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South Florida Stem Cell Therapy Center

Posted: August 27, 2014 at 8:50 pm

What Is Stem Cell Therapy

Stem cells have the remarkable potential to develop into many different cell types in the body during early life and growth. In addition, in many tissues they serve as a sort of internal repair system, dividing essentially without limit to replenish other cells as long as the person or animal is still alive. In living tissue, the main purpose of adult stem cells is to use cell division to repair and replace dying cells in order to regenerate damaged tissue. As we age our stem cells become less active, less numerous, or both.

Stem cells can be stimulated with concentrated growth factors in platelet rich plasma (PRP) from a patients own blood. Stem cells are the engineer or builder cells that can help repair damaged structures. Each year millions of Americans suffer from musculoskeletal and arthritis pain. While some people get better over time, a significant number progress to chronic pain.

The causes of musculoskeletal pain are numerous. Cartilage in joints can be damaged from trauma, an imbalance in the supporting structures causing compensation and accelerated overuse, or normal degenerative wear and tear with age. Muscles and tendons can be damaged in similar ways. Acute injuries can damage tissue, which can lead to scar tissue and chronic weakness of that body part. Surgery can become complicated or not effective. The general indication for PRP and stem cell procedures is for injury of connective tissue or cartilage which has not responded to the usual pattern of medical intervention.

The benefits of regenerative stem cell and PRP procedures are primarily to reduce pain and increase function. Candidates also seek alternative treatments to surgery, which is not always successful, and has its own inherent risks, costs, and recuperation time. Patients are able to feel younger, continue to function and perform activities that they are used to, and not worry about a long recuperation or rehabilitation period.

Cortisone or steroid injections are sometimes useful, but chronic and repetitive cortisone injections can actually weaken and damage joint structures. The use of opiate and/or anti-inflammatory medications is usually reduced because of decreased pain. The inherent risks, costs, and complications with long term use of these medications is then decreased or removed.

Our procedures are done on an outpatient basis under fluoroscopic or ultrasound guidance. There is usually only minimal discomfort that is easily controlled with local anesthesia. There are no astronomical hospital or surgical bills, scheduling can be done within a few days and the procedure usually lasts an hour and patients return home to normal light duty activities immediately.

Exercise and/or physical therapy should usually start within a week. Every patient is different so consult with Dr. Alea for the exact instructions. The general response rate is that 85% of patients receive significant(at least 50%) pain relief. Subsequent hyaluronic acid joint lubricant treatments such as Hyalgan, Orthovisc, Synvisc, etc are more effective after stem cells are active inside the joints. Stem cells and PRP have also been shown to strengthen joints or ligaments intraoperatively and postoperatively by decreasing the amount of scar tissue that forms after surgery.

There is no allergy or rejection because the stem cells and PRP are from the patients own body. No negative long-term effects to this procedure have been reported. Dr. Alea does not harvest embryonic stem cells and is therefore not related to any controversial debates or other risks. Stem Cell procedures are not FDA approved.

However, our procedure is compliant within the guidelines listed in the FDA Code of Federal Regulations 21 Part 1271. Modern medicine in the US and throughout the world has been using stem cell transplant techniques such as bone marrow transplants to help treat patients with diseases such as leukemia, aplastic anemia, and certain inherited blood conditions for over 40 years. Bone marrow transplants are also not FDA approved, but they are also in compliance with CF21 Part 1271(121.15.b).

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South Florida Stem Cell Therapy Center

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Andrews Boy Fights Incurable Disease

Posted: August 27, 2014 at 8:50 pm

By: Alexa Williams NewsWest 9

"Whenever I ride it gets everything out of my head,'' Gage Klein, 11-year-old fighting an incurable disease, said.

For just being a sixth grader, Gage has a lot on his mind. Two years ago, he was in a motocross accident which turned into a life saving event.

"He flipped his dirt bike and it knocked him unconscious. As precaution I took him to the emergency room where we found out that the doctors were just in awe that this baby was still alive," Barbara Klein, Gage's mother, said.

Turns out, Gage has a rare incurable disease called Fanconi Anemia.

"It's bone marrow failure where his body doesn't allow his bone marrow to produce blood cell platelets. He's in bone marrow failure," Barbara said.

Gage will have to have a bone marrow transplant within the next six months to prolong his life.Unfortunately, for the Klein family, tragedy has already struck once. In 2007, they lost a son when he was just seven months old to SIDS. However, they saved the baby's stem cells at birth which gave them hope for Gage.

"They pulled the stem cells from the baby to see if they would match Gage and they were a perfect match, but unfortunately we cannot use those because the baby has passed and we need fresh blood, we need fresh skin cells," Barbara said.

The family has still not found a match.

"We haven't found a donor, we're still looking for a donor," Barbara said.

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Andrews Boy Fights Incurable Disease

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Could Reprogrammed Cells Fight 'Untreatable' Diseases?

Posted: August 27, 2014 at 8:50 pm

By Ciara Curtin

Jeanne Loring and her Scripps Research Institute colleagues transplanted a set of cells into the spinal cords of mice that had lost use of their hind limbs to multiple sclerosis. As the experimentalists expected, within a week, the mice rejected the cells. But after another week, the mice began to walk.

We thought that they wouldnt do anything, says Loring, who directs theCenter for Regenerative Medicineat Scripps. But as her lab has since shown numerous times, and published in Stem Cell Reports, something that these particular so-called neural precursor cells dobeforethe immune system kicks them out seems to make the mouse better.

The cells Lorings team used are derived from induced pluripotent stem cells, which are mature cells, such as skin cells, that have been coaxed with a combination of chemicals to return to an earlier stage of development.

Induced pluripotent cells, also known as iPS cells, pose a number of opportunities for medicine. For instance, Loring is using iPS cells from Parkinsons disease and multiple sclerosis patients to reconstitute cell types that may be damaged in people with those conditions. She is also using them to test how certain drugs or treatments may affect damaged cells in people with conditions such as autism spectrum disorders.

Loring (front row, center) with the Loring Lab Group at the Center for Regenerative Medicine

Loring says no viable long-term treatments exist for the diseases her team has been working on, including Alzheimers disease, Parkinsons disease, and multiple sclerosis, Thats where the need is, she says.

The neural precursor cells that Loring has been using in the mice with MS are young cells that havent quite gotten to the point of being nerves yet. Only certain types of these cells have such a dramatic Lazarus-like effect on the affected mice, but Lorings team can readily identify them based on DNA analysis.

Even so, theyre not yet ready to treat human MS patients with the approach, she says. First, the researchers want to identify what the cells producea protein, perhaps, or a set of proteinsthat allows the mice to walk.

For other diseases, however, researchers are closer to being ready to transplant working versions of reprogrammed cells into sick people.

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Could Reprogrammed Cells Fight 'Untreatable' Diseases?

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Can stem cells help mobility after stroke?

Posted: August 27, 2014 at 6:50 am

MIAMI - When Bruce Daily woke up after having lumbar surgery a year ago, he realized he couldn't move the right side of his body.

"It took me a long while to figure out I wasn't gonna walk again," he said. "I knew I was down."

Daily, 69, had gone in for lumbar surgery at the University of Miami hospital and had an ischemic stroke while under anesthesia. An ischemic stroke results from an obstruction in a blood vessel that blocks the blood from getting to the brain.

Because he was unconscious, he missed the four-to-five hour-window to apply the tissue plasminogen activator, or tPA, the only medication available to treat ischemic strokes. The medication dissolves the clot, restoring blood flow to the brain.

But while he missed that chance, he was right on time to meet Dr. Dileep Yavagal, a neurosurgeon who practices at the University of Miami and Jackson Memorial hospitals. Yavagal was enrolling patients in RECOVER-stroke, a clinical trial treating recent stroke patients with stem cells from their bone marrow and applying them directly into the carotid artery, one of two arteries that supply the neck and head with blood. Daily was one of 47 patients nationwide who qualified for the study.

The study is funded by Cytomedix, the company that developed the technology to extract stem cells from bone marrow. The firm chose Yavagal to lead a national blind study at the end of 2012.

Yavagal enrolled 13 patients at the University of Miami/Jackson Memorial Hospital, between the end of 2012 and January of 2014. So far, the initial three-month results have revealed that the marrow cells are not doing any damage, and there was no clear difference between those who received the cells and those who didn't. The study's one-year final results will be revealed in January.

"There is severe need for developing treatment for ischemic stroke, and stem cells are the most promising," said Yavagal, whose own research is still in its initial phase, focusing on using a healthy donor's bone marrow stem cells versus the patient's own marrow.

Stroke, the leading cause of adult disability in the United States, and the No. 4 cause of death in the country, causes 130,000 deaths a year in the U.S., according to the Centers for Disease Control and Prevention.

Yavagal, associate professor of clinical neurology and neurosurgery and the director of interventional neurology at the University of Miami's Miller School of Medicine, said that restricted mobility or loss of speech resulting from a moderate to severe stroke can be devastating because patients often become dependent on someone else for daily activities.

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Can stem cells help mobility after stroke?

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Canadian doctors use stem cells to treat 'stiff person syndrome'

Posted: August 27, 2014 at 6:50 am

Sheryl Ubelacker, The Canadian Press Published Tuesday, August 26, 2014 6:45AM EDT Last Updated Wednesday, August 27, 2014 6:03AM EDT

TORONTO -- Canadian doctors have begun using stem cell transplants to treat "stiff person syndrome," a rare neurological condition in which a patient's leg and other muscles suddenly contract painfully, often leaving them immobilized like a tin soldier.

The disorder, which affects an estimated one in a million people, occurs when the immune system turns against a person's own tissues, in this case attacking cells in the brain and spinal cord.

Stem cell transplants have been used to treat patients with other auto-immune diseases, among them multiple sclerosis, scleroderma and Crohn's disease, but this may be the first time the procedure has been employed to alleviate the symptoms of stiff person syndrome, or SPS, the researchers reported Monday in the journal JAMA Neurology.

SPS is characterized by episodes of stiffness in the muscles and painful muscle spasms, which can be brought on by stress, loud noises or emotional distress. Some people with the disorder are so disabled they are unable to walk or move and may isolate themselves at home to avoid triggering an attack.

"Sometimes this happens when they're startled," said Dr. Harry Atkins of the Blood and Marrow Transplant Program at the Ottawa Hospital, who headed a team that transplanted stem cells into two women with the disease.

"So you can imagine walking across the street and someone honks the horn and you can't move, or you start falling and because your muscles can't move, you just fall and you hurt yourself," Atkins said Monday from Ottawa.

"It really does provide a barrier with just going on with your life."

Tina Ceroni of Toronto is one of the two SPS patients who had the stem-cell transplant -- and she said it has given back her life.

The personal fitness trainer, now 36, started getting severe symptoms in her late 20s. Initially she was diagnosed with hyponatremia, or low blood sodium, thought to be related to her heavy training schedule for a half-ironman competition.

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Canadian doctors use stem cells to treat 'stiff person syndrome'

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Placental tissue gives gift of life a second time around

Posted: August 27, 2014 at 6:50 am

Stem cells from placenta usually discarded after childbirth can now be used to develop treatments for conditions such as diabetes, with each placenta containing enough stem cells to potentially treat 100 patients.

Researchers from The University of Queenslands Centre for Clinical Research have discovered a way to extract large quantities of endothelial stem cells from the life-giving organ.

The placenta is the organ in which a foetus develops. It assists in supplying the foetus with nutrients during pregnancy.

The specialist cells, which form part of the interior surface of blood vessels, are abundant in the placenta but it has not previously been possible to isolate them in sufficient quantities for use in treatments.

Study leader Associate Professor Kiarash Khosrotehrani said researchers were now working to develop medical treatments from the endothelial stem cells.

One of the therapies we are exploring will benefit patients with any condition where blood supply to tissues is severely restricted, such as heart issues, Associate Professor Khosrotehrani said.

We have recently discovered that endothelial stem cells form new blood vessels when injected into the body.

A single placenta has enough stem cells for 100 doses, which means after giving life to a baby, the organ may then go on to give a new lease of life to many patients.

He said laboratory experiments had been promising.

We have conducted experiments in mice with restricted blood flow and this has revealed that injected endothelial stem cells spur blood vessel growth and improve blood flow by up to 30 to 40 per cent in just two weeks, Associate Professor Khosrotehrani said.

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Japan lab unable to replicate 'stem cell' findings

Posted: August 27, 2014 at 6:50 am

TOKYO: Researchers in Japan said on Wednesday (Aug 27) they have been unable to replicate experiments that were hailed earlier this year as a "game-changer" in the quest to grow transplant tissue, amid claims evidence was faked.

In a scandal that rocked Japan's scientific establishment, Riken - the research institute that sponsored the study - launched an independent experiment in April to verify research published by scientist Haruko Obokata and her colleagues earlier this year. But the failure to replicate the experiment casts further doubt on the existence of stem cell-like cells, what the researchers called Stimulus-Triggered Acquisition of Pluripotency (STAP) cells.

"Researchers have conducted 22 experiments thus far, but we could not confirm the emergence of cells in the conditions described in (Obokata's) papers," Riken said in an interim report issued on Wednesday.

Obokata since July has been trying in tandem with independent teams to reproduce her own results. The researchers will continue their experiments under more diverse conditions while also considering data obtained by Obokata herself, Shinichi Aizawa, a special adviser at Riken, told a lengthy press conference.

Obokata was feted after unveiling findings that appeared to show a straightforward way to re-programme adult cells to become stem cells - precursors that are capable of developing into any other cell in the human body. Identifying a readily manufacturable supply of stem cells could one day help meet a need for transplant tissues, or even whole organs, meaning that any advance in the field is met with excitement in the scientific community.

But suspicions began to emerge in the weeks and months after the research was published, building into one of the biggest controversies in scientific publishing for a decade. Leading science journal Nature withdrew the flawed stem-cell study after Obokata agreed in June to retract the papers.

Nature said it would tighten procedures to vet future studies submitted for publication. It said the decision was taken after mistakes were discovered in some data published in two papers, photograph captions were found to be misleading, and the work itself could not be repeated by other scientists.

Earlier this month Obokata's co-author, stemcell scientist Yoshiki Sasai, hanged himself, further shaking Japan's scientific establishment.

Researchers have been trying to replicate results appearing to show that exposing ordinary cells to various stresses had made them pluripotent, or able to develop into any type of tissue. Riken had planned to implant these cells into mouse embryos to test whether they really were pluripotent. But the experiments have been fraught with difficulty from the outset, with researchers unable to reproduce such cells.

On Wednesday Riken, also announced a shake-up of the Centre for Developmental Biology (CDB) where the scandal took place, adding it planned to cut about half of its 40 laboratories. CDB currently has around 400 researchers.

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Japan lab unable to replicate 'stem cell' findings

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Hip arthroscopy and stem cell therapy – a patients view – Video

Posted: August 27, 2014 at 6:45 am


Hip arthroscopy and stem cell therapy - a patients view
Anne is a personal trainer from Oslo Norway, she is extremely active lady involved in lots of outdoor sports including Nordic walking, skiing, running, marti...

By: Villar Bajwa

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Hip arthroscopy and stem cell therapy - a patients view - Video

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How can you get the best result after stem cell therapy for autism spectrum disorder – Video

Posted: August 27, 2014 at 6:45 am


How can you get the best result after stem cell therapy for autism spectrum disorder
How can you get the best result after stem cell therapy for autism spectrum disorder? In conversation with Dr Alok Sharma (MS, MCh.) Professor of Neurosurgery Head of Department, LTMG Hospital...

By: Neurogen Brain and Spine Institute

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How can you get the best result after stem cell therapy for autism spectrum disorder - Video

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Method developed to print replacement tissues using stem cells

Posted: August 27, 2014 at 6:45 am

Prof Frank Barry, scientific director of the Regenerative Medicine Institute at NUI Galway, with PhD student Babu Rajendra Prasad. Photograph: Joe OShaughnessy

By using tiny cartridges dispensing one stem cell at a time, Galway-based researchers may soon be able to literally print the scaffold of a healthy human tissue, and let it grow to become a therapeutic transplant.

When the Regenerative Medicine Institute at NUI Galway and Irish start-up company Poly-Pico Ltd recently joined forces for a trial proof-of-concept experiment, the results were spectacular.

They were able to dispense tiny drops from a cartridge filled with a stem cell mixture, each drop containing no more than a single stem cell.

Now imagine that we have five dispensing cartridges, each containing a different type of programmed stem cell, said Frank Barry, professor of cellular therapy and scientific director of the institute.

In principle we could essentially print them on to a surface and, by repeating the process a few thousands of times, obtain a mixture of growing cells and eventually a healthy pancreatic islet.

The islets produced by the printing process would then be transplanted into the pancreas of a Type 1 diabetic patient. The hope is that they will develop there and eventually help with the regulation of blood sugar levels.

It is a futuristic prospect, but it is not science fiction, Prof Barry said.

We are talking five years down the line for potential clinical trials.

In the experiment, the drops containing a single stem cell were easily identified and isolated. The cells were then allowed to replicate themselves into exact copies. Finally the researchers checked that they had remained viable and unaffected by the process.

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Method developed to print replacement tissues using stem cells

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