12/28/05
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In definite defiance to the current federal policy, California voters overwhelmingly approved the CA Stem Cell research initiative. When it passed on Election Day last November (2004), the future looked bright. But by May of 2005 the effort had slammed into a wall of opposition from the religious right and anti-tax groups, which stalled it with lawsuits. This write-up is not about the politics of the stem research, but a brief description of what this research is all about, written by a curious person who is not in this field. This is an opportunity for this Lighter to learn something about it, since one of the best ways to learn about something is try to explain it. At the Vancouver mini-reunion, I had the chance to discuss the issue with a Lighter, who encouraged me to write something relatively simple for our webpage, but leave the politics alone. This simple write-up is the result of his encouragement, and I thank him for it. Let us first define what stem cells are. According to a Google search, I found the following definition, sufficiently simple for me to understand: Cells that can give rise to other types of cells; they are produced both during embryonic development and in the adult body. Embryonic stem cells begin with the ability to become any cell type, and quickly differentiate into cells committed toward a certain type of tissue, eg, blood, skin, or neural stem cells. These are termed multipotential stem cells, because they further divide into cells with a particular function, such as red and white blood cells and platelets. Multipotential cells are also present in adults. Stem cells are capable of dividing for indefinite periods in culture (see for example : www.myelin.org/glossary.htm).
The aim: Restore the insulation around neurons, called myelin, or repair the spinal nerve fiber. Next steps: Proof of principle has been shown in rats. Geron, a Menlo
Park company, wants to restore myelin in people. This may help communication
between nerves, but won’t repair a broken connection. Mature nerve cells
taken from the nasal cavity also have shown promise as a way to generate
spinal nerve fiber and stop scarring. The aim: Replace brain cells lost to disease. The aim: Repair heart muscle after a heart attack. The aim: Replace insulin-producing islet cells in the pancreas or grow pancreatic tissue for transplantation. Next steps: Researchers must learn how to produce functioning beta islet cells from stem cells. Cell transplants from deceased donors have been able to help many people, but these are in short supply and recipients must take powerful immune suppressants. Alternatives: An implantable device under development would measure blood
glucose levels and continuously pump out the appropriate amount of insulin.
Other approaches aim to calm the immune system reaction that kills islet
cells and to stimulate the pancreas to produce more of them. The aim: Replace dopamine-producing nerve cells deep in the brain. Next steps: Tests in rats and a small number of monkeys show promise, but only a tiny portion of the implanted cells survive and behavioral changes are small. Alternatives: Gene therapy to enhance the survival of dopamine-producing
neurons, boost dopamine production in another part of the brain, or shut
down the cells that overreact and cause movement problems when dopamine
levels fall too low. A couple of these approaches have worked well in
monkeys. |
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