Thursday, June 14, 2007

Expert Hematologists Say Stem Cell Harvesting is SAFE

If you've been following this blog for a while, this probably isn't news to you, but I thought that this article only lends further credence to those patients concerned about whether stem cells are safe to collect.

Baby umbilical cord blood stem cells certainly are safe to collect, and very apparently so are adult stem cells. The article is so clear in its message that I thought it would be good to excerpt it here for you to read just in case they take it off line.



Experts At Hematologists' Congress In Vienna Say The Procedure For Donating Stem Cells Is Safe EHA Congress 2007
14 Jun 2007

Donating stem cells is almost free of risk for donors and is often the only chance of survival for many patients with certain severe blood or bone marrow diseases. This was the conclusion arrived at in an observation study conducted by the Medical University of Hanover and just presented at the Congress of the European Hematology Association in Vienna.

Stem cell donors can save lives. The only way to fully cure most types of blood cancer (leukemia) is through the transplantation of what are called hematopoetic stem cells, i.e. by transferring healthy blood-building cells from an appropriate donor. Physicians cannot call on cell donors in good conscience unless this procedure is free of danger. There have been isolated cases of donors reported in the past who themselves came down with leukemia several years after making their life-saving gift. Researchers undertook a number of different studies to determine if there was any connection here.

The Congress of the European Hematology Association (EHA), the leading association of experts on blood and bone-marrow diseases in Europe, is currently being held in Vienna. One of the speakers, Dr. Michael Stadler, senior physician in the Department of Hematology, Hemostaseology and Oncology at the Medical University of Hanover (D), presented the results of a recent study on this subject: "Since March 1994, we have examined nearly 600 donors of bone marrow or peripheral stem cells and determined that the donation of stem cells is a very safe procedure. We have not detected a single case of leukemia to date among our donors and unpleasant side effects occurred for a total of only one percent of these individuals."

The study involved 596 donors aged one to 71 (60% males, 40% females). Both common methods of hematopoetic stem cell transplantation were represented, namely classic bone-marrow transplantation and the modern method of peripheral blood stem cell transplantation.
"Bone marrow can only be extracted under general anesthesia and requires a one to two-day hospital stay," explained Dr. Stadler. "During this procedure, a half to one liter of a mixture of blood and bone marrow is suctioned from around the donor's iliac crest, not from the spinal cord, as is often falsely reported. This mixture is filtered and then transfused into the recipient by way of intravenous infusion. The intervention itself takes about one hour. The bone-marrow cells that are removed are replenished in the donor within about two weeks by subsequent cell growth."

Peripheral blood stem cell transplantation is an even simpler and more comfortable procedure for donors. The reason for the designation is that the stem cells are taken not from bone marrow but from the blood stream at the periphery of the body, e.g. from a vein in the arm. This procedure does require biochemical preparation, however. Dr. Stadler: "For a period of five days beforehand, the donor receives a substance called G-CSF, which stands for Granulocyte-Colony Stimulating Factor. G-CSF is a hormone the body produces itself and is released in the case of inflammations to stimulate the reproduction of white blood corpuscles. If administered as a drug in high doses, it accelerates the overall formation of blood and causes blood stem cells that are not yet fully matured to be detached from their environment in bone marrow, for lack of space you might say. These stem cells make their way to the peripheral blood stream where they can be fished out for the patient using a special separation method called stem cell aphaeresis."

G-CSF stimulation in particular was long suspected of being a possible trigger for leukemia in donors over the long term. In their long-time study, however, Dr. Stadler and his colleagues did not observe a single case of leukemia or a single case of death over a period of more than 12 years.


The risk of anything happening to you in harvesting your own stem cells is really minimal, so please don't be afraid to donate or bank your stem cells for yourself and your family members.

4 comments:

loupa said...

Thanks for this real useful information. I want to know if i can save my stem cell for my family's future use? If u reply please post it on the blog. Thanks

StemLife said...

Dear Loupamudra,

Thank you for reading our blog and I'm glad that you find it both interesting and relevant.

Yes, you and your family can store stem cells for future use. We've had many families enrolled in our program already.

You can contact my colleague Lulu at 016-211 1166 to set up an appointment and briefing.

Best regards,
Sharon

P.s. Is your name a version of the legendary Indian beauty?

Harry TEOH said...

Hai, thanks for reading my doubt. in fact, i always have problems and questions to give. ha ha..

ok.. the question is: "since the hormone can cause lot of white cells to be released out from our bone marrow, then will it cause some occlusion and thus resulting in ischemic of our vital organs?"

StemLife said...

Dear JC,

Thanks for your question on this entry. The mobilization and stimulation of stem cells from the bone marrow into the bloodstream doesn't cause occlusions and certainly doesn't make your vital organs ischemic. The number of cells released may rise dramatically but it is a transient event which ends with the halt of the mobilization.

Many studies have already documented its safety when protocol is followed and adhered to. Here's one reference for you, which is also interesting because it documents that for normal healthy donors, men give a better yield than women... :)

Best regards,
Sharon