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Media portray unrealistic timelines for stem cell therapies

Posted: March 11, 2015 at 3:47 pm

A new study by University of Alberta law researchers reveals sometimes overly optimistic news coverage of clinical translation of stem cell therapies--and as spokespeople, scientists need to be mindful of harnessing public expectations.

"As the dominant voice in respect to timelines for stem cell therapies, the scientists quoted in these stories need to be more aware of the importance of communicating realistic timelines to the press," said researcher Kalina Kamenova, who co-authored the study with professor Timothy Caulfield in the University of Alberta's Health Law Institute, based in the Faculty of Law.

Their analysis of media coverage showed that most news reports were highly optimistic about the future of stem cell therapies and forecasted unrealistic timelines for clinical use. The study, published in the latest issue of Science Translational Medicine, examined 307 news reports covering translational stem cell research in major daily newspapers in Canada, the United States and the United Kingdom between 2010 and 2013.

While the field of stem cell research holds tremendous promise, "it has also been surrounded by tremendous hype, and we wanted to quantify that in some degree," Caulfield said. "Pop culture representations have an impact on how the public perceives the readiness of stem cell research, and that in turn feeds into stem cell tourism, marketing of unproven therapies and even the public's trust in research. We wanted to provide findings that would help inform the issue."

Their study found that 69 per cent of all news stories citing timelines predicted that therapies would be available within five to 10 years or even sooner. At the same time, the press overlooked challenges and failures in therapy translation, such as the discontinuation of the first FDA-approved clinical trial of an embryonic stem cell-derived therapy for spinal cord injuries in 2011. The biotech company conducting the trial was a leader in embryonic stem cell therapies and its decision to stop its work on stem cells was considered a significant setback for the field.

As well, ethical concerns about the use of human embryonic stem cells were displaced from the forefront of news coverage, while the clinical translation of stem cell therapies and new discoveries, such as hockey star Gordie Howe's recent treatment, grabbed the headlines instead.

"Our findings showed that many scientists have often provided either by implication or direct quotes, authoritative statements regarding unrealistic timelines for stem cell therapies and media hype can foster unrealistic public expectations about clinical translation and increased patient demand for unproven stem cell therapies," Caulfield noted.

While stem cell therapy research is progressing and has seen a dramatic increase in the past decade of clinical trials for treatments, the vast majority of these studies are still in the safety-testing stage and involve a limited number of participants, Kamenova noted.

"The approval process for new treatments is long and complicated, and only a few of all drugs that enter pre-clinical testing are approved for human clinical trials. It takes on average 12 years to get a new drug from the lab to the market, and additional 11 to 14 years of post-market surveillance," she added.

The science world is under pressure to come up with cures for what ails us, but "care needs to be taken by the media and the research community so that advances in research and therapy are portrayed in a realistic manner," Caulfield said.

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Stem Cells Counting – NucleoCounter NC-200 – Video

Posted: March 11, 2015 at 12:40 pm


Stem Cells Counting - NucleoCounter NC-200
WEBSITE http://chemometec.com/chemproducts/nucleocounter-nc-200/ During stem cell research NucleoCounter NC-200 Stem Cell Researchone of the important parameters is the precise ...

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Hyperbaric oxygen therapy and its benefits on wound treatment

Posted: March 11, 2015 at 9:00 am

What is hyperbaric oxygen therapy? Hyperbaric oxygen is simply breathing oxygen in a high pressure environment. It involves having the patient lay on a hospital-type bed or gurney, rolling them into a large clear cylinder, and adding pressure with 100% oxygen for them to breath. The pressure reached is the equivalent of 30-40 feet under the ocean. Each treatment lasts about 90 minutes, and most people either sleep or watch a movie to pass the time.

How does it work? Air molecules are very far apart from one another at altitude (like Utah for example), and close together at sea level. They become even closer together below sea level, resulting in high concentrations of oxygen entering the lungs with each breath. If we then have the patient breath only oxygen at that pressure, not only is every red blood cell saturated but oxygen actually becomes dissolved in the plasma. This supplies oxygen to tissues where even red blood cells cannot go.

What do you treat with hyperbaric oxygen? There are 15 Medicare approved conditions. It is the primary therapy for: decompression illness or "the bends," as well as carbon monoxide poisoning.

It is a secondary or supporting therapy for the other conditions. These include: Delayed effects of radiation therapy Refractory diabetic foot ulcers with bone exposed, Chronic refractory osteomyelitis or a "bone infection," Compromised skin flaps and grafts, and other arterial insufficiencies Necrotizing infections like "flesh eating" bacteria, brain abscesses, certain types of hearing and vision loss

What is the most common condition you treat? The most common conditions we treat are late effects of radiation therapy. Techniques for radiation therapy are better than they once were, so people who underwent radiation treatment years to decades ago will present with tissue damage in those irradiated areas. This may include bleeding from colon, prostate or bladder irradiation. It may be non-healing wounds on the skin, jaw or mouth, or even breast pain related to radiation. Also, having surgery in any area with previous radiation therapy is risky, but can be pre-treated with hyperbaric oxygen to prevent complications as well.

What are the therapeutic effects of hyperbaric oxygen therapy?

Depends on the indication but generally speaking it: Improves function of white blood cells to fight infection Revitalizes tissues that receive poor blood flow Stimulates growth of new blood vessels, termed "angiogenesis" Mobilizes stem cells from bone marrow to wound sites Suppresses inflammatory mediators in irradiated tissues.

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Hyperbaric oxygen therapy and its benefits on wound treatment

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Custom blood cells engineered by researchers

Posted: March 11, 2015 at 12:58 am

Researchers at Johns Hopkins have successfully corrected a genetic error in stem cells from patients with sickle cell disease, and then used those cells to grow mature red blood cells, they report. The study represents an important step toward more effectively treating certain patients with sickle cell disease who need frequent blood transfusions and currently have few options.

The results appear in an upcoming issue of the journal Stem Cells.

In sickle cell disease, a genetic variant causes patients' blood cells to take on a crescent, or sickle, shape, rather than the typical round shape. The crescent-shaped cells are sticky and can block blood flow through vessels, often causing great pain and fatigue. Getting a transplant of blood-making bone marrow can potentially cure the disease. But for patients who either cannot tolerate the transplant procedure, or whose transplants fail, the best option may be to receive regular blood transfusions from healthy donors with matched blood types.

The problem, says Linzhao Cheng, Ph.D., the Edythe Harris Lucas and Clara Lucas Lynn Professor of Hematology and a member of the Institute for Cell Engineering, is that over time, patients' bodies often begin to mount an immune response against the foreign blood. "Their bodies quickly kill off the blood cells, so they have to get transfusions more and more frequently," he says.

A solution, Cheng and his colleagues thought, could be to grow blood cells in the lab that were matched to each patient's own genetic material and thus could evade the immune system. His research group had already devised a way to use stem cells to make human blood cells. The problem for patients with sickle cell disease is that lab-grown stem cells with their genetic material would have the sickle cell defect.

To solve that problem, the researchers started with patients' blood cells and reprogrammed them into so-called induced pluripotent stem cells, which can make any other cell in the body and grow indefinitely in the laboratory. They then used a relatively new genetic editing technique called CRISPR to snip out the sickle cell gene variant and replace it with the healthy version of the gene. The final step was to coax the stem cells to grow into mature blood cells. The edited stem cells generated blood cells just as efficiently as stem cells that hadn't been subjected to CRISPR, the researchers found.

Cheng notes that to become medically useful, the technique of growing blood cells from stem cells will have to be made even more efficient and scaled up significantly. The lab-grown stem cells would also need to be tested for safety. But, he says, "This study shows it may be possible in the not-too-distant future to provide patients with sickle cell disease with an exciting new treatment option."

This method of generating custom blood cells may also be applicable for other blood disorders, but its potential does not end there, Cheng says. One possibility, which his group hopes to begin studying soon, is that the blood cells of healthy people could be edited to resist malaria and other infectious agents.

Other authors on the paper are Xiaosong Huang, Ying Wang, Wei Yan, Cory Smith, Zhaohui Ye, Jing Wang and Yongxing Gao, all of The Johns Hopkins University, and Laurel Mendelsohn of the National Heart, Lung and Blood Institute.

This work was supported by grants from Maryland State Stem Cell Research Fund (grant numbers 2011-MSCRFII-0088 and 2011-MSCRFE-0087) and the National Heart, Lung and Blood Institute (grant numbers 2R01 HL-073781, U01 HL107446 and T32 HL007525-31).

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Custom blood cells engineered by researchers

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Building custom blood cells to battle sickle cell disease

Posted: March 11, 2015 at 12:58 am

March 10, 2015

These are human blood cells grown in the lab from genetically edited stem cells. (Credit: Ying Wang/Johns Hopkins Medicine)

Provided by Shawna Williams, Johns Hopkins Medicine

Researchers at Johns Hopkins have successfully corrected a genetic error in stem cells from patients with sickle cell disease, and then used those cells to grow mature red blood cells, they report. The study represents an important step toward more effectively treating certain patients with sickle cell disease who need frequent blood transfusions and currently have few options.

The results appear in an upcoming issue of the journalStem Cells.

In sickle cell disease, a genetic variant causes patients blood cells to take on a crescent, or sickle, shape, rather than the typical round shape. The crescent-shaped cells are sticky and can block blood flow through vessels, often causing great pain and fatigue. Getting a transplant of blood-making bone marrow can potentially cure the disease. But for patients who either cannot tolerate the transplant procedure, or whose transplants fail, the best option may be to receive regular blood transfusions from healthy donors with matched blood types.

[STORY: New injection helps stem traumatic blood loss]

The problem, says Linzhao Cheng, Ph.D. , the Edythe Harris Lucas and Clara Lucas Lynn Professor of Hematology and a member of the Institute for Cell Engineering, is that over time, patients bodies often begin to mount an immune response against the foreign blood. Their bodies quickly kill off the blood cells, so they have to get transfusions more and more frequently, he says.

A solution, Cheng and his colleagues thought, could be to grow blood cells in the lab that were matched to each patients own genetic material and thus could evade the immune system. His research group had already devised a way to use stem cells to make human blood cells. The problem for patients with sickle cell disease is that lab-grown stem cells with their genetic material would have the sickle cell defect.

To solve that problem, the researchers started with patients blood cells and reprogrammed them into so-called induced pluripotent stem cells, which can make any other cell in the body and grow indefinitely in the laboratory. They then used a relatively new genetic editing technique called CRISPR to snip out the sickle cell gene variant and replace it with the healthy version of the gene. The final step was to coax the stem cells to grow into mature blood cells. The edited stem cells generated blood cells just as efficiently as stem cells that hadnt been subjected to CRISPR, the researchers found.

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Building custom blood cells to battle sickle cell disease

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Johns Hopkins Researchers Engineer Custom Blood Cells

Posted: March 11, 2015 at 12:58 am

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Newswise Researchers at Johns Hopkins have successfully corrected a genetic error in stem cells from patients with sickle cell disease, and then used those cells to grow mature red blood cells, they report. The study represents an important step toward more effectively treating certain patients with sickle cell disease who need frequent blood transfusions and currently have few options.

The results appear in an upcoming issue of the journal Stem Cells.

In sickle cell disease, a genetic variant causes patients blood cells to take on a crescent, or sickle, shape, rather than the typical round shape. The crescent-shaped cells are sticky and can block blood flow through vessels, often causing great pain and fatigue. Getting a transplant of blood-making bone marrow can potentially cure the disease. But for patients who either cannot tolerate the transplant procedure, or whose transplants fail, the best option may be to receive regular blood transfusions from healthy donors with matched blood types.

The problem, says Linzhao Cheng, Ph.D., the Edythe Harris Lucas and Clara Lucas Lynn Professor of Hematology and a member of the Institute for Cell Engineering, is that over time, patients bodies often begin to mount an immune response against the foreign blood. Their bodies quickly kill off the blood cells, so they have to get transfusions more and more frequently, he says.

A solution, Cheng and his colleagues thought, could be to grow blood cells in the lab that were matched to each patients own genetic material and thus could evade the immune system. His research group had already devised a way to use stem cells to make human blood cells. The problem for patients with sickle cell disease is that lab-grown stem cells with their genetic material would have the sickle cell defect.

To solve that problem, the researchers started with patients blood cells and reprogrammed them into so-called induced pluripotent stem cells, which can make any other cell in the body and grow indefinitely in the laboratory. They then used a relatively new genetic editing technique called CRISPR to snip out the sickle cell gene variant and replace it with the healthy version of the gene. The final step was to coax the stem cells to grow into mature blood cells. The edited stem cells generated blood cells just as efficiently as stem cells that hadnt been subjected to CRISPR, the researchers found.

Cheng notes that to become medically useful, the technique of growing blood cells from stem cells will have to be made even more efficient and scaled up significantly. The lab-grown stem cells would also need to be tested for safety. But, he says, This study shows it may be possible in the not-too-distant future to provide patients with sickle cell disease with an exciting new treatment option.

This method of generating custom blood cells may also be applicable for other blood disorders, but its potential does not end there, Cheng says. One possibility, which his group hopes to begin studying soon, is that the blood cells of healthy people could be edited to resist malaria and other infectious agents.

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Faculty profile: Gerold Grodsky, PhD, Professor (Emeritus, Active), UCSF School of Medicine – Video

Posted: March 10, 2015 at 11:40 am


Faculty profile: Gerold Grodsky, PhD, Professor (Emeritus, Active), UCSF School of Medicine
Gerold Grodsky shares how he works with scientists at the UCSF Diabetes Center to develop stem cells for diabetes research.

By: UC San Francisco (UCSF)

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Faculty profile: Gerold Grodsky, PhD, Professor (Emeritus, Active), UCSF School of Medicine - Video

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Cardiac Stem Cells: Making a Difference in Duchenne – Video

Posted: March 10, 2015 at 11:40 am


Cardiac Stem Cells: Making a Difference in Duchenne
Dr Eduardo Marban, Director of the Cedars-Sinai Heart Institute, discusses a possible Cardiac Stem Cell breakthrough for Duchenne muscular dystrophy. Coaliti...

By: CoalitionDuchenne

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Cardiac Stem Cells: Making a Difference in Duchenne - Video

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WSCS 2014: STEM CELLS FOR DISEASE MODELING – Video

Posted: March 10, 2015 at 11:40 am


WSCS 2014: STEM CELLS FOR DISEASE MODELING
Moderator - Alain Vertes, PhD, NxR Biotechnologies Speakers - Timothy J. Nelson, MD, PhD, Mayo Clinic Fernando Pitossi, PhD, Leloir Institute Gary D. Smith, PhD, HCLD, University of Michigan.

By: worldstemcell

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WSCS 2014: STEM CELLS FOR DISEASE MODELING - Video

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Stem cells migrating on aligned electrospun nanofibers – Video

Posted: March 10, 2015 at 11:40 am


Stem cells migrating on aligned electrospun nanofibers

By: Nano Biomechanics Lab

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Stem cells migrating on aligned electrospun nanofibers - Video

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