January 30, 2001 Sonic may boost cancer, AIDS care By MARY-JANE EGAN, Free Press Health Reporter London, Canada -- Scientists have identified a molecule that fuels production of human stem cells -- a discovery that could accelerate new treatments for spinal-cord injury, cancers, Alzheimer's disease, Parkinson's, diabetes and AIDS. Called Sonic Hedgehog, the molecule was supposedly named several years ago by a discoverer fond of the video game Sonic the Hedgehog. The molecule -- cloned years ago from a fruit fly -- had never been applied to human stem cells until the John P. Robarts Research Institute team started work four years ago. Their work, published today in the scientific journal Nature Immunology, is the first time rare adult human stem cells have been mass produced and triggered to form other tissues, such as brain neurons, muscle and pancreatic islet cells, said lead author and Robarts researcher Mick Bhatia. "This really opens up this whole new door to cell- replacement therapies and regenerative therapies," Bhatia said. "These are buzzwords that have been thrown around by scientists but with very few people tackling the real problem of taking these cells, making a lot of them, making them into the tissue you want and then transplanting them into the patient." Stem cells are master cells that can generate most of the 200 cell types in the human body and have long been touted as key to repairing and regenerating tissues and organs. But the challenge has been in gathering enough of the rare cells to have a meaningful outcome for patients undergoing procedures such as bone marrow transplants in the treatment of leukemia. By using sonic hedgehog to mass produce stem cells, Bhatia sees application to a broad range of problems. Specifically, Bhatia hopes sonic hedgehog can be used to trigger growth of new cells to replace brain cells or neurons destroyed by such diseases as Parkinson's and Alzheimer's or islet cells damaged by diabetes. Increasing blood cells in the lab in the case of bone marrow transplants would decrease the amount of marrow needed and potentially make it easier to find donors. And as an international leader in spinal-cord injury research, Bhatia said London scientists will also focus on the molecule's potential to repair such devastating injuries. Unlike some discoveries in basic science, Bhatia said sonic hedgehog's role in proliferating stem cells has huge potential to have a direct impact on patients. "Potentially, we could take bone marrow cells, purify these cells, expand their number, switch them over to neurons and then transplant them back into a spinal-cord injury patient to re-establish that brain connection and repair the injured site." In cancer treatment, in which chemotherapy and radiation targeting a tumour often takes a heavy toll on the blood system, Bhatia envisions transplanting stem cells back into the patient, "rescuing the blood system" without interrupting therapy. Bhatia says Robarts' greatest contribution will be "creating model systems" to help repopulate the immune system with healthy cells. The next step is to transplant human stem cells into mice to study those outcomes. Copyright (c) 2001 The London Free Press, a division of Sun Media Corporation. Copyright © 2001, Canoe Limited Partnership. All rights reserved. -- Judith Richards, London, Ontario, Canada [log in to unmask] Today’s Research... Tomorrow’s Cure