The first patients to receive human embryonic stem
cell transplants say their lives have been transformed by the experimental procedure
Not exact matches
«Scientists
say they have replaced a 65 - year - old patient's upper jaw with a bone
transplant cultivated from stem
cells isolated from his own fatty tissue and grown inside his abdomen.»
«Our study results are the first to argue that we may be able to treat inflammatory bowel disease and protect against
transplant rejection not only by blocking TNF alpha as is done currently, but also by stimulating ATG16L1 to prevent early death of
cells lining the gut,»
says study senior investigator Ken Cadwell, PhD, an associate professor at NYU School of Medicine and NYU Langone Health's Skirball Institute for Biomolecular Medicine.
Although drugs are available to replace thyroid function, with this new discovery, «we can now envision that thyroid function could be restored by
transplanting patients» own thyroid
cells,»
said Hollenberg and Kotton.
The team has already successfully repopulated pig kidneys with human
cells, but Ott
says further studies are vital to guarantee that the pig components of the organ do not cause rejection when
transplanted into humans.
«Using these new
cells we might achieve organ acceptance in liver
transplants, without touching the remaining immune system,»
says co-author Luis Graca.
Their next experiment, Coles
says, is to
transplant the
cells into mice with degenerating retinas to see if they restore function and later to figure out how to activate and manipulate them.
«Finding the optimal conditions to avoid interfering with immune
cells working to eradicate cancer while preventing graft rejection and GVHD is the holy grail of bone marrow
transplant,»
says Leo Luznik, M.D., associate professor of oncology at the Johns Hopkins Kimmel Cancer Center.
The authors of the study
say that improvements in management, multi-drug chemotherapy, immunotherapies, stem
cell transplants, radiotherapy and treatments that have less toxic side - effects have all contributed to the improvement in survival from leukemia.
On average the
transplanted stem
cells regenerated 40 percent of the damaged heart tissue,
said Dr. Michael Laflamme, UW assistant professor of pathology, whose team was principally responsible for generating the replacement heart muscle
cells.
U.S. biotechnology company Circe Biomedical has had similar success, she
said, showing in an ongoing clinical trial of a similar device using pig liver
cells that six out of 36 patients have completely recovered without the need for
transplant.
Although such harvested
cells could be cultured as
say, liver
cells for treating hepatitis or dopamine - producing
cells for Parkinson's, the resulting
transplants would likely be rejected by patients» immune systems.
«If you give patients immune
cells to eradicate any remaining cancer
cells that might be present,» he
says, «those immune
cells would not be prevented from doing their job by ongoing immune suppression drugs that are being used in patients treated with conventional
transplant approaches.»
«We were able to study the
transplant sites in parallel and really look at the pros and cons of each to compare the survival rates of the
cells in each area,»
said Weaver.
Scholl is upbeat that the
transplanted cells still appear safe and
says that analysis of the
cells in the recipients» eyes are «indeed an indication that something is happening.»
«This treatment is a new form of
cell transplantation that utilizes the patient's own
cells, so it does not require immunosuppressive drugs and, thus, avoids the side effects of those drugs,»
says Scott Nyberg, M.D., Ph.D., a liver
transplant surgeon at Mayo Clinic.
Dr Matthew Hobbs, Head of Research for Diabetes UK,
said: «We know that preserving or restoring even relatively small levels of insulin secretion in Type 1 diabetes can prevent hypoglycaemia (low glucose levels) and reduce complications and therefore much research has focused on ways to make new
cells that can be
transplanted into the body.
«We
transplanted about 6 million
cells,»
says Cecilia Götherström of Karolinska, who produced the
cells.
«Lenalidomide maintenance following autologous stem
cell transplant can now be considered a standard of care for people with multiple myeloma,»
says Dr. McCarthy, senior author on the meta - analysis and Principal Investigator of the U.S. study, CALGB (Alliance) 100104.
The results show that germline stem
cells can indeed restore fertility when
transplanted into other mice, Wu
says.
They also plan to adapt the technology so that it can generate more precise white blood
cell counts, which would make it useful for monitoring bone marrow
transplant recipients or people with certain infectious diseases, Castro - Gonzalez
says.
«Just one
transplant of the human EPO - producing
cells treated kidney anaemia in mice, keeping their haemoglobin levels in the normal range for the remaining 7 - month lifespan of the animals,»
says Kenji Osafune, of Kyoto University in Japan, who led the team.
«We learned a lot with this animal model, but perhaps the most important finding was what we observed when we
transplanted skeletal muscle stem
cells,»
said Kyba.
Dr. Qu
said not only did disc height increase, but stem
cell transplant also increased disc water content and improved appropriate gene expression.
«This is such a prevalent virus... about 25 percent of stem
cell transplant patients get infected [with rhinovirus] during the first year,»
said Boeckh, who heads Fred Hutch's Infectious Disease Sciences Program.
Just what triggers the
cells surrounding a zebra fish's injury to start dedifferentiating is unknown, but Keating
says regenerative therapy for human beings will in some circumstances involve
transplanting stem
cells to the injured area.
Unlike
transplanted beta
cells — or other types of real
cells genetically engineered to release insulin for diabetes treatment (SN: 1/15/11, p. 9)-- these artificial
cells could be mass - produced and have a much longer shelf life than live
cells,
says study coauthor Zhen Gu, a biomedical engineer at the University of North Carolina at Chapel Hill.
Most
cells from a foreign donor, such as in
transplanted organs, are targeted by the immune system, but «this one has found a way to suppress the immune system of its hosts long enough to let it be passed along,» he
says.
About 10 percent of the more than 26 million Americans living with type 2 diabetes are also dependent upon insulin injections, and would presumably be candidates for beta
cell transplants, Melton
said.
They're not developed enough to function as liver
transplants, but the
cell clusters do have important uses,
says McGuckin.
Experience with lymphoma patients, who receive a
transplant of their own blood or bone
cells after radiation to wipe out their cancer, has shown «there's no doubt it helps,»
says bone marrow
transplant expert Nelson Chao of Duke University in Durham, North Carolina.
«Preventing graft - versus - host disease and relapse after
transplant requires a difficult balance of eliminating the bad, overactive effector T
cells, without suppressing the good, regulatory T
cells,»
said Kean, who is also an associate professor of pediatrics at the University of Washington School of Medicine and a member of the Fred Hutchinson Cancer Research Center.
«This opens up bone - marrow
transplants to virtually any patient out there with a haematological condition» such as leukaemia or sickle -
cell anaemia,
says John Tisdale, a haematologist at the US National Heart, Lung and Blood Institute in Bethesda, Maryland.
«Given the serious threat of graft - versus - host disease, new approaches to make stem
cell transplants safer for patients remain a critical unmet need,»
said Dr. Leslie Kean, the trial's principal investigator and associate director of the Ben Towne Center for Childhood Cancer Research at Seattle Children's.
But a stem
cell transplant would help only a worker who received a certain dose — between roughly 5 grays and 10 grays of radiation, Chao
says.
One uses primary hepatocytes obtained from livers donated for
transplant; the second uses stem
cells derived from human skin samples and guided into hepatocyte - like
cells, Bhatia
says.
Nayernia
says it's possible that
transplanting his immature sperm
cells into human testes could make them functional — but he's awaiting permission for that experiment from his institute's ethics board.
«Because of relatively low survival rates and their advancing age, these patients tend to be poor candidates for aggressive therapies, like a bone marrow
transplant,»
said senior author Catriona Jamieson, MD, PhD, professor of medicine, chief of the Division of Regenerative Medicine at UC San Diego School of Medicine and director of the Stem
Cell Research Program at Moores Cancer Center.
«We were very encouraged to see that the
transplanted cells sprouted long distances in both directions — a key characteristic of V2a interneurons — and that they started to connect with the relevant host neurons,»
said co-author Dylan McCreedy, PhD, a postdoctoral scholar at Gladstone.
The researchers
say their next step is to
transplant the
cells into mice with spinal cord injuries to see if the V2a interneurons can help to restore movement after damage has occurred.
«In mice, memory T
cells are critical for a lung
transplant to have a good outcome,»
said co-corresponding author Daniel Kreisel, MD, PhD, a Washington University lung
transplant surgeon at Barnes - Jewish Hospital.
In a 2015 report, they
said that although the approach had no impact on acute GVHD in 35 patients who received peripheral blood stem
cell transplants, it sharply reduced the risk of the disease's chronic form.
«Our results suggest that megakaryocytes might be used clinically to facilitate adult stem
cell regeneration and to expand cultured
cells for adult stem
cell transplants,»
says Meng Zhao, Ph.D., a postdoctoral fellow at Stowers and lead author on the study.
Acute GVHD is «entirely a T
cell — mediated disease, most people would agree,»
says Paul Martin, an oncologist and
transplant veteran at the Fred Hutchinson Cancer Research Center (the Hutch) in Seattle, Washington.
«The
cells retained their original skills for weeks following the
transplant,»
says Dr. Sascha Cording, one of the study's first authors.
«Umbilical cord blood contains an enriched population of bone marrow stem
cells,»
says Daniel Weisdorf, director of the Adult Blood and Marrow
Transplant Program at the university.
«The dose of
transplanted bone marrow has strong and lasting effects on how HSCs specialize and coordinate their behavior,»
said Rong Lu, senior author and assistant professor of stem
cell biology and regenerative medicine.
Hyperlipidemia also affects regulatory T
cells and disrupts their ability to prevent
transplant rejection,»
said co-first author, Jessamyn Bagley, Ph.D., assistant professor of medicine at TUSM and member of Iacomini's laboratory.
If so, it may be possible to improve
transplant outcomes by altering diets and developing therapies that target the specific
cells altered by this condition,»
said Iacomini.
«Our major CIRM - funded programs, aimed at engineering young stem
cell - derived astrocytes to secrete GDNF, then
transplanting those
cells back into patients, take on even greater importance, given this aging phenomenon,»
said Svendsen, the Kerry and Simone Vickar Family Foundation Distinguished Chair in Regenerative Medicine.