This
may be big. After all, it is a matter of stem cell choice when it
comes to deciding what cells are generated. Just successfully
regrowing new pancreatic tissue in a lymph node is a revolution in
therapeutic care. That it has worked so well from the get go in
mouse models bodes ell for human trials. This is a curative protocol
for all replacing all damaged tissue that has to be dealt with and it
can use the patients own tissue avoiding any possibility of
rejection.
We
will also figure out how to sustain the process right up to a fully
generated new organ. What we have right now is the understanding
that you merely start with one lymph node in the first place. This
is really wonderful news, particularly for all diabetics. My guess
is that this can be perfected and available for application inside
three years. It is a real cure that will stand up and possibly
negate the need for any further intervention.
In
the meantime we can pick a tissue and produce an appropriate mass
through the lymph node chosen. Nothing like this has existed and the
potential is just been explored. We likely will be able to provide
the scaffold for replacement parts and then simply grow them out
elsewhere on the body before repair is attempted.
OCTOBER 03, 2012
Lymph nodes can
provide a suitable home for a variety of cells and tissues from other
organs, suggesting that a cell-based alternative to whole organ
transplantation might one day be feasible, according to researchers
at the University of Pittsburgh School of Medicine and its McGowan
Institute for Regenerative Medicine. In a report recently published
online in Nature Biotechnology, the research team showed for the
first time that liver cells, thymus tissue and insulin-producing
pancreatic islet cells, in an animal model, can thrive in lymph nodes
despite being displaced from their natural sites.
Hepatitis virus infection, alcoholic cirrhosis and other diseases can cause so much damage that liver transplantation is the only way to save the patient, noted senior investigator Eric Lagasse, Pharm. D., Ph.D., associate professor, Department of Pathology, Pitt School of Medicine. Children with DiGeorge syndrome lack functional thymus glands to produce essential immune cells, and diabetes can be cured with a pancreas transplant.
Hepatitis virus infection, alcoholic cirrhosis and other diseases can cause so much damage that liver transplantation is the only way to save the patient, noted senior investigator Eric Lagasse, Pharm. D., Ph.D., associate professor, Department of Pathology, Pitt School of Medicine. Children with DiGeorge syndrome lack functional thymus glands to produce essential immune cells, and diabetes can be cured with a pancreas transplant.
“However, the
scarcity of donor organs means many people will not survive the wait
for transplantation,” said Dr. Lagasse, whose lab is at the McGowan
Institute. “Cell therapies are being explored, but introducing
cells into tissue already ravaged by disease decreases the likelihood
of successful engraftment and restoration of function.”
In the study, his team tested the possibility of using lymph nodes, which are abundant throughout the body and have a rich blood supply, as a new home for cells from other organs in what is called an “ectopic” transplant.
They injected healthy liver cells from a genetically-identical donor animal into lymph nodes of mice at various locations. The result was an enlarged, liver-like node that functioned akin to the liver; in fact, a single hepatized lymph node rescued mice that were in danger of dying from a lethal metabolic liver disease. Likewise, thymus tissue transplanted into the lymph node of mice that lacked the organ generated functional immune systems, and pancreatic islet cell transplants restored normal blood sugar control in diabetic animals.[ it actually worked and it appears that it also worked well - arclein]
“Our goal is not necessarily to replace the entire liver, for example, but to provide sufficient cell mass to stabilize liver function and sustain the patient’s life,” Dr. Lagasse said. “That could buy time until a donor organ can be transplanted. Perhaps, in some cases, ectopic cell transplantation in the lymph node might allow the diseased organ to recover.”
ABSTRACT - Cell-based
therapy has been viewed as a promising alternative to organ
transplantation, but cell transplantation aimed at organ repair is
not always possible. Here we show that the mouse lymph node can
support the engraftment and growth of healthy cells from multiple
tissues. Direct injection of hepatocytes into a single mouse lymph
node generated enough ectopic liver mass to rescue the survival of
mice with lethal metabolic disease. Furthermore, thymuses
transplanted into single lymph nodes of athymic nude mice generated
functional immune systems that were capable of rejecting allogeneic
and xenogeneic grafts. Additionally, pancreatic islets injected into
the lymph nodes of diabetic mice restored normal glucose control.
Collectively, these results suggest the practical approach of
targeting lymph nodes to restore, maintain or improve tissue and
organ functions.
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