Stem Cell Treatment – Robert Daley M.D.

Stem Cell Treatment with Dr. Daley

As we age, our bodies go through wear and tear from sports, jobs, and previous injuries. Joints and tendons absorb the bulk of the abuse and unfortunately these tissues have limited ability to heal.

Joints often develop Osteoarthritis (OA), which is a destruction of the cartilage, which is the protective tissue of the joint. Once the cartilage is too thin or gone, bones rub together and cause pain. Unfortunately, OA is most common in the joints we use the most such as the knees.

Dr. Daley is among a select group of physicians around the country to offer Stem Cell treatment to relieve knee osteoarthritis (OA) pain and chronic tendonitis. Patients can benefit from a unique non-surgical procedure using the patients own stem cells for injections or surgical implantation of those cells. This treatment uses your own bodys repair mechanisms and growth factors to promote healing.

How can stem cells help me heal?

Adult stem cells have been helping your body heal your whole life. Your body naturally wants to help itself and most of the time it does. Unfortunately, there are some injuries that have a harder time healing especially as we get older. Taking a rich source of your own stem cells and concentrating them can enhance the healing capacity of your own body.

Where do adult stem cells reside in the body?

Stem cells reside in many tissues throughout your body, but the richest sources are found in your bone marrow. Fortunately, bone marrow can be harvested from several bones within your body and is relatively easy to access. Dr. Daley may choose to harvest cells from your bone marrow to treat your chronic knee pain.

Will the procedure regenerate cartilage in my joint?

There is some limited data suggesting an ability to regenerate cartilage in joints, but it also appears that whether or not the cartilage regenerates has little correlation with relief of pain. If there is significant spurring and significant loss of the joint space, there is little chance of cartilage regeneration.

During the procedure, Dr. Daley withdraws some blood from your bone, which contains stem cells from the bone marrow. This can be obtained from the hip or knee. The technique is fast and efficient, but most importantly provides a way to harness your bodys most powerful regenerative cells. The stem cells are then either injected or surgically implanted into the patients damaged joint. The stem cells are from the patients own body so the risk of rejection is very low.

Does the treatment consist of one injection or multiple injections?

Typically we do one stem cell injection, followed up 6 weeks later with a platelet rich plasma injection (blood drawn from your arm). If you are coming from out of town, this will be taken into consideration and may be modified. Our protocol is continually evolving, so this is ultimately decided on a case-by-case basis.

What is the success rate of a Stem Cell injection?

Experience has suggested most patients will have significant relief of pain around 1-2 months post injection. This will often continue to improve for the first 3-6 months after the stem cell procedure. There are patients who will not get any improvement at all from this procedure, probably around 10-20%. This is still a new treatment, and thus there are not a lot of long-term outcomes studies completed so far.

How do I know if I am a candidate?

Stem cell implantation may be recommended for patients with osteoarthritis of the knee. Typically these patients have failed other treatment options including rest, medications, other injections and physical therapy and are not anxious for total knee replacement.

Who is not a candidate for Stem Cells?

What are the risks?

The cells used in your treatment are your own cells. The processing of the bone marrow is only to remove the unwanted cells and concentrate the wanted cells. This is done in a sterile device approved to centrifuge bone marrow. You probably will experience some discomfort during the bone marrow aspiration and the treatment, which may persist for a few days. Your doctor will do everything possible to minimize pain. Be sure to ask your doctor any questions you may have.

Before the Procedure:

After the Procedure:

Can I fly / drive home that day?

If you are flying (and you are not the pilot), you may fly home the same day, but there will be increased pain/discomfort after the procedure. If you are driving, you should have a driver, as there can be some mild to moderate discomfort in the first few hours following the procedure.

Stem Cell therapy is typically not covered by your insurance company. If you decide you want to explore this treatment option, you will first speak with one of our financial counselors. They assist you in determining if your insurance will pay for this procedure or if you will need to pay out of pocket for the treatment.

What should I do if I think Im a candidate?

If you live near one of Dr. Daleys offices in Hinsdale, New Lenox, or Joliet Illinois, we recommend scheduling an appointment for a consultation so that he can look at your radiology films (x-rays) and examine you to determine if you are a good candidate or not.

If you live more than 2-3 hours away, please work with your local health care professional to send us the following.

Send your images and records to us for review please include your name, address, phone number and email address. We will contact you with our recommendation within 7-10 business days of receiving your records.

Go here to read the rest:
Stem Cell Treatment - Robert Daley M.D.

Woman grows a nose on her spine after experimental stem …

A female patient in the US has grown a nose on her back following a failed experimental stem cell treatment that was intended to cure her paralysis. The nose-like growth, which was producing a thick mucus-like material, has recently been removed as it was pressing painfully on herspine. If you ever needed an example of the potential perils of stem cell therapy, and just how little we actually know about the function of stem cells, this is it. Its also notable that this stem cell therapy was carried out in a developed country, as part of an approved trial (apparently unwanted growths are more common in developing nations with less stringent medical safeguards).

Eight years ago, olfactory stem cells were taken from the patients nose and implanted in her spine. The stem cells were meant to turn into nerve cells that would help repair the womans spine, curing her of paralysis. Instead, it seems they decided to do what they were originally meant to do and attempt to build a nose. Over a number of years, the nose-like growth eventually became big enough and nosy enough to cause pain and discomfort to the patient. As reported by New Scientist, surgeons removed a 3-centimetre-long growth, which was found to be mainly nasal tissue, as well as bits of bone and tiny nerve branches that had not connected with the spinal nerves. [DOI: 10.3171/2014.5.SPINE13992 Autograft-derived spinal cord mass following olfactory mucosal cell transplantation in a spinal cord injury patient]

Your olfactory system. 1 is the olfactory bulb (the bit of your brain that processes smells); 6 is the olfactory receptors that bind to specific chemicals (odors). [Image credit: Wikipedia]

What went wrong, then? Basically, at the top of your nasal passages there is the olfactory mucosa. This region contains all of the machinery for picking up odors, and the neurons for sending all of that data off to your brains olfactory bulb for processing. Cells from this region can be easily and safely harvested, and with the correct processing they behave just like pluripotent embryonic stem cells that can develop into many other cell types. These olfactory stem cells could develop into cartilage, or mucus glands, or neurons. The researchers obviously wanted the latter, to cure the patients spinal nerve damage but seemingly they got it wrong, and thus she sprouted a second nose. Moving forward, newer olfactory stem cell treatments have an isolation stage to prevent this kind of thing from happening. [Read:The first 3D-printed human stem cells.]

Its important to note that medicine, despite being carried out primarily on humans, is still ultimately a scientific endeavor that requires a large amount of trial and error. In the western world, its very, very hard to get a stem cell therapy approved for human trials without lots of animal testing. Even then, the therapies are often only used on people who have nothing to lose. Obviously its hard to stomach news like this, and Im sure that stem cell critics will be quick to decry the Frankensteinian abomination created by these scientists. But when you think about the alternative no advanced medicine and significantly reduced lifespans for billions of people then really, such experimental treatments are nothing to sneeze at.

Here is the original post:
Woman grows a nose on her spine after experimental stem ...

Center for Cell Reprogramming | Georgetown University

In the Spotlight

National Press Foundation Visits the Center for Cell Reprogramming January 2016 Members of the National Press Foundation gathered this past January to Georgetown University Medical Center and the Center for Cell Reprogramming. While here they visited the CCR labs and experienced a personal tour from Director, Dr. Richard Schlegel.

A Bed of Mouse Cells Helps Human Cells Thrive In the Lab January 7, 2015 Dr. Richard Schlegel speaks with Richard Harris, NPR, to talk about using his groundbreaking techniques in cell reprogramming to test artemisinin-a drug commonly used to treat malaria-to kill cervical cancer cells.

Medical Center Researchers Named National Academy of Inventors Fellows December 16, 2014 Dr. Richard Schlegel has been named one of the2014 Fellows of the National Academy of Inventors (NAI) for his groundbreaking discovery of the HPV vaccine. Read how the technology he co-developed hashelped drop HPV infectionsby 56 percent in the US, according to the American Cancer Society.

Researchers Test Cancer Treatments on Patients Own Cells November 13, 2014 Dr. Richard Schlegel is quoted in The Boston Globe'snews story which highlights research recently publishedby Dr. Jeff Engelman,Directorof Thoracic OncologyatMassachusetts General Hospital. Dr. Engelmanco-led a group of physicians and researchers towards new steps in personalized cancer treament using technology invented by Dr. Schlegel.

Research & Innovation at Georgetown University Medical Center August 14, 2014 Dr. Richard Schlegel was recently featured in Georgetown University Medical Center's video about groundbreaking research and how it is affecting lives within and outside the GUMC community.

Read the original:
Center for Cell Reprogramming | Georgetown University

Storing Stem Cells In Teeth For Your Familys Future Health

Protect your family's future health.

Secure their stem cells today.

Bank the valuable stem cells found in

baby teeth and wisdom teeth.

Researchers at the National Institutes of Health (NIH) discovered a rich source of adult stem cells in teeth the stem cells that naturally repair your body. Scientists aredirecting stem cells so they grow into almost any type of human cell, including heart, brain, nerve, cartilage, bone, liver and insulin producing pancreatic beta cells.

AAOMS - American Association of Oral and Maxillofacial Surgeons

Video is not visible, most likely your browser does not support HTML5 video

Doctors recommend StemSave stem cell banking for the cryopreservation of powerful adult stem cells from deciduous teeth (baby teeth), wisdom teeth or permanent teethwith healthy dentalpulp.

Easy OnlineEnrollment

StemSave Stem Cell Banking exclusively recovers and stores non-embryonic stem cells. Dental Stem Cells are also known asDSC, DASC, DPSC, or SHED cellsand are classified as atype of adult stem cells.

Continue reading here:
Storing Stem Cells In Teeth For Your Familys Future Health

Adult Stem Cell Banking Information from Celltex Therapeutics

Why Bank?

Not everyone interested in adult stem cell therapy has a condition that requires immediate treatment. Indeed, some far-sighted individuals would like to have a large reserve of their own stem cells available in case they are needed in the future. Celltex can provide state-of-the-art adult stem cell banking services that can provide individuals peace of mind.

No matter where you live, Celltex will work with you to provide banking services for your stem cells.

Sometimes your body cannot create enough stem cells to make an effective healing response to an illness or injury. Banking your cells now provides the opportunity to multiply and utilize your younger, healthy cells at a later point in life when you and your physician determine it would be beneficial.

Whether you choose to bank because of a current condition, or so that your cells are available to you in case of an emergency, illness, injury, or accident in the future, there are numerous benefits to banking your stem cells now. It is a simple and safe procedure that can benefit you now, or in the future.

As we age, illness and the natural processes of aging reduce the number of stem cells available to regenerate organs, muscles and bone and in particular we have fewer adult cells that have the collective power to assist in healing many different kinds of cells.

The younger you are when you bank your cells, the more efficient, active and mobile they are.

Celltex is a leader in providing services for the rapidly expanding field of regenerative medicine. Specifically, Celltex precisely separates, multiplies, and stores adult adipose-derived mesenchymal stem cells for autologous use by physicians. This means that an individuals fat (adipose) is the source of their adult stem cells, which are used only for that individual and never for any other person.

Celltexs advanced laboratory uses a patented process to ensure that it supplies physicians with genetically identical, autologous adult stem cells for clinical therapeutic use. Dedicated to ensuring the proper extraction, isolation and culture of stem cells, we hold more than 14 patents protecting our methodology and quality control processes that ensure the potency and purity of your cells when you choose to use them.

No other corporation or academic organization engaged in the banking of adult stem cells does as much quality control or in as secure an environment as that deployed by Celltex. This is the leading edge of biosafety applied to regenerative medicine.

Celltex does not treat patients or provide any healthcare services. Rather, individual doctors decide whether a patient their patient might benefit from adult stem cells.

Below is an overview of the process to bank your adult stem cells:

Read more about Celltex stem cell banking services for adults, for families, or for groups and companies.

Visit link:
Adult Stem Cell Banking Information from Celltex Therapeutics

Embryonic Stem Cell Research Threatened – Hartford Courant

More than any other scientific field, with the possible exception of climate change, embryonic stem cell research is subject to the ups and downs of politics and trouble may lie ahead for scientists in Connecticut and across the country.

Derived from early embryos, embryonic stem cells can become any cell in the body. Since the discovery of human embryonic stem cells in 1998, scientists have explored their potential use as therapies for diseases and injuries. Embryonic stem cell derivatives, for example, could replace the pancreatic cells lost in Type I Diabetes or the neurons lost in Parkinson's Disease. But just as this approach begins to show promise, a new threat appears on the horizon.

U.S. Rep. Tom Price, R-Ga., Donald Trump's nominee to head the Department of Health and Human Services with oversight over the National Institutes of Health, is on record opposing embryonic stem cell research. As stem cell researchers, we fear that this appointment would endanger human embryonic stem cell research in the United States and reverse the substantial progress made in recent years. There are promising clinical trials underway for macular degeneration, spinal cord injury and diabetes with more possible, including for Parkinson's disease.

Connecticut has recognized the importance of human embryonic stem cell research and funded first the Connecticut Stem Cell Program, and now the Regenerative Medicine Research Fund. This brought Connecticut to the forefront of stem cell research. Continued support at the national level is also needed, however, if we wish to continue making progress toward effective cell-based therapies.

What makes this field of research so controversial is that an early stage human embryo (five days after fertilization) called a blastocyst is used to produce a human embryonic stem cell line. Federal funds may not be used to produce a new human embryonic stem cell line becausethe money cannot supportresearch that directly uses human embryos. At this point, however, federal funds can be used to work on human embryonic stem cells. Despite this, a minority in the government strive to further limit federal funding so that it cannot be used even for studies on lines generated using alternative financial sources.

Many claim we can achieve our therapeutic goals using other stem cell sources, but as stem cell scientists we are keenly aware of the limitations of these alternatives.

Adult stem cells, which have limited capacity for generating the high number of cells needed for human transplants and can only produce certain cell types, will likely work for some applications, but not others.

Another type of stem cell, induced pluripotent stem cells, can be generated from adult cell types such as skin, without the need to start with a human embryo. These cells share many properties with embryonic stem cells, including the ability to become virtually any cell in the body. Work using these cells has exploded since their discovery 10 years ago. Induced pluripotent stem cells are useful for modeling human disease in a culture dish and for drug screening. For clinical application, however, these cells have several limitations. Virtually all the cell lines made to date are genetically modified, and this modification could potentially cause cancer, which precludes their use in humans. Most important, as described by many stem cell researchers, embryonic stem cells behave most consistently and therefore remain the gold standard against which other research is compared.

While this is not the place for a full discussion of the moral status of early human embryos, it is worth making some observations. The blastocyst forms 5 days after fertilization, prior to implantation in the uterus, and consists of a couple of hundred cells. All human embryonic stem cell lines that are approved for federally funded research are derived from blastocysts leftover from infertility treatment, with the informed consent of the donors. The alternative futures for these embryos are to be kept frozen indefinitely or to be destroyed. Given these options, many would agree that a future of producing a cell line that could eventually reduce suffering and save lives is a preferred fate.

The United States is a leader in embryonic stem cell research, from basic science to clinical application. This achievement has been fueled by successful collaborations between government-funded academic laboratories and the private sector. A skilled workforce and state-of-the-art infrastructure has been established. New restrictions could well lead to a brain drain and likely provide a serious roadblock to numerous cures.

Laura Grabel, Ph.D., is the Lauren B. Dachs Professor of Science and Society and a professor of Biology at Wesleyan University and president of the Connecticut Academy of Science and Engineering. Diane Krause, MD, Ph.D., is a professor at the Yale School of Medicine, associate director of the Yale Stem Cell Center, and director of the Clinical Stem Cell Processing Laboratory.

Continued here:
Embryonic Stem Cell Research Threatened - Hartford Courant

induced pluripotent stem cells – eurostemcell.org

An important step in developing a therapy for a given disease is understanding exactly how the disease works: what exactly goes wrong in the body? To do this, researchers need to study the cells or tissues affected by the disease, but this is not always as simple as it sounds. For example, its almost impossible to obtain genuine brain cells from patients with Parkinsons disease, especially in the early stages of the disease before the patient is aware of any symptoms. Reprogramming means scientists can now get access to large numbers of the particular type of neurons (brain cells) that are affected by Parkinsons disease. Researchers first make iPS cells from, for example, skin biopsies from Parkinsons patients. They then use these iPS cells to produce neurons in the laboratory. The neurons have the same genetic background (the same basic genetic make-up) as the patients own cells. Thus scientist can directly work with neurons affected by Parkinsons disease in a dish. They can use these cells to learn more about what goes wrong inside the cells and why. Cellular disease models like these can also be used to search for and test new drugs to treat or protect patients against the disease.

iPS cells - derivation and applications:Certain genes can be introduced into adult cells to reprogramme them. The resulting iPS cells resemble embryonic stem cells and can be differentiated into any type of cell to study disease, test drugs or-after gene correction-develop future cell therapies

Go here to see the original:
induced pluripotent stem cells - eurostemcell.org

Induced Pluripotent Stem Cell Repository | California’s …

The Induced Pluripotent Stem Cell (iPSC) Repository is a major effort from CIRM to create a collection of stem cells developed from thousands of individuals.

CIRM is creating the iPSC bank so that scientists can use the cells, either in a petri dish or transplanted into animals, to study how disease develops and progresses and develop and test new drugs or other therapies. The iPSC bank is now open and cell lines are available at catalog.coriell.org/CIRM.

The large size of the collection will provide researchers with a powerful tool for studying genetic variation between individuals, helping scientists understand how disease and treatment may vary in a diverse population like Californias.

What is the iPSCRepository? How does it work? Why iPS cells? Who is generating the cells? Which diseases will be represented? How many samples are being collected for each condition?

What is the iPSCRepository? The Human Induced Pluripotent Stem Cell (hiPSC) Repositoryis one of the California stem cell agencys major efforts to provide valuable resources to the research community. The goal is to create a bank of high quality stem cell lines developed from thousands of individuals for use in research.

How does it work? Blood or skin samples collected from approximately 3,000 individuals will be turned into stem cell lines. These lines will be made available to researchers throughout California and around the world.

Why iPS cells? iPS cells are generated from cells easily obtained from living humans, i.e. blood or a small piece of skin; they have unlimited expansion potential in the petri dish, so huge numbers of cells can be generated for research studies or drug development; and they can be coaxed into the types of cells affected in various diseases, such as heart or brain disorders. This provides an unprecedented opportunity to study the cell types from patients that are affected in disease but cannot otherwise be easily obtained in large quantities from them.

Who is generating the cells? Seven clinician scientists from four California institutions recruit tissue donors who suffer from one of the included diseases or are healthy controls. Some blood or a small piece of skin is collected from those donors, and these samples are shipped to the company Cellular Dynamics International (CDI). CDI generates iPS cells from the samples, and then transfers the iPS cells to the Coriell Institute for Biomedical Research. Coriell operates a cell bank that will distribute the iPS cells to interested researchers at academic and other non-profit institutions, and also to pharmaceutical companies that may want to use them to find new drugs for the diseases that are included in this bank. While CDI and Coriell are located outside California, they have set up facilities at the Buck Institute in Novato, CA, where they generate and bank the iPS cells for this Initiative.

Which diseases will be represented? The stem cell lines created will represent a variety of diseases or conditions that affect brain, heart, lung, liver or eyes. Grantees come from a variety of California-based institutions:

How many samples are being collected? Below is a table that outlines CIRM's collection goalsfor each condition, along with control samples.

* these control donors will be specifically tested for the absence of lung disease

CIRM's New Stem Cell Bank Up, Running (California Healthline)

iPSC Repository Brochure [PDF] Stem Cell FAQ How do scientists model disease with iPSC's

Original post:
Induced Pluripotent Stem Cell Repository | California's ...

Charity Watchlist – Get Involved | American Life League

The list of charitable research organizations and their corresponding positions on the life issues posted to our website is neither all pro-life nor all anti-life; it is mixed. Unfortunately, most of the organizations on our list are marked with the red minus sign. It is simply just a sad fact that most national medical research/advocacy groups support some form of unethical research. There is no listing, to our knowledge, of only pro-life research organizations.

A green positive/plus sign indicates that ALL considers the organization worthy of support from pro-lifers. ALL considers an organization to be pro-life if it is opposed to abortion, human embryonic stem cell and/or aborted fetal body parts research, all forms of cloning and other attacks against the human person at any stage of development as well as Planned Parenthood Federation and other pro-abortion organizations.

A red negative/minus signs indicates that ALL does not consider the organization worthy of support from pro-lifers. If the organization supports, in any way (theory, advocacy, lobbying, granting and/or research) any offenses to life, it is not considered pro-life. Further, if any organization refuses to answer our inquiries, refuses to be clear about its position and/or attempts to couch its answer in terms of referring to another agency (i.e., federal government branches), it is not considered pro-life.

A plain yellow circle indicates that ALL urges caution when considering support for the organization due to a change in a prior rating. That is, an organization may have previously received a green positive or a red negative because of certain policy positions which are now questionable or cannot be verified.

The rating is based on the organizations response to written correspondence (regular postal or e-mail), a review of the organizations website, verifiable news reports, verifiable correspondence forwarded to us by others and/or a combination of any of these.

Research into other organizations not listed is an on-going process, but may be limited by staff and resources at ALL. If you have information (and documentation) about organizations that you would like to see listed, we would be most happy to receive it. Currently, we are not in a position to print the list (it amounts to more than 100 pages, not including documentation in hyperlinks) however, feel free to pass the link to the website to everyone you know!

Alex's Lemonade Stand Foundation 333 E. Lancaster Ave Suite 414 Wynnewood, PA 19096 Phone: 866-333-1213 Fax: 610-649-3038 http://www.alexslemonade.org Liz Scott, Alex's mother and co-executive director of Alex's Lemonade Stand Foundation, stated in an e-mail to ALL in May, 2012, that: "Alex's Lemonade Stand Foundation has not funded anything even remotely related to embryonic stem cell research."

However, when it was pointed out to Mrs. Scott that, according to the Foundation's website, there were grant funds being directed toward researchers and research facilities that support, promote and conduct such research, she responded:

"Although we have not issued a public policy position, I can tell you that ALSF has always followed all federal guidelines for research that involves human-derived cells and tissues. We are very sensitive to the variety of opinions on issues related to stem cells, and are committed to funding research programs that meet all of the stringent ethical standards at the institutional, foundation and government levels, that are designed to find cures for childhood cancer. I can tell you that when we award funds to our grant recipients 100% of the funds are used for their project onlythe institution is not allowed to take any indirect costs or general operating costs from the award funds or to use funds for other projects."

ALL cautions that federal guidelines allow for both human embryonic stem cell research and the use of aborted fetal materials in research.

When contacted by email in July 2014 with an update request, someone by the name of Lisa responded:

We do not have a policy. We have never received an application that includes embryonic stem cells so this isnt an issue for us.

When asked what the organization would do if it did receive a grant application that involved the use of human embryonic stem cells or aborted fetal material, there was no further reply.

Alliance for Aging Research 1700 K Street, NW Suite 740 Washington, DC 20006 Phone: 202-293-2856 Fax: 202-955-8394 http://www.agingresearch.org The Alliance for Aging Research is a 501(c)(3) group that advocates for medical research and scientific discoveries to improve the health and independence of Americans as they age. As such, the Alliance supports public policies that advance research involving both adult and embryonic stem cells and regenerative medicine in general.

While the Alliance for Aging Research opposes efforts to copy human life through cloning technologies, it is a leader among patient groups and science advocates supporting public funding for broad activities in stem cell research as well as therapeutic cloning of compatible stem cell lines for research and potential therapies. On its own and through membership in the Coalition for the Advancement of Medical Research, the Alliance will support the enactment of legislation to encourage increased federal funding for advances in stem cell research. https://web.archive.org/web/20130907070614/http://www.agingresearch.org/content/topic/detail/?id=1018&template=position

UPDATE: July 2, 2014

In an email to ALL from Noel Lloyd, Communications Manager at AAR:

The Alliance supports public policies that advance medical research with the potential to prevent, postpone or otherwise lessen diseases and disabilities that increase with aging. This includes policy support though not direct funding of a broad scope of regenerative medicine, including research on induced pluripotent and human embryonic stem cells.

Alliance for Regenerative Medicine 525 2nd Street, N.E. Washington, DC 20002 Phone: 202-568-6240 http://www.alliancerm.org "The Alliance for Regenerative Medicine (ARM)s mission is to advance regenerative medicine by representing, supporting and engaging all stakeholders in the field, including companies, academic research institutions, patient advocacy groups, foundations, health insurers, financial institutions and other organizations."

According to the website, regenerative medicine includes cell-based therapies, gene therapy, biologics, tissue engineering, bio-banking, and stem cells for drug discovery, toxicity testing and disease modeling. It is this last branch of regenerative medicine which causes the most concern: "Companies are increasingly learning to leverage the use of stem cells and/or living tissue constructs to create in vitro models to study human mechanisms of disease and the effects of drugs on a variety of cell and tissue types such as human heart, liver and brain cells. These models, built predominantly using embryonic and induced pluripotent stem cells, allow for faster and safer drug development." (http://alliancerm.org/industry-snapshot)

Many of ARM's membersare companies, foundations, and associations with public positions of support for human embryonic stem cell research.

ALS Association (Amyotrophic Lateral Sclerosis Association) 1275 K Street, NW Suite 250 Washington, DC 20005 Phone: 202-407-8580 http://www.alsa.org In an email to ALL from Carrie Munk at the ALS Association July 2, 2014:

The ALS Association primarily funds adult stem cell research. Currently, The Association is funding one study using embryonic stem cells (ESC), and the stem cell line was established many years ago under ethical guidelines set by the National Institute of Neurological Disorders and Stroke (NINDS); this research is funded by one specific donor, who is committed to this area of research. In fact, donors may stipulate that their funds not be invested in this study or any stem cell project. Under very strict guidelines, The Association may fund embryonic stem cell research in the future.

The ALS Association also financially supports NEALS (the Northeast ALS Consortium) which performs human embryonic stem cell research:

The ALS Association Awards $500,000 to the NEALS Consortium for Its TREAT ALS Clinical Trials Network For the sixth consecutive year, The ALS Association is pleased to announce its support of the Northeast ALS Consortium (NEALS), the largest consortium of ALS clinical researchers in the world. This years award totals $500,000 and will fund new initiatives and ongoing programs that will increase the quality and efficiency of clinical trials for ALS. (www.alsa.org/news/archive/neals-consortium-award.html)

The Northeast ALS Consortium (NEALS) is an international, independent, non-profit group of researchers who collaboratively conduct clinical research in Amyotrophic Lateral Sclerosis (ALS) and other motor neuron diseases.

Study utilizing the spinal cord neural stem cells from electively aborted fetus.

Alzheimer's Association 225 N. Michigan Avenue Floor 17 Chicago, IL 60601-7633 Phone: 312-335-8700 Fax: 866-699-1246 http://www.alz.org The Alzheimers Association policy supports and encourages any legitimate scientific avenue that offers the potential to advance this goal, including human embryonic stem cell research; and, we oppose any restriction or limitation on research, provided that appropriate scientific review, and ethical and oversight guidelines and compliance are in place." http://www.alz.org/national/documents/statements_stemcell.pdf

American Cancer Society 250 Williams St., NW Atlanta, GA 30303 Phone: 800-227-2345 http://www.cancer.org The American Cancer Society is not considered a pro-life organization for the following reasons:

Support for human embryonic stem cell research

The American Cancer Society (ACS) has, for many years, insisted that the federal government remains the institution best suited to both fund and oversee research using human embryonic stem cells while claiming to fund only explorations into uses of human adult stem cells and stem cells from umbilical cord blood.

However, in August 2001, when then-President Bush signed an executive order restricting federal funding of human embryonic stem cell research to stem cell lines that were already in existence at the time, the ACS issued a statement commending the administration for allowing stem cell research to proceed, and expressed hope for its future.

The Society believes that such research holds extraordinary potential in the fight against a variety of life-threatening diseases currently afflicting an estimated 140 million Americans, the statement said. It continued, The American Cancer Society commends the Administration for allowing this vital scientific research to proceedeven in a limited way.

The American Cancer Society remains hopeful that both the government and commercial sectors will continue to work collaboratively and with an open mind to explore additional solutions that will allow for the continuation of human embryonic stem cell research as necessary and appropriate, the ACS statement concluded.

These statements can no longer be found on the ACS website, but can be viewed here: http://replay.waybackmachine.org/20030626004233/http://www.cancer.org/docroot/NWS/content/NWS_1_1x_President_Supports_Limited_Stem_Cell_Research.asp

Keep in mind that during the eight years that followed Bushs order, Congress passed legislation to expand human embryonic stem cell research and each time it was vetoed. When President Barack Obama took office in 2009, one of his first acts as president was to issue an executive order expanding the research policy. The National Institutes of Health (NIH) began funding grants in the field of human embryonic stem cell research.

No ACS grants which provide for the direct funding of human embryonic stem cell research have been identified; however, grant funding to facilities and labs where such research abounds is indeed prominent.

The American Cancer Society has, in the past, also awarded financial grants to Planned Parenthood, the nations leading provider of abortion. http://www.lifesitenews.com/news/american-cancer-society-gives-planned-parenthood-grant-money-for-just-sayin

Despite the outcry over the connection to Planned Parenthood, the ACS maintains the association. Visitors to the ACS website can type Planned Parenthood into the search field and find a number of results:

Referral to Planned Parenthood as source of information and support for testicular cancer: http://www.cancer.org/cancer/testicularcancer/moreinformation/doihavetesticularcancer/do-i-have-testicular-cancer-add-res and http://www.cancer.org/acs/groups/cid/documents/webcontent/003172-pdf.pdf

Referral to Planned Parenthood as source of information and support for cervical cancer: http://www.cancer.org/cancer/cervicalcancer/overviewguide/cervical-cancer-overview-additional

The ACS refers to Planned Parenthood as a Voluntary Health Organization which should be invited into schools: http://www.cancer.org/acs/groups/content/@nho/documents/document/keycommunityrepresentativespdf.pdf

Planned Parenthood affiliate locations are used as sites for ACS awareness activities: http://www.cancer.org/myacs/eastern/areahighlights/cancernynj-news-blue-albany

The ACS notes that use of IUDs correlate with decreased risk of cervical cancer and that multiple pregnancies correlate to increased risk. The ACS recommends the HPV vaccine (Gardasil or Ceravax). The ACS also lists Planned Parenthood Federation of America as a source of information and support concerning HPV. http://www.cancer.org/acs/groups/cid/documents/webcontent/003042-pdf.pdf

J. Diane Redd, ACS Director for Major and Planned Gifts for New Jersey is a former fundraiser for Planned Parenthood: https://www.cancer.org/involved/donate/otherwaystogive/plannedgiving/diane_redd

Mady J. Schuman, a member of ACS' executive leadership used to work for Planned Parenthood: https://www.cancer.org/involved/donate/otherwaystogive/plannedgiving/mady_schuman

Kris Kim, ACS' CEO for the Eastern Division was the associate vice president for communications at Planned Parenthood New York City: http://www.cancer.org/acs/groups/content/@eastern/documents/document/acspc-028409.pdf

Similarly, the American Cancer Society has links to another pro-hESCR/pro-abortion organizationLance Armstrongs LIVESTRONG. The ACS is listed as an ambassador to the LIVESTRONG Global Cancer Campaign in honor of Lance Armstrongs return to professional cycling (http://www.livestrong.org/Who-We-Are/Our-Strength/LIVESTRONG-Societies/Ambassadors). Ambassadors committed to donating $250,000 or more in 2009.

Lance Armstrong supports human embryonic stem cell research http://livestrongblog.org/2009/03/09/president-obama-lifts-stem-cell-funding-ban/ and the LIVESTRONG Foundation lists abortion providers on its website. http://www.livestrong.com/search/?mode=standard&search=planned+parenthood

Aside from the American Cancer Societys support for human embryonic stem cell research and questionable grant funding, it refuses to acknowledge the abortion/breast cancer link and declines to even support the idea that doctors should mention it to their patients. Source: http://www.abortionbreastcancer.com/newsletter102202.htm

Lastly, in its document on fertility in women with cancer, the ACS suggests egg freezing, embryo freezing, in vitro fertilization, egg donation, and surrogacy. http://www.cancer.org/acs/groups/cid/documents/webcontent/acspc-041244-pdf.pdf

And, in its document on fertility in men with cancer, the ACS suggests sperm banking, sperm donation and in vitro fertilization. http://www.cancer.org/acs/groups/cid/documents/webcontent/acspc-041228-pdf.pdf

American Council on Science and Health 1995 Broadway Suite 202 New York, NY 10023-5860 Phone: 866-905-2694 Fax: 212-362-4919 http://www.acsh.org The American Council on Science and Health (ACSH) is a consumer education consortium concerned with issues related to food, nutrition, chemicals, pharmaceuticals, lifestyle, the environment, and health. ACSH was founded in 1978 by a group of scientists who had become concerned that many important public policies related to health and the environment did not have a sound scientific basis. These scientists created the organization to add reason and balance to debates about public health issues and to bring common sense views to the public. http://www.acsh.org/about/

Im pleased with the courts [U.S. appeals court rules in favor of stem cell research, August 2012] decision, says ACSHs Dr. Gilbert Ross, since stem cells have such vast potential to solve currently insoluble medical problems, including illnesses such as ALS and perhaps, eventually, Alzheimers disease. Certainly, to continue scientific advances in this field, research on stem cells must not be discouraged. http://acsh.org/2012/08/u-s-appeals-court-rules-in-favor-of-stem-cell-research/

ACSH has been a fervent advocate for supporting research progress in ESCs (embryonic stem cells) for years, despite the controversy involving the objections of some to using human embryonic tissues in research. http://acsh.org/2013/07/small-step-in-stem-cell-research-a-giant-leap-for-mankind/

American Diabetes Association National Office 1701 N. Beauregard St. Alexandria, VA 22311 Phone: 800-342-2383 http://www.diabetes.org We strongly support the protection and expansion of all forms of stem cell research, which offer great hope for a cure and better treatments for diabetes. We support legislation and proposals that enhance funding for stem cell research at the federal and state levels. http://www.diabetes.org/advocacy/advocacy-priorities/funding/stem-cell-research.html#sthash.PUBLIjKV.FhjarP2n.dpuf

The American Diabetes Association applauds President Obama for issuing an Executive Order that will advance stem cell research by lifting existing restrictions on the use of embryonic stem cells, while maintaining strict ethical guidelines.

The American Diabetes Association has long been a strong advocate for ending the current restrictions on stem cell research. http://www.diabetes.org/newsroom/press-releases/2009/statement-from-the-american-2009.html

American Heart Association National Service Center 7272 Greenville Ave Dallas, TX 75231 Phone: 800-242-8721 http://www.heart.org The American Heart Association website states the following regarding stem cell research:

Stem Cell Research The American Heart Association funds meritorious research involving human adult stem cells because it helps us fight heart disease and stroke. We dont fund research involving stem cells derived from human embryos or fetal tissue.

However, it continues:

Inducing adult stem cells into a pluripotent state may lead to patient-specific cell therapies that could reduce many of the underlying complications in therapies with embryonic stem cells.

Its important for research to continue in both cell types. To know how induced adult stem cells need to perform, we must know more about the innate function of embryonic stem cells. http://www.heart.org/HEARTORG/Conditions/Research-Topics_UCM_438796_Article.jsp

American Lung Association 55 Wacker Dr., Suite 1150 Chicago, IL 60601 Phone: 312-801-7630 http://www.lung.org The American Lung Association recognizes that research with human stem cells offer significant potential to further our understanding of fundamental lung biology and to develop cell-based therapies to treat lung disease. The American Lung Association supports the responsible pursuit of research involving the use of human stem cells. http://www.lung.org/get-involved/advocate/advocacy-documents/research.pdf

American Medical Association AMA Plaza 330 N. Wabash Ave., Suite 39300 Chicago, IL 60611-5885 Phone: 80-262-3211 http://www.ama-assn.org "The principles of medical ethics of the AMA do not prohibit a physician from performing an abortion in accordance with good medical practice and under circumstances that do not violate the law." http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion201.page?

The AMA supports the legal availability of mifepristone (RU-486) for appropriate research and, if indicated, clinical practice. (Res. 100, A-90; Amended: Res. 507, A-99) http://www.ama-assn.org/ad-com/polfind/Hlth-Ethics.pdf

The AMA reaffirms its position in support of the use of fetal tissue obtained from induced abortion for scientific research. (Res. 540, A-92; Reaffirmed: CSA Rep. 8, A-03) http://www.ama-assn.org/ad-com/polfind/Hlth-Ethics.pdf

Our AMA (1) supports continued research employing fetal tissue obtained from induced abortion, including investigation of therapeutic transplantation; and (2) demands that adequate safeguards be taken to isolate decisions regarding abortion from subsequent use of fetal tissue, including the anonymity of the donor, free and non-coerced donation of tissue, and the absence of financial inducement. (Res. 170, I-89; Reaffirmed by Res. 91, A-90; Modified: Sunset Report, I-00) http://www.ama-assn.org/ad-com/polfind/Hlth-Ethics.pdf

American Parkinson's Disease Association National Office 135 Parkinson Avenue Staten Island, NY 10305 Phone: 800-223-2732 Fax: 718-981-4399 http://www.apdaparkinson.org "We were very pleased on September 28, 2010 that the DC Circuit Court of Appeals issued a stay of the preliminary injunction pending its review of the appeal of the judicial challenge to federal funding for human embryonic stem cell (hESC) research. Without getting mired down in all the various terms and courts, what this means is that federal funding for hESC research will continue at least for the time period that it takes for the Court of Appeals to review Judge Lamberth's August 23rd decision to enjoin funding. You should also know that yesterday the Coalition for the Advancement of Medical Research (CAMR), of which PAN is a founding member, filed an amicus brief in the District Court. This brief supports and compliments the Department of Justice (DoJ) brief that was filed on behalf of the National Institutes of Health (NIH) on Monday."

[Department of Veteran Affairs and APDA Winter 2011 Parkinson Press Newsletter] http://bit.ly/1nsENqi

American Red Cross 2025 E. Street NW Washington, DC 20006 Phone: 202-303-4498 http://www.redcross.org A report issued from the International Federation of the Red Cross and Red Crescent in December of 2011 caused concerns that the organization may start advocating for abortion rights.

In a section of the report on human rights, IFRC quotes a widely criticized document issued by Anand Grover, the UN Special Rapporteur on the Right to Health, which said,

"States must take measures to ensure that legal and safe abortion services are available, accessible, and of good quality." The IFRC report goes on to editorialize, "But the real challenge is to find out how many states will indeed change their policies accordingly.

This may lead some to believe IFRC could eventually declare abortion a human right as Amnesty International did in 2007. Amid much controversy, Amnesty International simply announced that endorsing abortion as a right was a "natural" outgrowth of its 2-year campaign countering violence against women. http://www.c-fam.org/fridayfax/volume-14/analysis-is-the-red-cross-about-to-declare-abortion-a-human-right.html.

There have been no further developments in this area.

The American Red Cross has no formal public policy statements that we could find on life issues. It should be noted, however, that the American Red Cross has been under intense scrutiny and has been sued repeatedly by federal regulators to force improvements in blood safety. http://www.forbes.com/sites/gerganakoleva/2012/01/17/american-red-cross-fined-9-6-million-for-unsafe-blood-collection/

The American Red Cross also has a Diversity Program which officially recognizes and encourages participation in Gay and Lesbian Pride Month. American Red Cross Fires Employee for Refusal to Celebrate 'Gay and Lesbian Pride Month,' LifeSiteNews, August 5, 2005

American Spinal Injury Association 2020 Peachtree Road, NW Atlanta, GA 30309 Phone: 404-355-9772 Fax: 404-355-1826 ASIA_Office@shepherd.org http://asia-spinalinjury.org/ ASIA is a multidisciplinary organization whose membership is composed of physicians and allied health professionals specifically involved in spinal cord injury management. Current membership numbers 452 of which 85% are physicians. The remaining 15% are nurses, therapists, psychologists and other allied health professionals.

ASIA positions on the life topics are not clear; ALL is awaiting a response to our inquiry.

American Thoracic Society 25 Broadway New York, NY 10004 Phone: 212-315-6498 http://www.thoracic.org The American Thoracic Society (ATS) is an organization dedicated to serving patients with lung disease through research, advocacy, training, and patient care. As such, it supports making federal funding available for research using human embryonic stem cells with appropriate guidelines and federal and institutional oversight.

. . . [adult stem cell research] approaches should neither distract from nor preempt research for which the goal is to assess the use of pluripotent embryonic stem cells for the treatment of lung diseases. http://www.thoracic.org/statements/resources/research/stemcell.pdf

Amnesty International US 5 Penn Plaza New York, NY 10001 Phone: 212-807-8400 http://www.amnestyusa.org Amnesty International defends access to abortion for women at risk In April 2007, Amnesty International changed its neutral stance on abortion to supporting access to abortion in cases of rape and incest, and when the life or the health of the mother might be threatened. Amnesty's official policy is that they "do not promote abortion as a universal right" but "support the decriminalisation of abortion". http://www.amnesty.org/en/library/asset/POL30/012/2007/en/c917eede-d386-11dd-a329-2f46302a8cc6/pol300122007en.pdf

Amnesty International Continues Pushing Abortion Worldwide (2013) Amnesty International, a human rights organization that used to be abortion neutral, is now using the problem of maternal mortality to advocate for abortion. In a new report, ostensibly on medical care for maternal health, Amnesty calls on governments to repeal abortion laws and conscience protection for medical workers who may object. They also call for public health systems to train and equip health care providers to perform abortions.

Amnestys Maternal Health is a Human Right campaign focuses attention on four countries: Sierra Leone, Burkina Faso, Peru, and the United States. Amnesty argues that maternal mortality will decrease if it is treated as a human rights issue, if costs to health care are covered by governments, and if a right for women to control their reproductive and sex lives is established. http://www.lifenews.com/2012/08/09/amnesty-international-continues-pushing-abortion-worldwide/ http://www.amnestyusa.org/our-work/campaigns/demand-dignity/maternal-health-is-a-human-right

Amnesty International Launches New Campaign to Push Abortion Worldwide (2014) Amnesty International has been under fire for years for its pro-abortion positions and now the venerable human rights group is launching a new global effort to push abortion on a worldwide scale. The My Body My Rights campaign encourages young people around the world to know and demand their right to make decisions about their health, body, sexuality and reproduction without state control, fear, coercion or discrimination. It also seeks to remind world leaders of their obligations to take positive action, including through access to health services, the group says. http://www.lifenews.com/2014/03/10/amnesty-international-launches-new-campaign-to-push-abortion-worldwide/

"Amnesty International believes that everyone should be free to make decisions about if, when and with whom they have sex, whether or when they marry or have children and how to best protect themselves from sexual ill-health and HIV." http://www.amnesty.org/en/news/sexual-and-reproductive-rights-under-threat-worldwide-2014-03-06

Avon Foundation for Women 777 Third Avenue New York, NY 10017 Phone: 866-505-2866 http://www.avonfoundation.org The Avon Foundation for Women is a 501(c)(3) public charity founded in 1955 with the mission to promote or aid charitable, scientific, educational, and humanitarian activities, with a special emphasis on those activities that improve the lives of women and their families. In its work to realize those aspirations, the Foundations current mission focus is to lead efforts to eradicate breast cancer and end domestic and gender violence.

The Avon Breast Cancer Crusade was established in 1992. Since then, more than $815 million has been raised for breast cancer awareness and education, screening and diagnosis, access to care, support services and scientific research. Beneficiaries range from leading cancer research centers to local, nonprofit breast health programs, creating a powerful international network of research, medical, social service, and community-based breast cancer organizations.

The Avon Foundation is one of many breast cancer research fundraising groups that has yet to acknowledge the link between abortion and breast cancer.

While the Avon Foundation does not direct grant funding to Planned Parenthood, the more detailed answer on its website seems to indicate that it mightif it received a grant request that met its criteria.

Q: Does the Avon Foundation for Women support Planned Parenthood?

Our records indicate that in the last five years the Avon Foundation has received only one Planned Parenthood affiliate grant application from among more than an estimated 3,000 grant applications received during that time period, and it was not among our funded applicants. Our grant programs are highly competitive and unfortunately we receive many more quality applicants than available funds can support. Our Safety Net Program, Avon Breast Health Outreach Program and eight Avon Breast Health Centers of Excellence provide more than $15 million annually to address the needs for education, screening and treatment programs for underserved and uninsured women. http://www.avonfoundation.org/press-room/avon-foundation-for-women-response-to-recent-inquiries-about-breast-cancer-funding-support.html

The Speak Out Against Domestic Violence program was launched in the U.S. in 2004 and global expansion began shortly thereafter, with programs now in Central and South America and Europe. The Speak Out mission focuses on raising funds and awareness for domestic violence awareness, education and prevention programs while developing new community outreach and support for victims, and there is a special focus on supporting programs that assist children affected by domestic violence. Already more than $38 million has been awarded to over 250 organizations in the U.S.

In 2008, Avon Products, Inc. and the Avon Foundation introduced the company's first-ever global fundraising product, the Women's Empowerment Bracelet, designed to save and improve women's lives worldwide. The bracelet was unveiled by Avon Foundation Honorary Chair Reese Witherspoon at the second annual Global Summit for a Better Tomorrow, presented by the United Nations Development Fund for Women (UNIFEM) in partnership with Avon, at the United Nations in celebration of International Women's Day. Since then an entire catalog of fundraising products has been created.

UNIFEM is the United Nations Development Fund for Women. Established in 1976, it is self-described as fostering womens empowerment and gender equality and helping to make the voices of women heard at the United Nations. Two international agreements form the framework for UNIFEMs mission and goals: The Beijing Platform for Action and the Convention on the Elimination for All Forms of Discrimination Against Women (CEDAW).

In 1995, the Beijing Platform for Action (Beijing Platform) expressly called upon governments to reexamine restrictive abortion laws that punish women. By linking womens health to abortion law reform, the Beijing Platform affirmed what [pro-abortion] advocates [believe] worldwide: removing legal barriers to abortion saves womens lives, promotes their health, and empowers women to make decisions crucial to their well-being.

The Beijing mandate also reflects a global trend toward abortion law liberalizationa trend that first gained momentum in the late 1960s and continues to this day. http://reproductiverights.org/sites/default/files/documents/pub_bp_abortionlaws10.pdf

CEDAW, created in 1979, is actually a global Equal Rights Amendment. CEDAW mandates gender re-education, access to abortion services, homosexual and lesbian rights, and the legalization of voluntary prostitution as a valid form of professional employment. http://www.heritage.org/research/reports/2001/02/how-un-conventions-on-womens http://frcblog.com/2010/03/abortion-the-united-nations-and-cedaw/

See also http://www.all.org/newsroom_judieblog.php?id=2043.

Read the original post:
Charity Watchlist - Get Involved | American Life League

Embryonic stem (ES) cells and induced pluripotent stem …

Review Article Authors

+81-564-595265

+81-564-595266

mhirarin@nips.ac.jp

Over the past 25 years, the reverse genetic approach including precise and conditional replacement or loss of gene function at a specific locus was considered possible only in mice due to the absence of embryonic stem (ES) or induced pluripotent stem (iPS) cell lines in other species. Recently, however, stem cell technology in rats has become available for biomedical research. In this paper we overview the recent progress of rat ES and iPS cell technology. Starting from the establishment of rat ES cells, the use of ES cells for foreign gene transfer and endogenous gene knock-out is discussed, followed by the successful establishment of rat iPS cells and the generation of an iPS cell-derived organ via interspecific blastocyst complementation. Finally, the possible contribution of rat stem cell technology to reproductive medicine is described.

Rats (Rattus norvegicus) have been used more extensively than mice in the research fields of neuroscience, pharmacology and toxicology. There are more than 100 rat strains with various genetic backgrounds, including some useful models for human diseases (e.g., SHR and BB for hypertension and diabetes, respectively), as well as the uncountable number of transgenic rat strains. Rats have the advantage of being a reasonably well-characterized and intermediate-sized rodent that can be maintained more cheaply than larger animals and can often be manipulated more easily than smaller rodents.

Although several technologies have been applied to modify rat genomes [13], the reverse genetic approach (precise and conditional replacements [knock-in] or loss of gene function [knock-out] at a specific locus) was considered impossible in rats because any protocols to establish stem cell lines conventionally used in mice [4, 5] were not applicable to rats. Recently, however, functional germline-competent embryonic stem (ES) cell lines [6, 7] and induced pluripotent stem (iPS) cell lines [8, 9] have been reported for this species. General advantages and disadvantages of ES and iPS cells are summarized in Table 1. In this paper we discuss the recent progress of rat ES/iPS cell technology.

The breakthrough in establishing rat ES cell lines was at the end of 2008. Functional germline-competent ES cell lines were reported by using a few inhibitors for fibroblast growth factor (FGF) receptor, mitogen activated protein kinase kinase (MEK) and glycogen synthase kinase 3 (GSK3) in differentiation-related signaling pathways [6, 7]. This protocol, the so-called 3i/2i culture system, originated from ES cell research in mice [10] and proved reproducible even after slight modifications were added to the culture system [11, 12]. The modification made by Hirabayashi et al. [11] is to replace MEK activation inhibitor PD1843521 with MEK inhibitor PD325901 and to add rat leukemia inhibitory factor (LIF) (ESGRO) instead of LIF-secreting feeder cells to the 3i culture system, while that made by Kawamata and Ochiya [12] is to add fetal bovine serum (FBS), -mercaptoethanol, rat LIF, and inhibitors for Rho-associated coiled-coil kinase and transforming growth factor- type-I receptor ALK5 kinase (Y-27632 and A-83-01, respectively) to the 2i culture medium containing MEK and GSK3 inhibitors (PD325901 and CHIR99021, respectively).

The rat ES cell lines established by Hirabayashi et al. [11] are described here in detail. Blastocysts at E4.5 were recovered from Wistar females copulated with a homogenous CAG/venus transgenic male rat (green fluorescence of the venus gene was used as the transgenic marker). Zona-free blastocysts were placed on mitomycin C (MMC)-treated mouse embryonic fibroblasts (MEF). The culture medium consisted of 2 M FGF receptor inhibitor (SU5402), 1 M MEK inhibitor (PD0325901), 3 M GSK3 inhibitor (CHIR99021) and 1,000 U/ml rat LIF (ESGRO) in N2B27 medium. After 7 days of culture, the outgrowths of the blastocysts (Fig. 1a) were disaggregated by gentle pipetting and transferred to the same MEF/3i conditions (first passage). When ES cell-like colonies emerged (Fig. 1b), they were trypsinized and then expanded (Fig. 1c). The tentative ES cell lines were maintained in MEF/3i conditions, with medium exchange every other day and trypsinization/expansion (passage) every 3 days. Otherwise, the ES cell lines were cryopreserved to prevent senescence.

Establishment of rat ES cell line [11]. a Outgrowth of a blastocyst on MEF feeders 7 days after plating. b Formation of colonies 3 days after the first passage. c Expanded ES cell colonies 2 days after fourth passage. d Alkaline phosphatase-positive colony at passage 12. e ES cells at passage 17. Under the daily exchange of culture medium, very few cells showed any signs of differentiation. f ES cells at passage 17, maintained with medium exchange every other day. Differentiated extraembryonic cells were observed. Scale barsa, e, f 100 m, b c, d 500 m

It was checked whether the delivered cells were alkaline phosphatase (AP)-positive (Fig. 1d). Nine ES cell lines (69.2%) were established from 13 transgenic blastocysts. Among them, two lines with excellent growth rate (rESWIv3i-1 and rESWIv3i-5) were selected, and both lines were found to be female by PCR analysis to detect rat Sry gene. Attachment of ES cell colonies with the feeder cells was not as strong, and the morphological appearance of the rat ES cell colonies was similar to that of mouse ES cells. As the passage number of the ES cells increased, signs of differentiation into extraembryonic cell-like cells were observed in cultures, especially when the culture medium was exchanged every other day rather than every day (Fig. 1e, f). In addition, expression of stem cell marker genes, such as Oct4, Nanog, Fgf4 and Rex1, was confirmed by reverse transcriptionpolymerase chain reaction (RT-PCR) analysis in rESWIv3i-1 and rESWIv3i-5 lines. Furthermore, multipotency of the tentative ES cells was investigated by subcutaneous transplantation of the rESWIv3i-1 cells into an adult male F344 nude rat. Five weeks after the transplantation, a tumor was observed. By histological analysis, the tumor was found to be a teratoma with various tissues including gut-like epithelium or hepatic cells (endoderm), bone, cartilage or muscle (mesoderm), and neural tissues (ectoderm).

To generate ES cell-derived chimeras, host blastocysts at E4.5 derived from Wistar females or Wistar Dark Agouti (DA) F1 females were each microinjected with 10 ES cells at passages 68 (Fig. 2a, b). Collapsed blastocysts (Fig. 2c) were re-blasturated 12 h after the microinjection, and allowed to develop to fetus (E15.5) or full-term pups in pseudopregnant Wistar recipients. All of the E15.5 fetuses (100%; Fig. 2d) and the majority of the newborn pups (81.8100%) were chimeric and expressed the venus gene. The characteristics of the ES cells was successfully transmitted to their next generation in both lines. The ability of the ES cells to participate in chimeras was still high (78.6100%) at advanced passage numbers (17 or 18). Overall efficiency of producing chimeric rats (50.3%, 94 chimeras/187 injected embryos) was higher than 8.2% (20/245) as reported in Buehr et al. [6] and 11.0% (26/237) in Li et al. [7]. This higher efficiency of chimera rat production is probably due to the rat strain combination used for donor (ES cells) and host (blastocysts) and/or modification of culture medium.

Production of chimeric rats with ES cells [11]. a Microinjection of 10 ES cells into a blastocoele of E4.5 blastocyst. b Semi-bright, fluorescent image of venus-positive ES cells in the blastocyst. c Collapsed blastocysts immediately after microinjection. d Venus-positive fetal rat at E15.5

Functional germline-competent rat ES cell lines were established by applying the 2i/3i culture system, and the minimal essential materials for conducting transgenic studies including reverse genetic approaches, were now ready to use in rats. We now describe the production efficiency of chimeric rats by blastocyst injection of ES cells electroporated with a humanized Kusabira-Orange (huKO) gene and the germline transmission of the huKO gene from the chimeras to the next generation [13].

Rat ES cell lines were established from E4.5 blastocysts derived from BrownNorway (BN) females copulated with BN males, as described above, by applying the 2i (SU5402-free) culture system. One of the established lines, named as rESBN2i-4, was derived from a male embryo, based on PCR analysis. At passage 8, the ES cells in the N2B27 medium supplemented with 10% FBS (1 106 cells/0.5 ml) were electroporated with 25 g huKO gene (CAG/huKO-neo plasmid; 7.5 kb, Fig. 3a). The electroporated ES cells were placed in 3 ml of 2i medium + 5% FBS (passage 9), and the next day the medium was changed to serum-free 2i medium. Two days after the electroporation, G418 (200 g/ml) was added to the medium. The number of neomycin-resistant colonies (passage 10) was counted 8 days after electroporation. The huKO-positive ES cells were passaged twice in G418-free medium. Host blastocysts derived from Wistar/ST or WistarHannover females were each microinjected with 10 of the G418-resistant huKO-positive ES cells, and allowed to develop to full-term in pseudopregnant Wistar recipients. Transfer of 116 Wistar/ST blastocysts and 97 WistarHannover blastocysts resulted in 31 and 44 new-born offspring (26.7% and 45.4%), and 22 (70.9%; male 12, female 10) and 34 (77.3%; male 15, female 17, not-identified 2) out of the offspring were judged as chimeras by their coat color, respectively (Fig. 3b). Using non-electroporated control ES cells, a similar offspring rate (37.5%, 9/24) and chimera production efficiency (88.9%, 8/9) were obtained. Rat strain for host blastocysts may be a factor influencing the overall efficiency of chimera production, due to different preference for full-term development. Germline transmission of the CAG/huKO-neo gene was confirmed in 6 out of 25 G1 offspring (Fig. 3c) derived from 1 chimeric male with > 95% brown-colored coat. Thus, integration of exogenous DNA into rat ES cells did not affect the production efficiency of chimera offspring. The result described in this section [13] achieved the first successful production of transgenic rats via electroporated ES cells, followed by the work of Kawamata and Ochiya [12].

Rat transgenesis with ES cells [13]. a The construction of CAG/huKO-neo plasmid; 7.5 kb. b Chimeric rats with different contribution of brown-colored coat at G0 generation, 17 days old. c A huKO transgenic offspring (brown-colored) with huKO-negative littermates, 3 weeks old

Although knock-out rats were also successfully produced by N-ethyl-N-nitrosourea-induced transgenesis [2], sleeping beauty transposon-tagged mutagenesis [1], or zinc-finger nuclease-based transgenesis [3, 14], such successes may not have an impact on creating rat models for human diseases due to limitations in genome modification by these technologies. In this section, we describe the successful production of endogenous p53 gene knock-out rats by homologous recombination in ES cells [15].

p53, consisting of ten exons with the translation start codon located within exon 2, is a tumor suppressor gene located on rat chromosome 10, and mutations in the p53 gene are highly associated with genetic lesions in human cancers. Two male lines of ES cells were established from DA blastocysts by the 2i culture system and named as DAc4 and DAc8, respectively. After electroporation with CAG-EGFP-IRES-Pac vector (6.7 kb 5 and 1.6 kb 3 homology arms) to replace exons 25 of p53, successful targeting of the p53 gene occurred at 1.1% (4/356) and 3.7% (10/270) in the DAc4 line at passage 32 and the DAc8 line at passage 14, respectively. One correctly targeted ES cell colony, named as DAc8-p53-1, was microinjected into E4.5 F344 blastocysts (n = 79) and resulted in the birth of 24 live pups (30.4%). Among these 24 pups, 16 (75.0%; male 10, female 6) were chimeras with agouti coat color and all the male chimeras were fertile. However, examination of their >600 G1 offspring failed to show production of p53 targeted rats. The authors [15] suggest that this failure was caused by chromosomal abnormalities in the ES cells, because over 65% of the DAc8-p53-1 rat ES cells were found to be polyploid by karyotype analysis. Subcloning of the DAc8-p53-1 rat ES cells resulted in the appearance of round and compact colonies (approximately 10%). Among 20 subclones harvested, two (10.0%) were identified to carry euploid chromosome numbers (2n = 42). After microinjection of the subcloned ES cells into 39 F344 blastocysts and transfer to pseudopregnant SpragueDawley (SD) recipients, two male chimeras were produced and one of the two was germline chimera. Germline transmission of the GFP gene was confirmed in 6 out of the 76 G1 offspring. Three of the germline pups (male 1, female 2) were identified by genotyping and Southern blot analysis to be p53 heterozygotic rats carrying one wild-type allele and one targeted p53 allele. Intercrossing of the three p53 heterozygous rats resulted in the production of 12 pups, of which 9 (75.0%) were GFP-positive. Genotyping showed that 2 of the 9 pups were p53 homozygous (knock-out) rats, with further confirmation by Northern and Western blot analyses (absence of p53 mRNA and protein, respectively). Thus, gene targeting via homologous recombination in rat ES cells and the production of knock-out rats were achieved for the first time.

iPS cells are a type of pluripotent stem cell, similar to ES cells, that are artificially delivered from a non-pluripotent somatic cell by inducing a forced expression of specific genes. iPS cells can be established without the controversial use of blastocyst-stage embryos. iPS cells also have the advantage of avoiding the issue of graft-versus-host disease and immune rejection, if they are delivered entirely from the patient. The genes to be transfected into a somatic cell with a viral vector, the so-called Yamanaka factors, include Oct4, Sox2, c-Myc, and Klf4 [16, 17]. The Oct4 and Sox2 have been identified as crucial transcriptional regulators, both of which play a key role in maintaining pluripotency. The Klf4 is also the transcriptional regulator gene and is involved in cell proliferation, differentiation and survival. The c-Myc is the oncogene encoding for protein that binds to the DNA of other genes, and thus acts as a transcription factor. The induction efficiency of iPS cells (reprogramming efficiency of differentiated somatic cells) was 10-times higher when embryonic fibroblasts rather than tail tissue-derived fibroblasts (adult somatic cells) were used for transfection, and the morphology of iPS cell colonies was similar to that of ES cell colonies [18]. Once the iPS cells have been established, the retroviral or lentiviral transgenes become silenced theoretically, and the endogenous genes encoding these factors become activated. However, for the future therapeutic application of iPS cells, the viral transfection system and the use of oncogene c-Myc with the risk of tumor formation need to be replaced by alternative induction methods. The disadvantages of the original protocol have already been overcome by the use of adenovirus [19] or plasmid [20] as the vector, the direct introduction of proteins encoded by Yamanaka factors [21], and the elimination of the c-Myc gene from the cocktails [22], but the induction efficiency of iPS cells by such alternative methods may be unsatisfactory and should be improved further.

The first successful establishment of rat iPS cell lines was published from two independent laboratories in 2009 [8, 9]. Both protocols employed to establish the iPS cells were theoretically the same as, but slightly modified from, that reported by Takahashi and Yamanaka [16] where Yamanaka factors (Oct4, Sox2, c-Myc, and Klf4) were designed in a retroviral vector for transfection into adult somatic cells. The commercially available construction of the pMXs retroviral vector typical for the transfection of the factors [18] is shown in Fig. 4. The protocol by Li et al. [8] includes the construction of a retroviral vector with Oct4, Sox2 and Klf4 (c-Myc-free Yamanaka factors) and the transfection into liver progenitor cells prepared from WB-F344 rats. On the other hand, Liao et al. [9] used the lentiviral vector constructed with all four Yamanaka factors for transfection into primary ear fibroblasts prepared from 10-week-old SD rats, because transfection with retroviral vectors resulted in the failure of harvesting the iPS cell-like colonies. Both groups identified rat iPS cell-like colonies from the cultures in ES medium (Knockout; DMEM medium supplemented with 1020% KnockOut serum replacer, 0.1 mM non-essential amino acids, 1 mM l-glutamine, and 0.1 mM -mercaptoethanol) until 10 days after the viral transfection. The expression of stem cell marker genes (such as rat Oct4, Sox2, Nanog) in the iPS cells and the contribution to teratoma formation from the iPS cells were confirmed. Liao et al. [9] did not describe the production of chimeric rats using their iPS cells that were maintained on MEF in FBS-supplemented ES medium. In contrast, Li et al. [8] reported the successful production of chimeric rats by blastocyst injection of their iPS cells that were maintained in the presence of 0.5 M PD325901 (MEK inhibitor), 0.5 M A-83-01 (ALK5 inhibitor) and 3 M CHIR99021 (GSK3 inhibitor). The overall efficiency of producing chimeric rats was 16.7% (3 chimeras/18 injected embryos). The modified 3i culture system was known to support the self-renewal of mouse ES cells in a more robust manner [23, 24], but even after short-term culture a considerable amount of rat iPS cells exhibited spontaneous differentiation [8]. Transmission of the iPS cell genetic characteristics through the germline was not investigated in their studies [8, 9].

Retroviral vectors (pMXs) designed to transfect four transcriptional genes, the so-called Yamanaka factors (Oct4, Sox2, c-Myc, and Klf4), into somatic cells [18]. SD splicing donor, SA splicing acceptor, LTR long terminal repeats, MMLV Moloney murine leukemia virus

Therapeutic application of iPS cells includes the transplantation of differentiated cells, tissues or organs that can be regenerated from the stem cells. However, the in vitro production of tissue or organ with a three-dimensional structure from iPS cells is still difficult to achieve, despite the recent progress on the interactions of stem cells with growth factors and scaffolds. The idea for organ regeneration under an in vivo condition by blastocyst complementation was originally derived from Chen et al. [25]. Mouse blastocysts from a Rag2/ mutant strain lacking matured lymphocytes were microinjected with wild-type mouse ES cells and the resultant Rag2//ES chimera offspring produced fully matured T- and B-lymphocytes that were originated from the ES cells (Fig. 5). This strategy of intraspecies blastocyst complementation was expanded to interspecies approach. If the rescue of organ deficiency in mouse by rat iPS cells was proven effective, the interspecies blastocyst complementation may be applicable for a combination of pig (host animal) and human (iPS cell origin).

Intraspecies and interspecies blastocyst complementation for organ regeneration from pluripotent stem cells. Chen et al. [25] reported an intraspecies assay that enabled mouse ES cells to differentiate into mature lymphocytes in Rag2/ mice (mature lymphocyte-deficient). Kobayashi et al. [26] reported an interspecies assay in which rat iPS cells formed a fully functional rat pancreas when injected into mouse blastocysts lacking the Pdx1 gene required for pancreas formation

The rat iPS cell line (named as riPS#3) used for the interspecies blastocyst complementation [26] was established from primary embryonic fibroblasts prepared from E14.5 Crlj:Wistar fetuses. Ten to 15 iPS cells were microinjected into each of the blastocysts derived from Pdx1+/ Pdx1/ mice. The Pdx1 gene is responsible for the formation of functional pancreas, and the pancreas in the Pdx1/ male founder arose principally from exogenous mouse iPS cells. Therefore, half of the mice born from the blastocysts were expected to be Pdx1/. Transfer of 139 blastocysts into recipient mice resulted in the birth of 34 offspring (24.5%), and among these offspring, 5 and 10 neonates were found to be Pdx1+/ and Pdx1/ chimeric mice with rat iPS cell-derived pancreatic epithelial cells, respectively, by the enhanced green fluorescence protein (EGFP). Function of the pancreas derived from the rat iPS cells was confirmed by immunohistological analyses for the presence of EGFP, -amylase, insulin, glucagon, and somatostatin. Development into adulthood (8 weeks old) of the wild-type Pdx1/ mice was uncommon, but two Pdx1/ chimeras complemented with the rat iPS cells survived to the adulthood stage. They secreted insulin in response to glucose loading, and maintained a normal serum glucose level. Thus, Kobayashi et al. [26] demonstrated that rat iPS cells can rescue organ deficiency in mice, as the rat iPS cells formed a fully functional pancreas when injected into mouse blastocysts lacking the Pdx1 gene required for pancreas formation.

A few approaches are promising to produce offspring exclusively derived from stem cells, in addition to the conventional, time-consuming method via chimera (Table 2). Tetraploid embryos are able to implant in the endometrium and form extraembryonic tissues such as placenta, without participating into fetal development. In mice, tetraploid blastocysts complemented with ES/iPS cells can develop into full-term offspring with a phenotype of the ES/iPS characteristics [27, 28]. This approach, once found reproducible and applicable to other species, would allow the generation of different types of organs from the stem cells at the same time (showing ultimate pluripotency of the stem cells). The attempt at tetraploid blastocyst complementation with rat ES/iPS cells is, however, a challenging endeavor at the present stage [29]. Transplantation of stem cell nuclei into enucleated oocytes (cloning) is an alternative approach to produce animals derived from stem cells alone. Wakayama et al. [30] reported that 29% of mouse oocytes microinjected with ES cell nuclei developed into morulae/blastocysts and 8% of these embryos developed to full-term. Successful production of cloned rats with somatic cells was first reported by Zhou et al. [31]. However, the production of rat offspring exclusively derived from ES/iPS cells via nuclear transplantation has not been very practical, because the reproducibility of the data on rat cloning remained questionable [32].

Stem cell technology in rats can also contribute to the field of reproductive medicine, because germ cells derived from the stem cells were detected in xenogenic chimeras (mouserat chimeras). Isotani et al. [33] recently reported that rat ES cells injected into nu/nu mouse blastocysts could contribute to form not only thymus but also sperm-like germ cells. Although the minimal essential techniques for microinsemination, such as intracytoplasmic sperm injection and round spermatid injection, are almost available in the rat [34], the functional normality of the rat germ cell-like cells observed in such xenogenic chimeras has not yet been confirmed. Nevertheless, the interspecies blastocyst complementation system using mutant mice or experimentally nitch-induced mice and pluripotent stem cells of the rats would provide an appropriate model for generation of human germ cells in the body of non-human species.

Functional germline-competent rat ES/iPS cell lines have been established and successfully applied to the production of gene-modified rats as well as whole organ regeneration with a three-dimensional structure. Culturing of blastocysts with a few inhibitors for FGF receptor, MEK and GSK3 in differentiation-related signaling pathways (2i/3i system) was the key essential for ES cell establishment, and a forced expression of transcription-regulating genes as Yamanaka factors (Oct4, Sox2, Klf4 and/or c-Myc) in somatic cells played an important role in iPS cell establishment. The widespread use of the rat ES/iPS cells would provide a practical breakthrough for a variety of biomedical research in the rats. The accumulation of basic and practical knowledge in this system may be useful in improving the ultimate therapeutic performance against the most severe forms of male infertility in humans.

The Japan Society for Reproductive Medicine

Request Permissions

Please enable Javascript to view the related content of this article.

Advertisement

View post:
Embryonic stem (ES) cells and induced pluripotent stem ...