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"autologous" Definitions
  1. derived from the same individual
  2. involving one individual as both donor and recipient
"autologous" Antonyms

466 Sentences With "autologous"

How to use autologous in a sentence? Find typical usage patterns (collocations)/phrases/context for "autologous" and check conjugation/comparative form for "autologous". Mastering all the usages of "autologous" from sentence examples published by news publications.

Most of the autologous treatments use fat adipose-derived stem cells.
The FDA will not enforce certain donor eligibility rules for autologous use.
The company markets two autologous cell therapy products in the United States: Carticel® (autologous cultured chondrocytes), an autologous chondrocyte implant for the treatment of cartilage defects in the knee, and Epicel® (cultured epidermal autografts), a permanent skin replacement for the treatment of patients with deep-dermal or full-thickness burns comprising greater than or equal to 30 percent of total body surface area.
About a third had reconstructions using their own tissue, a procedure known as autologous reconstruction.
The transplanted cells had been derived from autologous induced pluripotent stem cells, which are reprogrammed cells.
Most of the businesses marketed autologous stem cell-based interventions, using cells derived from the patient's own body.
There are as yet no FDA-approved autologous cellular therapies addressing MS or other neurological diseases, the company said.
This treatment, known as autologous fecal transplantation, was able to restore the microbiome to original levels after just eight days.
Research currently underway will help us understand whether microbiome restoration with autologous fecal transplantation will translate into tangible benefits for these patients.
I endured five months of chemotherapy just to prepare me for an autologous stem cell transplant, which marshals my own stem cells.
"I was surprised the difference was so stark between the autologous reconstruction and the implant, and that the autologous tissue flap complication rate was so high," said Dr. David H. Song, chairman of the department of plastic surgery at Georgetown University School of Medicine, who was not involved in the research but was a co-author of a commentary on the studies.
"If not for the help of high-dose autologous mesenchymal stem cell therapy, I would not be here today," Hughes said at the hearing.
The stem cells most studied for their potential are known as autologous adult stem cells, which are stem cells taken from a person's own body.
Because the procedure uses autologous cells, which are cells from the patient's own body, there's little to no chance of rejection by the body's immune system.
Like many plastic surgery procedures, penis enlargement relies on transplanting "autologous" fat cells from a body part where they are not wanted to one where they are.
Surgeons often reconstruct body parts with "autologous tissue," which means they use a portion of skin, muscle, cartilage, or bone harvested from another region of a patient's body.
People with damaged cartilage in their knees can undergo so-called matrix-induced autologous chondrocyte implantation, or MACI, surgery to fix the defects that cause pain and swelling.
The hematopoietic cells for HCT can come from a donor (allogeneic) or from the patient (autologous), and can be harvested from peripheral blood, bone marrow or umbilical cord blood.
"Since this is an aggressive treatment, the potential benefits should be weighed against the risks of serious complications associated with aHSCT [autologous haematopoietic stem cell transplant]," he said in a statement.
"This is the first described case where a seemingly simple and safe procedure of penis enlargement by autologous fat transfer caused sudden death in a healthy young man," reports the Journal of Forensic Sciences case study.
The actress, 47, did not share the exact nature of the procedure but told fans on social media Tuesday that per her doctor's recommendation she autologous blood banking, which means storing your own blood, ahead of the surgery.
Vericel is also developing MACI™, a third-generation autologous chondrocyte implant for the treatment of cartilage defects in the knee, and ixmyelocel-T, a patient-specific multicellular therapy for the treatment of advanced heart failure due to ischemic dilated cardiomyopathy.
"If not for the help of high-dose autologous mesenchymal stem cell therapy, I would not be here today," Hughes said in her speech at the hearing, adding that she is now "in fairly good health" to share her testimony.
According to Be The Match (formerly The National Marrow Donor Program), of the 50,000 patients transplanted annually, 53 percent are autologous—using the patient's own stem cells —and 47 percent are allogenic, using someone else's cells or umbilical cord blood.
Novartis applied to the European Medicines Agency for the therapy to be used in children and young adults with acute lymphoblastic leukemia (ALL) and adult patients with diffuse large B-cell lymphoma (DLBCL) who are ineligible for autologous stem cell transplant.
Novartis has applied to the European Medicines Agency (EMA) for Kymriah to be used in children and young adults with acute lymphoblastic leukemia (ALL) and adult patients with diffuse large B-cell lymphoma (DLBCL) who are ineligible for autologous stem cell transplant, the company said on Monday.
Because he still had a tiny percentage of myeloma cells in his bone marrow after an arduous autologous stem cell transplant, which uses the patient's own cells, he rejected the advice of specialists and underwent an allogeneic stem cell transplantation, using cells from a genetically matched person.
Autologous means that 'derived from oneself' – An autologous vaccine is a personalized vaccine which is made from an individual's own cells which could be either cancer cells or immune system cells.
Mouse embryonic stem cells Cells are often categorized by their source. Autologous cells are obtained from the same individual to which they will be reimplanted. Autologous cells have the fewest problems with rejection and pathogen transmission, however, in some cases might not be available. For example, in genetic disease suitable autologous cells are not available.
The preliminary result are potentially hopeful towards autologous heart valve production.
A 'Haemonetics MCS' instrument was used for autologous stem cells aphaeresis.
The human body's own cartilage is still the best material for lining knee joints. This drives efforts to develop ways of using a person's own cells to grow, or re-grow cartilage tissue to replace missing or damaged cartilage. One cell- based replacement technique is called autologous chondrocyte implantation (ACI) or autologous chondrocyte transplantation (ACT). A review evaluating autologous chondrocyte implantation was published in 2010.
An autologous tumor cell is a cancer cell from an individual's own tumor.
Randomized studies with autologous stem-cell derived from adipose tissue were conducted by his team.
Median survival is about 9 months. Autologous stem cell transplantation has been used in treatment.
Turkoglu E, Celik E, and Alagoz G, A comparison of the efficacy of autologous serum eye drops with amniotic membrane transplantation in neurotrophic keratitis. Semin Ophthalmol 29 (2014) 119-26. Other approaches used in severe forms include the administration of autologous serum eye drops.Turkoglu E, Celik E, and Alagoz G, A comparison of the efficacy of autologous serum eye drops with amniotic membrane transplantation in neurotrophic keratitis. Semin Ophthalmol 29 (2014) 119-26.
The country's first ever autologous bone marrow transplant took place in its bone marrow transplant unit.
In many industrialized countries 5% or less of the eligible population are blood donors. As a result, some in the global medical community have moved from allogeneic blood (blood collected from another person) towards autologous transfusion, in which patients receive their own blood. Another impetus for autologous transfusion is the position of Jehovah's Witnesses on blood transfusions. For religious reasons, Jehovah's Witnesses may choose not to accept any allogeneic transfusions from a volunteer's blood donation but may accept the use of autologous blood salvaged during surgery to restore their blood volume and homeostasis during the course of an operation, although not autologous blood donated beforehand.
Decreasing production of the organ-damaging light chains is the treatment goal. Options include chemotherapy using bortezomib, autologous stem cell transplantation, immunomodulatory drugs, and kidney transplant. There is no standard treatment for LCDD. High-dose melphalan in conjunction with autologous stem cell transplantation has been used in some patients.
Exchange transfusion is used in the treatment of a number of diseases, including sickle-cell disease and hemolytic disease of the newborn. Partial exchange might be required for polycythemia. Nearly all exchange transfusions are allogeneic (that is, the new blood or blood products come from another person or persons, via donated blood); autologous exchange transfusion is possible (using autologous blood banking), but there are not many situations in which a need for it arises, as most autologous transfusions involve no exchange.
Jehovah's Witnesses reject transfusions of whole allogenic blood and its primary components (red blood cells, white blood cells, platelets and plasma), and transfusions of stored autologous blood or its primary components. As a doctrine, Jehovah's Witnesses do not reject transfusion of whole autologous blood so long as it is not stored prior to surgery (e.g. peri-operative extraction and transfusion of autologous blood). This religious position is due to their belief that blood is sacred and represents life in God's eyes.
Radiation therapy alone may prolong survival. Aggressive chemotherapy with autologous bone marrow transplant is used for metastatic medulloepitheliomas.
A new technique for hemodilution, preparation of autologous platelet-rich plasma and intraoperative blood salvage in cardiac surgery.
A 2017 Cochrane review found mixed results when comparing autologous serum eye drops to artificial tears or saline. Evidence from the examined trials showed that autologous serum eye drops may have a small short-term benefit when compared to artificial tears, but there is no evidence of improvement after 2 weeks.
The platelet rich plasma can be mixed with calcium and thrombin to create a product known as autologous platelet gel. This is an autologous product that can be used for a variety of techniques including use as a hemostatic aid, a dural sealant, and an aid to fusion of bone.
Katakowski's current work hypothesizes that rejuvenating the bone marrow by autologous heterochronic transplantation of cells could extend healthy lifespan.
Younger and healthier people may choose allogeneic or autologous bone marrow transplantation in the hope of a permanent cure.
Extracting stem cells from amniotic fluid is possible for both autologous and heterologous uses at the time of childbirth.
The company has regenerative medicine products such as these being developed via xenotransplantation, allogenic recellularization, and autologous bioprinting technologies.
The proven curative benefits of high doses of chemotherapy afforded by autologous bone marrow rescue are limited to both Hodgkin's and selected non-Hodgkin's lymphoma patients who have failed therapy with conventional combination chemotherapy. Autologous transplantation continues to be used as a component of therapy for a number of other hematologic malignancies.
The disadvantage to the Dor procedure is that it places synthetic tissue inside the LV cavity. However, it is possible to replace the Dacron patch with autologous tissue. The surgeon can make a semicircular patch, mobilized with a septal hinge, out of the endocardial scar or use autologous patches of the pericardium.
The results have paved the way for future trials and use of intrathecal autologous bone marrow-derived mesenchymal stem cells administration.
Surgical treatment for breast defects such as mastectomy is also applicable to treat patients with amastia. Tissue expansion is the most common technique and can be done by using either autologous or prosthetic tissue. For autologous reconstruction, different tissues may be chosen according to patients’ physical condition or their preferences. Prosthetic reconstruction may follow the same principles.
Recently scientists have proven that intralesional injection of autologous bone marrow stem cells is a safe and effective treatment modality in oral sub mucosal fibrosis. It has been shown autologous bone marrow stem cell injections induces angiogenesis in the area of lesion which in turn decreases the extent of fibrosis thereby leading to significant increase in mouth opening.
Recent case report studies suggest that treatment regimens which include a proteasome inhibitor drug, particularly bortezomib, and/or autologous stem- cell transplantation have improved pPCL survival. For example, 28 patients treated with a bortezomib-based induction regimen followed by autologous stem- cell transplantation and then a maintenance regimen of lenaldomide (an immunosuppressant related to thalidomide), bortezomib, and dexamethasone (a corticosteroid) has a progression free survival rate of 66% at 3 years and an overall survival rate of 73% at 4 years. In one study, patients receiving intensive chemotherapy plus autologous stem-cell transplantation had a median survival of 34 months while those receiving chemotherapy alone had a median survival of 11 months. Two other studies that included bortezomib in their chemotherapy regimens likewise found that the addition of autologous stem-cell transplantation improved results.
Complete and partial disappearance of the symptoms of the TEMPI syndrome was reported with the drugs bortezomib , daratumumab and autologous stem cell transplantation .
In eligible patients, surgery where necessary (required in >80% of patients) to repair obstructed or perforated bowel or remove bulky disease followed by a conditioning regimen of high-dose chemotherapy (usually the CHOP regimen) and autologous stem cell transplantion has been the mainstay of treating EATL. Previous chemotherapy treatment regimens that did not use autologous stem cell transplantation reported poor prognoses with overal survival, progression free, and mortality rates over a 5-year period of 22%, 3%, and 81%. respectively whereas a regimen that included intensive chemotherapy, conditioning, and autologous stem cell transplantation had rates of 60%, 52%, and 39%, respectively.
Ex vivo expansion of Tregs for subsequent autologous transplant is currently being investigated after promising results were obtained in a phase I clinical trial.
Endogenous antigens include xenogenic (heterologous), autologous and idiotypic or allogenic (homologous) antigens. Sometimes antigens are part of the host itself in an autoimmune disease.
"Autologous conditioned serum: the comparative cytokine profiles of two commercial methods (IRAP and IRAP II) using equine blood." Equine veterinary journal 43.5 (2011): 516-521.
Autologous Matrix Induced Chondrogenesis, AMIC®, is an innovative biological surgical procedure developed by Geistlich Surgery for the treatment of traumatic chondral and osteochondral lesions.
Berd D, Sato T, Cohn H, Maguire HC, Jr., Mastrangelo MJ. Treatment of metastatic melanoma with autologous, hapten-modified melanoma vaccine: regression of pulmonary metastases. Int J Cancer 2001;94(4):531-9.Rousseau RF, Biagi E, Dutour A, et al. Immunotherapy of high-risk acute leukemia with a recipient (autologous) vaccine expressing transgenic human CD40L and IL-2 after chemotherapy and allogeneic stem cell transplantation.
Suction blistering is a technique used in dermatology to treat chronic wounds, such as non-healing leg ulcers. When a wound is not healing properly, an autologous skin graft is the best option, to prevent rejection of the tissue. Since autologous transplantation cannot always be performed, a substitute has to be used, such as cultured skin. However, this technique is costly and time- consuming.
Special considerations to children undergoing cranioplasty are made to accommodate for their growing cranium. Certain materials are more favoured when compared to adult cranioplasty. Autologous bone grafts are the most preferred materials for paediatric cranioplasty, as they are accepted by the host and the bone flap can be integrated into the body of the host. However, autologous bone pieces may be unavailable or unsuitable in certain occasions.
Autologous stem-cell transplantation (also called autogenous, autogeneic, or autogenic stem-cell transplantation and abbreviated auto-SCT) is autologous transplantation of stem cells—that is, transplantation in which stem cells (undifferentiated cells from which other cell types develop) are removed from a person, stored, and later given back to that same person. Although it is most frequently performed with hematopoietic stem cells (precursors of blood- forming cells) in hematopoietic stem cell transplantation, cardiac cells have also been used successfully to repair damage caused by heart attacks. Autologous stem-cell transplantation is distinguished from allogenic stem cell transplantation where the donor and the recipient of the stem cells are different people.
Autologous stem cell-based treatments for ligament injury, tendon injury, osteoarthritis, osteochondrosis, and sub-chondral bone cysts have been commercially available to practicing veterinarians to treat horses since 2003 in the United States and since 2006 in the United Kingdom. Autologous stem cell based treatments for tendon injury, ligament injury, and osteoarthritis in dogs have been available to veterinarians in the United States since 2005. Over 3000 privately owned horses and dogs have been treated with autologous adipose- derived stem cells. The efficacy of these treatments has been shown in double- blind clinical trials for dogs with osteoarthritis of the hip and elbow and horses with tendon damage.
Also, very ill or elderly persons, as well as patients suffering from severe burns, may not have sufficient quantities of autologous cells to establish useful cell lines. Moreover, since this category of cells needs to be harvested from the patient, there are also some concerns related to the necessity of performing such surgical operations that might lead to donor site infection or chronic pain. Autologous cells also must be cultured from samples before they can be used: this takes time, so autologous solutions may not be very quick. Recently there has been a trend towards the use of mesenchymal stem cells from bone marrow and fat.
Autologous grafts are used to transfer tissue from one site to another on the same body. The use of autologous grafts prevents transplantation rejection reactions. Grafts used for oral reconstruction are preferably taken from the oral cavity itself (such as gingival and palatal grafts). However, their limited availability and small size leads to the use of either skin transplants or intestinal mucosa to be able to cover bigger defects.
Usually autologous vessels from the patient or synthetic polymer grafts are used for this purpose. Both options have disadvantages. Firstly there are only few autologous vessels available in a human body that might be of low quality, considering the health status of the patient. The synthetic polymer based grafts on the other hand often have insufficient haemocompatibility and thus rapidly occlude - a problem that is especially prone in small calibre grafts.
Potential explanations include 1\. Atypical immune recognition of autologous skin antigens 2\. Stimulation of normal T cells by changing skin constituents 3\. Lower threshold for skin irritation 4\.
For muscles that cannot be rescued via home- based functional electrical stimulation, an Italian study suggests that, at some point in the future, the following techniques may be applicable: they must first have induction and separation of autologous myogenic cells. This can be completed either by in vivo marcaine infiltration of muscle tissue that can then be grown in vitro, or have in vitro induction of autologous adipose tissue followed by selection of myogenic stem cells that can be recreated in vivo. The new autologous myogenic stem cells will be injected, proliferated and differentiated into new mature muscle fibers. Functional properties of these newly created muscle fibers will be induced via surface electrodes and an external neuromodulator.
It may also be combined with autologous materials for a bone graft. Porous beta-Tricalcium phosphate scaffolds are employed as drug carrier systems for local drug delivery in bone.
Embolic complications are more frequently seen when autologous fat is used as a filler, followed by hyaluronic acid. Though rare, when vision loss does occur, it is usually permanent.
Autologous hematopoietic stem cell transplantation (i.e. transplantation of stem cells derived from the individual being transplanted) did not improve relapse-free survival in one large study of DS- AMKL. Allogenic hematopoietic stem cell transplantation (i.e. transplantation of stem cells derived another individual) has given better disease-free survival results than autologous transplantation and, based on recent uncontrolled studies, should be considered in DS-AMKL cases that have relapsed after their first chemotherapy-induced complete remission.
In mice models, "dendritic cells (DCs) [were able] to internalize tumor antigens and subsequently activate tumor- reactive T cells"; this has been used "to treat autologous and autochthonous tumors successfully".
Combination treatment with Ibrutinib and Rituximab showed significantly higher disease progression free survival than with just Rituximab treatment. Recently, autologous bone marrow transplantation has been added to the available treatment options.
Strimvelis is the medication's trade name. The common name is autologous CD34+ enriched cell fraction that contains CD34+ cells transduced with retroviral vector that encodes for the human ADA cDNA sequence.
As a byproduct of PRP preparation, PPP may also find use in tissue engineering applications as an autologous degradable scaffold. This plasma portion is frequently discarded when used with PRP treatments.
Gaudernack and colleagues became interested in the immunotherapeutic potential of dendritic cells (DCs) and in 2005, Gaudernack's group published results from a phase I/II clinical trial in prostate cancer patients using autologous DCs loaded with tumor mRNA as a vaccine. This study demonstrated that vaccination with autologous DCs transfected with mRNA derived from three prostate cancer cell lines was safe and an improved clinical outcome was significantly related to immune responses against the vaccine. Furthermore, Gaudernack and colleagues initiated a phase I/II clinical trial for treatment of malignant melanoma with autologous tumor- mRNA transfected DC vaccines. These data clearly demonstrated vaccine-specific immune responses with a broad specter of T cell response against antigens encoded by the tumor-mRNA antigens utilized for transfection.
Every year, a variety of resources are developed from CIBMTR data, including publications, slide sets, Web resources, and more. Investigators, physicians, patients and others interested in hematopoietic cell transplantation (HCT) outcomes can access these resources below. They collect outcomes data on every allogeneic transplantation performed in the U.S. (for the SCTOD, as required by U.S. law). U.S. transplant centers also voluntarily submit autologous transplantation data, and transplant centers worldwide voluntarily submit both autologous and allogeneic transplantation data.
This can either be from the person (autograft) or from a donor (allograft). People undergoing a joint transplant (osteochondral allograft) do not need to take immunosuppressants as bone and cartilage tissues have limited immune responses. Autologous articular cartilage transfer from a non-weight-bearing area to the damaged area, called osteochondral autograft transfer system (OATS), is one possible procedure that is being studied. When the missing cartilage is a focal defect, autologous chondrocyte implantation is also an option.
HSCs therapy can also render its cure by reconstituting damaged blood-forming cells and restoring the immune system after high-dose chemotherapy to eliminate disease. There are three types of HSC transplantation: syngeneic, autologous, and allogeneic transplants. Syngeneic transplantations occur between identical twins. Autologous transplantations use the HSCs obtained directly from the patient and hence avoid complications of tissue incompatibility; whereas allogeneic transplantations involve the use of donor HSCs, either genetically related or unrelated to the recipient.
Clinical trials on IL-1α have been carried out that are specifically designed to mimic the protective studies in animals. IL-1α has been administered to patients during receiving autologous bone marrow transplantation. The treatment with 50 ng/kg IL-1α from day zero of autologous bone marrow or stem cells transfer resulted in an earlier recovery of thrombocytopenia compared with historical controls. IL-1α is currently being evaluated in clinical trials as a potential therapeutic in oncology indications.
In 2015, a first step towards individualized neoantigen vaccination was achieved by treating three melanoma patients with autologous dendritic cells loaded with a personalized mixture of seven peptides (neoantigens) that were predicted to bind to human leukocyte antigens (HLA). The neoantigen-loaded dendritic cells were cultured in vitro for autologous transfusion. Results showed that the vaccine enhanced the existing immune response and elicited a neoantigen-specific T cell response that was not detected prior to injection. Sahin et al.
They are key to an experimental autologous cell therapy (Contego) for metastatic melanoma. Autologous TIL therapy for metastatic melanoma has broad T cell recognition of both defined and undefined tumor antigens against all human leukocyte antigen (HLA) restrictions. TILs can not only recognize over-expressed self/melanocyte differentiation antigens, such as Melan-A/MART-1 (melanoma-specific), gp100, tyrosinase, and survivin, but TILs can also recognize other unknown antigens specific to the tumor and individual patient.
The benefits of using autologous iPSCs are that there is theoretically no risk of rejection and that it eliminates the need to use embryonic stem cells. However, these iPSCs were derived from another person.
Autologous mitochondria extracted from healthy tissue and supplied to damaged tissue has been used to treat cardiac-compromised newborns. Alternatives to the approach include use of an extracorporeal membrane oxygenator (ECMO) or tissue/organ transplantation.
As indicated in the chart above, such a graft would be osteoinductive and osteogenic, as well as osteoconductive. A negative aspect of autologous grafts is that an additional surgical site is required, in effect adding another potential location for post-operative pain and complications. Autologous bone is typically harvested from intra-oral sources as the chin or extra-oral sources as the iliac crest, the fibula, the ribs, the mandible and even parts of the skull. All bone requires a blood supply in the transplanted site.
Antibodies for cancer cell vaccines may be taken from the patient's own body (autologous vaccine) or from another patient (allogeneic vaccine). Several autologous vaccines, such as Oncophage for kidney cancer and Vitespen for a variety of cancers, have either been released or are undergoing clinical trial. FDA-approved vaccines, such as Sipuleucel-T for metastasizing prostate cancer or Nivolumab for melanoma and lung cancer can act either by targeting over-expressed or mutated proteins or by temporarily inhibiting immune checkpoints to boost immune activity.
Aiming to obtain the best possible results, scientists have striven to replace damaged articular cartilage with healthy articular cartilage. Previous repair procedures, however, always generated fibrocartilage or, at best, a combination of hyaline and fibrocartilage repair tissue. Autologous chondrocyte implantation (ACI) procedures are cell-based repairs that aim to achieve a repair consisting of healthy articular cartilage.Knutsen G, Drogset JO, Engebretsen L, Grøntvedt T, Isaksen V, Ludvigsen TC, Roberts S, Solheim E, Strand T, Johansen O. A randomized trial comparing autologous chondrocyte implantation with microfracture.
There is some evidence that in 1785 Philip Physic of Philadelphia transfused a post-partum patient. However the first documented use of autologous blood transfusion was in 1818 when an Englishman, Rey Paul Blundell, salvaged vaginal blood from patients with postpartum hemorrhage. By swabbing the blood from the bleeding site and rinsing the swabs with saline, he found that he could re-infuse the result of the washings. This unsophisticated method resulted in a 75% mortality rate, but it marked the start of autologous blood transfusion.
In transplantation, autologous lymphocytes refers to a person's own white blood cells. Lymphocytes have a number of roles in the immune system, including the production of antibodies and other substances that fight infections and other diseases.
Autologous stem-cell transplants are shown to be an effective treatment. However, this should be only considered for certain people due to toxicity concerns. It is possible that the transplant may cause problems like septic shock.
Autologous blood therapy, also known as autologous blood injection or autohemotherapy, comprises certain types of hemotherapy using a person's own blood (auto- + hemo- + therapy). There are several kinds, the original belonging only to traditional medicine, alternative medicine, or quackery, and some newer kinds under investigation. The original, unscientific form is "the immediate intramuscular or subcutaneous reinjection of freshly drawn autologous blood". It was used in the early 20th century, when some physicians believed that it had efficacy and logical mechanism of action; it was abandoned later as advancing science made clear that it lacked those.A Systematic Review of Autohemotherapy as a Treatment for Urticaria and Eczema / Devon D. Brewer, Cureus 6(12): e233. doi:10.7759/cureus.233 The other forms involve some change to the blood before it is reinjected, typically oxygenation, ozonation (ozonated autohemotherapy), ultraviolet light exposure, or centrifugation.
One important contribution during this period was the discovery of a means that allowed the administration of previously lethal doses of chemotherapy. The patient's bone marrow was first harvested, the chemotherapy administered, and the harvested marrow then returned to patient a few days later. This approach, termed autologous bone marrow transplantation, was initially thought to be of benefit to a wide group of patients, including those with advanced breast cancer. However, rigorous studies have failed to confirm this benefit, and autologous transplantation is no longer widely used for solid tumors.
Patients with DLBCL, NOS who relapse or progress following first-line therapy have been treated wit "salvage regimens" consisting of high-dose (also termed high- intensity) chemotherapy conditioning drugs followed by autologous stem cell transplantation. This regimen has attained 3 year progression-free survival rates of 21-37%. Relapse following this treatment carries a very poor prognosis with median overall survival times of ~10 months. Patients who have failed or because of health issues are ineligible for autologous stem cell transplantation have been treated with low-dose (i.e.
Autologous Blood Transfusion Education Program, Training Manual, Shiley Incorporated, Irvine CA, 1992 With the introduction of cardiopulmonary bypass in 1952, autotransfusion became an area of study. Klebanoff began a new era of autotransfusion by developing the first commercially available autotransfusion unit in 1968. His system, the Bentley Autotransfusion System aspirated, collected, filtered and reinfused autologous whole blood shed from the operative field. The problems with the Bentley system included the requirement of systemic anticoagulation of the patient, introduction of air embolism, and renal failure resulting from unfiltered particulate in the reinfused blood.
Rehabilitation for muscle strengthening can be useful in alleviating symptoms. Improvement has been noted in two HIV-negative individuals treated with immunoglobulin (IViG) agents. Improvement has also been noted with autologous stem cell transplantation, and chemotherapy with melphalan.
2004;57:20 –26Yousif NJ, Matloub HS, Kolachalam R, et al. The transverse gracilis musculocutaneous flap. Ann Plast Surg. 1992;29:482– 490Wechselberger G, Schoeller T. The transverse myocutaneous gracilis free flap: a valuable tissue source in autologous breast reconstruction.
Further studies to find more effective treatment regimens for ANKL are needed. One regimen under such consideration uses AspaMetDex (L-asparagenase, methotrexate, dexamethasone) for induction therapy and SMILE for consolidation therapy followed by autologous hemotopoietic stem cell transplantation.
For this reason, bone marrow, or peripheral blood stem cell harvesting is carried out before the ablative part of the therapy, to enable "rescue" after the treatment has been given. This is known as autologous stem cell transplantation.
Thereafter the adverse effects of such intravenously administered cytokines lead to the extraction of the lymphocytes from the blood and culture-expand them in the lab and then to inject the cells alone enable them destroy the cancer cells. Till date different kinds of autologous and allogenic immune cells such as lymphokine-activated killer(LAK)cells, Natural killer (NK) cells, Activated Cytotoxic T lymphocytes(CTLs), Dendritic cells(DCs), Gene manipulated autologous and allogenic Immune cells have been used in clinical applications of Immunotherapy. The present technology of AIET was developed by Japanese scientists and it is being widely practised in several Asian countries which uses autologous natural killer (NK) cells and activated T lymphocytes to treat various cancers. This treatment modality has been in practice since early 90s and has several random clinical trials in lung cancer, gastric cancer, Ovarian cancer and Liver cancer.
This treatment regimen has achieved 5 year overall survival rates of 70%. Since surgery and radiotherapy are not curative for the disease, high dose chemotherapy regimens and autologous stem cell transplantation have been recommended for refractory and/or relapsed disease.
Furthermore, an increased rate of symptomatic hypertrophy was found for patellar defects. Source: Philipp Niemeyer, MD, et al.: Characteristic Complications After Autologous Chondrocyte Implantation for Cartilage Defects of the Knee Joint. The American Journal of Sports Medicine 36:2091-2099 (2008).
One avenue of research is using stem cells. They are applied in grafting (bone grafting) or by seeding porous arthroplasty prosthesis with autologous fibroblasts or chondrocyte progenitor cells to assist in firmly anchoring the artificial material in the bone bed.
In February 2015, the European Commission approved autologous CLET using the stem cell therapy Holoclar for people with severe LSCD due to corneal burns. This is the first time that a stem cell therapy (other than the use of umbilical cord stem cells) has been approved by any regulatory agency in the world. It was created by Graziella Pellegrini and Michele de Luca. Holoclar is a tissue-engineered product that comprises ex vivo expanded autologous human corneal epithelial cells including stem cells, which replace limbal stem cells in patients where the limbus has been destroyed by ocular burns.
Furthermore, a BMT can be allogenic or autologous, which means the donor and recipient of bone marrow can be two different people or the same person, respectively. The autologous BMT involves a full HLA match, whereas, the allogenic BMT involves a full or half (haploidentical) HLA match. Particularly, in the allogenic BMT the chances of graft-versus-host-disease occurring is high if the match of the donor and recipient is not close enough. In this case, the T-cells in the donor bone marrow attack the patient's body because the body is foreign to this graft.
End to end surgical suture of damaged nerve ends can repair small gaps with autologous nerve grafts. For larger injuries, an autologous nerve graft that has been harvested from another site in the body might be used, though this process is time consuming, costly and requires two surgeries (Schmidt & Leach 2003). Clinical treatment for CNS is minimally available and focuses mostly on reducing collateral damage caused by bone fragments near the site of injury or inflammation. After swelling surrounding injury lessens, patients undergo rehabilitation so that remaining nerves can be trained to compensate for the lack of nerve function in injured nerves.
The reconstruction of the breast(s) with grafts of autologous fat is a non-implant alternative to further surgery after a breast cancer surgery, be it a lumpectomy or a breast removalsimple (total) mastectomy, radical mastectomy, modified radical mastectomy, skin-sparing mastectomy, and subcutaneous (nipple sparing) mastectomy. The breast is reconstructed by first applying external tissue expansion to the recipient- site tissues (adipose, glandular) to create a breast-tissue matrix that can be injected with autologous fat grafts (adipocyte tissue); the reconstructed breast has a natural form, look, and feel, and is generally sensate throughout and in the nipple-areola complex (NAC). The reconstruction of breasts with fat grafts requires a three-month treatment periodbegun after 3–5 weeks of external vacuum expansion of the recipient-site tissues. The autologous breast-filler fat is harvested by liposuction from the patient's body (buttocks, thighs, abdomen), is refined and then is injected (grafted) to the breast-tissue matrices (recipient sites), where the fat will thrive.
Non tooth-related defects can be the result of trauma, chronic infection or defects caused by tumor resection or ablation (in the case of oral cancer). Common approaches for replacing damaged oral mucosa are the use of autologous grafts and cultured epithelial sheets.
Bioengineered organs which rely on a patient's own cells, autologous constructs, are not subject to transplant rejection, unlike transplants from human or animal donors. The current standard for repairing a damaged urinary bladder involves partial or complete replacement using tissue from the small intestine.
Cytori Therapeutics, Inc. is a late stage cell therapy company developing autologous cell therapies from adipose tissue to treat a variety of medical conditions. The company was created as the result of a 2002 merger between Macropore Biosurgery Inc. (founded in 1996) and StemSource Inc.
Tumor infiltrating lymphocytes (TILs) are lymphocytes that penetrate a tumor. TILs have a common origin with myelogenous cells at the hematopoietic stem cell, but diverge in development. Concentration is generally positively correlated. However, only in melanoma has autologous TIL transplant succeeded as a treatment.
Cyclophosphamide, used in combination with thalidomide or lenalidomide and dexamethasone has documented efficacy as an off-label treatment of AL amyloidosis. It appears to be an alternative to the more traditional treatment with melphalan in people who are ill-suited for autologous stem cell transplant.
Patients who suffer early treatment failure (e.g. within 1–2 years of initial treatment) or multiple relapses have also been treated with either autologous (i.e. stem cells taken from patient) or allogeneic (i.e. stem cells taken from a donor) stem cell bone marrow transplantation.
In this research, professor Dreyfus demonstrated the rationale in treating the tricuspid annulus dilation independently from the presence of tricuspid regurgitation. This principle influenced the guidelines of the international societies of Cardiology, may it be the American College of Cardiology / American Heart Association, or the European Society of Cardiology. He also focused his research on a new technique to replace the aortic valve, using autologous pericardium.NHS stories: Making better heart valves, BBC, 17 janvier 2004 Results of this method, called Cardiomend were presented at the American Society of Thoracic Surgeons annual meeting in 2001The First Totally Stentless and Reproducible Autologous Pericardial Valve , STS, 2006 and were the object of two articles.
Currently VML is treated through an autologous muscle flap or graft but there are various problems associated with this procedure. Donor site morbidity, lack of donor tissue, and inadequate vascularization all limit the ability of doctors to adequately treat VML. The field of muscle tissue engineering attempts to address this problem through the design of a functional muscle construct that can be used to treat the damaged muscle instead of harvesting an autologous muscle flap from elsewhere on the patient's body. Muscle is a naturally aligned organ, with individual muscle fibers packed together into larger units called muscle fascicles.Shaffer F and Neblett R. 2010.
Thus, hair follicle stem cells provide an effective, accessible, autologous source of stem cells for treatment of peripheral nerve injury. Nestin has recently received attention as a marker for detecting newly formed endothelial cells. Nestin is an angiogenesis marker of proliferating endothelial cells in colorectal cancer tissue.
The cancer therapies (Melapuldencel-T and ovapuldencel-T) below are an autologous dendritic cell-based immunotherapy using the patients own dendritic cells and samples of their tumor to make dendritic cells aimed at the patient's tumor antigens. This should activate T cells to attack the tumor.
Current recommendations for treating pPCL often include induction with a three drug regimen such as borezomib- lenalidomide-dexamethasone followed by autologous stem-cell transplantion and consolidation/maintenance with of combination of immunomodulator agents (e.g. thalidomide, lenalidomide, or pomalidomide) plus a proteasome inhibitor (bortezomib, ixazomib, or carfilzomib.
233: 1318-1321.Wu R., Forget M. A., Chacon J., Bernatchez C., Haymaker C., Chen J. Q., Hwu P., Radvanyi L. G. 2012. " Adoptive T-cell therapy using autologous tumor-infiltrating lymphocytes for metastatic melanoma: current status and future outlook ". Cancer Journal. 18(2): 160-175.
GVAX is a cancer vaccine composed of whole tumor cells genetically modified to secrete the immune stimulatory cytokine, granulocyte-macrophage colony- stimulating factor (GM-CSF), and then irradiated to prevent further cell division. The product exists as both autologous (patient specific) and allogeneic (non-patient specific) therapy.
Cyclofosfamide/dexamethasone is a combination drug regimen consisting of cyclophosphamide (a nitrogen mustard alkylating agent) and dexamethasone (an anti-inflammatory and immunosuppressant). It appears to be an alternative to the more traditional treatment with melphalan in people who are ill-suited for autologous stem cell transplant.
Shearer, G. M., Rehn, T. G. and Garbarino, C. A., Cell-mediated lympholysis of trinitrophenyl-modified autologous lymphocytes. Effector cell specificity to modified cell surface components controlled by H-2K and H-2D serological regions of the murine major histocompatibility complex. J Exp Med 1975. 141: 1348-1364.
Index page with links to summaries including one page summary flyer. A second application is to use autologous mitochondria to replace mitochondria in damaged tissue to restore the tissue to a functional state. This has been used in clinical research in the United States to treat cardiac- compromised newborns.
Often immunosuppression is required with these grafts. Disease transmission also becomes a factor when introducing tissue from another person or animal. Overall, allografts and xenografts do not match the quality of outcomes seen with autografts, but they are necessary when there is a lack of autologous nerve tissue.
Autologous Endometrial Coculture is a technique of assisted reproductive technology. It involves placing a patient’s fertilized eggs on top of a layer of cells from her own uterine lining, creating a more natural environment for embryo development and maximizing the chance for an in vitro fertilization (IVF) pregnancy.
The cell type chosen for this technique depends on the desired application of the cell microcapsules. The cells put into the capsules can be from the patient (autologous cells), from another donor (allogeneic cells) or from other species (xenogeneic cells). The use of autologous cells in microencapsulation therapy is limited by the availability of these cells and even though xenogeneic cells are easily accessible, danger of possible transmission of viruses, especially porcine endogenous retrovirus to the patient restricts their clinical application, and after much debate several groups have concluded that studies should involve the use of allogeneic instead of xenogeneic cells. Depending on the application, the cells can be genetically altered to express any required protein.
Lymphocytes infiltrating the stroma of growing, transplantable tumors provided a concentrated source of tumor-infiltrating lymphocytes (TIL) and could stimulate regression of established lung and liver tumors. In 1986, human TILs from resected melanomas were found to contain cells that could recognize autologous tumors. In 1988 autologous TILs were shown to reduce metastatic melanoma tumors. Tumor-derived TILs are generally mixtures of CD8+ and CD4+ T cells with few major contaminating cells. In 1989 Zelig Eshhar published the first study in which a T cell's targeting receptor was replaced, and noted that this could be used to direct T cells to attack any kind of cell; this is the essential biotechnology underlying CAR-T therapy.
Autologous HSCT requires the extraction (apheresis) of hematopoietic stem cells (HSCs) from the patient and storage of the harvested cells in a freezer. The patient is then treated with high-dose chemotherapy with or without radiotherapy with the intention of eradicating the patient's malignant cell population at the cost of partial or complete bone marrow ablation (destruction of patient's bone marrow's ability to grow new blood cells). The patient's own stored stem cells are then transfused into his/her bloodstream, where they replace destroyed tissue and resume the patient's normal blood-cell production. Autologous transplants have the advantage of lower risk of infection during the immune- compromised portion of the treatment, since the recovery of immune function is rapid.
An evolvement of the microfracture technique is the implantation of a collagen membrane onto the site of the microfracture to protect and stabilize the blood clot and to enhance the chondrogenic differentiation of the MSCs. This technique is known as AMIC (Autologous Matrix-Induced Chondrogenesis) and was first published in 2003.
"Italian doctor builds new, more natural vagina". 2007 Brown, S. Reuters There are currently no therapies available for men attempting to clinically regenerate structures of the human penis. Also, for women there are no therapies that use autologous cells to regenerate the clitoris, sometimes removed in cases of female genital mutilation.
Injections to the cheekbones to provide a less invasive and less expensive approach to cheek augmentation. A hyaluronic acid, such as Restylane or Juvederm, can be injected to the cheek area. Autologous fat is considered a "more permanent" option, but all are eventually completely resorbed.Injectable Fillers University of Michigan Dept.
Further, the study Cell-assisted Lipotransfer for Cosmetic Breast Augmentation: Supportive Use of Adipose- Derived Stem/Stromal Cells (2007), an approximately 40-woman cohort indicated that the inclusion of adipose stem cells in the grafts of adipocyte fat increased the rate of corrective success of the autologous fat-grafting procedure.
Blood transfusions use as sources of blood either one's own (autologous transfusion), or someone else's (allogeneic or homologous transfusion). The latter is much more common than the former. Using another's blood must first start with donation of blood. Blood is most commonly donated as whole blood obtained intravenously and mixed with an anticoagulant.
Lars Peterson (born 1936 in Vansbro, Sweden) is an orthopedist, known as "the father of autologous cell implantation". Beginning in 1987, Peterson co- pioneered, with colleague Mats Brittberg and others, autologous chondrocyte implantation, a method of repairing cartilage using a patient's own cartilage cells. He was honored for his work at Genzyme in 2009. He is also a professor and sports physician, and has been a Swedish national league football and ice hockey player, active in both Örgryte IS and Frölunda HC. Lars Petersons sports career started early in most sports, but soccer and ice hockey were dominating, ending up playing in the Swedish National League in both sports with Orgryte IS, ending on fourth place and Vastra Frolunda IF, ending first place, respectively.
The augmentation and contouring of the buttocks with autologous-fat transfer (lipoinjection) therapy is realized with the excess adipose-fat tissue harvested from the abdomen, flanks, and thighs of the patient. In 1987 Dr. Eduardo Krulig, a Venezuelan Plastic Surgeon describes the technique, using the name "Lipoinjection" for the first time, mentioning the regions of the body where the technique is useful. The gentle liposuction applied to harvest the autologous fat minimally disturbs the local tissues, especially the connective-tissue layer between the skin and the immediate subcutaneous muscle tissues. Then, the harvested fat is injected to the pertinent body area of the gluteal region, through a fine-gauge cannula inserted through a small incision, which produces a short and narrow scar.
The long-term, volume maintenance data reported in Breast Augmentation using Pre- expansion and Autologous Fat Transplantation: a Clinical Radiological Study (2010) indicate the technical effectiveness of external tissue expansion of the recipient site for a 25-patient study group, who had 46 breasts augmented with fat grafts. The indications included micromastia (underdevelopment), explantation deformity (empty implant pocket), and congenital defects (tuberous breast deformity, Poland's syndrome). Pre-procedure, every patient used external vacuum expansion of the recipient-site tissues to create a breast tissue matrix to be injected with autologous fat grafts of adipocyte tissue, refined via low G-force centrifugation. Pre- and post-procedure, the breast volumes were measured; the patients underwent pre-procedure and 6-month post-procedure MRI and 3-D volumetric imaging examinations.
One fringe dermatologic application of autohemotherapy, colloquially called a "vampire facial", came to public attention in 2013 when an Instagram posting by celebrity Kim Kardashian West portrayed her "blood-soaked face" during the administration of the procedure. Kardashian West later stated the she regretted undergoing the painful procedure. A vampire facial procedure involves a combination of microneedling followed by topical application of platelet-rich plasma derived from the centrifugation of the subject's own blood into various autologous blood products. Proponents claim that autologous platelet-rich plasma delivered subcutaneously to the skin of the face can improve its health by stimulating skin cell growth and collagen though the treatment is considered to lie outside of mainstream medicine because claimed benefits are unsupported by scientific evidence from clinical studies.
Epub 2017 Feb 16. In October 2015, CCTRN opened enrollment in a study in heart failure: CONCERT-HF (NCT02501811). This study is currently active but not recruiting. The purpose of the study is to determine whether giving autologous Mesenchymal Stem Cells (MSCs) and/or C-kit+ cells to patients with heart muscle damage is safe.
Armand Keating is completing the last cohort of patients in the Canadian trial at Princess Margaret Hospital in Toronto in lymphoma patients after autologous bone marrow transplants. In all three programs, NK-92 cells were administered as a simple intravenous infusion, dosed two or three times per treatment course and given in the outpatient setting.
This process is sometimes done as automated apheresis, where the centrifuging and mixing take place at the donation site. Most blood banks utilize automated centrifugation systems to wash or volume reduce the blood products they produce and distribute. The other options is using the person's own blood. This is known as autologous blood transfusion.
On 8 January 2013, Ingesson revealed that the myeloma had returned, and that he would have a stem cell transplant, as the two previous autologous (i.e. of his own stem cells) transplants had been unsuccessful. On 29 October 2014, Ingesson died of the effects of multiple myeloma. He was married and had two children.
Neostigmine, chemical structure Azathioprine, chemical structure Worsening may occur with medication such as fluoroquinolones, aminoglycosides, and magnesium. About 10% of people with generalized MG are considered treatment-refractory. Autologous hematopoietic stem cell transplantation (HSCT) is sometimes used in severe, treatment-refractory MG. Available data provide preliminary evidence that HSCT can be an effective therapeutic option in carefully selected cases.
A synthetic material may be used as a temporary antibiotic spacer before being replaced by a more permanent material. For example, the Masquelet procedure consists of initially using PMMA mixed with an antibiotic (vancomycin or gentamicin) for 4–12 weeks, and then replacing the space with an autologous bone graft. It can be used to treat posttraumatic bone defects.
Vacanti claimed that February to have replicated the effect in human skin fibroblast cells, and said "We believe that this is exactly what happens in the body during attempts to repair any damaged or diseased tissue". Vacanti said in 2012 he had used the technique to grow a replacement trachea using autologous cells from a patient.
The post-transplant prognosis often includes acute and chronic graft-versus-host disease that may be life-threatening. In certain leukemias, though, this can coincide with protection against cancer relapse owing to the graft-versus-tumor effect. Autologous transplants may also use similar conditioning regimens, but many other chemotherapy combinations can be used depending on the type of disease.
The estimates for test performance characteristics are based on comparison with a variety of reference methods including 51-chromium studies, analytical recovery studies in spiked stool samples, analytical recovery after ingestion of autologous blood, rarer studies of carefully quantified blood instilled at bowel surgery as well as other research approaches. Additionally, clinical studies look at variety of additional factors.
Recently 4-IPO has been used in experiments where it plays a role in T-cell therapy. Autologous T-cells can be altered to express tumor specific antigens. These cells will then bind to tumors and induce apoptosis. There are side-effects associated with this kind of treatment and 4-IPO can help to control those side effects.
Rare cases of MBL have been reported to develop in individuals who receive a, autologous stem cell bone marrow transplant from donors who have MBL. Currently, the risk of this development is unclear and requires further study. In those special cases where related donors are used for transplantation, it may be useful to screen these donors for MBL.
Therapeutic vaccines treat and immunize patients already infected with a given disease. Provenge is an adoptive cell-transfer therapy in which a patient's antigen-presenting target autologous prostate cancer tissue. Advances in chemical biology include synthetic molecules that modulate B cell activation, structurally complex carbohydrate tumor antigen and adjuvants synthesis, immunogenic chemotherapeutic agents and chemically homogeneous, synthetic vaccines.
There is insufficient evidence on the routine use of injection therapies (autologous blood, platelet-rich plasma, deproteinised haemodialysate, aprotinin, polysulphated glycosaminoglycan, skin derived fibroblasts etc.) for treating Achilles tendinopathy. As of 2014 there was insufficient evidence to support the use of platelet-rich therapies for treating musculoskeletal soft tissue injuries such as ligament, muscle and tendon tears and tendinopathies.
ALECSAT (Autologous Lymphoid Effector Cells Specific Against Tumor cells) technology is a novel method of epigenetic cancer immunotherapy being used by the company CytoVac. It uses a patient's own immune system to target tumor cells in prostate cancer, glioblastomas, and potentially pancreatic cancer. ALECSAT research, directed by Alexei Kirken and Karine Dzhandzhugazyan, has led to several clinical trials.
Aspen Neuroscience is developing a dopamine neuron replacement therapy for Parkinson's disease. The project was launched in 2012 by funding by the patient advocacy group Summit For Stem Cell. The goal of the project is to produce autologous (patient-specific) dopaminergic neurons differentiated from induced pluripotent stem cells (iPSCs) for use as a cell replacement therapy.
Flap-based reconstruction uses tissue from other parts of the patient's body (i.e., autologous tissue) such as the back, buttocks, thigh or abdomen. In surgery, a "flap" is any type of tissue that is lifted from a donor site and moved to a recipient site using its own blood supply. Usually, the blood supply is a named vessel.
A 2011 study reported histologically confirmed hyaline cartilage regrowth in the knee. The successful protocol involved arthroscopic microdrilling/ microfracture surgery followed by postoperative injections of autologous peripheral blood progenitor cells (PBPCs) and hyaluronic acid. The procedure creates a blood clot scaffold on which injected PBPCs can be recruited and enhance chondrogenesis at the site of the contained lesion.
Emblem used by Dhaka Medical College Hospital Country's first bone marrow transplant center was set in this hospital in October 2013 in collaboration with Massachusetts General Hospital. This unit conducted first ever successful autologous bone marrow transplant in the country in March 2014. The unit also introduced allogeneic bone marrow transplant on 3 July 2019, the first in the country.
He is the Editor-in-Chief of the Journal of Clinical Orthopaedics and Trauma. He is working on 3-D printing in Orthopaedics, Cartilage regeneration & restoration techniques like Autologous Chondrocyte Implantation, etc. He has eatablished a center for ACI at Apollo Hospital, New Delhi. He was invited as a faculty member for the UK Cartilage club meeting in London in Nov 2012.
When they are no longer able to perform their purpose, interference of new cells and biological cues is provided by a scaffold material. Fibrin scaffold has many aspects like being biocompatible, biodegradable and easily processable. Furthermore, it has an autologous nature and it can be manipulated in various size and shape. Inherent role in wound healing is helpful in surgical applications.
2014: KCI's parent company announced that KCI, LifeCell and Systagenix would operate under one global medical technology brand known as Acelity. That same year, Acelity acquired exclusive worldwide rights from the GID Group, Inc. to develop, manufacture and commercialize the REVOLVE System, a fat processing technology used in both reconstructive and cosmetic procedures to facilitate high-volume, autologous fat grafting.
It is a more complicated operation than other autologous or alloplastic options, but provides significantly better cosmetic results, which means better psychological outcomes and with a lower risk of reconstruction failure. Recent advanced in preoperative imaging of the blood vessels in the abdomen (using CT or MRI scans), operative time and complication rates can be reduced in DIEP flap breast reconstruction.
As principal investigator, O'Rourke led the first-in-human trial using a single infusion of engineered autologous CAR T-Cells against epidermal growth factor receptor variant III (EGFRvIII) in glioblastoma.O’Rourke, Donald M., et al. "A single dose of peripherally infused EGFRvIII-directed CAR T cells mediates antigen loss and induces adaptive resistance in patients with recurrent glioblastoma." Science translational medicine 9.399 (2017): eaaa0984.
In very severe myelosuppression, which occurs in some regimens, almost all the bone marrow stem cells (cells that produce white and red blood cells) are destroyed, meaning allogenic or autologous bone marrow cell transplants are necessary. (In autologous BMTs, cells are removed from the person before the treatment, multiplied and then re-injected afterward; in allogenic BMTs, the source is a donor.) However, some people still develop diseases because of this interference with bone marrow. Although people receiving chemotherapy are encouraged to wash their hands, avoid sick people, and take other infection- reducing steps, about 85% of infections are due to naturally occurring microorganisms in the person's own gastrointestinal tract (including oral cavity) and skin. This may manifest as systemic infections, such as sepsis, or as localized outbreaks, such as Herpes simplex, shingles, or other members of the Herpesviridea.
High-dose chemotherapy (HDC) with autologous bone marrow transplant (ABMT) was a treatment for advanced breast cancer developed in the 1980s, but the idea for HDC/ABMT was based on a previous leukemia treatment that emerged in the 1950s when E. Donnall Thomas had shown that bone marrow could be harvested from a person and transplanted into the same or another person. The treatment of high-dose chemotherapy with autologous bone marrow transplant had serious side effects for the patient, including cardiac toxicity, sepsis, pulmonary failure, and nephrotoxicity, among others. Chronic consequences of the treatment included development of leukemias and lymphomas and heightened vulnerability to infections soon after the transplant. Randomized clinical trials reported treatment-mortality rates from 0% to 7% for women who received the HDC/BMT treatment, versus no such deaths within the control groups that received the typical chemotherapy regimen.
Immunoglobulin and steroids are the first line choices for treatment. In severe cases of CIDP, when second-line immunomodulatory drugs are not efficient, autologous hematopoietic stem cell transplantation is sometimes performed. The treatment may induce long-term remission even in severe treatment-refractory cases of CIDP. To improve outcome, it has been suggested that it should be initiated before irreversible axonal damage has occurred.
This same positive and negative selection mechanism, but in peripheral tissues, is known as clonal anergy. The mechanism of clonal anergy is important to maintain tolerance to many autologous antigens. Active suppression is the other known mechanism of T cell tolerance. Active suppression involves the injection of large amounts of foreign antigen in the absence of an adjuvant which leads to a state of unresponsiveness.
The patient then undergoes a second treatment, in which the chondrocytes are applied on the damaged area during an open-knee surgery (also called arthrotomy). These autologous cells should adapt themselves to their new environment by forming new cartilage. During the implantation, chondrocytes are applied on the damaged area in combination with a membrane (tibial periosteum or biomembrane) or pre-seeded in a scaffold matrix.
Autologous Matrix Induced Chondrogenesis (AMIC) surgery is a single step procedure. After arthroscopic evaluation of the cartilage damage and decision for an AMIC procedure a mini arthrotomy is performed. An all- arthroscopic AMIC procedure for repair of cartilage defects of the knee is also possible. First the cartilage defect is exposed and cleaned whereby all unstable degenerated cartilage, including the calcified cartilage layer, are carefully removed.
People can also have blood drawn for their own future use (autologous donation). Donating is relatively safe, but some donors have bruising where the needle is inserted or may feel faint. Potential donors are evaluated for anything that might make their blood unsafe to use. The screening includes testing for diseases that can be transmitted by a blood transfusion, including HIV and viral hepatitis.
Adoptive cell transfer (ACT) is the transfer of cells into a patient. The cells may have originated from the patient or from another individual. The cells are most commonly derived from the immune system with the goal of improving immune functionality and characteristics. In autologous cancer immunotherapy, T cells are extracted from the patient, genetically modified and cultured in vitro and returned to the same patient.
Hwang K, Hwang JH, et al. Experimental study of autologous cartilage, acellular cadaveric dermis, lyophilized bovine pericardium, and irradiated bovine tendon: applicability to nasal tip plasty. J Craniofac Surg 2007;18(3):551–8 Article on Pubmed Examples of ECM biomaterials that meet these requirements and have been successfully used to create gTissue include SurgiMend,SurgiMend, TEI Biosciences Inc. Website TissueMend,TissueMend, Stryker Orthopaedics Website and Durepair.
In this context the fibrin-gel-based tissue engineering of autologous vessel substitutes is a very promising approach to overcome the current problems. Cells and fibrin are isolated by a low invasive procedure from the patient and shaped in individual moulds to meet the required dimensions. Additional pre-cultivation in a specialized bioreactorAME: Bioreactor Technologies is inevitable to ensure appropriate properties of the graft.
Cerebrospinal Fluid leaks can be managed short term with bed rest and plentiful hydration. They can then be treated with an epidural blood patch (EBP) with autologous blood, which is the standard initial procedure. If an EBP is ineffective, surgery is also an option for treatment. A surgical procedure would be customized to the patient depending on the location and size of the leak.
Dailey, John F, Dailey's Notes on Blood Fourth Edition, 2002 pg. 198. Champions of bloodless surgery do, however, transfuse products made from allogeneic blood and they also make use of pre-donated blood for autologous transfusion.Farmer S, Webb D, Your Body Your Choice The layman's complete guide to bloodless medicine and surgery, 2000, pgs. 144–5. Interest in bloodless surgery has arisen for several reasons.
RepliCel Life Sciences is a Canadian regenerative medicine company based in Vancouver, British Columbia. The company focuses on development of cell therapies using a patient's own cells (autologous cell therapy). The company has treatment development activities targeting chronic tendon injuries which have failed to heal properly, and hair restoration. The company's expertise lies in isolation and exploitation of different cell populations found in the human hair follicle.
It took its name from Otto Marburg. It can be diagnosed in vivo with an MRI scan. If Marburg disease occurs in the form of a single large lesion, it can be radiologically indistinguishable from a brain tumor or abscess. It is usually lethal, but it has been found to be responsive to Mitoxantrone and Alemtuzumab, and it has also been responsive to autologous stem cell transplantation.
Some additional examples of cartilage failure mechanisms include cellular matrix linkage rupture, chondrocyte protein synthesis inhibition, and chondrocyte apoptosis. There are several different repair options available for cartilage damage or failure. "Maci" or autologous cultured chondrocytes on porcine collagen membrane, is a treatment to correct cartilage defects in the knee. This treatment has been approved by the Food and Drug Administration in 2016 for adult treatment only.
Free-flap breast reconstruction is a type of autologous-tissue breast reconstruction applied after mastectomy for breast cancer, without the emplacement of a breast implant prosthesis. As a type of plastic surgery, the free-flap procedure for breast reconstruction employs tissues, harvested from another part of the woman's body, to create a vascularised flap, which is equipped with its own blood vessels. Breast-reconstruction mammoplasty can sometimes be realised with the application of a pedicled flap of tissue that has been harvested from the latissimus dorsi muscle, which is the broadest muscle of the back, to which the pedicle (“foot”) of the tissue flap remains attached until it successfully grafts to the recipient site, the mastectomy wound. Moreover, if the volume of breast-tissue excised was of relatively small mass, breast augmentation procedures, such as autologous-fat grafting, also can be applied to reconstruct the breast lost to mastectomy.
In addition, large incisions required for open repair are commonly associated with significant postoperative pain. Reported recurrence rates after open repair are up to 20% and influenced by mesh size and fixation type. Regeneration by autologous tissue stem cells is a unique method for repair of large incisional hernias. It not only obviates causative factors responsible for herniation but utilises these factors to strengthen repair and regeneration of traumatised tissues.
Thiotepa is indicated for use in combination with other chemotherapeutic agents. This can be with or without total body irradiation (TBI), as a conditioning treatment prior to allogeneic or autologous hematopoietic progenitor cell transplantation (HPCT) in hematological diseases in adult and pediatric patients. These diseases include Hodgkin's disease and leukaemia. Thiotepa is also used with high-dose chemotherapy with HPCT support to treat certain solid tumors in adult and pediatric patients.
In veterinary medicine, osteotomies are frequently performed to address rupture of the canine cranial cruciate ligament, which is analogous to the anterior cruciate ligament. The tibial plateau leveling osteotomy and tibial tuberosity advancement are two of the most common osteotomy procedures performed in the United States. Recovery is often 6–8 weeks and the osteotomy can be filled with autologous bone grafts, scaffolds (hydroxyapatite, TR Matrix, etc.) or ceramics.
Autologous cells were attached to a three-dimensional collagen matrix. Once formed, the structure was attached and tested for functionality."Engineered Rabbit Penises Raise Human Hopes." 2009 Keim, B. Wired Science An Italian doctor named Dr. Cinzia Marchese has successfully reconstructed the inner mucosal lining of congenitally deformed vaginas by using an enzyme to break down the abnormal lining, then inserting stem cells to remodel the walls and restore normal functionality.
The active substance in Tecartus is genetically modified autologous anti-CD19-transduced CD3+ cells. By binding to CD19-expressing cancer cells and normal B cells, the medicine starts T‑cell activation and secretion of inflammatory cytokines and chemokines. This sequence of events leads to killing of CD19-expressing cells. The benefit of Tecartus is the tumor shrinkage (response) of mantle cell lymphoma which had relapsed or was refractory to other treatment.
In the cryogenic freezing of heteroploid cell lines (MDCK, VERO, etc.) a mixture of 10% DMSO with 90% EMEM (70% EMEM + 30% fetal bovine serum + antibiotic mixture) is used. As part of an autologous bone marrow transplant the DMSO is re-infused along with the patient's own hematopoietic stem cells. DMSO is metabolized by disproportionation to dimethyl sulfide and dimethyl sulfone. It is subject to renal and pulmonary excretion.
Involuted RICH may leave behind atrophic tissue, which can be reconstructed with autologous grafts. It is often best to postpone excision until regression is complete. There are effective pharmacologic treatments, which include intralesional corticosteroid injection, systemic corticosteroid injection, interferon α-2a or α-2b and angiogenic inhibitors. The use of corticosteroids leads to accelerated regression in 30%, stabilization of growth in 40%, lightening of color and softening of the tumor.
By the help of fibrinolysis inhibitors or fiber cross-linkers, biodegradation can be managed. Fibrin can be provided from individuals to be treated many times so that gels from autologous fibrin have no undesired immunogenic reactions in addition to be reproducible. Inherently, structure and biochemistry of fibrin has an important role in wound healing. Although there are limitations due to diffusion, exceptional cellular growth and tissue development can be achieved.
Antibodies can be highly active and can attack RBCs and bind components of the complement system to cause massive hemolysis of the transfused blood. Patients should ideally receive their own blood or type-specific blood products to minimize the chance of a transfusion reaction. It is also possible to use the patient's own blood for transfusion. This is called autologous blood transfusion, which is always compatible with the patient.
An example of "free flap" could be a "free toe transfer" in which the great toe or the second toe is transferred to the hand to reconstruct a thumb. For all "free flaps", the blood supply is reconstituted using microsurgical techniques to reconnect the artery (brings blood into the flap) and vein (allows blood to flow out of the flap). Free autologous tissue transfer is performed by many surgical specialties.
The word "syngenic" or "syngeneic" (from the Greek word for a relative) means genetically identical, or sufficiently identical and immunologically compatible as to allow for transplantation. For example, it may be used for something transplanted from an identical twin. When the cells are collected from the same patient on whom they will be used, a graft is called autologous. Syngeneic refers to a graft transferred between genetically identical animals or people.
CDA at both clinical and genetic aspects are part of a heterogeneous group of genetic conditions. Gene therapy is still experimental and has largely only been tested in animal models until now. This type of therapy has promise, however, as it allows for the autologous transplantation of the patient's own healthy stem cells rather than requiring an outside donor, thereby bypassing any potential for graft vs. host disease (GVHD).
FANG relies on a bifunctional shRNA (bi- shRNA) against the immunosuppressive transforming growth factors (TGF) β1 and β2. Autologous tumor cells were harvested from patients and a plasmid encoding the bifunctional shRNA and granulocyte-macrophage colony-stimulating factor (GMCSF) was introduced ex vivo through electroporation. These cells were later irradiated and injected back into the patient. Marina Biotech developed CEQ508 which is used to treat Familial Adenomatous Polyposis.
Sargramostim is primarily used for myeloid reconstitution after autologous or allogeneic bone marrow transplantation. It is also used to treat neutropenia induced by chemotherapy during the treatment of acute myeloid leukemia. It also used as a medical countermeasure for treating people who have been exposed to sufficient radiation to suppress bone marrow myelogenesis. For label updates see FDA index page for BLA 103362 It is administered via intravenous infusion.
Platelet-Poor Plasma (PPP) is blood plasma with very low number of platelets (< 10 X 103/μL). Traditionally, PPP was recommended for use in platelet aggregation studies to both adjust the Platelet-rich plasma concentration, and to serve as a control.Marco Cattaneo, Anna Lecchi, Maddalena Loredana Zighetti, Federico Lussana. "Platelet aggregation studies: autologous platelet-poor plasma inhibits platelet aggregation when added to platelet-rich plasma to normalize platelet count".
These regimens have attained 5 year overall and disease-free survivals of 38% and 40%, respectively. Too few patients have been treated with autologous hematopoietic stem cell transplant in addition to chemotherapy for conclusions to be made. A few patients with HIV/AIDS-related PBL disease who were treated with highly active antiretroviral therapy (HAART) directed against the human immunodeficiency virus (i.e. HIV) have had remissions in their PDL lesions.
These scaffolds can be used to deliver bioactive agents that promote tissue regeneration. These bioactive materials should ideally be osteoinductive, osteoconductive, and osseointegratable. Bone substitute materials intended to replace autologous or allogeneic bone consist of bioactive ceramics, bioactive glasses, and biological and synthetic polymers. The basis of bone tissue engineering is that the materials will be resorbed and replaced over time by the body’s own newly regenerated biological tissue.
The most effective treatment is autologous bone marrow transplants with stem cell rescues. However many patients are too weak to tolerate this approach. Other treatments can involve application of chemotherapy similar to that used in multiple myeloma. A combination of melphalan and dexamethasone has been found effective in those who are ineligible for stem cell transplantation, and a combination of bortezomib and dexamethasone is now in widespread clinical use.
While in Arizona, Gruessner performed the state's first living and deceased intestinal transplants, first multivisceral transplant, first pediatric living donor liver transplant and first autologous islet transplant. In 2015, Gruessner joined the State University of New York (SUNY). At SUNY-Upstate in Syracuse, he substantially expanded its transplant program. In 2017, he was appointed the Clarence Dennis Professor and Chairman of the Department of Surgery at SUNY-Downstate in Brooklyn.
For the woman, the anatomic, aesthetic, and psychologic advantages of a free-flap reconstruction procedure are the natural shape, texture, and appearance of the reconstructed breast, and the fact that it will undergo the same biological changes that are natural and normal to the woman's body as she ages; the breast reconstructed with autologous tissues will not remain unnaturally youthful, as would be the case with a breast-implant reconstruction procedure. The clinical disadvantages of free-flap breast reconstruction surgery are: (i) the technical complexity of the plastic surgery procedure, (ii) prolonged surgical operation times, (iii) additional, secondary scarring at the flap- tissue donor site, (iv) possible medical complications at the flap-tissue donor-site, and (v) possible necrosis of the tissues harvested to create the free-flap. Therapeutically, the free-flap breast reconstruction procedure is always possible after radiation oncology for the treatment of breast cancer. Technically, an autologous-tissue breast reconstruction is a good resolution to a failed breast-implant reconstruction.
While the high-dose chemotherapy and bone marrow transplant treatment is known for its impact on breast cancer, the treatment is presently used to treat other types of cancer, including testicular cancer, neuroblastoma, multiple myeloma, and various types of leukemias and lymphomas, like Hodgkin and non-Hodgkin Lymphoma. There are two types of stem cell (bone marrow) transplants: autologous stem cell transplant, where the person's own stem cells are collected, frozen, and stored before the chemotherapy regimen and transfused back into their body by IV after chemotherapy, and allogeneic stem cell transplant, where the stem cells come from a donor that matches the person's HLA type to prevent the risk of graft- versus-host disease. Autologous stem cell transplants are used more often to treat lymphoma, but this may not be an option if the person's lymphoma has metastasized to their bone marrow or blood. Allogeneic stem cell transplants have side effects that can make it hard for the patient to tolerate the treatment.
Autologous matrix-induced chondrogenesis (AMIC) is a trade mark owned by Geistlich Pharma, and relates only to the use of their product. The term Autologous Matrix Induced Chondrogenesis is however used by surgeons to generally describe a procedure using a material to enhance the natural healing process that microfracture affords. The procedure described below relates specifically to the use of a collagen membrane, but recent advances now allow the use, using the same surgical procedure of non woven bio - degradable materials that were initially developed for cell culturing of chondrocytes to be employed. These purely synthetic materials ( contain no animal derived products) are often further enhanced by impregnation of the material with high concentrations of Hyaluronic acid, which has been shown to be required to stimulate the differentiation of stem cells migrating from the bone marrow into chondrocytes ( the true cartilage cell) and the resultant synthesis of type 2 collagen - the same native collagen found in the undamaged cartilage tissue.
The in vivo bioreactor (IVB) is a regenerative medicine paradigm where bone is grown in vivo. The IVB has basic elements: # Creation of a confined environment in vivo that is adjacent to a tissue locality rich in pluripotent cells, # Injection of a Hydrogel Biomaterial with the appropriate physicochemical and biophysical characteristics in this confined environment so as to predictably alter the signaling environment or trigger a process within this confined environment leading to recapitulation of developmental processes and de novo formation of a functional tissue mass, and # The harvest of the tissue from the confined site and transplantation of this tissue into another site within the patient, leading to a complete autologous tissue engineering strategy. An example of the implementation of the IVB approach was in the engineering of autologous bone by injecting calcium alginate in a sub- periosteal location. The periosteum is a membrane that covers the long bones, jawbone, ribs and the skull.
Khouri RK, Cardoso E, Marchi A, Rigotti G. (2010) Tissue Engineering a Breast Mound by External expansion & Autologous fat Grafting . miamibreastcenter.com The fat graft breast reconstructions for 33 women (47 breasts, 14 irradiated), whose clinical statuses ranged from zero days to 30 years post-mastectomy, began with the pre-expansion of the breast mound (recipient site) with an external vacuum tissue-expander for 10 hours daily, for 10–30 days before the first grafting of autologous fat. The breast mound expansion was adequate when the mastectomy scar tissues stretched to create a 200–300 ml recipient matrix (skin envelope), that received a fat-suspension volume of 150–600 ml in each grafting session. At one week post-procedure, the patients resumed using the external vacuum tissue-expander for 10 hours daily, until the next fat grafting session; 2–5 outpatient procedures, 6–16 weeks apart, were required until the plastic surgeon and the patient were satisfied with the volume, form, and feel of the reconstructed breasts.
Nearly all cord blood transplantations come from public banks, rather than private banks, partly because most treatable conditions can't use a person's own cord blood. The World Marrow Donor Association and European Group on Ethics in Science and New Technologies states "The possibility of using one's own cord blood stem cells for regenerative medicine is currently purely hypothetical....It is therefore highly hypothetical that cord blood cells kept for autologous use will be of any value in the future" and "the legitimacy of commercial cord blood banks for autologous use should be questioned as they sell a service which has presently no real use regarding therapeutic options." The American Academy of Pediatrics supports efforts to provide information about the potential benefits and limitations of cord blood banking and transplantation so that parents can make an informed decision. In addition, the American College of Obstetricians and Gynecologists recommends that if a patient requests information on umbilical cord blood banking, balanced information should be given.
While different subtypes have variable symptoms, common symptoms include enlarged painless lymph nodes, fever, weight loss, rash and night sweats. Some subtypes of mature T-cell lymphoma may be associated with viral exposure as well as gene mutations. Diagnosis is done by physical examinations, assisted by tests like biopsy, PET scan and CT scan to examine the site of lymph node development. Chemotherapy, drugs, autologous stem cell treatment and extracorporeal photopheresis are treatment options.
Benjamin Van Camp (born 26 December 1946Curriculum Vitae (in Dutch)) is a Belgian scientist working on the immunobiology of B cell malignancies and multiple myeloma, and autologous bone marrow transplantation. Between 2000 and 2008 he was the rector of the Vrije Universiteit Brussel. Benjamin Van Camp was born in Mechelen, Belgium, in 1946. He graduated magna cum laude at the Vrije Universiteit Brussel in 1971, and earned his PhD degree in 1979.
The use of cell encapsulated microcapsules towards the treatment of several forms of cancer has shown great potential. One approach undertaken by researchers is through the implantation of microcapsules containing genetically modified cytokine secreting cells. An example of this was demonstrated by Cirone et al. when genetically modified IL-2 cytokine secreting non-autologous mouse myoblasts implanted into mice showed a delay in the tumor growth with an increased rate of survival of the animals.
Allogeneic and autologous stem cell transplantations (as is commonly done in humans) have recently been shown to be a possible treatment option for dogs. Most of the basic research on transplantation biology was generated in dogs. Current cure rates using stem cell therapy in dogs approximates that achieved in humans, 40-50%. When cost is a factor, prednisone used alone can improve the symptoms dramatically, but it does not significantly affect the survival rate.
Ex vivo erythroid cell generation may provide alternative transfusion products to meet present and future clinical requirements. Red blood cells (RBC)s generated in vitro from mobilized CD34 positive cells have normal survival when transfused into an autologous recipient. RBC produced in vitro contained exclusively fetal hemoglobin (HbF), which rescues the functionality of these RBCs. In vivo the switch of fetal to adult hemoglobin was observed after infusion of nucleated erythroid precursors derived from iPSCs.
TIL therapy following lymphodepletion can result in durable complete response in a variety of setups. The second treatment, adoptive transfer of genetically altered autologous lymphocytes, depends on delivering genes that encode so called T cell receptors (TCRs), into patient's lymphocytes. After that manipulation lymphocytes recognize and bind to certain molecules found on the surface of melanoma cells and kill them. A cancer vaccine showed modest benefit in late- stage testing in 2009 against melanoma.
The most common use of bone grafting is in the application of dental implants to restore the edentulous area of a missing tooth. Dental implants require bones underneath them for support and proper integration into the mouth. As mentioned earlier bone grafts come in various forms such as autologous (from the same person), Allograft, Xenograft (mainly bovine bone), and Alloplastic materials. Bone grafts can be used prior to implant placement or simultaneously.
Riccardo Riccò (born 1 September 1983) is an Italian professional road bicycle racer, who is suspended from all competition until 2024. He was previously ejected from the 2008 Tour de France for doping violations and suspended. Riccò returned to competition in late 2010, but in February 2011 he was fired by his team, , after he became seriously ill allegedly through a self- administered autologous blood transfusion. He then signed to UCI Continental team .
The HER2 gene product is over-expressed in SkBr3 cells SkBr3 cells were derived from a pleural effusion due to an adenocarcinoma originating in a 43-year-old caucasian female. The cell line over-expresses the HER2 gene product, which has been implicated in several breast cancer proliferation pathways. The SkBr3 cell line is autologous (derived from the same patient) with the AU565 cell line. The cells are considered biosafety level 1.
A similar change was made in the U.S. in late 2015 by the FDA. In 2017, the UK further reduced its restriction to three months. Autologous donors are not always screened for recipient safety problems since the donor is the only person who will receive the blood. Since the donated blood may be given to pregnant women or women of child- bearing age, donors taking teratogenic (birth defect causing) medications are deferred.
The treatment for JAK3 deficiency is allogeneic hematopoietic stem cell transplantation, which has been demonstrated to be life-saving for affected patients. Another option is gene therapy that has the potential to become an alternative treatment for JAK3 deficiency. Because of the clinical and biochemical similarities between JAK3 deficiency and X-linked severe combined immunodeficiency, genetic correction and engraftment of autologous hematopoietic stem cells can presume restoring of immunity in JAK3-deficient patients.
Standard chemotherapeutic regimens for lymphoma such as CHOP are ineffective in PCNSL, probably due to poor penetration of the agents through the blood brain barrier. Newer treatments, such as high dose chemotherapy combined with autologous stem cell transplant are proving to increase survival by years. A phase 1 clinical trial of ibrutinib - an inhibitor of Bruton's tyrosine kinase - in 13 patients reported responses in 10 (77%). Five of the responses were complete.
Platelet-rich plasma (PRP), also known as autologous conditioned plasma, is a concentrate of platelet-rich plasma protein derived from whole blood, centrifuged to remove red blood cells. Though promoted to treat an array of medical problems, evidence for benefit is mixed as of 2020, with some evidence for use in certain conditions and against use in other conditions. The cost per injection is generally $US 500 to 2,000 as of 2019.
Valvular heart disease is a major cause of death globally. Both mechanical valves and fixed biological xenograft or homografts used clinically have many drawbacks. One study focused on fibrin-based heart valves to assess structure and mechanical durability on sheep revealed promising potential for patient originated valve replacements. From autologous arterial-derived cells and fibrin scaffold, tissue engineered heart valves are formed, then mechanically conditioned and transplanted into the pulmonary trunk of the same animals.
Transplanted autologous fat tissue undergoes histologic changes like those undergone by a bone transplant; if the body accepts the fat-tissue graft, it is replaced with new fat tissue, if the fat-graft dies it is replaced by fibrous tissue. New fat tissue is generated by the activity of a large, wandering histocyte-type cell, which ingests fat and then becomes a fat cell.Neuhof H. (1923) The Transplantation of Tissues New York:D. Appleton p.
In cancer treatment they aid cancer antigen targeting. The only approved cellular cancer therapy based on dendritic cells is sipuleucel-T. One method of inducing dendritic cells to present tumor antigens is by vaccination with autologous tumor lysates or short peptides (small parts of protein that correspond to the protein antigens on cancer cells). These peptides are often given in combination with adjuvants (highly immunogenic substances) to increase the immune and anti-tumor responses.
Cancer is characterized by an accumulation of genetic alterations. A tumor may acquire up to thousands of different somatic mutations during the process of initiation and progression. A smaller number of cancer mutations interfere with normal cell regulation and help to drive cancer growth. Somatic mutations in the tumor genome can cause tumors to express mutant proteins (neoantigens) that are recognized by autologous T cells as foreign and constitute cancer vaccine targets.
Intraoperative blood salvage (IOS), also known as cell salvage, is a specific type of autologous blood transfusion. Specifically IOS is a medical procedure involving recovering blood lost during surgery and re-infusing it into the patient. It is a major form of autotransfusion. It has been used for many years and gained greater attention over time as risks associated with allogenic (separate-donor) blood transfusion have seen greater publicity and become more fully appreciated.
These unlimited supplies of autologous cells could be used to generate transplants without the risk of immune rejection. While the iPSC technology has not yet advanced to a stage where therapeutic transplants have been deemed safe, iPSCs are readily being used in personalized drug discovery efforts and understanding the patient-specific basis of disease. Yamanaka named iPSCs with a lower case "i" due to the popularity of the iPod and other products.
In 1993, the first case of microsurgical epididymal sperm aspiration in the country was successfully applied by the center. In 1995, the first baby using intracytoplasmic sperm injection was born in the hospital. In 1996, a frozen embryo was successfully applied in pregnancy after being thawed. With continue research and development of artificial reproduction techniques, in 2001, the center succeeded in autologous mitochondrial transfer to pregnancy and brought the world a healthy baby.
These drugs evoke the removal of tumor cells by means of (i) antibody-dependent cell-mediated cytoxicity, a process also described for conventional antibodies and more importantly by (ii) polyclonal cytotoxic T cell responses with emphasis on CD8 T cells. These trifunctional antibodies also elicit individual anti-tumor immune responses in cancer patients treated with e.g. catumaxomab; i.e. autologous antibodies as well as CD4 and CD8 T cells directed against the tumor were detected.
Other donor sites for autologous breast reconstruction include the buttocks, which provides tissue for the SGAP and IGAP (superior and inferior gluteal artery perforator, respectively) flaps. The purpose of perforator flaps (DIEP, SIEA, SGAP, IGAP) is to provide sufficient skin and fat for an aesthetic reconstruction while minimizing post- operative complications from harvesting the underlying muscles. DIEP reconstruction generally produces the best outcome for most women. See free flap breast reconstruction for more information.
The potentially unlimited source of cell and tissues may have direct application for tissue engineering, cell replacement and transplantation following acute injuries and reconstructive surgery. These applications are limited to the cell types that can be differentiated efficiently and safely from human PSCs with the proper organogenesis. Decellularized organs are also being used as tissue scaffold for organogenesis. Source material can be normal healthy cells from another donor (heterologous transplantation) or genetically corrected from the same patient (autologous).
In 2012 they started a phase 2 clinical trial of AMR-001 (NBS10), an autologous bone marrow-derived cell therapy enriched for CD34+ cells, for Acute Myocardial Infarction. Amorcyte, a NeoStem Company, Enrolls First Patient in PreSERVE Phase 2 Trial for Acute Myocardial Infarction. Jan 2012NBS10 (Also Known as AMR-001) Versus Placebo Post ST Segment Elevation Myocardial Infarction (PreSERVE-AMI) Initial results included a statistically significant mortality benefit.Stem Cell Research Reveals Promising Data for Heart Attack Patients.
A cancer vaccine is a vaccine that either treats existing cancer or prevents development of cancer. Vaccines that treat existing cancer are known as therapeutic cancer vaccines. Some/many of the vaccines are "autologous", being prepared from samples taken from the patient, and are specific to that patient. Some researchers claim that cancerous cells routinely arise and are destroyed by the immune system (immunosurveillance); and that tumors form when the immune system fails to destroy them.
The correctly sized collagen membrane is added to the microfractured area either by fibrin glue (autologous or commercially available) or suturing. Through flexion of the joint, the stable positioning of the membrane is verified and the wound is closed. A critical phase and actually essential requirement for satisfying outcome of the AMIC surgery is the compliance to a strict physical therapy program. Guidelines and recommendations exist, though they have to be adapted to the individual patients needs.
The AMIC procedure was first proposed by Behrens in 2003. Its clinical efficiency in autologous chondrocyte implantation (ACI), another cartilage repair technique for larger cartilage lesions, has been studied. In general various factors have been identified known to influence the result after cartilage repair regardless of the technique used. Amongst them are the species and age of the individual, the size and localization of the articular cartilage defect, the surgical technique, and the postoperative rehabilitation protocol.
The internal thoracic artery is the cardiac surgeon's blood vessel of choice for coronary artery bypass grafting. The left ITA has a superior long-term patency to saphenous vein grafts and other arterial grafts (e.g. radial artery, gastroepiploic artery) when grafted to the left anterior descending coronary artery, generally the most important vessel, clinically, to revascularize. Plastic surgeons may use either the left or right internal thoracic arteries for autologous free flap reconstruction of the breast after mastectomy.
Tooth regeneration is a stem cell based regenerative medicine procedure in the field of tissue engineering and stem cell biology to replace damaged or lost teeth by regrowing them from autologous stem cells. As a source of the new bioengineered teeth, somatic stem cells are collected and reprogrammed to induced pluripotent stem cells which can be placed in the dental lamina directly or placed in a reabsorbable biopolymerBiopolymer methods in tissue engineering in the shape of the new tooth.
" The response of autologous T cells to a human melanoma is dominated by mutated neoantigens ". Proceedings of the National Academy of Sciences. 102: 16013-16018. The contribution of these antigens to tumor immunogenicity is expected to vary according to the mutation rate: higher in lung carcinomas arising in tobacco smokers, in melanomas owing to mutations induced by UV and in the 15% of colorectal carcinomas that have hypermutated DNA owing to defects in the DNA mismatch repair pathway.
New York: Wiley-Liss, p. 23. . There seems to be some variation in usage of this term. #Transferred components are immune cells and autologous as above. #Transfer of immune cells is made between different individuals of monozygotic twins in human or of the same pure line in experimental animals from immunologically sensitized to naive host, where transferred cells are engrafted without rejection or GVHD in the new host.Tada T, Taniguchi M, Okumura Y, Miyasaka M, eds. (1993).
Rituximab has also been used in small numbers of patients in combination with thalidomide with some effect. In contrast to these antibody-based 'passive' immunotherapies, the field of 'active' immunotherapy tries to activate a patient's immune system to specifically eliminate their own tumor cells. Examples of active immunotherapy include cancer vaccines, adoptive cell transfer, and immunotransplant, which combines vaccination and autologous stem cell transplant. Though no active immunotherapies are currently a standard of care, numerous clinical trials are ongoing.
Research is continually being done on artificial skin. Newer technologies, such as an autologous spray-on skin produced by Avita Medical, are being tested in efforts to accelerate healing and minimize scarring. The Fraunhofer Institute for Interfacial Engineering and Biotechnology is working towards a fully automated process for producing artificial skin. Their goal is a simple two- layer skin without blood vessels that can be used to study how skin interacts with consumer products, such as creams and medicines.
The risk of bacterial infections in performing cranioplasty ranges from 5 to 12.8%. Multiple factors are affecting the risk of infection, one being the materials used for the operation. Using titanium, whether being custom-made or using a mesh, is associated with a lower infection rate; on the other hand, materials such as methyl methacrylate and autologous bone is associated with a higher infection rate. Another risk factor for bacterial infection is the location of the operation.
Adverse effects have been poorly studied. The single systematic review of the literature did not report of the types and number of adverse events. In 2019, Health Canada stated that most autologous cell therapies have little evidence showing they work and can pose risks, such as cross-contamination between people if equipment is not sterilized properly or potentially dangerous immune reactions. Health Canada stopped Canadian clinics from offering these types of services with a donor- patient model.
In 2009, an interdisciplinary team led by the thoracic surgeon Thorsten Walles implanted the first bioartificial transplant that provides an innate vascular network for post-transplant graft supply successfully into a patient awaiting tracheal reconstruction.Mertsching H, Schanz J, Steger V, Schandar M, Schenk M, Hansmann J, Dally I, Friedel G, Walles T. Generation and transplantation of an autologous vascularized bioartificial human tissue. Transplantation. 2009; 88: 203-10. This animation of a rotating carbon nanotube shows its 3D structure.
Treatment with autologous semen "might take 3 to 5 years before any clinically relevant symptom reduction would become manifest". Treatments are not always successful, especially when the cause of POIS in a particular patient has not been determined. In one patient, all of whose routine laboratory tests were normal, the following were attempted, all without success: ibuprofen, 400 mg on demand; tramadol 50 mg one hour pre-coitally; and escitalopram 10 mg daily at bedtime for 3 months.
Problems posed by the differences in the human and rodent immune systems have been overcome using a few strategies, so as to enable researchers to study autoimmune disorders using humanized models. NSG mice engrafted with PBMCs and administered with myelin antigens in Freund’s adjuvant, and antigen-pulsed autologous dendritic cells have been used to study multiple sclerosis. Similarly, NSG mice engrafted with hematopoietic stem cells and administered with pristane have been used for studying lupus erythematosus.
To better understand the pathogenesis of ALS, Cudkowicz explored the role of various immune cells and glial cells in disease progress and treatment. She found that infusion of autologous regulatory T cells in patients with ALS slowed the progression of disease. Cudkowicz has also explored the role of glial cells in ALS. Using PET imaging with TSPO ligands, Cudkowicz was able to deduce that glial cell activation occurs in regions associated with motor control in patients with ALS.
Individuals of the Jehovah's Witness religion in particular refuse to accept homologous and autologous pre-donated blood. However some individual members may accept the use of autotransfusion by means of the Cell Saver. The process of autotransfusion using the Cell Saver is modified to maintain a continuous circuit of blood that maintains continuous contact with the body. This process when carefully explained to the patient may be acceptable when a patient otherwise refuses based on religious beliefs.
Boehringer is a FDA- registered medical device company located in Phoenixville, PA founded by Jack Boehringer in 1972. The company initially released a line of anesthesia and respiratory care instruments, followed by suction regulators and autologous blood transfusion products. In 2007 Boehringer introduced the Engenex product line, entering the negative pressure wound therapy market. In 2010 Boehringer moved from Norristown, PA to Phoenixville, PA. In 2013 Boehringer received clearance for ViSiGi 3D gastric sizing tube for single patient use.
Canvaxin, which incorporates three melanoma cell lines, failed phase III clinical trials. Another cell-based vaccine strategy involves autologous dendritic cells (dendritic cells derived from the patient) to which tumor antigens are added. In this strategy, the antigen-presenting dendritic cells directly stimulate T-cells rather than relying on processing of the antigens by native APCs after the vaccine is delivered. The best known dendritic cell vaccine is Sipuleucel-T (Provenge), which only improved survival by four months.
MGUS polyneuropathy or polyneuropathy associated with an M component is a rare neurological disease characterized by inflammation of the peripheral nervous system and monoclonal gammopathy of undetermined significance (MGUS). It was first described in the 1960s. The main symptoms are progressive muscle weakness that is symmetrical and bilateral, ataxia, numbness and arm tremor. Treatments include intravenous immunoglobulin, which is a short-term treatment, immunosuppressants, though they have not been shown to be effective, autologous stem cell transplantation, and rituximab.
Although amniotic membrane does not have stem cells of its own, it supports regeneration of limbal stem cells. However, further surgical intervention may be needed if these approaches are unsuccessful, or when disease is more severe. #Conjunctival limbal autograft (CLAU) involves transplantation of limbal tissue from a patient’s healthy eye. As the procedure is achieved by transplanting autologous limbal stem cells from the patient’s healthy eye, there is no risk of immune rejection, and hence no need for systemic immunosuppression.
In: Int J Cancer. 1997 Jan 27;70(3), S. 269–277. G. Stingl, E. B. Brŏcker, R. Mertelsmann, K. Wolff, S. Schreiber, E. Kămpgen, A. Schneeberger, W. Dummer, U. Brennscheid, H. Veelken, M. L. Birnstiel, K. Zatloukal, W. Schmidt, G. Maass, E. Wagner, M. Baschle, M. Giese, E. R. Kempe, H. A. Weber, T. Voigt: Phase I study to the immunotherapy of metastatic malignant melanoma by a cancer vaccine consisting of autologous cancer cells transfected with the human IL-2 gene.
Stroke and many neurodegenerative disorders such as Parkinson's disease, Alzheimer's disease, amyotrophic lateral sclerosis need cell replacement therapy. The successful use of converted neural cells (cNs) in transplantations open a new avenue to treat such diseases. Nevertheless, induced neurons (iNs), directly converted from fibroblasts are terminally committed and exhibit very limited proliferative ability that may not provide enough autologous donor cells for transplantation. Self-renewing induced neural stem cells (iNSCs) provide additional advantages over iNs for both basic research and clinical applications.
A stem-cell transplant can help the human body produce more healthy white blood cells, red blood cells, or platelets. It also reduces the risk of life-threatening conditions such as anemia, or hemorrhage. Stem cell transplants can be done by obtaining cells from the bone-marrow, blood or umbilical-cord blood. Stem cell transplants can use the cells from one's self, called an autologous stem cell transplant or they can use cells from another person, known as an allogenic stem cell transplant.
Autologous chondrocyte implantation (ACI, ATC code ) is a biomedical treatment that repairs damages in articular cartilage. ACI provides pain relief while at the same time slowing down the progression or considerably delaying partial or total joint replacement (knee replacement) surgery. The goal of ACI is to allow people suffering from articular cartilage damage to return to their old lifestyle; regaining mobility, going back to work and even practicing sports again. ACI procedures aim to provide complete hyaline repair tissues for articular cartilage repair.
As a group, these patients response to therapy, time to disease recurrence, and overall survival were similar to typical myeloma patients. However, in a subset of patients diagnosed after 2001 and therefore treated with more effective therapy that included autologous stem-cell transplantation, prognosis was significantly better in non-secretory multiple myeloma patients (median survival 8.3 years) compared to typical myeloma patients (median survival 5.4 years). In addition, non- secretory patients exhibited a better prognosis than light chain-secretory patients.
The following therapies do not rely on autologous cells: A vibration technique developed by Ellen L. Barnard and Myrtile Wilhite claims to promote regeneration in the vaginal cell lining."Patent application title: Vaginal Tissue Regeneration Device and Method for Regeneration of Vaginal Lining using Vibration Therapy". May 2012 Barnard, E. and Wilhite M. Patent application number: 20120136287 A topical cream developed by Lyle Corporate Development, Inc., claims to encourage regeneration of tissues in the vulva that have undergone cellular hypoxia.
Autologous stem cell transplantation, using the recipient's own cells, is not curative. Younger individuals, if at high risk for dying from CLL, may consider allogeneic hematopoietic stem cell transplantation (HSCT). Myeloablative (bone marrow killing) forms of allogeneic stem cell transplantation, a high-risk treatment using blood cells from a healthy donor, may be curative, but treatment-related toxicity is significant. An intermediate level, called reduced-intensity conditioning allogeneic stem cell transplantation, may be better tolerated by older or frail patients.
Advantages of autologous tissue grafts are that they come from natural materials which have a high likelihood of biocompatibility while providing structural support to nerves that encourage cell adhesion and migration (Schmidt & Leach 2003). Nonautologous tissue, acellular grafts, and extracellular matrix based materials are all options that may also provide ideal scaffolding for nerve regeneration. Some come from allogenic or xenogenic tissues that must be combined with immunosuppressants. while others include small intestinal submucosa and amniotic tissue grafts (Schmidt & Leach 2003).
This self- regeneration capacity gives rise to alternatives to classical cellular therapies whereby administration of growth factors such as Thymosin β4 for cell activation and migration are solely necessary. Largely democratized in terms of population information, embryonic stem cells are known for their strong capacity for expansion and differentiation into cardiomyocytes, endothelial cells and cardiac fibroblasts. However, if non autologous, immunosuppression therapy is associated with such treatment. Hence, research has been focused on induced pluripotent stem cells (iPSCs) from somatic human tissue.
The adoptive transfer of autologous tumor infiltrating lymphocytes (TIL) or genetically re-directed peripheral blood mononuclear cells has been used experimentally to treat patients with advanced solid tumors, including melanoma and colorectal carcinoma, as well as patients with CD19-expressing hematologic malignancies, cervical cancer, lymphoma, leukemia, bile duct cancer and neuroblastoma, lung cancer, breast cancer, sarcoma, melanoma, relapsed and refractory CD19+ B cell malignancies, including B cell acute lymphoblastic leukemia (B-ALL) harboring rearrangement of the mixed lineage leukemia (MLL).
Some studies have also shown that, when combined with minoxidil treatment, microneedling is able to treat hair loss more effectively than minoxidil treatment alone. Platelet-rich plasma (PRP) can be combined with collagen induction therapy treatment in a form of dermatologic autologous blood therapy. PRP is derived from the patient's own blood and may contain growth factors that increase collagen production. It can be applied topically to the entire treatment area during and after collagen induction therapy treatments or injected intradermally to scars.
This increased the number of occasions on which he was able to ejaculate inside his partner, and decreased the number of occasions on which he experienced POIS symptoms. This patient is thought to have Dhat syndrome rather than true POIS. Two patients, in whom POIS was suspected to be caused by auto-immune reaction to their own semen, were successfully treated by allergen immunotherapy with their own autologous semen. They were given multiple subcutaneous injections of their own semen for three years.
Organ printing can decrease or eliminate animal studies and trials, but also raises questions on the ethical implications of autologous and allogenic sources. More specifically, studies have begun to examine future risks for humans undergoing experimental testing. Generally, this application can give rise to social, cultural, and religious differences, making it more difficult for worldwide integration and regulation. Overall, the ethical considerations of organ printing are similar to those of general Ethics of bioprinting, but are extrapolated from tissue to organ.
MIRA (Minimally Invasive Reconstructive Angiography) is a multidisciplinary and complementary method for treating many chronic diseases. The MIRA Procedure is a result of combining efforts from different medical fields developed in the University of Chicago in 1992. It basically consists in medically grafting live rejuvenated tissue in the form of autologous adipose adult stem cells to a damaged organ in order to restore it and improve its function. This method is currently approved by the U.S. Food and Drug Administration (FDA).
Transplantation of autologous bone has the best clinical outcome because it integrates reliably with the host bone and can avoid complications with the immune system. But its use is limited by its short supply and donor site morbidity associated with the harvest procedure. Furthermore, autografted bones are avascular and hence are dependent on diffusion for nutrients, which affects their viability in the host. The grafts can also be resorbed before osteogenesis is complete due to high remodeling rates in the body.
In 2012, a systematic review studying various injection therapies found that prolotherapy and hyaluronic acid injection therapies were more effective than placebo when treating lateral epicondylitis. Of the studies evaluated, one of ten glucocorticoid trials, one of five trials for autologous blood injection or platelet-rich plasma, one trial of polidocanol, and one trial of prolotherapy met the criteria for low risk of bias. The authors noted that few of the reviewed trials met the criteria for low risk of bias.
Bethesda, MD: National Institutes of Health, U.S. Department of Health and Human Services, 2009. cited Sunday, April 26, 2009 Regenerative medicine is not in clinical practice, but is heavily researched for its potential uses. This type of medicine would allow for autologous transplantation, thus removing the risk of organ transplant rejection by the recipient. For instance, a person with liver disease could potentially have a new liver grown using their same genetic material and transplanted to remove the damaged liver.
It is not recommended for use in tendon sheaths or bursae, or in joints with damage to the bone, menisci, or ligaments unless these injuries have been treated successfully using arthroscopy. To produce IRAP, blood is collected into a syringe of chromium sulfate-soaked beads and incubated for 24 hours. During this time, white blood cells within the blood produce anti-inflammatory cytokines, including IRAP. The resulting serum, known as autologous conditioned serum (ACS), is then centrifuged to produce enough ACS for 4-6 doses.
Herrera was diagnosed with mantle cell lymphoma, an aggressive and normally lethal type of non-Hodgkin's lymphoma, in 1997. He went to Memorial Sloan-Kettering and underwent chemotherapy, total body irradiation, and an autologous stem cell transplant, but all these treatments were unsuccessful. In 1999, he received an allogenic stem cell transplant using bone marrow donated from his brother, John. Herrera's disease went into remission for at least nine years, and was considered a "pioneer case" and proof that donor stem cells could induce long- term remission.
Research is being done on therapies to prevent progression of PAD. In those who have developed critically poor blood flow to the legs, the benefit of autotransplantation of autologous mononuclear cells is unclear. Only one randomized controlled trial has been conducted comparing vascular bypass to angioplasty for the treatment of severe PAD. The trial found no difference in amputation-free survival between vascular bypass and angioplasty at the planned clinical endpoint, but the trial has been criticized as being underpowered, limiting endovascular options, and comparing inappropriate endpoints.
The machines enable more precise radiotherapy and stronger doses reducing the length and frequency of sessions. Considerations by the Maltese Government for expanding radiotherapy services to include autologous transplants have also been made. The government has also considered the development of a clinical trials unit through which Maltese patients would be able to benefit from new medicines not yet on the market. Beds at the new hospital increased from the 78 at Boffa Hospital to 113 and the outpatient clinics from two to 12.
Other than tissue shortage, donor site morbidity is a common problem that may occur when using autologous grafts. When tissue is obtained from somewhere other than the oral cavity (such as the intestine or skin) there is a risk of the graft not being able to lose its original donor tissue characteristics. For example, skin grafts are often taken from the radial forearm or lateral upper arm when covering more extensive defects. A positive aspect of using skin grafts is the large availability of skin.
In addition to Celution, Cytori developed the Puregraft System which allows the physician to wash and purify the fat tissue before reinjection into the same patient, standardizing the fat graft preparation process. Cytori received a 510(k) for market clearance of the Puregraft System in January 2010 for use in aesthetic body contouring using autologous fat grafts.Seaman, Marley (8 January 2010) “Cytori Gets FDA Approval for Puregraft System”, Associated Press. In addition to the Puregraft System, Cytori has developed the Celbrush, a precision fat graft delivery tool.
For years, the concept of harvesting stem cells and re-implanting them into one's own body to regenerate organs and tissues has been embraced and researched in animal models. In particular, mesenchymal stem cells have been shown in animal models to regenerate cartilage[1]. Recently, there has been a published case report of decrease in knee pain in a single individual using autologous mesenchymal stem cells.[2]An advantage to this approach is that a person's own stem cells are used, avoiding transmission of genetic diseases.
The product is then administered intravenously to the patient after treatment. The administered hematopoietic stem cells then migrate to the recipient's bone marrow, a process known as stem cell homing, where the transplanted cells override the previous bone marrow. This allows the bone marrow to recover, proliferate and continue producing healthy blood cells. The transplantation may be autologous (an individual's own blood cells saved earlier), allogeneic (blood cells donated by someone else with matching HLA), or syngeneic (blood cells donated by an identical twin).
CHOP, as induction therapy possibly followed by autologous hematopoietic stem cell transplantation. These regimens have shown only limited results with 5 year overall survival rates <50% for chemotherapy alone. These survival rates may be improved in patients able to withstand follow-up bone marrow transplantation. Newer drug approaches using Pralatrexate, Romidepsin, Brentuximab vedotin, Belinostat, Bendamustine, lenalidomide, and alisertib have shown activity against CTCL, NOS and are being further studied in randomized trials for use in treating refractory and relapsed as well as initial disease.
They reported a case study in which a full-thickness defect in the articular cartilage of a human knee was successfully repaired. While the use of cultured mesenchymal stem cells has shown promising results, a more recent study using uncultured MSC's has resulted in full thickness, histologically confirmed hyaline cartilage regrowth. Researchers evaluated the quality of the repair knee cartilage after arthroscopic microdrilling (also microfracture) surgery followed by post- operative injections of autologous peripheral blood progenitor cells (PBPC) in combination with hyaluronic acid(HA).
This may require the construction of a new denture with an adjusted bite. Rarely, in cases resistant to normal treatments, surgical procedures such as collagen injections (or other facial fillers such as autologous fat or crosslinked hyaluronic acid) are used in an attempt to restore the normal facial contour. Other measures which seek to reverse the local factors that may be contributing to the condition include improving oral hygiene, stopping smoking or other tobacco habits and use of a barrier cream (e.g. zinc oxide paste) at night.
Thus, cryoablation of tumors is a way of achieving autologous, in-vivo tumor lysate vaccine and treat metastatic disease.Not only does it represent an alternative to surgical intervention, but it also creates a tumor-specific immune response stimulated by damaged cells. This cryoimmunologic response may contribute to controlling metastases far from the primary breast tumor. We report the case of a patient with lung and bone metastases of RCC whose lung metastases disappeared after reconstruction using the resected specimen treated by liquid nitrogen for the bone metastasis.
Extracted cells are ex-vivo exposed to interferon-gamma, anti-CD3 antibody, interleukin-1 and interleukin-2 in a time-sensitive schedule. These cytokines strongly stimulate the proliferation and maturation into CIK cells. After completed maturation CIK cells are transfused to the donor in autologous settings or to different recipients in allogeneic settings. Furthermore, it has been shown that CIK cells have a relevant expression of FcγRIIIa (CD16a), which can be exploited in combination with clinical-grade mAbs to redirect their activity in an antigen-specific manner.
Unlike other organs, bone-marrow cells can be frozen (cryopreserved) for prolonged periods without damaging too many cells. This is a necessity with autologous HSCs because the cells must be harvested from the recipient months in advance of the transplant treatment. In the case of allogeneic transplants, fresh HSCs are preferred to avoid cell loss that might occur during the freezing and thawing process. Allogeneic cord blood is stored frozen at a cord blood bank because it is only obtainable at the time of childbirth.
A bone marrow harvest in progress. The preferred sites for the procedure In a bone marrow transplant, hematopoietic stem cells are removed from a person and infused into another person (allogenic) or into the same person at a later time (autologous). If the donor and recipient are compatible, these infused cells will then travel to the bone marrow and initiate blood cell production. Transplantation from one person to another is conducted for the treatment of severe bone marrow diseases, such as congenital defects, autoimmune diseases or malignancies.
Surgical post-mastectomy breast reconstruction requires general anaesthesia, cuts the chest muscles, produces new scars, and requires a long post-surgical recovery for the patient. The surgical emplacement of breast implant devices (saline or silicone) introduces a foreign object to the patient's body (see capsular contracture). The TRAM flap (Transverse Rectus Abdominis Myocutaneous flap) procedure reconstructs the breast using an autologous flap of abdominal, cutaneous, and muscle tissues. The latissimus myocutaneous flap employs skin fat and muscle harvested from the back, and a breast implant.
In contrast, a patient over 60 years old with a cut nerve in the hand would expect to recover only protective sensation, that is, the ability to distinguish hot/cold or sharp/dull. Many other factors also affect nerve recovery. The use of autologous nerve grafting procedures that involve redirection of regenerative donor nerve fibers into the graft conduit has been successful in restoring target muscle function. Localized delivery of soluble neurotrophic factors may help promote the rate of axon regeneration observed within these graft conduits.
In autologous cell therapy, cells are transplanted that are derived from the patients own tissues. Multiple clinical studies are ongoing that obtain stromal cells from bone-marrow, adipose tissue, or peripheral blood to be transplanted at sites of injury or stress; which is being actively explored for e.g. cartilage and muscle repair. It could also involve the isolation of matured cells from diseased tissues, to be later re-implanted at the same or neighboring tissues; a strategy being assessed in clinical trials for e.g.
It is one of the largest (performing approximately 100 bone marrow transplants each year) and most successful programs in the Middle East, achieving cure rates compatible with international standards. The program oversees both matched allogeneic and autologous transplants and performs transplants utilizing cord blood, making it the only program in Jordan and the second in the region that offers such a highly specialized procedure. Other non-cancer cases are also treated through the KHCC BMT program including thalassemia, aplastic anemia and other metabolic diseases.
NK cells and CTLs primarily kill the cancer cells when they are developed. This treatment is given together with the other modes of treatment such as surgery, radiotherapy or chemotherapy and called as Autologous Immune Enhancement Therapy (AIET). Immune Checkpoint therapy focuses on two "checkpoint" proteins, cytotoxic T-lymphocyte–associated antigen 4 (CTLA-4) and programmed death 1 (PD-1). Under normal conditions, the immune system utilizes checkpoint proteins as negative feedback mechanisms to return to homeostasis once pathogens have been cleared from the body.
Patients expected to receive radiation therapy as part of their adjuvant treatment are also commonly considered for delayed autologous reconstruction due to significantly higher complication rates with tissue expander-implant techniques in those patients. While waiting to begin breast reconstruction until several months after radiation therapy may decrease the risk of complications, this risk will always be higher in patients who have received radiation therapy. As with many other surgeries, patients with significant medical comorbidities (e.g., high blood pressure, obesity, diabetes) and smokers are higher-risk candidates.
In September 2018, a 49-year old woman affected by Neurofibromatosis type I received a partial face transplant from a 21-year old girl at Sant’Andrea Hospital of Sapienza University in Rome. The procedure took 27 hours and was carried out by two teams led by Fabio Santanelli di Pompeo and Benedetto Longo. Unfortunately, the patient had a complication and after two days the surgeons had to replace the facial graft with autologous tissue. The patient is still alive and waiting for a second face transplantation.
Physicians may recommend patients to undergo autologous stem cell treatment after initial chemotherapy as most patients with PTCL will relapse. It is also used when the lymphoma does not respond well to the initial treatment (refractory lymphoma). Patient's blood are drawn out from the body prior to chemotherapy treatment and stem cells are filtered out through a process called apheresis. Stem cells are infused back into the patient's bloodstream after chemotherapy treatment and replaces the damaged bone marrow or stem cells that are destroyed by the chemotherapy treatment.
There is currently very limited peer-reviewed data on adipose- derived stem cells. Stem cell therapy is very safe, but is currently expensive, requiring harvesting and processing of the cells. Additionally, autologous stem cells (those harvested from the patient) requires 2–3 weeks to expand the numbers in culture, delaying treatment of an acute injury. Allogenic (non-self) stem cells may be harvested from other horses ahead of time to have banked for immediate treatment of an injury, but there is some concerns of graft-vs-host disease.
Results for large lesions tend to diminish over time; this can be attributed to the decreased resilience and poor wear characteristics of the fibrocartilage. In attempts to address the weaker structure of the reparative fibrocartilage, new techniques have been designed to fill the defect with tissue that more closely simulates normal hyaline articular cartilage. One such technique is autologous chondrocyte implantation (ACI), which is useful for large, isolated femoral defects in younger people. In this surgery, chondrocytes are arthroscopically extracted from the intercondylar notch of the articular surface.
The risk of second primary hematological malignancies does not outweigh the benefit of using lenalidomide in relapsed or refractory multiple myeloma. It may be more difficult to mobilize stem cells for autograft in people who have received lenalidomide. In 2006, lenalidomide received U.S. Food and Drug Administration (FDA) clearance for use in combination with dexamethasone in people with multiple myeloma who have received at least one prior therapy. In 2017, the FDA approved lenalidomide as standalone maintenance therapy (without dexamethasone) for people with multiple myeloma following autologous stem cell transplant.
Another patient was being treated with the antibiotic tetracycline for a separate dermatological disorder and broke out in hives when exposed to the sun, the first case to implicate tetracycline as a solar urticaria inducing agent. It is not yet known what specific agent in the body brings about the allergic reaction to the radiation. When patients with SU were injected with an irradiated autologous serum, many developed urticaria within the area of injection. When people who did not have SU were injected, they did not demonstrate similar symptoms.
Since the late nineteenth century, breast implants have been used to surgically augment the size (volume), modify the shape (contour), and enhance the feel (tact) of a woman's breasts. In 1895, surgeon Vincenz Czerny effected the earliest breast implant emplacement when he used the patient's autologous adipose tissue, harvested from a benign lumbar lipoma, to repair the asymmetry of the breast from which he had removed a tumor. In 1889, surgeon Robert Gersuny experimented with paraffin injections, with disastrous results arising from the breakup of the paraffin into smaller bodies following the procedure.
Shortly after finishing treatment, he auditioned and was subsequently chosen as a series regular for Last Comic Standing Season One. Almost immediately after Last Comic Standing wrapped, Kent received news that his cancer had recurred. Facing a grim prognosis, he opted to undergo an intensive chemotherapeutic procedure known as an autologous bone marrow transplant which involved radically high doses of chemotherapy and long stays in the hospital. During one stay at City of Hope National Medical Center Kent developed an infection in his chest port and lost over 90 pounds.
Spheroids of human autologous matrix-associated chondrocytes, sold under the brand name Spherox, is a medication used to repair defects to the cartilage in the knee in adults who are experiencing knee pain and problems moving the knee. It is used where the affected area is no larger than . The most common side effects include arthralgia (joint pain) and joint effusion (accumulation of liquid in the knee), which can cause swelling of the joint. Spherox contains spheroids (spherical aggregates) of chondrocytes, cells found in healthy cartilage, that have been prepared from the patient's own tissues.
In August scientists successfully treated metastatic melanoma in two patients using killer T cells genetically retargeted to attack the cancer cells. In November researchers reported on the use of VRX496, a gene-based immunotherapy for the treatment of HIV that uses a lentiviral vector to deliver an antisense gene against the HIV envelope. In a phase I clinical trial, five subjects with chronic HIV infection who had failed to respond to at least two antiretroviral regimens were treated. A single intravenous infusion of autologous CD4 T cells genetically modified with VRX496 was well tolerated.
First CardioMend autologous pericardial aortic valve reconstruction, m2.com As Director of one of the largest centers for transplantation in Europe, he led a program of heart and lung transplant and cardiac assist devices. Under his influence, the Harefield group was the first group in Europe to implant the Jarvik 2000,Midterm experience with the Jarvik 2000 axial flow left ventricular assist device, Research Gate, 08/2007; 134(1):199-203. in addition to other assist devices as destination therapy or as bridge-to-recovery in case of heart failure.
The Regenexx-C Procedure was developed by Regenerative Sciences LLC and offered as a treatment for arthritis and other orthopedic conditions. The procedure involves extracting mesenchymal stem cells from a sample of the patient's bone marrow or synovial fluid. These cells are then cultured in the patient's autologous platelet lysate, allowed to proliferate, and mixed with an antibiotic before being reinjected into the same patient at the site of orthopedic injury. This is quite different from the medical procedures the company now offers, which are all fully 21 CFR 1271.15(b) compliant.
Biagi E, Rousseau R, Yvon E, et al. Responses to human CD40 ligand/human interleukin-2 autologous cell vaccine in patients with B-cell chronic lymphocytic leukemia. Clin Cancer Res 2005;11(19 Pt 1):6916-23.Monsurro V, Nagorsen D, Wang E, et al. Functional heterogeneity of vaccine-induced CD8(+) T cells. J Immunol 2002;168(11):5933-42.Dudley ME, Nishimura MI, Holt AK, Rosenberg SA. Antitumor immunization with a minimal peptide epitope (G9-209-2M) leads to a functionally heterogeneous CTL response. J Immunother 1999;22(4):288-98.
People who have been edentulous (without teeth) for a prolonged period may not have enough bone left in the necessary locations. In this case, autologous bone can be taken from the chin, from the pilot holes for the implants, or even from the iliac crest of the pelvis and inserted into the mouth underneath the new implant. Alternatively, exogenous bone can be used: xenograft is the most commonly used, because it offers the advantage of exceptional volume stability over time. Allograft offers the best regeneration quality but has lower volume stability.
After three children born through the technique were found to have developmental disorders (2 cases of Turner's syndrome and one case of pervasive developmental disorder (an autism spectrum disorder), the FDA banned the procedure until a clinical trial could prove its safety. As of 2015 that study had not been conducted, while the procedure was in use in other countries. A related approach uses autologous mitochondria taken from healthy tissue to replace the mitochondria in damaged tissue. Transfer techniques include direct injection into damaged tissue and injection into vessels that supply blood to the tissue.
The 5 year overall survival for patients with scores of 0–1 andr 4–5 are 56% and 25%, respectively, when treated with a recommended CHOP or a CHOP-like chemotherapy regimen. The addition of etoposide or the proteasome inhibitor, bortezomib, to CHOP regimens has modestly increased overall and complete response rates. Autologous hematopoietic stem cell transplantation likewise appears to improve the results of CHOP regimens. Small studies have found that patients with refractory or relapsed AITL have positive responses to pralatrexate, romidepsin, belinostat, brentuximab vedotin, lenalidomide, alisertib, and mogamulizumab.
Patients may also be eligible to participate in clinical trials. Treatment options include: watchful waiting, radiation aims directly at the lymph nodes that are swollen or cause symptoms, chemotherapy, and immunotherapy. For patients whose disease transforms to aggressive (high grade) NHL, autologous stem cell transplantation may be used for selected patient to improve the outcome. There is no consensus on the first line optimal treatment for follicular lymphoma, some studies find that there is no difference regarding life expectancy and quality between asymptomatic patients who receive treatments or are closely monitored.
Treatment remained exclusive of most women due to high cost; $50,000 to $400,000 per patient. As long as HMOs regarded the regime as experimental or investigational, there was no contractual obligation to cover it. While, in the mid-1980s, fewer than 100 bone marrow transplants a year were performed on breast cancer patients, the uptake of HDC/BMT increased six-fold between January 1, 1989 and June 30, 1995. Between those dates 19,291 autotransplants were reported to the Autologous Blood and Marrow Transplant Registry; 5,886 were for breast cancer.
Even though these treatments are in compliance with the regulatory framework in Europe under certain conditions as of May 2017, there is yet no evidence for their proven efficacy in human clinical trials, besides singular case reports. Therefore, at the moment, the clinical use of stem cell secretome is experimental, and it is mainly based on in-vitro and animal data. One potential application of autologous stem cell secretome has been in veterinary medicine, as commercialized by a Russian company, T-Helper Cell Technologies in 2017 under the name Reparin-Helper.
A scaphocephaly that is diagnosed and treated later in life requires a more extensive secondary operation than one which is treated before five months. A major focus in craniosynostosis reconstruction is maintaining normalized aesthetics of temporal region, and avoiding temporal hollowing. Despite attempts to avoid temporal hollowing by employing overcorrection techniques, autologous fat transfer, and bone grafts, up to 50% of patients still present with depression in the temporal fossa post-operatively. Cranioplasty, or skull reconstruction, is the main concentration of a new field for adult neurosurgical patients known as Neuroplastic Surgery.
An epidural blood patch is a surgical procedure that uses autologous blood in order to close one or many holes in the dura mater of the spinal cord, usually as a result of a previous lumbar puncture. The procedure can be used to relieve post dural puncture headaches caused by lumbar puncture (spinal tap). A small amount of the patient's blood is injected into the epidural space near the site of the original puncture; the resulting blood clot then "patches" the meningeal leak. The procedure carries the typical risks of any epidural puncture.
Hematopoietic stem cell transplantation (HSCT) is the transplantation of multipotent hematopoietic stem cells, usually derived from bone marrow, peripheral blood, or umbilical cord blood. It may be autologous (the patient's own stem cells are used), allogeneic (the stem cells come from a donor) or syngeneic (from an identical twin). It is most often performed for patients with certain cancers of the blood or bone marrow, such as multiple myeloma or leukemia. In these cases, the recipient's immune system is usually destroyed with radiation or chemotherapy before the transplantation.
For people who relapse, high-dose chemotherapy followed by autologous stem cell transplantation is a proven approach. The treatment of side effects is also important as they can occur due to the chemotherapy or the stem cell transplantation. It was evaluated whether mesenchymal stromal cells can be used for the treatment and prophylaxis of graft-versus-host diseases. The evidence is very uncertain about the therapeutic effect of mesenchymal stromal cells to treat graft-versus-host diseases on the all-cause mortality and complete disappear of chronic acute graft-versus-host diseases.
Venkataramana is credited with over 25000 neurosurgeries over the past 30 years. Reports credit him with the first neuroendoscopic surgery, CT Guided stereotactic surgery, Deep Brain Stimulation surgery for Parkinson's disease and sacral nerve stimulation for neurogenic bladder dysfunction in Karnataka. He has performed the Disc Nucleoplasty for lumbar and cervical disc prolapse and the transplantation of autologous bone marrow derived mesenchymal stem cells for Parkinson's disease for the first time in India. He is known to have introduced microdialysis of brain and stem cell therapy for cerebral palsy for the first time in Asia.
Sipuleucel-T is the first DCs- based cancer vaccine for men with asymptomatic or minimally symptomatic metastatic castration-resistant prostate cancer (CRPC), approved by the US Food and Drug Administration (FDA) . It is an active cellular immunotherapy, which involves obtaining antigen- presenting autologous dendritic cells from the patient following a leukapheresis procedure. The cells are incubated ex vivo in the presence of a recombinant fusion protein PA2024 containing a prostate antigen, prostate acid phosphatase and GM-CSF, an immune-cell activator. The cells are then returned to the patient to generate an immune response.
Currently, autologous nerve grafting, or a nerve autograft, is known as the gold standard for clinical treatments used to repair large lesion gaps in the peripheral nervous system. It is important that nerves are not repaired under tension, which could otherwise happen if cut ends are reapproximated across a gap. Nerve segments are taken from another part of the body (the donor site) and inserted into the lesion to provide endoneurial tubes for axonal regeneration across the gap. However, this is not a perfect treatment; often the final outcome is only limited function recovery.
The graft can be seeded with autologous cells (keratinocytes) in order to accelerate wound closure, however the presence of these cells is not required for regenerating the dermis. Grafting skin wounds with IntegraTM leads to the synthesis of normal vascularized and innervated dermis de novo, followed by re-epithelization and formation of epidermis. Although early versions of the scaffold were not capable of regenerating hair follicles and sweat glands, later developments by S.T Boyce and coworkers led to solution of this problem. The mechanism of regeneration using an active collagen scaffold has been largely clarified.
Bifrontal cranioplasties are associated with significantly higher infection rates and higher rates for reoperation. Other risk factors for infection include previous infections, contact between sinuses and operation site, devascularized scalp (loss of blood supply in the scalp), previous operations, and type of injury. Bone resorption is another complication of cranioplasty with a complication rate of 0.7-17.4%. Bone resorption occurs when the autologous graft does not have blood supply due to devitalisation, or when scar tissues or soft tissues remain on the edge of the cranial defect during cranioplasty.
Autologous donations are sometimes transfused without further modification, however whole blood is typically separated (via centrifugation) into its components, with red blood cells (RBC) in solution being the most commonly used product. Units of WB and RBC are both kept refrigerated at , with maximum permitted storage periods (shelf lives) of 35 and 42 days respectively. RBC units can also be frozen when buffered with glycerol, but this is an expensive and time-consuming process, and is rarely done. Frozen red cells are given an expiration date of up to ten years and are stored at .
This immunochemotherapeutic regimen has achieved an overall survival rate at 3 years of 81%; this overall survival rate using CHOP before Retuximab was added to the regimen was only 33%. However, highly toxic reactions to Rituximab such as pulmonary failure may occur and require delay or interrupting the use of this drug. High dose chemotherapy regimens followed by autologous stem-cell transplantation has offered clinical improvement similar to that found with the CHOP plus Rituximabn. However, only a small percentage of patients with IVBCL are young and healthy enough to receive this regimen.
Despite admitting throughout the work that he very regularly used EPO, testosterone pills and patches, and autologous blood transfusions (all banned practices), Hamilton staunchly opposed the sanction, since he had never used the blood of another person. It was speculated that Fuentes and his assistant had mixed the blood of another rider with his. His career in shambles, he raced for lesser teams after his suspension, tested positive for DHEA (in an OTC herbal anti-depressant) and retired. He later received a call from federal investigator Jeff Novitzky, who wanted to talk to him.
In a large number of phase I and phase II studies, autologous and allogeneic CIK cells displayed a high cytotoxic potential against a broad range of varying tumor entities, whereas side effects were only minor. In many cases, CIK cell treatment led to complete remissions of tumor burden, prolonged survival durations and improved quality of life, even in advanced disease stages. Currently, the utilization of CIK cell treatment is restricted to clinical studies, but this therapeutic approach might also benefit patients as first- line treatment modality in the future.
The surgical creation (muscle dissection) of the augmentation- pocket avoids the gluteal innervation (superior gluteal nerve and inferior gluteal nerve) and the vascular system (venous and arterial) of the gluteus maximus muscle. Afterwards, the surgeon sutures the dissection-incision and secures it with adhesive tape to ensure that the augmentation-pocket remains open, as dissected, ready to receive the injections of adipose fat. For the revision of scars, with surgery and injections of autologous fat, or with allopathic synthetic fillers, the surgeon applies subcuticular closures to the incision wounds, which then are bandaged.
Hematopoietic stem-cell transplantation (HSCT) is the transplantation of multipotent hematopoietic stem cells, usually derived from bone marrow, peripheral blood, or umbilical cord blood. It may be autologous (the patient's own stem cells are used), allogeneic (the stem cells come from a donor) or syngeneic (from an identical twin). It is most often performed for patients with certain cancers of the blood or bone marrow, such as multiple myeloma or leukemia. In these cases, the recipient's immune system is usually destroyed with radiation or chemotherapy before the transplantation.
In 2006, 50,417 first HSCTs were recorded worldwide, according to a global survey of 1,327 centers in 71 countries conducted by the Worldwide Network for Blood and Marrow Transplantation. Of these, 28,901 (57%) were autologous and 21,516 (43%) were allogeneic (11,928 from family donors and 9,588 from unrelated donors). The main indications for transplant were lymphoproliferative disorders (55%) and leukemias (34%), and many took place in either Europe (48%) or the Americas (36%). The Worldwide Network for Blood and Marrow Transplantation reported the millionth transplant to have been undertaken in December 2012.
An interbody fusion cage (colloquially known as a "spine cage") is a prosthesis used in spinal fusion procedures to maintain foraminal height and decompression. They are cylindrical or square-shaped devices, and usually threaded. There are several varieties: the Harms cage, Ray cage, Pyramesh cage, InterFix cage, and lordotic LT cage, all of which are made from titanium; the Brantigan cage, made from carbon fibre; and the Cortical Bone Dowel, which is cut from allograft femur. The cages can be packed with autologous bone material in order to promote arthrodesis.
Forms include platelet-rich plasma (PRP) and autologous conditioned serum (ACS). It is not impossible that ozonated or UV autohemotherapy may have real efficacy and effectiveness in autoimmune diseases if they are immunomodulatory in some way (such as by interfering with the deranged autoantibodies), but this mechanism of action, if it exists, is not yet well understood, and it is also logical that whatever molecular changes the ozone and UV bring about are unlikely to act specifically on just the desired target molecules—meaning that risks are involved.
Diamyd Medical AB (Stockholm NASDAQ, First North) is dedicated to find a cure for type 1 diabetes: first, the autoimmune inflammation need to be down- regulated with a compound such as for example GABA; second, tolerance need to be induced to insulin producing beta cell auto-antigens such as for example GAD65; third, the beta cell mass need to be restored with for example autologous stem cells. Diamyd is actively working on all these three steps. Additionally it helps with the development of technological means to simplify the life for individuals with diabetes.
Autogenous vaccines, also called autologous vaccines, autovaccines, “self” or custom vaccines, are vaccines that are prepared by isolation and destruction of microorganisms in infected individuals and used to provide immunity to the same individual. Autogenous vaccines were introduced in the early twentieth century with growing evidence of its efficacy against certain infections. These vaccines rely on the activation of the individual's immune system to produce immunity against the infectious pathogen. They are usually produced when an individual or small group is presented with a disease and can be applied to various bacterial and viral infections.
Depiction of adoptive cell transfer therapy with CAR-engineered T cells The first step in the production of CAR-T cells is the isolation of T cells from human blood. CAR-T cells may be manufactured either from the patient's own blood, known as an autologous treatment, or from the blood of a healthy donor, known as an allogeneic treatment. The manufacturing process is the same in both cases; only the choice of initial blood donor is different. First, leukocytes are isolated using a blood cell separator in a process known as leukocyte apheresis.
The DCVax technology upon which NWBO's therapies rely involves injecting cancer patients with dendritic cells which have been harvested from them by leukapheresis (i.e. they are "autologous") and activated by incubating them in vitro with tissue from the patient's tumour. The dendritic cells thereby identify the antigenic make-up of the tumour after which the activated dendritic cells are injected subcutaneously into the patients in aliquots at intervals. Alternatively, in a process still under development, the harvested dendritic cells are injected directly into the tumour where they are activated in situ with the same result.
The first human clinical trial using autologous iPSCs was approved by the Japan Ministry Health and was to be conducted in 2014 at the Riken Center for Developmental Biology in Kobe. However the trial was suspended after Japan's new regenerative medicine laws came into effect in November 2015. More specifically, an existing set of guidelines was strengthened to have the force of law (previously mere recommendations). iPSCs derived from skin cells from six patients suffering from wet age-related macular degeneration were reprogrammed to differentiate into retinal pigment epithelial (RPE) cells.
In partnership with other key Australian organisations, MS Research Australia funds and supports a number of MS research collaborations. These platforms, often national in reach, exist to fill gaps in knowledge about specific areas and priority interest areas for people affected by MS. \- MS Research Australia Brain Bank \- Australian MS Longitudinal Study (AMSLS) \- PrevANZ. A clinical prevention trial into the effects of vitamin D on MS. \- ANZgene. A collaborative Australia-New Zealand genetics study seeking to identify the genes linked with MS. \- Autologous Haemopoetic Stem Cell Treatment (AHSCT) registry.
Autologous matrix-induced chondrogenesis, which is also known as AMIC, is a biological treatment option for articular cartilage damage bone marrow stimulating technique in combination with a collagen membrane. It is based on the microfracture surgery with the application of a bi-layer collagen I/III membrane. The AMIC technique was developed to improve some of the shortfalls of microfracture surgery such as variable repair cartilage volume and functional deterioration over time. The collagen membrane protects and stabilizes the MSCs released through microfracture and enhances their chondrogenic differentiation.
The conclusions are that it is an effective treatment for full thickness chondral defects. The evidence does not suggest ACI is superior to other treatments. One ACI treatment, called MACI (autologous cultured chondrocytes on a porcine collagen matrix), is indicated for healthy patients 18-55 with medium to large sized damage to their cartilage. It is not applicable to osteoarthritis patients. The patient’s chondrocytes are removed arthroscopically from a non load- bearing area from either the intercondylar notch or the superior ridge of the medial or lateral femoral condyles.
Thus perforator flaps, using autologous tissue with preservation of fascia, muscle and nerve represent the future of flaps. The most frequently used perforator flaps nowadays are the deep inferior epigastric perforator flap (DIEP flap), and both the superior and inferior gluteal (SGAP/ IGAP) flap, all three mainly used for breast reconstruction; the lateral circumflex femoral artery perforator (LCFAP) flap (previously named anterolateral thigh or ALT flap) and the thoracodorsal artery perforator (TAP) flap, mainly for the extremities and the head and neck region as a free flap and for breast and thoracic wall reconstruction as a pedicled perforator flap.
In the next future prominent interest of Médecine will be oriented on stem cells. Autologous stem cells are undifferentiated multipotent cells that can be used especially for chondral lesions, i.e. those of cartilage, a problem with a strong social impact given from the large number of affected individuals, with pain and TMJ disorders that limit every day’s and working life. Their services will include cryopreservation and expansion of cells so as to use them in a high-quality anti-aging treatments, reconstructive surgery for spine, shoulder, hip, knee, ankle, discs together with rehydration of tissues, cartilage, bones and ligaments.
A stem cell transplant is a transplant intended to replace the progenitor hematopoietic stem cells Hematopoietic stem cell transplantation (HSCT) is the transplantation of multipotent hematopoietic stem cells, usually derived from bone marrow, peripheral blood, or umbilical cord blood. It may be autologous (the patient's own stem cells are used), allogeneic (the stem cells come from a donor) or syngeneic (from an identical twin). It is most often performed for patients with certain cancers of the blood or bone marrow, such as multiple myeloma or leukemia. In these cases, the recipient's immune system is usually destroyed with radiation or chemotherapy before the transplantation.
Launched in 2005, Cordlife (Hong Kong) Limited (“Cordlife Hong Kong”) is a wholly owned subsidiary of the Group. Cordlife Hong Kong moved into a new facility at the Hong Kong Science Park in 2010. The AABB & ISO certified facility has a storage capacity for 50,000 Parent's Guide to Cord Blood Foundation Website, Cordlife Hong Kong cord blood and umbilical cord units. In January 2011, Cordlife Hong Kong became the only private cord blood bank in Hong Kong to have released a cord blood unit for autologous (with one's own stem cells) transplantation to aid the treatment of neuroblastoma.
Since NK cells recognize target cells when they express nonself HLA antigens (but not self), autologous (patients' own) NK cell infusions have not shown any antitumor effects. Instead, investigators are working on using allogeneic cells from peripheral blood, which requires that all T cells be removed before infusion into the patients to remove the risk of graft versus host disease, which can be fatal. This can be achieved using an immunomagnetic column (CliniMACS). In addition, because of the limited number of NK cells in blood (only 10% of lymphocytes are NK cells), their number needs to be expanded in culture.
Unfortunately, the cells generated by this technology, potentially are not completely protected from the immune system of the patient (donor of nuclei), because they have the same mitochondrial DNA, as a donor of oocytes, instead of the patients mitochondrial DNA. This reduces their value as a source for autologous stem cell transplantation therapy, as for the present, it is not clear whether it can induce an immune response of the patient upon treatment. Induced androgenetic haploid embryonic stem cells can be used instead of sperm for cloning. These cells, synchronized in M phase and injected into the oocyte can produce viable offspring.
Because the nerve damage and inflammation often originates in the ocular surface, conventional dry eye treatments including artificial tears are often the first line of treatment. A nonfenestrated scleral lens such as the Boston Ocular Surface Prosthesis (PROSE) can insulate the corneal surface from unwanted stimuli. Gabapentin and other neuropathic pain medications may be used to blunt sensory nerve stimulation or the perception of nerve stimulation. Recent publications have shown that neuro-regenerative therapies such as 20% autologous serum eye drops and topical nerve growth factor, and anti- inflammatory agents that minimize nerve injury and sensitization from uncontrolled inflammation (e.g.
Induction of final maturation of oocytes is a procedure that is usually performed as part of controlled ovarian hyperstimulation to render the oocytes fully developed and thereby resulting in optimal pregnancy chances. It is basically a replacement for the luteinizing hormone (LH) surge whose effects include final maturation in natural menstrual cycles. The main medications used for induction of final maturation are human chorionic gonadotropin (hCG) and GnRH agonist. In fresh (rather than frozen) autologous cycles of in vitro fertilization, final oocyte maturation triggering with GnRH agonist instead of hCG decreases the risk of ovarian hyperstimulation syndrome but decreases live birth rate.
In October 2004 Jarvis was diagnosed with stage 2a Hodgkin’s Lymphoma. She began with a standard Chemotherapy course known as ABVD, which failed. She then was treated with high dose Chemotherapy; ESHAP, followed by BEAM, and an autologous stem cell transplant in September 2005. This also failed, so she then underwent an intense 3 week course of Radiotherapy to the tumours between her lungs. This also failed, so Jarvis then signed up for a clinical trial (in June 2006) for a new experimental antibody drug (Medarex anti-CD30) that was being tested for people with Hodgkin’s disease.
Improved materials continue to be investigated. A successful bulking agent should be readily available, non-inflammatory, easy to inject, easy to prepare, efficacious, durable, inexpensive, biocompatible, nonimmunological, long-lasting, non-migrating (the size of the particles should be larger than 80 μm) adult stem cell injection therapy using autologous muscle-derived stem cells for the regenerative repair of an impaired sphincter is currently at the forefront of incontinence research. The implanted cells fuse with muscle and release trophic factors promoting nerve and muscle integration. Small pilot studies have suggested restoration of the urethral sphincter over several months' time.
A 2011 study reports histologically confirmed hyaline cartilage regrowth in a 5 patient case- series, 2 with grade IV bipolar or kissing lesions in the knee. The successful protocol involves arthroscopic microdrilling/ microfracture surgery followed by postoperative injections of autologous peripheral blood progenitor cells (PBPC's) and hyaluronic acid (HA). PBPC’s are a blood product containing mesenchymal stem cells and is obtained by mobilizing the stem cells into the peripheral blood. Khay Yong Saw and his team propose that the microdrilling surgery creates a blood clot scaffold on which injected PBPC’s can be recruited and enhance chondrogenesis at the site of the contained lesion.
Professor Bodo-Eckehard Strauer (born 16 January 1943) is a German cardiologist who has made award-winning contributions to cardiovascular science including pivotal reports that transfusions of patients' own bone marrow cells into the coronary arteries can increase the pumping efficacy of a weak heart. These landmark publications have been the basis for the new field of autologous bone marrow stem cell therapy for heart disease. In a press statement on 24 February 2014, his institution reported that it had found "evidence of scientific misconduct", and that it had sent a report "to the city’s public prosecutors".
Dendreon is a biotechnology company. Its lead product, Provenge (known generically as sipuleucel-T), is an immunotherapy for prostate cancer. It consists of a mixture of the patient's own blood cells (autologous, with dendritic cells thought to be the most important) that have been incubated with the Dendreon PAP-GM-CSF fusion protein. Phase III clinical trial results demonstrating a survival benefit for prostate cancer patients receiving the drug were presented at the AUA meeting on April 28, 2009. After going through the approval process, Provenge was given full approval by the FDA on April 29, 2010.
However, on May 9, 2007, Dendreon received a letter from the FDA demanding more results and information before approval. On April 14, 2009, Dendreon announced that the results for the Phase III trial of Provenge were positive, saying there had been a reduction in the odds of death compared to the use of a placebo. On April 28, 2009, the full details of the study were released. The trial found that patients treated with Provenge lived an average of 4.1 months longer than patients treated with the control (autologous cells without the GM-CSF / PAP fusion protein).
On 15 October 2020, the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a conditional marketing authorization for the medicinal product Tecartus, intended for the treatment of relapsed or refractory mantle cell lymphoma (MCL). Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged. The applicant for this medicinal product is Kite Pharma EU B.V. Tecartus is an autologous T‑cell immunotherapy which will be available as a dispersion for infusion (0.4–2.0 x 108 cells).
This process, when dysregulated, can be life- threatening due to systemic hyper-inflammation, hypotensive shock, and multi- organ failure. Adoptive cell transfer of autologous T-cells modified with chimeric antigen receptors (CAR-T cell therapy) also causes CRS. Serum samples of patients with CAR-T associated CRS have elevated levels of IL-6, IFN-γ, IL-8 (CXCL8), IL-10, GM-CSF, MIP-1α/β, MCP-1 (CCL2), CXCL9, and CXCL10 (IP-10). The most predictive biomarkers 36h after CAR-T infusion of CRS are a fever ≥38.9°C (102°F) and elevated levels of MCP-1 in serum.
Regenerative medicine is a field of medical research developing treatments to repair or re-grow specific tissue in the body. Because a person’s own (autologous) amniotic stem cells can be safely infused back into that individual without being rejected by the body’s immune system - and because they have unique characteristics compared to other sources of stem cells - they are an increasing focus of regenerative medicine research. Research in this area has the potential to revolutionize medicine. It is advancing so rapidly that it is even difficult for medical professionals to supply the most up-to-date information for their patients.
The prevalence of head injuries increased in the 20th century with the advancement of armaments, particularly the use of hand grenades in trench warfare during World War I (WWI). Along with a decreased mortality from suffering such injuries due to the development of cell debris removal, wound closing, and the use of antibiotics, cranioplasty techniques were therefore improved. Autografts, allografts and synthetic materials are the main types of materials used for cranioplasty. Sir William Macewen, who reported a case of successful autograft cranioplasty in 1885 Autografts, or autologous grafts, are body tissues taken from the patient.
In addition, an autologous vein bypass between the aorta and the carotid artery or the opposite carotid artery and the subclavian artery may be performed to restore normal circulation. The interposition of viable tissue facilitates tracheal wall repair. Thus, vascularized tissues such as the thymus, strap muscles, the sternocleidomastoid, or the pectoralis major muscle should be interposed between tracheal defect and the vessel stumps to prevent bleeding, seal the mediastinum, fill dead space, cover major vital structures, provide a blood supply and venous drainage, and increase the concentration of antibiotics. Innominate artery ligation has a 10% risk of neurological deficit.
A successful tissue regeneration relies on an appropriate source of stem progenitor cells, growth factors and scaffolds to control the development of the specific tissue. The first component for tissue engineering is an appropriate source of progenitor/stem cells by using cells which are able to differentiate into the desired tissue component. The use of postnatal autologous stem cells, especially the mesenchymal stem cells is optimal in regenerative endodontic applications. These mesenchymal stem cells are found in dental pulp (DPSCs), the apical papilla (SCAP) and even in the inflamed periapical tissue (iPAPCs) collected during endodontic surgical procedures.
The use of cord blood stem cells in treating conditions such as brain injuryCord Blood for Neonatal Hypoxic-Ischemic Encephalopathy , Autologous Cord Blood Cells for Hypoxic Ischemic Encephalopathy Study 1. Phase I Study of Feasibility and Safety and Type 1 Diabetes is already being studied in humans, and earlier stage research is being conducted for treatments of stroke, and hearing loss. Cord blood stored with private banks is typically reserved for use of the donor child only. In contrast, cord blood stored in public banks is accessible to anyone with a closely matching tissue type and demonstrated need.
In a study that is currently underway (February 2012), however, more positive results were being reported: In the SCIPIO trial, patients treated with autologous cardiac stem cells post MI have been reported to be showing statistically significant increases in LVEF and reduction in infarct size over the control group at four months after implant. Positive results at the one-year mark are even more pronounced. Yet the SCIPIO trial "was recently called into question". Harvard University is "now investigating the integrity of some of the data". The Lancet recently published a non-specific ‘Expression of concern’ about the paper.
Such controlled contouring selectively increased the proportional volume of the breast in relation to the size of the nipple-areola complex, and thus created a breast of natural form and appearance; greater verisimilitude than is achieved solely with breast implants. The fat-corrected, breast-implant deformities, were inadequate soft-tissue coverage of the implant(s) and capsular contracture, achieved with subcutaneous fat-grafts that hid the implant-device edges and wrinkles, and decreased the palpability of the underlying breast implant. Furthermore, grafting autologous fat around the breast implant can result in softening the breast capsule.Rigotti G, Marchi A, Galiè M. et al.
Cudkowicz and her team began conducting some of the first clinical trials intrathecally administering SOD-1 antisense oligonucleotides into ALS patients with SOD1 mutations. Cudkowicz has also led clinical trials for the use of ceftriaxone, an excitatory amino acid transporter, to minimize glutamate mediated over-excitation as a treatment for ALS. Targeting over-excitability in an alternate way, Cudkowicz has been leading a trial to test the effects of Ezogabine, a potassium channel agonist, in phase II clinical trials. In 2019, Cudkowicz started to test the efficacy of autologous bone marrow-derived mesenchymal stem cells for the treatment of ALS.
Bristol Myers Squibb and bluebird bio Provide Regulatory Update on Idecabtagene Vicleucel (ide-cel, bb2121) for the Treatment of Patients with Multiple Myeloma, PM BMS May 13, 2020, retrieved May 14, 2020 (US approval of ide-cel by March 31, 2021 is one of the required remaining milestones of the contingent value rights (CVR) issued upon the close of Bristol Myers Squibb's purchase of Celgene in 2019. Ide-cel is a BCMA-directed genetically modified autologous CAR-T-cell immunotherapy.) In August 2018, the company announced a collaboration with Regeneron Pharmaceuticals to discover, develop and commercialize new cell therapies for cancer.
Immunity to Leishmania is determined by the interplay of white blood cells, cytokines, immune complexes, and genetic and environmental factors. Protective immunity develops either after successful treatment of VL (cured) or after asymptomatic infections that resolve without development of VL (asymptomatic). Both types of immunity are characterized by cell-mediated immunity (CMI), including skin test positivity, proliferation, and interleukin 2 (IL-2), interferon gamma (IFN-γ), and interleukin 12 (IL-12) secretion by peripheral blood mononuclear cells (PBMC) in response to Leishmania antigens. T cells isolated from both cured and asymptomatic PBMC activate autologous macrophages to kill intracellular amastigotes.
Much of Haverich’s work is focused on tissue engineering and development of implantable organs, specifically for the heart and vascular system. In 2006 his team reported on the transplantation of heart valves in two children (11 and 13 years old) done in 2002; the heart valves originated from donors, were decellularized, and then reseeded with autologous stem cells so that they would continue to grow. Haverich's aim is eventually to rebuild the heart by tissue engineering "from ourselves". In 1996 Haverich founded the Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO) to develop bioengineered tissue for the heart.
The approach of using autologous cells ensures that they will not be rejected after transplantation. The project is notable for the high level of community involvement, including fundraisers, lab tours, and community education. Multiple sclerosis therapy development Another project in Dr. Loring’s lab is development based therapy for multiple sclerosis. In a collaboration with Tom Lane, a notable MS researcher, a type of human neural precursor cell derived from pluripotent stem cells restored motor function in a mouse model of MS. The transplanted cells do not permanently engraft within the mouse but the recovery process continues for several months before stabilizing.
Because mesenchymal stem cells may regenerate cartilage, cartilage growth in human knees using autologous cultured mesenchymal stem cells is under research and preliminary clinical use, and appears to be safe as of 2016. An advantage to this approach is that a person's own stem cells are used, avoiding tissue rejection by the immune system. Stem cells enable surgeons to grow replacement cartilage, which gives the new tissue greater growth potential. While there are few long-term studies as of 2018, a history of knee problems and body weight are factors for how well the procedure will work.
Studies published so far have only investigated the procedure in unilaterally affected patients, and the long-term effectiveness of the technique is yet to be proven. #Another recent innovation is cultivated limbal epithelial transplant (CLET), either autologous (where donor and recipient are the same patient) or allogenic (where donor and recipient are different patients). This approach can be used when either one or both eyes are affected, providing there is sufficient limbal tissue available (1–2 mm2). A small sample of limbal cells is taken from a healthy part of the eye, and grown in a sterile laboratory to produce a sheet of cells sufficient for transplantation.
In treatment of genetic diseases, gene therapy aims to insert, alter or remove genes within an afflicted individual's cells. The technology relies heavily on viral vectors which raises concerns about insertional mutagenesis and systemic immune response that have led to human deaths and development of leukemia in clinical trials. Circumventing the need for vectors by using naked or plasmid DNA as its own delivery system also encounters problems such as low transduction efficiency and poor tissue targeting when given systemically. Artificial cells have been proposed as a non-viral vector by which genetically modified non-autologous cells are encapsulated and implanted to deliver recombinant proteins in vivo.
Therefore, patients with anti-Vel should not be transfused with Vel-positive blood, as it can cause a serious acute hemolytic transfusion reaction. Finding compatible blood for Vel-negative patients is difficult due to the rarity of this blood type, and it may be necessary to perform autologous blood donation or to contact rare blood banks. Cases of anti-Vel causing hemolytic disease of the newborn (HDN) have been reported, but this is an unusual occurrence. It is hypothesized that anti-Vel associated HDN is rare because the antibody is usually predominantly composed of IgM immunoglobulin, which does not cross the placenta into the fetal circulation.
Autologous stem cells in orthopaedics, according to Professor Panfili's philosophy, allow the regeneration of bone, cartilage, ligaments and tendons, and functional recovery of joints. The cure with stem cells is minimally invasive, therefore shorter, more economic and more effective, because unlike what occurs with the in vitro cultivation and replanting, with this technique, it's possible to reconstruct also the underlying bone. The cells have the need to be "channeled" in the area to be treated through a solid support that serves as a frame (scaffold) for growth. After treatment with MSC, the patient is moved immediately to model the "scaffold" and reduce the possibility of intra-articular adhesions.
CancerVax Corporation’s competitive strategy revolved around targeting large disease markets with significant unmet medical needs. The company was founded by Dr. Donald Morton who utilized his research on autologous cell cancer vaccines to develop a new allogeneic cellular vaccine for cancer. Dr. Morton’s employment at John Wayne Cancer Institute allowed him to perform additional research on the melanoma vaccine while still holding the commercialization rights to the vaccine. The company entered in a Cross- License agreement with John Wayne Cancer Center where in funding acquired by the Center from the NIH was used to conduct Phase I and Phase II clinical trials for this product.
Stating that "some torture clearly works", he suggested the nation should "keep an open mind about certain measures to fight terrorism, like court-sanctioned psychological interrogation", and consider transferring some prisoners to other countries with less stringent rules on torture. While Alter did not advocate physical torture, he later wrote in his book "Between the Lines" that he regretted writing the article. Alter was a fierce critic of President George W. Bush, emphasizing what he considered Bush's lack of accountability and his position on embryonic stem cell research. Alter, a cancer survivor, has written about his own bout with lymphoma and experience with an autologous adult stem cell transplant.
Affected individuals may benefit from autologous fat transfer or fat grafts to restore a more normal contour to the face. However, greater volume defects may require microsurgical reconstructive surgery which may involve the transfer of an island parascapular fasciocutaneous flap or a free flap from the groin, rectus abdominis muscle (Transverse Rectus Abdominis Myocutaneous or "TRAM" flap) or latissimus dorsi muscle to the face. Severe deformities may require additional procedures, such as pedicled temporal fascia flaps, cartilage grafts, bone grafts, orthognathic surgery, and bone distraction. The timing of surgical intervention is controversial; some surgeons prefer to wait until the disease has run its course while others recommend early intervention.
An intestinal crypt - an accessible and abundant source of intestinal epithelial cells for conversion into β-like cells. These results establish the feasibility of significant liver repopulation of mice with human hepatocytes generated in vitro, which removes a long-standing roadblock on the path to autologous liver cell therapy. Cocktail of small molecules, Y-27632, A-83-01 (a TGFβ kinase/activin receptor like kinase (ALK5) inhibitor), and CHIR99021 (potent inhibitor of GSK-3), can convert rat and mouse mature hepatocytes in vitro into proliferative bipotent cells – CLiPs (chemically induced liver progenitors). CLiPs can differentiate into both mature hepatocytes and biliary epithelial cells that can form functional ductal structures.
Mesenchymal stem/stromal cells (MSCs) are under investigation for applications in cardiac, renal, neural, joint and bone repair, as well as in inflammatory conditions and hemopoietic cotransplantation. This is because of their immunosuppressive properties and ability to differentiate into a wide range of mesenchymal- lineage tissues. MSCs are typically harvested from adult bone marrow or fat, but these require painful invasive procedures and are low-frequency sources, making up only 0.001–0.01% of bone marrow cells and 0.05% in liposuction aspirates. Of concern for autologous use, in particular in the elderly most in need of tissue repair, MSCs decline in quantity and quality with age.
Final maturation induction using GnRH agonist results in a substantial decrease in the risk of ovarian hyperstimulation syndrome (OHSS). A Cochrane review estimated that using GnRH agonist instead of hCG in IVF decreases the risk of mild, moderate or severe OHSS with an odds ratio of approximately 0.15. The review estimated that, for a woman with a 5% risk of mild, moderate or severe OHSS with the use of HCG, the risk of OHSS with the use of a GnRH agonist would be between 0 and 2%. However, using GnRH agonist has a lower live birth rate than when using hCG in autologous oocyte transfers (rather than ones using oocyte donation).
In 2013, studies of autologous bone-marrow stem cells on ventricular function were found to contain "hundreds" of discrepancies. Critics report that of 48 reports, just five underlying trials seemed to be used, and that in many cases whether they were randomized or merely observational accepter-versus-rejecter, was contradictory between reports of the same trial. One pair of reports of identical baseline characteristics and final results, was presented in two publications as, respectively, a 578-patient randomized trial and as a 391-subject observational study. Other reports required (impossible) negative standard deviations in subsets of people, or contained fractional subjects, negative NYHA classes.
Destruction of the immune system by the HIV is driven by the loss of CD4+ T cells in the peripheral blood and lymphoid tissues. Viral entry into CD4+ cells is mediated by the interaction with a cellular chemokine receptor, the most common of which are CCR5 and CXCR4. Because subsequent viral replication requires cellular gene expression processes, activated CD4+ cells are the primary targets of productive HIV infection. Recently scientists have been investigating an alternative approach to treating HIV-1/AIDS, based on the creation of a disease-resistant immune system through transplantation of autologous, gene-modified (HIV-1-resistant) hematopoietic stem and progenitor cells (GM-HSPC).
A phase I/II clinical trial enrolled 12 patients with acquired immune deficiency syndrome (AIDS) to test the safety and effectiveness of administering ZFN-modified autologous helper T cells. Through targeted deletions, the custom ZFN disables the C-C chemokine receptor 5 (CCR5) gene, which encodes a co-receptor that is used by the HIV virus to enter the cell. As a result of the high degree of sequence homology between C-C chemokine receptors this ZFN also cleaves CCR2, leading to off-target ∼15kb deletions and genomic rearrangements. The impacts of these CCR2 modifications are still not known, and to date there have been no reported side effects.
Frei and Peters developed the Solid Tumor Autologous Marrow Program (STAMP) regimen. Researchers in the National Cancer Institute (NCI) did not believe that the treatment would be effective and were wary of the consequences of this treatment. For example, George Canellos, one of the original members of the NCI, had noticed that a long-term side effect of megadose chemotherapy regimens was myelodysplasia, a condition that tended to progress to leukemia. During the early stages of the STAMP clinical trial, the first patients were those who were hopeless cases—women with advanced, metastatic breast cancer that had already received, and did not respond to, existing treatments.
Ninety patients were randomised to compare two cycles of high-dose cyclophosphamide, mitoxantrone, and etoposide (HD-CNV) versus six to eight cycles of conventional-dose cyclophosphamide, mitoxantrone, and vincristine (CNV). The overall response rate for HD-CNV was 95%, with 23 of 45 patients achieving complete response (remission). The apparent success of the 1995 study drew immediate notice for its authors; as of February 2001, the 1995 article had been cited 354 times. Patients were also enthused; in the Autologous Blood and Marrow Transplant Registry (ABMTR) database, the number of patients treated with high-dose therapy increased rapidly after the Bezwoda study was published.
Dr. Michler began his career on the faculty of Columbia Presbyterian Medical Center/Columbia University in New York City. He rose to become the Director of the Heart Transplantation Program before being recruited to the Ohio State University as the Chief, Division of Cardiothoracic Surgery and Director of the Heart & Lung Transplantation Program. In 2005, Michler returned to New York City as the Chairman of the Department of Cardiothoracic Surgery, and soon thereafter, was appointed Surgeon-in-Chief of the healthcare system and Chairman, Department of Surgery. Michler’s research interest in repairing the injured heart has led to clinical trials in autologous skeletal myoblast and cardiac stem cell transplantation.
30 In this case, a friend or family member of the recipient donates blood to replace the stored blood used in a transfusion, ensuring a consistent supply. When a person has blood stored that will be transfused back to the donor at a later date, usually after surgery, that is called an 'autologous' donation. Blood that is used to make medications can be made from allogeneic donations or from donations exclusively used for manufacturing. Blood is sometimes collected using similar methods for therapeutic phlebotomy, similar to the ancient practice of bloodletting, which is used to treat conditions such as hereditary hemochromatosis or polycythemia vera.
One supposed cure to HIV-1 involves the creation of a disease- resistant immune system through transplantation of autologous, gene-modified (HIV-1-resistant) hematopoietic stem cells and progenitor cells (GM-HSPC). Though this study does involve several early stage clinical trials that have demonstrated the safety and feasibility of this technique only for HIV-1, none have resulted in improvement of the disease state itself. Therefore, this strategy is intended to go alongside already existing treatment techniques such as drugs and vaccines. However, future technology regarding this approach of single treatment cell therapy could potentially replace current therapy altogether as a functional or sterilizing cure to HIV-1.
In 1983 he, in conjunction with Prof Tim McElwain reported the first autologous stem cell transplant for multiple myeloma He was Physician-in-Charge (from 1974) and Group Head for Haemato-Oncology (from 1993) at the Leukaemia and Myeloma Units of the Royal Marsden Hospital. He was also, from 1977, Professor of Haemato-Oncology at the University of London, Institute of Cancer Research. Ray and Trevor were each made Commanders of the Order of the British Empire (CBE) in 2002 for their services to medicine. Together, they received Lifetime Achievement awards in the 2013 Pride of Britain awards, presented to them by the then-prime minister, David Cameron.
This multivalent > array of autologous and allogeneic antigens is expected to reduce the chance > of immune escape, which can emerge from antigenic loss or active major > histocompatibility complex (MHC) downregulation and is more likely to occur > when using a single- or limited-antigen targeted immunotherapy. The future > promise of this treatment might also rest in the ability to combine it with > bevacizumab, and potentially with immune checkpoint inhibitors – an option > that will allow more powerful immune activation in the periphery as well as > more aggressive local tumour immunological targeting and destruction. In April 2020, ERC began development on COVIDVAC, a vaccine for Covid-19 based on ERC1671’s underlying technology.
Regenerating axons are redirected into the stump. Efficacy of this technique is partially dependent upon the degree of partial neurectomy performed on the donor, with increasing degrees of neurectomy giving rise to increasing axon regeneration within the lesioned nerve, but with the consequence of increasing deficit to the donor. Some evidence suggests that local delivery of soluble neurotrophic factors at the site of autologous nerve grafting may enhance axon regeneration within the graft and help expedite functional recovery of a paralyzed target. Other evidence suggests that gene- therapy induced expression of neurotrophic factors within the target muscle itself can also help enhance axon regeneration.
After 9 months of observation, should the paralysis not resolve and the patient be dissatisfied with the outcomes of voice therapy, the next option is temporary injection medialization. In this procedure, a variety of materials can be injected into the body of the vocal fold in order to bring it closer to the midline of the glottis. Materials such as Teflon, autologous fat, collagens acellular dermis, fascia, hydroxyapatite and hyaluronates are available to be used in the procedure. The choice of substance is dependent on several factors, taking into consideration the specific condition and preference of the patient as well as the clinical practice of the surgeon.
Sintered materials increase the crystallinity of calcium phosphate in certain artificial bones, which leads to poor resorption by osteoclasts and compromised biodegradability. One study avoided this by creating inkjet-printed, custom-made artificial bones that utilized α-tricalcium phosphate (TCP), a material that converts to hydroxyapatite and solidifies the implant without the use of sintering. In addition, α-TCP is biocompatible and helps form new bone, which is better for patients in the long term. Artificial bone designs must be biocompatible, have osteoconductivity, and last for long periods of time inside a patient in order to be a viable solution compared to autologous and allogeneic bone implants.
In May 2016, the FDA approved nivolumab for the treatment of patients with classical Hodgkin lymphoma (cHL) who have relapsed or progressed after autologous hematopoietic stem cell transplantation (auto-HSCT) and post-transplantation brentuximab vedotin. On 20 December 2017, the FDA granted approval to nivolumab for adjuvant treatment of melanoma with involvement of lymph nodes or for metastatic disease with complete resection. On 16 April 2018, the FDA granted approval to nivolumab in combination with ipilimumab for the first- line treatment of intermediate and poor risk advanced renal cell carcinoma patients. On 15 June 2018, China's Drug Administration approved nivolumab, the country's first immuno-oncology and the first PD-1 therapy.
The outcome of a buttocks-contouring procedure depends upon the specific defect or deformity that can be effectively corrected with liposculpture, ultrasonic or not. Nonetheless, depressed scars and deep morphological defects are difficult to correct because of the curvature of the buttocks as an anatomic unit, and because of the scar-contracting elements of the tissues across the gluteal curvature. In such a case, although the injection of (autologous or artificial) tissue fillers to correct the defect or the deformity might be impermanent — it usually will remedy the functional and aesthetic shortcoming(s) required by the patient, which is the therapeutic purpose of gluteoplasty.
Also, the incidence of patients experiencing rejection is very rare (and graft-versus-host disease impossible) due to the donor and recipient being the same individual. These advantages have established autologous HSCT as one of the standard second-line treatments for such diseases as lymphoma. For other cancers such as acute myeloid leukemia, though, the reduced mortality of the autogenous relative to allogeneic HSCT may be outweighed by an increased likelihood of cancer relapse and related mortality, so the allogeneic treatment may be preferred for those conditions. Researchers have conducted small studies using nonmyeloablative HSCT as a possible treatment for type I (insulin dependent) diabetes in children and adults.
In surgery, control of bleeding is achieved with the use of laser or sonic scalpels, minimally invasive surgical techniques, electrosurgery and electrocautery, low central venous pressure anesthesia (for select cases), or suture ligation of vessels. Other methods include the use of blood substitutes, which at present do not carry oxygen but expand the volume of the blood to prevent shock. Blood substitutes which do carry oxygen, such as PolyHeme, are also under development. Many doctors view acute normovolemic hemodilution, a form of storage of a patient's own blood, as a pillar of "bloodless surgery" but the technique is not an option for patients who refuse autologous blood transfusions.
Omenn syndrome is caused by a partial loss of RAG gene function and leads to symptoms similar to severe combined immunodeficiency syndrome, including opportunistic infections. The RAG genes are essential for gene recombination in the T-cell receptor and B-cell receptor, and loss of this ability means that the immune system has difficulty recognizing specific pathogens. Omenn Syndrome is characterised by the loss of T-cell function, leading to engraftment of maternal lymphocytes in the foetus and the co- existence of clonally expanded autologous and transplacental-acquired maternal lymphocytes. Omenn syndrome can occasionally be caused in other recombination genes, including IL-7Rα and RMRP.
The premise of CAR-T immunotherapy is to modify T cells to recognize cancer cells in order to more effectively target and destroy them. Scientists harvest T cells from people, genetically alter them, then infuse the resulting CAR-T cells into patients to attack their tumors. CAR-T cells can be either derived from T cells in a patient's own blood (autologous) or derived from the T cells of another healthy donor (allogeneic). Once isolated from a person, these T cells are genetically engineered to express a specific CAR, which programs them to target an antigen that is present on the surface of tumors.
The acquisition included (i) Dideco, an Italian company that was the European leader in the market for extracorporeal blood circulation and autologous blood transfusion products, and (ii) Stöckert, a leading world producer and distributor of heart-lung machines, as well as their subsidiaries. With these acquisitions, Sorin Biomedica established itself as an international player with a leadership position in Europe and a global distribution network, with an especially effective presence in the highly profitable Japanese market. Penetration of the U.S. market - the world's largest - remained limited. In 1996, the Group launched an internal project to develop a coronary angioplasty product line (catheters and stents).
Molgramostim was eventually co-developed and co- marketed by Novartis and Schering-Plough under the trade name Leucomax for use in helping white blood cell levels recover following chemotherapy, and in 2002 Novartis sold its rights to Schering-Plough. Sargramostim was approved by the US FDA in 1991 to accelerate white blood cell recovery following autologous bone marrow transplantation under the trade name Leukine, and passed through several hands, ending up with Genzyme which subsequently was acquired by Sanofi. Leukine is now owned by Partner Therapeutics (PTx). Imlygic was approved by the US FDA in October 2015, and in December 2015 by the EMA, as an oncolytic virotherapy, commercialized by Amgen Inc.
Proliferation is restored completely by a selective agonist of D2-like (D2L) receptors. Neural stem cells have been identified in the neurogenic brain regions, where neurogenesis is constitutively ongoing, but also in the non-neurogenic zones, such as the midbrain and the striatum, where neurogenesis is not thought to occur under normal physiological conditions. Newer research has shown that there in fact is neurogenesis in the striatum.Neurogenesis in the Striatum of the Adult Human Brain A detailed understanding of the factors governing adult neural stem cells in vivo may ultimately lead to elegant cell therapies for neurodegenerative disorders such as Parkinson's disease by mobilizing autologous endogenous neural stem cells to replace degenerated neurons.
In 1916 he worked in St Mary Hospital's special wards for wounded soldiers and developed a successful method of autologous skin-grafting. In 1921 Douglas was appointed director of the Department of Bacteriology and Experimental Pathology in the National Institute for Medical Research under the direction of Sir Henry Dale at Mount Vernon Hospital in Hampstead and also deputy director for the NIMR under the director Dale. As head of his department, Douglas organised the research of Laidlaw, Dobell, William E. Gye (who worked on the Rous sarcoma virus), Ian A. Galloway (who worked on foot- and-mouth disease) and other researchers. Much of the research dealt with immunology and virology, especially viruses that cause dysentery.
H. Glimm, K. Flügge, D. Möbest, V. M. Hofmann, J. Postmus, R. Henschler, W. Lange, J. Finke, H. P. Kiem, G. Schulz, F. Rosenthal, R. Mertelsmann, C. von Kalle: Efficient serum-free retroviral gene transfer into primitive human hematopoietic progenitor cells by a defined, high-titer, nonconcentrated vector-containing medium. In: Hum Gene Ther. 1998 Apr 10;9(6), S. 771–778. .H. Veelken, A. Mackensen, M. Lahn, G. Köhler, D. Becker, B. Franke, U. Brennscheidt, P. Kulmburg, F. M. Rosenthal, H. Keller, J. Hasse, W. Schultze-Seemann, E. H. Farthmann, R. Mertelsmann, A. Lindemann: A phase-I clinical study of autologous tumor cells plus interleukin-2-gene-transfected allogeneic fibroblasts as a vaccine in patients with cancer.
Some evidence supports P. cryptocides is the result of a mistaken identification of a Staphylococcus strain of bacteria and later studies of the samples provided by Livingston proved to be Staphylococcus epidermidis and Streptococcus faecalis. The American Cancer Society (ACS) did not support Livingston's treatment protocol for cancer, and has categorically denied her theory of the cancer bacterium P. cryptocides the primary cause of human cancer. The ACS also challenged the efficacy of Livingston's autogenous vaccine and concluded in its report that there was no corroboration of either P. cryptocides or the efficacy of her autologous vaccine. Since Livingston hadn't stocked earlier cultures of her alleged microbe, it is not possible to decipher precisely what those cultures contained.
With the development of tumor-associated antigens (TAA), the first clone of a human tumor antigen, melanoma antigen-1 (MAGE-1) was reported in 1990s, which elicited an autologous cytotoxic T-lymphocyte (CTL) response in a melanoma patient. Further studies found that MAGE-1 (renamed MAGE-A1 later) was expressed in various cancers of different histological origin but not in normal tissues excluding testis and placenta. Later on, using T-cell epitope cloning technology, other tumor antigens with same properties were identified, including MAGE-A2, MAGE-A3, BAGE and GAGE-1. With the new approach, serological analysis of cDNA expression libraries (SEREX), several novel similar antigens were discovered, including SSX-2, NY-ESO-1, etc.
Illustration of an autograft harvested from iliac crest. Autologous (or autogenous) bone grafting involves utilizing bone obtained from the same individual receiving the graft. Bone can be harvested from non-essential bones, such as from the iliac crest, or more commonly in oral and maxillofacial surgery, from the mandibular symphysis (chin area) or anterior mandibular ramus (the coronoid process); this is particularly true for block grafts, in which a small block of bone is placed whole in the area being grafted. When a block graft will be performed, autogenous bone is the most preferred because there is less risk of the graft rejection because the graft originated from the patient's own body.
Although immuno-cytochemistry using tumor- associated monoclonal antibodies has led to an improved ability to detect occult breast cancer cells in bone marrow aspirates and peripheral blood, further development of this method is necessary before it can be used routinely. One major drawback of immuno-cytochemistry is that only tumor- associated and not tumor-specific monoclonal antibodies are used, and as a result, some cross-reaction with normal cells can occur. In order to effectively stage breast cancer and assess the efficacy of purging regimens prior to autologous stem cell infusion, it is important to detect even small quantities of breast cancer cells. Immuno-histochemical methods are ideal for this purpose because they are simple, sensitive, and quite specific.
From an ethical perspective, there is the issue of justice of who would qualify to receive artificial ovaries (except in autologous transplant) as there is limited availability. There is also a bioethical concerns around pre- implantation diagnosis and genetic manipulation of artificial ovaries. If a patient’s own ovarian tissue is used for generating artificial ovaries, the risk of reintroducing malignancy is still present, although this risk would be lowered if only oocytes were used. One area of future research in this field will look at the source of oocytes for artificial ovaries. There is potential for induced pluripotent stem cells (iPSCs) to be used as an alternative source to a patient’s own gametes.
The COCOX-M-IVAC regimen (systemic cyclophosphamide, vincristine, doxorubicin, and high-dose methotrexate alternating with ifosfamide, etoposide, and cytarabine plus intrathecal methotrexate and cytarabine) give event-free 2 year response rates of >90% in both children and adults. Addition of rituximab, a monoclonal antibody against the CD20 antigen expressed on B cells, may be added to this or other multiple drug regimens. Autologous stem cell bone marrow transplantation has not improved the results of these regiments. Treatment of HIV-associated iBL is similar to, and has success rates comparable, to non-HIV BL, particularly when coupled with treatment directed at HIV although adults >40 years old have had poorer responses to these regiments.
With only 20 percent of the world's population free of P2, the price of a litre of healthy blood has reached almost two million dollars. In the novel, blood has replaced gold and diamonds as a valuable commodity (gold was extracted in great quantity from the sea and is now valued at about $200 a kilogram). Uninfected people reside in "Clean Bill of Health" (CBH) zones within cities to avoid contact with the sick, for vamping (murder for the purpose of blood theft) is a major risk for healthy individuals. Standard procedure for those who are uninfected is to perform autologous donations to enable them to completely replace it in the event of becoming infected.
His few attempts were unsuccessful due to technical difficulties posed by the translocation of the coronary arteries, and the idea was abandoned. Swedish cardiac surgeon Åke Senning described the first corrective surgery for d-TGA (the Senning procedure) in 1959, which involved using the atrial septum to create an intratrial baffle that redirected bloodflow at the atrial level; Senning yielded a high success rate using this procedure, significantly lowering both early and late mortality rates. Due to the technical complexity of the Senning procedure, others could not duplicate his success rate; in response, Mustard developed a simpler alternative method (the Mustard procedure) in 1964, which involved constructing a baffle from autologous pericardium or synthetic material, such as Dacron.
In the case of the patient encumbered with several congenital defects of the ear or who has insufficient autologous cartilage to harvest, it might be infeasible to effect the corrections with grafts of rib cartilage. In such a case, the reconstructive Antia–Buch helical advancement technique might apply; it moves tissues from behind the ear rim, and then around and forward to repair the defective front of the ear rim. To perform the Antia–Buch helical advancement, with ink, the surgeon first designs the incision inside the helical rim and around the crus (shank) of the helix. Then cuts the skin and the cartilage — but does not pierce the posterior skin of the ear.
Platelet-rich fibrin (PRF) or leukocyte- and platelet-rich fibrin (L-PRF) is a second-generation PRP where autologous platelets and leukocytes are present in a complex fibrin matrix to accelerate the healing of soft and hard tissue and is used as a tissue-engineering scaffold for endodontics. To obtain PRF, required quantity of blood is drawn quickly into test tubes without an anticoagulant and centrifuged immediately. Blood can be centrifuged using a tabletop centrifuge for at least 10 min at 3000 revolution per minute. The resultant product consists of the following three layers; topmost layer consisting of platelet poor plasma, PRF clot in the middle, and red blood cells (RBC) at the bottom.
Treatment option include orthodontics, surgery, botulinum toxin A injections, and micro- autologous fat transplantation (MAFT). Botox (BTX-A) has been successful in the treatment of gummy smiles, however the results are not permanent, they last for an average of 6 months. The material is injected into the hyperactive muscles of upper lip, which causes a reduction in the upward movement of lip thus resulting in a smile with a less exposure of gingiva. Botox is usually injected in the three lip elevator muscles that converge on the lateral side of the ala of the nose; the levator labii superioris (LLS), the levator labii superioris alaeque nasi muscle (LLSAN), and the zygomaticus minor (ZMi).
Database Last Updated: January 13, 2010 – search on povidone for list of approved items and it is generally considered safe. However, there have been documented cases of allergic reactions to PVP/povidone, particularly regarding subcutaneous (applied under the skin) use and situations where the PVP has come in contact with autologous serum (internal blood fluids) and mucous membranes. For example, a boy having an anaphylactic response after application of PVP-Iodine for treatment of impetigo was found to be allergic to the PVP component of the solution. A woman, who had previously experienced urticaria (hives) from various hair products, later found to contain PVP, had an anaphylactic response after povidone-iodine solution was applied internally.
Alternative cell expansion technologies (bioreactors) will make it possible to further expand the numbers of NK-92 cells on a smaller 'footprint'. Anecdotal reports of antitumor activity in the two completed phase I studies have been observed in 6/11 patients with renal cancer, 3/4 patients with lung cancer, and 1/1 patient with melanoma, all with very advanced disease. In addition to disease stabilization and regression of metastases in lung and lymph nodes, the severe pain associated with tumor metastases in several patients, which had been refractory to standard chemotherapy, was remarkably lessened. The ongoing trial in Toronto treats patients with lymphoma who have relapsed after an autologous stem cell transplant.
A review in people with blood cancers receiving intensive chemotherapy or a stem cell transplant found that overall giving platelet transfusions when the platelet count is less than 10 x 109/L reduced the number of bleeding events and days with significant bleeding. However, this benefit was only seen in certain patient groups, and people undergoing an autologous stem cell transplant derived no obvious benefit. Despite prophylactic platelet transfusions, people with blood cancers often bleed, and other risk factors for bleeding such as inflammation and duration of thrombocytopenia should be considered. There is little evidence for the use of preventive platelet transfusions in people with chronic bone marrow failure, such as myelodysplasia or aplastic anemia.
Oligodendrocyte precursor cells and neural stem cells have been transplanted successfully and have shown to be healthy a year later. Fractional anisotropy and radial diffusivity maps showed possible myelination in the region of the transplant. Induced pluripotent stem cells, oligodendrocyte precursor cells, gene correction, and transplantation to promote the maturation, survival, and myelination of oligodendrocytes seem to be the primary routes for possible treatments. For three types of leukodystrophies (X-linked adrenoleukodystrophy (X-ALD), metachromatic leukodystrophy (MLD) and Krabbe Disease (globoid cell leukodystrophy - GLD), gene therapy using autologous hematopoietic stem cells to transfer the disease gene with lentiviral vectors have shown to be successful and are currently being used in clinical trials for X-ALD and MLD.
Breast reconstruction is the surgical process of rebuilding the shape and look of a breast, most commonly in women who have had surgery to treat breast cancer. It involves using autologous tissue, prosthetic implants, or a combination of both with the goal of reconstructing a natural-looking breast. This process often also includes the rebuilding of the nipple and areola, known as nipple-areola complex (NAC) reconstruction, as one of the final stages. Generally, the aesthetic appearance is acceptable to the woman, but the reconstructed area is commonly completely numb afterwards, which results in loss of sexual function as well as the ability to perceive pain caused by burns and other injuries.
On 15 October, the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a marketing authorisation for the medicinal product Libmeldy (autologous CD34+ cell enriched population that contains hematopoietic stem and progenitor cells transduced ex vivo using a lentiviral vector encoding the human arylsulfatase A gene), a gene therapy for the treatment of children with the "late infantile" (LI) or "early juvenile" (EJ) forms of metachromatic leukodystrophy (MLD). Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged. The active substance of Libmeldy consists of the child's own stem cells which have been modified to contain working copies of the ARSA gene.
A Cochrane review of autologous oocyte transfers estimated that GnRH agonist, compared to hCG, gives an odds ratio of pregnancy of approximately 0.47. It estimated that, for a woman with a 31% chance of achieving live birth with the use of hCG, the chance of a live birth with the use of an GnRH agonist would be between 12% and 24%. Likewise, using GnRH agonist instead of hCG was associated with a lower ongoing pregnancy rate (pregnancy beyond 12 weeks) than was seen with HCG (odds ratio 0.70) and a higher rate of early (less than 12 weeks) miscarriage (odds ratio 1.74). However, a higher pregnancy rate when using hCG is only found in those receiving luteal support without luteinizing hormone activity (such as progesterone or progestin).
High-dose chemotherapy and bone marrow transplant (HDC/BMT), also high-dose chemotherapy with autologous bone marrow transplant (HDC/ABMT or just ABMT), was a treatment regimen for metastatic breast cancer, and later high-risk breast cancer, that was considered promising during the 1980s and 1990s. It was ultimately determined to be no more effective than normal treatment, and to have significantly higher side effects, including treatment-related death. From its birth in the 1980s to its denouncement in the late 1990s, HDC/BMT transformed clinical practice, legislation on healthcare insurance coverage, public health policy and drove a two-decade long period of entrepreneurial oncology. It also gave rise to one of the most serious cases of research misconduct of the 20th century.
DHAP in context of chemotherapy is an acronym for chemotherapy regimen that is used for remission induction in cases of relapsed or refractory non-Hodgkin lymphoma and Hodgkin's lymphoma.Effective salvage therapy for lymphoma with cisplatin in combination with high-dose Ara-C and dexamethasone (DHAP) It is usually given for 2-3 courses, then followed by high-dose chemotherapy and autologous stem cell transplantation. In combination with anti-CD20 monoclonal antibody rituximab (Rituxan, Mabthera) it is called R-DHAP or DHAP-R. [R]-DHAP regimen consists of: # Rituximab, a monoclonal antibody, directed at B-cell surface antigen CD20 # (D)examethasone, a glucocorticoid hormone # (H)igh-dose (A)ra-C - cytarabine, an antimetabolite; # (P)latinol (cisplatin), a platinum- based antineoplastic, also an alkylating antineoplastic agent.
After the extraction the tissue might be processed at the laboratory, as soon as possible. Once at the laboratory the tissue sample is placed at a frozen petri dish where it is cut into small pieces (approximately 1–2 mm). The small pieces are placed into test tubes and filled with a solution in three parts one at 20% of autologous serum (about 0.6 ml) and the other part of isotonic solution at 20% (about 0.6 ml) then a solution of 2 ml of polypropylene and mixed gently. Then is placed into a container at -70 °C for a night then finally the container passes through the phase of liquid or vapor nitrogen immersion and is kept there until needed.
Examples of fillers used for this purpose include hyaluronic acid; poly(methyl methacrylate) microspheres with collagen; human and bovine collagen derivatives, and fat harvested from the person's own body (autologous fat transfer). Microneedling is a procedure in which an instrument with multiple rows of tiny needles is rolled over the skin to elicit a wound healing response and stimulate collagen production to reduce the appearance of atrophic acne scars in people with darker skin color. Notable adverse effects of microneedling include post-inflammatory hyperpigmentation and tram track scarring (described as discrete slightly raised scars in a linear distribution similar to a tram track). The latter is thought to be primarily attributable to improper technique by the practitioner, including the use of excessive pressure or inappropriately large needles.
Erythropoiesis-stimulating agents have a history of use as blood doping agents in endurance sports, such as horseracing, boxing, cycling, rowing, distance running, race walking, snowshoeing, cross country skiing, biathlon, Mixed Martial Arts and triathlon. The overall oxygen delivery system (blood oxygen levels, as well as heart stroke volume, vascularization, and lung function) is one of the major limiting factors to muscles' ability to perform endurance exercise. Therefore, the primary reason athletes may use ESAs is to improve oxygen delivery to muscles, which directly improves their endurance capacity. With the advent of recombinant erythropoietin in the 1990s, the practice of autologous and homologous blood transfusion has been partially replaced by injecting erythropoietin such that the body naturally produces its own red cells.
CAR-T therapy for DLBCL, NOS has been used on patients who are refractory to and/or have progressed on first-line as well as salvage (including autologous stem cell transplantation) treatment regimens. Patients are treated first with a conditioning chemotherapy regimen, usually cyclophosphamide and fludarabine, and then infused with their own T-cells that have been engineered to attack CD19-bearing or, rarely, CD20-bearing cells. A meta-analysis of 17 studies using this or very similar approaches to treat DLBCL, NOS found the treatments gave complete and partial responses rates of 61% and 43%, respectively. While these studies did not have control groups and were too recent for meaningful estimates of remission durations, the remission rates were higher than expected using other treatment approaches.
Gene therapy was submitted to the EMA for review in December 2019. The trial sponsor has indicated they will are targetting submission for US FDA review during 1st half 2021. On 15 October 2020, the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Libmeldy (autologous CD34+ cell enriched population that contains hematopoietic stem and progenitor cells transduced ex vivo using a lentiviral vector encoding the human arylsulfatase A gene), a gene therapy for the treatment of children with the 'late infantile' (LI) or 'early juvenile' (EJ) forms of metachromatic leukodystrophy (MLD). Text was copied from this source which is © European Medicines Agency.
Once the patient is in the operative position, the surgeon begins the liposuction correction by making incisions to the marks of the surgical- correction plan, and then infiltrates (injects) a solution of anaesthesia- and tumescence-inducing drugs, usually a combination of lidocaine and epinephrine. The volume of the anaesthetic-tumescent solution is gradually infiltrated to the pertinent gluteal area, in order to avoid the nerves and the deeper anatomic structures of the gluteus maximus muscle. The particular anatomic features to be contoured determine the types of cannula (gauge, size, grade) used to effect and control the harvesting of excess adipose fat from the patient's body. For a lipoinjection augmentation, the surgeon first dissects and prepares the augmentation-pocket to which will be injected the autologous fat-tissue.
He regularly applies off-pump coronary surgery (OPCAB), using the arterial “π-graft” technique as supplemental to the OPCAB method, by applying off-Pump, aorta non-touch, and total arterial revascularization. In 2005, Dr. Prapas implemented in Greece a combination of an Off-Pump surgical treatment and autologous bone-marrow implantation which appears to improve the patients’ functional status. This treatment though has never been proven to improve heart function in the context of established ischemic heart damage and recent research has casted a shadow on its safety and efficacy. His academic work consists of full text papers and abstract publications in medical journals, presentations in many international congresses, lectures around the world as well as a series of live demonstrations.
Though Jehovah's Witnesses do not accept blood transfusions of whole blood, they may accept some blood plasma fractions at their own discretion. The Watch Tower Society provides pre-formatted durable power of attorney documents prohibiting major blood components, in which members can specify which allowable fractions and treatments they will personally accept. Examples of permitted fractions are: Interferon, Immune Serum Globulins and Factor VIII; preparations made from Hemoglobin such as PolyHeme and Hemopure. Examples of permitted procedures involving the medical use of one's own blood include: cell salvage , hemodilution , heart lung machine, dialysis, epidural blood patch , plasmapheresis, blood labeling or tagging and platelet gel (autologous) Jehovah's Witnesses have established Hospital Liaison Committees as a cooperative arrangement between individual Jehovah's Witnesses and medical professionals and hospitals.
Perin E.C., Willerson J.T., Pepine C.J., Henry T.D., Ellis S.G., Zhao D.X.M., Silva G.V., Lai D., Thomas J.D., Kronenberg M.W., Martin A.D., Anderson R.D., Traverse J.H., Penn M.S., Anwaruddin S., Hatzopoulos A.K., Gee A.P., Taylor D.A., Cogle C.R., Smith D., Westbrook L., Handberg E.M., Olson R.E., Geither C.L., Bowman S.D., Francescon J.L., Baraniuk S., Piller L.B., Simpson, L.M., Loghin C., Aguilar D., Richman S.J., Zierold-Fairman C., Spoon, D.B., Bettencourt J., Sayre S.L., Vojvodic R.W., Skarlatos S.I., Gordon D.J., Ebert R.F., Kwak M., Moyé L.A., Simari R.D. for the Cardiovascular Cell Therapy Research Network (CCTRN). Effect of Transendocardial Delivery of Autologous Bone Marrow Mononuclear Cells on Functional Capacity, Left Ventricular Function, and Perfusion in Chronic Ischemic Heart Failure: The FOCUS-CCTRN Trial. JAMA. 2012 April; 307(16):1717-26.
The Multi-Center Evaluation of the Responsiveness of the IKDC (MERI) Study is designed to evaluate and compare the responsiveness to change of several measures commonly used in patients undergoing knee surgery: the International Knee Documentation Committee (IKDC) Subjective Knee Form, the WOMAC, the Cincinnati Knee Rating System, and the SF-36. The specific patient population targeted for this study are those individuals who receive any form of surgical articular cartilage repair procedure for at least one symptomatic full thickness (Outerbridge Grade III or IV) lesion of the femoral condyle or trochlea. These procedures can include debridement, marrow stimulation techniques such as microfracture, drilling or abrasion arthroplasty, osteochondral autograft or allograft transplantation, mosiacplasty or autologous cartilage implantation. Any surgeon who performs at least three of these procedures a year can be involved in the project.
Stem Cell therapies, here referred to as therapies employing non- hematopoietic, mesenchymal stem cells, have a wide range of potential therapeutic benefits for different diseases, most of which are currently investigated in clinical trials. The therapeutic properties of stem cells are mainly attributed to their secretome, which has been shown to modulate several biological processes in vitro and in vivo, such as cell proliferation, survival, differentiation, immunomodulation, anti-apoptosis, angiogenesis and stimulation of tissue adjacent cells. This is contrary to the historic hypothesis that stem cell migration and transdifferentiation is the primary mechanism of effect of stem cell injection therapies. The most commonly used type of stem cells for therapeutic use are human (autologous) Mesenchymal Stem Cells, hMSCs. hMSCs’ secretome is one the most widely researched secretome profile.
There is no evidence to suggest that phototherapy improves the quality of life for people with foot ulcers caused by diabetes. Sucrose-octasulfate impregnated dressing is recommended by the International Working Group on the Diabetic Foot Ulcer (IWGDF) for the treatment of non-infected, neuro-ischaemic diabetic foot ulcers that do not show an improvement with a standard of care regimen Autologous combined leucocyte, platelet and fibrin as an adjunctive treatment, in addition to best standard of care is also recommended by IWGDF However, there is only low quality evidence that such treatment is effective in treating diabetic foot ulcer. There is limited evidence that granulocyte colony-stimulating factor may not hasten the resolution of diabetic foot ulcer infection. However, it may reduce the need for surgical interventions such as amputations and hospitalizations.
Eaves' personal research has focused on leukemia where he pioneered "culture purging" as a novel approach to doing autologous bone marrow transplantation for chronic myelogenous leukemia. He has over 200 papers in leading peer-review scientific journals. In 2003 he was awarded the prestigious R. M. Taylor Medal by the Canadian Cancer Society and the National Cancer Institute of Canada. In 1985 Eaves became Head of Hematology at UBC, the VGH and the BCCA where for the next 18 years he focused on building the world class Leukemia/Bone Marrow Transplant (BMT) Program of British Columbia. This was one of the first BMT programs in Canada and by the early 1990s over 1500 patients had been transplanted of which 300 were from other provinces (generating revenue for BC of over $30 million).
Prunskis co-founded Illinois Pain Institute in 1992 with his wife, Terri Dallas-Prunskis, MD. Later he was named clinical professor at Chicago Medical School. He has written several academic papers and editorials on the pain management including, Algorithms for interventional techniques in chronic pain. In 2012, he co-founded and was appointed as the CEO and medical director of Barrington Pain & Spine Institute, and he also serves as CEO and medical director of The Regenerative Stem Cell Institute where he is a co-investigator in the largest adult autologous stem cell research study in the United States. Prunskis has served as McHenry County Medical Society President, member of the House of Delegates of the Illinois State Medical Society (ISMS), and member of the ISMS Government Affairs and Economic Council.
In DLBCL, NOS variants which trend to spread or to the central nervous system, methotrexate has been recommended to be added to regimens not containing it for use as prophylaxis to reduce the incidence of this complication. The role of Autologous stem-cell transplantation as an addition to first-line therapy in the treatment of DLBCL, NOS, including cases with a poor prognosis, is unclear. A phase I clinical research trial found that the addition of lenalidomide to the R-CHOP regimen produce an ~80% complete response rate in GBC as well as non- GBC DLBCL, NOS variants. Two phase III clinical research trials are underway to confirm these results and determine if the R-CHOP + lenalidomide regimen is superior to R-CHOP in the up-front treatment of GBC and/or non-GBC variants.
The refined breast filler then was injected to the pre- expanded recipient site; post-procedure, the patient resumed continual vacuum expansion therapy upon the injected breast, until the next fat grafting session. The mean operating room (OR) time was 2-hours, and there occurred no incidences of infection, cysts, seroma, hematoma, or tissue necrosis. The breast-volume data reported in Breast Augmentation with Autologous Fat Grafting: A Clinical Radiological Study (2010) indicated a mean increase of 1.2 times the initial breast volume, at six months post-procedure. In a two- year period, 25 patients underwent breast augmentation by fat graft injection; at three weeks pre-procedure, before the fat grafting to the breast-tissue matrix (recipient site), the patients were photographed, and examined via intravenous contrast MRI or 3-D volumetric imaging, or both.
The sequence of human GM-CSF was first identified in 1985 and soon three recominbant human GM-CSFs were produced, one in bacteria, one in mammalian cells, and one in yeast; Immunex developed GM-CSF manufactured in yeast into Leukine. Clinical trials of sargramostim were initiated in 1987; in that same year it was administered to six people as part of a compassionate-use protocol for the victims of cesium irradiation from the Goiânia accident. It was approved by the FDA in March 1991 under the trade name Leukine for acceleration of white blood cell recovery following autologous bone marrow transplantation in patients with non-Hodgkin's lymphoma, acute lymphocytic leukemia, or Hodgkin's disease. In November 1996, the FDA also approved sargramostim for treatment of fungal infections and replenishment of white blood cells following chemotherapy.
Sipuleucel-T is a vaccine-like strategy in late clinical trials for prostate cancer in which dendritic cells from the patient are loaded with prostatic acid phosphatase peptides to induce a specific immune response against prostate-derived cells. Allogeneic hematopoietic stem cell transplantation ("bone marrow transplantation" from a genetically non-identical donor) can be considered a form of immunotherapy, since the donor's immune cells will often attack the tumor in a phenomenon known as graft-versus-tumor effect. For this reason, allogeneic HSCT leads to a higher cure rate than autologous transplantation for several cancer types, although the side effects are also more severe. The cell based immunotherapy in which the patients own Natural Killer cells(NK) and Cytotoxic T-Lymphocytes(CTL) are used has been in practice in Japan since 1990.
Autologous immune enhancement therapy (AIET) is a treatment method in which immune cells are taken out from the patient's body which are cultured and processed to activate them until their resistance to cancer is strengthened and then the cells are put back in the body. The cells, antibodies, and organs of the immune system work to protect and defend the body against not only tumor cells but also bacteria or viruses. Cell division in any living organism is an integral part of life, as worn out cells have to be replaced by newly generated cells. This process of generating new cells varies between organs and the mechanisms involved are highly complex which include the nature and capability of the underlying stem cells, their environment, metabolism, physical and allied biological factors the organ or tissue is subjected to etc.
Damage to the limbus can lead to limbal stem cell deficiency (LSCD); this may be primary - related to an insufficient stromal microenvironment to support stem cell functions, such as aniridia, and other congenital conditions, or secondary – caused by external factors that destroy the limbal stem cells, such as chemical or thermal burns, radiation, surgery, infection, use of contact lenses, or certain drugs. Signs and symptoms include : conjunctivalisation, corneal vascularisation, edema, ocular discomfort or pain, visual impairment, and blindness, which are likely associated with failure in the process of regenerating the corneal epithelium. Immediate management aims to limit traumatic or chemical damage to the limbus, control inflammation, and help achieve a healthy corneal epithelium. Initial treatment after trauma/injury includes preservative-free artificial tears, topical steroids, ‘bandage’ contact lenses, and autologous eye drops (eye drops manufactured from the patient's own blood serum and plasma).
Perfosfamide was used experimentally by oncologists in the 1980s for use in bone marrow transplant procedures for treatment of blood cancers. It was added to the tissue after it had been taken from the donor but before the tissue was administered to the patient to "purge" lymphocytes in order to prevent Graft Versus Host Disease, which results from donor lymphocytes attacking normal host cells and tissues, and to "purge" a patient's own (autologous) collected hematopoietic stem cells of any malignant cells it may still contain at the time of harvesting. In 1989 Nova Pharmaceutical took over development of the compound and in 1992, it submitted a new drug application to the FDA for using perfosamide to purge malignant cells in transplants for the treatment of acute myeloid leukemia. In the ensuing year, it merged with Scios to become Scios Nova.
Bone grafting is a surgical procedure that replaces missing bone in order to repair bone fractures that are extremely complex, pose a significant health risk to the patient, or fail to heal properly. Some small or acute fractures can be cured without bone grafting, but the risk is greater for large fractures like compound fractures. Bone generally has the ability to regenerate completely but requires a very small fracture space or some sort of scaffold to do so. Bone grafts may be autologous (bone harvested from the patient’s own body, often from the iliac crest), allograft (cadaveric bone usually obtained from a bone bank), or synthetic (often made of hydroxyapatite or other naturally occurring and biocompatible substances) with similar mechanical properties to bone. Most bone grafts are expected to be reabsorbed and replaced as the natural bone heals over a few months’ time.
Accordingly, stem cells derived from bone marrow aspirates, for instance, are cultured in specialized laboratories for expansion to millions of cells. Although adipose-derived tissue also requires processing prior to use, the culturing methodology for adipose-derived stem cells is not as extensive as that for bone marrow-derived cells. While it is thought that bone-marrow-derived stem cells are preferred for bone, cartilage, ligament, and tendon repair, others believe that the less challenging collection techniques and the multi-cellular microenvironment already present in adipose- derived stem cell fractions make the latter the preferred source for autologous transplantation. New sources of mesenchymal stem cells are being researched, including stem cells present in the skin and dermis which are of interest because of the ease at which they can be harvested with minimal risk to the animal.
Academic researchers wanted to wait for the results of the clinical trials, while breast cancer oncologists and bone marrow transplanters supported the procedure. At the time, the clinical trials on the effectiveness and benefits of this treatment diverged greatly: the trials by Peters in the U.S. and other large research hospitals in Europe reached the conclusion that the treatment had at most modest results—even negative results—regarding the superiority of this high-dose chemotherapy with autologous bone marrow transplant. However, a study by the researcher Werner Bezwoda showed promising benefits of this treatment—although his study was later confirmed to have falsified data. In addition, there was already a lot of positive publicity surrounding the treatment, and 79% of oncologists believed that HDC/BMT was an appropriate treatment for women with locally advanced breast cancer.
The test, given spontaneously hours after the routine test Di Luca gave for being race leader at the time, reportedly showed hormone levels like "those of a child," causing anti-doping authorities to suspect that Di Luca was using some means to cover the presence of banned substances. These unusual levels were not present in the routine test, leading to suspicions that Di Luca had received an autologous blood transfusion between the two tests. A CONI commission later cleared Di Luca on the basis of insufficient evidence to conclude that he had doped. Mayo and Piepoli would both test positive for erythropoietin later in their careers at the Tour de France, and Di Luca likewise at the 2009 Giro d'Italia, all leading to lengthy suspensions, while Petacchi made a successful return to top-level cycling and to the Giro in 2009.
The UCI considered a potential revoking of Vacansoleil-DCM's ProTeam licence in mid-February, which would stop the team from automatically being invited to any World Tour race and be demoted to a Professional Continental team, as they were in 2010. This licence issue came to light due to continued investigations into doping regarding two of the team's riders; Mosquera and Riccò. Mosquera had tested positive for hydroxyethyl starch at the 2010 Vuelta a España, while Riccò had been admitted to hospital earlier in February, amid allegations that he had carried out a self-administered autologous blood transfusion at his home. (For more information on the Riccò allegations, see the Dismissal of Riccardo Riccò section) Despite talk of a potential exclusion from the race due to these scandals, the team were included in the list of 23 teams admitted, on March 7, per UCI rules.
Culture of embryos can either be performed in an artificial culture medium or in an autologous endometrial coculture (on top of a layer of cells from the woman's own uterine lining). With artificial culture medium, there can either be the same culture medium throughout the period (monoculture medium), or a sequential system can be used, in which the embryo is sequentially placed in different media, with different formulations based on the different concentration and composition of the tubal and uterine fluid in relation to change in the metabolic activity of the embryo during its development. For example, when culturing to the blastocyst stage, one medium may be used for culture to day 3, and a second medium is used for culture thereafter.Comparison Of A Single Medium With Sequential Media For Development Of Human Embryos To The Blastocyst Stage Melanie R. Freeman and Don Rieger.
This approach is also known as cell-free stem cell therapy. It has been hypothesized that future therapies aiming at generating a (specific) secretome with a defined profile, and optimized concentrations of paracrine factors will yield a better, more reliable and controlled outcome as compared to previous approaches that rely solely on injecting (mesenchymal) stem cells into the body and hope that their paracrine (or trans differentiation) capacity will have beneficial effects in the body. However, the controlled therapeutic use of the stem cell secretome demands high-quality standardization of isolation and analysis techniques to yield reproducible secretome preparations. Various pharmaceutical companies and clinical institutions have started to develop protocols for the in vitro extraction of specific secretome profiles from autologous mesenchymal stem cells, as well as for the clinical use of secretome as a novel therapeutic for numerous diseases, either as a private pay procedure or within clinical trials.
Using NST and RIC provided a safe approach for transplantation of patient's particularly sensitive to conventional cytoreductive conditioning including older patients, patients with Fanconi's anemia and chronic granulomatous disease. Later on, introducing the concept of post-transplant deletion of alloreactive lymphocytes by cyclophosphamide by Slavin's team made it possible to provide a relatively safe and non-expensive transplant procedure for patients with no matched donor available using haploidentical family member. The same principle was applied by Slavin for successful induction of transplantation tolerance to organ allografts pioneered successfully for the first recipient of kidney allograft alive and well >10 years out. Observations by Slavin's team indicating that re-induction of self-tolerance could be induced by lymphoablative treatment followed by autologous stem cell transplantation provided the rationale for use of a similar approach for successful treatment of patients with life- threatening autoimmune disorders including multiple sclerosis and systemic lupus erythematosus.
Muramoto has described as peculiar and inconsistent the Watch Tower policy of acceptance of all the individual components of blood plasma as long as they are not taken at the same time. He says the Society offers no biblical explanation for differentiating between prohibited treatments and those considered a "matter of conscience", explaining the distinction is based entirely on arbitrary decisions of the Governing Body, to which Witnesses must adhere strictly on the premise of them being Bible-based "truth". He has questioned why white blood cells (1 per cent of blood volume) and platelets (0.17 per cent) are forbidden, yet albumin (2.2 per cent of blood volume) is permitted. He has questioned why donating blood and storing blood for autologous transfusion is deemed wrong, but the Watch Tower Society permits the use of blood components that must be donated and stored before Witnesses use them.
The augmentation of the buttocks, by rearranging and enhancing the pertinent muscle and fat tissues of the gluteal region, is realized with a combined gluteoplasty procedure of surgery (subcutaneous dermal-fat flaps) and liposculpture (fat-suction, fat-injection). Therapeutically, such a combined correction-and-enhancement procedure is a realistic and feasible lower-body-lift treatment for the man and for the woman patient who has undergone massive weight loss (MWL) in the course of resolving obesity with bariatric surgery. In the case of the man or woman who presents under-projected, flat buttocks (gluteal hypoplasia), and a degree of gluteal- muscle ptosis (prolapsation, falling forward), wherein neither gluteal-implant surgery nor lipoinjection would be adequate to restoring the natural anatomic contour of the gluteal region, the application of a combined treatment of autologous dermal-fat flap surgery and lipoinjection can achieve the required functional correction and aesthetic contour.
The terms free flap, free autologous tissue transfer and microvascular free tissue transfer are synonymous terms used to describe the "transplantation" of tissue from one site of the body to another, in order to reconstruct an existing defect. "Free" implies that the tissue is completely detached from its blood supply at the original location ("donor site") and then transferred to another location ("recipient site") and the circulation in the tissue re- established by anastomosis of artery(s) and vein(s). This is in contrast to a "pedicled" flap in which the tissue is left partly attached to the donor site ("pedicle") and simply transposed to a new location; keeping the "pedicle" intact as a conduit to supply the tissue with blood. Various types of tissue may be transferred as a "free flap" including skin and fat, muscle, nerve, bone, cartilage (or any combination of these), lymph nodes and intestinal segments.
Research is being done at several locations in which islet cells are developed from stem cells. Stem cell research has also been suggested as a potential avenue for a cure since it may permit regrowth of Islet cells which are genetically part of the treated individual, thus perhaps eliminating the need for immuno-suppressants.[48] This new method autologous nonmyeloablative hematopoietic stem cell transplantation was developed by a research team composed by Brazilian and American scientists (Dr. Julio Voltarelli, Dr. Carlos Eduardo Couri, Dr Richard Burt, and colleagues) and it was the first study to use stem cell therapy in human diabetes mellitus This was initially tested in mice and in 2007 there was the first publication of stem cell therapy to treat this form of diabetes. Until 2009, there was 23 patients included and followed for a mean period of 29.8 months (ranging from 7 to 58 months).
Dinutuximab is used as post-consolidation therapy for children with high-risk neuroblastoma, in combination with granulocyte-macrophage colony-stimulating factor, interleukin-2, 13-cis-retinoic acid. It is given in patients who have completed induction therapy and consolidation therapy (autologous bone marrow transplant and external beam radiation therapy), as part of standard-of-care therapy for newly-diagnosed high-risk neuroblastoma. It is given by intravenous infusion, over ten to twenty hours, four days in a row.. It is also used second-line for relapsed/refractory neuroblastoma in combination with chemotherapy and GM-CSF. Dinutuximab beta is also used as a second line treatment for children with high-risk neuroblastoma; it was tested and is used with a longer and slower dosing regime, and is given on its own, although it may be combined with IL-2 if a stronger immune response is needed.
One of his several research activities include designing of at least 10 prototype cardiac catheters which were applied in various diagnostic and therapeutic interventions. Early in his career he developed the technique of retrograde non-transeptal mitral balloon valvuloplasty which has been used internationally for the interventional treatment of mitral stenosis, introduced the idea of covering metallic stents by non-thrombotic material and he developed covered stents by autologous vascular (arterial or vein) grafts. He subsequently made studies on the elastic properties of aorta and the function of left atrium. A large part of his research efforts was devoted to experimental and clinical studies on coronary heart disease, such as estimation of thermal heterogeneity of human atherosclerotic plaques using a special catheter with a thermistor tip, external non-invasive heating of stented arterial segments, and evolution and application of bevacizumab-eluting stent for the inhibition of microvessel growth in unstable atherosclerotic plaques.
Riccardo Riccò, pictured at the team's presentation for the 2011 season, was sacked in February after reportedly confessing to blood doping. Having made his season début with a seventh place in the Grand Prix d'Ouverture La Marseillaise in France on January 30, and prior to travelling to the Tour Méditerranéen, Riccò was admitted to hospital in Pavullo nel Frignano on February 6, with his father Rubinho stating that his son had apparent "kidney failure" and a body temperature of ; he was later transferred to a hospital in Modena. Two days later, the Italian State Police confirmed that they were investigating Riccò for blood doping, after an apparent self-administered autologous blood transfusion at his home, and obtained his medical records while Riccò was in hospital recovering. His team also released a statement that day, calling the reports "a rumour", but started their own investigation into the matter, and if found to have doped, Riccò would be sacked as a violation of UCI anti- doping rules.
The results of both studies were presented at the American Heart Association (AHA) Scientific meetings in 2011 (LateTIME) and 2012 (TIME), and simultaneously published in JAMA.Traverse J.H., Henry T.D., Ellis S.G., Pepine C.J., Willerson J.T., Zhao D.X.M., Forder J.R., Byrne B.J., Hatzopoulos A.K., Penn M.S., Perin E.C., Baran K.W., Chambers J.W., Lambert C.E., Raveendran G., Simon D.I., Vaughan D.E., Simpson L.M., Gee A.P., Taylor D.A., Cogle C.R., Thomas J.D., Silva G.V., Jorgenson B.C., Olson R.E., Bowman S.D., Francescon J.L., Geither C.L., Handberg E.M., Smith D., Baraniuk S., Piller L.B., Loghin C., Aguilar D., Richman S.J., Zierold-Fairman C., Bettencourt J., Sayre S.L., Vojvodic R.W., Skarlatos S.I., Gordon D.J., Ebert R.F., Kwak M., Moyé L.A., Simari R.D. for the Cardiovascular Cell Therapy Research Network (CCTRN). Effect of Intracoronary Delivery of Autologous Bone Marrow Mononuclear Cells Two to Three Weeks Following Acute Myocardial Infarction on Left-Ventricular Function: The LateTIME Randomized Trial. JAMA. 2011 Nov; 306(19):2110-2119.
In fact, the number of women who received this treatment increased by about 8000 between 1990 and 1999. This disparity was one of the reasons HMOs held back from covering high-dose chemotherapy with autologous bone marrow transplant; if a treatment is expensive and not clinically proven to be beneficial, health organizations can decline to pay for the treatment, regardless of patient protests. General strategies for plaintiffs included arguing that HDC/BMT was the patient's only chance for survival, patient choice from a physician's recommendation, and portraying the HMO in unfavorable terms to the jury. General strategies for the defendant, or insurer, included stating that the coverage plans did not believe HDC/BMT was in the patient's best interests because of the high mortality rates and reduced quality of life; stating that the treatment had not been clinically proven to be beneficial and more effective than existing treatments—the results of the clinical trials had not yet been reported.
These procedures aim to inject bio-compatible material into the walls of the anal canal, aiming to bulk out these tissues. This may bring the walls of the anal canal into tighter contact, raising the resting pressure, creating more of a barrier to the loss of stool, and reducing FI. Originally, this technique was described for urinary incontinence, but has since been used for FI, especially passive soiling due to IAS dysfunction. This measure has many advantages over more invasive surgery, since there are rarely any serious complications and the procedure can be carried out under local anesthetic on an out patient basis. Many different materials have been used as perianal injectable bulking agents, including: autologous fat (fat tissue transferred from elsewhere in the body), Teflon, bovine glutaraldehyde cross-linked collagen (collagen from cows), carbon-coated zirconium beads, polydimethylsiloxane elastomer, dextranomer/non-animal stabilised hyaluronic acid, hydrogel cross-linked with polyacrylamide, porcine dermal collagen (collagen from pig skin), and synthetic calcium hydroxylapatite ceramic microspheres.
If the procedure is anticipated far enough in advance (with prenatal diagnosis, for example), and the individual's blood type is known, a family member with a compatible blood type may donate some or all of the blood needed for transfusion during the use of a heart-lung machine (HLM). The patient's mother is normally unable to donate blood for the transfusion, as she will not be able to donate blood during pregnancy (due to the needs of the fetus) or for a few weeks after giving birth (due to blood loss), and the process of collecting a sufficient amount of blood may take several weeks to a few months. However, in cases where the individual has been diagnosed but surgery must be delayed, maternal (or even autologous, in certain cases) blood donation may be possible, as long as the mother has a compatible blood type. In most cases, though, the patient receives a donation from a blood bank.
In the early 1987 Slavin introduced the concept of cancer immunotherapy using donor lymphocytes infusion (DLI) for the treatment and prevention of recurrent disease and pioneered the use of adoptive allogeneic cell-mediated immunotherapy and cytokine activated lymphocytes for both treatment and prevention of relapse following allogeneic and autologous stem cell transplantation for hematologic malignancies and solid tumors. These observations that confirmed the therapeutic benefits of cell therapy lead to development of new concepts for the treatment of hematologic malignancies and solid tumors focusing on utilizing well-tolerated non-myeloablative stem cell transplantation as a platform for cell therapy of cancer targeting killer cells against chemotherapy-resistant malignant cells. Using procedures developed by Slavin and his team, treatment of cancer is based on smart rather than aggressive treatment with conventional chemotherapy, which is associated with immediate and late procedure-related toxicity and mortality, aiming at selective elimination of all malignant cells including cancer stem cells. Prof. Slavin with Russian pathophysiologist prof.
Cardiac-Stem-Cells Restoring adequate blood flow to the heart muscle in people with heart failure and significant coronary artery disease is strongly associated with improved survival, some research showing up to 75% survival rates over 5 years. A stem cell study indicated that using autologous cardiac stem cells as a regenerative approach for the human heart (after a heart attack) has great potential. American Heart Association practice guidelines recommend implantable cardioverter-defibrillator (ICD) use in those with ischemic cardiomyopathy (40 days post-MI) that are (NYHA) New York Heart Association functional class I. A LVEF measurement (simply called LVEF alone among cardiologists) of greater than (>) 30% is often used to differentiate primary from ischemic cardiomyopathy, and as a prognostic indicator. Coronary artery bypass surgery A 2004 study showed the patients in that study who underwent ventricular restoration as well as a coronary artery bypass achieved greater postoperative LVEF than with the latter surgery alone.
Detection A contemporary woman's lifetime probability of developing breast cancer is approximately one in seven; yet there is no causal evidence that fat grafting to the breast might be more conducive to breast cancer than are other breast procedures; because incidences of fat tissue necrosis and calcification occur in every such procedure: breast biopsy, implantation, radiation therapy, breast reduction, breast reconstruction, and liposuction of the breast. Nonetheless, detecting breast cancer is primary, and calcification incidence is secondary; thus, the patient is counselled to learn self-palpation of the breast and to undergo periodic mammographic examinations. Although the mammogram is the superior diagnostic technique for distinguishing among cancerous and benign lesions to the breast, any questionable lesion can be visualized ultrasonically and magnetically (MRI); biopsy follows any clinically suspicious lesion or indeterminate abnormality appeared in a radiograph. Therapy Breast augmentation via autologous fat grafts allows the oncological breast surgeon to consider conservative breast surgery procedures that usually are precluded by the presence of alloplastic breast implants, e.g.
The tissue grown from iPSCs, placed in the "chimeric" embryos in the early stages of mouse development, practically do not cause an immune response (after the embryos have grown into adult mice) and are suitable for autologous transplantation At the same time, full reprogramming of adult cells in vivo within tissues by transitory induction of the four factors Oct4, Sox2, Klf4 and c-Myc in mice results in teratomas emerging from multiple organs. Furthermore, partial reprogramming of cells toward pluripotency in vivo in mice demonstrates that incomplete reprogramming entails epigenetic changes (failed repression of Polycomb targets and altered DNA methylation) in cells that drive cancer development. Cell culture example of a small molecule as a tool instead of a protein. in cell culture to obtain a pancreatic lineage from mesodermal stem cells the retinoic acid signalling pathway must be activated while the sonic hedgehog pathway inhibited, which can be done by adding to the media anti-shh antibodies, Hedgehog interacting protein or cyclopamine, the first two are protein and the last a small molecule.
For example, under specific growth conditions, mouse fibroblasts can be reprogrammed with a single factor, Sox2, to form iNSCs that self-renew in culture and after transplantation can survive and integrate without forming tumors in mouse brains. INSCs can be derived from adult human fibroblasts by non-viral techniques, thus offering a safe method for autologous transplantation or for the development of cell-based disease models. Neural chemically induced progenitor cells (ciNPCs) can be generated from mouse tail- tip fibroblasts and human urinary somatic cells without introducing exogenous factors, but - by a chemical cocktail, namely VCR (V, VPA, an inhibitor of HDACs; C, CHIR99021, an inhibitor of GSK-3 kinases and R, RepSox, an inhibitor of TGF beta signaling pathways), under a physiological hypoxic condition. Alternative cocktails with inhibitors of histone deacetylation, glycogen synthase kinase and TGF-β pathways (where: sodium butyrate (NaB) or Trichostatin A (TSA) could replace VPA, Lithium chloride (LiCl) or lithium carbonate (Li2CO3) could substitute CHIR99021, or Repsox may be replaced with SB-431542 or Tranilast) show similar efficacies for ciNPC induction.
The functional purpose of the buttocks musculature is to establish a stable gait (balanced walk) for the man or the woman who requires the surgical correction of either a defect or a deformity of the gluteal region; therefore, the restoration of anatomic functionality is the therapeutic consideration that determines which gluteoplasty procedure will effectively correct the damaged muscles of the buttocks. The applicable techniques for surgical and correction include the surgical emplacement of gluteal implants; autologous tissue-flaps; the excision (cutting and removal) of damaged tissues; lipoinjection augmentation; and liposuction reduction — to resolve the defect or deformity caused by a traumatic injury (blunt, penetrating, blast) to the buttocks muscles (gluteus maximus, gluteus medius, gluteus minimus), and any deformation of the anatomic contour of the buttocks. Likewise, the corrective techniques apply to resolving the sagging skin of the body, and the muscle and bone deformities presented by the formerly obese patient, after a massive weight loss (MWL) bariatric surgery procedure; and for resolving congenital defects and congenital deformities of the gluteal region.
In every surgical and nonsurgical procedure, the risk of medical complications exists before, during, and after a procedure, and, given the sensitive biological nature of breast tissues (adipocyte, glandular), this is especially true in the case of fat graft breast augmentation. Despite its relative technical simplicity, the injection (grafting) technique for breast augmentation is accompanied by post-procedure complicationsfat necrosis, calcification, and sclerotic noduleswhich directly influence the technical efficacy of the procedure, and of achieving a successful outcome. The Chinese study Breast Augmentation by Autologous Fat-injection Grafting: Management and Clinical analysis of Complications (2009), reported that the incidence of medical complications is reduced with strict control of the injection-rate (cm3/min) of the breast-filler volume being administered, and by diffusing the fat-grafts in layers to allow their even distribution within the breast tissue matrix. The complications occurred to the 17-patient group were identified and located with 3-D volumetric and MRI visualizations of the breast tissues and of any sclerotic lesions and abnormal tissue masses (malignant neoplasm).
Fat-graft breast augmentation: the pre-operative aspects (left) and the post-operative aspects (right) of a large-volume non- surgical augmentation In the study Fat Grafting to the Breast Revisited: Safety and Efficacy (2007), the investigators reported that the autologous fat was harvested by liposuction, using a 10-ml syringe attached to a two-hole Coleman harvesting cannula; after centrifugation, the refined breast filler fat was transferred to 3-ml syringes. Blunt infiltration cannulas were used to emplace the fat through 2-mm incisions; the blunt cannula injection method allowed greater dispersion of small aliquots (equal measures) of fat, and reduced the possibility of intravascular fat injection; no sharp needles are used for fat-graft injection to the breasts. The 2-mm incisions were positioned to allow the infiltration (emplacement) of fat grafts from at least two directions; a 0.2 ml fat volume was emplaced with each withdrawal of the cannula. The breasts were contoured by layering the fat grafts into different levels within the breast, until achieving the desired breast form.
The biologic survival of autologous fat tissue depends upon the correct handling of the fat graft, of its careful washing (refinement) to remove extraneous blood cells, and of the controlled, blunt- cannula injection (emplacement) of the refined fat-tissue grafts to an adequately vascularized recipient site. Because the body resorbs some of the injected fat grafts (volume loss), compensative over-filling aids in obtaining a satisfactory breast outcome for the patient; thus the transplantation of large-volume fat grafts greater than required, because only 25–50 percent of the fat graft survives at 1-year post-transplantation. The correct technique maximizes fat graft survival by minimizing cellular trauma during the liposuction harvesting and the centrifugal refinement, and by injecting the fat in small aliquots (equal measures), not clumps (too-large measures). Injecting minimal-volume aliquots with each pass of the cannula maximizes the surface area contact, between the grafted fat-tissue and the recipient breast- tissue, because proximity to a vascular system (blood supply) encourages histologic survival and minimizes the potential for fat necrosis.
One method of non-implant breast reconstruction is initiated at the concluding steps of the breast cancer surgery, wherein the oncological surgeon is joined by the reconstructive plastic surgeon, who immediately begins harvesting, refining, and seeding (injecting) fat grafts to the post-mastectomy recipient site. After that initial post-mastectomy fat-graft seeding in the operating room, the patient leaves hospital with a slight breast mound that has been seeded to become the foundation tissue matrix for the breast reconstruction. Then, after 3–5 weeks of continual external vacuum expansion of the breast mound (seeded recipient-site)to promote the histologic regeneration of the extant tissues (fat, glandular) via increased blood circulation to the mastectomy scar (suture site)the patient formally undergoes the first fat- grafting session for the reconstruction of her breasts. The external vacuum expansion of the breast mound created an adequate, vascularised, breast-tissue matrix to which the autologous fat is injected; and, per the patient, such reconstruction affords almost-normal sensation throughout the breast and the nipple-areola complex.
Direct transfusion is a blood salvaging method associated with cardiopulmonary bypass (CPB) circuits or other extracorporeal circuits (ECC) that are used in surgery such as coronary artery bypass grafts (CABG), valve replacement, or surgical repair of the great vessels. Following bypass surgery, the ECC circuit contains a significant volume of diluted whole blood that can be harvested in transfer bags and re-infused into patients. Residual CPB blood is fairly dilute ([Hb] = 6–9 g/dL; 60–90 g/L) compared to normal values (12–18 g/dL; 120–180 g/L) and can also contain potentially harmful contaminants such as activated cytokines, anaphylatoxins, and other waste substances that have been linked to organ edema and organ dysfunction and need a diuretic to reverse. Acute normovolemic hemodilution (ANH) is a form of autologous transfusion where whole blood is collected from a patient at the start of surgery into a standard blood collection bag with anticoagulant with the simultaneous replacement of intracellular volume using acellular fluids (such as normal saline).
FDA Approves Lemtrada™ (alemtuzumab) for Relapsing MS - UPDATE, National Multiple Sclerosis Society Later, Slavin introduced the concept of post-transplant depletion of host-vs-graft and graft-vs-host reactive lymphocytes with induction of bilateral transplantation tolerance. These discoveries made it possible to extend the use of allogeneic stem cell transplantation using haploidentical donors instead of fully matched donors for safer allogeneic stem cell transplantation for every patient in need with hematological malignancies and solid tumors as well as for induction of transplantation tolerance to organ allografts. In parallel, Slavin introduced new approaches for treatment of life-threatening autoimmune diseases based on either autologous hematopoietic stem cell transplantation or more recently using multi-potent mesenchymal stem cells (MSCs) for regulation of the inflammatory anti-self reactivity in neuroinflammatory and neurodegenerative disorders focusing on multiple sclerosis. Based on the cumulative experience using cell therapy, in recent years Slavin and his team focused also on using multi-potential bone marrow, adipose tissue or placenta & cord tissue derived MSCs for regenerative medicine, pioneering the use of MSCs for treatment of orthopedic indications including cartilage repair and new bone formation as well as for repair of renal function in addition to continuous treatment of neuroinflammatory, neurodegenerative disorders and traumatic neurological disorders.
While studies are inconclusive, autologous stem cell bone marrow transplantation appears to prolong survival in early treatment failure patients who are healthy enough to withstand this therapy. Unfit patients may benefit from initial treatment with obinutuzumab plus bendamustine followed by maintenance treatment with obinutuzumab (if they have not been treated previously with obinutuzumab). Other mostly experimental treatments currently under study in patients with multiple treatment failures include: 1) Phosphoinositide 3-kinase inhibitors such as copanlisib, duvelisib, and idelalisib which block the phosphoinositide 3-kinase signaling pathway that promotes the survival, proliferation, and other potentially malignant behaviors of cells; 2) infusion of tisagenlecleucel chimeric antigen receptor T cells (i.e. CAR T cells) (i.e. T cells that have been isolated from patients, engineered to express a receptor for the CD19 protein on, and thereby kill, T cells, and then infused back into the donor patient); 3) Bruon's tyrosine kinase inhibitor, ibrutinib, to block the B-cell maturating actions of this kianase; 4) BCL inhibitor venetoclax to block Bcl2's action in promoting B-cell survival and proliferation; 5) histone deacetylase inhibitors abexinostat and tazemetostat to modify the expression of various genes; and 6) Checkpoint inhibitors nivolumab, pidilizumab, and pembrolizumab to promote the immune system's ability to suppress cancer cell growth.

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