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New England Journal of Medicine editors plan to push importance of embryonic stem cell research



Stem cells derived from the central nervous system don’t trigger an immune response
  
August 1, 2003
  
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Tandem BMT Meetings
Feb 13 - 17, 2004
Orlando, Florida

 

Last Month's Poll Results

What’s your opinion? Is collaboration among transplant centers in the United States keeping pace with those in Europe and elsewhere?
 
Yes, by and large.
 
13%
No, but I’m hopeful and I expect we’re going to see more collaborations among U. S. centers.
 
46%
No, and I don’t see much likelihood of things changing in the near future. 40%

 
ASBMT Monthly Poll
If you were writing policy for manuscript reviewers, how would you handle potential and actual conflicts of interest?
A reviewer with a duality of interest should always be excluded from evaluating a manuscript.
A reviewer’s duality of interest may be acceptable, as long as it is fully disclosed to the reader.
Some dualities of interest are more relevant than others. Decisions about the suitability of a reviewer should be made on a case-by-case basis.

view results

 
Calendar
• August
American Society for Cell Biology (ASCB)
Signal Transduction Determining the Fate of Stem Cells

Aug. 9-12
Montana State University
Bozeman, Montana

• September
International Society for Cellular Therapy (ISCT)
3rd Annual Somatic Cell Therapy Symposium: Regulatory Issues for Scientists and Clinicians
Sept. 13-15
Chesapeake Bay Hyatt
Cambridge, Maryland

U.S. Centers for Disease Control and Prevention (CDC)
2003 Cancer Conference

Sept. 15-18
Marriott Marquis Hotel
Atlanta

Federation of European Cancer Societies (FECS)
ECCO 12

Sept. 21-25
Bella Center A/S
Copenhagen, Denmark

Asian Society of Transplantation (AST)
8th Congress

Sept. 23-27
Shangri-La Hotel
Kuala Lumpur, Malaysia

• October
American Society for Blood and Marrow Transplantation (ASBMT)
(with the International Society for Cellular Therapy)
3rd Annual Meeting on Mesenchymal and Nonhematopoietic Stem Cells

Oct. 19-21
New Orleans

American Society for Histocompatibility and Immunogenetics (ASHI)
29th Annual Meeting

Oct. 28-Nov. 1
Fontainebleau Hilton
Miami Beach, Florida

• November
American Association of Blood Banks (AABB)
56th Annual Meeting

Nov. 1-4
San Diego, California

American Society of Human Genetics (ASHG)
53rd Annual Meeting

Nov. 4-8
Los Angeles Convention Center
Los Angeles

National Marrow Donor Program (NMDP)
Council Meeting

Nov. 14-16
Minneapolis

European Society for Gene Therapy (ESGT)
11th Annual Meeting

Nov. 14-17
Edinburgh International Conference Centre
Edinburgh, Scotland

• December
American Society of Hematology (ASH)
45th Annual Meeting

Dec. 6-9
San Diego Convention Center
San Diego, California

American Society for Cell Biology (ASCB)
43rd Annual Meeting

Dec. 13-17
Moscone Convention Center
San Francisco, California

2004
American Society of Transplantation (AST)
8th Annual Winter Symposium

Jan. 15-18
Westin Kierland Resort
Scottsdale, Arizona

6th International Congress on New Trends in Immunosuppression
Feb. 5-8
Salzburg Congress Centre
Salzburg, Austria

2004 Tandem BMT Meetings
(Combined ASBMT and IBMTR/ABMTR annual meetings)

Feb. 13-17
Coronado Springs Resort
Orlando, Florida

2005
2005 Tandem BMT Meetings
(Combined ASBMT and IBMTR/ABMTR annual meetings)

Feb. 10-14
Keystone Resort
Keystone, Colorado
 

 
  
Top Stories
 
New England Journal of Medicine editors plan to push importance of embryonic stem cell research
In an editorial in the July 17 issue of the New England Journal of Medicine, Jeffrey M. Drazen, M.D., criticized the U.S. House of Representatives’ vote to ban research on, and the use of, medical treatments derived from embryonic stem cells, pledging to publish articles that describe embryonic stem cell research and any treatments that derive from this research. The journal’s goal is to make sure embryonic stem cell research continues in the United States so patients have access to the latest medical advances.
 
   
Spain OKs use of embryonic stem cells for research
On July 25, the Spanish Ministry of Health authorized the use of embryonic stem cells for research, saying only embryos left over from fertilization treatment can be used, and then only with the parents’ consent. The Ministry of Health estimates there are tens of thousands of frozen embryos in fertility clinics around the country.
 
Tulane University receives grant to study repair of heart damage using stem cells
The Center for Gene Therapy at Tulane University has received a four-year grant of more than $1.75 million from the National Institutes of Health to study ways that adult stem cells might repair damaged heart tissue. A team of researchers plans to use that money to better understand adult stem cells and characterize them according to their life cycle, first injecting stem cells into rats that have sustained heart damage similar to that of a patient who has had a heart attack, then into rats with prolonged reduction of blood flow.
 
Double autologous stem cell transplant boosts survival in patients with multiple myeloma
Two autologous stem cell transplants may improve long-term survival over a single autologous transplant in patients with untreated multiple myeloma who are under the age of 65, according to a special issue of the journal Blood, presenting the proceedings of the American Society of Hematology annual meeting. These findings are a result of a French study of 339 patients with newly diagnosed multiple myeloma. Seven years after therapy, overall survival was 42 percent for patients treated with a double transplant, compared with 21 percent for those receiving a single transplant.
  
 
A Word from President Joseph Antin, M.D.

In an era when business and professional ethics are on the minds of a lot of people, the following letter arrived from one of our colleagues. I felt that it was important and well worth sharing.

Dear Joe,

This past month I found myself giving a lecture at another institution, submitting a paper for consideration of publication, participating in a grant submission to the NIH, consenting patients to clinical trials, and reviewing a manuscript sent to me by the editors of a journal in my subspecialty. In the first four circumstances, I was asked to declare whether I had any potential conflicts of interest that might influence the design, conduct, analysis, or interpretation of clinical trials that I was proposing/reporting. Requirements to disclose any real or perceived conflicts of interest have become commonplace in academic medicine and are accepted by most investigators in order to maintain the integrity of the conduct of clinical trials and laboratory research.

In contrast to these declarations, I was not asked to disclose whether I had any potential conflicts (financial or otherwise) as a referee of manuscripts submitted by other investigators. In the past year, I have been asked to judge the merits of a manuscript for six or seven different journals, but in only one case was my impartiality as a reviewer queried. This is surprising because the primary reviewer of a manuscript wields enormous influence over whether the work is accepted or rejected for publication. Publication in a respected peer-reviewed journal is the gateway through which new therapies and techniques must pass before gaining widespread acceptance. It would seem that a reviewer’s potential conflicts are nearly as critical as those of the author in assuring the scientific community and general public of the credibility of published work. It is time for journals to hold investigators and judges to the same standard.

Sincerely,
Robert J. Soiffer, M.D.


Although sometimes it seems that the need to report conflicts of interest has gone slightly overboard, it’s nevertheless important for scientists and clinicians who read journals and submit manuscripts to be confident that their work is being judged fairly. As a journal increases in stature, this need becomes more acute.

Last year our ASBMT Board of Directors adopted a stringent Code of Ethics to govern the directors’ own activities as leaders of the Society. We now are working toward a similar Editorial Board policy to confirm the absence of conflict of interest when reviewers critique a manuscript that has been submitted to Biology of Blood and Marrow Transplantation.

As we conclude these deliberations and adopt policies, we’ll be sharing them with you.

-Joe
 
 
Legislation and Regulation
Lawmakers asked to establish a National Cord Blood Stem Cell Bank
Last week, HR 2852, “Cord Blood Stem Cell Act of 2003,” was introduced in the House of Representatives “to establish a National Cord Blood Stem Cell Bank network to prepare, store and distribute human umbilical cord blood stem cells for the treatment of patients and to support peer-reviewed research using such cells.” The legislation calls for federal financing to collect 150,000 units of cord blood to treat patients who can’t get stem cells through the more standard bone marrow donor program.
 
Clinical Research
 
  Age-related failure to produce stem cells could lead to atherosclerosis
Experiments in mice have shown that the age-related failure of the bone marrow to produce bone-marrow-derived vascular progenitor cells that repair blood vessel damage could lead to atherosclerosis, according to a Duke University Medical Center study appearing in the July 29 issue of the journal Circulation. The scientists also tied this loss of rejuvenating cells to a broad range of age-related disorders, including rheumatoid arthritis and chronic liver disease.

  Stem cells derived from the central nervous system don’t trigger an immune response
Multipotent, self-renewing stem and progenitor cells isolated from the central nervous system in mice possess inherent immune privilege, according to a study published in the July issue of the journal Stem Cells. When researchers injected these cells beneath the kidney capsule, they survived at least four weeks, during which time they neither sensitized their hosts nor expressed detectable levels of major histocompatibility complex class I or II.

  Mesenchymal stem cells demonstrate immunosuppressive property
Mesenchymal stem cells (MSC) appear to possess an inherent immunosuppressive property when implanted into allogeneic immunocompetent mice, according to a report in a prepublished online version of the journal Blood. This class of MSCs was not rejected and was then able to differentiate into bone.
 
 
Pharmaceutical News
 
  Mylotarg followed by allogeneic stem cell transplantation effective in treating relapsed acute myeloid leukemia
Administering Mylotarg -- a targeted chemotherapeutic agent composed of a monoclonal antibody attached to calicheamicin, an antibiotic that kills cancer cells -- before an allogeneic stem cell transplant appears to be an effective approach to treating relapsed acute myeloid leukemia (AML). These results come from a multicenter clinical trial of 277 patients, in which 26 percent of patients achieved complete remission following Mylotarg alone, and those who went on to receive an allogeneic stem cell transplant achieved the best survival rates.


  Velcade shows promise in treating refractory multiple myeloma
In a study of 193 patients with refractory multiple myeloma, treatment with bortezomib (Velcade) resulted in a 35 percent response rate, with a median duration of response of 12 months, according to an article published in the June 26 edition of the
New England Journal of Medicine. Among those with a response, myeloma protein became undetectable in seven patients and was detectable only by immunofixation in 12 patients.

  Bexxar approved to treat non-Hodgkin’s lymphoma
Bexxar (tositumomab and Iodine I131 tositumomab) has received FDA approval to treat low-grade non-Hodgkin’s lymphoma that no longer responds to Rituxan and chemotherapy. A study of 40 patients with Rituxan-refractory disease showed that 63 percent responded to Bexxar, with a median duration of response of 25 months. Corixa Corp., maker of the drug, expects to start filling orders this month.
 
 
Association News
 
  Slide presentation on evidence-based reviews
A new PowerPoint presentation on evidence-based reviews of stem cell transplantation for (1) multiple myeloma and (2) non-Hodgkin’s lymphoma has been posted on the ASBMT Web site, where it can be viewed online or downloaded for presentations to managed care representatives and other healthcare plan decisionmakers.

 
  ASBMT journal gets "Impact Factor"
One of the milestones of growth for a young medical journal is getting its first Impact Factor. ASBMT’s monthly journal, Biology of Blood and Marrow Transplantation, has earned an ISI impact factor of 2.919.

  Free ASBMT membership for trainees
Post-doctoral fellows and physicians-in-training for blood and marrow transplantation are eligible for free membership in the American Society for Blood and Marrow Transplantation. During the months of August and September, the annual dues will be waived for new trainees who apply for membership in the Society.

  Cytomegalovirus: Down but not out
Once the most feared infectious pathogen threatening patients after hematopoietic cell transplantation, cytomegalovirus (CMV) today is a mere shadow of its former self. But the battle hasn’t ended. The organism continues to stage ambushes that necessitate continued vigilance. A summary of a symposium on the “Impact of CMV in Stem Cell Transplantation,” presented at the 2003 Tandem BMT Meetings, appears in the current issue of the ASBMT bulletin, Blood and Marrow Transplantation Reviews.


  New membership directories mailed
The 2003-2004 ASBMT Membership Directory was mailed in late July to all members of the Society. Supported by an educational grant from Amgen, the directory lists Society members by name and geographic location and includes a directory of North American transplant centers.

 
 
  

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