It was very heartening to see Dr. Shinya Yamanaka recognized with the 2012 Nobel Prize for Physiology or Medicine , for his work in development of induced pluripotent stem cells (iPS cells), an ethical route to create pluripotent stem cells . Even more heartening was Dr. Yamanaka’s rationale for creation of iPS cells, and his ultimate aim, the patients:
“So my goal, all my life is to bring this technology, stem cell technology to the bedside, to patients, to clinics” .
We sometimes lose sight of that ultimate goal, the real reason behind our exciting laboratory investigations, late nights in the lab, grant submissions, published papers, and talks at meetings. That is why it is so important to celebrate these pioneers of basic science and of patient treatments. It is also important to remember practitioners who have labored in the laboratory and in the clinic, with that patient-centered goal in mind.
The last couple of years have seen the passing of several patient-centered pioneers in the field of regenerative medicine. Perhaps, most noticed was the death in January 2011 of Canadian scientist Ernest McCulloch. The late Dr. McCulloch and his colleague James Till were pioneers in bone marrow transplant and bone marrow adult stem cells. Their early work with mice in the 1960′s provided the first evidence for the existence of bone marrow adult stem cells , and laid the
theoretical groundwork for applications in bone marrow and adult stem cell transplantation .
Another early pioneer whose passing went relatively unnoticed at the time was French scientist Dr. Georges Mathe, who died in October 2010 . In 1958, he used donor bone marrow transplants to save several physicists, accidentally exposed to high doses of radiation , and published one of the first successful donor bone marrow transplants for a patient with acute lymphoblastic leukemia, in 1963 .
In 2012, we lost two more pioneers who were dedicated to pushing the frontiers of patient treatment using adult stem cells. The passing of these two patient-centered pioneers should not go unnoticed, nor should they and their accomplishments be forgotten.
Dr. Julio Voltarelli of Brazil died in March of 2012. Dr. Voltarelli was a Professor at the Ribeirão Preto School of Medicine at the University of São Paulo, Brazil. He developed a highly ranked bone marrow and stem cell transplantation program, and initiated research efforts for adult stem cell transplants directed at autoimmune diseases, including Type I diabetes. The efforts bore fruit, resulting in at least 20 Type I diabetes patients becoming insulin free, after their treatment. The first,
groundbreaking results were published in 2007 . The research team published a follow-up paper in 2009 that included additional patients, noting that at that time, their technique utilizing the patient’s own adult stem cells was “the only treatment capable of reversing type 1 DM in humans” .
Dr. Carlos Lima of Portugal passed unexpectedly in June, 2012. Dr. Lima was a pioneer in the use of nasal mucosal tissue containing adult stem cells for the treatment of spinal cord injury. He built a skilled team at the Hospital de Egas Moniz in Lisbon, Portugal, and included international collaborators to bring the best neurological expertise, to bear on the problem of using regenerative medicine techniques for
treatment of spinal cord injuries. The team’s first publication in 2006 provided information on the first few patients to undergo the technique and experience clinical improvement . Their 2010 paper showed more extensive data, with significant improvement in paraplegic and quadriplegic spinal cord injury patients, even when treatment was begun years after the injury. They observed that 12 of 13 AIS A patients improved in AIS grade, and all of the patients regained some muscle movement in their legs .
As we celebrate the accomplishments of these pioneers, let us remember them and their goal—to keep the focus on the patients.
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