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Stem cell therapy holds out hope for paralysed - Four patients regain different degree of sensation

Stem Cell and Regenerative Medicine
Stem Cell Research: The Art of the Possible
India's
FIRST successful Stem Cell Therapy for Spinal Cord Injury
A press meet Jointly by Life Line Hospital & NCRM
A 25 year old Akbar ali, who
sustained an injury to his spinal cord on the 12th of October 2006 at a
construction site in Abhudabi following a fall from 12 mts, lost sensation and
activity of the lower half of his body. He was treated surgically in which the
bones of the vertebral column within which the spinal cord is situated were
fixed using metal plates and screws after which he was on a wheel chair
without any control over his bladder and bowel. The sensation and activity
also didn't improve much. He arrived back in India on a wheel chair in the
first week of December 2006.

Mr. Akbar
Ali in the press meet (In the centre with blue tops and pyjama)
flanked by (From L.R) Dr JS Rajkumar (Chairman Life Line Hospital),
Dr Narayanan (Neurosurgeon), Dr Ravikumar (Stem Cell Project Coordinator)
Dr Baskaran (CEO, Life Line) Mr Yuji Okada (Consul, Consulate of Japan,
Chennai),
Dr Samuel JK Abraham (NCRM)
Incidentally when he got
admitted to the Life Line Hospital, Chennai, for a reparative surgery to
correct the bowel sphincter, the hospital had just got a MoU signed with NCRM
for a collaborative work on stem cell based clinical applications. Immediately
his case was considered for the stem cell therapy as the time elapsed from the
accident until then was very short (10 weeks)
On the 22nd of December, under general anaesthesia, 100ml of his bone marrow
was taken from his Iliac bone and the stem cells were isolated and processed
at NCRM as per the technology given by Dr Terunuma Hiroshi of Biotherapy
Institute, Tokyo, Japan. The isolated cells ready for injection were then
injected into the space around the injured site of the spinal cord.
Mr Ali, who was on a continuous drainage of urine from bladder, started
feeling some sensation of the catheter as a foreign body and asked the
physician to remove the same. Simultaneously he started feeling sensation in
the legs and foot and in 4 weeks time from the injection and then he could
stand on his own. Now 2 months from then, he is able to withhold the urine for
up to 2 Hrs and also able to stand on his own and walk without any ones help.
The coordination of the legs while walking are normal.
Objective evaluation has shown his motor power has improved to level 4 (Level
5 is normal) and sensation and motor activity of the urinary bladder as well
by appropriate tests.
As far our knowledge is
concerned, this could be the first such case reported in India.
In the press meet held on the
24th February 2007 to announce this, Dr Ravikumar presented his case to the
audience and the event was graced by the presence of Mr Yuji Okada, Consul,
Consulate of Japan, Chennai who lauded the entire team for this miraculous
results.
Dr JS Rajkumar, Chairman, Lifeline Hospital and Dr Samuel JK Abraham,
Director, NCRM explained the scientist basis of this treatment after a brief
speech by Mr Akbar ali who narrated the entire story and also answered to the
questions raised by the audience.
|
A few points of
scientific importance |
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Picture on the left
shows the spinal cord compression (Yellow arrows) and vertebral bone
damage (Red Arrows). Picture on the right was taken after the bones were
fixed in a surgery using plates and screws. |
About the cell source
and their mechanism:
In any such injury the damage is caused to
the neural component and vascular component. The time within which the
anatomical correction is undertaken (surgical fixing of the bones in
this case) and adjunct therapies are started are very important. Earlier
the treatment is given better could be the outcome. |
About the cell source and their mechanism:
1. The cells used were NOT from any other source such as embryo or
Umbilical cord blood or another human donor, but from his own bone
marrow. Therefore this is safe.
2. The cells were not contaminated with any other biological material
from human or animal origin.
3. The bone marrow stem cells do the repair in two ways: (i) Majority of
the cells secrete trophic factors which help repair neural and vascular
damages (ii) a small portion of the cells undergo fusion-
differentiation to become nerve cells. |
Related news in the media:
Indian
Express
Chennai Online
The Hindu
Deccan Chronicle
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