below.

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New Cancer Treatment: Stem Cell Therapy
Writing 160 Project #2.

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African scientists in Nairobi to explore stem cell therapy
African Scientists are converging in Nairobi to explore ways of using regenerative medicine or stem cell therapy, to help prevent the increasing cases of non...

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What Is Stem Cell Therapy? Get The Candy Coated Illustration - Dr. Bill Johnson, Dallas
http://www.InnovationsStemCellCenter.com (214) 699-6948 Find out just how your own body #39;s stem cells can help you build new cells that have been damaged. SVF...

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Last updated: 03/2012

The brain and spinal cord together form the central nervous system (CNS) which is responsible for processing all the information coming from our senses, keeping our organs and reflexes functioning, and directing our movements, thoughts and feelings.

The spinal cord is the critical organ that connects the brain to the rest of the body by conveying electrical impulses along the long nerve fibres that are bundled within it.

The nerves that branch out from the spinal cord to the rest of the body comprise the peripheral nervous system (PNS). These peripheral nerves both receive and convey messages creating a feedback loop that allows us to feel sensation and enable movement.

A nerve cell, or neuron, has a long slender projection, called the axon that acts like a transmission line coming from the control centre of the cell. Even though axons are microscopic in diameter, they may be many feet long. Wrapped around the nerve fibres is a fatty substance called myelin that is similar to insulation on a telephone wire. Myelin is a critical component of the nervous system in that it speeds up the electrical signals and protects the nerves. In addition to neurons, the brain is also home to glial cells which play a critical role in stabilizing the environment, making myelin and supporting and protecting the neurons.

Spinal cord injury (SCI) may occur anywhere from the neck to the lower back. During an initial trauma in which the spinal vertebrae fracture or dislocate, the delicate spinal cord is violently struck. While the cord itself typically remains in one piece, many of the tiny nerve fiber bundles within it are severed. After this initial mechanical injury, inflammation, swelling, and other metabolic processes are triggered, causing further damage and disruption of the nerve fibers. The severity of paralysis experienced by the patient is dependent upon the degree of damage done to the spinal cord. However, even in cases of complete paralysis where the patient has no feeling or movement below the injury, the spinal cord itself is not severed completely, and in fact, there are some axons that remain intact across the injury site. Some of these are thought to have lost their myelin sheaths (their insulation) and therefore do not conduct electrical signals well.

Spinal cord injury affects mostly young adults, about 80% of whom are males. Car accidents are responsible for about 50% of cases. Sporting accidents, serious falls, wounds, and diseases of the spine, such as spina bifida, can also cause permanent injury to the spinal cord. In North America, it is estimated that more than a million individuals live with a disability resulting from some type of spinal cord injury.

Because spinal cord injuries are often the result of terrible accidents which paralyze otherwise fit and mostly healthy young people, they can cause significant and prolonged suffering. Depending on the severity of the injury, rehabilitation may help many people to regain some degree of function.

Unlike the skin, blood, muscle and other organs, for many reasons the CNS does not routinely regenerate after damage hence, the disability caused by spinal cord injury may be permanent and profound. In contrast, the nerves in the PNS tend to regenerate after injury, both because they are intrinsically better programmed to regenerate, and because the cells that myelinate axons in the PNS (called Schwann cells) tend to encourage regeneration.

After spinal cord injuries occur, there is only a small window of opportunity hours, maybe weeks in which therapies may reduce the disability. Restoring the electrical transmission between the brain and spinal cord requires repairing the myelin sheath around the damaged neurons and, in severe cases, the regrowth of severed nerve fibres across the site of injury and into the neural network below the lesion. Scarring and other cellular damage that occurs when the body responds to injury often compounds the difficulties in bridging the lesion site in the aftermath of the injury, and in many cases rehabilitation is the only recourse.

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Spinal Cord Injury - Stem Cell Network

For years we have seen immobilized rats walking after getting an injection of stem cells for their spinal cord injuries. The good thing is that along the way, stem cells have started to be used in studies and experimental therapies to attempt to get SCI patients walking again. While the results for humans have not been nearly as miraculous as for mice, many patients have reported, and some studies have shown, that these early treatments do bring back some sensory ability and improved motor function. Most importantly, a good percentage of patients who have received stem cell transplantsfeel that the treatment has helped not only to improve their quality of life but also that of their caretaker.

Clinical trials and studies using stem cell treatment for spinal cord injuries have been done in Argentina, China, Portugal and are now starting in the United States. The signs are quite positive that within ten to fifteen years, stem cell treatment will be widely available to the general public. The stem cells that being tested in clinical trials today in the west will be approved for medical use for the public in ten years. For patients who dont want to wait for this process, Beike provides an option chosen by over 1000 patients since 2003 making it one of the most established experimental therapies available today.

Stem cell treatment, using Beikes cord mensenchymal stem cells and protocols for spinal cord injuries, is available at various hospitals in China and one in Thailand. Generally, many patients have reported improvements soon after treatment, and continue to notice more improvements for up to 12 months following the stem cell transplants.

Patients who report that they do benefit from the procedure, most always report that those improvements are retained permanently, without regression. Reported improvements differ from patient to patient (depending on the severity of their injury and specifics of their case) - some patients may experience mild increases in sensation, while some regain muscle control and strength where there was little or none before. Many of the patients who see the greatest benefits from the treatment focus heavily on rehabilitation after their stem cell transplant. Like any medical procedure or medicine, there are some patients who report no improvement.

To learn first hand from other patients who have had the treatment, contact us and we will do our best to put you in touch with past patients with similar spinal cord injuries (including those who saw good results and those with no results) who were treated with Beikes stem cell treatment.

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Spinal Cord Injury Treatment (Adult Stem Cell Therapy)

By the time Bill Beatty made it to the Emergency Department in Howard County, he was already several hours into a major heart attack. His physicians performed a series of emergency treatments that included an intra-aortic balloon pump, but the 57-year-old engineers blood pressure remained dangerously low. The cardiologist called for a helicopter to transfer him to Johns Hopkins.

It was fortuitous timing: Beatty was an ideal candidate for a clinical trial and soon received an infusion of stem cells derived from his own heart tissue, making him the second patient in the world to undergo the procedure.

Of all the attempts to harness the promise of stem cell therapy, few have garnered more hope than the bid to repair damaged hearts. Previous trials with other stem cells have shown conflicting results. But this new trial, conducted jointly with cardiologist Eduardo Marbn at Cedars-Sinai Medical Center in Los Angeles, is the first time stem cells come from the patients own heart.

Cardiologist Jeffrey Brinker, M.D., a member of the Hopkins team, thinks the new protocol could be a game-changer. That's based partly on recent animal studies in which scientists at both institutions isolated stem cells from the injured animals hearts and infused them back into the hearts of those same animals. The stem cells formed new heart muscle and blood vessel cells. In fact, says Brinker, the new cells have a pre-determined cardiac fate. Even in the culture dish, he says, theyre a beating mass of cells.

Whats more, according to Gary Gerstenblith, M.D., J.D., the animals in these studies showed a significant decrease in relative infarct size, shrinking by about 25 percent. Based on those and earlier findings, investigators were cleared by the FDA and Hopkins Institutional Review Board to move forward with a human trial.

In Beattys case, Hopkins heart failure chief Stuart Russell, M.D., extracted a small sample of heart tissue and shipped it to Cedars Sinai, where stem cells were isolated, cultured and expanded to large numbers. Hopkins cardiologist Peter Johnston, M.D., says cardiac tissue is robust in its ability to generate stem cells, typically yielding several million transplantable cells within two months.

When ready, the cells were returned to Baltimore and infused back into Beatty through a balloon catheter placed in his damaged artery, ensuring target-specific delivery. Then the watching and waiting began. For the Hopkins team, Beattys infarct size will be tracked by imaging chief Joao Lima, M.D., M.B.A.,and his associates using MRI scans.

Now back home and still struggling with episodes of compromised stamina and shortness of breath, Beatty says his Hopkins cardiologists were fairly cautious in their prognosis, but hell be happy for any improvement.

Nurse coordinator Elayne Breton says Beatty is scheduled for follow-up visits at six months and 12 months, when they hope to find an improvement in his hearts function. But at least one member of the Hopkins team was willing acknowledge a certain optimism. The excitement here, says Brinker, is huge.

The trial is expected to be completed within one to two years.

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Stem Cell Research at Johns Hopkins Medicine: Repairing Heart Damage

Marty Greenfield with UCLA doctors

Marty Greenfield lives with crushing pain every day due to angina, a condition that is caused by an inadequate supply of blood to the heart. He has suffered a heart attack, and a coronary bypass procedure and angioplasty have provided little relief. His doctor referred him to UCLA to be considered for a heart transplant.

Dr. Jonathan Tobis, a UCLA clinical professor of cardiology, performed an angiogram and angioplasty on Greenfield, 64, but found that the patient was not a candidate for a heart transplant because his heart muscle function was still good.

Instead, Tobis suggested that Greenfield consider participating in a Phase 3 clinical trial that uses a patient's own blood-derived stem cells to try to restore circulation to the heart. The procedure uses the latest technology to map the heart in 3-D and guides the doctor to deliver the stem-cell injections to targeted sites in the heart muscle.

On Oct. 17, Greenfield became the first patient at UCLA to participate in the multicenter clinical trial. He said he jumped at the chance to help, even though the study is double blind, which means that neither the patients nor the researchers know who is receiving stem-cell injections and who is receiving placebos.

"This just isn't about me," said Greenfield, a married father of two sons who lives near Las Vegas. "If I can help move this research forward so that it helps just one person, it will be worth it."

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BACKGROUND:

SCIPIO is a first-in-human, phase 1, randomized, open-label trial of autologous c-kit(+) cardiac stem cells (CSCs) in patients with heart failure of ischemic etiology undergoing coronary artery bypass grafting (CABG). In the present study, we report the surgical aspects and interim cardiac magnetic resonance (CMR) results.

A total of 33 patients (20 CSC-treated and 13 control subjects) met final eligibility criteria and were enrolled in SCIPIO. CSCs were isolated from the right atrial appendage harvested and processed during surgery. Harvesting did not affect cardiopulmonary bypass, cross-clamp, or surgical times. In CSC-treated patients, CMR showed a marked increase in both LVEF (from 27.5 1.6% to 35.1 2.4% [P=0.004, n=8] and 41.2 4.5% [P=0.013, n=5] at 4 and 12 months after CSC infusion, respectively) and regional EF in the CSC-infused territory. Infarct size (late gadolinium enhancement) decreased after CSC infusion (by manual delineation: -6.9 1.5 g [-22.7%] at 4 months [P=0.002, n=9] and -9.8 3.5 g [-30.2%] at 12 months [P=0.039, n=6]). LV nonviable mass decreased even more (-11.9 2.5 g [-49.7%] at 4 months [P=0.001] and -14.7 3.9 g [-58.6%] at 12 months [P=0.013]), whereas LV viable mass increased (+11.6 5.1 g at 4 months after CSC infusion [P=0.055] and +31.5 11.0 g at 12 months [P=0.035]).

Isolation of CSCs from cardiac tissue obtained in the operating room is feasible and does not alter practices during CABG surgery. CMR shows that CSC infusion produces a striking improvement in both global and regional LV function, a reduction in infarct size, and an increase in viable tissue that persist at least 1 year and are consistent with cardiac regeneration.

This study is registered with clinicaltrials.gov, trial number NCT00474461.

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stem cell therapy treatment for Quadriplegic Cerebral Palsy by dr alok sharma, mumbai, india
improvement seen in just 3 months after stem cell therapy treatment for quadriplegic cerebral palsy by dr alok sharma, mumbai, india. Stem Cell Therapy done ...

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stem cell therapy treatment for dystonic cerebral palsy by dr alok sharma, mumbai, india
improvement seen in just 3 months after stem cell therapy treatment for dystonic cerebral palsy by dr alok sharma, mumbai, india. Stem Cell Therapy done date...

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The UCLA Program is a combined program caring for patients with Hematologic Malignancies receiving chemotherapy and those patients for whom Stem Cell Transplantation is the therapy of choice. The treatmentof blood and marrow cancers includecurrently available therapies, investigational drugs and treatments, as well as stem cell transplantation. Our physicians meet weekly to discussindividual treatment approachesas part of developing a coordinated treatment recommendation.

Bone Marrow Transplantation was first performed at UCLA in 1968 using a related allogeneic transplant to treat an 18 month old child with severe combined immunodeficiency syndrome. The UCLA Marrow Transplantation Program was formally initiated in 1973. Unrelated donor marrow transplants have been carried out at UCLA since 1987, and Cord Blood Transplants have been performed at UCLA since 1996. Autologous transplants have been performed at our program since 1977. Since 1992 most of the Autologous Transplants have utilized Peripheral Blood Stem Cells. Since 1998 an increasing number of the Allogenic Transplants have utilized Peripheral Blood Stem Cells. From inception to the completion of 2007 we have performed 3726 transplants (3080 transplants in the adult population and 646 in the pediatric population).

For decades, this comprehensive program has provided a full range of services as a local, regional, national, and international referral center for transplantations for selected malignancies:

Our goals include finding new and innovative treatments for malignancies and expanding the effectiveness and applicability of bone marrow transplantation through such means as biologic response modifiers, growth factors, and chemotherapeutic agents.

Protocols involving chemotherapy with or without radiation therapy for patients in remission or relapse are available using bone marrow or peripheral blood stem cells from allogeneic, autologous and unrelated donors.

A bone marrow transplant is a procedure that transplant healthy bone marrow into a patient whose bone marrow is not working properly. A bone marrow transplant may be done for several conditions including hereditary blood diseases, hereditary metabolic diseases, hereditary immune deficiencies, and various forms of cancer.

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Bone MarrowTransplant

How to Schedule Your Evaluation Appointment at UCLA

The United Network for Organ Sharing (UNOS) provides a toll-free patient services lines to help transplant candidates, recipients, and family members understand organ allocation practices and transplantation data. You may also call this number to discuss problems you may be experiencing with your transplant center or the transplantation system in general. The toll-free patient services line number is 1-888-894-6361

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Bone Marrow/Stem Cell Transplant | UCLA Transplantation Services ...

A bone marrow transplant is a procedure to replace damaged or destroyed bone marrow with healthy bone marrow stem cells.

Bone marrow is the soft, fatty tissue inside your bones. Stem cells are immature cells in the bone marrow that give rise to all of your blood cells.

There are three kinds of bone marrow transplants:

Before the transplant, chemotherapy, radiation, or both may be given. This may be done in two ways:

A stem cell transplant is done after chemotherapy and radiation is complete. The stem cells are delivered into your bloodstream usually through a tube called a central venous catheter. The process is similar to getting a blood transfusion. The stem cells travel through the blood into the bone marrow. Most times, no surgery is needed.

Donor stem cells can be collected in two ways:

A bone marrow transplant replaces bone marrow that either is not working properly or has been destroyed (ablated) by chemotherapy or radiation.

Your doctor may recommend a bone marrow transplant if you have:

A bone marrow transplant may cause the following symptoms:

Possible complications of a bone marrow transplant depend on many things, including:

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stem cell therapy treatment for Cerebral Palsy with Hemiplegia by dr alok sharma, mumbai, india
improvement seen in just 5 days after stem cell therapy treatment for cerebral palsy with hemiplegia by dr alok sharma, mumbai, india. Stem Cell Therapy done...

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Stem cell therapy for heart disease has demonstrated safety and efficacy in clinical trials, but a key for better clinical outcomes is to determine the optimal stem cell type best suited for cardiac regeneration, Steven B. Houser, from Temple University (Pennsylvania, USA), and colleagues report that cortical bone-derived stem cells (CBSCs) may be superior to cardiac stem cells, for the regeneration of heart tissue. The researchers collected CBSCs from mouse tibias. The particular mice used had been engineered with green fluorescent protein (GFP), which meant that the CBSCs carried a green marker to allow for their later identification. The cells were then expanded in petri dishes in the laboratory before being injected directly into the hearts of non-GFP mice that had suffered heart attacks. Some mice received cardiac stem cells instead of CBSCs. In the following weeks, as the team monitored the progress of the mice, they found that the youthfulness of the CBSCs had prevailed. The cells had triggered the growth of new blood vessels in the injured tissue, and six weeks after injection, they had differentiated, or matured, into heart muscle cells. While generally smaller than native heart cells, the new cells had the same functional capabilities, and overall they had improved survival and heart function. The study authors submit that: CBSCs improve survival, cardiac function, and attenuate remodeling through the following 2 mechanisms: (1) secretion of proangiogenic factors that stimulate endogenous neovascularization, and (2) differentiation into functional adult myocytes and vascular cells.

Duran JM, Makarewich CA, Sharp TE, Starosta T, Zhu F, Hoffman NE, Houser SR, et al. Bone-derived stem cells repair the heart after myocardial infarction through transdifferentiation and paracrine signaling mechanisms. Circ Res. 2013 Aug 16;113(5):539-52.

Found abundantly in berries, polyphenols, an antioxidant compound, may reduce the risk of death.

Moderate exercise helps to reduce the risks of low back pain, among people who are overweight/obese.

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Sleeping less than 5 hours a day, as well as 9 or more hours a day, associates with poor physical and mental health.

International Osteoporosis Foundation urges for immediate action to safeguard the quality of life among postmenopausal women.

Blood pressure is effectively lowered by mindfulness-based stress reduction, a technique combining meditation and yoga.

With only 2% of retired Americans having dental insurance, Oral Health America warns of an impending epidemic of poor periodontal health among older Americans.

Biotech-based detection of pathogenic microorganisms can cut the diagnostic time by two-thirds.

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Bone-Derived Stem Cells for Heart Repair | Worldhealth.net Anti ...

Medical investigators are embarking on a study that involves infusing 10 million stem cells directly into a coronary artery of heart attack patients in an effort to regenerate tissue that otherwise would be forever damaged.

Regeneration has been an ongoing theme in science fiction and a goal of real-life scientists.

Dr. Luis Gruberg, of the Stony Brook Heart Institute, and Dr. Allen Jeremias, director of the intensive care unit, led a team late last month in a novel case, which they describe as a clinical trial designed to harvest, and then inject, a patient's own stem cells into the blocked artery responsible for the attack.

"This is a post-heart attack procedure and it is for patients who have had a large heart attack," said Gruberg, director of interventional cardiology research.

In patients whose attacks are severe, vast portions of the heart are irreparably damaged, resulting in cardiac tissue that no longer performs efficiently.

Every year about 715,000 Americans have a heart attack. Of those, 525,000 are a first heart attack and 190,000 are repeat episodes. Every 44 seconds someone in the United States dies of a heart attack, according to federal data.

If stem cells can aid in the remodeling of the heart, regenerating healthy tissue, then medicine can offer patients a new lease on life, the doctors said.

Arriving at a point when such a treatment can be offered, Gruberg added, requires research. The gold standard of clinical study in Western medicine is the placebo-controlled randomized clinical trial, which means some of the Stony Brook heart patients will receive a stem cell transplant, others, a placebo.

Doctors began their study, part of a larger national investigation, abruptly late last month because they had been awaiting the perfect patient.

That person, a 66-year-old man who had been visiting Long Island from the Midwest, arrived at Stony Brook University Hospital as a transfer from Southampton Hospital.

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Stem Cell Therapy: Helping the Body Heal Itself

Stem cells are natures own transformers. When the body is injured, stem cells travel the scene of the accident. Some come from the bone marrow, a modest number of others, from the heart itself. Additionally, theyre not all the same. There, they may help heal damaged tissue. They do this by secreting local hormones to rescue damaged heart cells and occasionally turning into heart muscle cells themselves. Stem cells do a fairly good job. But they could do better for some reason, the heart stops signaling for heart cells after only a week or so after the damage has occurred, leaving the repair job mostly undone. The partially repaired tissue becomes a burden to the heart, forcing it to work harder and less efficiently, leading to heart failure.

Initial research used a patients own stem cells, derived from the bone marrow, mainly because they were readily available and had worked in animal studies. Careful study revealed only a very modest benefit, so researchers have moved on to evaluate more promising approaches, including:

No matter what you may read, stem cell therapy for damaged hearts has yet to be proven fully safe and beneficial. It is important to know that many patients are not receiving the most current and optimal therapies available for their heart failure. If you have heart failure, and wondering about treatment options, an evaluation or a second opinion at a Center of Excellence can be worthwhile.

Randomized clinical trials evaluating these different approaches typically allow enrollment of only a few patients from each hospital, and hence what may be available at the Cleveland Clinic varies from time to time. To inquire about current trials, please call 866-289-6911 and speak to our Resource Nurses.

Cleveland Clinic is a large referral center for advanced heart disease and heart failure we offer a wide range of therapies including medications, devices and surgery. Patients will be evaluated for the treatments that best address their condition. Whether patients meet the criteria for stem cell therapy or not, they will be offered the most advanced array of treatment options.

Reviewed: 04/13

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Stem-Cell Therapy and Repair after Heart Attack and Heart Failure

Stem cells - Dr Jekyll or Mr Hyde: Hans Clevers at TEDxAmsterdam
Produced by: http://www.fellermedia.com Camera Crew: http://www.hoens.tv Stem cells are the foundation of all mammalian life, including that of man. Every ...

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