by admin | Jul 25, 2016 | Stem Cell Research, Studies
Research has pointed strongly toward autologous adipose tissue-derived mesencymal stem cells (AdMSC‘s) as a treatment option for a number of neurological diseases. There is growing evidence that these cells can successfully differentiate into neurons in the brain, thereby protecting the brain against certain diseases of the central nervous system. Adipose tissue is particularly attractive when seeking to use mesenchymal stem cells (MSC’s) because it is easy to retrieve MSCs in this type of tissue. Now, a case study published in the Journal of Medical Case Reports demonstrates how AdMSC‘s were successfully used to treat a patient suffering from progressive supranuclear palsy (PSP), a disorder closely related to Parkinson’s disease.
There are currently no good treatment options for PSP. Dopaminergic drugs that are used for Parkinson’s disease are often implemented with PSP patients because of clinical similarities in these diseases. However, the benefits are both minor and short-lived. As described in this case report, researchers successfully used a novel form of therapy on a 71-year old South Korean man with PSP.
The man was examined before his treatment and continually for six months afterwards. The AdMSC protocol improved the patient’s performance on the Progressive Supranuclear Palsy Rating Scale (PSPRS) and improved both his cognitive performance and his ability to conduct daily activities. In addition to the treatment’s efficacy, it also bore limited safety concerns, as mild fever and short-term elevated blood pressure were the only adverse side affects observed with the procedure.
The patient underwent four intrathecal and five intravenous infusions infusions of AdMSC’s to increase the chances of clinical efficacy. Specifically, the strategy of the intrathecal infusions was to increase the likelihood of getting the AdMSC’s into the central nervous system. However, because the intrathecal cavity is narrow, the dosage that can be achieved through this route is limited. Thus, intravenous injections were administered as a way to increase the dosage amount. Though this success of AdMSC’s administration in PSP is just the beginning, it represents great potential for the use of stem cells in this rare but deadly disorder.
To learn more about the safety of adipose stem cell procedure, click here.
Reference
Choi, S.W., Park, K.B., Woo, S.K., Kang, S.K., & Ra, J.C. (2014). Treatment of progressive supranuclear palsy with autologous adipose tissue-derived mesenchymal stem cells: a case report. Journal of Medical Case Reports, 8(87), 1-5.
by admin | May 9, 2016 | Studies
Both Hyperbaric Oxygen (HBO) treatment and Mesenchymal Stem Cells (MSC‘s) have been used as interventions for patients suffering from Traumatic Brain Injury (TBI). Though each of these therapeutic approaches can confer benefits to patients, researchers have shown that combining the two techniques can yield better results for this population of patients than either method can achieve alone. The scientists published their findings in Neural Regeneration Research earlier this year.
The transplantation of MSC‘s and the use of HBO are each effective in treating TBI for different reasons. Mesenchymal stem cells can proliferate rapidly, differentiate into many different types of cells, and do not tend to cause adverse immune reactions. While HBO treatment can enhance the brain’s aerobic metabolism, providing brain tissue with more oxygen. All of these effects are helpful after TBI has occurred. However, MSC‘s alone can be limiting in their therapeutic potential because only a fraction of those that are transplanted differentiate into mature brain cells. Because hyperbaric oxygen treatment both protects injured tissue and also supports the differentiation and migration of MSC‘s, researchers hypothesized that combining the therapies would improve lead to better neurological and cognitive outcomes following TBI than either treatment would alone.
To test their idea, the scientists induced TBI in rats to establish a rat model of the condition. They then treated one group of rats with just HBO, transplanted MSC‘s in another group of rats that did not undergo HBO, and used both interventions in a final group of rats. The researchers then looked both at physiological markers associated with TBI, as well as cognitive performance on a learning and memory task.
The results showed that rats that underwent both MSC‘s transplantation and HBO had better neurological outcomes and better cognitive performance scores than rats that endured only one type of treatment. Given these promising findings in an animal model of TBI, future research will likely address the translatability of these findings to humans. Now that a proof-of-concept exercise has been successful, there is significant support for the potential of this combination treatment regimen to help people who experience TBI.
Reference
Zhou, H. X., Liu, Z. G., Liu, X. J., & Chen, Q. X. (2016). Umbilical cord-derived mesenchymal stem cell transplantation combined with hyperbaric oxygen treatment for repair of traumatic brain injury. Neural Regen Res, 11(1), 107-113. doi: 10.4103/1673-5374.175054
by admin | Mar 21, 2016 | Parkinson's Disease, Studies
Though research has shown that stem cells are therapeutic candidates for neurodegenerative diseases like Parkinson’s disease, scientists have been working on overcoming the challenges associated with effectively delivering these cells to the brain. A recent study, published in the journal Rejuvenation Research, demonstrated that intranasal delivery of stem cells provided both physiological and behavioral benefits in a rat model of Parkinson’s disease.
Once researchers had determined that stem cells could help patients suffering from brain disorders, a number of interventions were attempted. Surgical transplantation, though invasive, has been a popular method for direct stem cell delivery to the brain. However, this technique often causes local trauma and also tends to leads to problematic immune responses that make the transplant ineffective. Delivering cells through veins or arteries is a less invasive method for providing the brain with these cells, but this method can be less effective, with the cells sometimes traveling to organs other than the brain and becoming trapped there.
In their article, Therapeutic Efficacy of Intranasally Delivered Mesenchymal Stem Cells in a Rat Model of Parkinson Disease, Lusine Danielyan and colleagues describe their previous work that showed that intranasal application of mesenchymal stem cells lead to the successful integration of these cells in parts of the brain that are critical in Parkinson’s disease. Building on this work, they now show that intransal delivery of stem cells is not only feasible but has practical clinical applications. In a rat model of Parkinson’s disease, rats normally experience dopamine depletion in certain areas of the barin, as well as increased levels of inflammatory cytokines, which are cells of the immune system. Intransal administration of stem cells prevented both of these effects in the rat model.
Of particular significance is that researchers did more than show that intranasal delivery of stem cells leads to physiological changes that are consistent with effective Parkinson’s disease therapy. They also showed that the technique had therapeutic behavioral effects. When intranasal administration of stem cells was applied to the rat model of Parkinson’s dieases, motor function improved. As motor dysfunction is a hallmark of Parkinson’s disease, this finding demonstrates the significant promise that intransal delivery of stem cells holds for treating Parkinson’s disease.
Reference
Danielyan, L., Schafer, R., von Ameln-Mayerhofer, A., Bernhard, F., Verleysdonk, S., Buadze, M., . . . Frey, W. H., 2nd. (2011). Therapeutic efficacy of intranasally delivered mesenchymal stem cells in a rat model of Parkinson disease. Rejuvenation Res, 14(1), 3-16. doi: 10.1089/rej.2010.1130
by admin | Feb 29, 2016 | Stem Cell Research, Studies
Scientists have identified a new way to treat disorders of the brain using stem cells. Their proposed technique is particularly promising because of the ability of stem cells to cross the blood brain barrier, a barrier that has posed challenges for other drug candidates.
A recent review published by Rutgers University’s Pranela Rameshwar and colleagues supports the notion that stem cells, and particularly, mesenchymal stem cells (or MSCs) may be great drug delivery vehicles for people with neurological diseases such as Alzheimer’s disease, Parkinson’s disease, traumatic brain injury, and certain forms of brain cancer. Therapies that are currently used suffer a number of limitations that could potentially be overcome by stem cell delivery of drugs.
Not only are several drug substances unable to cross the blood brain barrier, but drugs can also have unwanted toxic effects because it is difficult to specifically target their action to the areas where they are needed. Stem cells can help ensure that drugs are delivered specifically to the brain, and perhaps even to the specific parts of the brain where the drug could be helpful. The use of stem cells could also circumvent the need to perform highly invasive surgical procedures to address neurological diseases.
Though different types of stem cells could theoretically be used to deliver therapies to the brain, mesenchymal stem cells appear highly valuable because research has shown them to be safe. Unlike other forms of stem cells, MSCs do not tend to form tumors and also preferentially migrate to parts of the brain in need of new tissue. An additional advantage of MSCs is that their use is not subject to the same ethical scrutiny as some other stem cells. Now that the therapeutic potential for MSCs has been identified, relevant research efforts will undoubtedly increase, with the hopes of translating this promising therapeutic approach into practice.
Learn about the use of adipose stem cells to treat brain injury here.
Reference
Aleynik, A., Gernavage, K. M., Mourad, Y., Sherman, L. S., Liu, K., Gubenko, Y. A., & Rameshwar, P. (2014). Stem cell delivery of therapies for brain disorders. Clin Transl Med, 3, 24. doi: 10.1186/2001-1326-3-24
by admin | Feb 3, 2016 | Stem Cell Research, Studies
More research recently published in Brain Research titled “Intravenous transplantation of bone marrow-derived mono-nuclear cells prevents memory impairment in transgenic mouse models of Alzheimer’s disease.” shows how stem cell therapy may be a promising technique for preventing the cognitive decline associated with Alzheimer’s disease. Because of the potential for stem cell therapy to help in neurological disorders, it is already being used in clinical trials for certain afflictions, such as stroke. Here, the scientists demonstrate how the implantation of bone marrow-derived mononuclear cells (BMMC‘s) can both reduce the deposits of Amyloid-β (Amyloid beta), the protein that characterizes Alzheimer’s disease, as well as improve memory in a mouse model of the disease.
“Together, our results indicate that intravenous transplantation of BMMC‘s (bone marrow-derived mono-nuclear (stem) cells) has preventive effects against the cognitive decline in Alzheimer’s disease model mice and suggest a potential therapeutic effect of BMMC transplantation therapy.”
Amyloid beta, which is observed in the brains of those with forms of dementia including Alzheimer’s disease, has previously been shown to lead to cognitive deficits. Many attempts to develop preventions and treatments for Alzheimer’s disease have thus targeted this specific protein. However, none of these efforts have yet been clinically successful. Our growing understanding of stem cells and their therapeutic applications has opened up a promising new avenue for Alzheimer’s disease research.
The researchers chose to specifically use BMMC‘s because of their heterogeneity and because they are relatively easy to purify and do not requiring culturing. They implanted these cells in DAL mice, which have mitochondrial dysfunction similar to that observed in Alzheimer’s disease. In these mice, BMMC‘s prevented the aggregation of Amyloid beta and led mice to perform as well as normal mice in a spatial and learning and memory task. Impressively, these effects were observed even when cognitive decline had already begun in DAL mice.
This research strongly supports the idea that stem cells could help prevent the physiological and behavioral manifestations of Alzheimer’s disease. As research moves into the clinical phase, the specific ways that stem cells can aid in dealing with this devastating disease.
Learn more about stem cell therapy for Alzheimer’s disease.
Reference
Kanamaru, T. et al. (2015). Intravenous transplantation of bone marrow-derived mononuclear cells prevents memory impairment in transgenic mouse models of Alzheimer’s disease. Brain Research, 1605, 49-58.
by admin | Nov 21, 2015 | Multiple Sclerosis, Stem Cell Research, Studies
At 6 months post-treatment, neurological improvement or stabilization was observed from all (99) patients in the study except one.
In their recently published study, Long-term outcomes of autologous hematopoietic stem cell transplantation with reduced-intensity conditioning in multiple sclerosis: physician’s and patient’s perspectives, published in the Annals of Hematology Journal, Shevchenko et al. describe the effects of an autologous hematopoietic stem cell transplantation (AHSCT) with high-dose immunosuppressive therapy (HDIT) on 99 patients with multiple sclerosis. That the stem cell transplantation is autologous means that the stem cells derive from the patient’s own body, and the stem cells being hematopoietic indicates that the stem cells give rise to blood cells.
The idea for this type of therapy for multiple sclerosis has stemmed from the fact that multiple sclerosis is characterized by nervous system inflammation. Because inflammation results from activities of the immune system, it has been thought that targeting the immune system to reduce its activity could improve symptoms of the disease. More specifically, this particular combination therapy, using AHSCT and HDIT, has been aimed at destroying the immune system and rebuilding a separate system from hematopoietic stem cells so that the new immune system functions more favorably in those with multiple sclerosis.
AHSCT and HDIT have been used in the treatment of multiple sclerosis for several years, but the specific way these techniques are able to improve multiple sclerosis is not well understood. Further, there is some debate about both the safety and effectiveness of these treatments. Small sample sizes and homogeneous patient groups have plagued many of the studies performed to address these issues. In the present study, however, the researchers studied patients with different types of multiple sclerosis. This experimental structure allowed the scientists to show that AHSCT and HDIT used in combination can help those with both remitting and progressive multiple sclerosis and that the positive effects on the disease appeared to endure over long-term periods. At 6 months post-treatment, neurological improvement or stabilization was observed from all (99) patients in the study except one. The average follow up time for patients was 62 months, or just over 5 years, and up to and at this point, 47% of patients demonstrated significant improvement jumping at least 0.5 points on the Expanded Disability Status Scale EDSS scale. These results are highly informative for physicians treating patients with multiple sclerosis and are a promising demonstration of the potential for stem cells to improve conditions like multiple sclerosis.
Learn more about stem cell therapy for Multiple Sclerosis.
- Reference
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Shevchenko, J. L., et al. “Long-term outcomes of autologous hematopoietic stem cell transplantation with reduced-intensity conditioning in multiple sclerosis: physician’s and patient’s perspectives.” Annals of hematology 94.7 (2015): 1149.
- Study Abstract
St. Petersburg, Florida
