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Medical Specialties / Regenerative Medicine


The Potential of Mesenchymal Stem Cells for Neural Repair

Abstract: Developing effective therapies for serious neurological insults remains a major challenge for biomedical research. Despite intense efforts, the ability to promote functional recovery after contusion injuries, ischemic insults, or the onset of neurodegenerative diseases in the brain and spinal cord remains very limited even while the need for such therapies is increasing with an aging population. Recent studies suggest that cellular therapies utilizing mesenchymal stem cells (MSCs) may provide a functional benefit in a wide range of neurological insults. MSCs derived from a variety of tissue sources have been therapeutically evaluated in animal models of stroke, spinal cord injury, and multiple sclerosis. In each situation, treatment with MSCs results in substantial functional benefit and these pre-clinical studies have led to the initiation of a number of clinical trials worldwide in neural repair. ... Read more

Antioxidant Drugs for Treating Beta-cell Oxidative Stress in Type 2 Diabetes: Glucose-centric Versus Insulin-centric Therapy

Abstract: Mainstays of therapy for type 2 diabetes involve drugs that are insulin-centric, i.e., they are designed to increase insulin secretion and decrease insulin resistance. The usual clinical course for people so treated is to have initially improved glycemic control but over time a need for intensification of drug-based treatment of hyperglycemia. The mechanism for this unrelenting deterioration of β-cell function is related to chronic oxidative stress. This suggests that drug discovery should not exclusively focus on insulin-centric targets, but also include glucose-centric strategies, such as antioxidant protection of the β-cell. This may facilitate repair of β-cells undergoing damage by oxidative stress secondary to chronic hyperglycemia. ... Read more

Two Decades of Clinical Gene Therapy – Success Is Finally Mounting

Abstract: Human gene therapy has made substantial progress since the initiation of the first clinical trials 20 years ago. Here, we summarized important applications of gene transfer protocols in the treatment of various human diseases using different viral vectors. Recent successful trials on the treatment of ocular diseases and inherited immune deficiencies are particularly encouraging and have raised hopes that human gene therapy as a standard treatment option will finally become a reality. While immune responses and insertional mutagenesis pose obstacles for this novel form of molecular medicine, continuous progress suggests that a wider range of diseases can be treated with gene therapy in the future. ... Read more

Role of Platelet-derived Microparticles in Angiogenesis and Tumor Progression

Abstract: Platelets are key players in hemostasis, but are also involved in fundamental processes of vascular biology such as angiogenesis, tissue regeneration, and tumor metastasis. Microparticles (MP) are small plasma membrane vesicles shed from cells upon their activation or apoptosis. Platelet-derived microparticles (PMP) constitute the majority of the pool of MP circulating in the blood. In this review we will summarize some possible roles of PMP other than participation in blood coagulation. PMP can express and transfer functional receptors from platelet membranes, increase expression of adhesion molecules on cells, stimulate the release of cytokines, activate intracellular signaling pathways, alter vascular reactivity, induce angiogenesis, and are involved in cancer metastasis. The role of PMP in cancer development is unknown but a high PMP level is highly correlated with aggressive tumors and a poor clinical outcome. It has been reported that PMP can stimulate proliferation and adhesion of cancer cells. Given their documented association with pathological conditions, PMP may serve as biomarkers for disease status or as a possible new target for anti-platelet drugs to treat cancer or inflammation. On the other hand, local PMP application may be found useful for developing novel therapeutic strategies targeting angiogenesis-related conditions. ... Read more

A New Mechanism of Blood Vessel Growth - Hope for New Treatment Strategies

Abstract: Growth of new blood vessels (angiogenesis) is essential for embryo development as well as for wound healing and progression of a number of diseases such as cancer, inflammatory conditions, eye diseases, psoriasis, and rheumatoid arthritis in the adult. Current paradigms explain blood vessel growth entirely by sprouting angiogenesis or by vessel splitting through so called intussusceptive angiogenesis. However, these mechanisms are mainly derived from experiments on the developing embryo while less is known about angiogenesis in the adult during, e.g., wound healing, tumor growth, and inflammation. Recently we showed that blood vessel growth in the adult can be induced and directed by mechanical forces that naturally develop during healing or remodeling of tissues. In contrast to sprouting and intussusception, the new biomechanical hypothesis assumes that functional blood vessels are passively translocated which, if found generic, may drastically change the approach for developing anti- and pro-angiogenic therapies in the treatment of a variety of diseases. ... Read more

In Search of Novel Treatments for Peripheral Neuropathies and Nerve Regeneration

Abstract: Currently, we do not have effective therapies aimed at preventing or reversing axonal degeneration seen in peripheral neuropathies. Drug development programs should be aimed at understanding mechanisms of distal axonal degeneration and take into account the critical role Schwann cells play in axonal maintenance and nerve regeneration. ... Read more

New Hope for Diabetics: Adult Blood Stem Cells Can Make Insulin

Abstract: Human blood stem cell-derived insulin-producing cells can be easily isolated from autologous blood based on their unique phenotype. They act as pancreatic islet beta-cell progenitors, as demonstrated by authentic insulin production and homing to diabetic pancreatic islets. Clinical application of these autologous blood-derived insulin-producing cells holds great promise for diabetic treatment. ... Read more

Turning "Waste" Into Gold: Identification of Novel Stem Cells From Human Umbilical Cord Blood

Abstract: Due to ethical concerns, human embryonic stem cells have limited availability and practical usefulness. Adult stem cells are present within tissues of adult organisms and are responsible for cell turnover or repopulation of tissues under normal or exceptional circumstances. Multi-potent stem cells have been isolated from the umbilical cord blood and they offer promising therapeutic potentials. ... Read more

Regenerative Medicine: Stem Cell Research Turns to the Spleen

Abstract: The spleen has been considered by some as a dispensable organ. However, recent research findings suggest that the spleen is an important stem cell reservoir. The spleen kicks in to help with many biological emergencies wherein a new source of cells is necessary. It is especially noted that stem cells of the spleen migrate to the pancreas and differentiate into insulin-producing islet cells and help relieve the symptoms of diabetes. ... Read more

Cardiac Regeneration With Novel Bone Marrow-derived Multipotent Stem Cells

Abstract: Human adult bone marrow-derived multipotent stem cells (BMSC) can grow to become virtually any cell type, under the right conditions. Heart muscle cells differentiated from BMSC are shown to be able to repair lesions caused by a heart attack. ... Read more

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