“Latest Stem Cells News”

The song “Take another little piece of my heart” by Janis Joplin has new meaning today as doctors in Los Angeles have taken Adult Stem Cells directly from a heart attack patient’s heart and used those stem cells to treat the patient in an adult stem cell research study.

As part of a Phase 1 clinical research study, Dr. Eduardo Marban, of Ceders Sinai Hospital, did a minimally invasive biopsy and took a piece of Kenneth Milles heart muscle after Kenneth had suffered a heart attack.

The piece of his heart was sent to a lab where the Adult Stem Cells were cultivated to produce millions of Kenneth’s heart stem cells. 4 weeks later, the stem cells were implanted back into Kenneth’s heart muscle. The goal to help regenerate the damaged heart tissue from the heart attack.

From the stem cell article:

“We seek to actually reverse the injury that has been caused by the heart attack, by re-growing new heart muscle to at least partially replace the scar that’s formed,” says Dr. Eduardo Marban of Cedars-Sinai Heart Institute.

Doctors are using stem cells, the body’s master cells, because they can transform into different kinds of tissue.

Marban says, “These cells that we’re putting in come from the heart itself, and are predestined to generate heart muscle and blood vessels.”

Other types of stem cells, like bone marrow, have been studied for heart repair, but with mixed results. Animal studies indicate heart stem cells do a better job. The problem is: the heart has so few stem cells that researchers have to grow more.

And they did grow more- doesn’t seem like that big a problem.   Hopefully the money for this problem came from the California taxpayers- at least that would be the first positive that ever came out of their stem cell funding- using heart stem cells to help people.  However, the cynic in me says that is not the case.  I’m guessing it was privately funded.

Kenneth was the first patient treated with this method and the results are not in yet.  However, why wouldn’t it work? The patient’s own Adult Stem Cells are used.  The patient has nothing to lose.

Incoming search terms:

Dr. Amit Patel of the University of Utah is reporting that 3 out of 3 heart disease patients have improved in the initial stages of his stem cell research trial in which the cardiomyopathy patients had their own Adult Stem Cells injected back into their heart in a minimally invasive surgical procedure.

Dr. Patel presented the initial data at the International Society for Cellular Therapy (ISCT) annual meeting in San Diego, California.  The clinical research trial is treating heart patients with both ischemic cardiomyopathy and non-ischemic dilated cardiomyopathy and then injecting them with their own Adult Stem Cells.  There is a control group in the study as well. Translation-  some patients are not getting the benefit of the stem cells and receive a placebo.

Initial Data of Patients Treated with Adult Stem Cells

Here are the results so far (from the stem cell article)-

• 3 cardiomyopathy patients who received their own stem cells were followed up at 3 months.  They all improved on their New York Heart Failure Classes- all 3 going from a Class III to a Class II.  In contrast 2 out of the 3 who didn’t get stem cells , did NOT improve.
• Overall quality of life scores (Minnesota Living with Heart Failure Questionnaire) improved in all 3 patients who received the stem cell therapy.  The physical and emotional well-being of all the patients who received the treatment also improved.  There was no consistent trend in the control group (the group that didn’t get the stem cells)

Millions Would Benefit With Use of Own Stem Cells

While these are positive results and I am happy for these patients, there are thousands of cardiomyopathy patients who are not able to receive this stem cell treatment.  Dr. Kit Arom of Vescell in Thailand, a former associate of Dr. Patel, is now treating these exact same patients with their own stem cells and none of these dilated cardiomyopathy and heart attack patients are in a “control” group ie. they are getting the exact same procedure and getting their own Adult Stem Cells that Dr. Patel’s trial is doing (sucessfully).

Dr. Kit Arom has been treating heart disease patients in Thailand since 2005 with this exact same procedure- and the USA has just done 3??? Is something wrong here?

The Debate on Stem Cell Research – A Smokescreen?

While there is the endless debate on Embryonic Stem Cell research vs. Adult Stem Cell research, is the debate just some  clever smokescreen thrown up by the drug companies, FDA, and cardiologists, none of whom will benefit from heart (or name your disease)  patients using their own Adult Stem Cells to help themselves?  Is this stem cell debate just a means to slow down the use of the patient’s own cells?  Remember, there are no side effects from using your own stem cells, either they help (most of the time) or they don’t (no harm done).

Are people getting so caught up on the stem cell research issue that we are ignoring the patients who are in need of help right now?  Are we so intent on 100% “cures” that we ignore stem cell treatments that are not “cures”, but do indeed help improve the quality of lives of the majority of patients right NOW.   I’m sure the patients who improved in the stem cell heart study above are very happy with their results.  Are their hearts 100% perfect now?  No,  it wasn’t a “cure”.  Does that mean it isn’t good enough?

Why do we have to go for the homerun on every at bat, when a patient would be grateful for a single or double?  Would Michael J Fox be happy if his Parkinson’s symptoms subsided for 5 years like this gentleman?  Or, I’m sure the heart patients are pleased that instead of getting short of breath from getting the mail, that they are probably now able to walk around their local mall with their loved ones.

I see endless articles and letters to the editor that support this research or that research, but rarely do I see an article or letter promoting USING the only treatment that works now- Adult Stem Cells.  In the end, with all this hoopla, we end up forgetting about what should be the reasons for the debates and research in the first place- the patients.

Incoming search terms:

For patients who suffer a major heart attack, get treatment at the hospital but are left with a damaged heart, Dr. Roger Gammon of the Heart Hospital of Austin is testing a new process to reverse that damage.

Just as a Houston hospital is investigating stem cells to repair the brains of stroke patients (see yesterday’s blog), the Heart Hospital is trying out a new stem cell therapy to fix the hearts of patients who suffered their first attack.
It is one of the nation’s first hospitals to test the new therapy.

Gammon, an interventional cardiologist, is leading the clinical trial in which patients are injected with donated adult stem cells from the bone marrow of others. The stems cells are purified by Osiris Therapeutics, Inc., which markets them as a product called Prochymal. Osiris is financing the research project, which is being done in the gold-standard way: Half of the patients are getting stem cells, and half are getting a placebo (a harmless product that looks the same). The researchers and patients don’t know which patients are getting the stem cells and which one aren’t.

Incoming search terms: