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BBC NEWS
Sunday, 8 April, 2001, 23:10 GMT 00:10 UK
Stem cells 'improve stroke recovery'

The tests were carried out on rats
The potential of stem cells to repair the damage caused by strokes has
been reinforced by experiments in rats.

The advance has been made by a team of researchers at the Institute of
Psychiatry in London and Guildford-based ReNeuron Ltd.

Tests carried out on rats suggested stem cell transplants could help
stroke victims regain movement, senses and understanding.

Stem cells are the body's "master cells" and can develop into a wide
variety of different cell types.

If doctors could control which cells they become, they could produce
replacement tissues for damaged cells, such as brain cells destroyed by
a stroke.

The brain always tries to repair itself after a stroke, but the stem cells
could produce a higher level of recovery.

The researchers found that cells move to whichever area needs
repairing, wherever they are implanted in the brain.
After the transplant, the stem cells, taken from mice, dispersed to the
necessary areas of the brain, unlike foetal cell grafts, which remain in
one place.

The researchers say the stem cell transplants are likely to be more
effective than the foetal brain tissue grafts which scientists have used in
experimental Parkinson's Disease treatments.

It was shown that if stem cells were implanted into the damaged or intact
part of the brain, movement improved, and when they were implanted in
the ventricles, or cavities of the brain, the rat's cognitive abilities
improved.

The stem cell transplant also appears to increase the production of a key
protein in the brain called ApoE.

The amount of the protein in the brain is already known to increase after
a stroke.

But the tests on rats showed the stem cell graft increased the amount of
ApoE even more.

ApoE is important because it helps the brain repair itself, and form new
links between the damaged and undamaged parts of the brain, say
researchers.

Improvements
Dr Helen Hodges, who led the research, said: "We found that
movement, senses, and cognition improved when the cells were
implanted in different regions of the brain close to or distant from the
stroke damage.

"We expect that stem cells will prove far safer and more flexible for repair
of brain damage than primary foetal cells," she said.

"They are not likely to worsen symptoms, as recently reported in elderly
Parkinson patients."

She said the findings of the tests advanced neuroscience.

"This gives us greater potential flexibility in transplant surgery to
implant stem cells away from the damaged areas, knowing they will
migrate to an area where they can be most effective," she added.

A Stroke Association spokesman said: "This study is still in the very
early stages at the moment, however it is interesting and we are looking
forward to seeing the results."

A second study, by Nottingham researchers, has shown how magnetic
resonance imaging (MRI) can help doctors pinpoint which parts of the
brain are affected by a stroke, and limit the amount of long-term damage.

The Stroke Association spokeswoman said: "MRI is very helpful in
detecting stroke. It is important in the management and treatment of
stroke and the Association is pleased to be able to fund research into
this vital technology.

"We hope that this study, which is still in the early stages, will help to
reduce the devastating disability caused by stroke."

The research, which has been published in the Stroke journal, will be
presented to the British Neuroscience Association conference in
Harrogate on Monday.

http://news.bbc.co.uk/hi/english/health/newsid_1264000/1264347.stm

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