Tremendous Progress with Adult Stem Cells in 2007

The FDA approved clinical trials for adult stem cells to the tune of 1100 in 2006. But 2007 was even more successful for adult stem cells. Over 1400 FDA approved trials for 73 different conditions in humans where patient health has been improved through adult stem cell therapy were documented in peer-reviewed studies in 2007.

Umbilical cord blood, placentas, and other tissues in the body contain adult stem cells. They are found throughout the entire body. No embryos are destroyed when extracting adult stem cells, which is in contrast with the extraction of embryonic stem cells.

We have decided to publish a yearly update each fall/winter since treatments with adult stem cells are continually increasing and continue to be impressive. (Note: Embryonic stem cells have never produced successful treatment trials in humans.)

Adult stem cells do not create tumors, unlike embryonic stem cells.

The research and treatments involving adult stem cells has been fast paced since our 2006 paper, thus, we have summarized some of the developments in the field below.

The Regeneration of Heart Tissue

Eight years ago, Doug Rice was diagnosed with congestive heart failure. Due to his diabetes, he was unable to get a heart transplant.

Rice decided to travel offshore for adult stem cell treatment since he was facing fatal heart failure. Stem cells were extracted from a sample of blood taken from Rice. The cells were differentiated into angiogenic cell precursors, then transplanted into Rice’s heart.

The results were immediate for Rice, who experienced an increase in his hearts efficiency of 30 percent. He originally had an ejection fraction of 11 percent.

According to Rice, “I’ve been around a lot of people with bad hearts. I know if they looked at [adult stem cell therapy], it might save their lives. I firmly believe it saved mine.”

A few other companies have developed adult stem cell technology for heart patients.

Marc Penn, director of the Bakken Heart Brain Institute at the Cleveland Clinic, says of one new therapy, “It’s very exciting, perhaps a sea-changing trial for the field … offering the chance of an off-the-shelf-product.”

Bone marrow stem cells have been used by Bodo-Eckehard Strauer to treat over 300 heart patients. He is the director of the cardiology department at Dusseldorf University Hospital. A patient who was

Stem Cells from Hair Roots Give Rise to New Skin

Approval to produce artificial skin from a patients’ own stem cells has been granted to uroderm GmbH and the Fraunhofer Institute for Cell Therapy and Immunology IZI in Leipzig. This brings new hope to patients who suffer from chronic wounds.

From plucking a few hairs to a growing a piece of human skin in four to six weeks, the process sounds like something out of a science fiction movie. The actual process which is performed in the new cleanrooms at the Fraunhofer Institute for Cell Therapy and Immunology IZI in Leipzig is not as simple as a Hollywood film.

Doctor Developing “Supercell” for Heart Treatment

Terry Yau is a kind and thoughtful man. Despite being friendly and soft-spoken, many people avoid him if they can, and in some cases fear him. Yau is a heart surgeon, and his days often involve him giving an explanation to a patient: informing them that there is nothing else doctors can do. 99 percent of potential transplant recipients don’t receive an organ due to the lack of donors. Complications eliminate other patients from surgery consideration.

“It’s a miserable life,” Dr. Yau said. “Instead of living, they’re just waiting to die. That’s the thing that I hate the most.”

So Dr. Yau is finding new ways to help.

He is working on creating

MS Patient Improves Following Adult Stem Cell Treatment

Without the ability to even walk a short distance, Cathy Zuker suffered from Multiple Sclerosis for 27 years. Her condition had progressed to an absolute worse case scenario.

Before she got a stem cell transplant, she had to lift her legs manually when she got into the car. Her left leg would drag behind her when she walked. Her condition started improving after a stem cell transplant on May 21st, 2007. She began to notice a difference in her legs on the 24th. She said her legs started to feel lighter on the 25th, and considered her improvement to be amazing. On June 7th, 2007, she was able to not only move her legs but could get into a car without any help. Not only that, but her energy returned as well.

According to her,

Non-Profit Public Stem Cell Bank Opens in Chennai

Providing high quality stem cells for treatment, a Public Stem Cell Bank will be established in Chennai by the non-profit Jeevan Blood Bank company.

On Thursday, Dr. P. Srinivasan, Chairman, told reporters that about 40,000 units of stem cells collected from cord blood would be collected, processed and stored by the stem cell bank in five years. The project is set to go live before the end of March 2008.

Blood cancers, heart disease, autism, and more than 70 other medical conditions can be treated and potentially cured by stem cells. It is one of the best treatment options available today.

Srinivasan said the bank plans to collect cord blood from donors, harvest stem cells, test for transmissible infections, store and ultimately release the safe compatible units to any one who needs them across the world.

By December of 2008, completion if accreditation processes by international agencies is planned for the Jeevan Stem Cell Bank.

Private storage at the bank will be fee based. The funding would then be applied to the public side of the bank in order to pay for those services. 30 percent of the available storage has been reserved for private banking, while the other 70 percent is reserved for public storage.

So that matching units of cord blood can be identified by any hospitals across India as well as the world, the bank plans to publish the contents of a stem cell registry online in the next 12 weeks. When a suitable unit of stem cell was available, it would be transported frozen to the hospital where the patient was admitted for transplantation, he said.

By April 2009, the facility will be moved to a permanent 25,000 square feet location. In the meantime, it will operate on rental premises said Srinivasan.

Cardiac Stem Cell Therapy Comes Closer to Mainstream

In the therapeutic efforts that have been directed at the treatment of a variety of cardiac disorders, a great deal of progress has been made in the understanding of this science since the year 2000. Many questions still remain and research directed at answering some of these questions was presented in the current issue of CELL TRANSPLANTATION (Vol.16 No. 9), The Proceedings of the Third Annual Conference on Cell Therapy for Cardiovascular Disease. The issue was comprised of eleven separate papers, four of which are sampled below.

Amit N. Patel, MD, MS, director of cardiac cell therapy at the University of Pittsburgh Medical Center and lead author of an overview and introductory article, Cardiac Stem Cell Therapy from Bench to Bedside, stated that

MS and ALS Adult Stem Cell Progress Made in Israel

By injecting sufferers of neurological diseases with therapeutic quantities of cultured adult stem cells, scientists based at Jerusalem’s Hadassah University Hospital have broken new ground in the field of stem cell research.

The researchers extracted stem cells from the hip bone marrow of 26 multiple sclerosis (MS) and amytrophic lateral sclerosis (ALS) patients. The cells were re-injected into the patients via lumbar puncture following a two-month long process of in vitro cleansing, multiplication and chemical ‘tagging’. The researcher team was led by Professor Dimitrious Karussis and Prof. Shimon Slavin, the recently retired head of Hadassah’s bone marrow unit.

The particular type of stem cell used in the trial, marked a world first according to Karussis.

“The sole aim of this study was to explore the feasibility and the safety of this treatment, since it is applied for first time,” Karussis told ISRAEL21c.

The experiment was deemed a success with no adverse effects reported. Leading the way for further developments in forthcoming clinical trials, it was encouraging that patients also displayed anecdotal improvements in clinical symptoms.

“Most MS patients reported a stabilization of their condition and some an improvement in function, especially in sphincter control, muscle power in arms, tremor and stability in walking,” Karussis said. “ALS patients continued to show signs of deterioration – though at a lesser than previous degree.”

This is good news for both groups of patients. Resulting in impaired sensory, motor, balance and vision function, MS causes damage to the body’s central nervous system and affects over 2.5 million people worldwide. Causing the gradual and fatal loss of the patient’s capacity for movement, ALS or Lou Gehrig’s disease, involves a similar degeneration of neuronal cells. ALS is more rare and progresses more rapidly.

Both conditions are ideal targets for stem cell treatment since they are both caused by the deterioration of a specific type of cell.

Suggesting that it might be possible to regenerate damaged nervous systems through cell re-growth, the Hadassah researchers found that transplanted adult stem cells began to differentiate into the kinds of cells which the diseases had destroyed. This was observed during extensive experimentation on animal models of MS and ALS.

Despite suffering from a similar motor neuron disorder, the treated lab mice retained 90 percent of their neurons after the equivalent of one or two years in the human progression of the diseases.

Marking the first time such adult stem cells have been injected into human patients, Karussis cited the most recent safety study. The study has paved the way for a larger efficacy trial to be held over the course of the next few years, despite remaining highly experimental since the small-scale study lacked a control group.

“We are encouraged as these are patients with advanced cases, many of them in wheelchairs,” Karussis told the Jerusalem Post.

Since most of the attention in recent years has been directed towards embryonic stem cell research, the current work utilizing adult stem cells is significant say scientists. There are advantages to using adult cells. The chances of immune rejection are significantly reduced since the patient can serve as his or her own donor. The ethical issues which surround embryonic stem cells is also avoided with this approach.

The researchers hope to launch a controlled clinical trial of the therapies after first enlarging the safety study to include more patients. Applications from potential trial patients are a welcome sight.

However, a license must first be obtained from the Ministry of Health, as well as funding to cover the expense of treating patients; a cost that can be up to $20,000 per patient. Despite these significant challenges, the team says it will all be worthwhile in the long run.

Stem cells, Karussis notes, “have already shown some promise in the treatment of joint and bone diseases, immune conditions and ischemia of the heart.” And he is optimistic, he says, that MS and ALS will join that auspicious list one day “not far into the future.”

Ethical Bio-Replacements on the Way Thanks to Adult Stem Cell Breakthroughs

Following in the footsteps of their Japanese and U.S. colleagues, another team of U.S. scientists has come up with a way to produce

Stem Cell Research Grant Awarded by Archdiocese

A team of researchers investigating the potential of adult stem cells has been awarded with a $100,000 grant by the Archdiocese of Sydney announced Cardinal George Pell.

The potential for stem cells derived from human dental pulp to transform into neuron cells will be investigated by the researchers who are based in Adelaide. The cells could be used to treat stroke victims if they can be effectively transformed.

Dr. Simon Koblar of the Australian Research Council Center for the Molecular Genetics of Development at the University of Adelaide and Associate Professor Stan Gronthos of the Hanson Institute led the research team. Instrumental in advancing their studies, was PhD. student Dr. Agnieszka Arthur, whom both the researchers praised. Dr. Arthur is doing postdoctoral work at the Hanson Institute and is a co-investigator of the grant.

Expansion of Cord Blood Stem Cells a Valuable Tool

Immediately following birth is the only time cord blood cells can be collected. This means that the number of genetically unique cord blood stem cells is limited to the quantity obtained at this single point in time. Researchers are developing methods to stimulate stem cells to divide and increase in number while retaining their primitive state to allow for multiple uses and also to increase their capacity for transplantation in adolescents and adults. The process is called stem cell expansion.

For the patient to use their own cord blood samples for more than one treatment as well as improve transplant outcomes, stem cell expansion is an important tool. The science of using the body’s own cells to repair or replace damaged tissues and organs is refered to as regenerative medicine. And stem cell expansion is important to the advances in this field, which will likely increase the number of diseases that cord blood stem cells are able to treat as a result.

Several expansion studies and clinical trials are underway, even though expanded stem cells are not yet approved for medical use in humans. One or many of the methods will eventually be available with an emerging number of expansion techniques succeeding in vitro and in animal models.

In fact, successful and reproducible results can be achieved in cord blood stem cell expansion as indicated in published research. In one study, the number of stem cells in culture were expanded 389-fold using isolated primitive embryonic-like stem cells from cord blood. In another study, researchers isolated stem cells from cord blood using cell surface markers and expanded the number of stem cells in culture up to 723-fold.

More than 6,000 men, women and children are searching the NMDP registry on any given day according to the National Marrow Donor Program (NMDP). Even more patients, including adults could be treated by expanding the volume of stem cells available in a cord blood unit. Families who initially opted for private banking could use their cord blood stem cells for multiple treatments, this could potentially facilitate the donation of a portion of their cord blood sample to patients in need.

A number of clinical trials are currently being conducted to evaluate the use of expanded cord blood stem cells in humans.

In an international multi-centered trial, the first patient received a transplant of stem/progenitor cord blood stem cells in combination with non-expanded cells from the same unit in November. For hematological malignancies, including leukemia, and lymphoma, the trial will assess the safety and efficacy of expanded cord blood transplantation as a treatment.

The applicability of stem cell expansion in human cord blood transplants is being evaluated in other trials as well. Three such trials have been noted below.

-27 patients with malignant and nonmalignant disorders werte treated using expanded cord blood stem cells by investigators at Duke University Medical Center. The patients demonstrated the safety of this cell expansion technique for clinical use and exhibited durable long-term engraftment.

-The promising role cell expansion may hold in adult transplantation was demonstrated in another trial involving two adults with chronic myelogenous leukemia. Rapid engraftment was observed after receiving expanded cord blood transplants in the two patients at Hackensack University Medical Center in Hackensack, New Jersey.

-Another trial demonstrates the feasibility and safety of treating patients with high-risk malignancies using expanded cord blood stem cells. In a study at the University of Colorado, thirty-seven patients with blood or breast cancer received expanded cord blood transplants.

An indication of the scientific importance of stem cell expansion is made clear by the increasing number of institutions that are actively pursuing these new technologies. Expansion technologies may be available to more patients in the future given the positive results seen in studies thus far.