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Thursday, 7 September, 2000, 11:26 GMT 12:26 UK  

Stem cell Injection for stroke on the way
By BBC News Online's Jonathan Amos

UK scientists are to trial a single injection therapy for stroke patients using stem cells next year.

The researchers hope the treatment will help restore brain function and any personality lost by the patients.

If successful, the scientists plan to develop similar approaches for treating Parkinson's disease and Alzheimer's.

Dr John Sinden, of ReNeuron Limited, told the British Association's Festival of Science: "The trial will involve a small number of patients but we expect that within six years we will have a drug on the market."

The injection will use neural stem cells, "master cells" that have yet to develop into specialised brain tissue.

...

In the laboratory, ReNeuron has shown that the stem cells will develop into different and important brain cell types. When injected into the brain, the cells migrate to areas of damage and start to repair it.

"The damaged adult brain still retains the capacity to use stem cells. So what we've been doing is developing human neural stem cells that we can inject into the brain for the brain to then use for regeneration." ...mer/more...

Relaterte linker / Related links

  1. Adult Brain Stem Cells Multiply In Vitro
    Autologue, adult, neurons
  2. ReNeuron's Cell Transplantation

 

Centre for Neuro Skills

Rewiring the Damaged Brain

A study by Adelaide University scientists suggesting that the brain can be 'rewired' could lead to a new therapy for stroke victims. The study shows that healthy brain areas may be recruited to take over the functions of areas damaged by stroke or trauma.

Observations of patients who suffer stroke or brain injury and regain only limited function had led to a view of the brain as 'hard wired,' with neural circuits laid down by puberty and remaining unchanged thereafter.

Among other things, the brain's cortex controls voluntary movement, speech and reasoning. Research now suggests that neural connections of the cortex are not fixed, but continuously modified by experience and learning.

Earlier studies have revealed that practising a simple finger movement can change the size of the area of motor cortex that controls specific finger muscles, and even alter its neural connections.

In blind Braille readers, the cortical area for the reading finger is much larger than for a non-reading finger. Amputees show the reverse effect; cortical areas of missing muscles being taken over by those that are unaffected.

In a study published in Experimental Brain Research, researchers from the Department of Physiology at Adelaide University have discovered that stimulating the nerve from a muscle to the brain can alter the size of responses from the area of cortex that supplies the muscle. Furthermore, these changes last for some time after the stimulation has stopped.

"Our findings are quite exciting as they have implications for understanding phenomena such as skill learning and motor memory" said Dr. Mike Ridding, a Florey Postdoctoral Fellow and lead investigator on the study, "It also suggests new directions for developing potential therapeutic approaches to disordered brain function in such debilitating conditions as stroke."... mer/more...

 


The Walter and Eliza Hall 
Institute of Medical Research

Melbourne, Australia

Keeping you informed…

Q: What are embryonic stem cells?

A: Embryonic stem cells are derived from very early embryos. They are “totipotent” – that is, they are capable of generating all types of cell in the body during normal development. Working with embryonic stem cells from mice, scientists are trying to understand the chemical signals needed to generate nerve, blood and other cell types.

Q: What are adult neural stem cells? Why are they important?

A: Adult neural stem cells have been identified in the human brain in small numbers. It seems that adult neural stem cells may have the ability to develop into mature neurons or nerve cells. If a person suffers a particular brain injury or has a neurodegenerative disease such as Alzheimer’s or Parkinson’s, normal brain function is impaired because nerve cells die progressively. Such diseases might be treated effectively if a patient’s own neural stem cells could be activated to develop into new nerve cells.

Q: What is the current stage of research into adult neural stem cells? What happens next?

A: Adult neural stem cells from the brains of mice can now be identified and separated from other nerve cells. This allows the scientists to begin the search for molecules that can activate them to replace nerve cells lost after disease. Since the brains of mice are in many ways quite similar to human brains, scientists believe that their findings will be directly applicable to human adult neural stem cells. To verify this, research is also being undertaken using human brain tissue that has been removed during routine brain surgery, with the consent of the patients involved. When a trial drug has been developed, it will be tested on mice and human brain tissue to assess its effectiveness and any side effects. When a drug is found to be effective with minimal side effects, human trials may then begin – subject, as always, to strict ethical approval and regulation by various independent authorities.

Source:

http://srs.wehi.edu.au/education/FAQ/stem_cells_FAQ.html

Science Notes 2001

Åpning av tette arterier

Opening up clogged arteries

By
Louisa Dalton

B.S., biochemistry, Brigham Young University

After three surgeries to open up the blood vessels feeding his heart and three more for the arteries of his legs, Douglas Cummings knows the routine. “It’s not an unpleasant procedure at all,” says the 63-year-old Californian. “They administer a tranquilizer. The doctor makes a very quick puncture in the groin. You feel a little sting. It’s not much more than a shot.” The doctor threads a small, limp balloon into the clogged artery and inflates it to flatten the fat lining the vessel wall. It’s an easy, one-day operation. But for the majority of cardiovascular patients, this procedure, called angioplasty, is merely a stop-gap measure. It widens the narrowed passage, but it doesn’t get rid of the blockage that’s already there, and it doesn’t stop further build-up. Within six months, 10 to 30 percent of patients require angioplasty again. As the fatty plaque deposits in the vessels increase, patients may even require the far more drastic open-heart surgery. And all too often, it’s just a matter of time before a chunk of plaque from one narrowed artery breaks off and completely stops up another artery, prompting a heart attack or stroke.

That’s why Cummings signed up to try a new therapy this time—a therapy that scours the insides of clogged arteries. ...mer/more...

 

Brazilians to Widen Stem-Cell Study in Strokes

Brasilianere  utvider stamcellestudie på Slag 

Av Andrei Khalip

RIO DE JANEIRO, Brasil (Reuters) - Brasililianske leger, som tilførte stamceller i benmarg til hjernen hos en slagpasient uttalte fredag, at de vil prøve behandlingen på flere etter å ha sett tegn på at det kan ha hjulpet pasienten til å friskne til.

Dr. Hans Fernando Dohmann, som er forskningskoordinator ved Hospital Pró-Cardíaco (”the Pro-Cardiac Hospital”) i Rio de Janeiro, fortalte Reuters at et fullt testprogram med 15 pasienter nå vil bli igangsatt for å undersøke om stamceller virkelig kan hjelpe slagrammede.

Dohman sa at selv om pasientens bedring også kunne ha skjedd av seg selv, så var det  godt mulig at stamcellene hadde hjulpet til. Benmarg er en rik kilde til voksne stamceller, som er blodceller som har beholdt evnen til å vokse til et bredt spektrum av celletyper inkl. hvite blodceller og hjerteceller.

”Det vi synes er mest spennende, er at det er biologisk aktivitet (i det området av hjernen, som ble skadet av slaget)... at injiseringen av celler ikke forårsaket noen elektiske forstyrrelser og at det det ikke oppsto noen betennelsesreaksjon,” sa Dohman.

Forskningen utføres i samarbeide med Det føderale universitetet i Rio de Janeiro.

”Vi har ikke sett rapporter om slike eksperimenter andre steder, så vi antar at vi er de første, ” la Dohman til.

Pasienten, en 54 år gammel kvinne, fikk et slag, som  gikk ut over den dominerende delen av hjernen i august. Hun mistet bevegelsesevnen på høyre side av kroppen og kunne ikke forstå andre mennesker, eller kommunisere med dem.

Benmarg-celler fra hennes egen kropp ble langsomt injisert i den midtre cerebral-arterien gjennom et kateter den 5. dagen etter slaget. Etter 17 dager, ble hun utskrevet med gjenvunnet førlighet, oppfatningsevne og noe taleevne, med ytterligere fremskritt rapportert i de følgende månedene.

I september sa Dohmans forsker-team at tester viste at benmargceller kan få pasienters døende hjerter til å tilfriskne til og generere små nye arterier og nytt muskelvev, en behandling som en dag kan komme til å gjøre mange hjertetransplantasjoner unødvendige.

Fire av de fem hjertepasientene i studien hadde ikke lenger behov for hjertetransplantasjon, etter å ha blitt behandlet med stamceller.

Voksne stamceller, som dem i benmargen benyttes allerede i behandlingen av flere sykdommer. De er forskjellige fra foster-stamceller, som forskere tror kan ha ennå større medisink potensiale. Imidlertid har bruk av fosterstamceller blitt møtt med motstand av moralske årsaker, siden å skaffe dem tilveie, betyr at menneskelige fostre må tilintetgjøes.

© Reuters 2004. All Rights Reserved.
-----
Dato: Fredag 19.11.2004-11-20
Kilde: http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=6871057

-----
For egen del vil jeg tilføye at voksne stamceller fra egen benmarg jo tilhører kroppen og derfor ikke gir avstøtningreaksjoner fra immunsystemet, noe som vil kunne bli et stort problem med fremmede stamceller fra fostre og navlestrenger, som injiseres. Det er altså mye som taler for "voksne" stamceller selv om de ikke på langt nær er så "fleksible og tilpasningsdyktige" som fosterceller

Trond

14. Aug. 2005

Stem Cell Treatment Effective in Treating Cerebral Infarction

A korean medical research team has made progress in treating cerebral infarction by transplanting healthy marrow stem cells into dead brain cells.
Professors Rha Hyoung-kyun and Lee Jong-wook of the medical college of the Catholic University of Korea said that they have performed brain blood vessel bypass surgeries on five cerebral infarction patients and transplanted their stem cells since February, and seen great improvement in the paralysis symptoms and speech disorders of three of them.

The research The research team abstracted mononuclear cells containing stem cells after extracting 200 cubic centimeters (cc) of marrow from the cerebral infarction patients’ pelvises.
Then they performed bypass surgeries on the patients to make blood flow in the part of the brain with the cerebral infarction, and injected 1 cc of stem cells each at some 10 damaged regions of the brain.    

Two weeks after the surgery, the researchers injected an additional 30 cc of stem cells at the spots through the blood vessels made by the bypass surgery, and have observed the progress for six to eight months.

Annen interessant medisinsk forskning / Other medical research of general interest

Cancer: Spontaneous regression
Kreft: Spontan regresjon

Scientists Develop Colony of Mice That Fight Off Virulent Cancer

WINSTON-SALEM, N.C. – Scientists at the Comprehensive Cancer Center of Wake Forest University have developed a colony of mice that successfully fight off virulent transplanted cancers.

"The mice are healthy, cancer-free and have a normal life span," the 10-member team reported in the Proceedings of the National Academy of Sciences online edition to be published the week of April 28.

The transplantation of the cancer cells in these special mice provokes a massive infiltration of white blood cells that destroy the cancer, said Zheng Cui, M.D., Ph.D., associate professor of pathology at Wake Forest University Baptist Medical Center and the lead scientist

"The destruction of cancer cells by these leukocytes is rapid and specific without apparent damage to normal cells," Cui said. "These observations suggest a previously unrecognized mechanism by which the body can fight off cancer."

The discovery of a genetic protection from cancer in mice "may have potential for better therapy or prevention of cancer in people," the team said. It also could help explain why some people are protected against cancer despite prolonged and intense exposure to carcinogens..

The discovery also could help solve another mystery. For years, scientists have been searching for the mechanism that permits spontaneous regression of human cancers without treatment. Cui said these cases are well-documented, but occur rarely. The new mouse colony gives the team the opportunity to study the mechanism in an animal model. ...mer/more...

 News-Medical.Net...
Medical News

Groundbreaking new study that may help stroke patients regain greater use of their hands or arms

Medical Research News

Published: Thursday, 21-Oct-2004

Researchers are conducting a groundbreaking new study that may help stroke patients regain greater use of their hands or arms through treatment with electrical stimulation.

Preliminary results of the feasibility study that precedes this new study have shown that the use of electrical stimulation, called motor cortex stimulation, may be both safe and effective, according to Robert Levy, M.D., Ph.D., a neurosurgeon at Northwestern Memorial Hospital in Chicago. Dr. Levy presented this feasibility trial data at the Congress of Neurological Surgeons Wednesday in San Francisco.

The trial showed that study participants - stroke survivors suffering impaired hand or arm movement - who underwent physical rehabilitation accompanied by motor cortex stimulation showed greater improvement than participants who received physical rehabilitation alone. Twenty-four subjects participated in the feasibility study, 12 in the electrical stimulation group and 12 in the control group. "Participants in the electrical stimulation group experienced meaningful motor recovery gains," Dr. Levy says.

The study, sponsored by Northstar Neuroscience, Inc., is close to completing the follow-up period. Ongoing and further research is needed to validate these findings. Other sites in the study were the University of Illinois-Chicago, Rush University Medical Center, University of Arizona, Wayne State University, University of Minnesota and Kansas University.

"It is our hope that by stimulating the surface of the brain we can permanently reverse paralysis and rekindle patients' function, returning them to their normal lifestyle," says Dr. Levy, who is a professor at the Feinberg School of Medicine at Northwestern University and who is leading the study at Northwestern Memorial, which is being conducted in tandem with the Rehabilitation Institute of Chicago. "Unfortunately, when patients have had a stroke, there is not much we can currently offer beyond physical rehabilitation to improve their motor functions."

Researchers are testing the new surgical procedure, involving the implantation of tiny investigational electrodes on the surface of the brain, in hopes of "jump starting" the growth of new nerve fibers, or retraining a new area of the brain to take over functions impaired by stroke damage. 

...mer/more....

 

 

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