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| May 3, 2010 |
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Top
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Clinical
Research |
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Association
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BMT Tandem Meetings |
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Calendar |
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Job &
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Monthly Journal |
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eNews
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Calendar |
• May
American Transplant Congress
American Society of Transplantation (AST)
May 1-5
San Diego Convention Center
San Diego, California
Immunology 2010
American Association of Immunologists (AAI)
May 7-11
Baltimore Convention Center
Baltimore, Maryland
14th Annual International Congress of Hematologic Malignancies: Focus on Leukemias, Lymphomas and Myelomas
Physicians’ Education Resource
May 17-21
Fairmont Château Whistler
Whistler, British Columbia, Canada
American Society of Gene & Cell Therapy (ASGCT)
13th Annual Meeting
May 17-22
Marriott Wardman Park Hotel
Washington, D.C.
International Society for Cellular Therapy (ISCT)
16th Annual Meeting
May 23-26
Sheraton Philadelphia City Center Hotel
Philadelphia, Pennsylvania
American Society for Apheresis (ASFA)
30th Annual Meeting
May 26-29
Sheraton New Orleans Hotel
New Orleans, Louisiana
• June
8th Annual International Umbilical Cord Blood Transplantation Symposium
Cord Blood Forum
June 3-5
Hyatt Regency San Francisco at Embarcadero Center
San Francisco, California
American Society of Clinical Oncology (ASCO)
46th Annual Meeting
June 4-8
McCormick Place
Chicago, Illinois
European Hematology Association (EHA)
15th Congress
June 10-13
The Gran Via Conference Center
Barcelona, Spain
8th International Donor Registry Conference
World Marrow Donor Association (WMDA)
June 16-19
Trinity College
Dublin, Ireland
International Society for Stem Cell Research (ISSCR)
8th Annual Meeting
June 16-19
Moscone Center
San Francisco, California
Oncology Practice Reviews
Hilton Anatole
Dallas, TX
June 18-19, 2010
FOCIS 2010
Federation of Clinical Immunology Societies (FOCIS)
June 24-28
Boston Marriott Copley Place
Boston, Massachusetts
• July
UK National Stem Cell Network (UKNSCN)
Annual Science Meeting
July 12-14
University of Nottingham, East Midlands Conference Center
Nottingham, England, United Kingdom
Cryo 2010
Society for Cryobiology
47th Annual Meeting
July 17-20
Bristol Marriott Royal Hotel
Bristol, England, United Kingdom
• August
Canadian Society of Transplantation (CST)
Annual Scientific Conference
Aug. 13-14
Vancouver Congress Centre
Vancouver, British Columbia, Canada
• September
ISCT Europe Regional Meeting
International Society for Cellular Therapy (ISCT)
Sept. 11-14
Best Western Hotel Villa Carlotta
Belgirate, Italy
• October
Fraunhofer Institute for Cell Therapy and Immunology
6th International Symposium on Neuroprotection and Neurorepair
October 1-4
Yachthafenresidenz Hohe Düne
Rostock-Warnemünde, Germany
European Society for Medical Oncology (ESMO)
35th Annual Meeting
Oct. 8-12
Milano Convention Centre
Milan, Italy
American Association of Blood Banks (AABB)
2010 Annual Meeting
Oct. 9-12
Baltimore Convention Center
Baltimore, Maryland
International Society of Hematology (ISH)
33rd World Congress
Oct. 10-13
ICC Jerusalem International Convention Center
Jerusalem, Israel
European School of Haematology
8th International Conference
Oct. 14-18
Cascais, Portugal
ISCT Asia-Pacific Regional Meeting
International Society for Cellular Therapy (ISCT)
Oct. 17-20
Phoenix Seagaia Resort
Miyazaki, Japan
Histiocytosis Association of America (HAA)
Oct. 18-20
Boston, Massachusetts
• December
American Society of Hematology (ASH)
52nd Annual Meeting
Dec. 4-7
Orange County Convention Center
Orlando, Florida
• 2011
BMT Tandem Meetings
Combined ASBMT and CIBMTR annual meetings
Feb. 17-21
Hawaii Convention Center
Honolulu, Hawaii
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Top
Stories |
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Cyclophosphamide effective as single-agent prophylaxis of GVHD
High-dose cyclophosphamide after myeloablative allogeneic bone marrow transplantation is an effective prophylaxis for acute and chronic graft-versus-host disease (GVHD). According to a report in the April 22 issue of Blood, after treatment of 117 patients with this regimen, the cumulative incidence of chronic GVHD in surviving patients was 10 percent, with a median follow-up of 26.3 months. 
Activating pathway keeps stem cells immature
Scientists have discovered that by activating the Notch pathway, which prevents stem cells from maturing, the cells remain indefinitely in an immature state. According to a report in the advance online edition of Development, researchers also determined that the molecule RBPJ-kappa is the molecule through which Notch works in mesenchymal stem cells. 
Race differences noted in cell transplant rates
Black people are twice as likely to develop and die from multiple myeloma and are less likely to receive an autologous hematopoietic cell transplant, compared to white people. However, among patients undergoing autologous transplantation, black and white patients had similar five-year survival, relapse and non-relapse mortality, according to a report in the March issue of Biology of Blood and Marrow Transplantation. 
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A Word from President John Barrett, MD
Since the 1970s, bone marrow transplant meetings were closely associated with ski resorts. To a novice at both skiing and stem cell transplantation (SCT), the challenges for me were enormous. Both the first encounter with steroid-resistant GVHD and the first maladroit attempt at catching a draglift which threw me into deep snow at the feet of the astonished lift attendant came at the same time in my early education. It is many years since an entire transplant meeting could fit into a single room of a chalet. Since then, not only do I ski better, there has been an explosion in the numbers of stem cell transplants worldwide, reflected in the existence of numerous stem cell transplantation groups worldwide. Our own meetings now far exceed the conference capacities of a ski resort. In Orlando this year at the BMT Tandem Meetings, there were more than 2,500 participants. The European Group for Blood & Marrow Transplantation (EBMT) had more than twice that number. This growth is characteristic of a successful society representing broad membership across the discipline, strong links with associated professional bodies, a thriving journal and fiscal stability.
How long will growth in SCT continue?
Critical though these features are to a healthy organization, they become of little importance if SCT loses its cutting edge in the field of medicine over the next decade. ASBMT is especially vulnerable to changes and vogues in medical care because its focus is a treatment, not a disease entity.
So it is appropriate to pause and consider the evolution of SCT and where it will stand in 10 years’ time. Indicative of healthy growth is the increasing availability of donors, both related and unrelated from diverse stem cell sources, increased survival from SCT and increased transplantation in older patients. Worldwide, the number of allogeneic SCTs continues to rise as new indications and improved results with less than fully matched donors are achieved. Against continued expansion is the persistence of GVHD as a serious cause of mortality, the weakness of graft versus leukemia (GVL) in diseases where we most need it and, least predictable of all, the potential of non-transplant treatment breakthroughs that can sideline SCT almost overnight -- the “imatinib effect” that occurred in chronic myeloid leukemia treatment.
Sometimes it seems transplantation is too hastily eclipsed by “simpler” but ultimately more expensive treatments. Take, for example, Gaucher’s disease. SCT can rapidly, completely, and permanently correct the disease, but enzyme replacement therapy with its high cost for lifelong treatment and sometimes incomplete correction has replaced SCT as the standard of care. Another factor working against the continuing expansion of SCT as a viable treatment in the world of exciting small molecules (which usually fall short of the therapeutic breakthrough made by imatinib) are prejudices about the horrors of SCT and chronic GVHD created in the minds of some non-transplant investigators from memories of how SCT was during their training in the past century. BMT units tend to be isolated from the hospital community, and the arcane goings-on within the unit are too often considered off-limits to doctors in training and off-putting for ancillary staff seeking a specialty career.
Recipes for future growth
ASBMT has striven to break down prejudice about SCT, for example by promoting the technique during medical training and including all the stakeholders, pharmacists, nursing and mid-level practitioners in the organization, giving them (for the first time) a seat on the Executive Board. In evolution, only a few species (lamp shells being one of them) have been able to survive through geological epochs without change, but typically species must continually evolve to avoid extinction. So, critical to the survival of SCT is the need to keep reinventing itself. While we have to ensure transplants are performed to the best standards of care for 2010, we need to understand SCT as a continually evolving discipline where underlying biology informs new treatments and study of immunology and stem cell function stimulates new clinical developments (the so-called “bench-to bedside-to-bench” approach).
How can we do this? Firstly, by applying what we learn from transplantation biology to advance the field of SCT as well as to other disciplines. For example, GVL is a model for immunotherapy of malignant disease, GVHD provides models for rheumatologists and specialists in autoimmune disorders; stem cell biology and the provision of good manufacturing practice (GMP) quality products underpins the huge explosion in regenerative medicine research. At the same time, we should be alert to the opportunities for incorporating the so called “novel therapies” — non-classical chemotherapy agents, small molecules and vaccines — into the transplant arena. ASBMT can maintain the immediacy of SCT and open the doors to incorporation of new treatments in transplants by outreach to other organizations, such as the American Society of Hematology, the American Society of Clinical Oncology, the European Society of Hypertension, the International Society for Cellular Therapy, as well as the close partnership we enjoy with sister organizations the National Marrow Donor Program and the Center for International Blood and Marrow Transplant Research. A new venture this year is to seek partnership with EBMT. We will be discussing collaborations of mutual benefit educational initiatives, such as developing the popular EBMT handbook, sharing evidence-based reviews, promoting fellowships and scholarships, and seeking joint funding for scientific and clinical research. If you have ideas for ways in which the two societies could collaborate, please share those with us by responding to this email address mail@asbmt.org.
So where will we be in 10 years? Maybe SCT will continue to evolve and what we learn from transplant immunology and stem cells will extend increasingly diverse forms of cell transplantation into applications still unguessed. Or, SCT may be overtaken by advances in other fields, and all the years of GVHD research, libraries of papers, two journals, and a dozen or more SCT societies will be dumped in the archive of history — or something in between these two extremes? As Niels Bohr succinctly put it, “Prediction is very difficult especially about the future,” but I can predict that for better or worse we will not be holding our annual meetings in ski resorts.
-- John
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Legislation and Regulation |
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MS-DRG 009 broken down into two MS-DRGs
CMS recently released its annual proposed changes to Medicare’s Hospital Inpatient Prospective Payment System (IPPS). As part of the rule, CMS proposed the split of MS-DRG 009 (Bone Marrow Transplant) into two new MS-DRGs – MS-DRG 014 (Allogeneic Bone Marrow Transplant) and MS-DRG 015 (Autologous Bone Marrow Transplant). The rule cites an analysis that shows the dramatic difference in average cost between the transplant types, which are currently reimbursed at the same amount with MS-DRG 009. 
Heavy agenda for HRSA advisory council
The HRSA Advisory Council on Blood Stem Cell Transplantation will meet on May 5 in Bethesda with an agenda that includes requirements for informed consent for cord blood donation, accreditation requirements for cord blood banks, factors that define a cord blood unit as high quality, criteria for selecting the appropriate blood stem cell source for transplantation and research priorities for the C.W. Bill Young Cell Transplantation Program.
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Clinical Research |
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Older leukemia patients show good outcome
from hematopoietic cell transplantation
Age should not be considered a contraindication for hematopoietic cell transplantation in patients with acute myelogenous leukemia and myelodysplastic syndrome. According to a report in the April 10 issue of the Journal of Clinical Oncology, neutrophil recovery, incidence of acute or chronic GVHD, nonrelapse mortality, disease-free survival and overall survival are comparable among patients ages 40 to 54, 55 to 59, 60 to 64 and 65 or older. 
Magnets used to guide stem cells to heart
Researchers have used magnets to guide stem cells to damaged areas of the heart in rats, making it more likely that the heart will retain the cells. According to a report in the advance online edition of Circulation Research, scientists loaded cardiac stem cells with microscopic bits of iron and manipulated them using a toy magnet.

Stem cell genetic reprogramming improves over time
Reprogramming the DNA of multipotent stem cells is an imperfect method in the early stages of differentiation, with some genes turned off and on at random. However, according to a report in the April 20 issue of the Proceedings of the National Academy of Sciences, the stability of the differentiation process increases by a factor of 100 as cell divisions continue.

Menstrual stem cells show promise in treating stroke
Stem cells in menstrual blood, call MenSCs, are a non-controversial source for therapies for a variety of diseases. According to a report in the April issue of Stem Cells and Development, transplantation of MenSCs significantly reduced behavioral and histological abnormalities in rats with simulated strokes.
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Association
News |
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Immunologists to hear about alloresponse in GVHD
A symposium, “Factors Affecting the Nature of the Alloresponse in Graft-versus-Host Disease,” has been organized by ASBMT for the 97th annual meeting of the American Association of Immunologists on May 9 in Baltimore.

Reimbursement tips and tactics
Tips and tactics for transplant procedure reimbursement are being posted on the ASBMT website. 
BBMT online access
ASBMT members and individual subscribers receive online access to full text of articles with their print subscription at http://www.bbmt.org. All you need to claim access is your ASBMT member number. Authors and reviewers can access the online submission system via a separate login at http://ees.elsevier.com/ybbmt. For more details, please visit http://www.bbmt.org/content/additionalinformation.
NMDP offers new AML/MDS CME programs
The National Marrow Donor Program (NMDP) is offering a new online four-part CME series entitled: Navigating the Therapeutic Pathways for AML and MDS. These CME-certified programs are offered at no cost and provide an efficient way to explore state-of-the-art AML and MDS treatment options and decision-making algorithms. The series includes four virtual presentations and accompanying slides. 
New HLA nomenclature launched
A new version of HLA nomenclature was launched on April 1 by the Nomenclature Committee of the World Health Organization (WHO) to accommodate the naming of HLA alleles in the future. The World Marrow Donor Association and National Marrow Donor Program are working with organizations and suppliers from around the world to ensure worldwide systems are prepared for the new version of HLA nomenclature. 
181 transplant facilities now FACT accredited
Four new blood and marrow transplant programs earned accreditation and twelve additional facilities received accreditation renewal during the first quarter of 2010. The complete report of accredited organizations in the first quarter is now available.
Upcoming FACT Training Sessions
FACT is hosting several upcoming workshops in conjunction with the ISCT Annual Meeting, ASFA Annual Meeting, and International Umbilical Cord Blood Transplantation Symposium. In addition to an overview of the inspection and accreditation process, these workshops will address current issues pertinent to complying with FACT requirements.
Recordings and MP3 downloads of Tandem sessions
Most plenary and concurrent scientific session presentations of the 2010 BMT Tandem Meetings are available as audio MP3 and synchronized audio/visual downloads.
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