GREAT BRITAIN – Artificial type 0 blood thanks to embryonic stem cells

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After making news on several occasions, scientists may have made a definitive breakthrough, with the first possible transfusion using blood obtained from embryonic stem cells possibly coming within the next three years. The transfusion would be done with type O blood, which can be donated to any patient, and would be obtained by researchers using excess embryos from assisted fertilization. The project, which will be led by Marc Turner of Edinburgh University, will also receive contributions from the Transfusion and Transplant Service of the British National Health Service, as well as the same department and Scotland, and the Welcome Trust, a large charitable group for medical research. The story was reported by the Independent and immediately created controversy and distorted information.

“This isn’t just talk, this time it is a serious breakthrough, and the group behind the project is very serious,” said Professor Carlo Alberto Redi, the scientific director of the IRCCS (Hospital and Medical Treatment) Foundation of the San Matteo General Hospital in Pavia, commenting on the story. Redi emphasized that the capability for the regeneration of the hematopoietic progenitor cells in vitro is well-known and the time is right for real blood to be created, with the term artificial blood no longer appropriate. “When the term synthetic blood is used, people imagine silicone blood, when in reality, in all effects, this is real blood,” said Redi.

IT CANNOT REPLACE BLOOD DONATIONS

The blood that the British researchers plan to use in human treatments in the next three years will only “support and complement” blood donation. Giuseppe Novelli, a geneticist of the University of Rome Tor Vergata, commenting to Adnkronos Salute, was less optimistic. “This is only an announcement, and it seems premature to talk about a victory. This research is starting off well because it has millions in financing and is based on evidence that is very hopeful. But we are only talking about one piece of a very complex puzzle.”

The puzzle, in this case, is represented by the blood that runs through our veins and arteries, “made up of red and white blood cells, platelets, and plasma,” said Novelli. “It is a very complex liquid, which carries out an essential function in our body.” The British study which is currently being launched “is limited to red blood cells, which are certainly not able to resolve all of the problems with transfusions”. The British studies are also developing type O negative blood, a group that is able to donate to any patient without any risk of rejection. “This is blood that can be used, and is used, only in case of emergency.” Novelli continued to say that “the new blood will not be able to replace real blood donation, and I don’t want these announcements to inhibit people from donating blood, or make them underestimate the value or the importance blood donation”.

As for an estimate on how much time it will take to create a synthetic blood that will resolve all problems linked to a lack of donations, Novelli said: “I’m not a magician! Science needs realism, and predictions cannot be made for this type of study. Certainly,” he concluded optimistically, “the progress made with stem cells in the past 12 years since their discovery is a great cause for hope”.

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Correcting Sickle Cell Disease With Stem Cells

Correcting Sickle Cell Disease With Stem CellsUsing a patient’s own stem cells, researchers at Johns Hopkins have corrected the genetic alteration that causes sickle cell disease (SCD), a painful, disabling inherited blood disorder that affects mostly African-Americans. The corrected stem cells were coaxed into immature red blood cells in a test tube that then turned on a normal version of the gene.

The research team cautions that the work, done only in the laboratory, is years away from clinical use in patients, but should provide tools for developing gene therapies for SCD and a variety of other blood disorders.

In an article published online August 31 in Blood, the researchers say they are one step closer to developing a feasible cure or long-term treatment option for patients with SCD, which is caused by a single DNA letter change in the gene for adult hemoglobin, the principle protein in red blood cells needed to carry oxygen. People who inherited two copies — one from each parent — of the genetic alteration, the red blood cells are sickle-shaped, rather than round. The misshapen red blood cells clog blood vessels, leading to pain, fatigue, infections, organ damage and premature death.

Although there are drugs and painkillers that control SCD symptoms, the only known cure — achieved rarely — has been bone marrow transplant. But because the vast majority of SCD patients are African-American and few African-Americans have registered in the bone marrow registry, it has been difficult to find compatible donors, says Linzhao Cheng, Ph.D., a professor of medicine and associate director for basic research in the Division of Hematology and also a member of the Johns Hopkins Institute for Cell Engineering. “We’re now one step closer to developing a combination cell and gene therapy method that will allow us to use patients’ own cells to treat them.”

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Red blood cells created from IVF embryos

NHS National Services ScotlandBritish scientists have created human red blood cells from spare embryonic stem cells, a major breakthrough they claim could soon pave the way for production of synthetic ‘O-negative‘ blood for medical transfusions.

The red blood cells have been produced from stem cells from spare IVF embryos as part of a three-billion-pound project to develop an alternative source of O-negative blood, the universal donor group which can be transfused into people without fear of rejection, ‘The Independent’ reported.

In their research, the scientists used more than a 100 spare embryos left over from treatment at fertility clinics to establish several embryonic stem cell “lines“. A line, RC-7, was transformed into blood stem cells before being converted into red cells containing oxygen-carrying haemoglobin.

Prof Marc Turner, the Director of the Scottish National Blood Transfusion Service in Edinburgh and leader of the project, said that synthetic blood made on an industrial scale would overcome the problem of blood shortages and risk of transmitting new infections between donors and recipients. “We’ve proved the principle that from these embryonic stem cell lines we can generate red blood cells.

“At the end of this three-year period we would envisage generating up to one unit (a pint) of red cells from embryonic stem cells at clinical grade which fulfil all the in vitro characteristics of red cells,” Prof Turner was quoted as saying.

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ITALY – More reactions on blood produced from embryonic stem cells

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The subject of producing artificial blood from stem cells has become a hot topic in Italy. “Italy is close to reaching the same objective announced by British researchers, on a similar timeframe,” therefore possibly in three years, “but using adult stem cells. Certainly, it is one thing to say that in three years we will begin the experimental phase, it’s another thing to speak about industrial production. It needs to be specified that the procedure to produce artificial blood is very expensive. Therefore this would be a complementary solution, which will not replace donations,” Said Welfare Undersecretary Ferruccio Fazio, shortly after an announcement of a British study, during a meeting on blood transfusion by the Health Observatory in Rome.

“I would like to calm the enthusiasm after the announcement of the British study,” said Fazio. “There are Italian research groups that are doing very advanced projects on adult stem cells to produce artificial blood. The Italian way was also chosen by the US Armed Forces,” he specified. “We are working on adult stem cells also for long-term sustainability. There is also a collaboration in place between the Mayo Clinic in America and researchers of the Superior Institute of Health (ISS),” he added. “Therefore Italy is not behind in this sector. “This is a very expensive procedure though, which will never substitute donation,” confirmed Fazio.

Furthermore, the upcoming conference of the federal government and the regions should examine a provision “that proposes financing in all of the Italian regions for umbilical cord biobanks starting in 2009. This is something,” pointed out Fazio, “that will aid in research on blood from adult stem cells”. While labs in Italy have worked for years, Giuliano Graziani, the director of the national blood centre pointed out that “the production of artificial plasma will be extremely expensive. We are not disputing the importance of donating blood. Research like the British study is ongoing throughout the world. There are important studies,” he said, “whose results are not right around the corner, and which will never replace the key role of donations”.

“In addition to unacceptable ethical implications, this research has not demonstrated anything yet,” commented geneticist Bruno Dallapiccola regarding the announcement of several British researchers, published recently on the online edition of the Independent regarding the possibility of producing blood by using embryonic stem cells.

“There are no official results yet,” said the scientist in an interview with Vatican Radio, “and none of this research has been transferred to patients. Then,” he added, “rather than reading these results in the Independent, it would be appropriate to see them published in a scientific journal with critical revisers able to judge their basis.”

In the meanwhile, the geneticists said that embryonic stem cell research aimed at curing diseases like Parkinson’s or Alzheimer’s “have not given any results yet”. A group of British researchers said that they will be able to obtain, within three years, an unlimited quantity of red blood cells from unused human embryos.

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A miraculous Stem Cell transplant

A breakthrough was achieved recently in the case of an 18 year old boy, a case of advanced stage of Aplastic anemia where stem cells of not one but three donors were used to treat him. This spectacular feat was achieved by the doctors at The Netaji Subhash Chandra Bose Cancer Research Institute (NSCBCRI) Kolkata.

18 year old Aman, student of class 12, fainted in school. He was diagnosed for Aplastic Anemia, a disorder where the bone marrow stops producing red blood cells and platelets. He was treated in many hospitals, but no amount of blood transfusions or ‘immuno-suppressant’ medication could help.

Dejected and depressed, Aman’s parents had almost lost their son when they happened to read a news report by chance. The doctors at NSCBCRI had successfully conducted an SCT to treat Aplastic anemia. . “I wanted to live on, and my parents saw a ray of hope, ”said Aman.
With recent advances in medicine the use of stem cells have been very effective in treating Diabetes milletus, Parkinson’s diseases, cancer, leukemia and Aplastic anemia .

They have been very effective in Bone marrow transplantation
Aman was rushed to Kolkata, but by then his condition had deteriorated. The doctors realized that only a multiple- unit SCT could save him. Overruling the risks they conducted the transplant which took three days.

With 50% chances of risk involved in a single unit SCT, the doctors had a bigger risk at hand, but a similar case conducted successfully in Seattle gave them the courage.
Today Aman Khandelwal is recouping. Thanks to the courage, confidence and competence of the doctors who treated upon him.

from http://www.beviga.com/1401/stem-cell-transplant-a-miracle/

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