Archive for the ‘Bone Marrow Stem Cells’ Category

Leukemia patient Mai Duong is in desperate need of a bone marrow transplant -- something doctors say the Montreal resident requires within a matter of weeks.

While finding a well-matched stem cell donor is already a difficult task, the 34-year-old mother of one faces an added challenge: shes Vietnamese.

Duong was first diagnosed with acute leukemia in 2013, when she was 15 weeks pregnant with her second child. She was forced to terminate the pregnancy as she underwent seven months of chemotherapy, putting her cancer into remission for seven months.

But it returned in May, and doctors gave her two months to find a stem cell match.

"The only option for me to get cured is with the generosity of people," she says.

Duongs case is raising the alarm about a need for stem cell donors among Canada's minority groups, as those in need of transplants are more likely to find a donor from the same ethnic background.

Canadian Blood Services says less than 25 per cent of individuals in need of a stem cell transplant will be able to find a match within their own families and will have to turn to the public inthe hopes of finding a suitable donor.

But ethnic minorities are under-represented on donor lists in North America.

Less than one per cent of registered stem cell donors in Quebec are of South Asian descent, according to Hema-Quebec, the provinces blood services agency. The statistics are similar across Canada and in the international donor database.

"There is a cultural effect and religious effect," spokesperson Susie Joron told CTV News. "The other issue is that the biggest registries are in America and Germany, which has a big Caucasian population."

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Montreal woman with leukemia desperately seeks Vietnamese stem cell donors

Patients's virus levels became undetectable after a bone-marrow therapy with stem cells

Scanning electron microscope (SEM) image of a lymphocyte with HIV cluster. Credit: National Cancer Institute via Wikimedia Commons

Scientists have uncovered two new cases of HIV patients in whom the virus has become undetectable.

The two patients, both Australian men, became apparently HIV-free after receiving stem cells to treat cancer. They are still on antiretroviral therapy (ART) as a precaution, but those drugs alone could not be responsible for bringing the virus to such low levels, says David Cooper, director of the Kirby Institute at the University of New South Wales in Sydney, who led the discovery. A year ago, a different group of researchers had reported cases with a similar outcome.

Cooper presented details of the cases today at a press briefing in Melbourne, Australia, where delegates are convening for next week's 20th International AIDS Conference. The announcement came just a day after the news that at least six people heading to the conference died when aMalaysia Airlines flight was shot down in Ukraine.

Cooper began searching for patients who had been purged of the HIV virus after attending a presentation by a US team last year at a conference of the International AIDS Society in Kuala Lumpur. At that meeting, researchers from Brigham and Womens Hospital in Boston, Massachusetts, reported that two patients who had received stem-cell transplants were virus-free.

Cooper and his collaborators scanned the archives of St Vincents hospital in Sydney, one of the largest bone-marrow centres in Australia. We went back and looked whether we had transplanted [on] any HIV-positive patients, and found these two, says Cooper.

The first patient had received a bone-marrow transplant for non-Hodgkin's lymphoma in 2011. His replacement stem cells came from a donor who carried one copy of a gene thought to afford protection against the virus. The other had been treated for leukaemia in 2012.

Unfortunately, several months after the 'Boston' patients stopped taking ART,the virus returned. An infant born with HIV in Mississippi who received antiretroviral therapy soon after birth, then stopped it for more than three years,was thought to have been cured, buthas had the virus rebound, too.

Natural resistance At the moment, there is only one person in the world who is still considered cured of HIV:Timothy Ray Brown, the 'Berlin patient', who received a bone-marrow transplant and has had no signs of the virus in his blood for six years without ART. The bone marrow received by the Berlin patient came from a donor who happened to have a natural genetic resistance to his strain of HIV.

See the article here:
HIV Cleared in Two Patients via Cancer Treatment

VANCOUVER Mai Duong, 34, only has six weeksleft to get a life-saving stem cell or bone marrow transplant and shes pleading with the Lower Mainlands Asian population tosave her.

The mother of one was born and raised in Montreal. Shes had good health for most of her life, until she was diagnosed with leukemia in January 2013, while pregnant with her second child. Doctors told her she had to terminate the pregnancy she was at 15 weeks and start chemotherapy immediately.

Duongwent into remission, but ten months later the cancer was back. And this time it was more aggressive and chemotherapy wouldnt work, she was told. Instead, she needed stem cells or a bone marrow transplant.

Even though Im on the international registry list for donors, I did not have a match for the bone marrow. I was devastated when they told me that, she toldGlobal News.

It turns out the problem of finding a match, and a perfect one at that, is more common among those of Asian descent. In 2012, 2-year-old Jeremy Kong of San Francisco was diagnosed with leukemia and couldnt find a match until he went public. After doing so, he found a nine out of tenbone marrow donor match and underwent a transplant, but died a year later. Experts say Vietnamese, Chinese, Japanese, Korean, Filipino and other South Asian populations are behind Caucasians when it comes to donating blood and organs.

Were severely underrepresented in the international list. So its not even a local or a national problem; its a global problem, said Duong.

Duong is turning to Vancouver because of its large Asian population, and urging people to get tested. She needs a donor of Vietnamese or Filipino descent for a perfect match, and she needs to find them within six weeks or its unlikely shell survive.

For more information on how you can help Duong, visit her Facebook pageor websiteand get tested at OneMatch.ca.

With files from Darlene Heidemann.

Shaw Media, 2014

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Montreal woman pleading with B.C. residents to save her life

Leukemia patient Mai Duong is in desperate need of a bone marrow transplant -- something doctors say the Montreal resident requires within a matter of weeks.

While finding a well-matched stem cell donor is already a difficult task, the 34-year-old mother of one faces an added challenge: shes Vietnamese.

Duong was first diagnosed with acute leukemia in 2013, when she was 15 weeks pregnant with her second child. She was forced to terminate the pregnancy as she underwent seven months of chemotherapy, putting her cancer into remission for seven months.

But it returned in May, and doctors gave her two months to find a stem cell match.

"The only option for me to get cured is with the generosity of people," she says.

Duongs case is raising the alarm about a need for stem cell donors among Canada's minority groups, as those in need of transplants are more likely to find a donor from the same ethnic background.

Canadian Blood Services says less than 25 per cent of individuals in need of a stem cell transplant will be able to find a match within their own families and will have to turn to the public inthe hopes of finding a suitable donor.

But ethnic minorities are under-represented on donor lists in North America.

Less than one per cent of registered stem cell donors in Quebec are of South Asian descent, according to Hema-Quebec, the provinces blood services agency. The statistics are similar across Canada and in the international donor database.

"There is a cultural effect and religious effect," spokesperson Susie Joron told CTV News. "The other issue is that the biggest registries are in America and Germany, which has a big Caucasian population."

More:
Montreal woman desperately seeks Vietnamese stem cell donors

Thomas Deernick, NCMIR/Science Photo Library

The HIV virus (yellow particles), seen on a white blood cell in this scanning electron micrograph.

Scientists have uncovered two new cases of HIV patients in whom the virus has become undetectable.

The two patients, both Australian men, became apparently HIV-free after receiving stem cells to treat cancer. They are still on antiretroviral therapy (ART) as a precaution, but those drugs alone could not be responsible for bringing the virus to such low levels, says David Cooper, director of the Kirby Institute at the University of New South Wales in Sydney, who led the discovery. A year ago, a different group of researchers had reported cases with a similar outcome.

Cooper presented details of the cases today at a press briefing in Melbourne, Australia, where delegates are convening for next week's 20th International AIDS Conference. The announcement came just a day after the news that at least six people heading to the conference died when a Malaysia Airlines flight was shot down in Ukraine.

Cooper began searching for patients who had been purged of the HIV virus after attending a presentation by a US team last year at a conference of the International AIDS Society in Kuala Lumpur. At that meeting, researchers from Brigham and Womens Hospital in Boston, Massachusetts, reported that two patients who had received stem-cell transplants were virus-free.

Cooper and his collaborators scanned the archives of St Vincents hospital in Sydney, one of the largest bone-marrow centres in Australia. We went back and looked whether we had transplanted [on] any HIV-positive patients, and found these two, says Cooper.

The first patient had received a bone-marrow transplant for non-Hodgkin's lymphoma in 2011. His replacement stem cells came from a donor who carried one copy of a gene thought to afford protection against the virus. The other had been treated for leukaemia in 2012.

Unfortunately, several months after the 'Boston' patients stopped taking ART, the virus returned. An infant born with HIV in Mississippi who received antiretroviral therapy soon after birth, then stopped it for more than three years, was thought to have been cured, but has had the virus rebound, too.

At the moment, there is only one person in the world who is still considered cured of HIV: Timothy Ray Brown, the 'Berlin patient', who received a bone-marrow transplant and has had no signs of the virus in his blood for six years without ART. The bone marrow received by the Berlin patient came from a donor who happened to have a natural genetic resistance to his strain of HIV.

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Cancer treatment clears two Australian patients of HIV

HIV on macrophage image by Public Library of Science

A 53-year-old and a 47-year-old man appear to be clear of HIV after receiving bone marrow transplants for leukaemia and lymphoma respectively at St Vincent's Hospital in Sydney, Australia, in partnership with the University of New South Wales' Kirby Institute.

Moreover, the leukaemia patient is the first recorded case of clearing the virus without the presence of a rare anti-HIV gene in the donor marrow.

To date, there have been several reported cases of cleared HIV. Timothy Ray Brown, a US citizen, was treated in 2007 and 2008 for leukaemia with transplanted stem cells from a donor with the CCR5 delta32 mutation, which is resistant to HIV, and was reported clear of the virus in 2008. Brown stopped taking his antiretroviral medication and has remained HIV-free.

In 2012, two other patients in Boston had similar treatments with bone marrow cells that did not contain the mutation. They initially tested clear of the virus, but -- when they ceased taking antiretroviral medication -- the virus returned.

The lymphoma patient, treated in 2010, did receive one transplant of bone marrow that contained one of two copies of a gene that is possibly resistant to HIV. The leukaemia patient, treated in 2011, received donor marrow with no resistive gene. Both patients remain on antiretroviral medication as a precaution, since the virus may be in remission rather than completely cured.

"We're so pleased that both patients are doing reasonably well years after the treatment for their cancers and remain free of both the original cancer and the HIV virus," said study senior author and UNSW Kirby Institute director Scientia Professor David Cooper said.

The next step is to figure out why the body responds to a bone marrow transplant in a way that makes the virus retreat. One possible explanation is that the body's immune response to the foreign cells of the transplant causes it to fight harder against HIV. This is because, while bone marrow transplant seems to be the most effective means of clearing the AIDS virus to date, it is not an acceptable risk for patients whose lives aren't already endangered by bone cancer.

"The procedure itself has an up to 10 percent mortality rate," Professor Cooper explained. "But you take that risk in someone with leukaemia or lymphoma because they're going to die without it, and the transplantation will result in cure. For someone with HIV, you would certainly not transplant them when they have an almost normal life span with standard antiretroviral therapy."

The team of researchers plans to replicate the immune response to bone marrow transplantation in a laboratory setting in the hope of devising a less invasive and less dangerous immunotherapy against the virus.

Excerpt from:
Two men cleared of AIDS virus after bone marrow transplants

A temporary drop-in clinic could be set up in Dundee for people to register as bone marrow donors.

Annie Irving, president of the Marrow Dundee student society, has offered to organise the clinic after more than 100 Tele readers registered to help those suffering from blood cancers.

The fantastic response is the result of an overflow of compassion towards baby Faith Cushnie, who, at nine months old, is losing her battle with leukaemia after her donor backed out.

A total of 142 people in Tayside have registered with Anthony Nolan since the article and 873 have visited the charitys website.

Annie, who studies medicine at Dundee University, said: A personal story reaches people more than numbers and statistics and the fact that the little girls chance has been taken away from her because there arent enough people on the register is very sad. Peoples responses have been brilliant though.

The society is affiliated to charity Anthony Nolan, which maintains a register of potential bone marrow donors. Stem cells from bone marrow are used to treat cancers like leukaemia, lymphoma and myeloma and blood disorders such as sickle cell disease.

Drop-in clinics allow people to take a spit test to determine whether they are suitable to be a donor. They also have the opportunity to speak to a trained counsellor.

Annie explained: When we counsel people we tell them about the likelihood of being called up and the process of donating.

Annie hopes to be able to organise a clinic as soon as possible and is in the process of contacting venues to find somewhere to host the drop-in.

She said: I want to have a clinic soon and encourage more people to join the register. Donating bone marrow is a chance to save a life.

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Bid for Dundee bone marrow clinic to meet donor demand

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Newswise Buffalo, NY BlueCross BlueShield of Western New York today has redesignated Roswell Park Cancer Institute (RPCI) as a Blue Distinction Center for delivering quality transplant care as part of the Blue Distinction Centers for Specialty Care program. Approximately 100 Blue Distinction Centers for Transplants have been designated in the United States, with only four located in New York State.

Blue Distinction Centers are medical facilities shown to deliver quality specialty care based on objective, transparent measures for patient safety and health outcomes that were developed with input from the medical community. To receive a Blue Distinction Centers for Transplants designation, medical facilities must demonstrate success in meeting patient safety criteria as well as transplant-specific quality measures (including survival metrics). RPCI received the same Blue Distinction Center designation in 2011.

Blood and marrow hematopoietic stem-cell transplants, also known as bone-marrow transplants, are a common approach for treating many types of hematologic cancers, including forms of leukemia, lymphoma and multiple myeloma. They involve the transplant of blood or bone marrow stem cells from a donor or from the patients themselves as a way of sparing the patient the toxic effects of intensive chemotherapy and/or radiation.

Because blood and marrow transplant is such a highly complex procedure, a patients medical needs before, during and after a transplant procedure are extensive and labor-intensive, said Philip McCarthy, MD, Director of RPCIs Blood & Marrow Transplant Program. Given that context, were especially proud to once again earn Blue Distinction for our transplant program from BlueCross BlueShield.

More Research shows that Blue Distinction Centers demonstrate better quality and improved outcomes for patients with higher survival rates compared with their peers.

We are pleased that RPCI has been recognized for their quality transplant care, said Dr. Thomas Schenk, Senior Vice President and Chief Medical Officer, BlueCross BlueShield of Western New York. As part of the BCBS network they are a valued and once again nationally recognized provider of quality care.

Although rare, the number of transplants including heart, lung, liver, pancreas and bone marrow/blood stem cell in the nation have increased in recent years. There were 28,954 transplant procedures performed in 2013 compared to 28,052 in 2012. Today, more than 123,000 people are awaiting organ donations for transplants, according to the U.S. Department of Health & Human Services.

In 2006, the Blue Distinction Centers for Specialty Care program was developed to help patients find quality providers for their specialty care needs while encouraging healthcare professionals to improve the care they deliver.

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Roswell Park Recognized for Quality in Bone Marrow Transplant Care

More than 100 people from Tayside have signed up for the bone marrow register since the Tele published the story of tragic tot Faith Cushnie.

The nine-month-old from Menzieshill needed a bone marrow donation to beat leukaemia, but the donor backed out and doctors have told Faiths parents that there is now nothing they can do for her.

But 109 of you were so touched by Faiths story you immediately registered to be donors at the bone marrow and stem cell charity Anthony Nolan.

Over the same period last year the charity did not have a single registration from Tayside.

Incredibly, Dundee is currently sending the second highest number of visitors to the charitys website, after London, with 658 sessions on Tuesday and Wednesday.

Charities like Anthony Nolan typically struggle for donors, in comparison to campaigns like Give Blood.

Blood was donated in Tayside 21,000 times in the last year but only 4,000 people in the region are on the list of bone marrow donors.

Thats despite an average of around 600 people being diagnosed with leukaemia in Scotland during that time.

Dr David Meiklejohn, a consultant in the department of haematology in Ninewells Hospital, said nearly all donors were volunteers.

He said: Its important to raise awareness as we cant get donors otherwise.

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Tele readers rush to save lives: Faith Cushnies plight highlights importance of bone marrow donors

PUBLIC RELEASE DATE:

15-Jul-2014

Contact: Meng Zhao eic@nrren.org 86-138-049-98773 Neural Regeneration Research

The brain has a low renewable capacity for self-repair and generation of new functional neurons in the treatment of trauma, inflammation and cerebral diseases. Cytotherapy is one option to regenerate central nervous system that aim at replacing the functional depleted cells due to traumatic brain injury (TBI). Bone marrow mesenchymal stem cells (BMSCs) are also considered a candidate for cytotherapy because they can differentiate into neurons/nerve cells, pass across blood-brain barrier, migrate into the injured region, secrete neurotrophic factor, and provide microenvironment for neural regeneration. Prof. Mohammad Ali Khalili, Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences, Iran and his team administered TBI rats 3106 BMSCs via the tail vein and found that the BMSCs transplanted via the tail vein promoted nerve cell regeneration in injured cerebral cortex, which supplement the lost nerve cells. Related results were published in Neural Regeneration Research (Vol. 9, No. 9, 2014).

Article: " Intravenous transplantation of bone marrow mesenchymal stem cells promotes neural regeneration after traumatic brain injury" by Fatemeh Anbari1, Mohammad Ali Khalili1, Ahmad Reza Bahrami2, Arezoo Khoradmehr1, Fatemeh Sadeghian1, Farzaneh Fesahat1, Ali Nabi1 (1 Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; 2 Institute of Biotechnology, Ferdowsi University of Mashhad, Mashhad, Iran)

Anbari F, Khalili MA, Bahrami AR, Khoradmehr A, Sadeghian F, Fesahat F, Nabi A. Intravenous transplantation of bone marrow mesenchymal stem cells promotes neural regeneration after traumatic brain injury. Neural Regen Res. 2014;9(9):919-923.

Contact: Meng Zhao eic@nrren.org 86-138-049-98773 Neural Regeneration Research http://www.nrronline.org/

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

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Does intravenous transplantation of BMSCs promote neural regeneration after TBI?

Nine-month-old Faith Cushnie was born with a rare form of leukaemia.

Only a bone marrow transplant could save her life.

And mum and dad Amber Cushnie and Ryan Skelly were over the moon when Faith went into remission and a donor came forward.

Then, the unthinkable: The anonymous donor backed out and Faiths cancer relapsed.

Now doctors have said there is nothing more they can do for Menzieshill tot Faith.

Amber and Ryan hope their daughters tragic case can help drive home the importance of bone marrow donations.

There is currently a shortage of bone marrow donors in the UK.

As a result, Faiths family had to rely on just one individual to save their baby daughter.

Amber, 25, said: People give blood, but theres so little awareness of bone marrow donation. Its really simple to register.

If the transplant had taken place obviously theres no knowing what the situation would have been, but we wouldnt be in this position.

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Tragedy of Dundee tot Faith as bone marrow donor hopes dashed

Nicola Cockx[THE COCKX FAMILY]

Nicola Cockx, 35, was so intent on having a child that she postponed having chemotherapy and a stem cell transplant for fear it would risk the health of her future child.

Instead she fought Multiple Myeloma - a form of bone marrow cancer which affects plasma cells- by using holistic methods of treatment and even completed a one year nutrition course to help with a healthy diet.

But, tragically, Mrs Cockx, from Little Bollington, Cheshire, passed away in February 2013, eight months after giving birth to her daughter Harriet.

She had began limping in July 2008 and three months later as she was about to see an orthopaedic specialist she slipped and broke her femur whilst on business trip in Germany with her father John Flowers, who runs a glazing company.

Mrs Cockx's husband Rudy, 39, an IT consultant, told a Manchester inquest: "Following the leg break in the hip area the multiple myeloma was diagnosed. It was extremely stressful."

The condition affects places in the body where there is bone marrow such as the spine, hips, skull and pelvis.

Nicola Cockx with her husband, Rudy [THE COCKX FAMILY]

Mr Cockx said his wife was initially treated with radiotherapy in the area of her hip where the cancer had struck but despite this she sought alternative medication and therapy.

She even considered an autologous stem cell transplant - where your own stem cells are removed and blasted with chemotherapy- but she backed out last minute for fear the chemo toxins would affect her fertility.

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Woman who delayed cancer treatment to give birth died eight months after becoming a mother

Karen Mitchell, 39, was inspired after reading plight of Alice Pyne Teenager lost battle with rare form of cancer in January 2013, aged 17 Before she died she urged people to join the bone marrow register Ms Mitchell tweeted Alice to promise she would - and teenager was delighted Butat 25st and with a BMI of 60, Ms Mitchell was rejected for being too fat Has now lost 11st 7lb and next week will donate bone marrow stem cells

By Anna Hodgekiss

Published: 05:19 EST, 15 July 2014 | Updated: 05:47 EST, 15 July 2014

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A woman so inspired by the plight of a young girl dying from cancer shed 11st in order to help other people battling the disease.

Encouraged by a tweet from terminally ill Alice Pyne, Karen Mitchell created her own 'bucket list', which included losing weight and saving lives.

Pride Of Britain winner Alice, who had fought Hodgkin's lymphoma from the age of 12, took to social media to urge people to join the bone marrow register.

Karen Mitchell shed 11st 7lb after promising a dying teenager she would join the bone marrow register

Originally posted here:
Woman loses 11st after promise to join bone marrow register

;

AP Photo/Agapito Sanchez, Baylor College of Medicine

MONTREAL Finding a donor for a stem cell transplant is perhaps one of the most difficult things for a cancer patient.

This is because stem cells are one of the few things that patients cannot rely on their immediate family to donate, according to to Doctor Silvy Lachance, Director of the stem cell transplant program at Hpital Maisonneuve-Rosemont.

Of course, we first look within the family, she said.

But there is only 25 per cent chance of identifying a donor. If we dont find a donor within the family, we try the international donor registry.

According to the National Cancer Institute, bone marrow and peripheral blood stem cell transplantations are most commonly used to treat leukemia, lymphoma, neuroblastoma (a cancer that affects mostly infants and children) and multiple myeloma.

While they wait for a compatible donor, patients will be assigned a conditioning regiment, which may include radiation.

This conditioning regiment will be followed by the infusion of stem cells that are compatible with the recipient, said Lachance.

Yet, for most ethnic minorities or anyone of mixed-birth, the chances of finding an anonymous donor remain very difficult.

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The possible alternatives to bone marrow transplant

For many years scientists have been trying to unravel mechanisms that guide function and differentiation of blood stem cells, those cells that generate all blood cells including our immune system. The study of human blood stem cells is difficult because they can only be found in the bone marrow in specialized "niches" that cannot be recapitulated in a culture dish. Now a group of scientists from Dresden led by stem cell researcher Prof. Claudia Waskow (Technische Universitt Dresden) was able to generate a mouse model that supports the transplantation of human blood stem cells despite the species barrier and without the need for irradiation. They used a mutation of the Kit receptor in the mouse stem cells to facilitate the engraftment of human cells.

In the new model human blood stem cells can expand and differentiate into all cell types of the blood without any additional treatment. Even cells of the innate immune system that can normally not be found in "humanized" mice were efficiently generated in this mouse. Of significance is the fact that the stem cells can be maintained in the mouse over a longer period of time compared to previously existing mouse models. These results were now published in the journal Cell Stem Cell.

"Our goal was to develop an optimal model for the transplantation and study of human blood stem cells," says Claudia Waskow, who recently took office of the professorship for "animal models in hematopoiesis" at the medical faculty of the TU Dresden. Before, Prof. Waskow was a group leader at the DFG-Center for Regenerative Therapies Dresden where most of the study was conducted.

The trick used by Claudia Waskow's team to achieve optimal stem cell engraftment was the introduction of a naturally occurring mutation of the Kit receptor into mice that lack a functional immune system. This way they circumvented the two major obstacles of blood stem cell transplantation: the rejection by the recipient's immune system and absence of free niche space for the incoming donor stem cells in the recipient's bone marrow. Space is usually provided by irradiation therapy, called conditioning, because it damages and depletes the endogenous stem cells and thus frees space for the incoming human cells. However, irradiation is toxic to many cell types and can lead to strong side effects. The Kit mutation in the new mouse model impairs the recipient's stem cell compartment in such a way that the endogenous blood stem cells can be easily replaced by human donor stem cells with a functional Kit receptor. This replacement works so efficiently that irradiation can be completely omitted allowing the study of human blood development in a physiological setting. The model can now be used to study diseases of the human blood and immune system or to test new treatment options.

The results from Prof. Waskow's group also show that the Kit receptor is important for the function of human blood stem cells, notably in a transplantation setting. Further studies will now focus on using this knowledge about the role of the receptor to improve conditioning therapy in the setting of therapeutic hematopoietic stem cell transplantation in patients.

Story Source:

The above story is based on materials provided by Technische Universitt Dresden. Note: Materials may be edited for content and length.

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Opening-up the stem cell niche: Hematopoietic stem cell transplantation without irradiation

PUBLIC RELEASE DATE:

10-Jul-2014

Contact: Meng Zhao eic@nrren.org 86-138-049-98773 Neural Regeneration Research

There is evidence that selective serotonin reuptake inhibitor antidepressants can promote neuronal cell proliferation and enhance neuroplasticity both in vitro and in vivo. Dr. Javad Verdi and his team, Tehran University of Medical Sciences, Iran proposed that citalopram, a selective serotonin reuptake inhibitor, can increase the efficacy of bone marrow mesenchymal stem cells (BMSCs) differentiating into neuronal-like cells. Experimental results confirmed that citalopram can improve the neuronal-like cell differentiation of BMSCs by increasing cell proliferation and survival while maintaining their neuronal characteristics. These results were published in Neural Regeneration Research (Vol. 9, No. 8, 2014).

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Article: "Citalopram increases the differentiation efficacy of bone marrow mesenchymal stem cells into neuronal-like cells" by Javad Verdi1, 2, Seyed Abdolreza Mortazavi-Tabatabaei1, 2, Shiva Sharif 2, 3, Hadi Verdi2, Alireza Shoae-Hassani1, 2 (1 Department of Applied Cell Sciences, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran; 2 Department of Stem Cells and Tissue Engineering, Research Center for Science and Technology in Medicine, Tehran University of Medical Sciences, Tehran, Iran; 3 Department of Tissue Engineering, School of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran)

Contact:

Meng Zhao eic@nrren.org 86-138-049-98773 Neural Regeneration Research http://www.nrronline.org/

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

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Citalopram increases the differentiation efficacy of BMSCs into neuronal-like cells

Update

By K.C. Baker

07/10/2014 at 11:30 AM EDT

Cindy Crawford and Chase Foley

Splash News Online; Courtesy Chase Foley

When Cindy Crawford found out about a 2-year-old boy with leukemia who needed a bone marrow transplant to save his life, she had to do something to help.

"I lost my little brother, Jeff, to leukemia when I was just 10 years old," Crawford, 48, tells PEOPLE. "Sadly, a bone marrow transplant wasn't an option for him then."

In 1974, when Crawford was 8 years old, Jeff was diagnosed with acute lymphoblastic leukemia. He was just 2 years old. At the time, she says, the deadly disease only had a 25 percent cure rate. After two years of experimental treatments, Jeff lost his battle, right before his 4th birthday.

The death of her brother, whom she describes as "one of the most influential people in my life," was devastating, says Crawford, who for years has been an advocate for bone marrow donation.

"But today," Crawford explains, "we have the chance to save the life of little Chase Foley and countless other children. We need your help to find him a bone marrow donor."

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Cindy Crawford Is Helping a 2-Year-Old Boy Find a Bone Marrow Donor

Sarasota Stem Cell Specialist Inject Knees for Bone on Bone as alliterative
http//:Geckojoiontandspine.com Using adipose and bone marrow stem cells combined as well as PRP or the growth factors from the blood she was able to avoid a ...

By: AskDoctorJL

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Sarasota Stem Cell Specialist Inject Knees for Bone on Bone as alliterative - Video

A woman in the US has developed a tumour-like growth eight years after a stem cell treatment to cure her paralysis failed. There have been a handful of cases of stem cell treatments causing growths but this appears to be the first in which the treatment was given at a Western hospital as part of an approved clinical trial.

At a hospital in Portugal, the unnamed woman, a US citizen, had tissue containing olfactory stem cells taken from her nose and implanted in her spine. The hope was that these cells would develop into neural cells and help repair the nerve damage to the woman's spine. The treatment did not work far from it. Last year the woman, then 28, underwent surgery because of worsening pain at the implant site.

The surgeons removed a 3-centimetre-long growth, which was found to be mainly nasal tissue, as well as bits of bone and tiny nerve branches that had not connected with the spinal nerves.

The growth wasn't cancerous, but it was secreting a "thick copious mucus-like material", which is probably why it was pressing painfully on her spine, says Brian Dlouhy at the University of Iowa Hospitals and Clinics in Iowa City, the neurosurgeon who removed the growth. The results of the surgery have now been published.

"It is sobering," says George Daley, a stem cell researcher at Harvard Medical School who has helped write guidelines for people considering stem cell treatments. "It speaks directly to how primitive our state of knowledge is about how cells integrate and divide and expand. "

The case shows that even when carried out at mainstream hospitals, experimental stem cell therapies can have unpredictable consequences, says Alexey Bersenev, a stem cell research analyst who blogs at Cell Trials. "We have to realise complications can also happen in a clinical trial," he says.

Stem cells have the prized ability to divide and replenish themselves, as well as turn into different types of tissues. There are several different stem cells, including ones obtained from an early embryo, aborted fetuses, and umbilical cord blood. There are many sources within adult tissues, too, including bone marrow.

While often hailed as the future of medicine, stem cells' ability to proliferate carries an inherent danger and the fear has always been that when implanted into a person they could turn cancerous.

Still, a few stem cell therapies have now been approved, such as a treatment available in India that takes stem cells from the patient's eye in order to regrow the surface of their cornea, and a US product based on other people's bone stem cells.

Many groups around the world are investigating a wide range of other applications, including treating heart attacks, blindness, Parkinson's disease and cancer. Research groups at universities and hospitals need to meet strict safety guidelines for clinical trials but some small private clinics are offering therapies to people without research or marketing approval. There is a growing number of lawsuits against such clinics and a few cases have been reported of tumours or excessive tissue growth (see "Ongoing stem cell trials" below).

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Stem cell treatment causes nasal growth in woman's back

By Marcus Johnson

Researchers at Brown University have found that adipose-derived human stem cells (ASCs) might be highly resistant to methotrexate (MTX), a common chemotherapy drug. ASCs can ultimately become bone and other vital tissues throughout the body, which could be key for researchers looking to protect bone tissue from the damage caused by MTX treatment. MTX, which is used to treat a number of different cancers including acute lymphoblastic leukemia, causes the loss of bone density and has an adverse effect on bone marrow derived stem cells.

Kids undergo chemotherapy at such an important time when they should be growing, but instead they are introduced to this very harsh environment where bone cells are damaged with these drugs, said Olivia Beane, a Brown University graduate student in the Center for Biomedical Engineering and lead author of the study. That leads to major long-term side effects including osteoporosis and bone defects. If we found a stem cell that was resistant to the chemotherapeutic agent and could promote bone growth by becoming bone itself, then maybe they wouldnt have these issues.

Beane examined how MTX affects stem cells and certain tissues in the body and said that the resistance of certain stem cells to the drugs toxicity could mean new possibilities in the drug development realm. The researchers are now looking to find a way to make their study practical for doctors that are treating patients suffering from cancer. The next step is to test ASC survival in animal trials, where researchers will determine how the cells fare in mice that are also hit with the chemotherapy drug.

The study was published in the journal, Experimental Cell Research.

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Brown University Researchers Discover Chemo Resistant Stem Cells

Federal funding blocked mainly over opposition to use of blastocysts

PORTSMOUTH Dr. Amy Sievers, an oncologist at Portsmouth Regional Hospital, does stem cell transplants with great success for her patients and is a firm advocate for stem cell research.

Sievers is allowed to do stem cell blood transplants because she does not use the source of controversy, embryonic stem cells. Instead, she can use stem cells from bone marrow, where blood is made. The cells can become new blood for transfusion into patients with blood-related cancers like leukemia.

"When we get past the chemo and radiation, the hope is we can replace blood and give the patient healthy blood and a chance to build a good immune system," Sievers said.

Parents saving cord blood when they give birth is an option, but Dr. Alexandra Bonesho of Core Physicians in Epping said it is very costly for the patient, is not covered by insurance and is not something pediatricians recommend widely unless there is a reason.

"It's not something we use as a practical course of events," Bonesho said. "Cord blood banking is very expensive, less so if the blood stem cells are donated to the National Cord Blood Bank. In most cases, the chance that you will need it for your own child is unlikely, unless there is already a known condition in the family."

For example, if there is a history of leukemia in another child, it may be worthwhile. Bonesho said in a case like that, having the baby's own blood stem cells can be the perfect answer.

"However, chances are good that if there is a sibling, they may also be a good match if a bone marrow transplant is needed," Bonesho said. "However, transplants are not the normal course of treatment in children with leukemia."

That being said, the cord blood could eventually be used for research in the future to find a cure for diseases like sickle cell anemia, Bonesho said.

Federal funding for much stem cell research is blocked mainly over the opposition to using embryonic stem cells. The cells come from blastocysts (fertilized eggs) from an in-vitro facility. The blastocysts are excess and are usually donated by people who have already been successfully treated for fertility problems.

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The promise and hazards of stem cell research

A new study shows that adipose-derived human stem cells, which can become vital tissues such as bone, may be highly resistant to the common chemotherapy drug methotrexate (MTX). The preliminary finding from lab testing may prove significant because MTX causes bone tissue damage in many patients.

MTX is used to treat cancers including acute lymphoblastic leukemia, the most common form of childhood cancer. A major side effect of the therapy, however, is a loss of bone mineral density. Other bone building stem cells, such as bone marrow derived stem cells, have not withstood MTX doses well.

"Kids undergo chemotherapy at such an important time when they should be growing, but instead they are introduced to this very harsh environment where bone cells are damaged with these drugs," said Olivia Beane, a Brown University graduate student in the Center for Biomedical Engineering and lead author of the study. "That leads to major long-term side effects including osteoporosis and bone defects. If we found a stem cell that was resistant to the chemotherapeutic agent and could promote bone growth by becoming bone itself, then maybe they wouldn't have these issues."

Stem cell survivors

Originally Beane was doing much more basic research. She was looking for chemicals that could help purify adipose-derived stem cells (ASCs) from mixed cell cultures to encourage their proliferation. Among other things, she she tried chemotherapy drugs, figuring that maybe the ASCs would withstand a drug that other cells could not. The idea that this could help cancer patients did not come until later.

In the study published online in the journal Experimental Cell Research, Beane exposed pure human ASC cultures, "stromal vascular fraction" (SVF) tissue samples (which include several cell types including ASCs), and cultures of human fibroblast cells, to medically relevant concentrations of chemotherapy drugs for 24 hours. Then she measured how those cell populations fared over the next 10 days. She also measured the ability of MTX-exposed ASCs, both alone and in SVF, to proliferate and turn into other tissues.

Beane worked with co-authors fellow center member Eric Darling, the Manning Assistant Professor in the Department of Molecular Pharmacology, Physiology and Biotechnology, and research assistant Vera Fonseca.

They observed that three chemotherapy drugs -- cytarabine, etoposide, and vincristine -- decimated all three groups of cells, but in contrast to the fibroblast controls, the ASCs withstood a variety of doses of MTX exceptionally well (they resisted vincristine somewhat, too). MTX had little or no effect on ASC viability, cell division, senescence, or their ability to become bone, fat, or cartilage tissue when induced to do so.

The SVF tissue samples also withstood MTX doses well. That turns out to be significant, Darling said, because that's the kind of tissue that would actually be clinically useful if an ASC-based therapy were ever developed for cancer patients. Hypothetically, fresh SVF could be harvested from the fat of a donor, as it was for the study, and injected into bone tissue, delivering ASCs to the site.

To understand why the ASCs resist MTX, the researchers conducted further tests. MTX shuts down DNA biosynthesis by binding the protein dihydrofolate reductase so that it is unavailable to assist in that essential task. The testing showed that ASCs ramped up dihydrofolate reductase levels upon exposure to the drug, meaning they produced enough to overcome a clinically relevant dose of MTX.

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Stem cell type resists chemotherapy drug

This image provided by the National Institutes of Health shows red blood cells in a patient with sickle cell disease at the National Institutes of Health Clinical Center in Bethesda, Md.AP Photo/National Institutes of Health

This image provided by the National Institutes of Health shows red blood cells in a different sickle cell patient, after a bone marrow transplant at the National Institutes of Health Clinical Center in Bethesda, Md.AP Photo/National Institutes of Health

Bone marrow transplants can reverse severe sickle cell disease in adults, a small study by government scientists found, echoing results seen with a similar technique used in children.

The researchers and others say the findings show age need not be a barrier and that the technique may change practice for some adult patients when standard treatment fails.

The transplant worked in 26 of 30 adults, and 15 of them were even able to stop taking drugs that prevent rejection one year later.

"We're very pleased," said Dr. John Tisdale, the study's senior author and a senior investigator at the National Institutes of Health. "This is what we hoped for."

The treatment is a modified version of bone marrow transplants that have worked in kids. Donors are a brother or sister whose stem cell-rich bone marrow is a good match for the patient.

Tisdale said doctors have avoided trying standard transplants in adults with severe sickle cell disease because the treatment is so toxic. Children can often tolerate it because the disease typically hasn't taken as big a toll on their bodies, he said.

The disease is debilitating and often life-shortening; patients die on average in their 40s, Tisdale said. That's one reason why the researchers decided to try the transplants in adults, with hopes that the technique could extend their lives.

The treatment involves using chemotherapy and radiation to destroy bone marrow before replacing it with healthy donor marrow cells. In children, bone marrow is completely wiped out. In the adult study, the researchers only partially destroyed the bone marrow, requiring less donor marrow. That marrow's healthy blood cells outlast sickle cells and eventually replace them.

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Bone marrow transplants can reverse adult sickle cell disease

July 2, 2014

News Review From Harvard Medical School -- Transplant May Help Adults with Sickle Cell

A partial transplant of bone-marrow stem cells may reverse sickle cell disease in adults, a new study finds. People with sickle cell disease have abnormally shaped red blood cells. They get stuck in blood vessels. This causes organ damage, pain and other medical problems. The new study included 30 adults with severe sickle cell disease. Each of them had a brother or sister who was a suitable match for a bone-marrow stem cell transplant. The sibling donor's cells were mixed with some of the patient's own cells. During 3.4 years of follow-up, the partial transplant reversed sickle cell disease in 26 out of 30 people, researchers said. In these patients, the bone marrow began making normal red blood cells. Fifteen people also were able to stop taking drugs to prevent rejection of the transplant. Overall, people were much less likely than before to need hospital treatment for the disease. Use of narcotic drugs for pain also was greatly reduced. The Journal of the American Medical Association published the study. HealthDay News wrote about it July 1.

By Howard LeWine, M.D.Harvard Medical School

What Is the Doctor's Reaction?

In the United States, more than 90,000 people are affected by sickle cell disease. Most of them are African-American. Worldwide, the number is much higher. About 300,000 babies are born with this genetic disease every year.

In sickle cell disease, the red blood cells made in the bone marrow are abnormal. Instead of having a normal round shape, the cells are curved and stiff. This causes the red blood cells to get stuck inside blood vessels before they reach the tissues. The result:

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News Review From Harvard Medical School -- Transplant May Help Adults with Sickle Cell

Last reviewed and revised on May 20, 2013

By Anthony L. Komaroff, M.D. Brigham and Women's Hospital

Both adult and umbilical cord stem cells already are used to treat disease.

Adult stem cells:

For many years, doctors have used adult stem cells successfully to treat human disease, through bone marrow transplantation (also known as hematopoietic stem cell transplantation). Most often, this treatment is used to treat cancers of the bloodlymphomas and leukemias. When all other treatments have failed, the only hope for a cure is to wipe out all of the patients blood cellsthe cancerous ones and the healthy onesand to give a patient an entirely new blood system. The only way to do this is to transplant blood stem cellscells that can reproduce themselves indefinitely and turn into all types of specialized blood cells.

Here's how it's done. First, the doctors need to collect blood stem cells from a patient's bone marrow, and let them multiply.

Second, the patient is given a dose of chemotherapy that kills all of the cancer cells a dose that, unfortunately, also kills the cells in the patient's bone marrow.

Third, the blood stem cellsthe cells designed to give the patient a whole new blood systemare given to the patient through an intravenous catheter. Hopefully, the blood stem cells then travel through the blood to the bone marrow, where they take up residence and start to make a new blood system.

Where do the blood stem cells come from? Most of the time, they come from the patient himself. They are sucked out of the patients bone marrow through a needle, or taken from the patients blood (some blood stem cells travel in the blood). So the blood stem cells are outside the patients body, growing in a laboratory dish, when the patient is given the chemotherapy that kills all the blood cells still inside the body.

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Special Harvard Commentary: How Stem Cells Help Treat Human Disease