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luni, 12 decembrie 2011

Pluripotent Stem Cells From Pigs May Be Safer Than Previously Thought

Main Category: Stem Cell Research
Also Included In: Pharma Industry / Biotech Industry;  Cancer / Oncology;  Stroke
Article Date: 12 Dec 2011 - 1:00 PST

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Pig stem cell research conducted by two animal scientists at the University of Georgia reveals a better way to determine the safety of future stem cell therapies than rodent-based models.

Rodent studies are likely inadequate for testing many human therapies - including pharmaceuticals - since 50 percent of all chemicals test positive as carcinogens in rodents regardless of their source or identity, according to Thomas Hartung, a professor in the Bloomsburg College of Public Health at Johns Hopkins University. He suggests these rodent studies may be no better than a coin toss. For example, some components in coffee appear to be carcinogenic in rodents, but in humans moderate coffee consumption may reduce the risk of cancer.

In 2010, UGA faculty Steve Stice and Franklin West introduced 13 pigs that have shown promise in unlocking the path to new therapies. The pigs recently produced another positive finding: These adult-cell-sourced stem cells don't form tumors in pigs.

"Pluripotent stem cells have significant potential for stem cell therapies," said West, an animal science researcher and assistant professor in the UGA College of Agricultural and Environmental Sciences. "However, tests in mice often resulted in tumor formation that frequently led to death."

The formation of tumors has raised concerns about the safety of induced pluripotent stem cells, or iPSCs, and cells derived from these stem cells. Until now, all iPSC safety studies have been performed in rodent models.

"To address the concern, our research team studied tumor formation in pigs generated from pig iPSCs," West said. "Brain, skin, liver, pancreas, stomach, intestine, lung, heart, kidney, muscle, spleen and gonad tissues from all 11 pigs tested showed no evidence of tumors."

The absence of tumor formation in these pigs suggests that iPSCs can safely incorporate into tissues without tumor formation.

"Being able to safely use iPSCs without the potential of causing tumors is essential for this promising stem cell therapy to become a viable treatment option," said Stice, a Georgia Research Alliance Eminent Scholar in the College of Agricultural and Environmental Sciences. "We now have graduate students working on making neural cells from the human and pig stem cells to help further the studies. The human stem cells were effective in a rodent model for stroke, but rodent studies are not rigorous enough to start human clinical trials."

West agrees. "Over 700 drug treatments have gone to human clinical trials for stroke alone based on findings in rodents and have turned out not to be viable in humans," he said. "The pigs are much more human like, and they are going to be a much better model to study strokes."

West is leading a cooperative project between the UGA Regenerative Bioscience Center and stroke researchers at Georgia Health Sciences University. "This project will improve the speed and efficiency of treatment development for stroke and many other conditions and potentially reduce the number of nonhuman primates used in research," he said.

Additionally, Stice and West have now bred the pigs produced from iPSCs and have proven the stem cells did pass to the offspring. This finding opens the door for better animal-sourced tissue for human regenerative medicine such as islet cells that produce insulin for diabetic patients.

Using iPSC technology, the UGA Regenerative Bioscience Center is working with researchers at Emory University to make pigs whose cells from the pancreas would demonstrate decreased rejection in human treatments.

"The next step would be to put these pig insulin-producing cells into other animals, potentially dogs or cats suffering from diabetes - to see if it will produce insulin for them without being rejected," Stice said. "So, it's moving forward. Never as fast as we like, but it's moving."

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our stem cell research section for the latest news on this subject. Their research results were published in the October issue of Stem Cells. For an abstract of the study, see http://www.ncbi.nlm.nih.gov/pubmed/22039609.
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joi, 8 decembrie 2011

Burden Of Injury In The UK Is 2.6 Times Higher Than Previously Thought

Main Category: Public Health
Article Date: 08 Dec 2011 - 0:00 PST

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When using data and information derived from patient experiences, combined with additional morbidity data on patients treated in emergency departments and those admitted to hospital, the absolute burden of injury in the UK is much higher than previously estimated, according to a study published in this week's PLoS Medicine.

The authors of the study, led by Ronan Lyons from Swansea University, in Wales, UK, say: "Whilst considerable uncertainties remain, our best estimate is that injury-related DALYs [disability-adjusted life years] are 2.6 times greater than previously thought, and even if we accept a very conservative approach of assuming no residual disability in all losses to follow-up the population estimate would be 1.6 times earlier estimates."

Furthermore, the authors also found that the vast majority of injuries were unintentional and that the home was the most frequent location of injury.

The authors recruited patients aged over 5 years with a wide range of injuries (including fractures and dislocations, lacerations, bruises and abrasions, sprains, burns and scalds, and head, eye, chest and abdominal injuries) from hospitals in four English cities - Swansea, Nottingham, Bristol, and Guildford - between September 2005 and April 2007.

In the four study sites, a total of 1,517 injured people (median age of 37.4 years and 53.9% male) participated in the study. Using the data and information collected from patient questionnaires about their injuries and the effect on their lives, the authors found that in 2005, there were an estimated 750,999 injury-related hospital admissions, 7,982,947 emergency department attendances, and 22,185 injury-related deaths, translating to a rate per 100 000 of 1,240, 13,339, and 36·8 respectively. Putting all the information together, the authors estimated that the disability life adjusted years (DALYs) related to injury was 1,771,486 in 2005.

The authors say: "Whilst this study was carried out in the UK, the principal findings are relevant across the globe." They continue: "Our results suggest that if the pattern of underestimation seen in the UK was mirrored across the world then injuries may account for up to a quarter of global DALYs rather than a sixth as previously estimated...undoubtedly the global proportion of DALYs from injury is larger than previously estimated."

The authors conclude: "There is already evidence that policy and research responses to injury are grossly inadequate, based upon the previous estimates of the burden."

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our public health section for the latest news on this subject. Funding: This work is based on independent research commissioned and funded by the Policy Research Programme in the Department of Health (reference number 0010009: Moving from Observation to Intervention to reduce inequalities in injuries, http://www.dh.gov.uk/en/Aboutus/Researchanddevelopment/Policyresearchprogramme/D H_533). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing Interests: DK's research is/has been funded by the NIHR, The Department of Health, the MRC, the US Dept of Health and Human Services, the Nottinghamshire, Derbyshire and Lincolnshire Research Alliance. Nottingham Fire and Rescue Service, the Royal Society for the Prevention of Accidents, the European Commission, the Office of the Deputy Prime Minister and the Royal College of General Practitioners. DK was a co-opted member of the National Institute for Health and Clinical Excellence guideline development group for public health guidance 29 - strategies to prevent unintentional injury in children aged under 15 years and provided expert testimony to the guideline development group on inequities in child injury. All other authors have declared that no competing interests exist.
Citation: Lyons RA, Kendrick D, Towner EM, Christie N, Macey S, et al. (2011) Measuring the Population Burden of Injuries—Implications for Global and National Estimates: A Multi-centre Prospective UK Longitudinal Study. PLoS Med 8(12): e1001140. doi:10.1371/journal.pmed.1001140
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8 Dec. 2011. APA

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