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Study shows adipose stem cells may be the cell of choice for therapeutic applications – Medical Xpress

By JoanneRUSSELL25

February 24, 2017

An international team of researchers, funded by Morris Animal Foundation, has shown that adipose (fat) stem cells might be the preferred stem cell type for use in canine therapeutic applications, including orthopedic diseases and injury.

Researchers at the University of Guelph, University of Western Ontario and Aarhus University, Denmark, ran a battery of tests comparing the physiology characteristics of stem cells derived from adipose tissue versus bone marrow. They found that stem cells from both sources had similar functional properties, including tissue generation and immunomodulating capabilities (ability to adjust immune response), but adipose stem cells grow at a faster rate than bone marrow stem cells. Harvesting adipose stem cells also is less invasive than harvesting bone marrow. The study recently was published in PLoS ONE, an online scientific journal.

In the last decade, the use of stem cell therapy in animals and humans has dramatically increased. In dogs, stem cell therapy is used in the treatment of a variety of orthopedic diseases and injuries. Stem cells are harvested from either fat tissue or bone marrow, purified and grown in culture, then placed back in the patient.

Given the ease of harvesting, adipose tissue has become the site of most stem cell collections in canine patients. But questions persisted regarding the differences between these two sources of stem cells, and which is better suited to therapeutic applications.

"Faster proliferation along with the potential for a less invasive method of their procurement makes them (adipose stem cells) the preferred source for canine mesenchymal stem cells," concluded the research team.

Explore further: Stem cell therapy trial at Sanford first of its kind in US for shoulder injuries

More information: Keith A. Russell et al, Characterization and Immunomodulatory Effects of Canine Adipose Tissue- and Bone Marrow-Derived Mesenchymal Stromal Cells, PLOS ONE (2016). DOI: 10.1371/journal.pone.0167442

Journal reference: PLoS ONE

Provided by: Morris Animal Foundation

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From the double membrane enclosing the cell nucleus to the deep infolds of the mitochondria, each organelle in our cells has a distinctive silhouette that makes it ideally suited to do its job. How these shapes arise, however, ...

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Researchers at the University of Illinois report they can alter blood cell development through the use of biomaterials designed to mimic characteristics of the bone marrow.

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Adoring gran who will die without bone marrow transplant desperate to see granddaughter go to school – Mirror.co.uk

By Dr. Matthew Watson

As a devoted gran, Sipy Howard looks forward to watching her grandkids grow up.

In two years' time, the 65-year-old hopes to proudly look on as her youngest granddaughter, Sienna, goes off to school .

But devastatingly, she doesn't know if she'll be able to do so - because she urgently needs a bone marrow transplant to survive.

Sipy, a "warm and adoring" gran, was diagnosed with leukaemia on December 15 last year - which also happened to be her birthday.

Although she has been undergoing intense chemotherapy, she is in need of a bone marrow and stem cell transplant to save her life.

Now, her daughters, Emma, 34, Jolene, 32, and Sammy, 26, have launched a desperate online campaign to find a donor for her.

The heart-wrenching campaign, dubbed #SavingSipy , aims to encourage potential donors to sign up to the bone marrow register.

It stresses how simple it is to register as a donor online.

Sipy, married to husband Eli, told Mirror Online she is "moved" by the support she has received from her loved ones - as well as strangers.

"We really need as many people as possible to sign up to the register," said the mum of three, from Kenton, northwest London.

She added: "I want to see my grandchildren growing up and my youngest granddaughter going to school."

Sipy was devastated to be diagnosed with Acute Myeloid Leukemia, an aggressive blood cancer, on her 65th birthday.

Her daughters were also shocked by the diagnosis.

Emma said: "You can never prepare yourself for hearing that a loved one has cancer.

"You are suddenly filled with fear and a desperation you have never quite experienced.

"I felt like I had been hit by a car when my dad broke the news to me on my mum's birthday.

"Keeping yourself emotionally together each day becomes your only goal."

She added that her mum is currently "struggling through" her second, gruelling round of chemotherapy.

"It's the knowing that she needs us more than ever that keeps us going, keeps us fighting," she said.

"We won't give up on her and our goal of finding a match for her."

Sipy, described as "bubbly, always laughing and generally a bit nuts", is a gran to two-year-old Sienna and four-year-old Sofia.

A member of the Jewish community, she has an "open house policy" and "cares for everyone she meets", according to her family.

Her daughters are hoping that the community - specifically the Sephardi community - could help to save her life.

Sammy said: "One of the hardest things about the situation is knowing there may be someone in the world who is a match for my mum, but because they have not registered to be on the bone marrow register, they can't save her.

"This is why we are desperately trying to reach out to everyone we can and get our message across.

"We urgently need people to register now and unfortunately we don't have much time."

Jolene added: "Awareness is key."

The campaign is being supported by the charity DKMS, which aims to help blood cancer patients find matching donors.

For details of how to register as a donor online, you can visit the #SavingSipy Facebook page here or DKMS's website here .

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New antiviral drug cuts cytomegalovirus infection and improves survival in patients – Medical Xpress

By Sykes24Tracey

February 24, 2017

Orlando- In a significant advance in improving the safety of donor stem cell transplants, a major clinical trial led by researchers at Dana-Farber Cancer Institute and Brigham and Women's Hospital (BWH) has shown that a novel agent can protect against the most common viral infection that patients face after transplantation.

The results represent a breakthrough in a decade-long effort to identify an effective drug for the prevention of CMV infection in transplant patients that doesn't produce side effects that negate the benefit of the drug itself, the study authors said.

The findings, from an international phase 3 clinical trial of the drug letermovir for preventing cytomegalovirus (CMV) infection in transplant patients, will be presented at the 2017 Bone Marrow Transplant Tandem Meetings of the American Society for Blood and Marrow Transplantation (ASBMT) and the Center for International Blood and Marrow Transplant Research (CIBMTR) in Orlando, Florida, February 22, 2017.

The study, which involved 565 adult patients at 67 research centers in 20 countries, compared letermovir to placebo in preventing an active CMV infection following transplant with donor stem cells. The patients, who were undergoing transplant as treatment for blood-related cancers or other disorders, all carried a CMV infection from earlier in life that had been wrestled into dormancy by their immune system. Twenty-four weeks after completing up to 14 weeks of treatment, 61 percent of the patients receiving a placebo had developed a CMV infection serious enough to require treatment or had discontinued the trial. By contrast, only 38 percent of those treated with letermovir developed that level of CMV infection or did not complete the trial.

Unlike other drugs able to forestall active CMV infection in stem cell transplant patients, letermovir did so without producing unacceptable toxicities. Most of the side effects associated with letermovir were tolerable, including mild cases of nausea or vomiting, and some swelling, investigators found. Letermovir also conferred a survival benefit: at the 24-week mark, 15 percent of the placebo patients had died, compared to 10 percent of those receiving letermovir.

"For the first time, we seem to have a drug that is a true safe and effective preventive for CMV infection in stem cell transplant patients," said the study's lead author, Francisco Marty, MD, an infectious disease specialist at Dana-Farber and BWH. "Letermovir will allow many patients to avoid infection, usually with no or mild side effects, and seems to provide a survival benefit in the first six months post-transplant."

Transplantation of donor hematopoietic stem cells - which give rise to all types of blood cells, including white blood cells of the immune system - is used to treat blood-related cancers such as leukemia, lymphoma, and myeloma, as well as several types of non-cancerous blood disorders. Patients typically receive chemotherapy to wipe out or reduce the bone marrow, where blood cells are formed, followed by an infusion of donor stem cells to rebuild their blood supply and reconstitute their immune system.

While refinements in transplant techniques have sharply improved the safety of the procedure, the reactivation of CMV infection following a transplant has been a longstanding problem.

Infection with CMV, a type of herpes virus, is one of the most common viral infections in the world. In the United States, it's estimated that over 50 percent of people are infected before adulthood. In other parts of the world, infection rates can be significantly higher. The effects of CMV infection can range from no symptoms to a flu-like fever or mononucleosis ("mono") syndrome. Once the immune system has brought the infection under control, the virus persists unobtrusively in the body.

The jolt of a stem cell transplant - the rapid erasure or diminishment of the immune system produced by pre-transplant chemotherapy, as well as measures to prevent graft-versus-host disease - can give CMV a chance to reawaken and run amok before the newly reconstituted immune system takes hold. In the early years of bone marrow transplant therapy, 60 to 70 percent of transplant recipients developed CMV infection, Marty recounts. Of those, 20 to 30 percent contracted CMV pneumonia, and of those, 80 percent died of the disease.

In previous clinical trials, several drugs aimed at preventing CMV infection in stem cell transplant patients either were not effective or produced intolerable side effects. In the absence of safe preventive drugs, physicians worked out a "surveillance" approach in which they provide treatment only when patients develop CMV infection, and only for a short period of time. This strategy has largely been a success: patients now have just a 2 or 3 percent chance of getting CMV disease affecting the lungs or other organs. Still, the often harsh side effects of current drugs were reason to continue the search for a useful preventive agent.

Letermovir works by a different mechanism from previously tested agents, which block an enzyme known as DNA polymerase, which viruses use to duplicate their DNA. (Human cells use the same process to replicate their own DNA.) By contrast, letermovir blocks a process by which CMV is "packaged" inside infected cells - a wrapping that allows it to go on and infect other cells. The fact that this process does not occur in human cells may explain in part why letermovir usually gives rise to only mild side effects, researchers say.

In the trial, patients received letermovir or a placebo beginning an average of nine days after transplant. "The goal was to suppress the virus before it has a chance to become active," Marty remarked. "The results of this trial offer encouragement that letermovir can offer a new strategy for donor stem cell transplant patients in preventing the emergence of CMV infection following transplant."

Explore further: Novel drug prevents common viral disease in stem-cell transplant patients, study finds

A new drug can often prevent a common, sometimes severe viral disease in patients receiving a transplant of donated blood-making stem cells, a clinical trial led by researchers at Dana-Farber Cancer Institute and Brigham ...

A single blood test and basic information about a patient's medical status can indicate which patients with myelodysplastic syndrome (MDS) are likely to benefit from a stem cell transplant, and the intensity of pre-transplant ...

Patients with hepatitis C virus infection who received an antiviral drug around the time they underwent liver transplantation saw a high rate of sustained virologic response, according to a Northwestern Medicine phase II ...

Recent studies on a small number of patients with leukemia treated with bone marrow transplantation have suggested that the presence of the common cytomegalovirus (CMV) in patients or their donors may protect against relapse ...

(HealthDay)Umbilical cord blood may work as well as current alternatives for adults and children with leukemiaor even better in some cases, according to a study published in the Sept. 8 issue of the New England Journal ...

Letermovir keeps the ubiquitous Cytomegalovirus in check for weakened immune systems of infected transplant patients.

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Life after a heart attack: She’s golfing. He’s running. How they did it. – Miami Herald

By Dr. Matthew Watson


Miami Herald
Life after a heart attack: She's golfing. He's running. How they did it.
Miami Herald
The study in which Wilson enrolled injected millions of donor, bone-marrow stem cells into her heart. Stem cells extracted from bone marrow grow rapidly and help regulate the body to heal itself, Hare explained. After a heart attack, an area of the ...

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Blood donation system enough to protect blood stem cell donors – India.com

By JoanneRUSSELL25

Kolkata, Feb 23 (PTI) India does not require any specific policy for blood stem cell donations as the existing blood donation system was enough to protect the donors and recipients, a senior doctor said today.

I dont think we need any more (policy) for blood stem cell donation than the one which exists in the current blood banking system to protect the donor and the patient. I dont think more legislation is needed because that will complicate things more, Dr Mammen Chandy, director Tata Memorial Centre, Kolkata said today.

Stating that bone marrow transplantation is the last choice for treating a patient suffering from fatal blood disorders like blood cancer and thalassemia, Dr Chandy rubbished claims of any malpractice in the country relating to bone marrow donation.

Transplantation is the last choice because its not that simple And I dont think there is any malpractice in India currently in relation to bone marrow donation. This may not be true with organ transplantation but certainly there is no unethical practice regarding bone marrow transplantation in any of the sectors, he stated.

On whether there is a need for a law on this matter, the doctor said that the existing rules and regulations were adequate at the moment.

Because here there is nothing involved in it because you are donating something like blood. I think the existing rules and regulations are adequate at the moment, Dr Chandy said.

Cost of bone marrow transplantation is obviously a matter of concern, he said.

On whether there is a need for a policy to keep a control on the expenses involved in transplantation, he said, Cost is obviously a major problem. I dont think that there is anything other than the intrinsic costs of the drugs, the facilities that are required which make this such an expensive procedure

This is published unedited from the PTI feed.

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City hospital successfully performs bone marrow transplant – Times of India

By NEVAGiles23

Aurangabad: After earning distinction in the field of cadaver organ donations at the state level, the city is now also emerging as a hub for tissue transplant after a city-based private hospital successfully performed Bone Marrow Transplant (BMT) on two patients.

"We performed the BMT on two people 25-year-old male and 55-year-old female a few weeks ago. With this, we have become the first and only centre in Marathwada to provide such treatment," Kamalnayan Bajaj Hospital CEO Shamim Khan said.

He described the treatment as complete care from diagnosis to cure at one point to any patient suffering from either genetic or acquired disorder of blood. There exist two forms of BMT namely Autologous BMT and Allogeneic BMT and the Kamalnayan Bajaj Hospital has performed the former procedure on two patients.

"Autologous BMT is where patient's own stem cells are used while for Allogenic BMT, the stem cells are from a matched donor. Both procedures can offer cure to deadly diseases like blood cancers, lymphoma, myeloma and genetic diseases such as thalassemia and sickle cell anemia, among others," said Venkatesh Ekbote, consultant Hematologist at the hospital.

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Research on retinal pigment epithelial cells promises new future treatment for glaucoma patients – Science Daily

By raymumme

Scientific research builds its own momentum as one discovery triggers another, building an ongoing wave of unexpected possibilities. In the world of glaucoma, such a surge began when advances in stem cell research opened doors experts had never imagined.

With this new perspective, they began to consider innovative ways to use specialized cells in the eye, like retinal pigment epithelial cells and ganglion cells. Today researchers continue to follow that path, knowing that each small step they take may lead to future glaucoma treatments.

What Are Retinal Pigment Epithelium (RPE) Cells?

Most people know at least a little about the retina. The retina is a thin tissue that's about an inch in diameter, yet it contains all the photoreceptor cells responsible for beginning vision and their circuits that produce signals that become vision.

If you could look beneath the retina, you'd find a sheet of black cells called the retinal pigment epithelium, (RPE). The easiest way to describe the RPE is to say it supports the retina, but that doesn't begin describe its value. These cells help by renewing the light-absorbing pigments contained in the rod and cone photoreceptors on a daily basis. They also enhance vision by absorbing scattered light. They ensure survival of photoreceptor cells by delivering nutrients, while also serving as a barrier that blocks damaging substances from getting into the retina. The RPE also stops free radicals before they can damage the retina.

The retinal pigment epithelial cells are shaped like a six-sided hexagon, so they fit together as tight as a puzzle. Tiny projections extend from RPE cells, reach out to cover photoreceptor cells and carry nutrients into the cells. When RPE cells are damaged, photoreceptor cells die, ultimately leading to blindness.

What do RPE Cells Have to do Glaucoma?

Glaucoma doesn't typically damage RPE cells, but thanks to advances in stem cell research, it looks like RPE cells may play a crucial role in finding a cure to the degenerative disease. Experts have been studying stem cells for the last seven decades, but their time and effort is beginning to pay off.

Researchers discovered that mature stem cells from various places in the body can be removed and injected with a combination of genes that reprogram the adult cells back into their fresh embryonic state. These cells are called induced pluripotent stem cells. This has been put into practice in the lab, where adult stem cells taken from bone marrow were reprogrammed to grow into various eye cells.

When certain induced pluripotent stem cells are grown together with RPE cells, they can be reprogrammed to turn into photoreceptor cells and other retinal cells. It may even be possible to develop a group of protective nerve cells in the retina -- retinal ganglion cells -- that are damaged by glaucoma. While these amazing discoveries have yet to take shape as a viable treatment option for glaucoma, they certainly make it possible to believe that research using RPE cells may one day lead to a novel stem cell-based treatment that could stop or even reverse the progression of glaucoma.

Story Source:

Materials provided by Glaucoma Research Foundation. Note: Content may be edited for style and length.

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Garrett Richards Among Pitchers Using Stem Cell Treatment Over … – CBS Local

By NEVAGiles23

February 22, 2017 12:53 PM

Bryan Altman

In 2016 Angels ace Garrett Richards took to the mound just six times before being shut down for the season on May 6, 2016 due to a partial tear of his UCL (ulnar collateral ligament) in his elbow, an injury that typically requires Tommy John surgery and a prolonged absence from any baseball activities.

Fortunately for Richards his tear was a unique one as it ran lengthwise along his UCL, as opposed to a standard tear which goes across ones ligament. This, combined with new advances in stem cell technology, gave Richards the option to avoid going under the knife and instead undergo stem cell treatment.

This and much more on the topic of stem cell research and its role in baseball was revealed in a recent piece published byYahoo.coms Jeff Passan, who also went into plenty of detail regarding the nature of the actual stem cell treatment.

From Yahoo.com

A doctor guided a needle into the iliac crest of his pelvic bone and began to extract bone marrow. Richards was wide awake, the blessing of local anesthesia saving him from physical pain but not the anxiety that crept into his head: Is this really going to work?

Within a few minutes, the harvested marrow was hurried to a centrifuge, spun to separate the good stuff, mixed into a slurry of platelet-rich plasma (PRP) and readied to inject into Richards damaged right elbow.

Science, bro, Richardsreportedly told Passan. Im a believer now.

Its hard not to be if youre Richards. According to the article, if Richards opted for Tommy John surgery the earliest possible return date for him would have been following the 2017 All-Star break.

Now, Richards is poised to start the season on the hill for the Angels and has been throwing 98 MPH fastballs once again in spring training.

I feel as good as I ever have throwing a baseball, said at the teams spring training facility on Monday.

For Richards, the results have seemingly turned out stellar, and while stem cell treatment could revolutionize baseball, there is still a little bit of skepticism regarding the procedure.

From Yahoo.com

In May 2013, a paper published in the American Journal of Sports Medicine found 30 of 34 overhand throwers with partial UCL tears who used PRP had returned to their previous level of competition. This was reason for celebration. If a player could avoid the 14-month-plus recovery from the surgery, better for him as well as the team.

Another study arrived in 2016 that didnt cast doubt on the value of orthobiologics so much as offer a different avenue: rest. The 28 players used everything from electrical stimulation, ultrasound, laser therapy, massage and other soft-tissue work. And when paired with rest, their return to previous level came in at 84 percent. It was almost exactly as effective as PRP.

Even though Richards is good to go,neither him or the Angels plan on taking any chances with his arm this year.

Passan notes that Richards has used his time off to reassess his mechanics and fix any inefficiencies in his delivery, which should also help him stay healthy.

Hell be targeting a pitch count below 100 for each game and is looking to keep his workload under 200 innings, which should hopefully keep the Angels ace on the mound and off the operating/stem cell treatment table for the foreseeable future.

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Still Searching For A StemCell/Bone Marrow Donor For Baby Madalayna – windsoriteDOTca News

By NEVAGiles23

The search is still on to find a matching stem cell/bone marrow donor for five month old Madalayna Ducharme. The initial search of the Canadian OneMatch Stem Cell and Marrow Network as well as Bone Marrow Donors Worldwide (BMDW) have not yet identified a matching donor for Madalayna.

Madalayna was recently diagnosd with malignant infantile osteopetrosis, a genetic disorder that prevents her bones from working properly and they become too dense. This disorder attacks vision, hearing and is life threatening.

On Friday, February 24th there is another opportunity to help Madalayna find her match. The Katelyn Bedard Bone Marrow Association will host a Get Swabbed! registration event at Holy Names High School 1400 Northwood Street from 10am to 1:30pm.

The general public is invited to join the students and staff at Holy Names High School to keep the groundswell surging in an effort to ultimately find that life saving match for Madalayna.

The age requirement to register as a Stem Cell donor is 17 to 35 years. The registrant must possess a Canadian Government issued health card.

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Still Searching For A StemCell/Bone Marrow Donor For Baby Madalayna - windsoriteDOTca News

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Changing the environment within bone marrow alters blood cell … – Science Daily

By LizaAVILA


Science Daily
Changing the environment within bone marrow alters blood cell ...
Science Daily
Researchers report they can alter blood cell development through the use of biomaterials designed to mimic characteristics of the bone marrow.

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Right to try, right to buy, right to test – Washington Post

By daniellenierenberg

By Sally Satel By Sally Satel February 21 at 8:04 PM

(Dr. Sally Satel, who has guest-blogged here before, was kind enough to write up this item on a topic that has long interested me; Im delighted to pass it along: -EV)

In 2007, Eugene Volokh, the host of this site, published an essay in the Harvard Law Reviewtitled Medical Self-Defense, Prohibited Experimental Therapies, and Payment for Organs in which he argued that the government should need a very good reason to prevent sick people from saving their own lives.

That insight impels the Right to Try movement, which seeks to give terminally ill patients the right to try drugs that show promise but not have received FDA approval and which has received sympathetic hearings from President Trump and Vice President Pence. One of the leaders of Right to Try reform, the libertarian Goldwater Institute, said it best: We just fundamentally do not believe that you should have to apply to the government for permission to try to save your own life.

That principle has vital implications for patients needing bone marrow and kidney transplants.

Each year, 2,000 to 3,000 individuals with leukemia and other forms of bone marrow disease die while waiting to receive another persons bone marrow cells. Its not that strangers are indifferent to their plight, but that suitable biological matches are hard to find. And even when a match is found, there is a 1-in-2 chance that the needle-in-a-haystack donor either cant be located by registry personnel or, incomprehensibly, refuses to donate even though he had earlier volunteered to be tested.

We can enlarge the pool of potential donors while increasing the likelihood that compatible donors will follow through if they are paid or if sick patients (or charities acting on their behalf) have the Right to Buy, as I call it.

But there is an obstacle to buying. The 1984 National Organ Transplant Act, or NOTA, bans exchange of valuable consideration that is, anything of material worth for solid organs, such as kidneys and livers, as well as for bone marrow.

The Institute for Justice, a libertarian public-interest law firm, fought the prohibition. It sued the Justice Department on behalf of families afraid their ill loved ones would die because they couldnt get a bone marrow transplant.

In a unanimous 2012 ruling, a three-judge panel of the U.S. Court of Appeals for the 9th Circuit rejected the federal governments argument that obtaining bone-marrow stem cells through a needle in a donors arm violates NOTA. The judges based their decision on the fact that modern bone-marrow procurement, a process known as apheresis, is akin to drawing blood. Indeed, filtered stem cells, they held, are merely components of blood, no different from blood-derived plasma, platelets and clotting factors, all of which are replenished by the body within weeks of a donation. Because its legal to compensate blood donors, its also legal to pay bone marrow donors, the court ruled.

Unfortunately, the Department of Health and Human Services rejected the courts ruling. In 2013, it proposed a rule that would extend the NOTA prohibition to bone marrow stem cells. Under the proposed regulation, anyone who accepted material gain for giving bone-marrow stem cells would be subject to NOTAs penalties, facing imprisonment for up to five years. According to HHS, compensation runs afoul of NOTAs intent to ban commodification of human stem cells and to curb opportunities for coercion and exploitation, encourage altruistic donation and decrease the likelihood of disease transmission.

The solicitor general could have asked the Supreme Court to review the 9th Circuits bone-marrow decision, but he declined. Perhaps he grasped the central folly of HHSs position: How could the agency justify its worry about opportunities for coercion and exploitation and the likelihood of disease transmission when it came to bone marrow cells, yet not apply those same concerns to plasma?

For three years, HHS has been silent on its proposed rule. Meanwhile, people are dying because nonprofits that want to begin paying donors on behalf of needy patients cant move forward until they are assured that the agency cant shut them down. The Institute for Justice is considering a legal challenge over the HHS delay, which is causing needless deaths.

But perhaps the lawsuit can wait. With a new administration that is skeptical of overregulation, HHS Secretary Tom Price could withdraw the proposed rule. Ideally, Congress would thwart future regulatory blockades by amending NOTA to stipulate that marrow stem cells are not organs covered by the act.

Changes to NOTA should also be made for other organs. I feel strongly about this on fundamental grounds of liberty but also because, in 2005, I needed to save my own life. I developed kidney failure but could not find a donor. Thank goodness, an angel, or as some readers know her, Virginia Postrel, heard about my predicament and gave me a kidney. And this summer another living saint, Kimberly Hendrickson, who saw how desperate I was many years ago, offered me one of hers when the first transplant began to fail. Every day, 12 people die because no one wasable to come to their rescue and, had a patient offered money for an organ, both the patient and the donor who accepted the money would face felony charges.

Congress could take the bold step of revising NOTA to permit donors who are willing to save the life of a stranger through kidney donation to receive valuable consideration from governments or nonprofit organizations. Or, lawmakers could take the intermediate step of creating a pilot program allowing doctors to study the effect of such measures, as proposed last May by Rep. Matthew Cartwright (D-Pa.), who introduced the Organ Donor Clarification Act of 2016.

Rather than large sums of cash, potential rewards could include a contribution to the donors retirement fund, an income tax credit or a tuition voucher, lifetime health insurance, a contribution to a charity of the donors choice, or loan forgiveness. Only the government, or a government-designated charity, would be allowed to disburse the rewards. Consequently, all patients, not just those with financial means, could benefit. The funds could potentially come from the savings from stopping dialysis, which costs roughly $80,000 a year per person.

The pilot programs, to be designed by individual medical centers, could also impose a waiting period on prospective donors, thereby cooling any impulsivity. Prospective donors would be fully informed about the risks of surgery and carefully screened for physical and emotional health, as all non-compensated kidney donors are now.

The idea of the government standing between a dying person and his salvation is deeply troubling. I know. We need to at least test better ways to recruit more marrow and kidney donors.

Dr. Sally Satelis a resident scholar at the American Enterprise Institute and editor ofWhen Altruism isnt Enough: The Case for Compensating Kidney Donors.

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Right to try, right to buy, right to test - Washington Post

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Stem Cell Treatments Could Be The Next Frontier In Fixing Broken … – Deadspin

By JoanneRUSSELL25

In an interesting dispatch from spring training, Yahoos Jeff Passan reports on Los Angeles Angels pitcher Garrett Richardss recovery from a May 2016 elbow injury that shut him down for the season.

Instead of electing to undergo standard Tommy John surgery, Richards decided to try to heal his injury by getting an injection of stem cells directly into his elbow. Passan, whose 2016 book The Arm showed hes not afraid to make his readers feel queasy, described the procedure as such: Richards was fortunate to only suffer a partial tear, which is naturally easier to repair than a full tear.

A doctor guided a needle into the iliac crest of his pelvic bone and began to extract bone marrow.

[...]

Within a few minutes, the harvested marrow was hurried to a centrifuge, spun to separate the good stuff, mixed into a slurry of platelet-rich plasma and readied to inject into Richards damaged right elbow.

Gross, but it apparently worked. Passan reports Richards is feeling great and throwing 98 mph at spring training. Richards is clearly pleased with the tentatively positive outcome: Science, bro. Im a believer now, Richards told Passan.

Dr. Neal ElAttrache, sports premiere orthopedic surgeon, says he is looking forward to seeing where the research on the efficacy of orthobiologics goes, but he also has a theory that the simple resting of the muscle could be the impetus for muscle repair. Or, at least, that the two factors combined can be effective.

A stem cell procedure is less invasive than UCL surgery, of course, and right now it looks like the healing process could be much shorter than that of Tommy John surgery, at least for pitchers with partial UCL tears. Standard TJ recovery time is 14 monthsnearly long enough to inspire an oh yeah, that guy reaction when the player eventually returns. Richards underwent his stem cell procedure in May 2016 and Passan reports that he was throwing by August and was ready to go by October.

Richards will, of course, be kept on a short leash this season as he and the Angels look to avoid a setback or worse, but the potential for an expedited return from partial UCL tears is a major development for the science of pitching.

If stem cell treatments can get electric pitchers like Richards healed and back on the field quicker than surgery can, thats obviously a good thing for baseball. Still, its hard to read Passans story and not come away from it asking, Whats a PED again? Heres Richards talking about his stem cell treatment in the Los Angeles Timesback in 2016:

Stem cells are a remarkable thing. The body heals itself, so thats awesome. Were not out of the woods yet, but todays a good day.

HGH doesnt exactly work the same way this stem cell treatment appears to, but their essential benefits are the same. While the term performance enhancing drugs is still commonly associated with the mega-roids 1990s, HGH is of value to athletes largely for its ability to quicken injury recovery and extend careers. Doctors pushing orthobiologics experiments on their patients are free of the whiff of impropriety, but it seems that has less to do with their virtue than it does their good fortune at being on the right side of baseballs arbitrary PED laws.

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Amazing medicine – The News International

By Sykes24Tracey

If we cut off the tail of a lizard, it grows back. If we cut off the hand of a human being, it does not grow back. Why not? This question has perplexed scientists for a long time. Recently scientists at the Translational Genomics Research Institute (TGen) and Arizona State University (ASU) in the US identified three tiny RNA switches (known as microRNAs) which turn genes on and off and are responsible for the regeneration of tails in the green lizard. Now researchers are hoping that using the next generation genomic DNA and computer analysis will lead to discoveries of new therapeutic approaches to switch on similar regenerative genes in human beings.

Micro RNAs are able to control many genes at the same time. They have been compared to an orchestra conductor controlling and directing many musicians. Hundreds of genes (musicians playing the orchestra of life), controlled by a few micro RNA switches, have been identified that are responsible in the regenerative process. This may well mark the beginning of a new era in which it may be possible to regenerate cartilage in knees, repair spinal cords and amputated limbs.

Tissue regeneration has become an attractive field of science, triggered by exciting advances in stem cell technologies. Stem cells are undifferentiated biological cells that are then converted into various types of cells such as heart, kidney or skin through a process known as differentiation. They can divide into more stem cells and provide a very effective mechanism for repair of damaged tissues in the body. The developing embryo contains stem cells which are then transformed into specialised cells as the embryo develops. They can be obtained by extraction from the bone marrow, adipose tissue or blood, particularly the blood from the umblical cord after birth.

Stem cells are now finding use in a growing number of therapies. For instance leukaemia is a cancer of the white blood cells. To treat leukaemia, one approach is to get rid of the diseased white blood cells and replace them with healthy cells. This may be done by a bone marrow transplant through which the patients bone marrow stem cells are replaced with those from a healthy, matching donor. If the transplant is successful, the stem cells migrate into the patients bone marrow resulting in the production of new, healthy white blood cells that replace the abnormal cells. Stem cells can now be artificially grown and then transformed (differentiated) into the heart, kidney, nerve or other typed of cells.

The field of regenerative medicine is developing at a fast pace. It involves the replacement, engineering or regeneration of human tissues and organs so that their normal function can be restored. Tissues and organs can also be grown in the laboratory if the body cannot heal itself. If the cells of the organ being grown are derived from the patients own cells, the possibility of rejection of the transplanted organ is minimised. Stem cells may also be used to regenerate organs.

Each year about 130,000 organs, mostly kidneys, are transplanted from one human being to another. The process of growing organs artificially has been greatly accelerated by the advent of 3D bioprinting. This involves the use of 3D printing technologies through which a human organ, liver or kidney, is produced by printing it with cells, layer-by-layer. This became possible when it was discovered that human cells can be sprayed through the nozzles of an inkjet printer without destroying or damaging them. Tissues and organs can thus be produced and transplanted into humans. Joints, jaw bones and ligaments can also be produced in this manner.

Initially, the work was confined to animals when ears, bones and muscle tissues were produced by bioprinting and then successfully transplanted into animals. Even prosthetic ovaries of mice were produced and transplanted so that the recipient mice could conceive and give birth later. While gonads have not been produced by bioprinting in humans, blood vessels have already been produced by the printing process and successfully transplanted into monkeys. Considerable work is also going on in the production of human knee cartilage pads through the bioprinting process. Wear and tear of the cartilage results in difficulties in walking, particular in older age groups, and often requires knee replacement through surgeries. The development of technologies to replace the damaged cartilages with new cartilages made by bioprinting could prove to be invaluable.

Another area of active research in this field is the production of human skin by bioprinting which may be used for treating burns and ulcers. Technologies have been developed to spray stem cells derived from the patient directly on the areas of the body where the skin is needed. In this way, stem cells help skin cells regrow under suitable conditions. Similar progress is being made in generating liver, kidney and heart tissues so that the long waiting time for donors can be circumvented.

When will we be able to print entire human organs? It has been estimated that complete human kidneys and livers should become commercially available through the bioprinting process within five to seven years. Hearts will probably take longer because of their more complex internal structure. However, one thing is clear: a huge revolution is now taking place in the field of regenerative medicine, triggered by spectacular advances in stem cell research. This presents a wonderful opportunity for learning and developing expertise in this field for us in our country.

In Pakistan a number of important steps have been taken in this fast evolving field. One of them is the establishment of a first rate facility for stem cell research in the Dr Panjwani Centre for Molecular Medicine and Drug Research (PCMD) in the University of Karachi. This institution has already earned an international reputation because of its outstanding publications in this field.

A second important development is that plans to set up an Institute for Translational Regenerative Medicine at PCMD so that Pakistan remains at the cutting edge in this fast emerging field are now under way.

Such initiatives can however only contribute to the process of socio-economic development if they operate under an ecosystem that is designed to promote the establishment of a strong knowledge economy.

Pakistan spends only about 0.3 percent of its GDP on science and about two percent of its GDP on education, bringing the nations ranking to the lowest 10 countries in the world. This is largely due to the stranglehold of the feudal system over our democracy. It is only by tapping into our real wealth our children that Pakistan can emerge from the quagmire of illiteracy and poverty and stand with dignity in the comity of nations.

The writer is chairman of UN ESCAP Committee on Science Technology & Innovation and former chairman of the HEC. Email: [emailprotected]

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Stanislaus Fire Chief and Others Hold Bone Marrow Drives and … – Firehouse.com (press release) (registration) (blog)

By Sykes24Tracey

Feb. 20--Kevin Wise doesn't know the man who donated the bone marrow that helped rid his body of leukemia a year ago.

But that didn't stop the Stanislaus Consolidated Fire Protection District battalion chief and a few of his colleagues from organizing two bone marrow registry drives -- even before he underwent his transplant -- in hopes of helping others like him.

As Wise said, it was a way to "pay it forward."

It paid off quickly.

Last week, one of Wise's fellow firefighters, one of nearly 200 people who registered during the drive, donated his bone marrow to a 53-year-old man.

"I feel like it was a once-in-a-lifetime experience," said volunteer firefighter Richard Gleaves. "I am lucky I got to do it. I would do it again if I had the chance."

The chances of a match are pretty slim. In fact, only 1 in every 430 Americans on the registry will actually donate.

Gleaves doesn't know anything about the recipient. He doesn't know what disease he has, whether he has children or where he is from. He just hopes that, like with Wise, the bone marrow will save the man's life and that someday he can meet him.

Gleaves, who lives in Oakdale, said he had no hesitation when he was contacted as a potential match a few months ago. He was even excited despite thinking that donating would require anesthesia and surgery to have bone removed from his hip. He'd been through it before when a foot injury required a fusion from bone that was taken from his hip. He said the recovery was painful, but the memory of it didn't deter him.

He went to a local clinic to have blood drawn for additional testing and eventually was determined to be the best genetic match for the recipient. Then Gleaves learned that his donation wouldn't require a surgery but rather a peripheral blood-stem donation, which is the method used by 70 percent of transplant facilities.

It wasn't a pain-free process and it required a bit of his time, but Gleaves said representatives from Be The Match went above and beyond to make it easier for him and his wife, paying for travel and hotel expenses near Stanford Medical Center and thoroughly explaining all the potential side effects.

The donation required five days of injections of a medication that causes the stem cells to leave the bone marrow where they're produced and enter the bloodstream.

Gleaves said he experienced the bone and joint pain about which he was counseled. It became most uncomfortable two nights before the procedure. But he received additional medication to cope with the pain.

The donation procedure took about six hours. Blood was removed from one of Gleaves' arms, run through a machine that extracts the bone marrow, then put back into his body though the other arm, he said. Gleaves said he was exhausted afterward but felt normal the next day.

He encourages others to sign up for the registry to increase the chance of survival for those with blood cancers.

"What you are doing for people -- what I have done and what the person did for Kevin -- it is life. It's the absolute best hope you are giving for someone. So who cares if you have to take a little time off of work," Gleaves said, joking that the worst part was the traffic getting to and from the Bay Area.

Of his recipient, Gleaves said, "I hope I get to meet the guy ... it would be nice to shake each other's hand."

Be The Match, the organization that manages the marrow registry, allows for donors and recipients to apply to meet each other a year to three years after the recipient received the transplant, depending on the country the people are from.

That requirement is in place, representatives have said, because the outcome for the recipient and his or her family is not always positive. There is the possibility the cancer will return or an even higher chance the recipient will suffer an infection or his or her body will reject the donor's bone marrow, resulting in an attack on the patient's organs. The chances of those decrease with time.

Last month, Wise, who lives in Modesto, celebrated one year since his transplant, a milestone that means the chance the leukemia will return decreased from a range of 40 percent to 60 percent to 10 percent, he said. After two years, he will be officially cured.

Wise has defied many odds in his recovery, such as returning to work six months early. He even has been cleared by his doctor to participate in a firefighter stair climb in Seattle next month that benefits the Leukemia and Lymphoma Society. Wise will climb 69 flights of stairs in full turnout, gear and an oxygen mask. Contributions can be made at his fundraising page.

Last month, Wise applied to meet his donor and is awaiting a response.

Erin Tracy: 209-578-2366

___ (c)2017 The Modesto Bee (Modesto, Calif.) Visit The Modesto Bee (Modesto, Calif.) at http://www.modbee.com Distributed by Tribune Content Agency, LLC.

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Stanislaus Fire Chief and Others Hold Bone Marrow Drives and ... - Firehouse.com (press release) (registration) (blog)

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Bone Marrow – Structure, Function, Disease and More

By NEVAGiles23

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Use to navigate.

This colored scanning electron micrograph (SEM) is showing the internal structure of a broken finger bone. Here, the periosteum (outer bone membrane, pink), compact bone (yellow) and bone marrow (red), in the medullary cavity, can be seen. Photo Credit: STEVE GSCHMEISSNER/Science Photo Library/Getty Images

Updated July 15, 2016.

Bone marrow is the soft, flexible connective tissue within bone cavities. A component of the lymphatic system, bone marrow functions primarily to produce blood cells and to store fat. Bone marrow is highly vascular, meaning that it is richly supplied with a large number of blood vessels. There are two categories of bone marrow tissue: red marrow and yellow marrow. From birth to early adolescence, the majority of our bone marrow is red marrow.

As we grow and mature, increasing amounts of red marrow is replaced by yellow marrow. On average, bone marrow can generate hundreds of billions of new blood cells every day.

Bone marrow is separated into a vascular section and non-vascular sections. The vascular section contains blood vessels that supply the bone with nutrients and transport blood stem cells and mature blood cells away from the bone and into circulation. The non-vascular sections of the bone marrow are where hematopoiesis or blood cell formation occurs. This area contains immature blood cells, fat cells, white blood cells (macrophages and plasma cells), and thin, branching fibers of reticular connective tissue. While all blood cells are derived from bone marrow, some white blood cells mature in other organs such as the spleen, lymph nodes, and thymus gland.

The major function of bone marrow is to generate blood cells. Bone marrow contains two main types of stem cells. Hematopoietic stem cells, found in red marrow, are responsible for the production of blood cells.

Bone marrow mesenchymal stem cells (multipotent stromal cells) produce the non-blood cell components of marrow, including fat, cartilage, fibrous connective tissue (found in tendons and ligaments), stromal cells that support blood formation, and bone cells.

In adults, red marrow is confined mostly to skeletal system bones of the skull, pelvis, spine, ribs, sternum, shoulder blades, and near the point of attachment of the long bones of the arms and legs. Not only does red marrow produce blood cells, but it also helps to remove old cells from circulation. Other organs, such as the spleen and liver, also filter aged and damaged blood cells from the blood. Red marrow contains hematopoietic stem cells that produce two other types of stem cells: myeloid stem cells and lymphoid stem cells. These cells develop into red blood cells, white blood cells, or platelets. (See, bone marrow stem cells).

Yellow marrow consists primarily of fat cells. It has poor vascular supply and is composed of hematopoietic tissue that has become inactive. Yellow marrow is found in spongy bones and in the shaft of long bones. When blood supply is extremely low, yellow marrow can be converted to red marrow in order to produce more blood cells.

If bone marrow becomes damaged or diseased, it can result in low blood cell production. Bone marrow disease can develop from bone marrow and blood cancers such as leukemia. Radiation exposure, certain kind of infections, and diseases such as aplastic anemia and myelofibrosis can also cause blood and marrow disorders. These diseases compromise the immune system and deprive organs and tissues of the life giving oxygen and nutrients they need. A bone marrow transplant may be done in order to treat blood and marrow diseases. In the process, damaged blood stem cells are replaced by healthy cells obtained form a donor. The healthy stem cells can be obtained from the donor's blood or bone marrow. Bone marrow is extracted from bones such as the hip or sternum. Stem cells may also be obtained from umbilical cord blood to be used for transplantation.

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How baseball players are trying stem cells to avoid Tommy John – Yahoo Sports

By Dr. Matthew Watson

TEMPE, Ariz. On the day he hoped would save his elbow, Garrett Richards laid face down on a table with his back exposed. A doctor guided a needle into the iliac crest of his pelvic bone and began to extract bone marrow. Richards was wide awake, the blessing of local anesthesia saving him from physical pain but not the anxiety that crept into his head: Is this really going to work?

Within a few minutes, the harvested marrow was hurried to a centrifuge, spun to separate the good stuff, mixed into a slurry of platelet-rich plasma and readied to inject into Richards damaged right elbow. Rather than the standard tear across his ulnar collateral ligament, Richards ran lengthwise along the middle of his UCL, a rare manifestation of an increasingly commonplace injury that almost always ends with Tommy John surgery. Not in this case. While he could have chosen that route, he wanted to explore first the efficacy of the aforementioned good stuff: stem cells.

Today, Garrett Richards is darting 98-mph fastballs again. I feel as good as I ever have throwing a baseball, he said Monday from Tempe Diablo Stadium, where the Los Angeles Angels, perhaps the most Tommy John-addled team in baseball, expect to break camp with Richards as their opening day starter. The 28-year-old is the latest player to turn to orthobiologics, the class of treatments that includes stem cells and PRP, in hopes of healing an injury. While clinical studies have shown great success with those who use orthobiologics, they are not yet a panacea for the pervasive elbow injuries in baseball for two reasons: They work only on partial ligament tears, like Richards, and medical studies have yet to validate their efficacy independent of other treatments run concurrently.

The lack of knowledge as to how orthobiologics work inside the body while the proteins in stem cells and platelets are believed to regrow damaged tissue, doctors have yet to isolate best practices for particular injuries speaks to the difficulties in true medical advances. Still, the desire of Richards and others to avoid surgery lends orthobiologics enough credence to warrant further studies.

I truly think this kind of treatment has significant potential, said Dr. Neal ElAttrache, a longtime orthopedic surgeon at the Kerlan-Jobe clinic in Los Angeles who introduced orthobiologics to Major League Baseball when he injected PRP into the elbow of Dodgers reliever Takashi Saito in 2008. Theres no question biologics are here to stay and biologic manipulation is the frontier of treatment in what were doing. The problem, as I see it, is that the marketing and clinical use has far exceeded the science behind it.

Translation: Once the use of PRP and stem cells found traction in the media, pro athletes and weekend warriors alike sought their use, even if the success stories skewed anecdotal. Bartolo Colon resurrected his career after a stem cell injection in 2010 and is still pitching today at 43. Others did so without the fanfare or publicity. Richards faced a choice after being diagnosed with a partially torn UCL last May: Undergo Tommy John surgery and, at earliest, return following the 2017 All-Star break or follow the advice of Dr. Steve Yoon, a partner of ElAttraches at Kerlan-Jobe, and try to salvage the ligament with stem cells.

Science, bro, Richards said. Im a believer now.

Two weeks before Richards began his treatment, teammate Andrew Heaney had looked to avoid Tommy John via stem cells. Richards figured theyd rehab together every step of the way and be back in time for the fall instructional league. Then at the end of June, a scan showed Heaneys elbow wasnt healing, and he would need reconstructive surgery. Already Tyler Skaggs had taken nearly two years to return from his 2014 surgery, and six weeks after Heaneys, starter Nick Tropeano went down. Like Heaney, he is expected to miss the 2017 season.

It made Richards recovery that much more imperative. His first checkup, six weeks in, showed regrowth in the torn area via ultrasound. By August, he started throwing, and come October, when instructional league was in full bloom, so too was Richards. He didnt hesitate to pump his fastball and rip off one of his spin-heavy breaking balls. As far as pure, raw stuff goes, few in baseball can match Richards.

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He was convinced science was working, bro, though the skepticism about orthobiologics generally remains, and understandably so, in the medical community. In May 2013, a paper published in the American Journal of Sports Medicine found 30 of 34 overhand throwers with partial UCL tears who used PRP had returned to their previous level of competition. This was reason for celebration. If a player could avoid the 14-month-plus recovery from the surgery, better for him as well as the team.

Another study arrived in 2016 that didnt cast doubt on the value of orthobiologics so much as offer a different avenue: rest. The 28 players used everything from electrical stimulation, ultrasound, laser therapy, massage and other soft-tissue work. And when paired with rest, their return to previous level came in at 84 percent. It was almost exactly as effective as PRP.

This reinforced ElAttraches concern: Neither of those studies had a control group against which to measure, so the numbers, while impressive, could not isolate what helped and what didnt. This chicken-or-egg question struck ElAttrache just the same when Saito returned and went on to pitch five seasons.

Maybe it was the injection, ElAttrache said. Or maybe it was that we shut him down and let him heal.

Garrett Richards is darting 98-mph fastballs again after turning to orthobiologics. (Getty Images)

He doesnt know, and thats an important distinction as orthobiologics grows exponentially. In 2004, voters in California pledged to provide $3 billion for stem-cell research and create the California Institute of Regenerative Medicine. It remains a benefactor for an industry trying to find its place in the United States.

Across the world, stem cells have far greater potency. U.S. law prevents doctors from manipulating the cells in any way. They are extracted and put back into patients bodies as is. In Switzerland, for example, doctors will harvest stem cells, manipulate them to promote greater healing capacity and then inject them. At least one star pitcher this offseason sought a stem cell injection in the United States, according to sources, while another veteran traveled halfway across the world to Zurich, seeking the comparative lack of regulations just as Peyton Manning did in 2011 to help heal a neck injury that eventually needed surgery.

The future of orthobiologics domestically doesnt end with the FDA loosening rules on stem cell usage. Doctors see significant promise in stem cells from a babys umbilical cord or a mothers placenta, both of which can be frozen. Already theyre capable of harvesting stem cells from old patients and engineering the cells into an immature state. The possibilities going forward are endless.

For right now, theyre going to play themselves out in Anaheim. The danger zone for re-injury after using orthobiologics tends to fall between April and June, though Richards cant imagine falling prey again. In addition to the 13-week break from throwing he took over the summer, Richards spent 10 more weeks in the offseason letting it heal further.

During his down time, Richards studied his own delivery to find even the slightest inefficiencies. He had three numbers in mind. The first was 85. Thats the percent at which he said hell throw his fastball, though because of improved mechanics he expects it wont hinder his velocity. The second is 100. Thats the pitch limit the Angels will foist on Richards, and hes not one to fight. The third is 200. Thats the number of innings Richards wants to pitch this season. He did it in 2015 and sees no reason he cant again.

If he can throw 85 percent, keep his pitch count below 100 and get those 200 innings, it will play publicly as another validation of orthobiologics. Just the same, if Richards elbow gives out eventually, his association with stem cells could perhaps give those considering it pause. Richards pays no mind to this. He just wants to be great.

So much so, in fact, that its going to cost him. Inside the Angels clubhouse, a chart, labeled 1 through 13, is taped to the side of a locker. Its a list of shame with the price buying lunch for the entire team. Players, coaches, P.R. directors, even manager Mike Scioscia are on there. Next to No. 6, it read: G. Rich Ace. He had made the mistake of saying aloud what he believed to be true: that hes the ace of the Angels.

Fulfilling that depends on plenty of things, none as important as his elbow, and Richards knows that. Hell do everything he can to take care of it, to nurture it, to fight against its natural gift of velocity that puts him at such risk. To make sure that next time hes on a table in the doctors office, its not with his elbow opened up and another season lost.

More on Yahoo Sports: Tom Bradys missing jersey is worth a small fortune Bob Huggins says he fell to his knees because his defibrillator activated Kings GM Vlade Divac says he turned down abetter deal for DeMarcus Cousins Yoenis Cespedes is back with his amazing cars

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Cellect Announces Positive Clinical Trial Results – P&T Community

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Dr. Yaron Pereg, Cellect's Chief Development Officer, commented: These results from processing human stem cells for bone marrow transplantation using ApoGraft clearly demonstrated that Cellect's proprietary platform could improve the outcome of stem ...
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New stem cell treatment ‘freezes’ multiple sclerosis – Telegraph.co.uk

By NEVAGiles23

The disease is caused by the immune system malfunctioning and mistakenly attacking nerve cells in the brain and spinal cord.

It leads to problems with movement, vision, balance and speech.

The treatment, autologous hematopoietic stem cell transplantation (AHSCT), was given to patients with advanced forms of the disease who had failed to respond to other medications.

A similar approach has been trialed on people with certain forms of cancer, with encouraging early results.

Dr Paolo Muraro, the new study's lead author, said: "We previously knew this treatment reboots or resets the immune system but we didn't know how long the benefits lasted.

"In this study, which is the largest long-term follow-up study of this procedure, we've shown we can 'freeze' a patient's disease - and stop it from becoming worse, for up to five years."

The researchers noted, however, that the nature of the treatment, which involves aggressive chemotherapy, carried significant risks.

The chemotherapy deactivates the immune system for a short period of time, which can lead to greater risk of infection - of the 281 patients who received AHSCT, eight died in the 100 days after treatment.

The treatment works by destroying the immune cells responsible for attacking the nervous system.

Patients were given a drug which encourages stem cells to move from the bone marrow into the bloodstream, where they were removed from the body.

High-dose chemotherapy was then administered to kill all immune cells, before the patient's own stem cells were put back into the body to "reset" the immune system.

Nearly three in four (73%) patients with relapsing MS - where the disease flares up before symptoms improve - found their symptoms did not worsen for five years after having AHSCT, compared with one in three patients with progressive MS, the more severe variant of the disease.

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New start for stem cell heart op man, Gordon – The Press, York

By Dr. Matthew Watson

A MAN who narrowly missed out on a heart transplant has become the first patient in Europe to receive a revolutionary new treatment on compassionate grounds.

Gordon Foster, 59, suffered the first of a number of heart attacks at 30, and was advised he would need a heart transplant.

But as his heart functionality was working at 17 per cent, he was not eligible for the transplant which requires functionality at below 16 per cent.

Gordon, a welder, was then made redundant and became depressed.

His poor health meant he became housebound and, at times, was unable to move from one room to the next.

But his life has now been transformed as he has become the first patient in Europe to undergo stem cell treatment to regenerate part of his heart muscle through the new Compassionate Treatment Programme at St Bartholomews Hospital in London.

The treatment meant Gordon was given injections to stimulate the growth of his own stem cells. Bone marrow was then taken and the stem cells extracted from it before being injected back into his heart to regenerate the muscle.

Within a week of the operation, Gordon no longer needed to use his stair lift, his daily tasks such as walking up the stairs and doing housework became easier and he was able to enjoy spending time with his wife and children.

Gordon, who lives in Bridlington, said: I will forever be thankful to the Heart Cells Foundation, and the work of the team at St Bartholomews Hospital, as without them I believe I wouldnt be here today and Im enjoying every moment I spend with my wife and children.

Not only has the stem cell treatment I received helped to improve my physical health, but it has also massively improved my mental health and I now live every day with hope for the future.

Professor Anthony Mathur, consultant at St Bartholomews Hospital, said: Gordons story proves just how important it is to offer cell therapy to those who have no other medical choice.

With more than a million people suffering with heart disease and failure in the UK, the need for treatment in this field has never been greater.

We hope to lead the way to the treatment ultimately being available to thousands of other patients through the NHS, so we can help people like Gordon to lead near normal lives again.

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New start for stem cell heart op man, Gordon - The Press, York

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Giving the Gift of Life ~ National Donor Day – Shoshone News Press

By raymumme

February 18, 2017 at 1:00 am | By Lisa Turpin Special to the News-Press

National Donor Day, observed on Feb. 14, is a great time to register as an organ, eye, and tissue donor or to make an appointment to donate blood or platelets.

What could show more love on Valentines Day than the act of giving ones body to help another?

Whether you are a living donor of blood products, stem cells, kidney or liver, register with your state as an organ donor, or make the decision for your loved one to be a donor, you are truly giving the gift of life.

Nationally, more than 119,000 people are waiting for an organ transplant, including 2,091 children.

That doesnt include the number waiting for a bone marrow (stem cell) matched donor which is much more complicated to find.

Significant progress continues in the advancement of transplantation medicine with goals of lengthening life spans, restoring function, appearance, and quality of life.

But it still takes the generosity of donors and their loved ones to make a transplant possible.

Claudia Swigart of Pinehurst believes the true value of organ donation is the gift of time.

In her case, fifteen years with her husband Wendell that she, their five combined children, thirteen grandchildren, and twelve great-grandchildren may not have had.

Wendell and his three siblings all had Polycystic Kidney Disease (PKD), an inherited condition causing cysts to form in the kidney causing damage and kidney failure.

Wendell worked in the mine here in the Valley, shares Claudia.

He found out he had Polycystic Kidney Disease when he was thirty-four and he was careful, he exercised, ate healthy and never smoked. He didnt have any kidney problems until he was sixty-three and had to have open heart surgery.

The surgery was hard on Wendell and his lungs collapsed, he nearly died and it put his kidneys in distress.

He started dialysis after that and was eventually put on the kidney transplant list to receive a transplant at Sacred Heart Medical Center.

The dialysis center in Pinehurst had not opened, so Claudia drove Wendell to Coeur dAlene two times a week for three-hour treatments.

Claudia shared, I am so thankful they opened a dialysis center here. Its exhausting enough to be on dialysis without the traveling.

But there is more to this story.

We always liked telling everyone we could about what happened because we knew God had His hand in the plan, explains Claudia.

They normally traveled to Arizona in their camper for the winter.

Wendell would arrange to have dialysis at the center in Arizona instead of Coeur dAlene.

Well, in 2001 we were planning on leaving so Wendell called to remove himself from the transplant list while we were gone. But, when he called to arrange dialysis at the center in Arizona, they were full! said Claudia.

Since Wendell couldnt have dialysis in Arizona, they were forced to stay home which meant he remained on the transplant list.

Just a few weeks later we got the call! Claudia exclaimed.

Wendell was told he had a matched kidney on the way from a donor in Alaska.

Wendell was sixty-five at the time and he asked if there were any younger people waiting for transplants, anyone still raising young kids who needed it more than he did. His doctor knew he was that kind of man and firmly told him that it was Wendells kidney and he was taking it!

Wendells kidney was such a good match he never experienced any problems or symptoms of rejection.

The transplant coordinators said that the Swigarts could write a letter to the donors family in Alaska if they wanted to have communication with them or thank them.

We wrote a letter to the family two months later and Wendell told them he would take real good care of the kidney, Claudia said.

Wendell did take great care of himself but unfortunately fought esophageal cancer unrelated to his kidneys and passed away in March of 2016 at the age of 80.

The donors family never wrote back, so they do not know the identity of the donor, but Claudia and Wendell were glad they sent the thank-you letter.

We went back to Arizona the year after the transplant and didnt have to worry about dialysis any more. We may never have gotten to do that and he sure wouldnt have had the life he had without the generosity of the donor and their family.

Wendell Swigart had 15 extra quality years with his bride and they celebrated their forty-sixth wedding anniversary before his passing.

Statistics say that only three out of 1,000 people who die are candidates for organ donation, and thats if their families agree to donation.

Even if you register as a donor, it is still up to your family to make the final decision.

Making your family aware that you want to be a donor is the most important thing you can do. For more information visit http://www.donatelife.net or http://www.Organize.org.

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