AREVOLUTIONARY stem cell treatment is being tested which could
prevent sores, ulcers and amputations in people with clogged
arteries.
An estimated one in 20 people over the age of 55 in the UK have
Peripheral Artery Disease (PAD) which causes poor circulation,
usually to the legs.
PAD is the result of atherosclerosis, the build-up of hard
deposits on the walls of arteries similar to the scale that forms in
water pipes.
Although about half of patients have no symptoms, others suffer
varying levels of pain and numbness in the legs and feet.
In severe cases, the condition can produce sores and ulcers
caused by poor blood supply to the skin, and even gangrene.
Sometimes, the affected limb has to be amputated.
Treatments include cholesterol-lowering drugs and surgical
procedures such as bypass grafting and angioplasty. But for up to
12per cent of patients, surgery is not possible.
The new approach being tested in the United States involves
injections of stem cells taken from a patient's bone marrow. Stem
cells are immature cells which can develop into different kinds of
tissue.
Animal studies and laboratory tests have indicated that the
injection of bone marrow stem cells, and slightly more developed
cells called progenitor cells, into tissues triggers the development
of new blood vessels.
Scientists at the Indiana University School of Medicine are in
the process of treating 10 PAD patients with stem cells injected
into their legs.
Dr Michael Murphy, who is leading the research at the Indiana
Centre for Vascular Biology in Indianapolis, said: "We think this is
a very promising treatment that could help patients with severe
peripheral artery disease for whom there is now no effective
therapy."
The patients are receiving one injection before being evaluated
for 12 weeks. The researchers will be looking for signs of blood
vessel growth and wound healing. However, the primary purpose of the
phase 1 trial is to test the procedure's safety.
Studies have shown people with heart disease or at an increased
risk of heart disease have fewer blood vessel stem cells circulating
in their blood.
The researchers hope the stem cells will "jump-start" blood
vessel repair and replacement by stimulating the production of
natural proteins that promote growth.
If the study proves a success, the scientists plan a follow-up
study next year. Research is also underway to see if the stem cells
can be modified to produce more growth before being given to
patients.
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