Immune cells regulate blood stem cells, research shows
By NEVAGiles23
Researchers in Bern have discovered that, during a viral infection, immune cells control the blood stem cells in the bone marrow and therefore also the body's own defenses. The findings could allow for new forms of therapy, such as for bone marrow diseases like leukemia.
During a viral infection, the body needs various defense mechanisms -- amongst other things, a large number of white blood cells (leukocytes) must be produced in the bone marrow within a short period of time. In the bone marrow, stem cells are responsible for this task: the blood stem cells. In addition to white blood cells, blood stem cells also produce red blood cells and platelets.
The blood stem cells are located in specialized niches in the bone marrow and are surrounded by specialized niche cells. During an infection, the blood stem cells must complete two tasks: they must first recognise that more blood cells have to be produced and, secondly, they must recognise what kind of.
Now, for the first time, researchers at the Department of Medical Oncology at the University of Bern and Bern University Hospital headed by Prof. Adrian Ochsenbein have investigated how the blood stem cells in the bone marrow are regulated by the immune system's so-called T killer cells during a viral infection. As this regulation mechanism mediated by the immune system also plays an important role in other diseases such as leukemia, these findings could lead to novel therapeutic approaches. The study is being published in the peer-reviewed journal "Cell Stem Cell" today.
T Killer cells trigger defenses
One function of T killer cells is to "patrol" in the blood and remove pathogen-infected cells. However, they also interact with the blood stem cells in the bone marrow. The oncologists in Bern were able to show that messenger substances secreted by the T killer cells modulate the niche cells. In turn, the niche cells control the production and also the differentiation of the blood stem cells.
This mechanism is important in order to fight pathogens such as viruses or bacteria. However, various forms of the bone marrow disease leukemia are caused by a malignant transformation of exactly these blood stem cells. This leads to the formation of so-called leukemia stem cells. In both cases, the mechanisms are similar: the "good" mechanism regulates healthy blood stem cells during an infection, whilst the "bad" one leads to the multiplication of leukemia stem cells. This in turn leads to a progression of the leukemia.
This similarity has already been investigated in a previous project by the same group of researchers. "We hope that this will enable us to better understand and fight infectious diseases as well as bone marrow diseases such as leukemia," says Carsten Riether from the Department of Clinical Research at the University of Bern and the Department of Medical Oncology at Bern University Hospital and the University of Bern.
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The above story is based on materials provided by University of Bern. Note: Materials may be edited for content and length.
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Immune cells regulate blood stem cells, research shows
McClellan: Bone marrow registry drives often pay it forward
By NEVAGiles23
On a Saturday last September, Be the Match Foundation sponsored a 5-kilometer walk and run in Creve Coeur Park to promote donor awareness. The foundation is an international bone marrow registry, and it coordinates marrow and stem cell transplants that are used to treat blood disorders.
Mark Pearl was at the event. Two of his three kids were born with a rare blood disorder called Fanconi anemia. Alexandra was diagnosed on Christmas Day 2000. She was 5. Her younger brother, Matthew, was diagnosed shortly thereafter. A marrow donor in Sweden was quickly found for Alexandra, but no matches were found for Matthew.
Mark and his wife, Diane, began organizing donor drives. Its easy to register as a donor. A couple of swabs on the inside of a cheek to collect DNA is all that is required. At their first drive in February 2001, they registered more than 4,000 potential donors. No matches. Over the next five and a half years, they organized more than 1,000 drives and registered more than 100,000 potential donors.
A donor was eventually found in North Carolina. As is almost always the case, the donor registered at someone elses drive. Matthew received his transplant in 2006.
He and his sister are fine.
Also at the event in Creve Coeur was Brian Jakubeck. He did not know Mark, but he had registered as a potential donor at one of the drives the Pearls had organized for Matthew. One of the last drives, actually.
How did that happen? Mark has season tickets for the Rams and sits next to Ted Cassimatis, who is a college friend of Brians brother. So as the Pearls reached out well beyond their own circle of friends, Ted sent out a mass email to his friends, and that email reached Brian. He and his wife, Kathy, registered as potential donors at a drive in May 2006.
Sometime later, Brian heard the good news from Ted that a donor had been found for his friends son.
Several years passed. In August 2012, Brian heard from Be the Match. He appeared to be a match. Would he agree to have some blood samples taken to confirm that he was a match? Sure, he said.
The results were positive. He was a match. He had more tests shortly before Christmas, and in January of last year, he went to St. Louis University Hospital and gave his stem cells. This was done in a process called apheresis. It is similar to giving plasma or platelets. The blood goes through an IV, passes through a machine that collects the stem cells, and then is returned through another IV. Its painless, but takes about six hours.
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McClellan: Bone marrow registry drives often pay it forward
Hero stem-cell donor saves brave leukaemia patient Margot Martini
By raymumme
21 Feb 2014 20:33
Staffordshire toddler has life-saving bone marrow transplant after match is finally found
Parents of a brave toddler battling leukaemia hailed a stem-cell donor their hero as their daughter received a life-saving bone marrow transplant.
Vicky and Yaser Martini, from Essington, Staffordshire, launched a huge internet campaign to find a match for 18-month-old Margot after she was diagnosed with two types of the cancer last October.
An estimated 40,000 people have requested donor packs from charity Delete Blood Cancer since the appeal, which has been backed by celebrities Stephen Fry, Gary Barlow and former Wolves hero Steve Bull.
Margot underwent a two-hour bone marrow transplant at Great Ormond Street Hospital in London on Friday after a stem cell donor match, said to be from outside the UK, was confirmed earlier this month.
The toddler napped contentedly in her pram as the stem cells were administered via a Hickman line in her chest said dad Yaser.
This young chap has done this selfless and benevolent thing. Frankly, he is my hero, he added.
I am watching it as it happens. It is quite something.
Margot Martini, with her brothers Rufus and Oscar, her dad Yaser and mum Vicky
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Hero stem-cell donor saves brave leukaemia patient Margot Martini
'Largest ever' trial of adult stem cells in heart attack patients begins
By LizaAVILA
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The largest ever trial of adult stem cell therapy in heart attack patients has begun at The London Chest Hospital in the UK.
Heart disease is the world's leading cause of death. Globally, more than 17 million people died from heart disease last year. In the US, over 1 million people suffer a heart attack each year, and about half of them die.
Heart attacks are usually caused by a clot in the coronary artery, which stops the supply of blood and oxygen to the heart. If the blockage is not treated within a few hours, then it causes the heart muscle to die.
The stem cell trial - titled "The effect of intracoronary reinfusion of bone marrow-derived mononuclear cells (BM-MNC) on allcause mortality in acute myocardial infarction," or "BAMI" for short - has been made possible due to a 5.9 million ($8.1 million) award from the European Commission.
The full study involves 19 partners across France, Germany, Italy, Finland, Denmark, Spain, Belgium, Poland, the Czech Republic and the UK.
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'Largest ever' trial of adult stem cells in heart attack patients begins
A changing view of bone marrow cells
By NEVAGiles23
PUBLIC RELEASE DATE:
20-Feb-2014
Contact: Deborah Williams-Hedges debwms@caltech.edu 626-395-3227 California Institute of Technology
In the battle against infection, immune cells are the body's offense and defensesome cells go on the attack while others block invading pathogens. It has long been known that a population of blood stem cells that resides in the bone marrow generates all of these immune cells. But most scientists have believed that blood stem cells participate in battles against infection in a delayed way, replenishing immune cells on the front line only after they become depleted.
Now, using a novel microfluidic technique, researchers at Caltech have shown that these stem cells might be more actively involved, sensing danger signals directly and quickly producing new immune cells to join the fight.
"It has been most people's belief that the bone marrow has the function of making these cells but that the response to infection is something that happens locally, at the infection site," says David Baltimore, president emeritus and the Robert Andrews Millikan Professor of Biology at Caltech. "We've shown that these bone marrow cells themselves are sensitive to infection-related molecules and that they respond very rapidly. So the bone marrow is actually set up to respond to infection."
The study, led by Jimmy Zhao, a graduate student in the UCLA-Caltech Medical Scientist Training Program, will appear in the April 3 issue of the journal Cell Stem Cell.
In the work, the researchers show that blood stem cells have all the components needed to detect an invasion and to mount an inflammatory response. They show, as others have previously, that these cells have on their surface a type of receptor called a toll-like receptor. The researchers then identify an entire internal response pathway that can translate activation of those receptors by infection-related molecules, or danger signals, into the production of cytokines, signaling molecules that can crank up immune-cell production. Interestingly, they show for the first time that the transcription factor NF-B, known to be the central organizer of the immune response to infection, is part of that response pathway.
To examine what happens to a blood stem cell once it is activated by a danger signal, the Baltimore lab teamed up with chemists from the lab of James Heath, the Elizabeth W. Gilloon Professor and professor of chemistry at Caltech. They devised a microfluidic chipprinted in flexible silicon on a glass slide, complete with input and output ports, control valves, and thousands of tiny wellsthat would enable single-cell analysis. At the bottom of each well, they attached DNA molecules in strips and introduced a flow of antibodiespathogen-targeting proteins of the immune systemthat had complementary DNA. They then added the stem cells along with infection-related molecules and incubated the whole sample. Since the antibodies were selected based on their ability to bind to certain cytokines, they specifically captured any of those cytokines released by the cells after activation. When the researchers added a secondary antibody and a dye, the cytokines lit up. "They all light up the same color, but you can tell which is which because you've attached the DNA in an orderly fashion," explains Baltimore. "So you've got both visualization and localization that tells you which molecule was secreted." In this way, they were able to measure, for example, that the cytokine IL-6 was secreted most frequentlyby 21.9 percent of the cells tested.
"The experimental challenges here were significantwe needed to isolate what are actually quite rare cells, and then measure the levels of a dozen secreted proteins from each of those cells," says Heath. "The end result was sort of like putting on a new pair of glasseswe were able to observe functional properties of these stem cells that were totally unexpected."
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A changing view of bone marrow cells
Stem cell donor clinic planned for 4-year-old battling leukemia again
By Dr. Matthew Watson
Paul Herron and Anne Hodgkinson wake up every day knowing their daughter could die.
Their 4-year-old, Katie, has cancer, and for the second time in her young life she is fighting to stay alive.
Shes scared. Shes terrified, Herron told the Star from Torontos Ronald McDonald House, where the Cambridge family is currently staying so Katie can get treatment at the Hospital for Sick Children.
For Anne and I, its been a parents worst nightmare.
When Katie was just 15 months old, she was diagnosed with acute lymphoblastic leukemia. But after 25 months of intensive treatment, including lumbar punctures, bone marrow aspirations, chemotherapy and steroids, Katie fought the cancer into remission.
Finally, the family thought, they could say goodbye to hospital beds and the hours spent pacing hallways waiting for results. Finally, they could be normal.
But last November, the life they had built for themselves crumbled once again. The cancer was back, and this time Katie would need a stem cell donor.
The first time, we never made it public. We kept to ourselves, said Herron. But because this time she needs a stem cell donation, we had to get the word out.
No one in the family is a match, and the national registry has yet to turn up a name. This Saturday, Katies supporters will host a stem cell donor clinic at the Cambridge Sports Park from 1 to 5 p.m. All thats required for testing is a cheek swab.
(Stem cells are collected from a matching donors bone marrow or blood after the donor has given informed consent and undergone medical tests to encourage good health and compatibility.)
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Stem cell donor clinic planned for 4-year-old battling leukemia again
Study Finds Biosimilar Compounds Safe and Effective for Non-Hodgkins Lymphoma, According to the Non-Hodgkins …
By daniellenierenberg
Raleigh, NC (PRWEB) February 20, 2014
A study published in the journal Theranostics and reported by the Non-Hodgkins Lymphoma Center finds that a class of drugs that stimulate stem cell production in patients and donors is safe to use.
The drugs are biologically similar to granulocyte colony stimulating factor (G-CSF), a human glycoprotein that stimulates the bone marrow to produce granulocytes (a type of white blood cell) and stem cells and release them into the bloodstream. The drugs can be given to patients with diseases like Non-Hodgkins Lymphoma to stimulate the release of their own stem cells, or to donors for transplantation into sick patients.
Since the patent on G-CSF expired, several companies have begun producing these drugs. Referred to as biosimilars in Europe and follow-on biologics in the US, several have been approved for use, although their safety and efficacy is still being debated.
The new study examines published reports on more than 900 patients with Non-Hodgkins Lymphoma or another blood cancer and healthy stem cell donors treated with the G-CSF biosimilar compounds Ratiograstim, Tevagrastim or Zarzio. The researchers report that the drugs produced good mobilization of CD34+ stem cells and produced side effects similar to the original G-CSF. Once the collected stem cells were grafted into a new host, they behaved comparably to stem cells stimulated by G-CSF.
In summary, the efficacy of biosimilar G-CSFs in terms of peripheral blood hematopoietic stem cell yield as well as their toxicity profile are equivalent to historical data with reference to G-CSF, the researchers write in the European medical journal Theranostics. (Schmitt, M, et al, Biosimilar G-CSF Based Mobilization of Peripheral Blood Hematopoietic Stem Cells for Autologous and Allogeneic Stem Cell Transplantation, January 23, 2014, Theranostics, pp. 280-289. http://www.ncbi.nlm.nih.gov/pubmed/24505236)
Non-Hodgkins Lymphomas include cancers that involve the lymphocytes or white blood cells. They account for about 4 percent of all new cancer cases in the U.S. The National Cancer Institute estimates that more than 500,000 Americans are currently living with Non-Hodgkins Lymphoma. Today, there is more interest on the causes of Non-Hodgkins Lymphoma.
The Non-Hodgkins Lymphoma Center is part of the Cancer Monthly organization. The Non-Hodgkins Lymphoma Center has been established by Cancer Monthly to provide more comprehensive information on the causes, diagnosis, and treatments for the many different subtypes of Non-Hodgkins Lymphoma. For over ten years, Cancer Monthly has been the only centralized source of cancer treatment results. Patients can see the actual survival rate, quality-of-life indicators, and other key data for approximately 1,500 different cancer treatments. Cancer Monthly provides timely and ground-breaking news on the causes, diagnoses and treatments of the most common cancers including Bladder, Brain, Breast, Colon, Kidney (Renal), Liver, Lung (NSCLC), Ovarian, Prostate, and Rectal Cancers, Melanoma, Mesothelioma, and Non-Hodgkin's Lymphoma. Written for patients and their loved ones, Cancer Monthly helps families make more informed treatment decisions.
Maldon Chronicle published Donate your stem cells: Mother's campaign after son Lockey, 7,…
By Sykes24Tracey
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A MOTHER whose son successfully battled a brain tumour but was later diagnosed with leukaemia is starting a campaign to encourage people to donate their stem cells.
Andrea Poyser's son Laughlin known as Lockey Whiteley, 7, had a brain tumour removed in 2011. But he was then diagnosed with treatment-related acute myeloid leukaemia (AML) last November.
Since then, the Burnham family has spent countless hours travelling to and from London's Great Ormond Street Hospital for Lockey's treatment.
Now Andrea, 42, with the help of friends, has set up "Unlock a Life for LocKEY", which aims to help raise awareness about stem cell donations.
"The general public think that stem cells come from the bone marrow and that's just not true," said the former drama teacher and actress Andrea.
"It's such a simple and easy procedure that costs nothing you can really make a difference to the lives of children. If you can, then why not.
"There are people suffering that could die because of lack of stem cells, it's easy to find out if you're a match and it's possible that you could save someone's life."
The group hope to help unlock matches for stem cell donors, plus give advice and support to families with children who have been diagnosed with leukaemia.
Unlock a Life for LocKEY is organising an event on Saturday, March 1, in Burnham where people can submit swab tests and donate during a day of live entertainment with a number of celebrities in attendance.
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Maldon Chronicle published Donate your stem cells: Mother's campaign after son Lockey, 7,...
Stem Cells Being Used To Treat Knee, Joint Pain
By NEVAGiles23
CBS Pittsburgh (con't)
Affordable Care Act Updates: CBSPittsburgh.com/ACA
Health News & Information: CBSPittsburgh.com/Health
PITTSBURGH (KDKA) After injuries from gymnastics and dance when she was younger, Linda Morning-Starpoole was having terrible knee pain.
Sitting and standing up and getting up and moving, Linda said.
The news from her orthopedic surgeon was not encouraging.
I was sent off with a prescription, and basically said, take this, and when it gets so bad, well take out your knees. And that was really upsetting to me. It was such an ugly picture that was painted for my future, Linda said.
Traditional treatment might involve steroid injections, physical therapy, and joint replacement.
But Linda wanted an alternative. When she first heard about using stem cell injections, she was very intrigued.
The thought of me healing me with my own self is what sold me on the procedure, Linda said.
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Stem Cells Being Used To Treat Knee, Joint Pain
Cowboys coach seeks marrow match for daughter
By Dr. Matthew Watson
by GEORGE RIBA
WFAA Sports
Posted on February 18, 2014 at 12:41 PM
DALLAS -- Malena Brownwas hoping for a match onValentines Day weekend, butnot the kind of match you expect.
The 15-year-old daughter of Dallas Cowboys running backs coach Gary Brown is looking for an "angel donor" whose bone marrow stem cells will match hers and help her overcome what's known as CML, or chronic myeloid leukemia.
Well, its kind of scary knowing that there wasn't a match for me, but we're doing a bone marrow drive now and hopefully find somebody that matches me, Malena said.
Neither one of Malena's siblings is a match, and trying to find one has become a challenge.
The No. 1 challenge has been trying to find a match based on her ancestry, and she being biracial, has been extra difficult because the registry is under-represented with African-American and other multiracial people, said Kim Brown, Malenas mother.
We've had nothing but people trying to help us in any way they can, said father Gary Brown. When you know your daughter is going through something hard, and there are other people out there that care as much as you do and want to help her as much as you do.
To add your name to the national registry, all you do is a simple swab test, add it to a booklet, and send it in.
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Cowboys coach seeks marrow match for daughter
Cowboys coach seeks marrow match for teen daughter
By LizaAVILA
by GEORGE RIBA
WFAA Sports
Posted on February 15, 2014 at 10:35 AM
DALLAS Malena Brown is hoping for a match on this Valentines Day weekend, but its not the kind of match you expect.
The 15-year-old daughter of Dallas Cowboys running backs coach Gary Brown is looking for an "angel donor" whose bone marrow stem cells will match hers and help her overcome what's known as CML, or chronic myeloid leukemia.
Well, its kind of scary knowing that there wasn't a match for me, but we're doing a bone marrow drive now and hopefully find somebody that matches me, Malena said.
Neither one of Malena's siblings is a match, and trying to find one has become a challenge.
The No. 1 challenge has been trying to find a match based on her ancestry, and she being biracial, has been extra difficult because the registry is under-represented with African-American and other multiracial people, said Kim Brown, Malenas mother.
We've had nothing but people trying to help us in any way they can, said father Gary Brown. When you know your daughter is going through something hard, and there are other people out there that care as much as you do and want to help her as much as you do.
To add your name to the national registry, all you do is a simple swab test, add it to a booklet, and send it in.
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Cowboys coach seeks marrow match for teen daughter
Cowboys coach seeks marrow match for ailing teen daughter
By daniellenierenberg
by GEORGE RIBA
WFAA Sports
Posted on February 14, 2014 at 10:36 PM
Updated today at 8:20 AM
DALLAS Malena Brown is hoping for a match on this Valentines Day weekend, but its not the kind of match you expect.
The 15-year-old daughter of Dallas Cowboys running backs coach Gary Brown is looking for an "angel donor" whose bone marrow stem cells will match hers and help her overcome what's known as CML, or chronic myeloid leukemia.
Well, its kind of scary knowing that there wasn't a match for me, but we're doing a bone marrow drive now and hopefully find somebody that matches me, Malena said.
Neither one of Malena's siblings is a match, and trying to find one has become a challenge.
The No. 1 challenge has been trying to find a match based on her ancestry, and she being biracial, has been extra difficult because the registry is under-represented with African-American and other multiracial people, said Kim Brown, Malenas mother.
We've had nothing but people trying to help us in any way they can, said dad Gary Brown. When you know your daughter is going through something hard, and there are other people out there that care as much as you do and want to help her as much as you do.
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Cowboys coach seeks marrow match for ailing teen daughter
New stem-cell method offers another alternative to embryonic research
By JoanneRUSSELL25
Baltimore
A new method of creating versatile stem cells from a relatively simple manipulation of existing cells could further reduce the need for any stem-cell research involving human embryos, according to leading ethicists.
Although the process has only been tested in mice, two studies published Jan. 29 in the journal Nature detailed research showing success with a process called stimulus-triggered acquisition of pluripotency, or STAP.
Scientists from Japan's RIKEN research institute and Harvard's Brigham and Women's Hospital in Boston were able to reprogram blood cells from newborn mice by placing them in a low-level acidic bath for 30 minutes. Seven to 9 percent of the cells subjected to such stress returned to a state of pluripotency and were able to grow into other types of cells in the body.
"If this technology proves feasible with human cells, which seems likely, it will offer yet another alternative for obtaining highly flexible stem cells without relying on the destructive use of human embryos," said Fr. Tadeusz Pacholczyk, director of education at the National Catholic Bioethics Center in Philadelphia. "This is clearly a positive direction for scientific research."
Pacholczyk, a priest of the diocese of Fall River, Mass., who holds a doctorate in neuroscience from Yale University, said the only "potential future ethical issue" raised by the new STAP cells would be if scientists were to coax them into "a new degree of flexibility beyond classical pluripotency," creating cells "with essential characteristics of embryos and the propensity to develop into the adult organism."
"Generating human embryos in the laboratory, regardless of the specific methodology, will always raise significant ethical red flags," he said.
The Catholic church opposes any research involving the destruction of human embryos to create stem cells.
Richard Doerflinger, associate director of the U.S. bishops' Secretariat for Pro-Life Activities, said if the new method were used to create stem cells so versatile that they could form placenta tissue and make human cloning easier, "then we would have serious moral problems with that." But there is no indication so far that the scientists could or would do so, he added.
"You could misuse any powerful technology, but the technique itself is not problematic" in terms of Catholic teaching, Doerflinger said.
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New stem-cell method offers another alternative to embryonic research
PGI offers ray of hope for ALS patients – Times Of India
By Sykes24Tracey
Shimona Kanwar, TNN Feb 11, 2014, 02.07PM IST
CHANDIGARH: A substantial number of stem cell shots from the bone marrow might treat an irreversible neurodegenerative disease. And, this hope is being offered by PGI, as none of the centres elsewhere have started clinical trials for Amyotrophic Lateral Sclerosis (ALS). The first phase of the stem cell trial for the neurodegenerative disease started at PGI three years ago.
Ten ALS patients received one shot of the stem cell. After a follow-up, it was found they could not be relieved. But a study has revealed that the condition of the patients did not deterioratea??one of the features of ALS is that it progresses to disability. This provided a premise for the neurology department of the institute to carry forward with the second phase of the stem cell trial.
"Now, we have increased the sample to 30 patients who have received two shots of the stem cells in a year. We are following them up. Most of them have shown no progress in deterioration, while a few have shown unexceptional results," said Dr S Prabhakar, head of the department and the main investigator of the study.
It was felt that with just one shot of autologous stem cells (cells derived from the patient's own bone marrow) the degeneration could not be repaired. The early symptoms of the disease were muscle weakness or stiffness, which later progressed to paralysis of the muscles that control functions such as speech and swallowing among others.
"There are patients who are unable to hold a pen, speak or walk without assistance. We can only switch them to some mechanical or life supporters. But stem cell is the only therapy which may treat the disease which disables a person," said Dr Prabhakar.
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PGI offers ray of hope for ALS patients - Times Of India
Making Bone Marrow Transplants More Accessible for AML Patients with New Therapy
By JoanneRUSSELL25
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Newswise Acute myeloid leukemia (AML) is a cancer of the myeloid line of blood cells, characterized by the rapid growth of abnormal white blood cells that accumulate in the bone marrow and interfere with the production of normal blood cells. It is the most common acute leukemia affecting adults, and its incidence increases with age. Although AML is a relatively rare disease, accounting for approximately 1.2 percent of cancer deaths in the United States, its incidence is expected to increase as the population ages.
AML has several subtypes, but treatment and prognosis are similar for all subtypes except M3 (acute promyelocytic leukemia), which is treated differently and has a much better prognosis. AML is treated initially with combination chemotherapy aimed at inducing a remission; patients may go on to receive additional chemotherapy or hematopoietic stem cell transplant (HSCT). The latter can be either a bone marrow transplant (BMT) or transplant of blood stem cells isolated from peripheral blood (PBSC). In either case, it involves transplanting cells capable of restoring normal bone marrow function into a patient. Even though peripheral blood stem cells are used nowadays more often than bone marrow stem cells, all HSCT treatments are commonly referred to as bone marrow transplants and many academic institutions and associations still retain the term bone marrow transplant in their names.
An increasing number of patients in need of HSCT are over age 55, but many in this group are ruled ineligible. This is because the high-dose chemotherapy or chemotherapy combined with high doses of radiation used to prepare patients for HSCTstandard therapy for younger patientsare often deemed too harsh even for healthy looking older people. Indeed, in certain indications, more than one-third of patients over 50 treated with standard transplant regimens die as a direct consequence of treatment while almost half still have the leukemia recur.
Since more than half of AML patients are over 65 years old, new tactics are needed. For example, what if a patients existing bone marrow could be prepared prior to the transplant in the process called myeloconditioning in a way that eliminated the need for high-dose chemotherapy? This promising approach is being pursued by Actinium Pharmaceuticals, Inc., a New York City-based biotech company, under the guidance of its Chief Medical Officer, Dragan Cicic, M.D.
The companys approach to cancer treatment is based on combining the cancer-targeting precision of monoclonal antibodies (mAb) with the power of radioisotopes. To this end, it has developed two compounds currently in clinical trials, Iomab-B and Actimab-B.
Actiniums lead compound, Iomab-B, has been successfully harnessed as a myeloconditioning agent in Phase 1/2 trials involving more than 250 patients including cases of incurable blood cancers such as AML resistant to all available therapies. It has demonstrated the ability to prepare such patients for bone marrow transplants when no other treatment was indicated.
Iomab-B is a radioimmunoconjugate consisting of BC8, a novel murine monoclonal antibody, and iodine 131 radioisotope. BC8 was developed at the Fred Hutchinson Cancer Research Center to target CD45, a pan-leukocytic antigen widely expressed on white blood cells but not on other tissues. This antigen makes BC8 potentially useful in targeting white blood cells in preparation for HSCT in a number of blood cancer indications, including AML, chronic myeloid leukemia, acute lymphoblastic leukemia, chronic lymphocytic leukemia, Hodgkin disease, Non-Hodgkin lymphomas and multiple myeloma. When labeled with radioactive isotopes, BC8 carries radioactivity directly to the site of cancerous growth and bone marrow while avoiding effects of radiation on most healthy tissues.
With any cancer treatment, success is usually increased when treatment initiates soon after diagnosis. This is especially true when projected survival is only a few months. Waiting for half that time to initiate a therapy can have a serious impact. Very significantly, treatment with Iomab-B prepares a patient for bone marrow transplant in only 10 days, compared to approximately six weeks required with traditional carea potentially vital difference in the face of a fast-evolving cancer.
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Making Bone Marrow Transplants More Accessible for AML Patients with New Therapy
Brokaw cancer is treatable, but not curable
By Dr. Matthew Watson
Related Content
DAYTON, Ohio (WDTN) Longtime NBC News anchor Tom Brokaw announced Tuesday that he has cancer, but doctors say his chances of beating it are good.
Brokaw has multiple myeloma, a cancer affecting blood cells in the bone marrow.
A cancer or leukemia starts with the white cell count called plasma cells overpopulating. It can cause destruction of the bone, said Dr. Burhan Yanes, Miami Valley Hospital.
Normally, healthy bone would show solid in an x-ray. A bone damaged by multiple myeloma is spongy, with holes.
Then they could break. Thats the problem, you can break a bone, break your back and be paralyzed.
The disorder can also cause severe anemia and kidney damage.
There is no cure, but treatment, Dr. Yanes says, can extend life for a decade or more.
The standard treatment for anyone younger, less than age 65, we do chemo induction and after that we do high dose chemo and stem cell transplant.
The aggressive transplant for an older person like the 74 year old Tom Brokaw is risky.
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Brokaw cancer is treatable, but not curable
Scientists discover pre-leukemic stem cell at root of cancer
By Dr. Matthew Watson
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Dr. John Dick, a senior scientist at Princess Margaret Cancer Centre in Toronto, is shown in a handout photo.
TORONTO Canadian researchers have discovered a pre-leukemic stem cell that may be at the root of acute myeloid leukemia and also be the bad actor that evades chemotherapy and triggers a relapse in patients who have gone into remission.
Acute myeloid leukemia, or AML, is a rapidly progressing cancer of the blood and bone marrow that affects myeloid cells, which normally develop into mature red and white blood cells and platelets.
Leukemia develops when blood stem cells in the bone marrow make abnormal blood cells, which over time crowd out normal blood cells, affecting their ability to function as they should.
READ MORE:Could this new therapy kill cancer? Canadian doc thinks so
In a paper published online Wednesday in the journal Nature, researchers led by John Dick of Princess Margaret Cancer Centre in Toronto report on the discovery of a pre-leukemic stem cell the forerunner to leukemia stem cells that give rise to the disease.
A leukemia stem cell can lie dormant and theyre the ones that will sustain the growth of the leukemia, Dick said in an interview. The pre-leukemic guys are basically the ancestors that are on their way to becoming leukemia and becoming leukemic stem cells.
Dicks lab was the first to identify the existence of leukemia stem cells, in 1994, followed by the discovery of colon cancer stem cells in 2007.
Teasing out pre-leukemic stem cells from the blood of AML patients based on samples taken at diagnosis, after chemotherapy-induced remission, and then following recurrence advances the understanding of the genetic changes a normal cell has to go through before it turns into AML.
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Scientists discover pre-leukemic stem cell at root of cancer
Hematopoietic stem cell – Wikipedia, the free encyclopedia
By JoanneRUSSELL25
Hematopoietic stem cells (HSCs) are the blood cells that give rise to all the other blood cells.
They give rise to the myeloid (monocytes and macrophages, neutrophils, basophils, eosinophils, erythrocytes, megakaryocytes/platelets, dendritic cells), and lymphoid lineages (T-cells, B-cells, NK-cells). The definition of hematopoietic stem cells has changed in the last two decades. The hematopoietic tissue contains cells with long-term and short-term regeneration capacities and committed multipotent, oligopotent, and unipotent progenitors. HSCs constitute 1:10.000 of cells in myeloid tissue.
HSCs are a heterogeneous population. Three classes of stem cells exist, distinguished by their ratio of lymphoid to myeloid progeny (L/M) in blood. Myeloid-biased (My-bi) HSC have low L/M ratio (>0, <3), whereas lymphoid-biased (Ly-bi) HSC show a large ratio (>10). The third category consists of the balanced (Bala) HSC for which 3 L/M 10. Only the myeloid-biased and -balanced HSCs have durable self-renewal properties. In addition, serial transplantation experiments have shown that each subtype preferentially re-creates its blood cell type distribution, suggesting an inherited epigenetic program for each subtype.
HSC studies through most of the past half century and have led to a much deeper understanding. More recent advances have resulted in the use of HSC transplants in the treatment of cancers and other immune system disorders.[1]
HSCs are found in the bone marrow of adults, with large quantities in the pelvis, femur, and sternum. They are also found in umbilical cord blood and, in small numbers, in peripheral blood.[citation needed]
Stem and progenitor cells can be taken from the pelvis, at the iliac crest, using a needle and syringe.[citation needed] The cells can be removed a liquid (to perform a smear to look at the cell morphology) or they can be removed via a core biopsy (to maintain the architecture or relationship of the cells to each other and to the bone).[citation needed]
In order to harvest stem cells from the circulating peripheral, blood donors are injected with a cytokine, such as granulocyte-colony stimulating factor (G-CSF), that induce cells to leave the bone marrow and circulate in the blood vessels.[citation needed]
In mammalian embryology, the first definitive HSCs are detected in the AGM (Aorta-gonad-mesonephros), and then massively expanded in the Fetal Liver prior to colonising the bone marrow before birth.[2]
As stem cells, HSC are defined by their ability to replenish all blood cell types (Multipotency) and their ability to self-renew.
It is known that a small number of HSCs can expand to generate a very large number of daughter HSCs. This phenomenon is used in bone marrow transplantation, when a small number of HSCs reconstitute the hematopoietic system. This process indicates that, subsequent to bone marrow transplantation, symmetrical cell divisions into two daughter HSCs must occur.
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Hematopoietic stem cell - Wikipedia, the free encyclopedia
Wayland Baptist hosting bone marrow drive
By raymumme
Provided by: Wayland Baptist University
PLAINVIEW In honor of Lana Watson, Wayland Baptist University is hosting a bone marrow drive on Monday from 4 to 6 p.m. in Pete's Place, the student lounge in the basement of the McClung University Center, in conjunction with Covenant Health Plainview.
Other screening locations are the hospital lab at 2601 Dimmitt Road from 7 to 9 a.m., the South Plains College nursing lab at 1920 W. 24 from 10 a.m. to 12 p.m., and the First Baptist Church parlor at 205 W. 8th from 1 to 3 p.m.
Lana is the wife of Rodney Watson, Director of the Llano Estacado Museum and a deacon at First Baptist Church. Lana is currently in Dallas undergoing a transplant procedure of her own stem cells and waiting while the search for a bone marrow donor continues.
According to Laurie Hall, Coordinator of Health Services at Wayland, donors should be between the ages of 18-44. People over the age of 44 can be screened, but there is a $100 registration fee. Contact Be the Match at http://www.bethematch.orgfor more information.
No needles are involved in the screening process as donor information is collected through a mouth swab and registration process.
Through a similar drive last year, former Wayland student Scott Langford was identified as a match for a transplant patient. Langford donated his bone marrow to save a life.
Everyone interested in donating bone marrow is encouraged to undergo the screening process.
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Wayland Baptist hosting bone marrow drive
Experimental procedure uses stem cells made from body fat
By JoanneRUSSELL25
CLEVELAND, OH Whod have ever thought something as unappealing as body fat could be useful much less lifesaving, right?
I think this will revolutionize medicine if it works, says Dr. Mark Foglietti of the Stem Cell Center of Ohio.
It turns out, fat is highly regenerative and rich in stem cells, Warren Buffett rich, having 2,500 times more stem cells than bone marrow.
And these are Mesenchymal stem cells. Mesenchymal meaning theyre able to change into whatever type of tissue theyre attracted to.
So doctors in Cleveland are trying an experimental procedure on Multiple Sclerosis patient Kym Sellers, She was saying Dad, if I could only just get the use of my hands. If I can just use my hands, I can comb my hair. I can feed myself.
Doctors liposuction fat from Sellers, take the stem cells and mix in a biological potpourri called Stromal Vascular Fraction or SVF. The cells are supposed to act like a rescue squad responding to an emergency (they find damage to the body and repair it).
Dr. Foglietti happily tells his patient, We have 7ccs. We have 39 million stem cells! The SVF is then reintroduced into Kyms body intravenously.
You just want to pray that this is something that will improve your quality of life, says Kym Sellers.
Although the procedure only takes a few hours, itll be months until Kym or the doctors can determine if it was successful. If it is, itll be used to treat everything from asthma to A.L.S. For now though, Kym waits and prays.
Just praying for the best, she says.
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Experimental procedure uses stem cells made from body fat