Stem cell therapy for osteoarthritis using adipose (fat) stem cell. Case study of 76 year-old man with osteoarthritis in his knees. Stromal vasular fraction treatment statistics including side effects collected over 800 infusions. Stem cell treatments for sports injuries and why pro sports stars are seeking treatment. Case study of a professional dancer with knee and neck problems who returned to competition after stem cell treatment in Panama.
Jorge Paz MD: Adult Stem Cell Therapy for Arthritis, Sports Injury, and Autoimmune Disease || 3 of 3
Jorge Paz MD: Adult stem cell therapy for arthritis, sports injury, and autoimmune diseases (part 1 of 3)
In Part 1 of 3 Dr. Paz discusses his internal medicine background in New York and Texas, and how he got involved with stem cell treatments in Panama. He highlights why licensing, technology and quality control make the Stem Cell Institute in Panama different from other clinics around the world. Dr. Paz then touches on why “same-day” fat-derived stem cell treatments are less than ideal. He concludes part 1 by discussing several US universities with which the Stem Cell Institute has collaborated on research.
Dr. Paz is the Medical Director at The Stem Cell Institute in Panama City, Panama
Clinical advances in adult stem cell therapy: Dr. Jorge Paz Rodriguez (Miami)
Current treatments with Adipose-, Bone Marrow- and Cord Blood-derived stem cells. Autism, Spinal Cord Injury, Heart Failure, Rheumatoid Arthritis and Osteoarthritis treatments are outlined. Dr. Paz is the Medical Director of the Stem Cell Institute in Panama City, Panama. He is U.S. Medical Board certified in Internal Medicine.
Mesenchymal Stem Cells Stop Arthritis in its Tracks – Duke University
Researchers at Duke University announced a promising new stem cell therapy aimed at osteoarthritis prevention after a joint injury.
The probability of developing arthritis after injury (post-traumatic arthritis – PTA) greatly increases after injury. Currently, the US FDA has not approved any drugs that slow or eliminate the progression of PTA.
However, at Duke researchers are beginning to confirm mesenchmal stem cell (MSCs) therapy in arthritis treatment. The treatment is similar to that which professional athletes and others have been seeking abroad in places like Panama and Germany for the past few years.
Ref: Pro/Am Dancer is “Dancing with the Stars” Again After Stem Cell Therapy in Panama
In the study, mice sustaining fractures that commonly lead to arthritis were treated with MSCs. “The stem cells were able to prevent post-traumatic arthritis,” said Farshid Guilak, Ph.D., director of orthopaedic research at Duke and senior author of the study.
The study was published on August 10 in Cell Transplantation.
Lead author Brian Diekman, Ph.D said the scientists observed markers of inflammation and noted that the stem cells affected the joint’s inflammatory environment following injury.
“The stem cells changed the levels of certain immune factors, called cytokines, and altered the bone healing response,” stated Diekman.
The Duke team used mesenchymal stem cells isolated from bone marrow. Bone marrow stem cells are very rare; making isolation difficult and requiring that the isolated cells be cultured in the lab under low-oxygen conditions.
“We found that by placing the stem cells into low-oxygen conditions, they would grow more rapidly in culture so that we could deliver enough of them to make a difference therapeutically,” Diekman said.
A richer source of mesenchymal cells is adipose (fat) tissue. Therapeutic doses of MSCs are routinely harvested from fat tissue and do not require culturing in the lab. However, it does takes 5 five days to thoroughly test the adipose cell samples for aerobic bacteria, anaerobic bacteria and endotoxins.
Adult Stem Cells Continue Going to the Dogs
Zack was suffering from a number of degenerative osteoarthritis conditions, despite the fact that he is only 14 years old. Of course, for a dog, 14 is not young. Fortunately for Zack, however, his owner decided to allow him to try stem cell therapy.
According to Deanna Winter, Zack’s owner who is also a doctor for people, "His main problem is arthritis. Trouble walking, trouble sitting and going upstairs." Furthermore, she adds, "His belly was almost touching the ground because he couldn’t hold his hips up. His quality of life was going down. He couldn’t make it around the block anymore."
Dr. Benjamin Ealing at Broad Ripple Animal Clinic in Indianapolis, not far from Zack’s home, has already used autologous adult stem cell treatment on 13 other dogs, successfully in each case. Dr. Ealing surgically removes abdominal fat from the dog, "which about fits in the palm of your hand and fills up two tubes", he describes. The adipose tissue is then shipped to the Vet-Stem laboratories in California where the stem cells are isolated, purified, expanded and returned to Dr. Ealing within 48 hours, already in syringes and ready to be injected into the site of the afflicted joints – which in Zack’s case were a hip and a shoulder. Although results are usually noticeable immediately, the greatest results take about 2 weeks to manifest. Now, two months later, Zack "can walk and he can sit and he can jump and he can go up stairs", as Deanna describes.
As Dr. Ealing adds, "The stem cells are the body’s own natural healing cells. Those cells then recruit the body’s own natural healing cells to come to that area, reduce inflammation, potentially to regenerate damaged tissue."
By now, Zack’s story is becoming an increasingly familiar one. As previously reported a number of times on this website, the company Vet-Stem continues to see consistently high success rates in both canine and equine clinical applications, with an 80% efficacy rate and a 100% safety rate in the animals that are treated with Vet-Stem’s autologous adult stem cell procedure. In other words, 80% of the animals treated are found to experience improvement in their condition with a reduction and often a full elimination of the need for medication, while adverse side effects have not been reported in any of the treated animals.
Since Vet-Stem first began marketing their services, they have now treated more than 2,000 dogs and more than 3,000 horses with autologous adult stem cells, extracted from each animal’s own fat. The procedure is quick, simple, minimally invasive, safe, highly effective, and while it is not cheap, it is less expensive than conventional surgical and pharmaceutical therapies which may not be effective at all. The first stem cell extraction and transplant for a dog typically run between $2,500 and $3,500, although the second transplant will often cost much less since extraction is only necessary once. The entire stem cell extraction procedure consists of the approximate equivalent of 2 to 3 tablespoons of the animal’s own adipose (fat) tissue which is surgically removed under anesthesia and shipped overnight to Vet-Stem’s laboratories in southern California where the stem cells are processed and returned two days later to the veterinarian who injects the stem cells back into the animal. Not only do the stem cells automatically target the injured tissue, but they also stimulate other endogenous stem cells which in turn are mobilized into action and participate in the healing and repair process. Although improvements are usually dramatic and immediate, even after the first injection, additional injections may be necessary, depending upon the age and condition of the animal. Very few animals ever need more than a total or 2 or 3 treatments, however, before they are fully restored to their natural, pain-free state of mobility – which contrasts sharply with conventional therapies such as most prescription medications which may need to be taken indefinitely, without ever producing any tangible signs of improvement and while even possibly causing further damage to the animal through dangerous side effects and other associated risks.
Vet-Stem uses exclusively adult stem cells, derived from each animal’s own tissue. Since the cells are autologous (in which the donor and recipient are the same animal), there is no risk of immune rejection. More specifically, the stem cells that are harvested in Vet-Stem’s procedure are mesenchymal stem cells, which are highly potent adult stem cells that are also found in bone marrow and umbilical cord blood. Numerous scientific and clinical studies have been published in the peer-reviewed medical literature detailing the regenerative properties of mesenchymal stem cells. No embryonic stem cells are ever used in Vet-Stem’s therapies, since embryonic stem cells are highly problematic in the laboratory, whether they are of human or non-human origin. Among other problems, the risk of teratoma (tumor) formation disqualifies embryonic stem cells for use as a clinical therapy, even in animals. Adult stem cells, however, do not pose such risks and are therefore rapidly accumulating a consistent history of successful clinical treatments in veterinary, as well as in human, medicine.
A number of companies throughout the world are replicating the procedure pioneered by Vet-Stem. It is fortunate – not only for Zack but also for his 2-legged friends who learn from his example – that such companies are able to conduct their business without the same burdensome federal legislation that continues to impede progress in human medical adult stem cell therapies in the United States.
(Please see a number of other related news article on this website, which include but are not limited to the most recent one entitled, "Veterinary Stem Cell Therapies Translate into Human Therapies", dated July 14, 2009).
Adult Stem Cells Treat Diabetes
Prochymal, the adult stem cell product derived from bone marrow and developed by Osiris Therapeutics, is currently in clinical trials for the treatment of type I diabetes. The double-blind, placebo-controlled, multi-site Phase II clinical trials have a target enrollment of 60 patients, each one of whom will receive 3 infusions over a period of 2 months.
Prochymal has been shown to protect the pancreas from the type of autoimmune attack that characterizes type I diabetes, thereby allowing the natural production of insulin. Patients in the trial have been able to reduce the amount of externally administered and prescribed insulin as their pancreas begin producing its own insulin.
According to Dr. Aaron Vinik of the U.S., "This is a very exciting discovery. When people get told they have diabetes, it comes as a tremendous shock. They have to live with having to take insulin injections for the rest of their lives. In the future, we will have a cure that will stop the disease in its tracks."
Prochymal is a proprietary adult stem cell product, the active ingredient in which is mesenchymal stem cells (MSCs) that are derived from healthy adult volunteer donors and formulated for intravenous infusion. Embryonic, fetal, and animal tissue are not involved. Prochymal has already been tested in over 1,000 patients in previous clinical trials with no adverse side effects.
In addition to these Phase II clinical trials for type I diabetes, Prochymal is also currently in Phase III clinical trials for graft-versus-host disease (GvHD), Crohn’s disease, and it is being developed for the repair of cardiac tissue following a heart attack as well as for the repair of lung tissue in patients with chronic obstructive pulmonary disease (COPD). Prochymal is the only stem cell therapeutic product currently designated both by the FDA and by the European Medicines Agency as both an Orphan Drug and as a Fast Track product. Osiris is also developing another adult stem cell product, Chondrogen, which is currently in clinical trials for the treatment of osteoarthritis of the knee.
A leader in adult stem cell therapies, Osiris Therapeutics is focused on the development of products for the treatment of inflammatory, orthopedic and cardiovascular diseases. In November of last year, Osiris formed a strategic alliance with the biotech company Genzyme that was valued at over $1.3 billion. In 2007, the two companies were awarded a $224.7 million contract from the U.S. Department of Defense for the development of Prochymal in the treatment of radiation sickness. (Please see the related news article on this website, entitled, "Genzyme and Osiris Form Adult Stem Cell Mega-Partnership", dated November 5, 2008).