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Landmark windpipe transplant uses patients stem cells

(Boulder, CO) – New research published in BioMedicine shows the use of stem cells and bone marrow derived from patients who suffer from a degenerative bone disease could lead to a novel type of windpipe transplant that can restore the ability to breath and move freely for patients with lung cancer.

The research was published online May 24 in BioMedicine.

The transplantation technique could lead to the development of a safer and more effective means for patients suffering from bone or joint loss.

The patients who were treated with stem cells and bone marrow from stem cell donation or from stem cells obtained from bone marrow donor marrow had a 100 percent survival rate during 10 weeks of stem cell transplants, according to study co-senior investigator Dr. Andrew C. Cosslett.

The study is the first to demonstrate that a stem cell transplant could yield more effective outcomes. Researchers also hope that the transplant technique would help improve the health of some patients who have the bone marrow disease.

"The current situation requires stem cells from patients who already have bone marrow transplants on their way to the patients who have cancer. However, many of these transplants are done on patients who are already dying, so the need for bone marrow transplantation cannot be discounted," said Cosslett.

"It is important to take a realistic perspective about bone marrow stem cells, so we do not assume bone marrow stem cells are 100 percent capable of carrying the patient's stem cells."

The researchers studied 18 patients with bone marrow stem cells that had been transplanted, which included 14 patients who underwent the transplant procedure and another 11 patients who did not receive bone marrow transplants, either because of a medical reason or lack of interest in them.

In the treatment of patients who were unable to receive stem cells in the bone marrow transplant, the researchers focused on two primary goals: 1) to prevent bone marrow stem cells from breaking down into their own waste and becoming "waste" and unusable, which may be present in some bone marrow transplants and 2) to decrease and eliminate these cancer-causing waste products that could make it into the bloodstream during transplantation.

The researchers used an advanced bioreactor to convert bone marrow stem cells from these patients into cells that were suitable for transplant. To achieve this, the researchers separated the bone marrow stem cells into cell homogenates and isolated the various components.

For this study, the cells were cultured on a surface cell culture medium to prevent the cells from breaking down and becoming waste products, in a highly enriched culture environment. The cells were then infused into each wound site to maintain a natural culture environment during wound healing.

For the study, the investigators also treated six normal subject

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