Durham, NC (PRWEB) February 11, 2015

Stem cells collected from placenta, which is generally discarded after childbirth, show promise as a treatment for heart failure. Found in the latest issue of STEM CELLS Translational Medicine, a new study using mice determined that human-derived adherent cells (PDAC cells) significantly improved cardiac function when injected into the heart muscle.

Currently, about 6 million people in the United States alone suffer from heart failure, which is when the hearts pumping power is weaker than normal. Despite intensive medical care, almost 80 percent of people die within eight years of diagnosis, making it the worlds leading cause of death. Heart failure can be the result of coronary artery disease, heart attack and other conditions such as high blood pressure and valve disease.

Cell therapies for cardiac repair have generated considerable interest in recent years. While earlier studies using autologous bone marrow transplantation (that is, stem cells collected from the patients own bone marrow) helped improve cardiac function after myocardial infarction (MI), more recent studies showed no benefit in the early stages after MI. This has led researchers to question whether mesenchymal stem cells from sources other than bone marrow, such as cord blood and placenta tissue, might yield better results.

Among those interested in this is an international team co-led by Patrick C.H. Hsieh of Taiwans Institute of Biomedical Sciences, Academia Sinica, Taipei, and Uri Herzberg of Celgene Cellular Therapeutics, Warren, New Jersey, U.S. They recently undertook a study to test the therapeutic effects of PDA-001, an intravenous formulation of PDAC cells, in mice. The researchers were also testing the best way to deliver the therapy.

Three weeks after chronic heart failure was induced in the animals they were treated with the stem cells by either direct intramyocardial (IM) or intravenous (IV) injection, Dr. Hsieh said. The results showed that the IM injections significantly improved the left ventricle systolic and diastolic functions compared with injection of vehicle or IV injection of PDA-001.

The IM injections also decreased cardiac fibrosis in the vicinity of the injection sites. We repeatedly observed improvement of cardiac function in the injected sites following IM PDA-001 treatment, Dr. Herzberg added. Based on these results, we want to continue our investigations to optimize the effect through controlling the dose, timing and delivery.

In this animal model of progressive heart injury, stem cells isolated from placenta showed promise as an off-the-shelf therapy for cardiac repair, warranting the need for testing in additional models," said Anthony Atala, M.D., Editor-in-Chief of STEM CELLS Translational Medicine and director of the Wake Forest Institute for Regenerative Medicine.

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The full article, Human Placenta-derived Adherent Cells Improve Cardiac Performance in Mice with Chronic Heart Failure, can be accessed at http://stemcellstm.alphamedpress.org/content/early/2015/02/09/sctm.2014-0135.full.pdf+html.

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Stem Cells from Placenta Show Promise for Treating Heart Failure

9 hours ago Inside the cell, calcium ions are released from a structure called the endoplasmic reticulum (ER). Forces applied to the bead cause ion channels in the ER to open mechanically (shown in red above), rather through biochemical signaling chemically (shown in green below). Credit: Jie Sun/UC San Diego

After using optical tweezers to squeeze a tiny bead attached to the outside of a human stem cell, researchers now know how mechanical forces can trigger a key signaling pathway in the cells.

The squeeze helps to release calcium ions stored inside the cells and opens up channels in the cell membrane that allow the ions to flow into the cells, according to the study led by University of California, San Diego bioengineer Yingxiao Wang.

Researchers have known that mechanical forces exerted on stem cells have a significant role to play in how the cells produce all kinds of tissuesfrom bone to bloodfrom scratch. But until now, it hasn't been clear how some of these forces translate into the signals that prod the stem cells into building new tissue.

The findings published in the journal eLife could help scientists learn more about "the functional mechanisms behind stem cell differentiation," said Wang, an associate professor of bioengineering. They may also guide researchers as they try to recreate these mechanisms in the lab, to coax stem cells into developing into tissues that could be used in transplants and other therapies.

"The mechanical environment around a stem cell helps govern a stem cell's fate," Wang explained. "Cells surrounded in stiff tissue such as the jaw, for example, have higher amounts of tension applied to them, and they can promote the production of harder tissues such as bone."

Stem cells living in tissue environments with less stiffness and tension, on the other hand, may produce softer material such as fat tissue.

Wang and his colleagues wanted to learn more about how these environmental forces are translated into the signals that stem cells use to differentiate into more specialized cells and tissues. In their experiment, they applied force to human mesenchymal stem cellsthe type of stem cells found in bone marrow that transform into bone, cartilage and fat.

The engineers used a highly focused laser beam to trap and manipulate a tiny bead attached to the cell membrane of a stem cell, creating an optical "tweezers" to apply force to the bead. The squeeze applied by the tweezers was extremely smallon the order of about 200 piconewtons. (Forces are measured in a unit called newtons; one newton is about the weight of an apple held to the Earth by gravity, and one piconewton is equivalent to one-trillionth of a newton.)

When there were no calcium ions circulating outside the cell, this force helped to release calcium ions from a structure inside the cell called the endoplasmic reticulum. The release is aided by the cell's inner structural proteins called the cytoskeleton, along with contracting protein machinery called actomyosin. When the force triggered the movement of calcium ions into the cell from its extracellular environment, only the cytoskeleton was involved, the researchers noted.

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Engineers put the 'squeeze' on human stem cells

Research scientists (from left) Dr Jim Faed, Vicky Nelson and Dr Paul Turner talk about the possibilities of finding a cure for type 1 diabetes, during the Lion's Lark in the Park at the Dunedin Botanic Garden yesterday. Photo by Gregor Richardson.

Cell biologist, haematologist and project leader Dr Jim Faed, of the University of Otago, made the promise during the Lion's Lark in the Park event at Dunedin's Botanic Garden yesterday, which aimed to help raise some of the $2.46 million needed to run the trials.

Dr Faed said their research involved trials using stem cells taken from the bone marrow of people with type 1 diabetes, and using them to stimulate insulin production.

The cells appeared to be able to ''turn off'' the auto immune response that causes type 1 diabetes, he said.

''We see this as the low hanging fruit of research into a cure for type 1 diabetes because it has already been done once before.''

Trials had already been carried out on mice and humans. It just needed fine tuning, he said.

Much of the funds raised would go towards the Spinal Cord Society which will develop its stem cell production facilities in Dunedin, so that patients' own cells can be grown and tested in clinical trials.

''It's the only method that's attacking the cause of diabetes. Most of the other treatments are basically designed to manufacture insulin artificially.

''What we are looking for is a cure, not just support of people with the disease.

''This will be a sustained cure that doesn't require top ups.''

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Stem cells cure hope for diabetes

HIROSHIMA In a world first, a team at Hiroshima University Hospital on Friday conducted regenerative knee surgery using a technique that employs magnets to concentrate iron-laced stem cells around damaged cartilage, it said.

The endoscopic surgery is less arduous for the patient, said the team led by Mitsuo Ochi, a professor at the hospital. Conventional treatment requires two operations to repair cartilage.

It will take at least a year to determine the effectiveness of the regenerative technique, though previous tests on animals have proven successful, it said.

The team plans to conduct further operations to reaffirm the regenerative surgerys safety in clinical research.

In the operation, the team extracted mesenchymal stem cells from bone marrow of an 18-year-old female high school student and cultivated them with a dash of iron powder to create magnetic stem cells that can develop into various tissues.

The team injected the iron-laced stem cells into the patients right knee joint and used the magnet to concentrate them in areas where cartilage was lost. The stem cells are expected to develop into cartilage.

Cartilage absorbs shock and reduces friction between bones so everything moves smoothly, but its regenerative abilities are limited.

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Hospital pioneers Magneto-style stem cell surgery

Bone marrow transplantation is a life-saving therapy for patients with blood cancers like leukemia or lymphoma. However, the depletion of the patient's immune system prior to transplantation can put patients at risk of for an infection by a virus called cytomegalovirus (CMV) that can be life threatening in these immune-compromised individuals. Now, researchers have found that a very small subset of anti-viral immune cells, transplanted along with a donor's blood stem cells, could be enough to fight and even prevent the disease caused by CMV, in research conducted in mice and published Jan 16th in the Journal of Immunology.

Anywhere between 50-80 percent of adults in the United States are infected with CMV, although the virus is kept under control by a healthy immune system. In patients with weakened immune systems, however, CMV can become reactivated and can cause life-threatening pneumonia, among other symptoms. Current treatment includes antiviral medication, but these are not always well tolerated by patients and they also harm the very cells that bone marrow transplantation aims to replenish.

"We know that re-establishment of anti-viral immunity in these patients is critical to fully control cytomegalovirus in bone marrow transplant recipients," says senior author Christopher Snyder, Ph.D., an Assistant Professor of Microbiology and Immunology at Thomas Jefferson University. "Our study suggests that, in addition to infusing stem cells that restore the bone marrow, life-long anti-CMV immunity may be rapidly restored by also infusing a subset of anti-viral immune cells that have stem cell-like properties."

Currently, investigators around the world are experimenting with restoring the immune cells responsible for keeping CMV in check by transplanting those specific anti-viral cells from healthy donors -- a type of immunotherapy. "The problem," says Dr. Snyder, "is that current methods for selecting anti-viral immune cells may inadvertently limit the ability of those cells to restore life-long immunity."

To date, researchers have focused on developing anti-CMV immunotherapy around the "fighter" cells -- called CD8 T effector cells -- that attack and kill virally-infected host cells. These cells are selected and expanded in the lab to increase their numbers, but this process may limit their life-span and ability to divide.

Dr. Snyder and colleagues found that CMV-specific fighter T cells divided poorly in response to CMV infection or reactivation in mouse models. They hypothesized that a different type of CD8 T cells -- one that acts more like a stem cell -- could help control the infection long term. His group showed that a small number of stem-cell like CD8 T cells -called "memory" cells -were enough to produce and repeatedly replenish all of the T-effector cells needed to fight the disease. The infused memory cells became major contributors to the recipient anti-viral immune response, persisting for at least 3 months of time and producing the "fighter" cells at a steady stream.

In order to survey whether these cells have counterparts in humans, the researchers compared the genomic fingerprint -- the profile of genes that were turned up or down -- of mouse and human memory T cells that were specific for CMV and found that the two had similar profiles. "This suggested that human and mouse CMV-specific memory T cells are very similar populations. Therefore infusing similar cells into humans could improve on immunotherapeutic methods for controlling CMV infection," said first author Michael Quinn MD/PhD student in the Department of Microbiology and Immunology at Thomas Jefferson University. "This may be a valuable approach to keep the disease from emerging in people."

"Our data argue for developing new clinical trials focused specifically on using these T memory cells, in order to determine if it would indeed be better than current therapeutic options," said Dr. Snyder.

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The above story is based on materials provided by Thomas Jefferson University. Note: Materials may be edited for content and length.

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A few cells could prevent bone marrow transplant infections

London, UK (PRWEB) February 03, 2015

Over the next few years, the stem cells market is poised to continue to be the most rapidly growing segment, which includes the segments for concentrated bone marrow and stem cell bone grafts. Stem cells provide greater osteogenesis and osteoinductive properties than other bone grafts, and thus enhance bone repair. To date, their usage is only considered for the treatment of spine cord injuries, but the market is likely to witness further expansion in case other indications are approved, such as with the foot where a number of patients may experience poor vascularisation.

The orthopedic biomaterials market in the USA is forecast to gain traction through 2021. The ageing population is a key factor driving the market. In tandem with the surging ageing population, the incidence rates of osteoarthritis and other types of degenerative disorders are also expected to grow, thus driving the demand for orthopedic biomaterials. Additionally, a huge portion of the overall biomaterial products market is engaged in treating soft tissue injuries, and most of them are sport-related. However, high costs of the development of some products could hinder the sectors growth. Furthermore, the timeliness of a products final approval is often hard to foretell.

Medtronic dominated the orthopedic biomaterials market as of 2014, due to the lions share of the bone graft substitute sector. The company announced in June 2014 its intention to buy Covidien for USD 42.9 billion.

In-demand study U.S. Orthopedic Biomaterials Market worked out by iData Research has been recently published at MarketPublishers.com.

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Title: U.S. Orthopedic Biomaterials Market Published: January, 2015 Pages: 288 Price: US$ 6,995.00 http://marketpublishers.com/report/medical_devices/orthopedic/us-orthopedic-biomaterials-market.html

The research report contains an all-encompassing analysis and forecast of the orthopedic biomaterials market across the USA up to 2021. It provides detailed market analyses of leading market segments, including bone graft substitutes, hyaluronic acid viscosupplementation, orthopedic stem cells, growth factors, cartilage repair, cell therapy, and machined bone allografts; the categories are further subdivided into subcategories by various parameters. The study identifies the game-changing opportunities and potential hazards in the market, traces the key trends and technologies expected to impact the overall market and each of its individual segments in the years to come, as well as sheds light on the market drivers and restraints. Essential information on the number of procedures is provided. Furthermore, the research study canvasses the competitive landscape as well as discusses the top 22 companies along with their success strategies, M&As, etc.

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More in-demand reports by the publisher can be found at iData Research page.

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US Orthopedic Biomaterials Market Examined by iData Research in In-demand Report Now Available at MarketPublishers.com

The Villages, Florida (PRWEB) February 03, 2015

In honor of our new location in The Villages, the Miami Stem Cell Treatment Center announces a series of free public seminars on the use of adult autologous stem cells for various degenerative and inflammatory conditions. They will be provided by Dr. Thomas A. Gionis, Surgeon-in-Chief and Dr. Nia Smyrniotis, Medical Director and Surgeon.

The seminars will be held on Tuesday, February 17, 2015, at 10:00am at the La Hacienda Regional Recreation Center, 1200 Avenida Central, The Villages, FL 32159, and at 1:00pm and 3:00pm on February 17th and 1:00pm, 3:00pm and 5:00pm on March 3rd at the Holiday Inn Express and Suites, The Villages, 1205 Avenida Central, The Villages, FL 32159. There will also be a Social Hour with the Doctors at 7:00pm on February 17th and March 3rd at the City Fire American Oven & Lounge at Brownwood (Paddock Square), 2716 Brownwood Blvd., The Villages, FL 32163. Please RSVP for ALL events is mandatory at (561) 331-2999.

Dr. Gionis has been graciously invited to speak to the local MS support group at the 10:00am seminar on February 17 which will be held at the La Hacienda Regional Recreation Center.

The Miami Stem Cell Treatment Center (Miami; Boca Raton; Orlando; The Villages), along with sister affiliates, the Irvine Stem Cell Treatment Center (Irvine; Westlake Villages, California) and the Manhattan Regenerative Medicine Medical Group (Manhattan, New York), abide by approved investigational protocols using adult adipose derived stem cells (ADSCs) which can be deployed to improve patients quality of life for a number of chronic, degenerative and inflammatory conditions and diseases. ADSCs are taken from the patients own adipose (fat) tissue (found within a cellular mixture called stromal vascular fraction (SVF)). ADSCs are exceptionally abundant in adipose tissue. The adipose tissue is obtained from the patient during a 15 minute mini-liposuction performed under local anesthesia in the doctors office. SVF is a protein-rich solution containing mononuclear cell lines (predominantly adult autologous mesenchymal stem cells), macrophage cells, endothelial cells, red blood cells, and important Growth Factors that facilitate the stem cell process and promote their activity.

ADSCs are the bodys natural healing cells - they are recruited by chemical signals emitted by damaged tissues to repair and regenerate the bodys injured cells. The Miami Stem Cell Treatment Center only uses Adult Autologous Stem Cells from a persons own fat No embryonic stem cells are used; and No bone marrow stem cells are used. Current areas of study include: Emphysema, COPD, Asthma, Heart Failure, Heart Attack, Parkinsons Disease, Stroke, Traumatic Brain Injury, Lou Gehrigs Disease, Multiple Sclerosis, Lupus, Rheumatoid Arthritis, Crohns Disease, Muscular Dystrophy, Inflammatory Myopathies, and degenerative orthopedic joint conditions (Knee, Shoulder, Hip, Spine). For more information, or if someone thinks they may be a candidate for one of the adult stem cell protocols offered by the Miami Stem Cell Treatment Center, they may contact Dr. Gionis or Dr. Smyrniotis directly at (561) 331-2999, or see a complete list of the Centers study areas at: http://www.MiamiStemCellsUSA.com.

About the Miami Stem Cell Treatment Center: The Miami Stem Cell Treatment Center, along with sister affiliates, the Irvine Stem Cell Treatment Center and the Manhattan Regenerative Medicine Medical Group, is an affiliate of the California Stem Cell Treatment Center / Cell Surgical Network (CSN); we are located in Boca Raton, Orlando, Miami and our new office in The Villages, Florida. We provide care for people suffering from diseases that may be alleviated by access to adult stem cell based regenerative treatment. We utilize a fat transfer surgical technology to isolate and implant the patients own stem cells from a small quantity of fat harvested by a mini-liposuction on the same day. The investigational protocols utilized by the Miami Stem Cell Treatment Center have been reviewed and approved by an IRB (Institutional Review Board) which is registered with the U.S. Department of Health, Office of Human Research Protection (OHRP); and our studies are registered with Clinicaltrials.gov, a service of the U.S. National Institutes of Health (NIH). For more information, visit our websites: http://www.MiamiStemCellsUSA.com, http://www.IrvineStemCellsUSA.com , or http://www.NYStemCellsUSA.com.

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The Miami Stem Cell Treatment Center Announces Adult Stem Cell Public Seminars in The Villages, Florida

Rev Diabet Stud. 2009 Winter; 6(4): 260270.

1Tissue Engineering and Banking Laboratory, National Center for Cell Science, Ganeshkhind Road, Pune MH 411007, India

2Division of Animal Sciences, Agharkar Research Institute, Agarkar Road, Pune, MH 411004, India

3Stem Cells and Diabetes Section, National Center for Cell Science, Ganeshkhind Road, Pune MH 411007, India

4Stempeutics Research Pvt. Ltd., 9th Floor, Manipal Hospital, HAL Airport Road, Bangalore 560017, India

Received October 2, 2009; Revised December 5, 2009; Accepted December 11, 2009.

Cellular microenvironment is known to play a critical role in the maintenance of human bone marrow-derived mesenchymal stem cells (BM-MSCs). It was uncertain whether BM-MSCs obtained from a 'diabetic milieu' (dBM-MSCs) offer the same regenerative potential as those obtained from healthy (non-diabetic) individuals (hBM-MSCs). To investigate the effect of diabetic microenvironment on human BM-MSCs, we isolated and characterized these cells from diabetic patients (dBM-MSCs). We found that dBM-MSCs expressed mesenchymal markers such as vimentin, smooth muscle actin, nestin, fibronectin, CD29, CD44, CD73, CD90, and CD105. These cells also exhibited multilineage differentiation potential, as evident from the generation of adipocytes, osteocytes, and chondrocytes when exposed to lineage specific differentiation media. Although the cells were similar to hBM-MSCs, 6% (3/54) of dBM-MSCs expressed proinsulin/C-peptide. Emanating from the diabetic microenvironmental milieu, we analyzed whether in vitro reprogramming could afford the maturation of the islet-like clusters (ICAs) derived from dBM-MSCs. Upon mimicking the diabetic hyperglycemic niche and the supplementation of fetal pancreatic extract, to differentiate dBM-MSCs into pancreatic lineage in vitro, we observed rapid differentiation and maturation of dBM-MSCs into islet-like cell aggregates. Thus, our study demonstrated that diabetic hyperglycemic microenvironmental milieu plays a major role in inducing the differentiation of human BM-MSCs in vivo and in vitro.

Keywords: diabetes, beta-cell, stem cell, differentiation, bone marrow, NGN3, NKX6.1, PAX6

Abbreviations: -MEM - -modified Eagle's medium (used for cell culture); AGE - advanced glycation end-product; ALL - acute lymphoblastic leukemia; ALS - amyotrophic lateral sclerosis; AML - acute myeloid leukemia; BM-MSC - bone marrow-derived mesenchymal stem cell; BRN4 - Brain 4 (transcription factor expressed in the brain and glucagon-expressing cells in the pancreas, also known as POU3F4); C-peptide - connecting peptide; Ct - cycle threshold; CXCR4 - alpha-chemokine receptor (also called fusin) specific for stromal-derived-factor-1 (SDF-1, also called CXCL12), a molecule endowed with potent chemotactic activity for lymphocytes; dBM-MSC - human diabetic BM-MSC; DME meduim - Dulbecco's modified Eagles medium; E-cadherin - epithelial cadherin (CDh1); EDTA - ethylenediaminetetraacetic acid (used as chelating agent that binds to calcium and prevents joining of cadher-ins between cells; it also prevents clumping of cells grown in liquid suspension, and is able to detach adherent cells for passaging); EGFP - enhanced green fluorescence protein; F(ab)2 - antigen-binding fragment of an antibody; FACS - fluorescence-activated cell sorting; GATA6 - binding protein that binds (A/T/C)GAT(A/T)(A) of the binding sequence; Glut2 - glucose transporter 2 (also known as solute carrier family 2 member 2 SLC2A2); GCG - glucagons gene; hBM-MSC - normal human BM-MSC; HD - Hodgkin disease; ICA - islet-like cell aggregate; ICAM-5 - intercellular adhesion molecule 5 (also known as telencephalin, CD# not yet assigned); ISL1 - insulin gene enhancer protein gene 1; NCAM-1 - neural cell adhesion molecule 1 (CD56); NDS - normal donkey serum; NGN-3 - neurogenin-3 (controls islet cell fate specification in pancreatic progenitor cells); NHL - non-Hodgkin lymphoma; NKX6-1 - NK6 homeobox 1 (transcription factor required for the development of beta-cells); Oil-Red-O - Solvent Red 27 (fat-soluble dye used for stain-ing of triglycerides and lipids); PBS - phosphate-buffered saline; PECAM-1 - platelet endothelial cell adhesion molecule-1 (CD31); PE - phycoerythrin (fluorescent dye for labeling antibodies); Pdx1 - pancreatic and duodenal homeobox 1 (transcription factor necessary for pancreatic development and beta-cell maturation); PFA - paraformaldehyde (used to fix cells); POU - class of genes that produce transcription factors; POU3F4 - POU class 3 homeobox 4 gene or gene product (also known as BRN4); RNA - ribonucleic acid; RPE - rat pancreatic extract; RT-PCR - reverse transcriptase polymerase chain reaction; TPVG - trypsin phosphate versene glucose; UCBS - human umbilical cord blood serum

Bone marrow-derived mesenchymal stem cells (BM-MSCs) are able to differentiate into many cell types, and to proliferate ex vivo. These attributes makes them a potential therapeutic tool for cell replacement therapy in diabetes and other diseases. Stem cell differentiation is controlled by extracellular cues, the environment, and intrinsic genetic programs within stem cells [1, 2]. The fate of stem cell differentiation is influenced by both soluble and insoluble factors from the surrounding microenvironment. Several signaling cascades mediate the balance response of the stem cell to the need of the organism. Pathological conditions induced by dysregulation result in aberrant functions of stem cells or other targets [3-6].

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Mesenchymal Stem Cells Derived from Bone Marrow of ...

TORONTO Gordie Howes son says the hockey legends stroke symptoms have improved since his treatment with stem cells at a Mexican clinic in early December and he wants him to repeat the procedure.

But regenerative medicine experts say theres no scientific evidence such therapies work, and in some cases they can be seriously harmful or even deadly.

The 86-year-old Howe suffered two disabling strokes late last year. In December, the family took him to a Tijuana clinic where he received stem cell injections as part of a clinical trial being run under a licensing agreement with Stemedica Cell Technologies of San Diego, Calif.

The experimental treatment involved injecting neural stem cells into Howes spinal canal, along with intravenous infusions of mesenchymal stem cells, which are found in bone marrow, fat and umbilical cord blood.

Marty Howe said his father can walk again, his speech is improving and he is regaining some of the weight he lost following the strokes.

After his stem cell treatment, the doctor told us it was kind of an awakening of the body, and it was all that, he told The Canadian Press while in Calgary for a hockey promotion event Tuesday. They call it the miracle of stem cells and it was nothing less than a miracle.

However, experts in the field question whether stem cells are responsible for Howes improvement and caution that most so-called stem cell therapies have not gone through rigorous scientific trials, nor have they been approved as treatments by Health Canada or the U.S. Food and Drug Administration.

Mick Bhatia, director of McMaster Universitys Stem Cell and Cancer Research Institute, said there are many unknowns in Howes case, such as how many stem cells were administered, were tests done to see whether they migrated to the targeted area of the body, and did they take up residence where they might have some effect or simply disappear?

Is this a transient effect, or is it really a perceived or somewhat of a placebo effect and is there something really happening? Scientifically and biologically that is important, Bhatia said Wednesday from Hamilton.

And because Howe received adult stem cells produced from donor cells, he may have needed to take drugs to prevent an immune reaction as well as anti-inflammatory medications, he said.

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Stem Cell Transplantation at BLOOD
24.10.1423.01.15 BLOOD: NOT FOR THE FAINT-HEARTED Twenty five provocative works that explore the scientific, symbolic and strange nature of blood. This vide...

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Stem Cell Transplantation at BLOOD - Video

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Newswise SEATTLE The Fred Hutchinson Cancer Research Center Bone Marrow Transplant Program at Seattle Cancer Care Alliance (SCCA) was recently recognized for outperforming its anticipated one-year survival rate for allogeneic transplant patients. The new performance results were calculated by the Center for International Blood and Marrow Transplant Research (CIBMTR) and published in the 2014 Transplant Center-Specific Survival Report. The annual report is designed to provide potential stem cell transplant recipients, their families, and the public with comparative survival rates among transplant centers. This is the second consecutive year the Fred Hutch Bone Marrow Transplant Program at SCCA has achieved higher than expected one-year survival rates, an accomplishment that only 12 other institutions have achieved.

Credited with pioneering the clinical use of bone marrow and stem cell transplantation more than 40 years ago, the Fred Hutch Bone Marrow Transplant Program at SCCA has performed over 14,000 bone marrow transplants more than any other institution in the world. Dr. E. Donnall Thomas groundbreaking work in transplantation won the Nobel Prize in 1990 and many current SCCA and Fred Hutch transplant experts have trained alongside Dr. Thomas.

To arrive at its findings, CIBMTR independently examined the survival rates of 20,875 transplants performed to treat blood cancers at U.S. centers in the NMDP network between January 1, 2010 and December 31, 2012. During this three-year period, 757 allogeneic transplants were performed at SCCA.

Although centers are required to report their data, the process of comparing transplant centers is complex and must address a number of variables, such as cancer type and stage, patients age, and preexisting medical issues. The intensive findings allow researchers to compare themselves to other centers, leading to improved outcomes. The report also provides patients and their families with valuable information necessary when evaluating where to undergo treatment.

The information provided in the report is invaluable to patients faced with making difficult treatment decisions, explains Dr. Marco Mielcarek, medical director of the Adult Blood and Marrow Transplant Program at Fred Hutch and SCCA. While we are happy our patients outcomes exceeded expectations over a three-year period, we are always working to further improve the transplantation process.

Allogenic transplants use stem cells from a donor who may or may not be related to the patient. Stem cell transplants, including bone marrow transplants, are used to treat a wide range of leukemias and lymphomas, as well as other diseases including severe aplastic anemia and sickle cell disease.

These findings reflect our teams continued efforts to improve patients outcomes by investigating every aspect of the transplant process, said Dr. Fred Appelbaum, Deputy Director at Fred Hutch. Im pleased that our transplant patients continue to have high survival rates, but there is still more work to do.

SCCAs success in helping patients survive a wide range of cancers continues to be recognized by National Cancer Data Base (NCDB) rankings. SCCA has ranked at the top of NCDB patient survival rankings since 2002.

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Fred Hutch Bone Marrow Transplant Program at Seattle Cancer Care Alliance Recognized Nationally for Outstanding ...

University researchers have developed a new testing system that can improve care for patients who need bone marrow and stem cell transplants.

Graft-versus-host disease is a life-threatening condition that can occur in response to transplants. GVHD causes immune cells from the transplant to attack the bodys healthy tissue. In patients with diseases such as leukemia, which compromises the bodys immune system, bone marrow or stem cell transplants are necessary.

John Levine, professor of pediatrics and the study's lead author, said in these types of cases, GVHD is a real danger.

Following transplantation surgeries, our major concern is the development of GVHD in our patients, Levine said. However, it is difficult to predict the severity of GVHD at the onset of the symptoms as it varies from patient to patient.

Prior to the research, there was no method for determining the severity of a GVHD case and whether or not it needed treatment. The treatment involves high doses of medication that reduce immune activity, so doctors must be extremely cautious when treating GVHD. Levine and his co-investigators assessed nearly 800 patients and created a scoring system that uses three proteins to assess the severity of each case of the disease.

We found out that it was not one protein but a combination of three recently validated biomarkers TNFR1, ST2, and Reg3, Levine said. We then formulated an equation which computes the concentration of the biomarkers into three Ann Arbor scores. The scores are positively correlated with the amount of risk the diagnosed patient is in, so a score 1 indicates a patient with minimal risk while a patient diagnosed with a score of 3 will subjected to intensive primary therapy.

The Ann Arbor scoring system will help ensure patients at lower risk are subjected to less aggressive treatments than patients at higher risk. Patients will then gain individualized treatments based on their needs.

More than half of the patients undergoing bone marrow transplantation develop GVHD. Though the degree of severity differs in patients, the disease is highly lethal if not treated immediately.

The research began in the late 1990s when investigators analyzed blood samples from 500 GVHD patients. The results were verified when another 300 patient blood samples from across the United States were analyzed.

The next step, according to Levine, is the launch of a clinical trial. The U.S. Food and Drug Administration has approved this step.

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University creates new scoring system for transplant recipients

Multiple myeloma is a malignant disease characterised by proliferation of clonal plasma cells in the bone marrow and typically accompanied by the secretion of monoclonal immunoglobulins that are detectable in the serum or urine. Increased understanding of the microenvironmental interactions between malignant plasma cells and the bone marrow niche, and their role in disease progression and acquisition of therapy resistance, has helped the development of novel therapeutic drugs for use in combination with cytostatic therapy.

Together with autologous stem cell transplantation and advances in supportive care, the use of novel drugs such as proteasome inhibitors and immunomodulatory drugs has increased response rates and survival substantially in the past several years. Present clinical research focuses on the balance between treatment efficacy and quality of life, the optimum sequencing of treatment options, the question of long-term remission and potential cure by multimodal treatment, the pre-emptive treatment of high-risk smouldering myeloma, and the role of maintenance. Upcoming results of ongoing clinical trials, together with a pipeline of promising new treatments, raise the hope for continuous improvements in the prognosis of patients with myeloma in the future.

Professor Martin Bornhuser and Doctor Christoph Rllig, both experts in the field of blood cancer at the Carl Gustav Carus Medical Faculty of the TU Dresden, have now turned their long-term clinical and research experience in treatment of multiple myeloma into an instructive review for other physicians. The review has just been electronically published ahead of print in the medical journal The Lancet. After a short introduction into the current understanding of myeloma disease biology, the authors then describe the standard diagnostic work-up and provide a clear overview on the best available treatment options. These include established drugs such as melphalan or steroids, novel substances such as bortezomib and lenalidomide and also therapies using stem cell transplantation.

Multiple Myeloma is one of the most common blood cancers, mainly diagnosed in elderly patients. As life expectancy increases, the frequency of the disease has therefore increased during the last decades. Both deeper insights into disease biology including interactions between malignant plasma cells and their bone marrow environment, and the design and clinical testing of new drugs have led to a considerable improvement in the prognosis of this mostly incurable disease during the last years. The right timing and the choice of the best treatment match for the particular myeloma stage and the needs of the individual patient are essential for optimal disease control.

Bornhuser and Rllig present a structured guidance when and how which treatment should be used and introduce new ways to paralyze the cell cycle of cancer cells or to attack malignant cells by transfusing specific immune bodies. These new therapy approaches will help to further increase the prognosis of myeloma patients in the near future.

Myeloma patients can get individual treatment advice and information on participation in clinical trials in the myeloma outpatient clinic at the Medizinische Klinik und Poliklinik I of the university hospital Dresden.

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The above story is based on materials provided by Technische Universitaet Dresden. Note: Materials may be edited for content and length.

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How to attack and paralyze myeloma cells: Comprehensive review on multiple myeloma

The face of health care keeps on getting a makeover with each passing day, the result being the availability of newer solutions to the problems that have nagged mankind for centuries. Stem cell research as regards the condition of pregnancy in women has yielded some special results in the recent past. Stem cells have been pretty aptly named, as these are the holding blocks of human life. These cells build the human body and play an important role in the treatment of ravaging diseases like childhood leukemia and some cancer conditions. Apart from this, stem cells have been the center of attraction as far as contemporary pregnancy related medical research is concerned, with conclusive evidence for scientists to believe that stem cells can also be employed in successfully tackling several diseases in the distant future of a human life.

The relation between stem cells and pregnancy is pretty evident from the fact that in just a matter of nine months, stem cells let the embryo progress into a grown baby! These stem cells are mostly found in appreciable counts in the blood flowing through the umbilical cord. The contribution to disease treatment results from the practice of harvesting stem cells at the time of the birth of the baby, separating them from the blood samples, deep storing them for periods as long as two decades and then using these stored stem cells as and when the concerned person falls prey to a disease through the course of his/her lifetime.

During the pregnancy when a woman is 10 weeks pregnant and especially in the last stages of pregnancy, they have some blood tests conducted on them so that the medical experts can determine whether the babys stem cells would be healthy enough to be stored. Also, the medical examiners and analysts have to determine whether there would be chances of cross contamination of blood samples and decide thereafter. Generally, these tests are conducted around a month before the expected delivery date of the child. If the doctors opine that storage of the stem cells of the baby would be fine, then the stem cell storage company you pick sends in a sterile collection kit. Your midwife uses this kit to collect blood from the umbilical cord. This sample is sent over to the laboratory where the stem cells are separated from the blood, frozen and stored as per the established guidelines.

Pregnant ladies find a lot of comfort in the thought that a little consideration at the time of pregnancy could help them guard their babies against the possibilities of being afflicted by serious diseases in the future. Naturally, stem cell storage banks are required to store the babys stem cells for such a long period. The fact that the few cells taken from the babys cord blood can possibly save the life of the baby, a sibling and even the parents at some point in time in the future means that stem cell banks are flourishing. Among the diseases that stored stem cells can work against are acute leukemias, autoimmune diseases, chronic leukemias, congenital immune system disorders and histiocrytic disorders.

Stem cells hold much promise in bringing about medical breakthroughs in form of treatment for previously incurable diseases and conditions like cancer, Alzheimers disease, Parkinsons disease or paralysis. These blank cells are capable of self-rejuvenation and also transforming into a functional cell; it is these attributes of a stem cell that make them invaluable to scientists. However, to experiment on the stem cells, they must at first be obtained and the mode of collection is where the controversy originates. There are two main types of stem cells, embryonic and adult stem cells. In order to collect the pluripotent embryonic stem cells, the human embryo must be killed as it can only be extracted from the innermost cellular layers of the blastocyst after just four days of fertilization. It is therefore not hard to understand as why killing a human embryo, which could have otherwise been borne as a human baby, is considered equivalent to murder by a lot of people. Even people who would not go as far as calling it murder, usually admit to the procedure being disturbing in terms of ethics at least.

Adult stem cells come from various sources and contrary to what the name may suggest, it does not only come from fully grown human beings. It is just that they are comparatively grown and different than the embryonic stem cells. The placenta and the umbilical cord blood are both rich sources of adult stem cells, the former being even richer than the latter. Our bone marrow contains multipotent stem cells and it is possible to extract these cells clinically, but the procedure is immensely painful for the donor and may even be considered risky. Unlike the extraction of the embryonic stem cells, extracting adult stem cells is not controversial. Ethicists do not support the killing of an embryo for the sake of medical progress, however bright the future may seem, but bio ethicists do understand the importance of stem cell experimentation and thus do not consider extraction of adult stem cells from various sources to be unethical as long as it is agreed upon voluntarily by the donor or the guardian of the concerned source.

If the question is read as an inquiry to the origin and the natural location of stem cells, then the answer would be that it comes from various tissues of the human body. Stem cells in an adult human being are found in the heart, blood, bone marrow, skeletal muscles, skin and fat as well. After a baby is born, the placenta and the umbilical cord are also found to be rich in stem cells. The placenta however, is much richer in stem cell count than the umbilical cord blood. Embryonic stem cells are among the first cells to develop because it is these that construct all the other tissues and thus the organs, bones, nerves and everything else in our body eventually, by converting into specifically functional cells.

The key factor about stem cells is that they are capable of constant rejuvenation through mitotic cell division and since they are not functional cells, they can transform into any specific type of functional cell, depending on the requirement of the body. Studies related to the possible uses of stem cells in various medical procedures is achieving greater importance with every passing year as scientists keep publishing journals on how the progress is going to improve treatment facilities dramatically. From the ability to repair almost any damaged organ to eliminating previously incurable diseases like cancer or Parkinsons disease, it all seems to be in our reach in the near future. In order for the experiments to be successful, scientists must collect necessary amounts of stem cells from various sources. Embryonic stem cells are collected directly from the inside of the blastocyst, roughly a week or so after the egg cell is fertilized, and it is for that reason it is called unethical and have given rise to controversies regarding the extraction of embryonic stem cells. The germline tissues of the abandoned fetus are also a source of stem cell collection. Umbilical cord blood and placenta are the two other sources for collecting adult stem cells. Although not as pluripotent as the stem cells inside an embryo, the adult stem cells are also extracted by scientists from tissues and bone marrow of individuals for different purposes.

Magnetic stem cells are one of the latest breakthroughs in the field of medical science as they are believed to hold the potential for next generation cell-level treatment procedures. Stem cells would soon be injected into the patients blood stream to treat and cure heart diseases and vascular problems and the theory is to deliver the special stem cells to the area of the injury or disease by guiding them from outside. The magnetism of the cells is what will allow the experts to control the movement of the reparative cells with the help of magnets, once they are injected into the patients body. Scientists have already been successful at directing the magnetized stem cells to the exact area of damage in animals, but the technology is yet to be tried on human beings.

The first part of the procedure involves applying sufficient magnetic nanoparticles on the stem cells to magnetize them, and thus make them controllable. Secondly, these special stem cells are now inserted into the blood stream of the subject with the help of an injection. The final and the most important part of the medical procedure begins next as experts now try to control the direction of the injected magnetic stem cells with the help of a magnet in order to lead them towards the accurate area of the heart damage or anywhere else inside the vascular system for recovery. MRI scans in the USA make use of the same nanomagnets to attain better results already. It is to be noted that the use of magnetic stem cells has a very broad spectrum as far as medical prowess is concerned. From cell therapy to targeting cancerous growths, the scope of using the nanomagnets on stem cells is plenty for repairing the diseased and the injured tissues from inside the body.

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Stem cells, bone marrow: News and research | Chxa.com

People who donate their stem cells are like gold-dust, according to a father-of-two desperate to find a bone marrow match.

Jaso Manokaranfell ill last October, experiencing severe pain in his bones and a fever-like temperature.

After being rushed to A&E again and again, doctors ordered a bone biopsy which revealed the 29-year-old had acute lymphoblastic leukaemia.

He said: I thought it was a viral infection, I didnt expect it to be cancer at all. When my consultant said I had leukaemia, I was crying like a river. I couldnt really hear what he was saying, I was so worried.

While undergoing chemotherapy, Jaso was told that he needed a bone marrow transplant but he has no siblings who could be a match and is a Sri Lankan Tamil, which means he has onlya 20.5 per cent chance of finding a match on the Anthony Nolan bone marrow register.

He added: It felt like a double dose of bad news. I had no idea what a transplant was, I had so many questions: How will I get it? Where will I get it? How will I find a match? I was so worried.

Now its not in my hands, I cant run around and get it myself - I need a stranger to save my life. Anyone who signs up to the register is priceless, not only to me but to everyone waiting for a transplant. These people are so selfless and special, theyre like gold-dust.

Mr Manokaran's wife Jasmini started the Help Save Jaso campaignto recruit more people to the register - especially people from Tamil and Sri Lankan communities in the hope of finding a match for her husband.

She said: Its been a scary time for all of us but I was so inspired to get going for Jaso. I have found that many people from my community dont know how to sign up to the register and many myths around donating have come up.

Some people think its a big operation or involves lengthy surgery because of the word bone but this is not true - now the process is usually just like giving blood.

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Young Dad searching for gold-dust' bone marrow match

Osteoarthritis is a common condition seen in older people in which the tissue between joints becomes worn down, causing severe pain. In what could be an important development for people who suffer from it, U.S. researchers have isolated stem cells in adult mice that regenerate both worn tissue, or cartilage, and bone.

For the past decade, researchers have been trying to locate and isolate stem cells in the spongy tissue or marrow of bones of experimental animals.

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The so-called osteochondroreticular, or OCR, cells are capable of renewing and generating important bone and cartilage cells.

Researchers at Columbia University Medical Center in New York identified these master cells in the marrow. When grown in the lab and transplanted back into a fracture site in mice, they helped repair the broken bones.

Siddhartha Mukherjee, the study's senior author, said similar stem cells exist in the human skeletal system.

The real provocative experiment or the provocative idea is being able to do this in humans being able to extract out these stem cells from humans and being able to put them back in to repair complex fracture defects or osteoarthritis defects, said Mukherjee.

He noted that children have more bone stem cells than adults, which may explain why the bones of young people repair more easily than fractures in adults.

Mukherjee said the next step is to try to identify the OCR cells in humans and attempt to use them to repair complex bone and cartilage injuries.

Once cartilage is injured or destroyed in older people, as in osteoarthritis, Mukherjee said it does not repair itself.

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Bone Stem Cells Regenerate Bone, Cartilage in Mice

A stem cell capable of regenerating both bone and cartilage has been identified in bone marrow of mice. The discovery by researchers at Columbia University Medical Center (CUMC) is reported today in the online issue of the journal Cell.

The cells, called osteochondroreticular (OCR) stem cells, were discovered by tracking a protein expressed by the cells. Using this marker, the researchers found that OCR cells self-renew and generate key bone and cartilage cells, including osteoblasts and chondrocytes. Researchers also showed that OCR stem cells, when transplanted to a fracture site, contribute to bone repair.

"We are now trying to figure out whether we can persuade these cells to specifically regenerate after injury. If you make a fracture in the mouse, these cells will come alive again, generate both bone and cartilage in the mouse--and repair the fracture. The question is, could this happen in humans," says Siddhartha Mukherjee, MD, PhD, assistant professor of medicine at CUMC and a senior author of the study.

The researchers believe that OCR stem cells will be found in human bone tissue, as mice and humans have similar bone biology. Further study could provide greater understanding of how to prevent and treat osteoporosis, osteoarthritis, or bone fractures.

"Our findings raise the possibility that drugs or other therapies can be developed to stimulate the production of OCR stem cells and improve the body's ability to repair bone injury--a process that declines significantly in old age," says Timothy C. Wang, MD, the Dorothy L. and Daniel H. Silberberg Professor of Medicine at CUMC, who initiated this research. Previously, Dr. Wang found an analogous stem cell in the intestinal tract and observed that it was also abundant in the bone.

"These cells are particularly active during development, but they also increase in number in adulthood after bone injury," says Gerard Karsenty, MD, PhD, the Paul A. Marks Professor of Genetics and Development, chair of the Department of Genetics & Development, and a member of the research team.

The study also showed that the adult OCRs are distinct from mesenchymal stem cells (MSCs), which play a role in bone generation during development and adulthood. Researchers presumed that MSCs were the origin of all bone, cartilage, and fat, but recent studies have shown that these cells do not generate young bone and cartilage. The CUMC study suggests that OCR stem cells actually fill this function and that both OCR stems cells and MSCs contribute to bone maintenance and repair in adults.

The researchers also suspect that OCR cells may play a role in soft tissue cancers.

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The above story is based on materials provided by Columbia University Medical Center. Note: Materials may be edited for content and length.

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Bone stem cells shown to regenerate bones, cartilage in adult mice

VIDEO:A stem cell capable of regenerating both bone and cartilage has been identified in bone marrow of mice. The discovery by researchers at Columbia University Medical Center (CUMC) is reported... view more

NEW YORK, NY (January 15, 2015) - A stem cell capable of regenerating both bone and cartilage has been identified in bone marrow of mice. The discovery by researchers at Columbia University Medical Center (CUMC) is reported today in the online issue of the journal Cell.

The cells, called osteochondroreticular (OCR) stem cells, were discovered by tracking a protein expressed by the cells. Using this marker, the researchers found that OCR cells self-renew and generate key bone and cartilage cells, including osteoblasts and chondrocytes. Researchers also showed that OCR stem cells, when transplanted to a fracture site, contribute to bone repair.

"We are now trying to figure out whether we can persuade these cells to specifically regenerate after injury. If you make a fracture in the mouse, these cells will come alive again, generate both bone and cartilage in the mouse--and repair the fracture. The question is, could this happen in humans," says Siddhartha Mukherjee, MD, PhD, assistant professor of medicine at CUMC and a senior author of the study.

The researchers believe that OCR stem cells will be found in human bone tissue, as mice and humans have similar bone biology. Further study could provide greater understanding of how to prevent and treat osteoporosis, osteoarthritis, or bone fractures.

"Our findings raise the possibility that drugs or other therapies can be developed to stimulate the production of OCR stem cells and improve the body's ability to repair bone injury--a process that declines significantly in old age," says Timothy C. Wang, MD, the Dorothy L. and Daniel H. Silberberg Professor of Medicine at CUMC, who initiated this research. Previously, Dr. Wang found an analogous stem cell in the intestinal tract and observed that it was also abundant in the bone.

"These cells are particularly active during development, but they also increase in number in adulthood after bone injury," says Gerard Karsenty, MD, PhD, the Paul A. Marks Professor of Genetics and Development, chair of the Department of Genetics & Development, and a member of the research team.

The study also showed that the adult OCRs are distinct from mesenchymal stem cells (MSCs), which play a role in bone generation during development and adulthood. Researchers presumed that MSCs were the origin of all bone, cartilage, and fat, but recent studies have shown that these cells do not generate young bone and cartilage. The CUMC study suggests that OCR stem cells actually fill this function and that both OCR stems cells and MSCs contribute to bone maintenance and repair in adults.

The researchers also suspect that OCR cells may play a role in soft tissue cancers.

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Bone stem cells shown to regenerate bone and cartilage in adult mice

(SACRAMENTO, Calif.) - UC Davis surgeons have launched a "proof-of-concept" clinical trial to test the safety and efficacy of a device that can rapidly concentrate and extract young cells from the irrigation fluid used during orthopaedic surgery.

"The new approach holds promise for improving the delivery of stem cell therapies in cases of non-healing fractures."

"People come to me after suffering for six months or more with a non-healing bone fracture, often after multiple surgeries, infections and hospitalizations," said Mark Lee, associate professor of orthopaedic surgery, who is principal investigator on the clinical trial. "Stem cell therapy for these patients can be miraculous, and it is exciting to explore an important new way to improve on its delivery." About 6 million people suffer fractures each year in North America, according to the American Academy of Orthopaedic Surgeons. Five to 10 percent of those cases involve patients who either have delayed healing or fractures that do not heal. The problem is especially troubling for the elderly because a non-healing fracture significantly reduces a person's function, mobility and quality of life. Stem cells - early cells that can differentiate into a variety of cell types - have been used for several years to successfully treat bone fractures that otherwise have proven resistant to healing. Applied directly to a wound site, stem cells help with new bone growth, filling gaps and allowing healing and restoration of function. However, obtaining stem cells ready to be delivered to a patient can be problematic. The cells ideally come from a patient's own bone marrow, eliminating the need to use embryonic stem cells or find a matched donor. But the traditional way of obtaining these autologous stem cells - that is, stem cells from the same person who will receive them - requires retrieving the cells from a patient's bone marrow, a painful surgical procedure involving general anesthesia, a large needle into the hip and about a week of recovery. In addition, the cells destined to become healing blood vessels must be specially isolated from the bone marrow before they are ready to be transplanted back into the patient, a process that takes so long it requires a second surgery. The device Lee and his UC Davis colleagues are now testing processes the "wastewater" fluid obtained during an orthopaedic procedure, which makes use of a reamer-irrigator-aspirator (RIA) system to enlarge a patient's femur or tibia by high-speed drilling, while continuously cooling the area with water. In the process, bone marrow cells and tiny bone fragments are aspirated and collected in a filter to transplant back into the patient. Normally, the wastewater is discarded. Although the RIA system filter captures the patient's own bone and bone marrow for use in a bone graft or fusion, researchers found that the discarded effluent contained abundant mesenchymal stem cells as well as hematopoietic and endothelial progenitor cells, which have the potential to make new blood vessels, and potent growth factors important for signaling cells for wound healing and regeneration. The problem, however, was that the RIA system wastewater was too diluted to be useful. Now, working with a device developed by SynGen Inc., a Sacramento-based biotech company specializing in regenerative medicine applications, the UC Davis orthopaedic team can take the wastewater and spin it down to isolate the valuable stem cell components. About the size of a household coffee maker, the device will be used in the operating room to rapidly produce a concentration of stem cells that can be delivered to a patient's non-union fracture during a single surgery. "The device's small size and rapid capabilities allow autologous stem cell transplantation to take place during a single operation in the operating room rather than requiring two procedures separated over a period of weeks," said Lee. "This is a dramatic difference that promises to make a real impact on wound healing and patient recovery." For more information, visit http://www.ucdmc.ucdavis.edu/stemcellresearch.

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Treating Non-Healing Bone Fractures with Stem Cells?

IMAGE:This image captures a blood stem cell en route to taking root in a zebrafish. view more

Credit: Boston Children's Hospital

BOSTON (January 15, 2015) -- A see-through zebrafish and enhanced imaging provide the first direct glimpse of how blood stem cells take root in the body to generate blood. Reporting online in the journal Cell today, researchers in Boston Children's Hospital's Stem Cell Research Program describe a surprisingly dynamic system that offers several clues for improving bone marrow transplants in patients with cancer, severe immune deficiencies and blood disorders, and for helping those transplants "take."

The steps are detailed in an animation narrated by senior investigator Leonard Zon, MD, director of the Stem Cell Research Program. The Cell version offers a more technical explanation

"The same process occurs during a bone marrow transplant as occurs in the body naturally," says Zon. "Our direct visualization gives us a series of steps to target, and in theory we can look for drugs that affect every step of that process."

"Stem cell and bone marrow transplants are still very much a black box--cells are introduced into a patient and later on we can measure recovery of their blood system, but what happens in between can't be seen," says Owen Tamplin, PhD, the paper's co-first author. "Now we have a system where we can actually watch that middle step. "

The blood system's origins

It had already been known that blood stem cells bud off from cells in the aorta, then circulate in the body until they find a "niche" where they're prepped for their future job creating blood for the body. For the first time, the researchers reveal how this niche forms, using time-lapse imaging of naturally transparent zebrafish embryos and a genetic trick that tagged the stem cells green.

On arrival in its niche (in the zebrafish, this is in the tail), the newborn blood stem cell attaches itself to the blood vessel wall. There, chemical signals prompt it to squeeze itself through the wall and into a space just outside the blood vessel.

"In that space, a lot of cells begin to interact with it," says Zon. Nearby endothelial (blood-vessel) cells wrap themselves around it: "We think that is the beginning of making a stem cell happy in its niche, like a mother cuddling a baby."

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Live imaging captures how blood stem cells take root in the body