4. Stem Cell Therapy for Osteoarthritis
Osteoarthritis is a degenerative condition affecting the joints. Over time, the cartilage that protects joints, preventing the rubbing of one bone on another, breaks down. Eventually, this can lead to the deterioration of the underlying bone as well, causing aching, stiffness, and eventual immobility in many cases. The condition commonly affects the hips, knees, and thumbs, though it can also strike elbows, wrists, ankles, and fingers.
Stem cell procedure is offered in many clinics within and outside the United States and typically uses adipose cells as the stem cell source. Physicians extract these cells from fat tissue, separate out the stem cells from the rest, then prepare a solution containing growth factors and other ingredients necessary to tell stem cells how to develop in the new site. Once its prepared, doctors inject it into the affected site, such as a knee joint.
Regenexxis a U.S. company specializing in orthopedic applications of stem cells that was founded byDr. Chris Centeno. Dr. Centeno is an expert in the clinical use of mesenchymal stem cells (MSCs) within orthopedic applications. His Regenexx clinic in Denver, Colorado, draws patients from all over the U.S. who are seeking innovative, non-surgical treatments for osteoarthritis, as well as a wide range of other orthopedic applications.
As the visionary behind the revolutionaryRegenexx technology, he pioneered a procedure that involves extracting a small bone marrow sample through a needle and a blood draw from a vein in your arm. These samples are then processed in a laboratory and the stem cells it contains are injected into the area needing repair. The goal is to deliver large numbers of stem cells to the injured area.
Type I and Type II diabetes affect the body in different ways. Type I diabetes is genetic, and results from the pancreas failing to produce insulin, or producing too little of it. Insulin is what tells the body to remove glucose from the bloodstream and let it into cells, so they can use it for energy. Most likely this is due to an immune system disorder in which the body attacks its own islets, the pancreatic cells responsible for manufacturing insulin. In this case, stem cells may provide the same immune system-modulating effect as they do for other autoimmune diseases.
Type II diabetes is when the body becomes resistant to insulin. The pancreas may still make it, but the patients body does not sense it it is insulin resistant, which means the release of insulin in the bloodstream still does not result in cells taking up glucose. It remains in the bloodstream, causing dangerous hyperglycemia just as it does in the case of Type I.
The second condition may also respond to stem cell treatment, which can help moderate pancreatic productive of insulin as well as helping the body respond to it more effectively. Multiple clinical trials assessing the validity of stem cells for both diseases are underway, and many eagerly await their results.
There are many ongoing efforts to understand how stem cell therapy is able to help people with diabetes. One of the main centres is theCalifornia Institute of Regenerative Medicine, where you can view the areas ofresearch being conducted specifically to understand diabetes.
A review,published in the Progress in Stem Cell journal in 2019suggested a combination of antioxidants, growth factors or hormones along with MSCs (mesenchymal stem cells) in optimal combinations and concentrations for the treatment of diabetic nephropathy.
One of the most traumatic injuries to the human body is severing of the spinal cord. Depending on where the injury occurs, the patient may never walk or even move their arms again. For most of human history, such a traumatic injury was completely irreparable. In recent years, neurosurgery has given people back some of their function in cases like these, but outcomes are still all too often disappointing.
Stem cells provide serious hope for the future. Instead of trying to repair damaged nerves, stem cells offer the ability to replace them. By injecting stem cells to the site of the injury, the spinal column can repair itself, accessing all the ingredients it needs for the specialized job.
In combination with growth factors and hormones, stem cells are capable of traveling to the site of the injury assessing what needs rebuilding and stepping in to do the job for doctors. This limits the number of modifications needed from the outside and leaves the healing to the body.
While the mechanisms arent yet clear, it seems that hormones such as growth factors in addition to the location in the body can provide signposts to stem cells telling them what kinds of tissues are needed. Then the stem cells transform into them, integrate with the damaged tissue and repair it.
As of May 2022,more than 60 studieshave been launched to investigate the potential of stem cell therapy for spinal cord injuries under the U.S. Clinical Trial Registry.
These conditions all share the characteristic of the bodys immune system reacting to normal substances in the body as though they were pathogenic. That means instead of letting the body function normally, the immune system will attack tissues and substances, creating ongoing sickness and in many cases, eventually death.
Stem cell therapy has two possible benefits in the case of autoimmune diseases. For one thing, it can help repair and regenerative tissues damaged in an autoimmune attack. Stem cells can help them repair nerves, skin, blood, organs, and more. This helps the patient regain their health and fight the degenerative nature of such diseases.
Second, stem cells can actually modulate the immune system so that it no longer attacks the body so viciously or at all. Research demonstrates thatstem cells can minimize the pathological effects of the immune system, making it so the body no longer attacks itself all while preserving its ability to attack foreign substances and real pathogens.
As is the case with most of these therapies, the biggest benefit of stem cell treatment for heart disease is its ability to replace damaged or dead cells without the need for invasive surgery or transplants. An injection of stem cells can give the body the ingredients it needs to grow the specialized cells on site, ideally without having to put the patient under or open them up. The exact mechanisms of this procedure are not as yet clear, however.
On 16 May, 2018,Nature Newsreported that Japans health ministry gave doctors at Osaka University permission to take sheets of tissue derived from stem cells and use them to treat diseased human hearts. From preclinical studies in pigs, it appears that thin sheets of cell grafts grown frominduced pluripotent stem cellscan improve heart function. While the treatment approved by Japans health ministry will only be tested in three patients, a follow-up trial could enroll ten or more patients.
There are more than 1,500 scientific publications published related to "stem cell" and "spinal cord injury" on theNational Library of Medicine.As of May 2022,more than 200 studieshave been launched to investigate the potential of stem cell therapy for spinal cord injuries under the U.S. Clinical Trial Registry.
Journal of Gerontology - The results of 2 clinical studies, published in The Journals of Gerontology, showed how a type of adult stem cell called mesenchymal stem cells (MSCs) could reverse the effects of aging.
We have compiled other related published studies below.
Yu Y. Application of Stem Cell Technology in Antiaging and Aging-Related Diseases.Adv Exp Med Biol.2018;1086:255-265
Ivonne Hernandez Schulman, Wayne Balkan and Joshua M. Hare. Mesenchymal Stem Cell Therapy for Aging Frailty.Front Nutr. 2018; 5: 108.
Juan Antonio Fafin-Labora, Miriam Morente-Lpez, and Mara C Arufe. Effect of aging on behaviour of mesenchymal stem cells.World J Stem Cells. 2019 Jun 26; 11(6): 337346.
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