Archive for the ‘Bone Marrow Stem Cells’ Category

06-12-2011 15:55 If you thought that a bone marrow donation was a painful process, think again. CBS4, Denver, shows you the easy way to a donate that might surprise you. Brought to you by MedCenterNetwork.

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Stem Cell Donation - Video

Lesley Domiano

By Ben Bodart, Special to the Independent

Perhaps the previous seven days were the most important in the life of Lesley Domiano. The 66 year-old Laguna Beach resident organized three separate events in town last week to lure a potential bone marrow donor for a transplant she absolutely needs if she is to see 2013.

She packed them altogether because this past Monday Domiano knew she would be submitting to yet another chemotherapy session and unable to meet donors face to face. And I really wanted to meet all the people that came to be potential donors, she said on Wednesday at Mozambique restaurant, which hosted a donor invite on her behalf. I am so blessed that the community where I live is so amazing. You cannot believe it touches me! It makes me feel so good about the world.

Domianos life has been a battle since she was diagnosed with myelodysplastic syndrome, a rare type of cancer known as bone marrow failure disease. She thought the most difficult part was behind her when she went to remission for more than a year. But last August, the disease reoccurred. Recently, she was told she would need a bone marrow transplant to live more than four or six months.

I do not want to think about it, Domiano said. Time is really important because if we find a donor, I have to be in good enough condition to receive and recover from the surgery.

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A Firebrand Media Publication

Public release date: 12-Mar-2012 [ | E-mail | Share ]

Contact: Sarah Jackson press_releases@the-jci.org 919-684-0620 Journal of Clinical Investigation

EDITOR'S PICK Restoring what's lost: uncovering how liver tissue regenerates

The liver is unique among mammalian organs in its ability to regenerate after significant tissue damage or even partial surgical removal. Laurie DeLeve and her colleagues at the University of Southern California in Los Angeles wanted to better understand which cells are specifically responsible for driving liver regeneration. A specialized cell type, known as liver sinusoidal endothelial cells, has generally been thought to promote regeneration of liver tissue. However, the DeLeve team suspected that stem cells and progenitor cells, which have the capacity to differentiate into mature cell types, might be responsible for stimulating liver regeneration by generating hepatocyte growth factor. Using a rat model system, they first identified the presence of stem and progenitor cells that give rise to liver sinusoidal endothelial cells in both the liver and the bone marrow. They next sought to determine which population of stem and progenitor cells are required for regeneration. DeLeve and colleagues found that the bone marrow-derived cells were not required for liver cell proliferation in the absence of damage. In contrast, following surgical removal of a portion of the rat liver, an infusion of bone marrow-derived progenitor cells was required for liver regeneration. These results improve our understanding of how liver tissue can regenerate following damage and may shed light on liver complications in patients with suppressed bone marrow tissue.

TITLE: Liver sinusoidal endothelial cell progenitor cells promote liver regeneration in rats

AUTHOR CONTACT: Laurie D. DeLeve University of Southern California Keck School of Medicine, Los Angeles, CA, USA Phone: 323-442-3248; Fax: 323-442-3238; E-mail: deleve@usc.edu

View this article at: http://www.jci.org/articles/view/58789?key=21e2857b21106f232595

ONCOLOGY New Determinant of Human Breast Cancer Metastasis Discovered

Researchers at the University of Kentucky's Markey Cancer Center in Lexington, KY have provided new insight as to why the most severe subtype of breast cancer in humans frequently metastasizes. Tumor cells can exploit a cellular program that promotes cell migration and reduces adhesion between cells to spread to distant sites in the body (metastasis). This cellular program, known as the epithelial-mesenchymal transition, is normally restricted to wound healing, tissue remodeling and embryonic development. Increasing cell motility requires a decrease in E-cadherin, which functions to promote cell-cell adhesion. Led by Binhua Zhou, the research team identified G9a as a major repressor of E-cadherin expression. They found that G9a interacts with Snail, which can repress gene expression, to modify the E-cadherin promoter and block expression of the E-cadherin gene. Their findings establish that G9a is an important determinant of metastasis in the most severe sub-type of breast cancer, and suggest the development of new therapeutics targeting this pathway could potentially disrupt the metastatic disease.

TITLE: G9a interacts with Snail and is critical for Snail-mediated E-cadherin repression in human breast cancer

See the rest here:
JCI early table of contents for March 12, 2012

Public release date: 12-Mar-2012 [ | E-mail | Share ]

Contact: Sarah Jackson sarah.jackson@the-jci.org 919-684-0620 Journal of Clinical Investigation

The liver is unique among mammalian organs in its ability to regenerate after significant tissue damage or even partial surgical removal. Laurie DeLeve and her colleagues at the University of Southern California in Los Angeles wanted to better understand which cells are specifically responsible for driving liver regeneration. A specialized cell type, known as liver sinusoidal endothelial cells, has generally been thought to promote regeneration of liver tissue. However, the DeLeve team suspected that stem cells and progenitor cells, which have the capacity to differentiate into mature cell types, might be responsible for stimulating liver regeneration by generating hepatocyte growth factor. Using a rat model system, they first identified the presence of stem and progenitor cells that give rise to liver sinusoidal endothelial cells in both the liver and the bone marrow. They next sought to determine which population of stem and progenitor cells are required for regeneration. DeLeve and colleagues found that the bone marrow-derived cells were not required for liver cell proliferation in the absence of damage. In contrast, following surgical removal of a portion of the rat liver, an infusion of bone marrow-derived progenitor cells was required for liver regeneration. These results improve our understanding of how liver tissue can regenerate following damage and may shed light on liver complications in patients with suppressed bone marrow tissue.

###

TITLE: Liver sinusoidal endothelial cell progenitor cells promote liver regeneration in rats

AUTHOR CONTACT: Laurie D. DeLeve University of Southern California Keck School of Medicine, Los Angeles, CA, USA Phone: 323-442-3248; Fax: 323-442-3238; E-mail: deleve@usc.edu View this article at: http://www.jci.org/articles/view/58789?key=21e2857b21106f232595

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

More:
Restoring what's lost: Uncovering how liver tissue regenerates

Public release date: 12-Mar-2012 [ | E-mail | Share ]

Contact: Sarah Jackson press_releases@the-jci.org 919-684-0620 Journal of Clinical Investigation

EDITOR'S PICK Restoring what's lost: uncovering how liver tissue regenerates

The liver is unique among mammalian organs in its ability to regenerate after significant tissue damage or even partial surgical removal. Laurie DeLeve and her colleagues at the University of Southern California in Los Angeles wanted to better understand which cells are specifically responsible for driving liver regeneration. A specialized cell type, known as liver sinusoidal endothelial cells, has generally been thought to promote regeneration of liver tissue. However, the DeLeve team suspected that stem cells and progenitor cells, which have the capacity to differentiate into mature cell types, might be responsible for stimulating liver regeneration by generating hepatocyte growth factor. Using a rat model system, they first identified the presence of stem and progenitor cells that give rise to liver sinusoidal endothelial cells in both the liver and the bone marrow. They next sought to determine which population of stem and progenitor cells are required for regeneration. DeLeve and colleagues found that the bone marrow-derived cells were not required for liver cell proliferation in the absence of damage. In contrast, following surgical removal of a portion of the rat liver, an infusion of bone marrow-derived progenitor cells was required for liver regeneration. These results improve our understanding of how liver tissue can regenerate following damage and may shed light on liver complications in patients with suppressed bone marrow tissue.

TITLE: Liver sinusoidal endothelial cell progenitor cells promote liver regeneration in rats

AUTHOR CONTACT: Laurie D. DeLeve University of Southern California Keck School of Medicine, Los Angeles, CA, USA Phone: 323-442-3248; Fax: 323-442-3238; E-mail: deleve@usc.edu

View this article at: http://www.jci.org/articles/view/58789?key=21e2857b21106f232595

ONCOLOGY New Determinant of Human Breast Cancer Metastasis Discovered

Researchers at the University of Kentucky's Markey Cancer Center in Lexington, KY have provided new insight as to why the most severe subtype of breast cancer in humans frequently metastasizes. Tumor cells can exploit a cellular program that promotes cell migration and reduces adhesion between cells to spread to distant sites in the body (metastasis). This cellular program, known as the epithelial-mesenchymal transition, is normally restricted to wound healing, tissue remodeling and embryonic development. Increasing cell motility requires a decrease in E-cadherin, which functions to promote cell-cell adhesion. Led by Binhua Zhou, the research team identified G9a as a major repressor of E-cadherin expression. They found that G9a interacts with Snail, which can repress gene expression, to modify the E-cadherin promoter and block expression of the E-cadherin gene. Their findings establish that G9a is an important determinant of metastasis in the most severe sub-type of breast cancer, and suggest the development of new therapeutics targeting this pathway could potentially disrupt the metastatic disease.

TITLE: G9a interacts with Snail and is critical for Snail-mediated E-cadherin repression in human breast cancer

View post:
JCI early table of contents for March 12, 2012

Public release date: 12-Mar-2012 [ | E-mail | Share ]

Contact: Sarah Jackson sarah.jackson@the-jci.org 919-684-0620 Journal of Clinical Investigation

The liver is unique among mammalian organs in its ability to regenerate after significant tissue damage or even partial surgical removal. Laurie DeLeve and her colleagues at the University of Southern California in Los Angeles wanted to better understand which cells are specifically responsible for driving liver regeneration. A specialized cell type, known as liver sinusoidal endothelial cells, has generally been thought to promote regeneration of liver tissue. However, the DeLeve team suspected that stem cells and progenitor cells, which have the capacity to differentiate into mature cell types, might be responsible for stimulating liver regeneration by generating hepatocyte growth factor. Using a rat model system, they first identified the presence of stem and progenitor cells that give rise to liver sinusoidal endothelial cells in both the liver and the bone marrow. They next sought to determine which population of stem and progenitor cells are required for regeneration. DeLeve and colleagues found that the bone marrow-derived cells were not required for liver cell proliferation in the absence of damage. In contrast, following surgical removal of a portion of the rat liver, an infusion of bone marrow-derived progenitor cells was required for liver regeneration. These results improve our understanding of how liver tissue can regenerate following damage and may shed light on liver complications in patients with suppressed bone marrow tissue.

###

TITLE: Liver sinusoidal endothelial cell progenitor cells promote liver regeneration in rats

AUTHOR CONTACT: Laurie D. DeLeve University of Southern California Keck School of Medicine, Los Angeles, CA, USA Phone: 323-442-3248; Fax: 323-442-3238; E-mail: deleve@usc.edu View this article at: http://www.jci.org/articles/view/58789?key=21e2857b21106f232595

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

See the original post:
Restoring what's lost: Uncovering how liver tissue regenerates

For months we've been following the story of a Little Rock mom diagnosed with leukemia just hours before giving birth to a healthy baby boy. Sunday dozens turned out at a bone marrow drive for her.

Leslie Harris, 29, is now on a mission to get as many people as she can to swab their mouths to see if they could be a potential donor match not just for her but for the thousands of others in need of a transplant.

Doctors have told her she has only months to live unless she has a bone marrow transplant.

Leslie Harris said, "They told me my odds were 1 in 21,000 of finding a donor and my mom got real worried and I told her all we need is one."

Sunday she stopped by a bone marrow drive in North Little Rock to thank everyone who got swabbed to see if they could be a match.

View post:
Community Rallies Behind LR Mom Battling Leukemia

Cancer sufferer Pamela Bou Sejean wants your help to save her life

Pamela Bou Sejean has Hodgkin's Lymphoma and needs a stem cell transplant. Picture: Alison Wynd Source: News Limited

PAMELA Bou Sejean is fighting for her life.

After 16 months battling an aggressive form of Hodgkin's Lymphoma, the 26-year-old has turned to Facebook in a last ditch bid to find the stem cell donor to keep her alive.

TheVictorian woman in Belmont does not match with any registered bone marrow donor in the world so is now pleading for the public to come forward to be blood tested for a possible match.

"I don't know how much time I have, I get too afraid to ask," Ms Bou Sejean told the Geelong Advertiser.

"I want to focus on what we're doing now.

"The waiting process is hard."

With her life in the balance, Ms Bou Sejean's brother Matt a week ago set up the Facebook page How You Can Help Cure Pamela.

There, Facebook users are told about her fight and how to be blood tested for a possible stem cell match.

Read the original here:
Stem cells are my last hope. Can you help?

Pamela Bousejean has Hodgkin's Lymphoma and needs a stem cell transplant. Picture: Alison Wynd Source: News Limited

PAMELA Bou Sejean is fighting for her life.

After 16 months battling an aggressive form of Hodgkin's Lymphoma, the 26-year-old has turned to Facebook in a last ditch bid to find the stem cell donor to keep her alive.

TheVictorian woman in Belmont does not match with any registered bone marrow donor in the world so is now pleading for the public to come forward to be blood tested for a possible match.

"I don't know how much time I have, I get too afraid to ask," Ms Bou Sejean told the Geelong Advertiser.

"I want to focus on what we're doing now.

"The waiting process is hard."

With her life in the balance, Ms Bou Sejean's brother Matt a week ago set up the Facebook page How You Can Help Cure Pamela.

There, Facebook users are told about her fight and how to be blood tested for a possible stem cell match.

Mr Bou Sejean who, like the rest of the family, does not match with his sister said "the cure for Pamela is in the body of hundreds of people out there."

Continue reading here:
BE THE CHANGE: Stem cells are Pamela's last hope - can you help?

by Maggie Ruper

WHAS11.com

Posted on March 7, 2012 at 11:50 PM

Updated yesterday at 12:01 AM

LOUISVILLE, Ky. (WHAS11) -- New research published Wed. in the journal Science Translation Medicine, shows organ transplant recipients may not require anti-rejection medication after surgery.

The study, authored by University of Louisville professor Suzanne Ildstad, M.D., suggests bone marrow stem cells are able to trick the recipients immune system into thinking the donated organ is part of the patients natural self. It therefore eliminates the need for patients to take dozens of daily anti-rejection drugs.

Normally, if I have to transplant a kidney into a patient they have to take immunosuppression drugs for their lifetime and that's about 15 to 25 pills a day, said Ildstad.

Louisville native and father of four, Rob Waddell underwent the procedure in 2009 at Northwestern Memorial Hospital. He suffered from Polycystic Kidney Disease since he was 11 years old. His new kidney and the stem cells were donated to him by his next door neighbor.

It was a match and the rest is history. He's what I call my guardian angel," said Wadell.

The results were considered important because the technique worked for patients who did not have well-matched or related donors.

See the article here:
UofL Professor’s study: Stem cells eliminate need for anti-rejection drugs

Nature | Health

Bone-marrow transfers prior to organ transplants could end the need for lifelong immunosuppression

March 7, 2012

By Elie Dolgin of Nature magazine

Graft-versus-host disease (GvHD) is a common and often deadly complication of bone-marrow transplantation that occurs when immune cells from an unrelated donor attack the transplant recipient's tissue. Now, researchers have for the first time managed to completely replace people's bone-marrow-derived stem cells with those from unrelated donors without causing GvHD. And because of this, the recipients could also accept kidneys from the same donors without the need for drugs that suppress the immune system.

"The outcome has been amazing," says Lindsay Porter, a 47-year-old Chicago resident with polycystic kidney disease who was one of the study subjects. She has been off immunosuppressive drugs for seven months. "I feel so normal, it feels like it's not a big deal."

But according to experts in the field, the findings, published today in Science Translational Medicine, are a huge deal. "It's kind of difficult to believe," says Tatsuo Kawai, a transplant surgeon at Massachusetts General Hospital in Boston, who wrote a commentary to accompany the paper. "It's almost common sense to have GvHD in mismatched individuals."

Facilitating tolerance

The latest study builds off of work Kawai and his colleagues began fourteen years ago, when they launched the first clinical trial that attempted to use bone marrow to induce immune tolerance for kidney recipients, to avoid the sometimes dangerous side effects of life-long immosuppressive therapy.

Working first in people with perfectly immune-matched siblings and then with partially mismatched donor-recipient pairs, the researchers showed that the majority of individuals could achieve stable kidney function and successfully wean off of their immunosuppressants with few problems -- in one case for up to nine years. But the study subjects only maintained noticeable levels of the foreign bone marrow for a few weeks, and the protocol didn't work for everybody. Some researchers speculated that maintaining higher levels of donor immune cells for longer could help to improve the success rate.

See the original post:
Treatment Allows Drug-Free Transplant Patients to Elude Graft-versus-Host Disease

Nature | Health

Bone-marrow transfers prior to organ transplants could end the need for lifelong immunosuppression

March 7, 2012

By Elie Dolgin of Nature magazine

Graft-versus-host disease (GvHD) is a common and often deadly complication of bone-marrow transplantation that occurs when immune cells from an unrelated donor attack the transplant recipient's tissue. Now, researchers have for the first time managed to completely replace people's bone-marrow-derived stem cells with those from unrelated donors without causing GvHD. And because of this, the recipients could also accept kidneys from the same donors without the need for drugs that suppress the immune system.

"The outcome has been amazing," says Lindsay Porter, a 47-year-old Chicago resident with polycystic kidney disease who was one of the study subjects. She has been off immunosuppressive drugs for seven months. "I feel so normal, it feels like it's not a big deal."

But according to experts in the field, the findings, published today in Science Translational Medicine, are a huge deal. "It's kind of difficult to believe," says Tatsuo Kawai, a transplant surgeon at Massachusetts General Hospital in Boston, who wrote a commentary to accompany the paper. "It's almost common sense to have GvHD in mismatched individuals."

Facilitating tolerance

The latest study builds off of work Kawai and his colleagues began fourteen years ago, when they launched the first clinical trial that attempted to use bone marrow to induce immune tolerance for kidney recipients, to avoid the sometimes dangerous side effects of life-long immosuppressive therapy.

Working first in people with perfectly immune-matched siblings and then with partially mismatched donor-recipient pairs, the researchers showed that the majority of individuals could achieve stable kidney function and successfully wean off of their immunosuppressants with few problems -- in one case for up to nine years. But the study subjects only maintained noticeable levels of the foreign bone marrow for a few weeks, and the protocol didn't work for everybody. Some researchers speculated that maintaining higher levels of donor immune cells for longer could help to improve the success rate.

Follow this link:
Treatment Allows Drug-Free Transplant Patients to Elude Graft-versus-Host Disease

Donating a kidney may save a person's life - but only if the conditions are precise.

Kidney donors must be related and immunologically matched to their donors and even then, the recipient must take a lifetime of anti-rejection medications, which dont guarantee the organ won't be rejected.

But a new clinical trial from Northwestern Memorial Hospital in Chicago, Ill. has shown how stem cells can be used to trick a recipients immune system into believing the new organ has been part of that persons body all along.

The breakthrough has the potential to eliminate both the risks associated with kidney transplantation and the need for anti-rejection medications within one year after surgery.

Its the holy grail of transplantation, said lead author Dr. Joseph Leventhal, transplant surgeon at Northwestern Memorial Hospital and associate professor of surgery and director of kidney and pancreas transplantation at Northwestern University Feinberg School of Medicine in Chicago, Ill. This notion of being able to achieve tolerance through donor derived cells has been around for more than 50 years, but its translation to the clinic has been quite elusive. This article details the first successful attempt of this in mismatched and unrelated kidney recipients.

The research was published Wednesday in the journal Science Translational Medicine, and it is the first study of its kind in which the donor and recipient were not related and did not have to be immunologically matched. Only 25 percent of siblings are immunologically identical, severely limiting the possibility of being a kidney donor.

The procedure worked by extracting a little bit more from the kidney donor than just their kidney. They also donated part of their immune system. About one month before surgery, bone marrow stem cells were collected from the donor and then enriched with facilitating cells becoming stem cells that will ultimately fool the donors immune system allowing the transplant to succeed.

One day after the kidney transplant occurs, the facilitating cell-enriched stem cells are also transplanted in the recipient, which then prompts the formation of stem cells in the bone marrow. This then causes specialized immune cells similar to the donors immune cells to develop, creating a dual bone marrow system environment, so both the donors immune system and the recipients immune system function inside the persons body.

Leventhal said that the ultimate goal is for the recipient to initially take anti-rejection medications but then slowly wean off of them within a year. According to Leventhal, the drugs come with their own share of negative side effects.

The foundation of clinical transplantation revolves around the use of medicines and suppressive drugs to control the immune system, Leventhal said. These drugs have been very successful in reducing the rates of loss of organs due to acute rejection where side effects include increase risk of infection and cancer, and metabolic side effects, such as the increase risk of hypertension and bone disease. But the drugs themselves are potentially harmful to the organs we transplant. Despite our ability to reduce rates of acute rejection, most individuals go on to lose organs because of chronic (long-term) rejection.

Read more here:
Stem cell research allows for mismatched kidney transplants

New approach lessens rejection of mismatched donor organs

Web edition : 5:47 pm

By giving kidney transplant patients a dose of donor bone marrow, researchers have for the second time enabled a majority of recipients to stop taking immune suppressants despite having received poorly matched organs.

The new study, in the March 7 Science Translational Medicine, accomplished the feat in five of eight transplant recipients who werent spot-on matches with their donors. The five tapered off suppressants designed to prevent organ rejection and have stayed free of the drugs for at least six months. One is nearly two years out since quitting the medicines, researchers at the University of Louisville in Kentucky and Northwestern University School of Medicine in Chicago report.

Previously, a team at Harvard Medical School pulled this off in mismatched kidney transplants using a different procedure. Among 10 patients, seven recipients in that study have been able to stop immune suppression for up to nine years.

For nearly everyone living with mismatched donor kidneys, the idea of chucking antirejection medicine is a tantalizing but faint hope. Typically, all must keep up the meds for the rest of their lives.

Both new techniques harness chimerism to help engender tolerance to the transplants. In Greek mythology, a chimera was a creature with parts from several different kinds of animals. In the human immune system, chimerism requires contributions from just two people a donor and a recipient but mixing immune systems is asking for trouble. The recipient might react against the donor organ (which is what happens in rejection), or donor immune cells in the transplant might declare war on their new host (whats called graft-versus-host disease). But properly achieved, chimerism might actually prevent hostilities.

In the new study, researchers altered the normal transplant routine. They took bone marrow stem cells from the kidney donor before the transplant and processed these cells, which give rise to nascent immune cells, with what they call facilitator cells. The facilitator cells, whose exact identity and function is shielded due to patent considerations, are designed to make the marrow cells more agreeable to transplant, says study coauthor Suzanne Ildstad, a transplant surgeon at the University of Louisville in Kentucky. In recipients given the specially processed donor marrow along with their transplant, donor T-regulatory cells which apparently tone down the donor immune systems attack potential might play an enhanced role in the months post-transplant, she says.

Transplant recipients in the new study received radiation and chemotherapy beforehand to prepare for the donor bone marrow. After the transplant, the patients were gradually tapered off immune suppressants over a year. In the five who succeeded or, as the researchers put it, achieved durable chimerism the donor marrow cells had spawned a complete replacement immune system. Data show no sign of the recipients original immune cells.

Its a remarkable feat, says David Sachs, a transplant surgeon at Harvard Medical School in Boston who coauthored the earlier study. That teams strategy, which also used bone marrow stem cells, induced temporary, weeks-long immune chimerism that seemed adequate to induce long-term tolerance in the patients, says Tatsuo Kawai, a transplant surgeon at Harvard who coauthored that work.

See more here:
A dash of marrow helps kidney transplant

WASHINGTON (AP) -- An experimental technique seems to be freeing some kidney transplant patients from having to take anti-rejection drugs.

Researchers transplanted certain cells from the kidney donor's bone marrow along with the new organ. Five of eight transplant recipients who tried the method so far were off immune-suppressing medication up to 2 years later, the researchers reported Wednesday.

The preliminary results were considered important enough to be published in the journal Science Translational Medicine even though the study still is under way, because the technique worked for patients who didn't have well-matched or related donors.

The idea is that if a sort of twin immune system takes root and lasts, it can allow the patient's body to accept the foreign organ and not attack it, said study co-author Dr. Suzanne Ildstad of the University of Lousville. Scientists call it chimerism.

"The most reliable indicator of really being successful at taking someone off immune-suppressing drugs is durable chimerism," says Ildstad, who teamed with doctors at Chicago's Northwestern Memorial Hospital for the research.

Transplant recipients usually must take multiple immune-suppressing pills for life to prevent rejection of their new organ. Those drugs cause lots of side effects, such as raising the risk of cancer and kidney damage.

Other scientists are attempting to tap bone marrow to induce immune tolerance, with varying success.

Ildstad's approach transfuses a special mix of bone marrow cells including blood-producing stem cells and another type named "facilitating cells" that are thought vital for a successful transplant. She filters out still other cells that can become too aggressive and cause a life-threatening disorder named graft-versus-host disease.

Transplant recipients had radiation and chemotherapy, not destroying their own bone marrow but tamping it down to make space for the donated cells, explained study co-author Dr. Joseph Leventhal, a Northwestern transplant surgeon. Five patients who had the dual immunity a year later were weaned off all drugs. Two others whose hybrid immunity faded are faring well using a low dose of one anti-rejection drug. One patient needed a repeat transplant after an infection and didn't get to try weaning.

Much more study is needed to find the best approach but "the results are striking," Dr. Tatsuo Kawai of Massachusetts General Hospital wrote in an accompanying editorial. He is part of a team that in 2008 reported the only other success with a small number of mismatched transplants.

The rest is here:
Cells may spare kidney transplant rejection drugs

Approach Could Free Organ Patients From Anti-Rejection Drugs

March 7, 2012 -- New research holds the promise of freeing many organ transplant patients from a lifetime of anti-rejection drugs.

In the first study of its kind, eight kidney transplant patients received stem cells from their kidney donors manipulated to trick their bodies into accepting the foreign organ as its own.

Transplant recipients who are not perfectly matched with their donors typically take several drugs a day for the rest of their lives to keep their bodies from rejecting the new organ and to treat the side effects of those drugs.

Lindsay Porter, who was the last of the eight patients enrolled in the new study, had her kidney transplant in the summer of 2010 and was weaned off all anti-rejection drugs within a year.

The Chicago actress and mother says she feels better than she has in 15 years and sometimes has to remind herself that she had a kidney transplant.

I was 45 when I had the surgery, and I knew I would probably need another kidney at some point, she tells WebMD. The opportunity to have a transplant that would last for the rest of my life and to avoid all of those drugs was very appealing.

The ongoing research is the culmination of many years of work by researcher Suzanne Ildstad, MD, of the University of Louisville, and other researchers, including transplant surgeon Joseph Leventhal, MD, PhD, of Chicagos Northwestern University.

The new wrinkle is that organ donors who are not a perfect genetic match with the patient donate blood as well as a kidney for the procedure.

Bone marrow stem cells collected from the blood were processed in an 18-hour procedure to remove cells associated with organ rejection, leaving behind facilitating cells that do not promote rejection, Ildstad says.

Here is the original post:
Altered Stem Cells Limit Transplant Rejection

(AP) An experimental technique seems to be freeing some kidney transplant patients from having to take anti-rejection drugs.

Researchers transplanted certain cells from the kidney donor's bone marrow along with the new organ. Five of eight transplant recipients who tried the method so far were off immune-suppressing medication up to 2 1/2 years later, the researchers reported Wednesday.

The preliminary results were considered important enough to be published in the journal Science Translational Medicine even though the study still is under way, because the technique worked for patients who didn't have well-matched or related donors.

The idea is that if a sort of twin immune system takes root and lasts, it can allow the patient's body to accept the foreign organ and not attack it, said study co-author Dr. Suzanne Ildstad of the University of Lousville. Scientists call it chimerism.

"The most reliable indicator of really being successful at taking someone off immune-suppressing drugs is durable chimerism," says Ildstad, who teamed with doctors at Chicago's Northwestern Memorial Hospital for the research.

Transplant recipients usually must take multiple immune-suppressing pills for life to prevent rejection of their new organ. Those drugs cause lots of side effects, such as raising the risk of cancer and kidney damage.

Other scientists are attempting to tap bone marrow to induce immune tolerance, with varying success.

Ildstad's approach transfuses a special mix of bone marrow cells including blood-producing stem cells and another type named "facilitating cells" that are thought vital for a successful transplant. She filters out still other cells that can become too aggressive and cause a life-threatening disorder named graft-versus-host disease.

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Transplant recipients had radiation and chemotherapy, not destroying their own bone marrow but tamping it down to make space for the donated cells, explained study co-author Dr. Joseph Leventhal, a Northwestern transplant surgeon. Five patients who had the dual immunity a year later were weaned off all drugs. Two others whose hybrid immunity faded are faring well using a low dose of one anti-rejection drug. One patient needed a repeat transplant after an infection and didn't get to try weaning.

See the rest here:
New treatment for kidney transplant patients may reduce need for anti-rejection drugs

Kidney transplant-recipients have to take immunosuppressant drugs for the rest of their lives to prevent rejection.

A. MASSEE/SCIENCE PHOTO LIBRARY

Graft-versus-host disease (GvHD) is a common and often deadly complication of bone-marrow transplantation that occurs when immune cells from an unrelated donor attack the transplant recipients tissue. Now, researchers have for the first time managed to completely replace peoples bone-marrow-derived stem cells with those from unrelated donors without causing GvHD1. And because of this, the recipients could also accept kidneys from the same donors without the need for drugs that suppress the immune system.

The outcome has been amazing, says Lindsay Porter, a 47-year-old Chicago resident with polycystic kidney disease who was one of the study subjects. She has been off immunosuppressive drugs for seven months. I feel so normal, it feels like its not a big deal.

But according to experts in the field, the findings, published today in Science Translational Medicine1, are a huge deal. Its kind of difficult to believe, says Tatsuo Kawai, a transplant surgeon at Massachusetts General Hospital in Boston, who wrote a commentary to accompany the paper. Its almost common sense to have GvHD in mismatched individuals.

The latest study builds off of work Kawai and his colleagues began fourteen years ago, when they launched the first clinical trial that attempted to use bone marrow to induce immune tolerance for kidney recipients, to avoid the sometimes dangerous side effects of life-long immosuppressive therapy.

Working first in people with perfectly immune-matched siblings2 and then with partially mismatched donor-recipient pairs3, the researchers showed that the majority of individuals could achieve stable kidney function and successfully wean off of their immunosuppressants with few problems in one case for up to nine years. But the study subjects only maintained noticeable levels of the foreign bone marrow for a few weeks, and the protocol didnt work for everybody. Some researchers speculated that maintaining higher levels of donor immune cells for longer could help to improve the success rate.

For the latest study, a team led by Suzanne Ildstad, director of the University of Louisvilles Institute for Cellular Therapeutics in Kentucky, found a way to avoid GvHD by using a regimen involving chemotherapy, radiation and blood stem cells manipulated to eliminate those that cause GvHD while retaining specialized bone-marrow-derived cells they called facilitating cells.

Ildstad and her colleagues report that five of eight people who underwent the treatment were able to stop all immunosuppressive therapy within a year after their kidney and stem-cell transplants, four of which came from unrelated donors. Notably, all of these patients maintained entirely donor-derived immune systems with no signs of GvHD. Ildstad and her team have since treated seven more people. We continue to see good results, she says.

It might be premature, however, to say for certain that the trial participants are in the clear. The question is: will these patients remain free of GvHD? says David Sachs, director of the Transplantation Biology Research Center at Massachusetts General Hospital. You would hope that its true, but its a little early to claim that.

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Drug-free organ transplants without tissue matching

Lindsay Porter knew she would eventually need a kidney transplant. She was 19 years old when her mother died from polycystic kidney disease -- a genetic condition that Porter had 50/50 odds of inheriting, and did.

"It didn't really affect me much until my early 30s," said Porter, an actress and mother living in Chicago. "And as I got into my 40s, my kidneys started getting very big with multiple cysts. They were huge."

Porter's kidneys weighed 16 pounds, causing an obvious bulge in her tiny frame.

"It was like two full-term babies inside me," she said, adding that people often mistook her for pregnant. "They had to be removed."

In May 2010, doctors removed Porter's overgrown and failing kidneys. Two months later, a friend gave her one of his. But it was no ordinary transplant. Along with the fist-size organ, doctors at Northwestern Memorial Hospital in Chicago transplanted bone marrow stem cells -- an experimental procedure they hoped would eliminate the need for anti-rejection drugs.

"These drugs are currently an absolute necessity, but they have a downside," said Dr. Joseph Leventhal, Porter's transplant surgeon at Northwestern Memorial Hospital and director of kidney and pancreas transplantation at Northwestern University Feinberg School of Medicine.

Anti-rejection drugs suppress the immune system, preventing it from attacking the donated organ like an infection. But suppressing the immune system makes the body vulnerable to infections and even cancer. And the drugs, which carry toxic side effects, can't ward off rejection forever. "Many individuals will still lose their transplants over time due to chronic rejection," said Leventhal.

To coax Porter's body into recognizing the new kidney as her own, Leventhal and colleagues wiped out part of her immune system and replaced it with the donor's. It took four days of chemotherapy, whole-body irradiation and a bone marrow transplant -- no walk in the park, according to Porter. But over time, the donor bone marrow stem cells gave rise to immune cells that accepted the kidney as if it was Porter's own -- a process called induced immune tolerance.

"At first I was taking 24 pills a day," said Porter, describing the "cocktail" of anti-rejection drugs needed to fend off an attack on her new kidney while the bone marrow stem cells were setting up shop. "And you really can't miss a dose. I had to set my cell phone alarm for every 12 hours every single day to remind me."

After six months, Porter started weaning herself off the drugs. And after a year, she no longer needed them at all.

Originally posted here:
New Transplant Approach Changes Lives

GAYVILLE When it came to helping his brother, Jason Selchert was willing to do a lot more than give the shirt off his back. In January, he became a bone marrow donor for his sibling, Jeff Selchert.

Jason, 39, superintendent of the Gayville-Volin School, said he had plenty of time to prepare for the procedure.

A little over two years ago, my brother, who is four years older than I am, was diagnosed with leukemia, he stated. When he was diagnosed, they determined that probably at some point in his illness, he was going to have to undergo a bone marrow transplant. Luckily enough, he has five siblings, and we were all tested. Two of the five were a match. I was one of the two.

Since the chance that a sibling will be a match is about one in four, the fact that two were a match was fortuitous, Jason said.

Jason and his oldest brother were both perfect matches, according to the blood and DNA testing.

However, Jason was selected as the best candidate.

After undergoing treatment following the initial diagnosis, Jeffs leukemia went into remission. But a few days prior to last Thanksgiving, the cancer had returned.

It was pretty well advanced, and they determined that the only way to treat it was going to be a transplant, Jason said. I had known for more than two years that it was maybe going to be an option. Its a pretty lengthy psychological process you go through to make sure that you are mentally stable enough to go through it, and understand what is going to happen and what could be the end result for me and my brother.

Jason donated his bone marrow stem cells Jan. 30. A successful transplant to his brother occurred the next day.

The worst part of the process was the time leading up to the donation, according to Jason. During the four previous days, he was given medication that caused his body to overproduce bone marrow stem cells. The process made Jason ache and feel nauseated, similar to the flu.

View original post here:
Selchert Undergoes Transplant For Brother

Texas State radiation therapy students traveled to the University of Texas Pan America last weekend to collect enough bone marrow registrations to save the lives of 1,613 cancer patients.

The Kathy Soliz Texas State Radiation Therapy Outreach Program set up tables in prime locations around the campus on Monday, Tuesday and Wednesday. They asked passing students if they had five minutes to save a life. On the first day, the program exceeded 600 registrations, their target number for the whole trip.

Testing for a bone marrow match includes filling out a form and swabbing the inside of the cheek with a Q-tip. Donors can be called at anytime during their lives to save a life.

The program is named after Kathy Soliz, who fought leukemia for 10 years before losing her battle with cancer approximately one year ago. As a Hispanic, she only had about a one in 600,000 chance to find a bone marrow match. Soliz had two matches, but both donors declined the request for bone marrow.

Ronnie Lozano, chair of the radiation therapy program, was inspired by Solizs story and decided to help raise awareness for donating bone marrow. Texas State officials chose to partner with UTPA because the university is 89 percent Hispanic. Minorities have a lower chance of finding a match than Caucasians. A college campus also holds thousands of people who are unrelated and have younger stem cells.

Graciela Sandoval, doctoral student, said they had a good problem because they ran out of t-shirts and forms the first day from so many students registering. The student recreation center gave Texas State radiation therapy students extra t-shirts to give out.

The fact that theyre collecting them and people are registering thats hope for somebody, said Ricardo Soliz, assistant principal at San Marcos High School and father of the late Kathy Soliz.

Program officials are planning to travel to different minority schools each year for a bone marrow drive. Next spring the program plans to travel to a primarily African-American population campus.

The idea is to make a difference in the statistic numbers for all minorities, Lozano said.

The radiation therapy program has had bone marrow drives on the Texas State campus for the past four years, and there will be another in March.

See the original post:
Radiation therapy program campaigns for marrow donors

Texas State radiation therapy students traveled to the University of Texas Pan America last weekend to collect enough bone marrow registrations to save the lives of 1,613 cancer patients.

The Kathy Soliz Texas State Radiation Therapy Outreach Program set up tables in prime locations around the campus on Monday, Tuesday and Wednesday. They asked passing students if they had five minutes to save a life. On the first day, the program exceeded 600 registrations, their target number for the whole trip.

Testing for a bone marrow match includes filling out a form and swabbing the inside of the cheek with a Q-tip. Donors can be called at anytime during their lives to save a life.

The program is named after Kathy Soliz, who fought leukemia for 10 years before losing her battle with cancer approximately one year ago. As a Hispanic, she only had about a one in 600,000 chance to find a bone marrow match. Soliz had two matches, but both donors declined the request for bone marrow.

Ronnie Lozano, chair of the radiation therapy program, was inspired by Solizs story and decided to help raise awareness for donating bone marrow. Texas State officials chose to partner with UTPA because the university is 89 percent Hispanic. Minorities have a lower chance of finding a match than Caucasians. A college campus also holds thousands of people who are unrelated and have younger stem cells.

Graciela Sandoval, doctoral student, said they had a good problem because they ran out of t-shirts and forms the first day from so many students registering. The student recreation center gave Texas State radiation therapy students extra t-shirts to give out.

The fact that theyre collecting them and people are registering thats hope for somebody, said Ricardo Soliz, assistant principal at San Marcos High School and father of the late Kathy Soliz.

Program officials are planning to travel to different minority schools each year for a bone marrow drive. Next spring the program plans to travel to a primarily African-American population campus.

The idea is to make a difference in the statistic numbers for all minorities, Lozano said.

The radiation therapy program has had bone marrow drives on the Texas State campus for the past four years, and there will be another in March.

Continued here:
Radiation therapy program campaigns for marrow donors

For nearly 18 years Graham and Britton Douglas believed they were fraternal twins. That was until Britton needed a bone-marrow transplant because chemotherapy for his leukemia had failed.

The Fort Worth, Texas, brothers learned that they were identical twins, sharing the same DNA, and therefore Britton could not receive his brother's bone marrow because their genetic make-up was too similar to fight the cancer.

Today, at 27, Britton Douglas is a healthy, successful Dallas lawyer, thanks to a bone marrow donation by a stranger.

But his twin brother, knowing that he nearly lost his only sibling, has been obsessed for nearly a decade with finding better ways to get more Americans to become donors.

"It's indescribable how much I love my brother," said Graham. "I don't know what I would do without him."

Graham's concept was so simple and yet could save the lives of tens of thousands of Americans with leukemia who are waiting for a bone-marrow transplant: packing a swab kit inside a box of bandage strips.

A senior creative at the New York City advertising agency Droga 5, he found his inspiration last year while teaching a portfolio class at a commercial arts school.

Year after year, he has challenged his students to find a creative solution to attract more donors. Two students he refers to as the "Spanish team" -- Alfredo and Alberto -- came up with the "germ" of an idea last year, and it has now hit the market.

The consumer healthcare company Help Remedies partnered with Graham and the world's largest bone marrow registry, DKMS, to release the new product -- "help I've cut myself & I want to save a life." The cost is $4.

Before applying a bandage strip to a minor cut, consumers can swab their blood and then send the sample in a self-addressed, stamped envelope, along with their age and email address, to DKMS.

Originally posted here:
Leukemia Patient Nearly Dies; Twin Has Idea to Save Thousands

15-02-2012 09:31 In an amazing twist of fate, a cancer patient receiving a bone marrow transplant apparently received stem cells which made him immune to HIV and his AIDS symptoms have disappeared.

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AIDS Patient Healed Using Stem Cells From Bone Marrow - Video

A long-held belief about women and fertility is that each woman has a set amount of eggs in her lifetime and that when those eggs are depleted at menopause, so are her chances at having a biological child. However, research out of Massachusetts General Hospital questioning that view. Using stem cells taken from human ovaries, scientists have produced early-stage eggs, which brings up all sorts of questions about possible new methods for treating infertility.Nicholas Wade, writing in the New York Times, adds, "The ability to isolate stem cells from which eggs could be cultivated would help not only with fertility but also with biologists understanding of how drugs and nutrition affect the egg cells."

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Jonathan Tilly, the director of Mass General's Vincent Center for Reproductive Biology and leader of the new research, had reported in 2004 that ovarian stem cells in mice could create new eggs "similar to how stem cells in male testes produce sperm throughout a mans life."His new study attempted to prove this with humans. Researchers took healthy ovaries from patients having sex reassignment surgery, and injected stem cells from the ovaries into human ovarian tissue grafted under the skin of mice: "Within two weeks, early stage human follicles with oocytes had formed."Ryan Flinnwrites in Bloomberg Businessweek that this could potentially point at "new ways to aid fertility by delaying when the ovaries stop functioning."

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Dr. Tilly has long been a proponent of the belief that women might be able to produce new eggs, and has said the 50-year belief otherwise is based on lack of evidence rather than on data proving that it's impossible. In 2005, he reported that women have a "hiddenreserve of cells in the bone marrow that constantly replenish the ovaries with new eggs," though other researchers have not been able to confirm his finding.

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Along with opening new doors to understanding the incredibly complex human egg cell, this new research could eventually have very practical implications for the 10 percent of child-bearing age women in the U.S. who have fertility problems. More philosophically, it opens up a new way of thinking about the hard-stop in women's lives for having kids. While fertility technologies like in-vitro and egg freezing are happening to some extent, Tilly's team is exploring the way this new knowledge could improve in-vitro -- IVF involves a limited number of eggs -- and also looking into possibility of developing an ovarian stem-cell bank with eggs that could be "cryogenically frozen and thawed without damage, unlike human eggs."

The problem we face with IVF is we dont have many eggs to work with, said Tilly. These cells are renewable. If we are successful -- and its a big if -- in generating functioning eggs from these cells, we can generate as many eggs as we need to on a per patient basis.

Researchers warn that there's a ways to go before there are any real applications to this, if ever. Female reproduction expertDavid Albertini said it's still unclear whether the egg cells yielded actually could be used in human fertility. Cells grown in laboratories are more likely to develop abnormalities; even if they are proven viable,it's a given that there will be numerous social and political aspects that factor in down the road. Nonetheless, evidence that women's eggs may not be the finite commodity we all thought they were seems poised to make a huge impact across many aspects of contemporary life. What would if mean, for instance, if the old ticking "biological clock" no longer applied -- or applied to women and men more equivalently?

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New Stem Cell Research Could End the Hard Stop of Female Fertility