Muscular Dystrophy Treated with Umbilical Cord Blood Stem Cells

Scientists in Brazil have used adult stem cells harvested from umbilical cord blood to treat muscular dystrophy.

Rather than referring to one disease, the term “muscular dystrophy” actually refers to a group of hereditary disorders of genetic origin and varying severity, depending upon the degree to which the dystrophin gene is defective or absent. Located at Xp21, the dystrophin gene codifies dystrophin, an essential component in the protein complex that is responsible for the membrane stability of muscle cells. A complete absence of the gene causes more severe forms of the disease such as the Duchenne form (DMD), whereas the presence of a defective gene causes milder forms of the disease such as the Becker form (BMD).

In this study, which was condcuted by Dr. Tatiana Jazedje and colleagues at the Human Genome Research Center in Sao Paulo, Brazil, the scientists took CD34+ adult stem cells derived from umbilical cord blood and established co-cultures which combined the stem cells with myoblasts from a patient who had been diagnosed with DMD. The CD34+ stem cells were already known to differentiate into muscle cells and to express dystrophin in vivo, but Dr. Jazedje and her colleagues were the first to show that this particular progenitor cell is also capable of regenerating muscle dystrophin in vitro, as the stem cells were found to have differentiated into mature myotubes after 15 days, while dystrophin-positive regions were also detected through immunofluorescence analysis.

As the authors concluded in their article, “Our findings showed that umbilical cord blood CD34+ stem cells have the potential to interact with dystrophic muscle cells restoring the dystrophin expression of DMD cells in vitro. Although utilized within the context of DMD, the results presented here may be valid to other muscle-related therapy applications.”

Human-Animal Hybrid Experimentation in the U.K. is Halted

Scientists in the U.K. have been forced to stop their research with human-animal hybrid experimentation because of a lack of research funds.

Less than a year after the controversial laboratory techniques were legalized in the U.K., funding agencies are now refusing to finance the research of human-animal hybrids. Although Britain has enjoyed the status of a world leader in this field, it is now feared that existing research projects may be brought to a final and permanent end within weeks.

The experimentation has proven to be highly controversial from an ethical perspective, since it fuses human cells with nonhuman mammalian eggs in a laboratory process which thereby creates a new species and a new living creature which is simultaneously both yet neither human and nonhuman. Numerous ethical debates over the procedure are still raging, and may or may not be a direct cause of the current funding drought. No specific explanation was given for the lack of funds, other than “competition” from other projects.

Two of the three license holders who are legally permitted to create hybrid embryos in the U.K. have been denied research funds, namely, Dr. Stephen Minger of King’s College London and Dr. Lyle Armstrong of the Center for Life at Newcastle University. The third license holder, Professor Justin St. John of Warwick University, is still in the process of preparing a grant proposal.

According to Dr. Minger, whose work has not yet started, even a year after his license was issued, “The problem has been a lack of funding. We haven’t been able to buy equipment, £80,000 to £90,000 worth. We put in a grant proposal last year but it wasn’t successful and we’re dead in the water. We’re discussing whether it is worth the time to re-submit our application. People reviewing grants may be looking at this from a completely different moral perspective, and how much that has influenced people’s perception about whether this should be funded, we don’t know.”

Dr. Armstrong of Newcastle University, who has created 278 hybrid embryos from human cells that were fused into cow ova, is now unable to continue working with the part-human, part-bovine embryos due to having been denied funding. According to Dr. Armstrong, “It seems a lot of effort for nothing. We are investigating other avenues to keep this work going but it is depressing that Britain seems happy to create a nice regulatory environment for this work but then not to provide money for it.”

The licenses were originally issued by the Human Fertilisation and Embryology Authority through the Human Fertilisation and Embryology Bill, which allowed for the legal creation of animal-human hybrid embryos for stem cell research and which was passed after much debate by Parliament in May of 2008 and backed by both Gordon Brown and David Cameron.

Apparently, even though the British Parliament may have finished debating this topic, it would seem as though the rest of the populace has not.

Pluristem to Begin Adult Stem Cell Clinical Trials for Critical Limb Ischemia

The stem cell company Pluristem Therapeutics has filed an IND (investigational new drug) application with the U.S. FDA and its European counterpart to begin Phase I clinical trials for the treatment of critical limb ischemia with the proprietary adult stem cell product PLX-PAD, an allogeneic placental-derived stromal cell product.

The trials, which are to be conducted at clinical sites in the U.S. and Europe, will enroll patients who are suffering from “late stage” limb ischemia that has been unresponsive to conventional medical and surgical interventions, and for whom amputation is the only other remaining option.

As the president and CEO of Pluristem, Zami Aberman, explains, “We are pleased to be filing this IND application in the U.S.. Following approval by the FDA, we will begin administering PLX-PAD to patients afflicted with critical limb ischemia with the goal of proving this product safe. The IND application filed with the FDA and the IMPD (investigational medicinal product dossier) application filed in Europe are two important steps in Pluristem’s global strategy to become a dominant player in the cellular therapeutic business arena.”

According to Edwin M. Horwitz, M.D., Ph.D., Director of Cell Therapy in the Division of Oncology and Blood and Marrow Transplantation at the Children’s Hospital of Philadelphia, and chairman of Pluristem’s Scientific Advisory Board, “This is an exciting time for Pluristem. Success in this endeavor will signify the first time an adult stem cell, derived from the placenta and grown using the company’s PluriX 3D technology, has been administered to humans safely. This will represent a major advance in cell therapy and position Pluristem as an international leader in the field.”

As Dr. Brian Annex, Chief of the Division of Cardiovascular Medicine in the Department of Medicine at the University of Virginia School of Medicine, and a member of Pluristem’s Scientific Advisory Board, adds, “If Pluristem’s clinical trial is successful, this will be a major advance in the field of cellular therapeutics with the use of an allogeneic off-the-shelf product that needs no matching for peripheral vascular disease and then, potentially, other diseases.”

It has been estimated that between 8 and 12 million people in the U.S. alone suffer from critical limb ischemia (CLI), an advanced stage of peripheral artery disease (PAD). Industry analysts have estimated the market potential for the treatment of CLI to be over $1 billion, although conventional medical treatments of this life-threatening condition are often unsuccessful, thereby leaving a therapeutic void which cell-based therapies are uniquely qualified to fill.

Pluristem Therapeutics is focused on the development and commercialization of off-the-shelf allogeneic cell-based therapies for the treatment of chronic degenerative ischemic and autoimmune disorders. As described on their website, Pluristem specializes in adherent stromal cells (ASCs) that are derived from the placenta and which “are multipotent adult stem cells that have strong anti-inflammatory properties and can regenerate and repair damaged tissue.” ASCs have already been shown to differentiate into nerve, bone, muscle, fat, tendon, ligament, cartilage and bone marrow stroma. Additionally, since they have low immunogenicity, ASCs do not require HLA (human leukocyte antigen) matching and are not at risk of being rejected by the patient’s immune system.

After the ASCs are harvested from placental tissue, the cells are then expanded three-dimensionally into PLX (PLacental eXpanded) cells via the company’s proprietary PluriX 3D bioreactor, in which the cells are able to excrete their own cytokines and other immune modulators without the need for supplemental growth factors nor other exogenous materials. Like ASCs, PLX cells exhibit immunomodulatory properties and are “immune privileged” and as such do not pose any threat of immunological rejection.

As adult stem cells which are derived from the human placenta, which is an extremely rich non-embryonic source of stem cells, ASCs are also ethically non-controversial in addition to being highly potent adult stem cells.

Versatile Stem Cells Found in Testes

Stanford University scientists have announced the discovery of adult stem cells that are located in human testes and which exhibit a capacity for differentiation that appears to be similar to that of embryonic stem cells.

The discovery is the result of studies that were conducted on 19 men who were treated for infertility by Dr. Paul Turek of San Francisco. Testicular tissue samples that were obtained from the men yielded abundant quantities of stem cells which were later found to exhibit multipotency in their differentiation capability when injected into mice.

The discovery is similar to previous reports that were published in the journal Nature by a team of scientists at the University of Tubingen in Germany, who had reported similar results from stem cells isolated from the testes of mice and which were found to differentiate into a variety of mouse tissue types. This latest study, however, is among the first to be conducted in humans.

According to Dr. Renee A. Reijo-Pera, who led the team of scientists, “We have a battery of tools now and we’re moving rapidly down the long road toward their use in human medicine. I’m really amazed at the progress the science is making, and I’m certain we’ll be ready for clinical trials of some stem cell therapies within the next 5 to 10 years.”

According to Alan Trounson, president of the California Institute for Regenerative Medicine, the primary focus of which is funding for embryonic stem cell research, “This is extremely interesting and important work.”

Whether or not men will be eager to donate testicular tissue for the harvesting of stem cells, however, is yet to be seen.

Multiple sclerosis patient will take treatments at Cellmedicine

Mary Posta suffers from an advanced form of multiple
sclerosis termed

Joint Venture Announced Between U.S. and Korean Stem Cell Companies

The U.S. company Advanced Cell Technology (ACT) and the South Korean company CHA Biotech Ltd. have announced the formation of new company that is the product of a joint venture. The new company is to be known as “Stem Cell and Regenerative Medicine International” and will be headquartered in Worcester, Massachusetts, the site of one of ACT’s laboratories and former headquarters.

CHA Biotech, which is based in Seoul, operates a cord blood bank known as CHA i-Cord in addition to an active regenerative medicine R&D facility. Similarly, ACT is well known for a number of accomplishments in regenerative medicine, especially for their development of the hemangioblast cell technology. In the new partnership, both companies will collaborate together as one new company in the further development and commercialization of proprietary stem cell technology and cell-based clinical therapies. Under the agreement, the new company will be majority owned by CHA, to whom ACT will exclusively license all of its hemangioblast technology. Hemangioblasts are precursor cells with the ability to differentiate into both hematopoietic and endothelial cell lineages, and are found in embryonic tissue as well as in the tissue and circulating stem cells in the peripheral blood of adults.

Operating the largest stem cell research institute in Korea, CHA Biotech was founded in 2000 to develop gene therapy in addition to stem cell therapies. In 2002 the company expanded into the U.S. by opening the CHA Fertility Center in Los Angeles, which was followed in 2005 by the acquisition of the Hollywood Presbyterian Medical Center, an acute-care hospital in Los Angeles.

Advanced Cell Technology is involved in both embryonic and adult stem cell research. Its Myoblast technology consists of an autologous adult stem cell therapy designated for the treatment of heart disease which has successfully completed four Phase I clinical trials and has FDA clearance to begin Phase II trials. In addition, ACT is developing its RPE (retinal pigment epithelial cell) program for the treatment of retinal degenerative disorders, and its HG (hemangioblast) cell program for the treatment of blood disorders, cardiovascular disease, stroke and cancer.

Since August of 2006, when ACT announced a novel technique for generating embryonic stem cell lines without destroying the embryos, the company has announced on several occasions the creation of human embryonic stem cell lines that did not involve the destruction of embryos. Currently ACT owns or licenses over 380 patents and patent applications, and continues to operate laboratories both in Massachusetts and California, even though it moved its headquarters from Worcester, Massachusetts to Los Angeles in 2006 in order to take advantage of the $3 billion stem cell research initiative that was voted into state law in California with the passing of Proposition 71 in 2004.

The accelerating pace of international joint ventures is merely another indication of the rapid globalization of biotechnology, especially in the field of regenerative medicine, which has the potential to change the fundamental nature of health care and medical treatment for everyone on the planet. Along those lines, ACT’s chief scientific officer and head of the joint venture, Dr. Robert Lanza, was featured in a television special with Barbara Walters entitled, “Live to be 150 – Can You Do It?”, which was broadcast in the U.S. in April of 2008.

Stem Cells in the Common Fruit Fly Shed Light on Human Genetics

Scientists have made a discovery with adult stem cells in the fruit fly, Drosophila melanogaster, which may have important implications for humans.

In a study led by Dr. Michael Buszczak, formerly of the Department of Embryology at the Howard Hughes Medical Institute Research Laboratories in Baltimore, Maryland, and currently in the Department of Molecular Biology at the University of Texas Southwest Medical Center in Dallas, researchers have reported the identification of a protease-encoding gene in Drosophila which is commonly required in germline, epithelial and intestinal stem cells.

Known as the histone H2B ubiquitin protease “scrawny” (scny) gene, the gene encodes a ubiquitin-specific protease and is a common requirement in stem cells within diverse tissue types, since such stem cells share the common need for a chromatin configuration that promotes self-renewal. Chromatin proteins contain the genetic instructions that direct cell function, and are known to regulate multiple types of stem cells.

Among other effects, Dr. Buszczak and his colleagues observed that mutant fruit flies who lacked functional copies of the scrawny gene suffered a premature loss of stem cells in various tissue types which included their skin, intestinal and reproductive tissue.

As the authors conclude in their paper, “Our findings suggest that inhibiting H2B ubiquitylation through ‘scny’ represents a common mechanism within stem cells that is used to repress the premature expression of key differentiation genes, including Notch target genes.”

Although the scrawny gene has only been identified in fruit flies thus far, similar genes are suspected of performing similar functions in other multicellular organisms such as humans. According to Dr. Allan C. Spradling, director of the Carnegie Institution’s Department of Embryology, “Our tissues and indeed our very lives depend upon the continuous functioning of stem cells, yet we know little about the genes and molecular pathways that keep stem cells from turning into regular tissue cells – a process known as differentiation. This new understanding of the role played by scrawny may make it easier to expand stem cell populations in culture, and to direct stem cell differentiation in desired directions.”

This is not the first time that important clinical therapies for people have been developed from research conducted on the humble fruit fly. Indeed, the unpretentious Drosophila melanogaster has played a central role in the advancement of human medical science for over the past century, ever since the American geneticist and embryologist, Dr. Thomas Hunt Morgan, began studying the common fruit fly in 1906 while at Columbia University. Although a few other scientists prior to Dr. Morgan had conducted experiments with Drosophila, Dr. Morgan became the first person to demonstrate, by studying successive generations of the fruit fly, that genes are transmitted from parents to offspring via chromosomes, which constitute the molecular mechanism of heredity. Such a discovery established the foundation for the entire field of modern genetics, and Dr. Morgan was awarded the 1933 Nobel Prize in Physiology or Medicine, “for his discoveries concerning the role played by the chromosome in heredity.” Later, when Dr. Morgan relocated to the California Institute of Technology, he established the Division of Biology at Cal Tech which subsequently produced 7 Nobel Prize winners. To this day, in honor of Dr. Morgan and over half a century after his death in 1945, the Genetics Society of America still awards the annual Thomas Hunt Morgan Medal to one of its members, for outstanding contributions to the field of genetics. As a direct result of Dr. Morgan’s discoveries, Drosophila melanogaster continues to serve as a “model organism” of study for genetics and developmental biology, and as such this fruit fly has yielded a number of important discoveries that are applicable to a variety of other species, not only humans. Currently Drosophila is still being studied as a genetic model for many of the most perplexing of human diseases such as diabetes, cancer, and a number of the neurodegenerative diseases including Alzheimer’s, Huntington’s and Parkinson’s diseases, among others.

Like all other species – whether flora or fauna, vertebrate or invertebrate – fruit flies have stem cells too. Unlike many species, however, fruit flies also exhibit a number of traits that lend themselves desirably toward scientific investigation, such as a fast reproductive cycle within a short lifespan, an ease of culturability in large numbers, and a genotype in which mutations are easily inducible and easily trackable by phenotype from one generation to the next. All things considered, fruit flies make a much more compliant and cooperative laboratory specimen to study than humans.

Adult Stem Cell “Beads” are Used in the Treatment of Stroke

Imagine a high-tech sachet the size of a tea-bag, filled with very small beads, and each bead in turn contains thousands of adult stem cells. Then imagine that each adult stem cell has been individually bioengineered to produce a drug that is specifically designed to treat stroke. Although such a therapy may have originally began as the stuff of imagination, it is now a reality.

Developed by the British company Biocompatibles, these stem cell “beads” have already been used to treat a number of patients. A man in Germany who received the treatment last year following a stroke has already regained his speech and the use of his right arm, although such a recovery was considered so extraordinary that it has also generated some controversy.

The stem cells in the beads are human adult mesenchymal stem cells which have been obtained from healthy donors and “programmed” to secrete CM1, a synthetically produced replica of a naturally occurring protein, GLP-1, which has been found to prevent damaged brain cells from dying through its strong anti-apoptotic effect. The full delivery mechanism consists of the cluster of human adult stem cells encapsulated in alginate beads, which protect the stem cells from an immunological response by the patient, and which constitute a retrievable implant that is removed after 14 days.

According to Dr. Peter Stratford, chief scientific officer of Biocompatibles, “We use stem cells to produce the protein because we want a reasonably low level of protein, but constantly produced, within the injured site. So in patients with a hemorrhagic stroke we have access to the brain since the surgeons are going to remove the blood clots anyway, so we can put the cells into the place where they’re needed and produce the therapeutic protein over a 2 to 3 week period in exactly the right place, and prevent the surrounding cells and tissue from dying. Each one of the cell beads is about half a millimeter in diameter and contains a few thousand stem cells that are producing the protein. And all in all, there are a few thousand cells within the containment that we implant in the brain.”

The implant is expected to be available on the European market within 5 years.

Physical Exercise Stimulates Neural Stem Cells and Sharpens Cognitive Function

A familiar Latin adage attributed to the second century Roman poet Juvenal states: “Mens sana in corpore sano” (a healthy mind in a healthy body). Nearly 2 millennia later, scientists are still discovering new scientific proof of such timeless wisdom.

The leading Harvard Medical School associate clinical professor of psychiatry, Dr. John J. Ratey, would like you to know that physical exercise offers a number of neurological and even intellectual benefits. Of course, most people were probably already aware of such a claim, at least intuitively if not scientifically, although they may not have fully understood the precise mechanisms underlying such phenomena. In his new book, Dr. Ratey sheds light on the compelling science behind this important topic by elucidating the many ways in which physical activity stimulates various parts of the brain, including, among other components, the brain’s own endogenous stem cells. These stem cells, which naturally reside within the brain throughout life, even into the advanced decades of adulthood, are capable of being prompted and directed in their formation of new brain cells by external stimuli such as physical exercise. In “Spark: The Revolutionary New Science of Exercise and the Brain”, Dr. Ratey explores the connection not just between physical and mental health, but between specific types of physical exercise and cognitive acuity.

For years, neurophysiologists have already been studying the various factors, of both genetic and environmental origin, that influence the constant re-patterning of neural network connections which in turn provide the cellular basis upon which new information and experiences are processed. Now Dr. Ratey offers further depth and breadth of insight into the cellular and molecular processes of the brain, and into the essential role that physical exercise plays in catalyzing such mechanisms. As the title suggests, the resulting message is nothing short of “revolutionary” in conveying the absolutely critical importance of physical activity.

Among other benefits, Dr. Ratey explains, physical exercise improves the “fitness” of the neocortex, which in turn improves mental agility and mood as well as cognitive processes that require attention, alertness and motivation. But not all physical activity is created equal, and some types are more effective than others at accomplishing specific goals. For the greatest intellectual benefit, aerobic exercise in combination with “complex activity” has been found to maximize “brain power”. According to Dr. Ratey, “A fast-paced workout boosts the production of a protein called brain-derived neurotrophic factor. I call it Miracle-Gro for the brain, and physical activity is one of the best ways to release this brain-nourishing protein. A workout at the gym or a brisk walk also seems to build better connections between brain cells. Studies show that regular physical activity may increase the production of cells in the hippocampus, the region of the brain involved in learning and memory. The end result is a brain that’s better able to perform in school, at home or on the job.” Underlying the continuous replenishing of brain cells are none other than the brain’s own stem cells, which are stimulated into action by physical exercise and without which new brain cells and connections between neurons could not be formed.

Dr. Ratey adds, “Aside from elevating endorphins, exercise regulates all of the neurotransmitters targeted by antidepressants. It wakes up the brain and gets it going and improves self-esteem, which is one component of depression. Exercise also boosts dopamine, which improves mood and feelings of wellness. Studies have shown that chronic exercise increases dopamine storage in the brain. The process of getting fit is all about building up your aerobic base. The more you work your heart and lungs, the more efficient they become at delivering oxygen to your body and brain.”

As Dr. Ratey further explains, “We need to change the way we think about exercise. We really need to understand that exercise keeps the brain functioning well, and then realize that it also happens to be good for the body. We tend to think about it the other way around, but in fact it readies the cells in the brain to be optimal. We are made to move and people aren’t moving anymore.”

Devotees of the “mind-body medicine” that was so popular in the 1990s will be particularly interested in this book by Dr. Ratey, which advances the mind-body connection an order of magnitude further by examining with rigorous scientific objectivity the inseparability of physical health and cognitive performance. Even for those people who may not fall into the category of Olympic athletes, however, Dr. Ratey still offers hope by encouraging the reader to find motivation in the knowledge that even moderate exercise can sharpen memory and improve mental function.

Since the publication of Dr. Ratey’s book, Harvard Medical School has begun offering seminars on the subject through their Department of Continuing Education. Other universities and health conscious organizations are following the trend.

The book is coauthored with Eric Hagerman and published by Little, Brown & Company, 2008.

Scientists Regenerate Various Tissue Types by Stimulating the Body’s Own Stem Cells

In a series of experiments that are founded upon the success of Genzyme’s proprietary drug, Mozobil (see “Genzyme Receives FDA Approval for Mozobil”, December 15, 2008), scientists at the Imperial College of London have demonstrated the unsuspected regenerative potency of endogenous, autologous adult stem cells.

A novel, proprietary small-molecule CXCR4 chemokine receptor agonist, Mozobil is designed for use with G-CSF (granulocyte-colony stimulating factor) and has already received FDA marketing approval in the treatment of non-Hodgkin’s lymphoma and multiple myeloma. By stimulating the migration of hematopoietic stem cells from the bone marrow into the bloodstream for subsequent collection and autologous stem cell transplantation, Mozobil has already been shown to play an important role in the treatment of plasma and hematologic cancers. Now, however, researchers at the Imperial College of London have demonstrated for the first time that the regenerative power of autologous adult stem cells is not limited only to blood cells but also extends to the regeneration of other tissue, such as bone and blood vessels.

According to Dr. Sara Rankin, who led the study at the Imperial College of London, “It’s promoting self-healing. We’re simply boosting what’s going on naturally.”

The experiments were conducted with a mouse model in which Dr. Rankin and her colleagues selectively administered Mozobil in combination with either of the natural growth factors G-CSF or VEGF (vascular endothelial growth factor). When combined with VEGF, Mozobil was found to stimulate mesenchymal stem cells (MSCs) which differentiate into bone and other tissue types, as well as endothelial progenitor cells which differentiate into blood vessels. By contrast, G-CSF, which is known to stimulate the mobilization of hematopoietic stem cells, was found not to stimulate the production of MSCs. Similarly, VEGF was found not to stimulate hematopoietic stem cell mobilization. The degree to which stem cell mobilization increased was particularly dramatic, as mice that received VEGF in combination with Mozobil were found to release approximately 100 times as many endothelial and mesenchymal stem cells into the bloodsteram when compared to control mice who did not receive the treatment.

This is the first concrete evidence that different mechanisms of stimulation release different, specific types of stem cells. As Dr. Robert Lanza, chief scientist at Advanced Cell Technology in Worcestor, Massachusetts, explains, “The ability to selectively stimulate a patient’s own stem cells could be a powerful tool for treating disease, and in speeding up the repair of damaged and worn-out tissues.”

Genzyme, the manufacturer of Mozobil, received marketing approval last month from the FDA for the use of Mozobil in combination with G-CSF for the mobilization of hematopoietic stem cells in the treatment of non-Hodgkin’s lymphoma and multiple myeloma. According to John DiPersio, M.D., Ph.D., a professor at Washington University in St. Louis, “This product should become an integral part of the treatment regimen for transplantation because of the benefits it offers to patients, physicians and transplant centers.”

Professor Peter Weissberg, Medical Director at the British Heart Foundation, agrees. “It has long been known that the bone marrow contains cells that can replace lost or aged blood cells,” he explains. “It now seems increasingly likely that the bone marrow also contains cells that have the capacity to repair damaged internal organs, such as the heart and blood vessels, but that too few of them are released to be effective. This research has identified some important molecular pathways involved in mobilizing these cells. It may be possible to develop a drug that interacts with these pathways to encourage the right number and type of stem cells to enter the circulation and repair damage to the heart.”

Dr. Sara Rankin adds, “The body repairs itself all the time. However, when the damage is severe, there are limits to what it can do of its own accord. We hope that by releasing extra stem cells, as we were able to do in mice in our study, we could potentially call up extra numbers of whichever stem cells the body needs, in order to boost its ability to mend itself and accelerate the repair process. Mozobil is already out there on the market, so it’s feasible that trials could happen in the next five to ten years.”