Multiple sclerosis (MS) is a chronic illness that damages nerves in the brain and spinal cord. In this disease, the body’s immune system mistakenly targets and attacks the myelin in the central nervous system, or the layer of insulation around the nerves. As the autoantibodies target healthy myelin tissue, neurological disabilities ensue. While there is currently no cure for MS nor any means of repairing myelin damage to improve disease progression, results from clinical trials suggest mesenchymal stem cells (MSCs) could be effective in treating nerve damage caused by the condition. So many may be wondering “Can Stem Cells treat neural damage caused by Multiple Sclerosis”.
According to researchers, MSCs can help to control the immune response in people with Multiple Sclerosis. These cells have powerful self-renewal capabilities, in addition to immunomodulatory and neuroregenerative properties. While the precise cellular mechanisms of stem cells in treating Multiple Sclerosis are still being studied, researchers are encouraged by the results of several clinical trials thus far.
For instance, MSCs can be targeted to the brain tissues to reach the sites of damage, including brain lesions, to help improve the survival rate of brain cells. Also administered systemically, these cells have the potential to improve one’s quality of life and severity of symptoms.
Stem cells can be retrieved from various sources, including fat tissue, umbilical cord-derived tissue, and bone marrow aspirate. The mesenchymal stem cells derived from these tissues provide the potential power in improving cognitive function and decreasing disease severity, which is likely due to the cells’ anti-inflammatory and neuroprotective characteristics. The source of cells is determined by a few factors including age, medical history, and patient preference. Results can vary from patient to patient. Their environment factors, diet, and lifestyle choices can play an important part in the outcome. However, studies have shown that stem cell therapy for those whose immune systems have been compromised has the potential to prohibit the progression of MS for up to five years in 70% to 80% of patients. This and other stem cell treatments have the potential to significantly improve treatment outcomes for people with MS. Contact a Care Coordinator today for a free assessment!
Osteoarthritis is a disease in which joint cartilage degenerates and the bony edges of the joint rub against each other. The disease causes pain and disability in the affected joint. There is no cure for osteoarthritis, except perhaps for artificial joint replacement surgery. Patients who are not candidates for surgery must get by with pain medications, braces, and physical therapy.
Given that osteoarthritis affects millions of people and there are limited options for long-term treatments other than major surgery, researchers are working very hard to find additional ways to manage this condition. One of the most exciting developments has been in the field of regenerative medicine, also known as stem cell therapy.
Stem cells injected into arthritic knees, for example, may help reduce the patient’s pain, protect cartilage, or even slightly heal the joint damage. Many patients feel relief and see improvements from just one therapy. Some with more advanced conditions may require a more maintenance plan. But today, researchers are now focused on the mesenchymal stem cell secretome.
What is a mesenchymal stem cell secretome? A mesenchymal stem cell secretome is the total of all of the molecules that mesenchymal stem cells secrete or release to support, restore, and regenerate tissue. The molecules released from mesenchymal stem cells, mostly through stem cell exosomes, exert many powerful benefits on joints.
From laboratory experiments in animals, we know the mesenchymal stem cell secretome is anti-apoptotic, which means it protects joint cells from committing programmed cell suicide. The secretome is also anti-fibrotic, and fibrosis can be damaging to joints and make them stiff. The secretome is pro-chondrogenic and pro-angiogenic, which means it helps build cartilage and blood vessels, respectively.
Lastly, the mesenchymal stem cell secretome modulates the immune system. While rheumatoid arthritis is considered the major inflammatory joint disease, inflammation also takes place in osteoarthritis. So, the mesenchymal stem cell secretome can modulate the immune system and reduce joint inflammation.
The main way that patients can reap the potential benefit of the mesenchymal stem cell secretome is through exosomes. Exosomes are small particles that contain most of the substances released in the secretome. Exosome treatment does not require stem cell infusions, and many, many more exosomes can be administered during a treatment session than stem cells, mainly because they are physically much smaller.
The concept of mesenchymal stem cell secretome is rather new, but it is a powerful concept in the treatment of osteoarthritis. As more human clinical studies are done, we should be able to unlock the power of the secretome for patients with osteoarthritis.
Reference: Mancuso P, Raman S, Glynn A, Barry F, Murphy JM. Mesenchymal Stem Cell Therapy for Osteoarthritis: The Critical Role of the Cell Secretome. Front Bioeng Biotechnol. 2019;7:9. Published 2019 Jan 29. doi:10.3389/fbioe.2019.00009
Half of all working adults in the U.S. report back pain symptoms each year. In many cases, the issue is acute and will resolve over time. In other cases, the pain can be pronounced and intensify if left unaddressed, interfering with daily activities. Understandably, many patients hope to avoid invasive back surgeries but are still seeking relief through other means. When conventional therapies fall short, stem cell therapy could be a solution for you.
Stem Cell Therapy as a Back-Pain Treatment
Existing treatments for many conditions causing pain in the back include anti-inflammatory and prescription pain medications, physical therapy, and lifestyle modifications. When pain is severe, more invasive approaches, including surgical spinal fusion, may be recommended. Unfortunately, pain can persist even after surgery.
Today, patients have an alternative minimally invasive option. Stem cell therapy is being leveraged to improve lower back pain to do some of the following:
Repair disc or facet joint damage
Improve function
Alleviate chronic pain
The treatment has been implemented for a number of back conditions, including degenerative disc disease, spinal cord injury, herniated discs, sciatica, and spinal facet disease. The stem cells can be strategically administered with the goal of restoring structural integrity, function, and pain reduction.
With spinal facet disease, the stem cells can be directed to the cartilage surrounding the spinal facet joints to reduce pain and inflammation and improve mobility. The injection is performed via x-ray guidance for the utmost level of precision.
If you’re experiencing pain from disc or facet injuries caused by arthritis, overuse, or trauma, you could potentially be an ideal candidate for stem cell therapy for back pain. The treatment is widely considered to be safe and effective, and in addition to being minimally invasive, requires little recovery time before yielding improvements. Contact a Care Coordinator today for a free assessment!
Alzheimer’s disease is the most common form of dementia. Among other symptoms, Alzheimer’s disease causes memory loss as nerve cells in the brain become dysfunctional and die. While the disease is known to be related to the accumulation of β-amyloid plaques and neurofibrillary tangles, how and why those things happen is still a mystery. Nonetheless, researchers have created and tested drugs to change the way the brain process β-amyloid and hyperphosphorylated tau (the substance in neurofibrillary tangles) but nothing, so far, has worked in humans. Instead, we are left with anticholinergic drugs, and memantine used to slow the progression of the disease.
These failures of drug development have forced scientists to reconsider how to treat Alzheimer’s disease. Instead of a focus on neuropathology that we cannot understand or control, why not focus on supporting nerve cells that remain or even restore the nerve cells that are lost? This is the hope of stem cell research in Alzheimer’s disease, and the focus of an extensive review article on the subject.
The review article describes the clinical possibilities of different types of stem cells:
Neural stem cells (NSCs)
Mesenchymal stem cells (MSCs)
Induced pluripotent stem cells (iPSCs)
Neural stem cells (NSCs)
NSCs have the magnificent ability to become any type of brain cell, be they neurons or various types of glia. NSCs would be the ideal stem cell treatment for Alzheimer’s disease except for one major problem: There are very, very few NSCs in the human brain. It is nearly impossible to harvest them in high enough numbers and, right now, we don’t have ideal ways to make them multiply and grow in a laboratory. So, while research in NSCs for the treatment of Alzheimer’s disease is well underway, they won’t be widely available any time soon.
Mesenchymal stem cells (MSCs)
Mesenchymal stem cells can become many different types of cells and can be harvested from many places including bone marrow, umbilical cord, and adipose (fat). MSCs are very versatile, and we are improving at safely using them in various diseases, including Alzheimer’s disease. MSCs are one of the more exciting avenues of research in Alzheimer’s disease and other neurodegenerative diseases.
Induced pluripotent stem cells (iPSCs)
iPSCs are a remarkably interesting type of stem cell. They are stem cells that are created by reprogramming cells found in the skin (fibroblasts) to become other cells of interest. Researchers take fibroblasts and genetically alter them to behave like other types of stem cells or fully differentiated cells. Recent work has shown that scientists can repurpose iPSCs to become neural precursor colonies, which are a lot like NSCs described above. If one could take iPSCs from the skin and convert them into NSCs, this could truly be a treatment for Alzheimer’s disease.
Stem cell treatments provide the promising potential to help those with Alzheimer’s disease and other neurodegenerative diseases. While research is ongoing, the breakthroughs that have been recently discovered provide hope to those seeking an alternative option.
Reference: Lee, J. H., Oh, I. H., & Lim, H. K. (2016). Stem Cell Therapy: A Prospective Treatment for Alzheimer’s Disease. Psychiatry Investigation, 13(6), 583–589. https://doi.org/10.4306/pi.2016.13.6.583
Chronic obstructive pulmonary disease (COPD) is a lung condition in which airflow to and from the lungs is obstructed, making it increasingly difficult to breathe. The World Health Organization estimates that the condition is the third-leading cause of mortality worldwide. There is currently no cure for COPD, although there is a COPD treatment available to help control its progression.
Recently, researchers have begun to study regenerative medicine approaches, which may be used to treat COPD and actually reverse some of the damage already done to the lungs. Stem cell therapy is one particularly promising option.
How Can Stem Cells Be Used as a COPD Treatment?
Stem cells act as the foundation for all cell types. They have the ability to proliferate and transform into adult cells and can repair injuries. They also have regenerative properties and can therefore help heal compromised lung tissue.
At the site of a wound, stem cells differentiate and release pro-inflammatory cytokines and growth factors to help draw healing proteins to the injury. Because the stem cells themselves are anti-inflammatory and anti-fibrosis (meaning they reduce the formation and build-up of scar tissue), they appear to be particularly useful for treating conditions, such as COPD.
How Are Patients Responding to Stem Cell Therapy for COPD?
While clinical trials and studies are still ongoing, stem cell therapy has provided patients with improvements in quality of life, such as improved energy levels, improved sleep quality, and reduction in the rate of tissue damage, and restoration of lung structure and function.
What Is the Process for Stem Cell Therapy for COPD?
Patients who are eligible candidates for stem cell therapy can either have stem cells retrieved from their own tissue, such as fat tissue or donated from umbilical cord tissue. The process is quick, simple, and painless. Stem cell therapy is well-tolerated in the majority of cases, is considered to be safe, and offers a potential alternative option for patients to consider. Contact a Care Coordinator today for a free assessment!
ALS, which stands for amyotrophic lateral sclerosis, is a neurodegenerative disease that has no cure and no substantially effective treatment. Today, there are two drugs available that can slow the progression of ALS— riluzole and edaravone—but these agents may only be modestly effective. Sadly, patients with ALS get progressively worse, sometimes even with treatment. They lose to ability to move, to swallow, and to breathe. It is a devastating disease.
As with other neurodegenerative diseases, researchers are trying to treat ALS with stem cells. Stem cells have the capacity to become other types of cells such as neurons or glia. The notion is that stem cells could be used to rescue and replenish the nerve cells that are dysfunctional or destroyed in ALS. Studies are emerging that suggest that these approaches may bear fruit.
One such stem cell trial comes out of India, published by Dr. Prabhakar and colleagues. The research scientists infused autologous bone marrow-derived stem cells (autologous means the cells were retrieved from the patient and then readministered to the same patient). The scientists conducted the clinical study in ten patients with ALS who had a mean revised ALS Functional Rating Scale score of 30.2 ± 10.58. In other words, patients with this score have about a 60 to 70% chance of being alive for 9 more months.
Impressively, patients treated with autologous bone marrow-derived stem cells did not have a significant reduction in ALS Functional Rating Scale score after one year, which means their disease stayed relatively stable over this time instead of deteriorating. It took about 16.7 months for the score on this scale to drop by 4 points, which is considered a significant drop. The median survival after the procedure was 18.0 months, which is substantially more than would have been expected at the start of the study.
Taken together, these results suggest that patients with moderately severe ALS enjoyed a stabilization of their ALS symptoms for over 16 months on average. While there was no placebo control group, the stem cell-treated patients survived about twice as long as was estimated at the start of the trial.
These positive results must be confirmed in a larger, placebo-controlled trial. However, they strongly argue for further research of stem cells for the treatment of amyotrophic lateral sclerosis.
Reference: Prabhakar S, Marwaha N, Lal V, Sharma RR, Rajan R, Khandelwal N. Autologous bone marrow-derived stem cells in amyotrophic lateral sclerosis: A pilot study. Neurol India 2012;60:465-9
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