. 

 



Umbilical cord blood
similar to bone marrow
for leukemia



Stem cells from
adult blood successful
in treating diabetes
 
  
July 2, 2007
  
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Top Stories
   
Legislation and Regulation
   
Clinical Research
   
Biopharmaceutical News
   
Association News
   
Calendar
   
Job & Fellowship Connections
    
Monthly Journal
   
eNews Archives
 
 

 

 

 BMT Tandem Meetings
Feb. 13-17, 2008
San Diego, C
alifornia

 

  

 
CLINICAL CHALLENGE
 

A 44-year-old man develops a rash, anorexia and diarrhea 36 days after a myeloablative matched unrelated donor PBSC transplant for AML in second complete remission. What would you recommend?

  
Last Month’s
Clinical Challenge
A 40-year-old woman has a cytogenetic relapse 10 years after myeloablative matched sibling transplantation for CML. She has another HLA-matched sibling. What would you recommend now?
  
Calendar

• July
European Society for Medical Oncology (ESMO)
Annual Meeting
July 5-8
Palazzo dei Congressi Lugamp
Lugano, Switzerland

Euroconference on GVHD/GVL: A Paradigm of Haemopoietic Transplantation
European School of Haematology (ESH)
and the European Group for Blood and Marrow Transplantation (EBMT)
July 6-9
Antemare Hotel
Sitges, Spain

Society for Mucosal Immunology (SMI)
13th International Congress of Mucosal Immunology
July 9-12
Shinagawa Prince Hotel
Tokyo, Japan

Methods in Clinical Cancer Research
American Society for Clinical Oncology (ASCO)
and American Association for Cancer Research (AACR)
July 28-Aug. 3
Vail Marriott Mountain Resort
Vail, Colorado

Society for Cryobiology
Cryo 2007: 44th Meeting
July 29-Aug. 1
Fairmont Chateau
Lake Louise, Alberta

• August
Adult Mesenchymal Stem Cells in Regenerative Medicine
Case Western Reserve University
Aug. 27-29
Cleveland Marriott Downtown
Cleveland, Ohio

• September
American Society of Multicultural Health and Transplant Professionals (ASMHTP)
15th Annual Conference
Sept. 5-7
Sheraton Society Hill
Philadelphia, Pennsylvania

Cell Transplant Society (CTS)
Joint Conference of IXA, IPITA, CTS
Sept. 15-20
Hyatt Regency Minneapolis
Minneapolis, Minnesota

2nd Annual Conference on Molecular Diagnostics in Cancer Therapeutic Development
American Association for Cancer Research (AACR)
Sept. 17-20
Atlanta Hilton
Atlanta, Georgia

Medical and Organizational Challenges Resulting from a Radiological/Nuclear Emergency
National Marrow Donor Program (NMDP)
and ASBMT
Sept. 25
Marriott Bethesda
Bethesda, Maryland

7th Annual Somatic Cell Therapy Symposium
International Society for Cellular Therapy (ISCT)
Sept. 26-28
Bethesda, Maryland

International Society for Experimental Hematology (ISEH)
36th Annual Scientific Meeting
Sept. 28-30
Congress Center Hamburg
Hamburg, Germany

• October
24th National Oncology Economics Conference
Association of Community Cancer Centers (ACCC)
Oct. 3-6
Hyatt Regency Dallas
Dallas, Texas

American Society for Histocompatibility and Immunogenetics (ASHI)
33rd Annual Meeting
Oct. 8-12
Hyatt Regency Minneapolis
Minneapolis, Minnesota

60th Annual Symposium on Cancer Research
M.D. Anderson Cancer Center
Oct. 12-14
J.W. Marriott Hotel
Houston, Texas

3rd World Congress on Regenerative Medicine
Fraunhofer Institut für Zelltherapie und Immunologie
Oct. 18-20
Germany Congress Center
Leipzig, Germany

Biology and Clinical Applications of Cord Blood Cells
European School of Haematology (ESH), EuroCord, International NetCord Foundation,
European Group for Blood and Marrow Transplantation (EBMT) and M.D. Anderson Cancer Center
Oct. 19-20
Maison de la Chimie
Paris, France

American Association of Blood Banks (AABB)
2007 Annual Meeting
Oct. 20-23
Anaheim Convention Center
Anaheim, California

International Conference on Molecular Targets and Cancer Therapeutics
American Association for Cancer Research (AACR),
National Cancer Institute (NCI),
and Federation of European Cancer Societies (FORTC)
Oct. 22-26
Moscone Convention Center West
San Francisco, California

American Society for Human Genetics (ASHG)
57th Annual Meeting
Oct. 23-27
San Diego Convention Center
San Diego, California

American Society for Human Genetics (ASHG)
57th Annual Meeting
Oct. 23-27
San Diego Convention Center
San Diego, California

Cytokines in Health and Disease
International Cytokine Society (ICS)
Oct. 26-30
Hyatt Regency San Francisco
San Francisco, California

2008
BMT Tandem Meetings
(Combined ASBMT and CIBMTR annual meetings)
Feb. 13-17
Manchester Grand Hyatt Hotel
San Diego, California

2009
BMT Tandem Meetings
(Combined ASBMT and CIBMTR annual meetings)
Feb. 11-15
Tampa Convention Center
Tampa, Florida

 
  
Top Stories
 
Gene therapy said to be next wave of stem cell research
Several scientists presented results of research based on using therapeutic genes to modify stem cells already in the body at the annual meeting of the American Society of Gene Therapy. One study involved therapy for type 1 diabetes that involves modifying stem cells in the gut. Other possibilities include treatment for lysosomal storage diseases. 
   
Umbilical cord blood similar to bone marrow for leukemia
Survival for children with leukemia is similar after umbilical cord blood transplants and bone marrow transplants, according to a study in the June 9 issue of The Lancet. The five-year survival rate for patients receiving bone marrow with a match of eight antigens was the same as that for umbilical cord blood with a match of only four antigens.
   
Canada seeks to open public umbilical cord blood bank
Canadian Blood Services plans to ask for $5 million from provincial and territorial governments to start a national public umbilical cord blood bank. Experts agree there are not enough donors to meet the growing demand in the country for regenerative stem cells.
   
New cell may be 'missing link' between animal and human cells
Two sets of researchers have discovered what they call epiblast stem cells, which behave just like a human stem cell and are described as the “missing link” between animal and human stem cells. According to a report in the advance online edition of Nature, the new stem cell was taken from mice at a later embryonic stage than usual and was remarkable for how different it was to normal mouse stem cells and how similar it was to human stem cells. 
   
More than half would donate embryos for stem cell research
About 60 percent of people with embryos stored at U.S. fertility clinics would be very or somewhat likely to donate them for stem cell research. According to a study in the online edition of Science, 62 percent of the more than 1,000 people surveyed in California, Colorado, Maryland, Missouri, New Jersey, North Carolina, Oregon, Pennsylvania and Washington, D.C., said they would donate the embryos specifically for stem cell research. 
   
Panel determines flawed data doesn’t change paper's conclusions
An investigative panel with the journal Nature has determined that flawed data in an article on stem cell research do not detract from the main findings of the paper. The paper, published in 2002, contained a set of graphs that were similar to data in an article that referenced other specimens. The authors attributed the error to preparation of the two papers at the same time. 
   
A Word from President Robert Soiffer, MD

Was it a mysterious series of East Coast storms, an inexplicable Federal Aviation Administration computer glitch, missing flight crews, or perhaps simultaneous airplane malfunctions? Whatever it was, it left many weary transplanters wandering the Ann Arbor and Detroit airports after the conclusion of the BMT CTN State of the Science Symposium on June 7.

As every veteran traveler knows, we’ll never discover the true cause of the delays. I believe all of us eventually, thankfully, made it home safely.

The travel woes, though, did not dampen the tremendous enthusiasm for the symposium organized by the BMT Clinical Trials Network and hosted by Jamie Ferrara and his colleagues at the University of Michigan. The two-day forum featured presentations by committees that focused on many of the unanswered questions facing the hematopoietic stem cell transplant community.

The goal was to determine what clinical trials and correlative science projects the BMT CTN should undertake now and in the near future. Areas discussed included disease-specific trials in leukemia, lymphoma, myeloma, pediatrics and non-malignant diseases. Proposals also were advanced for studies dealing with graft-versus-host disease and regimen-related toxicity. Cellular and gene therapy studies were discussed, as were methods to assess quality of life and innovative approaches to practical clinical trial design.

Each committee was comprised of six to 10 ASBMT members. The chair of each subgroup gave a short formal presentation describing the current state of knowledge for the committee’s assigned topic, the results of recent trials and proposed potential new studies. After that, critiques were offered by a number of eminent European colleagues who had been invited to examine the assessments and the plans of the committees.

The discussion was then thrown open to the wider audience of 200 participants. What ensued was a lively give-and-take that sometimes endorsed, and at other times challenged, the conclusions of the groups.

What was so refreshing about the symposium and the process was the workshop atmosphere. A number of colleagues commented that it reminded them of the Keystone meetings from “the old days.” The presentations certainly were not canned talks with conclusions carved in stone, but rather jumping off points to initiate discussion. Audience participants were neither shy nor intimidated. I had the feeling that those discussions, if not for time constraints, would have continued for a lot longer. Our collective challenge, of course, is to maintain that dialogue as we plan and design new trials in the upcoming months.

If you weren’t able to attend the Ann Arbor symposium, you will be able to hear a summary of its discussions and conclusions at the National Marrow Donor Program’s “Super Friday” session at ASH in December, or at the BMT Tandem Meetings in February in San Diego. You won’t want to miss it.

It is critical as a society that ASBMT and its members be engaged in events such as this if we are to make continued progress for the benefit of our patients. We have to challenge our own biases, honestly assess our practical limitations in trial design and increase our collaborative efforts. Meetings like the one in Ann Arbor can help us stay the course, focused on our goals, thereby achieving the greatest return for the hard work that lies ahead.

– Rob

 
block Legislation and Regulation
 

bullet  Senate approves bill with human embryonic stem cell provision
The Senate Appropriations Committee voted 26-3 to approve the fiscal year 2008 Labor-HHS-Education spending bill, which includes a provision that would expand the number of human embryonic stem cell lines eligible for federal funding. Federal funding for embryonic stem cell research currently is allowed only for embryonic stem cell lines created on or before Aug. 9, 2001. The provision in the spending bill would move that date to June 15, 2007. more

bullet  Illinois may soon screen for lysosomal storage disorders
A bill passed unanimously by the state legislature and awaiting the governor’s signature would make Illinois the first state to require that blood samples drawn from newborns be tested for lysosomal storage disorders. If the bill becomes law, the health department would initially begin screening for Krabbe, Pompe, Guacher, Fabry and Niemann-Pick diseases. more

 
Clinical Research
 

 Stem cells from adult blood successful in treating diabetes
Studies in mice show that adult blood could be a richer source of insulin-creating stem cells than fertilized eggs. According to research presented at the annual conference of the American Diabetes Association, diabetic mice injected with insulin-making stem cells extracted from their blood maintained healthy blood sugar levels for three months.

  Umbilical cord blood treatment reduces diabetes severity
According to other research presented at the American Diabetes Association meeting, children suffering from type 1 diabetes can be treated with infusions of blood from their own umbilical cords to reduce the severity of the disease. Eleven children ages 2 to 10 were followed for three to 31 months and had lower blood glucose levels and needed much less daily insulin therapy than children with the disease who did not get the therapy.

  Small molecule drug boosts stem cell production
Experimenting with zebrafish, researchers demonstrated that a stable analog of prostaglandin can enhance production of blood stem cells, both during embryonic development and after the blood-forming system has been damaged. According to a study in the June 21 issue of Nature, clinical trials using the analog (called dmPGE2) are expected to begin in 2008. 


  Court rules donated samples belong to university
The 8th U.S. Circuit Court of Appeals unanimously upheld a lower court ruling that tissue and blood samples donated to Washington University for prostate cancer research belong to the institution, not the scientist using them to perform research. In 2003, a former employee of Washington University claimed tissue donors had a right to request that the samples be forwarded to the university where he had accepted a new position.  

 
Biopharmaceutical News
 

  Partnership to develop stem cell therapies
ThermoGenesis Corp. and the University of California Davis' stem cell program are collaborating to develop stem cells from a patient's bone marrow or umbilical cord blood. The research will use ThermoGenesis' blood processing systems to develop treatments for artery disease, myocardial infarction and skin wounds. 

bullet UK company to develop stem cell expansion technology
ReNeuron Group plc has signed a research collaboration agreement with Kings College London to further develop the company's c-mycER stem cell expansion technology. The company plans to develop new delivery constructs to enhance the efficiency and safety of this transgene when used to grow stem cell lines. more

 
Association News
 

  Reporting of transplant outcomes expected this month
Reporting of transplant outcomes for the C.W. Bill Young Cell Transplantation Program is expected to begin this month for all related and unrelated allogeneic blood, marrow and cord blood transplants in the United States. The exact date depends on many factors, including approval of the data collection forms by the U.S. Office of Management and Budget (OMB), and completion of electronic systems testing.

  ASBMT journal size increased by 25 percent
The number of editorial pages in Biology of Blood and Marrow Transplantation is being increased by 25 percent. Instead of 1,152 pages per year, the ASBMT journal will have 1,440 pages of original articles under an amended contract with the Elsevier publishing company. The increase has been prompted by an ever-growing number of submitted manuscripts.


  Contingency planning for radiological emergency
A one-day conference will address ways that BMT personnel and centers can prepare for radiological/nuclear emergencies. Developed by the NMDP and ASBMT, the conference will be held Sept. 25 in Bethesda, Md.

  Cord blood conference will be in October in Paris
An international conference on umbilical cord blood transplants will be held Oct. 19-21 in Paris. Three days of sessions will include stem cells from cord blood, mesenchymal cells, non-hematopoietic stem cells, ex-vivo expansion, graft facilitation and homing and cord blood banking.

  Review addresses pulmonary dysfunction after transplant
Pulmonary dysfunction can be a complication following allogeneic hematopoietic stem cell transplantation. The pathogenesis, diagnostic strategies and treatment options are covered in a review from the University of Michigan and Hyogo College of Medicine in Japan in this month’s Biology of Blood and Marrow Transplantation. 


  Overview of therapies for MDS
Developments in new and emerging therapies for myelodysplastic syndromes are the topic of the current issue of Blood and Marrow Transplantation Reviews, currently en route to ASBMT members and an additional 10,000 hematologists/oncologists. The review, with CME credit, is based on a symposium at the 2007 BMT Tandem Meetings. 

bullet  Take this month’s Clinical Challenge
A 44-year-old man develops a rash, anorexia and diarrhea 36 days after a myeloablative matched unrelated donor PBSC transplant for AML in second complete remission. What would you recommend? Take this month’s Clinical Challenge in the left-hand column above.

 

Copyright © 2007 American Society for Blood and Marrow Transplantation. All rights reserved.

The editor for ASBMT eNews is Stephanie J. Lee, MD, MPH.

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