Exploring Stem Cell Therapy’s Developing Role In Pain Medicine

Exploring Stem Cell Therapy’s Developing Role In Pain Medicine

As researchers continue to uncover potential health and medical benefits associated with the regenerative properties of stem cells, there is growing interest in the field of stem cell medicine and specifically for use as an alternative therapeutic treatment of pain.

Of particular recent interest in this area is the differentiation ability of stem cells classified as totipotent, pluripotent, and multipotent.  Stem cells that can differentiate into and form cells and build organs are known as totipotent stem cells. Pluripotent stem cells are able to differentiate into various types of cells. Multipotent stem cells can differentiate into several limited forms of cells. Of the three different types, only multipotent stem cells are found as adult cells in the body, including in organs, placenta, and bone marrow.

Recently, stem cell transplantation has been used as an alternative treatment for pain associated with severe osteoarthritis, neuropathic pain, and intractable musculoskeletal pain that does not respond to traditional or conventional medication.

Osteoarthritis

Although stem cells are thought to be a potential treatment approach for repairing and regrowing cartilage required for treating severe osteoarthritis, to date, regeneration of damaged cartilage has proven to produce limited results. One of the significant issues associated with using stem cells to regenerate cartilage is that cartilage contains no blood vessels or nerves, making cartilage regenerations very difficult once it is damaged. Making the process even more difficult, cartilage regeneration can only occur when the entire layer of cartilage and the layer of bone directly below the cartilage is damaged.

As such, therapeutic stem cell treatment possibilities for osteoarthritis include individual or combination treatment(s) of surgical intervention, tissue engineering, and intra-articulation injection of cultured stem cells; of these possible treatment options, intra-articulation injection of cultured cell therapy would be the preferred method as it is the least minimally invasive and most convenient for clinical use.

There have been mixed reviews as to the effectiveness of these treatments and, to date, there have been no reliable and convincing clinical human students with a high level of evidence conducted specifically on the efficacy in functional improvements and cartilage repair surrounding the application of intra-articular stem cell injection therapy. Although some who have had this treatment expressed improvements.

Neuropathic Pain

Stem cells have demonstrated the ability to release neurotrophic factors that enhance the growth and survival potential of neurons, secrete anti-neuroinflammatory cytokines, and provides a cellular source for replacing injured neural cells; this makes the application of stem cells a prime option for regulating and potentially even reversing intractable neuropathic pain.

Studies have confirmed that relieving neuropathic pain is possible through the administering of stem cells, both through intravenous injection and when directly administered to a specific injured site. However, while stem cells do not need to make direct contact with injured cells to produce a neuroprotective effect, stem cells applied directly to an injured site, as opposed to those intravenously injected appeared to better target and relieve neuropathic pain associated with a specific area.

In addition, while a further clinical human study is required, animal models of both diabetic neuropathic pain and spinal cord injury demonstrate that stem cell therapy, and specifically mesenchymal stem cells (MSCs), demonstrated improved blood circulation and nerve conduction velocity, reduced pain, and regeneration of the affected nerve. 

Intervertebral Disc Disease

Patients diagnosed with degenerative disc disease who were treated with MSCs injected directly into the nucleus pulposus, or inner core of the vertebral disc demonstrated a reduction in pain and disability comparable to spinal fusion surgery. 

Research has yet to identify an adequate, effective dosage of stem cells and further research on specific stem cell type, dosage, safety, and implantation rate is required. As research into the use of stem cell therapy in pain medicine progresses, it is important to see the development of evidence-based standardized methods of treatment.

While still in the early stage of clinical application, the use of stem cells in the treatment of pain appears to be very promising.

Reference: (2019, October 1). Stem cell therapy in pain medicine – PubMed. Retrieved December 11, 2020, from https://pubmed.ncbi.nlm.nih.gov/31569916/

Tips for Learning to Live with Lupus

Tips for Learning to Live with Lupus

Lupus is a systemic autoimmune disease in which the body’s immune system attacks healthy tissue and organs. It’s characterized by widespread inflammation which can appear in different areas of the body, including the skin, joints, blood cells, kidneys, brain, heart, and lungs. Oftentimes, lupus is challenging to diagnose, as its symptoms can vary widely and mimic other conditions. Receiving a diagnosis can bring relief in some ways, as it puts a name to an array of frustrating symptoms. Yet, it also means you’ll have to adapt to living with a chronic illness. Here are some tips for learning to live with Lupus. 

Learn About Lupus 

Everyone experiences lupus differently, which can make learning about lupus challenging. With that being said, there are helpful resources such as The Lupus Foundation of America to help you find out more about the condition.

You may have been experiencing an array of strange and uncomfortable symptoms that come and go. During lupus flares, symptoms such as rash, swollen joints, sores or ulcers, and fever can intensify. You’ll want to start tracking conditions leading up to flares to see if they occur in a pattern and an identifiable trigger brings them on. For instance, flares often arise after emotional or physical stress, as well as exhaustion, injury, and viral illnesses.

Find the Right Doctor

Since lupus is fairly rare, most general practitioners don’t see patients with the condition very often. To ensure you have access to the right treatment, you’ll want to see a specialist. Most people with lupus visit a rheumatologist, who specializes in systemic autoimmune diseases. 

Once you’ve found a reputable doctor, you’ll want to discuss wellness strategies and treatment options. Your treatment approach may evolve, so know that you don’t have to explore all options right away. You might also consider adopting lifestyle strategies to help control symptoms, such as beginning a meditation practice to limit emotional stress.

Seek Support

Online support groups are rich with resources and firsthand accounts. Within these groups, you might be able to connect with someone whose symptoms are similar to yours and discuss treatment options that worked for them. You can also discuss the emotional and mental challenges that come with living with a chronic illness and turn to people who are ready to lend an ear. Lupus Warriors on Facebook, LupusConnect, and Lupus Research Alliance are a few options to consider.

Maintain Ongoing Care

You’ll want to visit your rheumatologist regularly, even if you aren’t having frequent flare-ups. With blood work and regular conversations, the doctor may be able to help you pinpoint which treatments and lifestyle modifications are working effectively to control flares. They might also help you explore complementary and alternative treatments to manage symptoms. 

Many have begun to seek regenerative medicine, also known as stem cell therapy, as an alternative option for managing symptoms. Stem cells are considered the building blocks of life since they have the ability to self-renew and differentiate into specialized cell types. Mesenchymal stem cells (MSCs) can be sourced from autologous or allogeneic tissues and act as immunomodulators that suppress the activity of T regulatory cells.

Since lupus impacts your immune system, you’ll also want to take care to minimize your risk for other illnesses. This includes staying up-to-date with vaccines and exams. If you live with lupus it will require some adjustments, most patients can live fulfilling, happy lives after their diagnosis. By learning more and finding the right care providers, you can begin taking control of your lupus and your overall health. Contact a Care Coordinator today for a free assessment!

Can Stem Cell Therapy Help Rheumatoid Arthritis

Can Stem Cell Therapy Help Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic inflammatory condition in which the immune system attacks healthy joint tissue. This abnormal immune response leads to inflammation, fluid buildup, swelling, and discomfort in the joints. RA is a chronic condition for which there is no cure, and due to the progressive nature of the disease, symptoms often worsen over time.

Current treatments for RA involve controlling the immune response to prevent further damage and alleviating joint pain. Yet, oftentimes, existing therapies fail to mitigate the damage joints have already sustained. Some research has been finding that there may be potential therapeutic effects with regenerative medicine, also known as stem cell therapy for Rheumatoid Arthritis.

Stem Cell Therapy for Rheumatoid Arthritis

Stem cells are the building blocks of virtually all specialized cells and tissue in the body. They can transform into many different cell types, and have regenerative and anti-inflammatory properties. Medical researchers have been exploring ways to leverage these powerful cells to help manage symptoms for autoimmune conditions, including Rheumatoid Arthritis. 

As the cartilage between bones becomes inflamed and wears away, the joint and surrounding bone can become damaged, too. Mesenchymal stem cells (MSCs) can develop into bone and cartilage tissue, and when isolated and injected into affected joints, could help repair damage caused by RA. 

Since RA is an inflammatory disease, it can lead to health issues beyond joint damage. Systemic inflammation, fever, weight loss, muscle weakness, and diseases of the heart and lungs can also occur over time. For this reason, combatting the widespread inflammation that occurs with the disease is critically important. According to research, MSCs can control inflammation by increasing regulatory T cells (RTCs), which help to prevent the immune system from attacking healthy tissue. 

Additional study results have shown significantly lower levels of blood markers which indicate RA at one- and three-year intervals after stem cell therapy. In these trials, patients received intravenous infusions of MSCs to treat the systemic inflammation associated with RA. In addition to reduced body-wide inflammation, patients also experienced a reduction in symptoms and improvements in physical function. 

Although there still has yet to be a definitive cure for RA, stem cell therapy has been researched as a potential option to:

  • Reduce joint inflammation and stiffness
  • Increase range of motion
  • Improve energy levels and reduce fatigue
  • Minimize joint pain and swelling

For patients interested in exploring new treatment options, MSCs may enhance a patient’s quality of life and alleviate some of the condition’s most debilitating symptoms. Contact a Care Coordinator today for a free assessment!

Could Stem Cell Therapy Help Patients with Kidney Disease?

Could Stem Cell Therapy Help Patients with Kidney Disease?

More than one in seven U.S. adults is believed to have chronic kidney disease — or, roughly 15% of the population (37 million individuals). When they’re functioning properly, the kidneys remove waste from the body as well as excess fluids. In the case of patients with kidney disease, these organs become compromised and lose their ability to filter waste. 

In its earliest stages, kidney disease may not present any symptoms. Over time, however, waste builds up in the blood and can lead to compounding issues, such as anemia, increased risk of heart disease, and nerve damage. When the kidneys fail, a patient must receive dialysis or a kidney transplant. 

Dialysis is time-consuming and expensive. Typically, the treatment ranges in cost from $53,000 to $72,000 per year. And a kidney transplant – when a match is available – can total $400,000. Recently, however, researchers have begun exploring the potential of stem cell therapy to help kidney disease patients. 

While there are several potential root causes for kidney disease, one of the most common is diabetes. In fact, 75% of patients, diabetes, or high blood pressure were the primary diagnoses, and nearly half of all patients in end-stage kidney disease have diabetes.

Treating diabetic kidney disease is challenging, because not only does the condition affect the kidneys, but it also causes systemic issues throughout the body. The condition is sometimes treated by controlling blood pressure through specific drugs, but medications for addressing the other challenges associated with diabetic kidney disease haven’t shown strong results. 

Stem Cell Therapy for Kidney Disease

Regenerative Medicine, also known as stem cell therapy, has potential for those battling kidney disease. These powerful cells have anti-inflammatory properties, and can therefore help to control the widespread inflammation that takes place in diabetic kidney disease. When inflammation is controlled, the regeneration process can begin, helping to create healthy tissue and promote normal kidney functioning. Mesenchymal stem cells, in particular, appear to be especially promising for managing symptoms of kidney disease, according to early research. These cells are easily accessible and have powerful abilities to control inflammation. Clinical trials to test the efficacy of stem cells for kidney disease are ongoing. Researchers aim to understand the precise ways in which stem cells could benefit kidney disease patients, which will help inform treatment protocols. Although stem cell therapy is not a cure for kidney disease, it’s possible to help manage symptoms and may have the ability to reduce the frequency of dialysis sessions, which can ease the financial burden and time commitment for patients. Further research is needed, but some initial studies of stem cells for kidney disease shows promise in the regenerative medicine field. Contact a Care Coordinator today for a free assessment!

Stem Cell Therapy for COPD

Stem Cell Therapy for COPD

Chronic obstructive pulmonary disease (COPD) is a lung condition that makes it hard for patients to breathe. In COPD, small airways in the lungs thicken and lose their elasticity. People with COPD have shortness of breath, especially during physical activity. Patients with severe COPD may experience a more challenging quality of life. COPD patients may experience several exacerbations a year which require a stay in the hospital.

Patients with COPD typically need one or more inhalers a day. These inhalers help to open airways and, in some cases, decrease lung inflammation. Patients who also have bronchiectasis may need to take an oral antibiotic every day. During a COPD exacerbation, patients usually must receive powerful steroid treatments intravenously, routine breathing treatments, and supplemental oxygen.

People with COPD are more prone to lung infections, and so they usually receive IV antibiotics for pneumonia. Those who successfully stop smoking can help to prevent further lung damage, however, the inflammation and lung damage persists for a long time. Today, patients are seeking alternative therapies for COPD. Many are discovering regenerative medicine, also known as stem cell therapy, that may offer an incredibly promising therapy for COPD.

The lungs have a large number of naturally occurring stem cells that can restore function. For example, mice who lose half their lung capacity from experimental COPD survive, and natural stem cells within the lungs can restore their lungs to a natural state within 5 months. Unfortunately, humans with COPD cannot repair their lungs as quickly and as fully as mice can. This is why researchers are studying the use of stem cell treatment to restore lung function in patients with COPD.

Studies have shown that stem cells have the potential to help improve lung function. Stem cell treatment improved oxygen and carbon dioxide exchange, exercise tolerance, and cell injury in early studies.

One review did show that stem cell treatment is “safe and may improve patients’ condition and quality of life; however, larger-scale studies are needed to evaluate efficacy.” More research in humans is needed, but the pre-clinical (aka animal and laboratory) research in this area is quite promising.

Reference: Kokturk N, Yıldırım F, Gülhan PY, Oh YM. Stem cell therapy in chronic obstructive pulmonary disease. How far is it to the clinic?. Am J Stem Cells. 2018;7(3):56-71. Published 2018 Aug 1.

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