Stem cell basics
Cord blood banking
Stem cell therapy explained
Stem cell therapy explained
This lesson will introduce you to how stem cell therapy works, their potential drawbacks and currently available sources of stem cells.
Stem cell therapy describes the use of stem cells to treat or prevent diseases. Scientists have been using hematopoietic stem cell for over 60 years to treat blood disorders and diseases of the immune system. Hematopoietic stem cells are stem cells give rise to other blood cells and immune cells in our bodies.
Hematopoietic stem cells therapies that are currently in use can be broadly categorized into two groups: allogeneic stem cell therapies and autologous therapies. Allogeneic stem cell therapy involves collecting healthy stem cells from a donor and transplanting them into a patient as a treatment option.
Autologous stem cell therapy involves replacing the stem cell of a patient with his or her own healthy stem cells. For example, when autologous transplants are used to treat cancer healthy stem cells stem cells are collected and extracted from a patient prior to chemotherapy. Following chemotherapy, damaged stem cells are replaced with the patients’ own healthy stem cells.
According to a survey done by Worldwide Network for Blood and Marrow Transplantation Group in 2012 about 47% of hematopoietic stem cell transplants involved allogeneic stem cell transplant. This means before a patient can be treated you have to find a matching donor to provide with a healthy stem cell sample.
The initial stages of an allogeneic transplant involves taking stem cell samples from a donor either using a blood sample or in a majority of the cases a sample from the bone marrow.
In the next step, stem cells from these samples are purified using specialized antibodies. These selected stem cells are further processed before being transplanted or infused into a patient.
However, there are some of the limitations associated with allogeneic stem cell therapy.
First it is necessary to find a matching donor, a step that can be extremely difficult. Even when a matched sample is used there is a high risk of rejection due to graft versus host disease. This is a case where the immune system of the patient recognizes the transplanted cells as being foreign and starts attacking them. In addition, bone marrow donation involves surgery it is a surgical procedure, which is invasive even for the donor.
The final point to consider is that the age of the donor may be relevant because even stem cells age. Studies have compared stem cells from young versus younger donors and noticed significant differences in robustness these samples. Visit our lesson on stem cells and aging to learn more about this topic.
We will end this lesson by highlighting potential stem cell sources that are available for cell therapies: adult stem cells, induced pluripotent cells and newborn stem cells.
Adult stem cells can be isolated from the bone marrow and a variety of other tissues. Isolating adult stem cells can be difficult because the number of stem cells in our body decrease as we age.
Induced pluripotent stem cells (iPS) are being widely explored in the lab. These are stem cells made in the lab by reverse engineering adult cells. IPS cells have contributed to revolutionary discoveries involving stem cells in the lab, however the safety and efficacy of using them for cell therapy remains to be established.
Cord blood and cord tissue are sources of newborn stem cells. The main limitation here is that these stem cells can only be collected at birth. Given that many clinical trials around the world are exploring the possibility of using stem cell therapy to treat a number of prevalent diseases such as diabetes, Alzheimer’s, Osteoporosis and arthritis,by choosing to saving newborn stem cells today can improve a child’s chance of having access to these revolutionary stem cell therapies that become available in their lifetime.
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