Toulon teen with POTS just ‘wants to be a normal kid’ – Peoria Journal Star

Gary L. Smith of the Journal Star

TOULON A Stark County teenager who has endured a lengthy ordeal from a debilitating autoimmune disorder now faces extensive and expensive further treatment.

BrookeLynn Montgomery, 15, has been an athlete and 2016 Junior Miss Stark County Queen, and a person looking at her would never imagine that she suffers from such symptoms as severe chest pain, headaches, heart palpitations, and fatigue, noted an aunt who has started a fundraising drive for medical and family expenses on gofundme.com.

They call it an invisible illness, because when you look at her, she looks fine, said Patricia Edwards, who lives in Florida. But inside, its like shes running a marathon.

The Wethersfield High School freshman has been diagnosed with Postural Orthostatic Tachycardia Syndrome involving a malfunction of the autonomic nervous symptom. The imposing term reflects a major diagnostic criterion of a heart rate increase of 40 beats per minute or more upon standing.

Brookes resting heart rate is 62, and it would go up over 100, and that didnt even require standing, said her mother, Shelly Montgomery. That would be just turning over in bed.

POTS is not a disease in itself but rather a cluster of symptoms that are frequently seen together, according to Dysautonomia International. It can have many underlying disorders, and symptoms can include low blood volume, fiber neuropathy, dizziness, exercise intolerance, nausea, diminished concentration, fainting, and shortness of breath.

While POTS predominantly impacts young women who look healthy on the outside, researchers compare the disability seen in POTS to the disability seen in conditions like COPD (chronic obstructive pulmonary disease) and congestive heart failure, the organization says on its website.

After symptoms that appeared in 2015 led to discovery of enlarged lymph nodes, it appeared possible that there might be a recurrence from an abdominal tumor that led to removal of Brookes appendix and part of her colon during an earlier health crisis in 2012. But the biopsy was negative, and the POTS diagnosis was eventually confirmed in May 2016 by Dr. Mark J. Holterman, a professor of surgery and pediatrics at the University of Illinois College of Medicine at Peoria.

I have a lot of faith in him. Hes been our saving grace, said Shelly Montgomery. If it had not been for him, I dont think wed be sane today.

Brooke has been in and out of Childrens Hospital of Illinois at OSF Saint Francis Medical Center in Peoria several times for treatments that have included medications, biological response therapy, chemotherapy, and plasmapheresis, a plasma-exchange process. But her case was made complex by allergic reactions to some medications, and the plasma process has become increasingly less effective in reducing her pain, family members said.

In the last four months, she has declined rapidly, and is no longer able to attend school, noted Edward Smith of Toulon, a grandfather. Theyre looking at getting her home tutoring.

The next medical step will be going to Chicago later this month for experimental stem cell-based treatment arranged by Holterman. Shelly Montgomery said Saturday that the doctor was out of the country and the family was still waiting to learn the details of time and place.

Hell be putting things in motion when he gets back, she said. Hes very optimistic. He feels that the (stem cell treatment) is going to do a lot for her.

Because the treatment is experimental, the cost will not be covered by the insurance that has helped with some prior expenses. Even with some fees waived, its expected to cost $5,000 to $6,000, Edwards said on the gofundme page for BrookeLynns Medical Expenses.

In addition, It is unclear at this point how long Brooke will stay in Chicago or how many trips to Chicago will need to be made, she added. Funds are needed immediately to help the family with medical costs as well as travel expenses.

Donations can also be made to the Brooke Montgomery Medical Expenses account at State Bank of Toulon, 102 W. Main St., Toulon IL 61483.

It was very difficult to accept the idea of requesting financial help, said Shelly Montgomery, who is a dental technician in Peoria. Brookes father, Donald Montgomery, is assistant manager at a farm supply store in Kewanee, and the family lives north of Toulon. An older daughter, Alyssa Watt, 23, lives in Kewanee.

But even with some insurance coverage, co-pays and other non-covered costs have been substantial, she said. And the financial impact has been increased by extra trips to Peoria and missed days of work, she added.

Its time to let family and friends help out, she said.

The family is in uncharted territory, she acknowledged, dealing with a condition that has no cure but has been reported to improve greatly in cases when the best treatment is found. The family is determined to find it.

Brooke has a new normal, and its not an acceptable normal. She shouldnt have to go through what she goes through every day, her mother said. Shes such a tough kid. She doesnt just sit and sulk about it. She just wants to go back to school and be a normal kid.

Gary L. Smith can be reached at (800) 516-0389 or glsmith@mtco.com. Follow him on Twitter @Glsmithx.

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Toulon teen with POTS just 'wants to be a normal kid' - Peoria Journal Star

Here’s the first 3D glimpse of how DNA is packaged up in a single cell – Ars Technica

Enlarge / Intact genome from a mouse embryonic stem cell with 20 chromosomes colored differently

In a first, researchers have worked out a way to unravel and model the tangled, 3D structures of intact mammalian genomes from individual cells.

The new method, published Monday in Nature, could help researchers study how the complex loops, twists, and bunches of a tightly packaged genome influence which bits of the blueprints are actively used by the cells, and when.

In humans, for instance, genome packaging bundles nearly two meters worth of DNA strings into a nucleus about 0.005 millimeters wide. How all that DNA is bundled affects whether important genes are available for decoding by cellular machinery, while others are boxed up and shoved aside until theyre needed. Such carefully orchestrated genetic activity affects everything a cell doesfrom carrying out basic functions, to allowing stem cells to differentiate into any type of cell, to triggering diseases.

Intact genome from a mouse embryonic stem cell with 20 chromosomes colored differently.

Tom Collins, a genetics and molecular scientist at Wellcome Trust, who was not a study author, called the new, more detailed method an exciting step forward. This detail will reveal some of the underlying principles that govern the organization of our genomesfor example, how chromosomes interact or how structure can influence whether genes are switched on or off, he said in a statement. If we can apply this method to cells with abnormal genomes, such as cancer cells, we may be able to better understand what exactly goes wrong to cause disease and how we could develop solutions to correct this.

To pull off the high resolution look at DNA-packaging, researchers at the University of Cambridge and the Wellcome TrustMRC Stem Cell Institute joined colleagues to combine cell images and a molecular technique called Hi-C. First, the researchers took super zoomed-in images of eight mouse embryonic stem cells genomes. Next, researchers turned to Hi-C, an established method to reveal the structure of genome packaging based on DNA sequences that are caught residing near each other. (Hi-C isnt an acronym. Its a riff on 3C, a shorthand for Chromosome Conformation Capture Analysis.)

Basically, in Hi-C, the cells are fixed with formaldehyde so that bits of DNA held together by protein packing tapestay stuck together. Then researchers use enzymes that act like molecular scissors and snip the genome into tiny fragments. This leaves scraps of DNA strings held together by packaging proteins that are themselves held together by the formaldehyde.

Imagine two short pieces of DNA pinched together at the middle by a piece of tape, creating an X shape. Researchers then fuse those dangling DNA fragments together and create a single piece of DNA from the two fragment that were once just physically close together. After stripping away the tape, the researchers can sequence across the fusion points and reveal which bits of DNA were close to each other thanks to packaging.

This is the structure of a mouse embryonic stem cell genome. The blue indicates active genes, while the yellow indicates genes interacting with the membrane.

From the the eight stem cells, processed individually, the researchers captured between 37,000 and 122,000 DNA junctions. This represents just 1.2 to 4.1 percent of the total possible junctions that could have been in the genomes. But, combined with the high resolution images, they captured enough to assemble 3D structures. When the researchers overlaid data indicating which genes were active or dormant onto their 3D structures, that data squared with the genes positions within the messy balls.

"Knowing where all the genes and control elements are at a given moment will help us understand the molecular mechanisms that control and maintain their expression," saidErnest Laue, lead study author and biochemist at Cambridge.

Nature, 2017. DOI: 10.1038/nature21429 (About DOIs).

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Here's the first 3D glimpse of how DNA is packaged up in a single cell - Ars Technica

The craftsmanship of mimicking embryogenesis in a dish – BioNews

The regulatory mechanisms governing organ development are, in general, poorly defined. To recreate the complex processes involved in organ growth and maturation, scientists have started fiddling with three-dimensional (3D) cell culture. The 3D self-organisation cell/tissue culture approach is conceptually quite different from standard tissue engineering, where cells are cultured in a flat 2D environment. The idea behind itis that realistic tissue formation is dictated both by the internal processes of the cells, and their interactions with the surrounding environment, including communication with neighbouring cells. Therefore, in vivo tissue development could be more accurately simulated by placing cells within an optimal 3D microenvironment.

A breakthrough happened in 2011, when a Japanese group from RIKEN Centre for Developmental Biology in Kobe reported that in a 3D culture of mouse embryonic stem cell aggregates, the cells self-organised to form organoid tissues including an eyecup-like structure and a functional frontal part of the pituitary gland (1, 2). Although mice are not men, in biological science a standard path is to be able to reproduce in human systems what was discovered first in mice. Indeed, a couple of years later, a team from Austria grew cerebral organoids with discrete brain regions by placing human pluripotent stem cells in a 3D culture system (3).

The next major game-changer in the field of organoids was a study reporting self-assembly of functional human liver 'buds'. Liver buds are functional units formed at the early stages of organ development (4). This time, the starting point was not 3D aggregates of one pluripotent stem cell line; instead, three different cell types liver cells derived from induced pluripotent stemcells, connective tissue stem cells, and blood vessel cells were mixed in a specific ratio, which led to the self-assembly of a functional liver bud. Such functional organoids, built from several distinct cell types, represent a new generation of organoids. By using advanced genome editing techniques, such as CRISPR, to interfere with a single gene expression or function in each of the participating cell types, we will be able to study the complex cell communication signals that govern organogenesis. We will be able to define which cell type is providing which signalling molecules and what their roles are establishing the different cell types that make up tissue.

The laboratory of Professor Magdalena Zernicka-Goetz from the University of Cambridge used a similar approach to generate structures highly resembling post-implantation mouse embryos (5). They combined a single mouse embryonic stem cell with a small clump of three trophoblast stem cells (stem cells that would form the placenta), and cultured them within Matrigel, a 3D extracellular matrix (ECM) scaffold, in a medium that allowed both cell types co-develop. To examine the cross-talk between the two cells types and the signalling pathways involved, the team used cell lines with specific mutations in one of the two cell types, and monitored how lack of a specific gene and/or signal affected the morphogenesis of an embryo-like structure.

I do not see why we would not be technically able to mimic human embryogenesis in a dish using a similar approach. However, I could see how that can be viewed with a touch of controversy even though, in my mind, there are no ethical issues or controversy at all. Although the embryo-like structures might resemble human embryos in vivo, they would have no potential to develop into a live organism. To those prophets who would see such development as a collapse of ethos and humanity, I want to say that I am pretty confident that in the future women will still be a part of our society. They will still be pregnant and they will still deliver babies. They will not be replaced with incubators nurturing endless copies of some future version of Kim Jong-un, Vladimir Putin or Donald Trump. Pregnancy and fetal development are too complex to be simulated.

The future of this work, as I see it, is not only as a 'powerful platform to dissect physical and molecular mechanisms that mediate critical crosstalk during natural embryogeneisis', as the Cambridge team say (5), but also as a sophisticated model for human embryotoxicity screening, to learn more about embryo development and the causes of infertility. Currently used in vitro testing protocols are based on animal embryos, not human embryos, and therefore lack specificity and predictability. This model has the potential to be used for large-scale throughput screening of the multiple stages of human embryo development. By studying and testing these stages, we can learn about the growth and differentiation processes of the embryo in great detail. Furthermore, we can test in vitro whether potential drug candidates affect any of these early embryo development stages. In such a way the embryotoxic or cancerous potential of an agent could be easily assessed in a human system, and many unexplained infertility cases classified as 'infertility of unknown etiology' could be resolved and appropriately addressed.

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The craftsmanship of mimicking embryogenesis in a dish - BioNews

Some genetic variations difficult to evaluate using current stem cell modeling techniques – Phys.Org

March 13, 2017

Some heritable but unstable genetic mutations that are passed from parent to affected offspring may not be easy to investigate using current human-induced pluripotent stem cell (hiPSC) modeling techniques, according to research conducted at The Icahn School of Medicine at Mount Sinai and published March 14, in the journal Stem Cell Reports. The study serves to caution stem cell biologists that certain rare mutations, like the ones described in the study, are difficult to recreate in laboratory-produced stem cells.

Stem cell-based disease modeling involves taking cells from patients, such as skin cells, and introducing genes that reprogram the cells into human-induced pluripotent stem cells (hiPSCs). These "master cells" are unspecialized, meaning they can be pushed to become any type of mature cell needed for research, such as skin, liver or brain. The hiPSCs are capable of renewing themselves over a long period of time, and this emerging stem cell modeling technique is helping elucidate the genetic and cellular mechanisms of many different disorders.

"Our study describes how a complex chromosomal rearrangement genetically passed by a patient with psychosis to her affected son was not well recreated in laboratory-produced stem cells," says Kristen Brennand, PhD, Associate Professor of Genetics and Genomic Sciences, Neuroscience, and Psychiatry at the Icahn School of Medicine, and the study's senior investigator. "As stem cell biologists dive into studying brain disorders, we all need to know that this type of rare mutation is very hard to model with induced stem cells."

To investigate the genetic underpinnings of psychosis, the research team used hiPSCs from a mother diagnosed with bipolar disease with psychosis, and her son, diagnosed with schizoaffective disorder. In addition to the normal 46 chromosomes (23 pairs), the cells in mother and son had a very small extra chromosome, less than 1/10th normal size. This microduplication of genes is increasingly being linked to schizophrenia and bipolar disorders, and the extra chromosomal bit, known as a marker (mar) element, falls into the category of abnormally duplicated genes.

For the first time, the Mount Sinai research team tried to make stem cells from adult cells with this type of mar defect. Through the process, they discovered that the mar element was frequently lost during the reprogramming process.

While mar elements in the general population are rare (less than .05 percent in newborn infants), more than 30 percent of individuals with these defects are clinically abnormal, and mar elements are also significantly more likely to be found in patients with developmental delays.

The study found that the mother's cells were mosaic, meaning some cells were normal while others were not, and the hiPSCs the team created accurately replicated that condition: some were normal and some had the extra mar chromosome. But the technique did not work well with the son's cells. While all of his cells should have had the mar element, as with his mother, some of the reprogrammed stem cells did not contain the extra bit of chromosome.

"We realized we kept losing the mutation in the stem cells we made, and the inability to recreate cells with mar elements may hamper some neuropsychiatric research," says Dr. Brennand. "The bottom line is that it is essential that stem cell biologists look for existing mar elements in the cells they study, in order to check that they are retained in the new stem cells."

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Fate Therapeutics cleared to begin clinical trial assessing NK cell therapy in blood cancer; shares up 9% – Seeking Alpha

Thinly traded micro cap Fate Therapeutics (FATE +9.4%) jumps out the blocks on more than a 6x surge in volume in response to its announcement that the FDA has approved its Investigational New Drug (IND) application for FATE-NK100, an adaptive memory natural killer (NK) cell product. The approval paves the way for a first-in-human clinical trial in patients with advanced acute myeloid leukemia (AML).

The early-stage study, to be conducted at the University of Minnesota, will determine the maximum tolerated dose of a single intravenous administration of FATE-NK100 in an accelerated dose escalation design in four patients.

FATE-NK100 is a next-generation immunotherapy based on a subset of NK cells that have shown robust anti-tumor activity in addition to promoting endogenous T cell response while resisting immune checkpoints.

NK cells identify and kill cancer cells by recognizing a range of stress signals expressed on tumor cells. Normal healthy cells are unaffected/unharmed. This is a different mechanism of action compared to T cells which require a specific tumor antigen to elicit an immune response and must be customized for each patient. The company says a significant advantage of NK-based immunotherapy is the avoidance of graft-versus-host disease, a common and potentially serious side-effect of T cell therapies.

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Fate Therapeutics cleared to begin clinical trial assessing NK cell therapy in blood cancer; shares up 9% - Seeking Alpha

New Cardiac Stem Cell Therapy passes Phase I/II Trials – Labiotech.eu (blog)

TiGenix announces positiveone-year results forits phase I/II trial of donor-derived cardiac stem cell therapy in acute myocardial infarction (AMI).

The Belgian biotech TiGenixis developing allogeneic stem cell therapies. Now the companyhasannouncedthat its cardiac stem cell therapyAlloCSC-01 reached its primary endpoints in aphase I/IItrial.

In 2015, the companyacquired Coretherapixin a292M deal for its allogeneic cardiac stem cell pipeline, which is being developed for the treatment of AMI.The first-in-human trial was designed to test the safety and feasibility of an intracoronary infusion of donor-derivedexpanded cardiac stem cells (AlloCSCs)in patients with AMI and left ventricular dysfunction.

AlloCSC-01consists of adult allogeneic cardiac stem cells isolated from the heartof donors and expanded in vitro. In vivo studies suggest that these cellshave cardio-reparative potential by activating regenerative pathways and promoting the formation of new hearttissue.

Thecurrent phase II study demonstrated thesafety of these allogeneic stem cells. Initial results also revealed a larger reduction of infarct size in a subgroup of patients.

Myocardial infarction caused by blockade of coronary arteries

TiGenix is well known forChondroCellect, which was the first cell therapyto reach the European market for the repair of knee cartilage.After the companyrecently withdrew its market authorization for this product, due to a lack of reimbursement, the biotech is focusing on another stem cell therapy, Cx601, in addition to AlloCSC-01. Under development for Crohns disease, Cx601 is currently awaitingEMA approval and is in phase III trials in the US.

For a late-stage clinical company, TiGenix has a low market cap of191M. Even so, the company seems to be doing well these days with the progress of Cx601 and AlloCSC-01.

If AlloCSC-01 obtains market approval, it could treat the more than 1.9 millionpeople affected by AMI, a major cause of heart failure. So far, most treatments are palliative or restore myocardial function by angioplasty and insertion of a stent to support the vascular lumen.

Stem cell therapy of the heart is definitely not a new topic, but many trials have been conducted using the patients own stem cells derived from the bone marrow. A recent meta-analysisof such trials has suggested that these therapies are safe, but do not enhance cardiac function. TiGenixs approach using allogeneic heart-derived stem cells may offer a new and promisingopportunity in thefield.

Images via shutterstock.com / Liya Graphics andVeronika Zakharova

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Veterinary Doctors Conduct Study Looking To Ease Arthritis Pain – CBS Philly

March 13, 2017 6:01 PM By Stephanie Stahl

PHILADELPHIA (CBS) Doctors at the University of Pennsylvania School of Veterinary Medicine are conducting a study to see if stem cell therapy will ease the pain of arthritis and the results of their research could benefit human patients as well.

Its Zoeys last check up,walking on a special mat called a forceplate to measure how much weight she puts on each leg.

It was just a year ago that putting weight on her front legs was painful.The 2-year-old Golden Retriever was diagnosed with elbow dysplasia, a condition that created arthritis in both elbows.

It is the most common cause of chronic pain in dogs, saidDr. Kimberly Agnello at Penn Vet.

Zoeys owner, Christine Brown, says she was a bundle of energy when she first got Zoey.

She was so sweet, said Brown. She was your typical energetic puppy.

But soon Brown knew her dog was hurting.

After coming back from a walk and taking a nap, she would get up and limp, said Brown. With her being a puppy it was devastating.

Zoey was enrolled in aPenn Vet trial to determine the benefits of stem cell therapy as a treatment to ease arthritic pain.

They are randomized into three groups, whether they receive an interarticular joint injection of hyaluronic acid or they geteither stem cells derived from their bone marrow or stem cells derived from fat, saidAgnello.

The stems cells from the dogs bone marrow are injected back into the elbow joint. Doctors hope it will relieve the arthritic pain.

We also remove a little fragment of bone that can be causing some more pain, saidAgnello.

The research isnt just about arthritis in dogs but humans as well.

The goals of this study are to look for different treatments to not only help our canine patientsbut also to help human patients with arthritis, saidAgnello.

For now results are promising.

Oh my gosh, she is not limping, she runs and jumps, and has a great time, said Brown.

The trial is ongoing so there is no hard data yet to show final results if stem cells are effective for treating arthritis, but Dr.Agnello says there are many dogs in the study and almost all of them have improved during the year-long research.

Stephanie Stahl, CBS 3 and The CW Philly 57s Emmy Award-winning health reporter, is featured daily on Eyewitness News. As one of the television industrys most respected medical reporters, Stephanie has been recognized by community and he...

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Vitamin C can target and kill cancer stem cells, study shows – Medical News Today

Cancer is currently one of the top killers worldwide, and the number of cancer cases is only expected to rise. Although there are a number of therapies available, most of them are toxic and cause serious side effects. New research examines the impact of the natural vitamin C on cancer cell growth.

Cancer is the second leading cause of death and disease worldwide, accounting for almost 9 million deaths in 2015, according to the World Health Organization (WHO).

The global number of new cases of cancer are expected to grow by around 70 percent in the next 20 years.

In the United States, the National Cancer Institute (NCI) estimate that almost 40 percent of U.S. men and women will have developed cancer at one point during their lives.

There are various treatment options available for cancer, but they are not always effective; most of them are toxic, and they tend to have a variety of side effects.

In some more aggressive cases, the cancer does not respond to treatment, and it is believed that cancer stem-like cells are the reason why the cancer comes back and metastasizes.

New research, published in the journal Oncotarget, examines the effectiveness of three natural substances, three experimental drugs, and one clinical drug in stopping the growth of these cancer stem cells (CSCs.)

The study was conducted by researchers from the University of Salford in Manchester in the United Kingdom, and was led by Dr. Gloria Bonuccelli.

In total, the researchers measured the impact of seven substances: the clinical drug stiripentol, three experimental drugs (actinonin, FK866, and 2-DG), and three natural substances (caffeic acid phenyl ester (CAPE), silibinin, and ascorbic acid (vitamin C).)

The research focused on the bioenergetic processes of CSCs, which enable the cells to live and multiply. The study aimed to disrupt the CSCs' metabolism and ultimately prevent their growth.

Of all the substances tested, the team found that actinonin and FK866 were the most effective. However, the natural products were also found to prevent the formation of CSCs, and vitamin C was 10 times more effective than the experimental drug 2-DG.

Additionally, the study revealed that ascorbic acid works by inhibiting glycolysis - the process by which glucose is broken down within the cell's mitochondria and turned into energy for the cell's proliferation.

Dr. Michael P. Lisanti, professor of translational medicine at the University of Salford, comments on the findings:

"We have been looking at how to target cancer stem cells with a range of natural substances including silibinin (milk thistle) and CAPE, a honey-bee derivative, but by far the most exciting are the results with vitamin C. Vitamin C is cheap, natural, nontoxic and readily available so to have it as a potential weapon in the fight against cancer would be a significant step."

"This is further evidence that vitamin C and other nontoxic compounds may have a role to play in the fight against cancer," says the study's lead author.

"Our results indicate it is a promising agent for clinical trials, and as an add-on to more conventional therapies, to prevent tumor recurrence, further disease progression, and metastasis," Bonuccelli adds.

Vitamin C has been shown to be a potent, nontoxic, anticancer agent by Nobel Prize winner Linus Pauling. However, to the authors' knowledge, this is the first study providing evidence that ascorbic acid can specifically target and neutralize CSCs.

Learn how 300 oranges' worth of vitamin C can impair cancer cells.

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Vitamin C can target and kill cancer stem cells, study shows - Medical News Today