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The Milwaukee Journal-Sentinel
UW scientists make strides toward manufacturing blood
from stem cells
By MARILYNN MARCHIONE
of the Journal Sentinel staff
Last Updated: Sept. 3, 2001

University of Wisconsin-Madison scientists have coaxed
embryonic stem cells to form blood cells - a key step toward
one day being able to make an alternative source of blood
in a lab dish.

The hope is to make blood for transfusions that is safe
from germs, which cause diseases such as mad cow disease.
Also, the process might ease the national blood shortage
and offer a cure for cancer patients who need bone marrow
transplants but lack a suitable donor.

The research team was led by UW scientist Dan Kaufman
and included stem cell discoverer James Thomson. Their
report was published in Tuesday's Proceedings of the
National Academy of Sciences.

"This is the first evidence of anybody that has done what
we all hope can be done - to take stem cells and grow red cells
and white cells and platelets for transfusion," said William
Miller, a clinical professor at the Medical College of Wisconsin
and president of the Blood Center of Southeastern Wisconsin.

"If you can get them to go this far, it ought to be possible,
with refined techniques, to get large vats of cells" and
eventually produce them in huge quantities to offer an
alternative blood supply, Miller said.

John Thomas, a scientist and grants administrator at the
National Heart, Lung and Blood Institute, said: "This is an
important first step and sets the stage for future research
to determine if these methods can be used to produce
human blood cells that are safe and functional."

The director of the stem cell laboratory at the University of
Pittsburgh School of Medicine, Albert Donnenberg,
called the UW research "very, very carefully done work,
and a very logical next step" for the Thomson stem cell
team.

He predicted that making blood from embryonic stem cells
easily and cheaply would prove to be "a matter of logistics"
and said the UW work was "absolutely, proof of concept
that it could be done."

The Wisconsin Alumni Research Foundation last week got
a patent on the method used to make the blood cells.
The foundation already has two patents on its embryonic
stem cells and how they were made. The foundation and the
Wisconsin Comprehensive Cancer Center financed the
blood cell work.

Body's basic building blocks
Embryonic stem cells are the earliest, most basic cellular
building blocks that are capable of forming virtually all
the kinds of tissues and organs in the body. They were
first isolated and grown by Thomson in 1998.

The blood research was described in a Milwaukee Journal
Sentinel story on July 29 that told of breakthroughs that
UW scientists were making with private funds while waiting
for President Bush to decide whether to allow federal funds
to be used for stem cell research.

Last month, Bush said existing batches of stem cells would
qualify for funding. Directing those cells to form specific
tissues like blood, nerves and insulin-producing pancreas
cells is the next big step toward producing potential cures
for diseases such as diabetes and Parkinson's, and spinal
cord injuries.

"This is the first specific lineage derived from the human
embryonic stem cells," Kaufman said. "I don't want to give
any false hope to people that there's a cure around the
corner. There's a lot of work to be done."

No cure yet but it will help
The blood work especially could help people with leukemias
and a variety of blood and bone marrow cancers called
myelomas. Many of those diseases can be cured with
bone marrow transplants, but fewer than a third of people
who need them find a suitable donor. If stem cells could be
used for transplants, it could offer those patients a cure.

The UW research could be especially important if it turns
out that Kaufman and the others have grown the blood
"master cell," called the hematopoietic stem cell, from
embryonic stem cells.

The hematopoietic stem cell is an adult stem cell because it
exists in bone marrow and circulating blood, and it's what
doctors really are after when they give patients bone marrow
transplants to try to cure cancer or replenish immune systems
destroyed by cancer treatment.

It produces all the cells that form the blood and immune
system. Yet scientists have not been able to isolate it from
marrow or circulating blood and make it reproduce without
losing its "stemness,"  so it immediately differentiates into
a specific blood cell.

Need for more research seen
Kaufman's work "really illustrates the problem with adult
stem cells" and the reason that embryonic stem cell research
needs to continue, Thomson said.

The hematopoietic stem cell is the best studied of all adult
stem cells. Scientists "have spent 30, 40 years on this
adult stem cell and it's been impossible to culture,"
Thomson said. "No one's been able to culture and expand
that stem cell."

Thomson and Kaufman don't claim to have made hematopoetic
stem cells from their embryonic cells, but write in the journal
article that the groups of cells grown from their blood master
cells "appear identical to those produced from human adult
bone marrow cells."

George Daley, a fellow at the Whitehead Institute in
Cambridge, Mass., and an assistant professor at Harvard
Medical School, said the UW research isn't evidence that
they've got the hematopoietic stem cell, though several
other blood experts said it made a convincing case.

Daley said it was "certainly a nice demonstration, a technical
achievement," and parallels discoveries made with mice
embryonic stem cells about seven years ago.

"They have pretty much been able to reproduce what's been
done in mice," said Peter Newman, a Medical College of
Wisconsin faculty member and vice president of its affiliated
Blood Research Institute. "It's the first time it's been done
with human cells."

"The important part is, you might be able to derive white cells
and red cells and platelets for transfusions and transplants"
from embryonic stem cells in lab dishes, Newman said.
This research "is a necessary step in that direction."

SOURCE: The Milwaukee Journal-Sentinel
http://www.jsonline.com/alive/news/sep01/blood04090301.asp

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