Umbilical cord blood can help metabolic disorders

lraynak

Pioneer Founding member
Umbilical cord blood transplants, even from unrelated donors, can help save the lives of babies born with certain inherited metabolic disorders, U.S. researchers reported on Monday. Usually, bone marrow transplants are the only option for such infants, who can die from organ failure and early death. Bone marrow transplants can be difficult to get and donors are rare. Umbilical cord blood, however, can be donated with every birth and also contains immature cells known as stem cells that can restore missing or damaged cells in a patient. Stem cells are the body's master cells and there are several kinds. Stem cells from the bone marrow or cord blood are partly differentiated, or transformed, and can be used to restore the immune systems of patients undergoing cancer treatment, for example.
Dr. Vinod Prasad and colleagues at Duke University in North Carolina studied 159 children with inherited metabolic disorders who received transplants of cord blood from unrelated newborns at Duke between 1995 and 2007. "We saw that there were advantages to the unrelated cord blood transplant," Prasad said in a statement. "For instance, cord blood is more readily available than bone marrow and there was a decreased risk of complications, including a lower incidence of serious and potentially fatal graft-versus-host disease, which occurs when donor cells perceive a recipient's tissues and organs as foreign."
Speaking to an American Society of Hematology meeting in Atlanta, Prasad said more than 88 percent of patients who got cord blood transplants before they began to show too many symptoms of illness lived for at least a year. "One reason for this could be the cord blood cells are immunologically more naive than the blood-forming stem cells derived from bone marrow and therefore they may be more adaptable and less reactive once they get into the patient's body," he said.
One metabolic disease Prasad's team treated is Krabbe disease, also known as Krabbe leukodystrophy, which affects the nervous system. Another is Hurler disease, which affects the heart, liver and brain. "These disorders are rare when taken individually -- some of them occur in only one in a million births -- but if you put them together they have a sizable incidence, maybe 1 in 10,000 births," Prasad said.
Yahoo News ? 12-10-07
PS - These are the cells we received with our treatment. L Raynak
 

cellmedicine

New member
Cord blood stem cell therapy, do we need immune suppression

It may be of interest that while a lot of great scientific and medical advances are being performed with cord blood transplantation, we have to keep in mind that the myeloablative conditioning regimens that are currently used still possess a high degree of danger.

Interestingly for some conditions cord blood transplants have been made without myeloablation. For example in India there are numerous publications about such transplants.

We have recently published a paper reviewing the science behind cord blood transplantation and the immunology of non-immune suppressed transplants. It may be of interest...here is the abstract

J Transl Med. 2007 Jan 30;5:8. Links
Cord blood in regenerative medicine: do we need immune suppression?Riordan NH, Chan K, Marleau AM, Ichim TE.
Medistem Laboratories Inc, Tempe, Arizona, USA.

Cord blood is currently used as an alternative to bone marrow as a source of stem cells for hematopoietic reconstitution after ablation. It is also under intense preclinical investigation for a variety of indications ranging from stroke, to limb ischemia, to myocardial regeneration. A major drawback in the current use of cord blood is that substantial morbidity and mortality are associated with pre-transplant ablation of the recipient hematopoietic system. Here we raise the possibility that due to unique immunological properties of both the stem cell and non-stem cell components of cord blood, it may be possible to utilize allogeneic cells for regenerative applications without needing to fully compromise the recipient immune system. Issues raised will include: graft versus host potential, the immunogenicity of the cord blood graft, and the parallels between cord blood transplantation and fetal to maternal trafficking. The previous use of unmatched cord blood in absence of any immune ablation, as well as potential steps for widespread clinical implementation of allogeneic cord blood grafts will also be discussed.
 
Top