. 

 


Organ recipient
changes blood type
to match donor organ


Modified stem
cells home
into bone
 
  
February 1, 2008
  
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Top Stories
   
 Legislation and Regulation
   
Clinical Research
   
Association News
   
BMT Tandem Meetings
   
Calendar
   
Job & Fellowship Connections
    
Monthly Journal
   
eNews Archives
 
 

 

 

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

 

  

 
CLINICAL CHALLENGE
 

A 48-year-old man is clinically better but has a worsening pulmonary infiltrate after 7 days of voriconazole treatment.
What would you do?
 

  
Last Month’s
Clinical Challenge

 
A 54-year-old man with AML in CR2 has falling donor chimerism four months after a reduced intensity conditioning transplant.
What would you recommend?
 
  
Calendar
• February
Cytoskeletal Signaling in Cancer
American Association for Cancer Research (AACR)
Feb. 3-5
Omni San Diego Hotel
San Diego, California

New Advances in Solid Organ Transplantation
Scripps Clinic
Feb. 9
The Dana on Mission Bay
San Diego, California

The Role of Cancer Stem Cells in the Initiation and Propagation of Tumorigenesis
American Association for Cancer Research (AACR)
Feb. 12-15
Los Angeles Marriott Downtown
Los Angeles, California

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

Tumor Suppressors and Stem Cell Biology
Keystone Symposia
Feb. 24-29
Fairmont Hotel Vancouver
Vancouver, British Columbia

Canadian Society of Transplantation (CST)
Annual Scientific Meeting
Feb. 28-March 2
Fairmont Tremblant
Mont-Tremblant, Québec, Canada

• March
Regenerative Medicine: Moving to the Next Generation of Therapies
12th Annual Hilton Head Workshop
March 12-16
Sea Pines Resort
Hilton Head Island, South Carolina

Stem Cell Therapies and Pediatric Diseases and Injuries
NIH National Human Neural Stem Cell Resource
March 13
Children's Hospital of Orange County
Orange, California

Emergence to Convergence: Management of High Risk Donors and Recipients
American Society of Transplantation (AST)
21th Annual Winter Symposium
March 13-16
Rancho Las Palmas Resort & Spa
Palm Springs, California

American Association of Blood Banks (AABB)
2008 Spring Conference
March 28-29
Buena Vista Palace
Orlando, Florida

European Group for Blood and Marrow Transplantation (EBMT)
34th Annual Meeting
March 30-April 2
Fortezza da Basso
Florence, Italy

• April
Association of Community Cancer Centers
34th Annual Meeting
April 2-5
Baltimore Marriott Waterfront Hotel
Baltimore, Maryland

Advances and Controversies in the Biology and Therapy of
Acute Myelogenous Leukemia and Myelodysplasia

Acute Leukemia Forum 2008
April 4
W Hotel
San Francisco, California

2008 Spring Meeting: Donor & Transplant Center Staff
National Marrow Donor Program (NMDP)
April 7-8
Hilton Charlotte Center City Hotel
Charlotte, North Carolina

2008 Spring Meeting: Recruiters
National Marrow Donor Program (NMDP)
April 8-9
Omni Charlotte Hotel
Charlotte, North Carolina

UK National Stem Cell Network (UKNSCN)
Annual Science Meeting
April 9-11
Heriot-Watt University
Edinburgh, Scotland

American Society for Apheresis (ASFA)
29th Annual Meeting
April 9-12
Galveston Island Convention Center
Galveston, Texas

American Association for Cancer Research (AACR)
99th Annual Meeting
April 12 - 16, 2008
San Diego Convention Center
San Diego, California

7th International Donor Registry Conference
World Marrow Donor Association (WMDA)
April 16-19
Kursaal & Conference Centre
Bern, Switzerland

• May
American Society of Pediatric Hematology/Oncology (ASPH/O)
21st Annual Meeting
May 14-17
Duke Energy Center & Hyatt Regency
Cincinnati, Ohio

Myelodysplastic Sydromes and Bone Marrow Failure
European School of Haematology (ESH)
May 15-18
Albufeira, Portugal

International Society for Cellular Therapy (ISCT)
Annual Meeting
May 17-20
Hyatt Regency Hotel
Miami, Florida

Cancer Epigenetics
American Association for Cancer Research (AACR)
May 28-31
Boston Park Plaza Hotel
Boston, Massachusetts

American Society of Clinical Oncology (ASCO)
44th Annual Meeting
May 30-June 3
McCormick Place
Chicago, Illinois

American Transplant Congress
American Society of Transplantation (AST)
May 31-June 4
Metropolitan Toronto Convention Center
Toronto, Ontario, Canada

• June
FOCIS 2008
Federation of Clinical Immunology Societies (FOCIS)
June 5-9
Boston Marriott Copley Place
Boston, Massachusetts

7th Annual International Umbilical Cord Blood Transplantation Symposium
California Blood Bank Society and Cord Blood Forum
June 6-7, 2008
Los Angeles Airport Marriott
Los Angeles, California

International Society for Stem Cell Research (ISSCR)
6th Annual Meeting
June 11-14
Pennsylvania Convention Center
Philadelphia, Pennsylvania

European Hematology Association (EHA)
13th Congress
June 12-15
Bella Center
Copenhagen, Denmark

• July
International Society for Experimental Hematology (ISEH)
37th Annual Scientific Meeting
July 9-12, 2008
Renaissance Boston Waterfront Hotel
Boston, Massachusetts

Molecular Biology in Clinical Oncology
American Association for Cancer Research (AACR)
July 11-18
Given Institute of the University of Colorado
Aspen, Colorado

Cancer Biostatistics Workshop
American Association for Cancer Research (AACR)
July 13-19
The Lodge at Sonoma
Sonoma, California

Cryo 2008
Society for Cryobiology
45th Annual Meeting
July 20-23
Charlotte, North Carolina

• September
American Association of Tissue Banks (AATB)
32nd Annual Meeting
Sept. 6-9
Marriott Chicago Magnificent Mile
Chicago, Illinois

European Society for Medical Oncology (ESMO)
Annual Meeting
Sept. 12-16
Stockholm Internatinal Fair
Stockholm, Sweden

American Society of Multicultural Health and Transplant Professionals (ASMHTP)
16th Annual Meeting
Sept. 17-19
Radisson Plaza Hotel
Minneapolis, Minnesota

25th National Oncology Economics Conference
Association of Community Cancer Centers (ACCC)
Sept. 17-20
Hyatt Regency San Francisco
San Francisco, California

 
  
Top Stories
 

Therapies may eliminate immunosuppressives after transplant
With new therapies advancing, organ transplant patients may soon be able to stop taking long-term immunosuppressive drugs. Two reports in the Jan. 24 issue of the New England Journal of Medicine detail therapies designed to trick the immune system into thinking the organ came from the recipient.

Grants offered to research stem cells created from skin
A microchip that can isolate, count and analyze circulating tumor cells from a blood sample may offer a new tool for helping doctors detect cancer. The device, developed by a team at Massachusetts General Hospital and Harvard Medical School, has microscopic posts that are coated with antibodies that recognize cancer cells.

Organ recipient changes blood type to match donor organ
After receiving a liver transplant from a young boy, a 9-year-old Australian girl’s body changed blood type from O negative to O positive, according to a report in the Jan. 24 issue of the New England Journal of Medicine. At the same time, her new liver's blood stem cells invaded her body's bone marrow to take over her entire immune system. As a result, the girl was able to stop taking immunosuppressive drugs 17 months after the surgery.

 

A Word from President Robert Soiffer, MD
About 15 percent of the people who receive this newsletter are members of our Society. If you’re within that elite group, you have more power than you may realize.

Let me explain. As a group, we are able to do things that as individuals we aren’t able to do, at least not easily or on a very grand scale. I think that’s the real reason for professional associations — to accomplish things that we can’t easily do as individuals.

Take, for example, the area of advocacy for BMT patients with legislators and government regulators. In the past year that I’ve had the privilege to serve as your President, we as a group have . . .

• Submitted comments to the FDA on its draft guidance document for licensing cord blood banks, and testified as to its potential effects and ramifications

• Mobilized members to write to the FDA to support an exemption of hematopoietic progenitor cell (HPC) products from a proposed expansion of the requirements of the National Drug Code

• Urged Congress to fully fund the C.W. Bill Young Cell Transplantation Program and the National Cord Blood Inventory

• Nominated candidates for the advisory board for the C.W. Bill Young Cell Transplantation Program

• Joined with other cellular therapy organizations to discuss with FDA representatives issues related to import and export of HPC products, the potential problems if the National Drug Code system is expanded to HPC products, and the impact on clinical care if unrelated hematopoietic cell products were regulated as a biologic product requiring licensure

• Advised the Center for Medicare and Medicaid Services on proposed revisions to the Medicare National Clinical Research Policy pertaining to reimbursement of care in clinical trials

• Worked with the National Marrow Donor Program to develop a strategy for seeking Medicare and Medicaid reimbursement for myelodysplastic syndromes and donor search and procurement

2008 is shaping up to be even busier for advocacy, particularly in light of the mandate for uniform, central reporting of all allogeneic transplant outcomes. Next week, representatives of ASBMT and other cell therapy organizations will be meeting with the FDA to discuss Medicare reimbursements and other cellular therapy issues.

But advocacy and government affairs are only one area where there’s strength in numbers. Because we work together as a group, we are able to . . .

• Publish a monthly journal for rapid dissemination of scientific investigations

• Gather hundreds of us together annually at a meeting to network and share our progress in basic and translational research and patient care

• Sponsor and fund research awards, travel grants and a training course for young clinical investigators

• Promote clinical standards for transplant centers

• Maintain guidelines for training

• Interact with health plans and third-party payers for procedure coverage and reimbursement

• Support a clinical trials network

• Develop evidence-based reviews on the role of BMT for various diseases

All of these things would be difficult to do as individual physicians and health care professionals. Together in the same boat, pulling in the same direction on the oars, we are able to achieve important things that have a substantial and measurable impact.

– Rob

 
Clinical Research Legislation and Regulation
 
bullet  Oklahoma would require reimbursement in clinical trials
A bill being introduced in Oklahoma would force health insurance carriers to cover routine health care costs for patients participating in clinical trials. Similar legislation has been adopted in 23 other states, including Arizona, California, Louisiana, Missouri, North Carolina, Tennessee and, most recently, New Mexico.
more
 
Clinical Research Clinical Research
 

bullet  Modified stem cells home into bone
By modifying the surface of human mesenchymal stem cells, a precursor to bone-forming osteoblasts, researchers were able to direct the cells through the bloodstream into bone. According to a report in the advance online edition of Nature Medicine, researchers modified the surface of the stem cells to express the molecule HCELL, a homing receptor that seeks out the adhesion molecule E-selectin found on the lining of certain blood vessels, including those in bone. When injected into mice, the modified cells migrated to bone and made patches of human bone within the mouse bone.
more

bullet  Protein that controls division of stem cells identified
A protein, called NFATc1, blocks the expression of a gene that provides the stem cell cycle with “go ahead” signals at certain checkpoints, essentially preventing the cell from dividing. According to a report in the Jan. 25 issue of Cell, this finding refutes the belief that stem cells divide infrequently to protect themselves from unnecessary wear and tear.
more

bullet  Scientists isolate pancreatic stem cells in mice
Scientists have isolated pancreatic stem cells in adult mice, which they hope to program to generate insulin-producing beta cells. According to a report in the Jan. 25 issue of Cell, one interesting finding is that these adult progenitor cells are almost indistinguishable from embryonic progenitor cells.
more

bullet  Adult stem cells work two ways to treat vascular disease
Multipotent adult progenitor stem cells from bone marrow can regenerate blood vessel and muscle tissue for treating peripheral vascular disease. According to the results of two research projects, published in the Jan. 2 issue of the Journal of Clinical Investigation, these cells are more effective when injected without pre-differentiation because they contribute in increasing the quantity of arteries and veins generated in the new area and enhance muscle regeneration.
more

 
Association News
 

  John Barrett, MD, will lead ASBMT in 2010
John Barrett, MD, has been chosen by mail ballot of ASBMT members to be the society’s vice president. The election places him in line to assume the presidency two years from now. Dr. Barrett is section chief for stem cell allotransplantation in the hematology branch of the National Heart, Lung and Blood Institute.

Edward Ball, MD, of Moores Cancer Center at the University of California, San Diego, was elected secretary. Newly elected directors are Kenneth Cooke, MD, of Rainbow Babies and Children’s Hospital, Cleveland; Joachim Deeg, MD, of the Fred Hutchinson Cancer Research Center, Seattle; and Steven Devine, MD, of Ohio State University Comprehensive Cancer Center, Columbus. All will take office at the close of the BMT Tandem Meetings this month in San Diego.

  23 appointed to HRSA cord blood advisory panel
Members have been appointed to a new Health Resources and Services Administration advisory council on blood stem cell transplantation, and particularly matters related to cord blood under the C.W. Bill Young Cell Transplantation Program and the National Cord Blood Inventory (NCBI).

  Review addresses transplants for AML in adults
A comprehensive evidence-based review of hematopoietic stem cell transplantation for acute myeloid leukemia in adults appears in the February issue of Biology of Blood and Marrow Transplantation. The review is the latest in the series of evidence-based reviews for specific diseases. An ASBMT position statement accompanies the review.

  Rainer Storb, MD, to receive Lifetime Achievement Award
A pioneer in less toxic forms of allogeneic marrow and blood stem cell transplants for malignant and non-malignant blood diseases has been chosen to receive the 2008 ASBMT Lifetime Achievement Award. Rainer Storb, MD, who heads the transplant biology program at the Fred Hutchinson Cancer Research Center, Seattle, will be presented the award at the ASBMT President’s Dinner Feb. 16 at the BMT Tandem Meetings.

  2008 version of RFI forms released
The 2008 update of the ASBMT Standardized Request for Information (RFI) has been released, and the interactive forms are available online. For the first time this year, the RFI is being accepted by the Blue Distinction Centers for Transplant. The RFI is used for submitting transplant program data and information to third-party payers when they request it.

  I.T. Summit participants give conference high marks
129 transplant facility administrators, data managers and information technologists attended an I.T. Summit last month on compliance with federal requirements for reporting outcomes of allogeneic stem cell transplants. The two-day conference, organized on short notice by CIBMTR and ASBMT, was held at the NMDP headquarters in Minneapolis. Nearly every submitted evaluation said that new ideas were being taken home to enhance data operations and that similar summits should be held in the future.

 
BMT Tandem Meetings
 

  Annual meeting in San Diego will have record attendance
Preparations are complete for the BMT Tandem Meetings, to be held Feb. 13-17 at the Manchester Grand Hyatt Hotel in San Diego. Nearly 2,300 have pre-registered. Last year’s total attendance was 1,830.

  Welcome reception set for Wednesday evening
“A Taste of Old Town San Diego” is the theme of the Welcome Reception for the BMT Tandem Meetings on the evening of the Opening Day, Feb. 13. Network with colleagues from around the world from 7:30 p.m. to 9:00 p.m. The Opening Day event differs from some past years when the reception has been held the night before.

  Medical directors to discuss outcomes reporting
This year’s Medical Directors Conference, scheduled for Feb. 16, will provide an up-to-the-minute look at how the BMT community is responding to a new federal law requiring reporting outcomes of allogeneic stem cell transplants to the Stem Cell Transplant Outcomes Database (SCTOD). The legal requirements will be considered within the context of treatment process validation and quality improvement.

  Full day of pediatric BMT sessions
A full day of sessions on hematopoietic stem cell transplants for children and adolescents will be on Feb. 14. The programs are coordinated by the ASBMT Pediatric BMT Special Interest Group and the Pediatric Blood and Marrow Transplant Consortium (PBMTC).

  Four allied health conferences will convene
Nearly 500 nurses, pharmacists, clinical research associates and administrators have pre-registered for the BMT Tandem Meetings. Each group has its own parallel track of sessions: Clinical Research Professionals (Feb. 12-14), BMT Center Administrators (Feb. 13-14), BMT Pharmacists (Feb. 15-17) and Transplant Nursing (Feb. 15-17).

  ASBMT President’s Dinner requires a ticket
Join ASBMT President Rob Soiffer, MD, for a celebration of advances in the BMT field, the announcement of research scholarships, and comments by Rainer Storb, MD, recipient of this year’s ASBMT Lifetime Achievement Award. The dinner is at 7:15 p.m. Feb. 16. Tickets can be purchased online or at the Registration Desk through noon, the day before the dinner.

  BMT Tandem Meetings Gala will be a battle of the bands
Put on your dancing shoes for music, beverages and fun at a “Battle of the Bands” after the President’s Dinner at 9:00 p.m. Feb. 16. No ticket required. Open to all meeting registrants.

  Special orientation session planned for fellows
A coffee break reception and orientation for fellows-in-training who are attending the BMT Tandem Meetings for the first time will be held the morning of the opening day. The reception will be at 10:00 a.m. Wednesday, Feb. 13, in the Betsy A-C meeting room.

  Deadlines next week for poster authors
Authors of accepted abstracts are invited to submit their posters, free of charge, for the BMT Tandem Meetings CD. Also for a nominal fee, posters can be created online, professionally printed and delivered to the meetings in San Diego. Deadlines are next week.

  Travel grants awarded to 40 young investigators
The ASBMT Board of Directors has announced 40 travel grants of $1,000 each for young clinicians and investigators who are giving oral abstract presentations at the BMT Tandem Meetings.

  Not to be missed: Feb. 17 scientific program
The BMT Tandem Meetings will adjourn at 2:00 p.m. Feb 17. If you don’t stay for the final day, you’ll miss:
• A plenary session on transplants for acute leukemia
• Concurrent scientific sessions on graft failure after transplantation, and the aging stem cell and its niche
• Oral abstract sessions on immune reconstitution, leukemia, lymphoma, multiple myeloma, stem cell biology and solid tumors

  Transportation is easy between hotels
Transportation between the 10 convention hotels is easy, using the San Diego trolley. The circular route stops close to all of the hotels, including the Manchester Grand Hyatt headquarters, and has additional lines that reach the city’s top attractions.

  CME credit can be claimed online
Again this year, continuing medical education (CME) credit will be processed online. At computer terminals near the meeting registration desk and via the Internet within 30 days after returning home, meeting participants can complete evaluation forms, claim CME credit for sessions attended and print out a CME certificate.

  Take this month’s Clinical Challenge
A 48-year-old man is clinically better but has a worsening pulmonary infiltrate after 7 days of voriconazole treatment. Decide what you would do in this month’s Clinical Challenge in the left-hand column above.


Copyright © 2008 American Society for Blood and Marrow Transplantation.
All rights reserved.

The editor for ASBMT eNews is Stephanie J. Lee, MD, MPH.
E-newsletter services provided by the medical editors at Ascend Media, LLC.

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