San Jose, California (PRWEB) March 25, 2014

Follow us on LinkedIn High prevalence of cancer worldwide and growing number of related casualties is creating an immediate need for effective diagnosis and therapy. Despite continuous research and the development of novel drugs, cancer remains unbeatable in most cases. The discovery of Circulating Tumor Cells (CTCs) and Cancer Stem Cells (CSCs) and their molecular mechanism is forecast to play an indispensable role in the future of cancer diagnostics and treatment. CTCs are cells dispersed from the primary tumor and found in peripheral blood circulation. The detection of CTCs and their numbers present important clues on the presence of cancer and the extent of its spread within the body. Clinical applications of CTC diagnostics are currently limited with high cost being the primary limiting factor. Unmet medical needs in the field of effective screening is however expected result in continuous flow of R&D investments in CTCs and CSCs. CTC based diagnostics involve a simple blood test and is increasingly being preferred over painful bone marrow aspirations and surgical biopsies to diagnose and analyze cancer metastasis.

CTC quantification and analyses based on molecular research also provides the potential to develop personalized cancer treatment regimens, which is garnering interest among scientific communities. Better, faster, and more user-friendly methods to detect and characterize CTCs will witness increased demand in the coming years. PCR-based (nucleic acid-based) identification methods are the most effective and sensitive for CTC genetic profiling, scoring over immunocytometric (protein-based) methods for molecular characterization of CTCs. RT-PCR and qPCR are highly specific techniques that are widely used to identify and amplify CTCs. CellSearch is the only FDA-approved automated system that offer combined enrichment, staining, and scanning of CTCs.

Cancer Stem Cells (CSCs) are the bulk cells within a tumor carrying its proliferative capability. CSCs remain unaffected by cancer treatment strategies, including chemotherapy and cause tumor relapse or re-occurrence thereby creating the need for new therapeutic drugs that destroy CSCs. The technology is still under extensive research. Biotechnology and pharmaceutical companies are increasingly shifting focus to anti-cancer therapeutics that target cancer stem cells and their regenerative mechanisms.

As stated by the new market research report on Circulating Tumor Cells and Cancer Stem Cells Technologies, the United States and Europe are the largest markets worldwide. The United States remains the undisputed leader in CTC diagnostics. Asia-Pacific is forecast to emerge as the fastest growing market driven by developing healthcare infrastructure, growing patient awareness, increasing per capita healthcare spends, focus on quality healthcare services, and the urgent need for advanced cancer diagnostics.

Key players covered in the report for CTC diagnostics include Adnagen GmbH, ApoCell Inc., Biocep LTD, Biocept Inc., Biofluidica Microtechnologies LLC, Celltrafix Inc., Clearbridge Biomedics, Creatv Microtech Inc., Cynvenio Biosystems Inc., Ikonisys Inc., IVDiagnostics Inc., Janssen Diagnostics LLC, Epic Biosciences Inc., Rarecells SAS, Screencell, Stemcell Technologies Inc. Market participants in CSC research include Alchemia Limited, Amgen Inc., Exelixis Inc., Formula Pharmaceuticals, GlaxoSmithKline Plc, Geron Corp, Infinity Pharmaceuticals, Kalobios Pharmaceuticals Inc., Novartis AG, OncoMed Pharmaceuticals Inc., Roche Diagnostics, and Verastem Inc., among others.

The research report titled Circulating Tumor Cells and Cancer Stem Cells Technologies: A Global Strategic Business Report announced by Global Industry Analysts Inc., provides a comprehensive review of market trends, drivers, key issues and challenges. The study also provides insights into CTC biology and CTC detection technologies, including CellSearch, ISET, CTC Chip, FAST, FISH, etc. The report provides market estimates and projections for CTC Diagnostics for all major geographic markets including the United States, Canada, Japan, Europe (France, Germany, Italy, UK, Spain, Russia, and Rest of Europe), Asia-Pacific, and Rest of World. Exclusive coverage is presented on Cancer Stem Cells biology, Surface Markers, Signaling Pathways, and Pipeline drugs.

For more details about this comprehensive market research report, please visit http://www.strategyr.com/Circulating_Tumor_Cells_CTCs_and_Cancer_Stem_Cells_CSCs_Technologies_Market_Report.asp

About Global Industry Analysts, Inc. Global Industry Analysts, Inc., (GIA) is a leading publisher of off-the-shelf market research. Founded in 1987, the company currently employs over 800 people worldwide. Annually, GIA publishes more than 1300 full-scale research reports and analyzes 40,000+ market and technology trends while monitoring more than 126,000 Companies worldwide. Serving over 9500 clients in 27 countries, GIA is recognized today, as one of the world's largest and reputed market research firms.

Global Industry Analysts, Inc. Telephone: 408-528-9966 Fax: 408-528-9977 Email: press(at)StrategyR(dot)com Web Site: http://www.StrategyR.com/

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Need for Advanced Cancer Diagnostics Drives Demand for Circulating Tumor Cells & Cancer Stem Cells Technologies ...

Tuesday 25 March 2014 11.44

Scientists at NUI Galway have achieved positive early stage results from a study looking at a possible treatment for osteoarthritis using stem cells.

Researchers at the Regenerative Medicine Institute said the results indicate that the treatment could be ready for use in patients within five years.

Osteoarthritis affects more than 400,000 people in Ireland, and 70 million across the EU. The disease causes the painful degeneration of cartilage in joints and is the most common form of arthritis.

The NUI Galway team are part of an EU funded projectinvolving partners in seven countries, which is examining whether stem cell therapy can help treat osteoarthritis by regenerating joints.

The group is testing stem cells derived from fat, which is injected into joints.

Fat stem cells are considered a good alternative to bone-marrow derived stem cells, as they are available in large quantities and can be harvested using minimally invasive techniques.

The scientists, who are involved in the 10m EU funded ADIPOA project, have just completed first phase clinical trials which sought to determine how adipose or fat-derived stem cells injected into diseased joints can activate the regeneration of cartilage.

According to Scientific Director of the Regenerative Medicine Institute, Professor Frank Barry, if the treatment continues to show promiseit could eventually lead to a cure for osteoarthritis.

Currently the only options for sufferers are joint replacement or life-long pain management.

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Osteoarthritis breakthrough at NUI Galway

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Children being treated for blood cancer at Medical University Hospital will get a taste of hope Thursday.

A 5k run to raise awareness of the need for bone marrow donations is set for Saturday. The children are not strong enough to participate in that. So a Tot Run will be held on their hospital floor Thursday morning.

Several dozen children, their families and staff will run around the oncology floor as they are able from 11 a.m. to noon, said Ashley Collier, community representative for Be The Match, the state's bone marrow bank.

"It's a way the children to be involved," she said.

For every child that gets a bone marrow transplant, two more don't get one because a matching donor can't be found, Collier said.

The Match to Marrow 5K Run starts at 9 a.m. Saturday at Wannamaker County Park in North Charleston. The entry fee is $25. Representatives will also be on hand to explain how to donate blood from which stem cells for bone marrow are harvested.

Reach Dave Munday at 937-5553.

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Tot Run set for children with blood cancer

Durham, NC (PRWEB) March 19, 2014

In a study just published in STEM CELLS Translational Medicine, a group of researchers have discovered what appears to be an easy way to collect large quantities of viable stem cells that can be banked for future regenerative medicine purposes all from the simple prick of a finger.

We show that a single drop of blood from a finger-prick sample is sufficient for performing cellular reprogramming, DNA sequencing and blood typing in parallel. Our strategy has the potential of facilitating the development of large-scale human iPSC banking worldwide, said Jonathan Yuin-Han Loh, Ph.D., of the Agency for Science, Technology and Research (A*STAR) in Singapore. He is principal investigator on the study that also included scientists from other Singapore facilities as well as those in the United States and Great Britain.

The medical world in general is excited about the potential of induced pluripotent stem cells (iPSCs) for studying diseases and for therapeutic regenerative medicine. Stem cells harvested from bone marrow and cord blood are highly amenable to reprogramming.

Some methods can result in negative side effects, and then you have bone-marrow harvesting, which is invasive, while cord blood is limited to individuals who have deposited their samples at birth, Dr. Loh explained. The large amount of blood needed to collect enough cells for reprogramming has also deterred many potential donors.

"We gradually reduced the starting volume of blood (collected using a needle) and confirmed that reprogramming can be achieved with as little as .25 milliliters, Hong-kee Tan, lead author on the study and a research officer in the Loh lab reported.

This then made the team wonder whether a DIY (do-it-yourself) approach to blood collection might work too.

To test this idea, we asked donors to prick their own fingers in a normal room environment and collect a single drop of blood sample into a tube, Tan said. The tube was placed on ice and delivered to the lab for reprogramming.

The cells were treated with a buffer at 12-, 24- or 48-hour increments and observed under the microscope for viability and signs of contamination. After 12 days of expansion in medium, the cells appeared healthy and were actively dividing. The team next tested what happened when they reprogrammed the cells and succeeded in forcing them to become mesodermal, endodermal and neural cells. They were even able to induce some into giving rise to rhythmically beating cardiomyocytes.

Interestingly, we did not observe any noticeable reduction in reprogramming efficiency between the freshly collected and the DIY finger-prick samples, Dr. Loh said. In summary, we derived healthy iPSCs from tiny volumes of venipuncture and a single drop finger-prick blood samples. We also report a high reprogramming yield of 100 to 600 colonies per milliliter of blood.

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DIY Finger Prick Yields Ample Stem Cells for Banking

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Newswise The Institute for Research in Immunology and Cancer (IRIC) at the Universit de Montral (UdeM), in collaboration with the Maisonneuve-Rosemont Hospitals Quebec Leukemia Cell Bank, recently achieved a significant breakthrough thanks to the laboratory growth of leukemic stem cells, which will speed up the development of new cancer drugs.

In a recent study published in Nature Methods, the scientists involved describe how they succeeded in identifying two new chemical compounds that allow to maintain leukemic stem cells in culture when these are grown outside the body.

This important advance opens the way to the identification of new cancer drugs to fight acute myeloid leukemia, one of the most aggressive forms of blood cancer.

The ability to grow leukemic stem cells in culture is a major breakthrough. The next step is to study the molecular mechanisms that regulate the survival and proliferation of leukemic cells as well as the resistance to cancer drugs.

This study is the work of the Leucgne research group. This group is co-directed by Dr. Guy Sauvageau, chief executive officer and principal investigator at IRIC as well as professor in the Department of Medicine at the UdeM; by Dr. Jose Hbert, director of the Quebec Leukemia Cell Bank, hematologist at Maisonneuve-Rosemont Hospital and professor in the Department of Medicine at the UdeM; and by Sbastien Lemieux, principal investigator at IRIC. The first author of the study is Caroline Pabst, a postdoctoral fellow at IRIC and associate of the Leucgne research group.

This research breakthrough demonstrates the advantage of working in a multidisciplinary team like the Leucgne research group, stated Drs. Sauvageau and Hbert. Access to cells of leukemia patients and to IRICs state-of-the-art facilities are also key factors in pursuing ground-breaking research.

Background to the study Stem cells located in the bone marrow are responsible for the production of blood cells. Unfortunately, deregulation of those cells often produces disastrous consequences when one of them develops mutations that transform it into a malignant cell called leukemic. The result is an abnormal proliferation of blood cells and the development of leukemia. Leukemic stem cells are also one of the likely causes of patient relapse because they are especially resistant to cancer treatments.

The major obstacle before this discovery was growing stem cells and keeping them intact in vitro, because they quickly lost their cancer stem cell character. As a result, it was very difficult to effectively study the multiplication of cells that cause leukemia.

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Major Breakthrough in Developing New Cancer Drugs: Capturing Leukemic Stem Cells

Immature cells' regenerative prowess injects new excitement into the field

Image: CDC

More than a century after scientists embarked on the quest to find an alternative to the blood coursing through our veins, the dream still will not die. Not after a major study dealt a seemingly fatal blow to the fielddetermining that the top synthetic blood candidates at the time were all more likely to kill you than to save your life. Not after billions of dollars in public and private investments dried up. And not after multiple companies ran aground. Starting in 2011, however, the moribund field received yet another revival, this time from a group of French researchers with a new approach to boosting blood supplies. Their principal insight: dont try to re-create millions of years of evolution. Instead, they proposed to piggyback off of what nature already made by coaxing stem cells into taking on the job. The appeal of creating blood alternatives is obvious. Certainly after a battlefield trauma or a car accident a ready transfusion of artificial blood that could theoretically work with any blood type and not require refrigeration would be a welcome medical tool. A synthetic product outlasting the typical 42-day shelf life of red blood cells and sidestepping even the miniscule risk of transmitting a blood-borne disease would also be high on the medical wish list. But such a product has not yet been created and proved safe in humans. Its not for lack of trying. Although blood cells serve multiple roles in the body and have complex interactions with other cellular materials, most synthetic blood products have aimed to just stick to the bare basicsshuttling oxygen from the lungs to different vital organs and then bringing carbon dioxide back to the lungs to be exhaled. When the red cell count gets low, bodily organs may not get the oxygen they need, making a person weak and eventually resulting in serious health problems. The most popular approach taken to replicate that function has been to create artificial hemoglobin-based oxygen carriers, tapping proteins in red blood cells called hemoglobin that act as oxygens transport service, and chemically modifying them to increase oxygen-carrying capacity. But the new idea is to get the body to grow its own substitutea product that would not be the same as whole blood but could fit the bill in a pinch. A Paris-based research group, headed up by Luc Douay, professor of hematology at University Pierre and Marie Curie Faculty of Medicine, has already had some success. They culled stemlike cells from blood circulating through a patients body and manipulated them into becoming red blood cells nearly identical to those that normally transport oxygen in the body. The team injected two milliliters of the stem-cell derived blood cells back into the patientan amount far smaller than would be needed in a typical transfusion. The creations had stored well at refrigerated temperatures and circulated in the body with survival time on par with that of original red cells. Jackpot. In short, the workalbeit on one person, tapping cells from his own bodyproved that it could be done. Its a promising approach, says Harvey Klein, chief of the Department of Transfusion Medicine at the National Institutes of Health. There is a school of pessimists who believe that because of costs it will never materialize on a practice level, but Ive heard that all my life about different areas of medicine including bone marrow transplants in the 60s. Still, he and others caution that the field is far from being able to forgo the need for blood donors for day-to-day care. In fact, the market for artificial blood products would likely be limited to people with rare blood types and those who, due to blood diseases, require new transfusions, perhaps every couple months. Its an encouraging step forward for a field littered with odd and sometimes cringe-worthy efforts to get at the lifesaving power of blood. Animal to human blood transfusions received a short-lived audition in 1667. But the first human-to-human blood transfusion was not performed until 1818before we learned about blood types and how and when the body rejects certain transfusions. Blood-product research also included attempts in the late 1800s to hook up ailing patients to infusions of fresh cows milk. Milk, like blood, had fats that emulsify in fluid, the reasoning went. Plus, milk would be safer than blood because it would not clot. When patients died, physicians figured it was due to other complications. Needless to say, milk injections, like those from animal blood, never really took off. In the U.S. there is no shortage of blood products available for most patients, thanks to blood donors. After a healthy person donates blood that fluid is typically whirred in a centrifuge and separated out into several parts. Most commonly, patients receive transfusions of red blood cells, the component of blood that shuttles oxygen to tissues throughout the body. (Patients may also receive infusions of white cells that help fight infection or platelets, the small, colorless cell fragments that help stanch bleeding by clotting.) Although most people only get transfusions once or twice in their lives (if at all), individuals with conditions like sickle-cell anemia require consistent blood transfusions of red cells. But with each infusion theres a small risk that the body could develop an infection, reject the foreign blood or form antibodies that will lead to the body rejecting and destroying certain bloods in the future. A key threat, however, is that each transfusion contributes to the risk of iron overload in the body. All red blood cells contain iron, but after the body takes what it needs it has no easy way to dispose of the excess. It gets stored, instead, in organs including the heart, liver and pancreas. That buildup of increased iron with each transfusion can damage the organs and eventually prove fatal. The French researchers hope that using freshly created blood cells made from stem cells could help alleviate those iron buildup concerns. We think it could be transfused at least three to five times less each year because of the efficiency of the transfusion, Douay says. The secret lies in the age of the red blood cells derived from stem cells. Although red cells from donors have a typical shelf life of 42 days, they are a mix of older and newer cells, which means a number of them may not last long in the body. With stem cellderived options all of the blood product would be new, which could theoretically give patients more bang for each infusion. The only thing that would appear different to a patient receiving the transfusions, ideally, is that he would be receiving them less often. If you have brand-new cells, you should be able to increase the intervals between transfusions so you can make it longer, says David Anstee, director of the International Blood Group Reference Laboratory in England. You might be able to improve the quality of life in those situations. Its not a perfect fix because it would likely add months, not years, between transfusions, but it could be a start. Also, researchers could carefully select which blood types to culture with each batch of stem cells, creating stockpiles of needed blood products for people with extremely rare blood types whose blood cell makeup makes it challenging to find good blood matches for transfusions because they would reject most other types of blood. But so far all this remains theoreticalsince that initial breakthrough no new blood product has inched close to regulatory approval in the U.S. or Europe. The greatest hurdles are arguably more monetary than technical, but the monetary obstacles are massive. To match the current prices of high-quality blood products the process would have to become at least fivefold more cost-effective, Douay notes in a recent study published in Biotechnology Journal. Although the current price tag for an average hospital to create one unit of red blood cells from donor blood comes in at about $225, more expensive, unique stockpiles of red cells, kept for individuals with rare blood needs, can cost anywhere from $700 to $1,200 per unit. By comparison, with Douays method the price for equivalent amounts of blood cells (assuming that much product could be made successfully) would likely be around $8,330. It could even cost up to $15,000 per unit if all does not go according to plan, Douay estimates. Moreover, the idea of using Douays earlier process, which involved growing the cells in culture, at a larger scale would be delusional, he says. To make just one unit of bloodroughly a pintit would require growing cells in about 400 flasks that were about 30 centimeters by 20 centimeters, he says. But even with endless space for those flasks it would still be impossible because the constant pH and temperature controls that would be needed would be impossible to maintain. What would be needed, he says, is an automated, stirred large-scale bioreactor (something his team hopes to one day produce themselves). Even something as seemingly simple as red blood cells that dont have a nucleus evolved a structure and a function that is much more complicated than we can perceive by looking under the microscope, says Jason Acker, associate director of development for Canadian Blood Services. Douay, for his part, is not surprised it has taken more than a century for science to get even to this point, where the future of subbing in stem cells for blood products still remains little more than a reverie. For years, he says, we tried to replace nature and do as well as nature does. The regenerative powers of stem cells may just yet inject new options into the field.

Excerpt from:
Could Stem Cells Breathe New Life into the Field of Blood Substitution?

16 hours ago by Bob Yirka Mesenchymal stem cell displaying typical ultrastructural characteristics. Credit: Robert M. Hunt/Wikipedia

(Phys.org) A team of researchers working at the University of Colorado has found that human stem cells appear to remember the physical nature of the structure they were grown on, after being moved to a different substrate. In their paper published in the journal Nature Materials, the researchers describe how they grew human stem cells on different substrates. In so doing, they discovered that the stem cells continued to express certain proteins related to a substrate even after its hardness was changed.

Scientists have known for some time that stem cells respond to their environment as they growthose grown on hard material, such as glass or metal for example, are more amenable to growing into bone cells. In this new effort, the researchers sought to discover if changes to a stem cell brought about by environment are retained if the stem cell is moved to a different environment.

To find out, the researchers used mesenchymal cells which are known to be able to grow into almost any human body part. They placed the stem cells on a stiff substrate then moved them to one less stiff over differing numbers of days. In so doing, they found that the longer the cells were left on the stiff substrate the more a protein connected to bone growth (RUNX2) was expressed. Conversely, cells that were first placed on a soft surface and subsequently moved to a hard surface demonstrated a tendency to develop either bone or adipogenic tendencies.

In another experiment, the researchers applied the stem cells to a substrate coated with a phototunable hydrogelit grows softer when exposed to lightusing it allowed for changing the stiffness of the substrate without having to move the cells. Using this approach the team found that if the cells were allowed to grow on the gel in its stiff state, for just one day, switching to a soft state caused the expression of RUNX2 to cease immediately. When they allowed the cells to grow for ten days on the stiff base, however, before switching to a soft one, expression of RUNX2 continued for another ten days before finally ceasing. This shows, the researchers contend, that stem cells have a memory component that is not yet understood.

The researchers note that their findings could be applied to other stem cell research areas such as cases where unintentional consequences may be arising in experiments due to the stiffness of the substrate in which they are being grown. It also raises the question of whether other environmental factors might be impacting cell growth and if so, if they have a memory component as well.

Explore further: Heart cells respond to stiff environments

More information: Mechanical memory and dosing influence stem cell fate, Nature Materials (2014) DOI: 10.1038/nmat3889

Abstract We investigated whether stem cells remember past physical signals and whether these can be exploited to dose cells mechanically. We found that the activation of the Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding domain (TAZ) as well as the pre-osteogenic transcription factor RUNX2 in human mesenchymal stem cells (hMSCs) cultured on soft poly(ethylene glycol) (PEG) hydrogels (Young's modulus E ~ 2 kPa) depended on previous culture time on stiff tissue culture polystyrene (TCPS; E ~ 3 GPa). In addition, mechanical dosing of hMSCs cultured on initially stiff (E ~ 10 kPa) and then soft (E ~ 2 kPa) phototunable PEG hydrogels resulted in either reversible orabove a threshold mechanical doseirreversible activation of YAP/TAZ and RUNX2. We also found that increased mechanical dosing on supraphysiologically stiff TCPS biases hMSCs towards osteogenic differentiation. We conclude that stem cells possess mechanical memorywith YAP/TAZ acting as an intracellular mechanical rheostatthat stores information from past physical environments and influences the cells' fate.

Journal reference: Nature Materials

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Researchers find stem cells remember prior substrates

The parents of a 2-year-old Pasadena girl who was diagnosed with an aggressive form of leukemia have renewed their call for help in the search for a bone marrow donor, after stem cells taken from the girls father did not match.

Sofia Flores, shown in a family photo, needs a bone marrow donor.

The latest in a series of donor drives was held Saturday at Orchard Supply Hardware, located at 3425 E. Colorado Blvd. in Pasadena.

Sofia Flores story first came to light in October 2013 when her parents asked for help in finding a bone marrow donor for their daughter.

Sofia needed a marrow transplant to combat acute myeloid leukemia, according to A3M, a Los Angeles nonprofit that is helping Sofias parents seek a match for the little girl.

However, after an extensive search, no match was found.

On Jan. 23, her father donated his stem cells to her, which was the only alternative available at the time, according to Erica Westfall, Sofias mother.

But the treatment was not successful and Sofias cancer relapsed.

Sofias last chance for survival would be a transplant from an unrelated donor in the next two months, according to her mother.

Weve been searching for a bone marrow match even harder because this is her last chance, her father Ignacio Flores said in a video released to news media on Monday.

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Donor Drive Held for Pasadena Girl, 2, in Need of Bone Marrow Transplant

Each day is a gift for Chris Taylor and every phone call could be the one that saves his life.

Thats why the 36-year-old man with acute myeloid leukemia keeps his cellphone within reach, waiting to hear that a stem cell donor has been found and hell get the bone marrow transplant he needs.

Taylor, who was diagnosed in July 2012, has already had two false alarms but is confident a match will become available before its too late.

Getting the call is a miracle in itself. It comes after an online search of unrelated people by the Canadian Blood Services OneMatch Stem Cell and Marrow Network. The registry has access to 22 million potential volunteer donors in 71 countries, strangers prepared to help those like Taylor.

Despite popular belief, family members are matches only 25 per cent of the time, said Mary-Lynn Pride, a patient transplant liaison specialist at OneMatch.

More than 800 Canadians currently await transplants. OneMatch has more than 333,000 registered Canadian donors.

Taylor signed up after a second round of chemotherapy last summer, when doctors at Princess Margaret Hospital advised he needed a bone marrow transplant.

Taylor received the first call last November. The timing was perfect because his cancer was in remission, the only time a transplant can be done.

Two days before he was to be admitted to hospital, Taylor got bad news. The procedure was cancelled because the donor had unspecified medical complications, he said. OneMatch does not say why donors decide to abandon the procedure.

The second call came last month, but the donor withdrew for reasons unknown to Taylor.

The rest is here:
Leukemia patient pins hopes on OneMatch stem cell donor registry

Watch the video above:Leukemia patient Chris Taylor loses 2nd bone marrow transplant donor. Angie Seth reports.

TORONTO A 36-year-old leukemia patient is searching for a bone marrow donor for the third time, after his first two donors backed out for medical or unknown reasons.

Chris Taylor was diagnosed with leukemia in 2012. He originally went to Mount Sinai hospital with chest pains and spent several days in the ICU though doctors couldnt figure out what was wrong with him, he said.

But several weeks later, Princess Margaret Hospital found his cancer at the chromosomal level. HE immediately started chemotherapy and it went into remission.

It came back after ten months, he said. I was starting to feel better and the side effects were starting to wear off and then the cancer came back.

They found a match around Christmas of 2013, he said. They started preliminary testing and even got a proposed date but two days before, the donor pulled out.

Unfortunately that donor was medically unfit to donate, Taylor said.

So they went back to searching. They found another donor.

We began again the process of getting ready to go in for the transplant, he said. Unfortunately for unknown reasons that donor had to opt-out of the procedure.

I was disappointed but I dont hold any ill-will or anything like that.

Originally posted here:
Man hoping for third stem cell match after first 2 donors back out

Richard France has been visiting Pine Island for 18 years. Each winter he escapes the Ohio winters for the sunny warmth of Pine Island for about six months a year.

"In 2008 I was diagnosed when I was 68 years old with acute leukemia," France said. "I underwent treatments for a fair amount of time, 4 or 5 months - chemotherapy. We usually come down in January but that year we were here for March and April."

He continued, "After that I was in remission for three years but then in 2011 we were here in Florida and I got a call from my doctor. He said the cancer had returned and that I needed to get back to Ohio. They recommended that I have a bone marrow transplant and I got on the transplant list. I think it was under a year when I got word that they had a donor. By then they had decided against a bone marrow transplant and were looking for a stem cell donor. It was the day before Thanksgiving that I went into the hospital and I stayed until almost Christmas. On Nov. 30, I got Laurie Burnworth's stem cells."

Laurie Burnworth stem cell donor and Richard France recipient.

PHOTO PROVIDED

A stem cell (blood or marrow) transplant is the infusion, or injection, of healthy stem cells into your body to replace damaged or diseased stem cells. A stem cell transplant may be necessary if your bone marrow stops working and doesn't produce enough healthy stem cells. A stem cell transplant also may be performed if high-dose chemotherapy or radiation therapy is given in the treatment of blood disorders such as leukemia, lymphoma or multiple myeloma.

"I've been donating blood for years," Burnworth said. "I think I may have signed up for this at one of those times I signed up for blood but I really don't remember. It seems one thing led to another and I believe we were matched up in 2008 and they called me. But that's when Richard went into remission and they held off. Then in 2011 they contacted me again and said 'You are the perfect match for this gentleman and if you're still interested we're going to do this.' After extensive testing we went ahead.

"I think a lot of people don't sign up because they think they take the material from the bone," Burnworth continued. "But in my case you just go to the blood bank, which for me was in Rockford, Ill., and sit in a chair and then you just get hooked up like you're donating blood the difference being though is you're hooked up with both arms. One arm collects the blood where it is sent to a centrifuge that separates the platelets and then the blood is returned through the other arm to your body.

"It's really not a bad process," Burnworth said. "It takes a little time but this is the result. For the first year you can correspond with each other anonymously. Then after a year you sign forms releasing the information. It was Christmas 2012 that I got my phone call from Richard. And, of course, I didn't recognize the phone number so I didn't answer but he left a message and I immediately called back. That's when it really hit me and I cried because Richard and his family got to celebrate Christmas. Then this year they got to celebrate their 50th wedding anniversary and I cried again."

"We meant to get together last year but didn't," France said. "My wife urged that we get together this year and here we are. It's been two years since I got my transplant and I've got another three to go before I'm considered cured. I'm getting pretty much everything back and I feel wonderful and I'm so thankful for Laurie. I wish more people would look into donating organs in general."

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Stem cell donor, recipient get together

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11-Mar-2014

Contact: Karen Richardson krchrdsn@wakehealth.edu 336-716-4453 Wake Forest Baptist Medical Center

WINSTON-SALEM, N.C. March 11, 2014 Discovering where a common virus hides in the body has been a long-term quest for scientists. Up to 80 percent of adults harbor the human cytomegalovirus (HCMV), which can cause severe illness and death in people with weakened immune systems.

Now, researchers at Wake Forest Baptist Medical Center's Institute for Regenerative Medicine report that stem cells that encircle blood vessels can be a hiding place, suggesting a potential treatment target.

In the American Journal of Transplantation (online ahead of print), senior scientist Graca Almeida-Porada, M.D., Ph.D., professor of regenerative medicine at Wake Forest Baptist, and colleagues report that perivascular stem cells, which are found in bone marrow and surround blood vessels in the body's organs, are a reservoir of HCMV.

The virus, which is part of the herpes family, is unnoticed in healthy people. Half to 80 percent of all adults in the U.S. are infected with HCMV, according to the Centers for Disease Control and Prevention. In people with weakened immune systems, including those with HIV, undergoing chemotherapy, or who are organ or bone marrow transplant recipients, the virus can become re-activated.

Once re-activated, HCMV can cause a host of problems from pneumonia to inflammation of the liver and brain that are associated with organ rejection and death.

"There are anti-viral medications designed to prevent HCMV from re-activating, but HVMC infection remains one of the major complications after both organ and bone marrow transplants," said Almeida-Porada. "The question scientists have been asking for years is, 'Where does the virus hide when it is latent?' Maybe if we knew, we could target it."

Scientists have previously shown that one hiding place is hematopoietic stem cells, which give rise to blood cells. "There has been research on and off looking for the other hiding places," said Almeida-Porada. "Identifying the cells that can harbor the virus and are responsible for its re-activation could potentially lead to development of novel targeted therapies."

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Finding hiding place of virus could lead to new treatments

The parents of a 2-year-old Pasadena girl who was diagnosed with an aggressive form of leukemia were this week renewing calls for help in their search for a bone marrow donor after stem cells donated from the girls father failed to help.

Sofia Flores, shown in a family photo, needs a bone marrow donor.

Sofia Flores story first came to light in October 2013 when her parents asked for help in finding a bone marrow donor for their daughter.

Sofia needed a marrow transplant to combat acute myeloid leukemia, according to A3M, a Los Angeles nonprofit that is helping Sofias parents seek a match for the little girl.

However, after an extensive search, no match was found.

On Jan. 23, her father donated his stem cells to her, which was the only alternative available at the time, according to Erica Westfall, Sofias mother.

But the treatment was not successful and Sofias cancer relapsed.

Sofias last chance for survival would be a transplant from an unrelated donor in the next two months, according to her mother.

Weve been searching for a bone marrow match even harder because this is her last chance, her father Ignacio Flores said in a video released to news media on Monday.

Sofia has not found a donor through the Be the Match registry, in part because her mixed-race ethnicity makes it difficult to find a compatible donor, according to A3M. Sofia is half white and half Mexican.

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Father of 2-Year-Old in Need of Bone Marrow: This Is Her Last Chance

The recent news of veteran TV journalist Tom Brokaw being diagnosed with multiple myeloma sparked interest in this rare form of cancer. Approximately 20,000 people are diagnosed annually with multiple myeloma cancer of the plasma cells in the bodys bone marrow. These abnormal plasma cells dont produce antibodies, so the immune system cant fight off infections.

Like Brokaw, who is 74, the majority of people diagnosed with multiple myeloma as well as more common blood cancers such as leukemia and lymphoma are older than 65. That means that many of these patients depend on Medicare to pay for their treatment, which often includes a blood or bone marrow transplant (BMT).

Ten years ago, patients older than 55 were commonly excluded from this treatment option. Today, because of medical advances, the Medicare population is the fastest-growing segment of patients in most BMT programs in the United States.

However, because of Medicare coverage restrictions, many patients who need a transplant are unable to receive treatment unless they are in the financial position to pay privately for their care.

The financial burden is even more significant when a transplant requires the use of donated stem cells, often needed for those with blood cancers such as leukemia and lymphoma. Because of a difference in the way that Medicare reimburses hospitals for BMT in comparison with solid organ transplantation, each BMT using donor cells results in a substantial financial loss to the hospital providing care.

The financial loss per transplant case is large enough that it is unsustainable, cannot be offset by private insurance payments and is threatening our ability to continue to deliver this vital therapy to those who need it most.

Our clinical success in finding ways to treat older patients has created an unfortunate, but very real, financial threat to the continued existence of our field. In December, we began a dialogue with our partners at Medicare to remedy this situation and hope that continued discussions will result in a correction of the rate-setting methodology currently used.

We are mindful that BMT is an expensive therapy. There is no question that expert teams and significant resources are required. But it is also a lifesaving therapy. Currently, there are more than 100,000 transplant survivors in the United States. With continuing advances in the use of transplant, we project 250,000 by 2020 and 500,000 by 2030 with a quarter of the survivors being over 60 years old.

These costs would not disappear if this treatment were not available. The costs of providing alternate therapies that do not have the potential to be curative are significant. Older patients deserve continued access to therapies that will provide them with the best chance of enjoying more well-earned years of high-quality life with their families and friends.

This month, the American Society for Blood and Marrow Transplantation (ASBMT) celebrates 20 years since its founding. We represent nearly 2,000 transplant clinicians and health care professionals worldwide. Recently we gathered in Dallas for our annual meeting to share cutting-edge research and knowledge, continuing our quest to be the best in the world at what we do for the sake of our patients.

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Blood, marrow transplants must be kept accessible

4 hours ago This photo shows Dr. Sean Morrison, Director of the Children's Research Institute and senior author of the study, right, and Dr. Robert A.J. Signer, a postdoctoral research fellow and the study's first author. Credit: University of Texas Southwestern Medical Center

For the first time, researchers have shown that an essential biological process known as protein synthesis can be studied in adult stem cells something scientists have long struggled to accomplish. The groundbreaking findings from the Children's Medical Center Research Institute at UT Southwestern (CRI) also demonstrate that the precise amount of protein produced by blood-forming stem cells is crucial to their function.

The discovery, published online today in Nature, measures protein production, a process known as translation, and shows that protein synthesis is not only fundamental to how stem cells are regulated, but also is critical to their regenerative potential.

"We unveiled new areas of cellular biology that no one has seen before," said Dr. Sean Morrison, Director of the Children's Research Institute, Professor of Pediatrics, and the Mary McDermott Cook Chair in Pediatric Genetics at UT Southwestern Medical Center. "No one has ever studied protein synthesis in somatic stem cells. This finding not only tells us something new about stem cell regulation, but opens up the ability to study differences in protein synthesis between many kinds of cells in the body. We believe there is an undiscovered world of biology that allows different kinds of cells to synthesize protein at different rates and in different ways, and that those differences are important for cellular survival."

Dr. Adrian Salic's laboratory at Harvard Medical School chemically modified the antibiotic puromycin in a way that made it possible to visualize and quantify the amount of protein synthesized by individual cells within the body. Dr. Robert A.J. Signer, a postdoctoral research fellow in Dr. Morrison's laboratory and first author of the study, realized that this reagent could be adapted to measure new protein synthesis by stem cells and other cells in the blood-forming system.

What they came across was astonishing, Dr. Morrison said. The findings suggested that different types of blood cells produce vastly different amounts of protein per hour, and stem cells in particular synthesize much less protein than any other blood-forming cells.

"This result suggests that blood-forming stem cells require a lower rate of protein synthesis as compared to other blood-forming cells," said Dr. Morrison, the paper's senior author.

Researchers applied the findings to a mouse model with a genetic mutation in a component of the ribosome the machinery that makes proteins and the rate of protein production was reduced in stem cells by 30 percent. The scientists also increased the rate of protein synthesis by deleting the tumor suppressor gene Pten in blood-forming stem cells. In both instances, stem cell function was noticeably impaired.

Together, these observations demonstrate that blood-forming stem cells require a highly regulated rate of protein synthesis, such that increases or decreases in that rate impair stem cell function.

"Amazingly, when the ribosomal mutant mice and the Pten mutant mice were bred together, stem cell function returned to normal, and we greatly delayed, and in some instances entirely blocked, the development of leukemia," Dr. Morrison said. "All of this happened because protein production in stem cells was returned to normal. It was as if two wrongs made a right."

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Stem cell study opens door to undiscovered world of biology

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Newswise SEATTLE The Fred Hutchinson Bone Marrow Transplant Program at Seattle Cancer Care Alliance (SCCA) was recently recognized by the Center for International Blood and Marrow Transplant Research (CIBMTR) for outperforming its expected one-year survival rate for allogeneic transplant patients. The results published by the CIBMTR, analyzed the National Marrow Donor Programs (NMDP) registry of 168 U.S. transplant centers over a three-year period for its 2013 Transplant Center-Specific Survival Report.

The Fred Hutchinson Bone Marrow Transplant Program at SCCA pioneered the clinical use of bone marrow and stem cell transplantation more than 40 years ago and have performed more than 14,000 bone marrow transplants more than any other institution in the world. Today, the organization is one of just 13 stem cell transplant programs nationwide that exceeded its anticipated one-year survival rate for patients undergoing allogeneic transplants.

This type of transplant uses 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 range of leukemias and lymphomas, as well as other diseases such as severe aplastic anemia and sickle cell disease.

Comparing Transplant Centers

Comparing transplant centers in the U.S. is an extremely challenging process, explains Dr. Marco Mielcarek, medical director of the Adult Blood and Marrow Transplant Program at SCCA. There are so many variables that must be taken into account, including type of cancer and stage, the patients underlying medical problems and age, the type of transplant they undergo, and the source of the stem cells for the transplant. Each patient has a unique risk profile.

Although the process of comparing transplant centers can be challenging, the intensive analysis allows researchers to compare themselves to other centers, leading to improved outcomes. Additionally, the report provides patients and their families with valuable information necessary when evaluating where to go for treatment.

When you adjust for risk factors, our patients outcomes exceeded expectations over a three-year period, Dr. Mielcarek says, thats information that is helpful for patients to know when they are making important health care decisions with their families.

To arrive at its findings, CIBMTR independently examined the survival rates of 19,945 transplants performed to treat blood cancers at U.S. centers in the NMDP network. The most recent reporting period covered January 1, 2009 to December 31, 2011. During this three-year period, 762 allogeneic transplants were performed at SCCA. The report, published annually, is required by federal law and is designed to provide potential stem cell transplant recipients, their families, and the public with comparative survival rates among transplant centers.

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Bone Marrow Transplant Program at Seattle Cancer Care Alliance Recognized for Its One-Year Survival Rates

The approach involves using enzymes to destroy a gene in the immune cells of people with HIV, thereby increasing resistance to the virus

Scanning electron micrograph of a human T cell from the immune system of a healthy donor. Credit:NIAID/NIH - Wikimedia Commons

A clinical trial has shown that a gene-editing technique can be safe and effective in humans. For the first time, researchers used enzymes called zinc-finger nucleases (ZFNs) to target and destroy a gene in the immune cells of 12 people with HIV, increasing their resistance to the virus. The findings were published March 5 in The New England Journal of Medicine.

This is the first major advance in HIV gene therapy since it was demonstrated that the Berlin patient Timothy Brown was free of HIV, says John Rossi, a molecular biologist at the Beckman Research Institute of the City of Hope National Medical Center in Duarte, California. In 2008, researchers reported thatBrown gained the ability to control his HIV infectionafter they treated him with donor bone-marrow stem cells that carried a mutation in a gene calledCCR5. Most HIV strains use a protein encoded byCCR5as a gateway into the T cells of a hosts immune system. People who carry a mutated version of the gene, including Brown's donor, are resistant to HIV.

But similar treatment isnot feasible for most people with HIV: it is invasive, and the body is likely to attack the donor cells. So a team led by Carl June and Pablo Tebas, immunologists at the University of Pennsylvania in Philadelphia, sought to create the beneficialCCR5 mutation in a persons own cells, using targeted gene editing.

Personalized medicine The researchers drew blood from 12 people with HIV who had been taking antiretroviral drugs to keep the virus in check. After culturing blood cells from each participant, the team used a commercially available ZFN to target theCCR5gene in those cells. The treatment succeeded in disrupting the gene in about 25% of each participants cultured cells; the researchers then transfused all of the cultured cells into the participants. After treatment, all had elevated levels of T cells in their blood, suggesting that the virus was less capable of destroying them.

Six of the 12 participants then stopped their antiretroviral drug therapy, while the team monitored their levels of virus and T cells. Their HIV levels rebounded more slowly than normal, and their T-cell levels remained high for weeks. In short, the presence of HIV seemed to drive the modified immune cells, which lacked a functionalCCR5gene, to proliferate in the body. Researchers suspect that the virus was unable to infect and destroy the altered cells.

They used HIV to help in its own demise, says Paula Cannon, who studies gene therapy at the University of Southern California in Los Angeles. They throw the cells back at it and say, Ha, now what?

Long-term action In this first small trial, the gene-editing approach seemed to be safe: Tebas says that the worst side effect was that the chemical used in the process made the patients bodies smell bad for several days.

The trial isnt the end game, but its an important advance in the direction of this kind of research, says Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases in Bethesda, Maryland. Its more practical and applicable than doing a stem-cell transplant, he says, although it remains to be seen whether it is as effective.

Originally posted here:
Gene-Editing Technique Shown to Work as HIV Treatment

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Some professional athletes' enthusiasm for certain stem cell treatments outpaces the evidence

Peter Ryan

In 2005, at the age of 32, then Los Angeles Angel Bartolo Coln won the American League Cy Young Award for best pitcher, one of professional baseball's top honors. He stumbled through subsequent seasons, however, after a series of rips and strains in the tendons and ligaments of his throwing arm, shoulder and back. In 2009 he all but quit baseball. Desperate to reclaim his career, Coln flew home to the Dominican Republic in 2010 for an experimental procedure not vetted or approved by the U.S. Food and Drug Administration. Doctors centrifuged samples of Coln's bone marrow and fat, skimmed off a slurry containing a particular kind of stem cellimmature, self-renewing cells that can turn into a variety of tissuesand injected it into his injured shoulder and elbow. Within months of the procedure the then 37-year-old Coln was once again pitching near the top of his game for the New York Yankeescommanding a 93-mile-per-hour fastball.

Whether the injected stem cells rejuvenated his arm is an open question. The fda and the International Society for Stem Cell Research warn that no rigorous studies have demonstrated that such treatments safely and effectively repair damaged connective tissue in people. The results of related animal studies, though promising, have raised more questions than answers. The term stem cell makes it sound cutting edge and exciting, says Paul Knoepfler, a cell biologist at the University of California, Davis, who also writes frequently on policy surrounding stem cells. But the role of these cells in sports medicine is essentially all hype.

No matter, apparently, to the aging, injured athletes who have followed Coln's lead. Lefty pitcher C. J. Nitkowski, who underwent the same procedure in 2011, told readers of his personal blog that he did not mind the lack of carefully controlled research. My attitude is I don't have the time to wait for the five- or 10-year study to come out, the then 38-year-old relief pitcher wrote, so I'm taking a chance now. Besides, Nitkowski figured, even if the treatment did not work, any health risks ought to be slight because the cells involved were his own.

That might not be such a safe bet. Numerous studies suggest that Coln, Nitkowski and others trying untested stem cell treatments may be risking more than they think. Even a syringe of one's own stem cells taken from one part of the body and squirted into another may multiply, form tumors, or may leave the site you put them in and migrate somewhere else the fda warns on its Web site. More clinical research is needed to define safety procedures, as well as how many cells of which types and what other tissue factors produce the desired results. In some animal studies, for example, the regenerated tissue is not as strong or flexible as the original. In other cases, an overgrowth of scar tissue makes the injected tendon or ligament adhere to the overlying skin. By preventing different tissues from gracefully sliding past one another, these adhesions sometimes pull an even bigger tear in an already serious wound.

In addition, Knoepfler worries that high-profile sports testimonials by Coln, Nitkowski and others will encourage joggers with blown-out knees and the parents of sore-armed Little Leaguers to demand the procedure before it has been thoroughly tested. When celebrities take to a new treatment, many other people follow suit, he says. Such premature enthusiasmor an unforeseen tragedy that results from proceeding too fast too sooncould also prevent serious researchers from getting funding to do the kinds of careful experiments that might eventually lead to safe and reliable treatments.

Seeds of Repair

The need for better ways to reknit damaged tendons and ligaments is painfully apparent to the roughly two million Americans in a given year who seek medical help for tears in their shoulder's rotator cuff, for example, or the 100,000 patients in the same year who undergo surgery in the U.S. to repair a ripped or ruptured anterior cruciate ligament (ACL) of the knee. Tendons and ligaments are tough, fibrous bands, made mostly of collagen, that anchor networks of muscles to a bone or link bones and cartilage across crucial joints. They lend strength, flexibility and stability to your daily twists and turns, whether you are rocketing a baseball across home plate or hefting a suitcase into an overhead bin. Once frayed or snapped, they can take many months or longer to mendeven with surgery.

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A Dangerous Game: Some Athletes Risk Untested Stem Cell Treatments

14 hours ago This is Kevin Kit Parker, the Thomas D. Cabot Associate Professor of Applied Science and Associate Professor of Biomedical Engineering, and Harvard Stem Cell Institute Principal Faculty member, has identified standards making it possible to quantitatively judge and compare commercially available stem cell lines. Credit: Jon Chase/Harvard Staff Photographer

After more than a decade of incremental and paradigm shifting, advances in stem cell biology, almost anyone with a basic understanding of life sciences knows that stem cells are the basic form of cell from which all specialized cells, and eventually organs and body parts, derive.

But what makes a "good" stem cell, one that can reliably be used in drug development, and for disease study? Researchers have made enormous strides in understanding the process of cellular reprogramming, and how and why stem cells commit to becoming various types of adult cells. But until now, there have been no standards, no criteria, by which to test these ubiquitous cells for their ability to faithfully adopt characteristics that make them suitable substitutes for patients for drug testing. And the need for such quality control standards becomes ever more critical as industry looks toward manufacturing products and treatments using stem cells.

Now a research team lead by Kevin Kit Parker, a Harvard Stem Cell Institute (HSCI) Principal Faculty member has identified a set of 64 crucial parameters from more than 1,000 by which to judge stem cell-derived cardiac myocytes, making it possible for perhaps the first time for scientists and pharmaceutical companies to quantitatively judge and compare the value of the countless commercially available lines of stem cells.

"We have an entire industry without a single quality control standard," said Parker, the Tarr Family Professor of Bioengineering and Applied Physics in Harvard's School of Engineering and Applied Sciences, and a Core Member of the Wyss Institute for Biologically Inspired Engineering.

HSCI Co-director Doug Melton, who also is co-chair of Harvard's Department of Stem Cell and Regenerative Biology, called the standard-setting study "very important. This addresses a critical issue," Melton said. "It provides a standardized method to test whether differentiated cells, produced from stem cells, have the properties needed to function. This approach provides a standard for the field to move toward reproducible tests for cell function, an important precursor to getting cells into patients or using them for drug screening."

Parker said that starting in 2009, he and Sean P. Sheehy, a graduate student in Parker's lab and the first author on a paper just given early on-line release by the journal Stem Cell Reports, "visited a lot of these companies (commercially producing stem cells), and I'd never seen a dedicated quality control department, never saw a separate effort for quality control." Parker explained many companies seemed to assume that it was sufficient simply to produce beating cardiac cells from stem cells, without asking any deeper questions about their functions and quality.

"We put out a call to different companies in 2010 asking for cells to start testing," Parker says, "some we got were so bad we couldn't even get a baseline curve on them; we couldn't even do a calibration on them."

Brock Reeve, Executive Director of HSCI, noted that "this kind of work is as essential for HSCI to be leading in as regenerative biology and medicine, because the faster we can help develop reliable, reproducible standards against which cells can be tested, the faster drugs can be moved into the clinic and the manufacturing process."

The quality of available human stem cells varied so widely, even within a given batch, that the only way to conduct a scientifically accurate study, and establish standards, "was to use mouse stem cells," Parker said, explaining that his group was given mouse cardiac progenitor cells by the company Axiogenesis.

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Establishing standards where none exist: Researchers define 'good' stem cells

BOSTON -

A bone marrow transplant could be a life-saving move for a little girl from Chester.

Keith McGilvery visited her at Boston Children's Hospital Tuesday and found out she's not the only young Vermonter who's sick on her floor. There are two kids from Vermont-- one from Chester and the other from Colchester. They're neighbors at Children's Hospital hoping that their transplants will make them better.

Tuesday, we visited Lindsey Sturtevant, she's the 12-year-old who just received a second bone marrow transplant to fight off a pre-leukemia condition that's done a number on her blood cells.

During our visit, we learned that Colchester Middle Schooler Le'Ondre Brockington is in the hospital bed next door. The 13-year old is fighting a rare form of acute myeloid leukemia. He's been in the hospital for seven months and his mom says every day has been a battle. Both families are thankful to their transplants.

Lindsey's doctor, Christine Duncan of the Dana-Farber Cancer Institute and Boston Children's Hospital, talked with us about what's involved if you decide to donate.

"There are lots of different ways that we collect stem cells. Some are directly from the bone, some are from your blood, most often it is a blood-type donation. For people that are really interested, they can look at the national marrow donor program which is the program that helped us find a donor for Lindsey," Dr. Duncan said.

Matches don't always come from family; Lindsey's first donor came from a 42-year-old woman in Europe and the second came from a 23-year-old man.

Le'Ondre's bone marrow donation came from a 33-year-old man.

For more information on becoming a donor:

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Sick Vt. kids highlight need for bone marrow donors