T-reg Cells Derived from Cord Blood Used in First Clinical Trial for Leukemia

In order to decrease the risk of immune reactions common in patients undergoing blood and marrow transplantation researchers have taken steps to determine the safety and optimal dose of T regulatory cells (T-regs) at the University of Minnesota.

The groundbreaking clinical trial is being conducted with the hope that it will offer a potential new paradigm for treating autoimmune diseases as well as improve overall survival rates for blood cancer patients.

“Toward our quest of making transplants even safer for adults and children with leukemia, lymphoma, multiple myeloma, and other blood and marrow disorders, we are exploring the possibility of using T-regs to enhance the rate of blood and marrow recovery and reduce the risks of graft-versus-host disease, a complication that affects more than 60 percent of patients,” said Claudio Brunstein, M.D., principal investigator of the study.

Normally responsible for regulating the body’s immune responses, T-regs are a type of lymphocyte or white blood cell. Helping to ward off life-threatening graft-versus-host-disease (GVHD), donor T-regs may suppress the recipient’s immune system so that the healthy donor’s blood-forming stem cells and immune cells can grow in transplant cases. When donated cells attack the body of the transplant recipient it is referred to as GVHD. Following transplant, GVHD is responsible for one-third of the deaths.

The risk of GVHD decreases and the chance of blood and marrow recovery increases when T-regs are infused after transplant. This has been proven by researchers using animal models.

“Once we identified that T-regs were highly effective in mouse models, we then spent three years finding ways to make this therapy valuable for transplant patients and potentially useful for patients with autoimmune diseases,” said Bruce Blazar, M.D., director of the Center for Translational Medicine at the University.

Since they are easier to expand in culture prior to treatment and occur in higher frequency than what is typically found in most adults, the T-regs in this study are isolated from umbilical cord blood (blood collected from the placenta or afterbirth after the birth of a child). This unique use of umbilical cord blood derived T-regs marks a world first for human clinical trials.

Using patients who are undergoing a double umbilical cord blood transplant for bone marrow failure, leukemia, or other blood cancer; this trial is designed to find the highest possible safe dose of T-regs in these immune suppressed patients. There should be no acute side effects with the T-regs according to researchers who have observed similar results already in animal models.

T-regs will be a powerful therapy to enhance engraftment in transplant patients and prevent GVHD if the data in humans mimics animal models. Conditions such as multiple sclerosis, type I diabetes, and other autoimmune diseases will be treated with the T-regs to test for effectiveness once initial efficacy and safety data is known. The cell may help prevent disease progression if T-regs are transplanted early in the life of the disease hypothesized university researchers.

“This is an exciting time. In the near future, I anticipate being able to combine immune cell populations, like T-regs, that stop immune reactions responsible for autoimmune diseases like diabetes, and immune responses to stem cell infusion given to repair already damaged tissues. This brings great hope not only for adults and children with cancer but many other diseases as well. At the close of this clinical trial, we hope to go right to our first clinical trial with T-regulatory cells in the treatment of newly diagnosed diabetes,” said John E. Wagner, M.D., director of the pediatric hematology-oncology and blood and marrow transplantation program at the University of Minnesota.

The Children’s Cancer Research Fund, the National Marrow Donor Program, the Leukemia and Lymphoma Society, the National Institute of Allergy and Infectious Diseases, the National Heart Lung and Blood Institute, the National Cancer Institute, and the National Institutes of Health are funding the study.

Adult Stem Cell Research Continues Encouraging Path

Serious ethical questions have hampered stem cell research despite the potential for many medical breakthroughs.

It may be medically exciting, but the destruction of human embryos to extract stem cells which can differentiate into any type of cell in the body has been a moral issue of maximum extent. Embryonic cells can differentiate and potentially repair those cells which have been damaged, such as cells in the spinal cord or brain.

New information about diseases such as cancer or defects at birth could be revealed if a scientists have a better understanding of stem cells.

But the regeneration of tissues and organs using stem cells, dubbed the “holy grail” of the science, has medical researchers most excited. Especially in regards to therapeutic potential. Multiple sclerosis, strokes, burns, diabetes, spinal cord injuries, Parkinson’s disease, heart disease, arthritis, and Alzheimer’s could all potentially be treated more effectively and possibly cured.

However, the catch is the ethical dilemma. Despite the excitement of patients and medical researchers, many still stop to ask: Is it morally proper to initiate reproduction, only to harvest the days-old embryo for its stem cells?

The concept is looked on disapprovingly by those who oppose abortion. But a less controversial path may soon bring new hope.

The full malleability of embryonic stem cells may be matched by adult bone marrow stem cells that have been harvested according to recent research.

To investigate the potential to treat diseased immune systems using human bone marrow cells, two doctors (Freedman and Atkins) in Ottawa have been conducting trials. The MS society of Canada has been the primary benefactor for the project.

The potential to transform the bone marrow cells into any other cell in the body is being investigated by other researchers around the world and the Ottawa team’s work relates to this subject as well.

The prospects for new medical therapies to be developed would be elevated if the team is successful.

“Ultimately, we would like to be able to reverse the (damage to) patients who are very disabled today,” said Dr. Mark Freedman, who is partnering with Dr. Harry Atkins on the study at the Ottawa Health Research Institute.

The lining of the spinal cord and brain is damaged in MS patients. Using stem cells to repair the damaged cells is another goal of scientists who conduct similar research as Freedman and Atkins. The MS Society is also funding a joint study involving the Mayo Institute, the University of Calgary, and McGill University involving this work.

The prospect of new life is the potential that breakthroughs involving stem cells hold. This applies to patients with MS as well as other conditions.

And making the research even more worthwhile is the avoidance of the sticky ethical issues that involve embryonic stem cells. These breakthroughs will be the courtesy of non-controversial adult stem cells.

New Vaccine for Multiple Sclerosis Developed – Can Work with Existing Adult Stem Cell Treatment

By Steven Ertelt, Life News, August 14, 2007

Without relying on controversial embryonic stem cells, a vaccine has been developed that appears to help patients with multiple sclerosis. The vaccine’s results were reported in early testing and was developed by scientists in Canada. This breakthrough could potentially lead to greater treatment leverage for patients with multiple sclerosis without conflicting with the views of pro-life advocates who oppose the use of the embryonic cells because days-old unborn children must be destroyed to get them.

The vaccine relies on the insertion of healthy DNA into a patient with the debilitating disease and was developed at the Montreal Neurological Institute by Dr. Amit Bar-Or.

30 patients tested the vaccine with half receiving a placebo and the other half receiving an actual injection of the BHT-3009. In those given the vaccine, the numbers of white blood cells that deplete myelin in MS patients reduced reported The London Telegraph.

According to his report in the journal Archives of Neurology, “BHT-3009 was safe and well tolerated, provided favorable trends on brain MRI and produced beneficial immune changes.”

A larger study involving 290 patients is now being arranged reported the newspaper.

The slowing of the progress of the MS disease occurred without the use of embryonic stem cells noted Wesley J. Smith who is a noted author and attorney and one of the leading bioethics watchdogs.

“We’ve heard the mantra repeatedly: embryonic stem cells are the only hope (or the best hope) for curing this disease and that disease. But the evidence continues to grow that this just isn’t true,” he said in response to the study.

“Adult stem cells have stopped the progression of the disabling disease in Stage 2 human trials. Now, a different approach in early human trials is also showing promise,” he added.

“There is so much going on in biotechnology that has nothing to do with cloning and ESCR,” Smith concluded. “It’s time to stop the hype and acknowledge that embryonic stem cell research is merely one of many potential biotechnological approaches for treating diseases–most of the others being utterly non morally contentious.”

New Vaccine for Multiple Sclerosis Developed – Can Work with Existing Adult Stem Cell Treatment

Without relying on controversial embryonic stem cells, a vaccine has been developed that appears to help patients with multiple sclerosis. The vaccine’s results were reported in early testing and was developed by scientists in Canada. This breakthrough could potentially lead to greater treatment leverage for patients with multiple sclerosis without conflicting with the views of pro-life advocates who oppose the use of the embryonic cells because days-old unborn children must be destroyed to get them.

The vaccine relies on the insertion of healthy DNA into a patient with the debilitating disease and was developed at the Montreal Neurological Institute by Dr. Amit Bar-Or.

30 patients tested the vaccine with half receiving a placebo and the other half receiving an actual injection of the BHT-3009. In those given the vaccine, the numbers of white blood cells that deplete myelin in MS patients reduced reported The London Telegraph.

According to his report in the journal Archives of Neurology, “BHT-3009 was safe and well tolerated, provided favorable trends on brain MRI and produced beneficial immune changes.”

A larger study involving 290 patients is now being arranged reported the newspaper.

The slowing of the progress of the MS disease occurred without the use of embryonic stem cells noted Wesley J. Smith who is a noted author and attorney and one of the leading bioethics watchdogs.

“We’ve heard the mantra repeatedly: embryonic stem cells are the only hope (or the best hope) for curing this disease and that disease. But the evidence continues to grow that this just isn’t true,” he said in response to the study.

“Adult stem cells have stopped the progression of the disabling disease in Stage 2 human trials. Now, a different approach in early human trials is also showing promise,” he added.

“There is so much going on in biotechnology that has nothing to do with cloning and ESCR,” Smith concluded. “It’s time to stop the hype and acknowledge that embryonic stem cell research is merely one of many potential biotechnological approaches for treating diseases–most of the others being utterly non morally contentious.”

$2.4 Million Dollars Awarded for MS Research Using Bone Marrow Stem Cells

CBC News

A $2.4-million grant was awarded to two Ottawa researchers for their work in fighting the chronic and often disabling disease of the brain and spinal cord that is multiple sclerosis.

Dr. Harry Atkins and Dr. Mark Freedman will continue a closely watched clinical trial involving an experimental bone marrow stem cell transplant therapy. Their team was awarded the money by The Multiple Sclerosis Society of Canada.

Improvements in the ability to walk and see have been among the most dramatic observations of their MS research along with data on MS symptoms slowing down.

“The idea behind this clinical trial is to replace the diseased immune system with a new one derived from the patient’s own bone marrow stem cells,” said Atkins, a scientist at the Ottawa Health Research Institute, and a bone marrow transplant specialist at the Ottawa Hospital.

“First, we purify and freeze the patient’s stem cells, then we use strong chemotherapy to destroy their existing immune system,” he said. “We then transplant the purified stem cells back into the patient.”

“It takes time, but eventually these stem cells will form a completely new immune system — one that does not attack the brain and spinal cord — we hope.”

Researchers say that applying the procedure to treat autoimmune diseases such as MS is novel, but a similar procedure has been used to treat certain types of blood cancer for more than 25 years.

“We hoped that this therapy would halt or slow the progression of MS, and in the patients examined so far, it seems to have worked,” Freedman said. “In addition, some patients have experienced substantial improvements in their ability to see and walk.”

“This was unexpected, and it suggests the exciting possibility that the therapy may be contributing to some sort of repair or regeneration. With this funding, we can investigate this further.”

The knowledge gained could lead to significant improvements in the treatment of MS and other autoimmune diseases, even though the therapy is highly experimental researchers said.

Making it the most common neurological disease of young adults in Canada, between 55,000 and 75,000 Canadians have multiple sclerosis. People are typically diagnosed with MS between the ages of 15-40.

Stiffness of muscles, extreme fatigue, speech problems, loss of balance, double or blurred vision, bladder and bowel problems, or even partial or complete paralysis can be among the unpredictable and varying symptoms that a person with MS can experience.

$2.4 Million Dollars Awarded for MS Research Using Bone Marrow Stem Cells

A $2.4-million grant was awarded to two Ottawa researchers for their work in fighting the chronic and often disabling disease of the brain and spinal cord that is multiple sclerosis.

Dr. Harry Atkins and Dr. Mark Freedman will continue a closely watched clinical trial involving an experimental bone marrow stem cell transplant therapy. Their team was awarded the money by The Multiple Sclerosis Society of Canada.

Improvements in the ability to walk and see have been among the most dramatic observations of their MS research along with data on MS symptoms slowing down.

“The idea behind this clinical trial is to replace the diseased immune system with a new one derived from the patient

MS Patient Chooses China Over U.S. Due to Cost

Mike will leave for China two weeks from today. He’s not much of a gambling man, but he decided to take one this time. With the hope that his multiple sclerosis will be brought under control, he will undergo adult stem cell treatment overseas.

Riley’s doctors only gave him negative opinions about the treatment abroad. But Riley was smarter than his doctors. He knew that he could become paralyzed in a few years due to his aggressive form of MS, and that he had run out of options in the United States. He couldn

Stem Cells Lessen Suffering for People with Multiple Sclerosis

Therapeutics Daily

The redistribution of a patient’s own adult bone marrow cells as a method of stem cell treatment may lessen the suffering of their multiple sclerosis symptoms.

Professor Neil Scolding of the Institute of Neurosciences at Bristol University’s Frenchay Hospital is researching the use of adult bone marrow stem cells as a therapy treatment for MS.

This type of cell is already used to treat other common conditions such as cardiac disease. They can replace damaged cells by reforming and regenerating.

The scope of stem cell treatment is expanding everyday says Scolding. The Multiple Sclerosis Ireland organization will be hosting him this weekend at their annual conference.

“In the last three or four years we’ve found that stem cells have a number of properties that make them particularly valuable for [ treating] multiple sclerosis. We used to think of stem cells as an opportunity to replace another cell, but it turns out that there can actually be many more things: we can stimulate a local cell or suppress inflammation in its immediate surroundings, which is very valuable in MS,” he says.

The procedure would involve removing bone marrow from the patient and injecting back into the bloodstream making it rather straightforward. The cells would travel almost instinctively to those areas of the body that need attention says Scolding.

“When the cells are injected, they know where to go and from there we hope they will help the tissue to repair,” he says.

Well documented work with other stem cell therapies gives his current research a boost says Scolding. Proof backing up the scientific grounding of treatments in regards to stem cells used in procedures is cited in papers documenting years of successful bone marrow transplant recipients.

“One of the advantages of using bone marrow stem cells is that people for very different reasons have had bone marrow transplants, and they also got those cells,” he says.

“And that means we’ve got 30-40 years’ worth of clinical experience to prove that they are safe and don’t form tumors. They come from the patient and go back to the patient.”

However, as they continue to draw more controversy, embryonic stem cells are falling further behind in terms of research. Many people consider embryos an unethical source of stem cells because it involves the destruction of human embryos.

In contrast to their adult stem cell counterparts, embryonic stem cells are not as reliable says Scolding.

“Quite apart from the ethical questions, there are also very serious biological reasons why embryonic stem cells at the moment are not safe enough to use in therapy,” he says.

“They can form tumors and there is a question of rejection because you are introducing the stem cell into a different patient.”

Scolding says that the answer to the fight against a wide range of health issues can be found in adult stem cells. Before embryonic stem cells can be used as a treatment of any sort, they will need to prove themselves. The process could take at least 10-15 years, if ever added Scolding.

“People are thinking very seriously about using stem cells to treat Parkinson’s disease and diabetes,” he says.

“With MS, we’re not at the stage where we have a lot of results yet, but it’s the beginning of what we hope will be a long journey.”

Stem Cells Lessen Suffering for People with Multiple Sclerosis

The redistribution of a patient’s own adult bone marrow cells as a method of stem cell treatment may lessen the suffering of their multiple sclerosis symptoms.

Professor Neil Scolding of the Institute of Neurosciences at Bristol University’s Frenchay Hospital is researching the use of adult bone marrow stem cells as a therapy treatment for MS.

This type of cell is already used to treat other common conditions such as cardiac disease. They can replace damaged cells by reforming and regenerating.

The scope of stem cell treatment is expanding everyday says Scolding. The Multiple Sclerosis Ireland organization will be hosting him this weekend at their annual conference.

“In the last three or four years we’ve found that stem cells have a number of properties that make them particularly valuable for [ treating] multiple sclerosis. We used to think of stem cells as an opportunity to replace another cell, but it turns out that there can actually be many more things: we can stimulate a local cell or suppress inflammation in its immediate surroundings, which is very valuable in MS,” he says.

The procedure would involve removing bone marrow from the patient and injecting back into the bloodstream making it rather straightforward. The cells would travel almost instinctively to those areas of the body that need attention says Scolding.

“When the cells are injected, they know where to go and from there we hope they will help the tissue to repair,” he says.

Well documented work with other stem cell therapies gives his current research a boost says Scolding. Proof backing up the scientific grounding of treatments in regards to stem cells used in procedures is cited in papers documenting years of successful bone marrow transplant recipients.

“One of the advantages of using bone marrow stem cells is that people for very different reasons have had bone marrow transplants, and they also got those cells,” he says.

“And that means we’ve got 30-40 years’ worth of clinical experience to prove that they are safe and don’t form tumors. They come from the patient and go back to the patient.”

However, as they continue to draw more controversy, embryonic stem cells are falling further behind in terms of research. Many people consider embryos an unethical source of stem cells because it involves the destruction of human embryos.

In contrast to their adult stem cell counterparts, embryonic stem cells are not as reliable says Scolding.

“Quite apart from the ethical questions, there are also very serious biological reasons why embryonic stem cells at the moment are not safe enough to use in therapy,” he says.

“They can form tumors and there is a question of rejection because you are introducing the stem cell into a different patient.”

Scolding says that the answer to the fight against a wide range of health issues can be found in adult stem cells. Before embryonic stem cells can be used as a treatment of any sort, they will need to prove themselves. The process could take at least 10-15 years, if ever added Scolding.

“People are thinking very seriously about using stem cells to treat Parkinson’s disease and diabetes,” he says.

“With MS, we’re not at the stage where we have a lot of results yet, but it’s the beginning of what we hope will be a long journey.”

Thanks to Stem Cells, MS Patient has Best Six Months in 33 Years

Great-grandmother Julia has just had her best six months in 33 years even though she suffers from multiple sclerosis.

After going to have revolutionary stem cell treatment in Holland, Julia, 64, is experiencing an extraordinary turnaround from her degenerative illness. Since the therapy is banned in Britain, traveling was unavoidable.

Julia had been afflicted with multiple sclerosis for 33 years, and in July, the York Press reported on her already improving state since being treated in May.

To find out whether the stem cells in her body were still causing her condition to improve, the Press caught up with her for Christmas.

“I’ve had the best six months I’ve had in 33 years,” said Julia, of Bishophill, York. “My spine is stronger. I can move my body better.”

She was already experiencing welcome relief from the painful nerve endings – once so sore they kept her in bed for three months – when the Press reported on her condition just two months after treatment.

A feat she could only manage beforehand by supporting it with her other hand, she was once again able to put on her own make-up because she could lift up her left arm.

The ability to enjoy a hot cup of coffee is another life improvement Julia can enjoy again, in fact, she is enjoying it today.

Since disease meant her body could not cope with the heat, she would have to wait until hot drinks became cold.

Remarkably, her brunette hair has also started to grow back, where before it was grey.

Julia remains hopeful the stem cell treatment might improve her condition so much she could even walk again. She lost the use of her legs seven years ago.

“I’m still hopeful,” she said. “It’s probably wishful thinking, but I’m hopeful of it.”

When she was just 31, Julia was diagnosed with MS in 1973. She was ultimately restricted to a wheelchair as her condition progressively got worse.

In May, she decided to have stem cells injected into the navel, scalp, and spine. Her treatment was conducted using stem cells derived from umbilical cord blood, a treatment which is not available in Britain.