Work on unfertilized eggs gets area company noticed
 By Terri Somers
 UNION-TRIBUNE STAFF WRITER
 
 September 28, 2007 
 CRISSY PASCUAL / Union-Tribune
 Dr. Amber Buz'Zard with special cold storage facilities for human 
 parthenogenetic cells at International Stem Cells Corp. in Oceanside. 
 Alone after losing her husband and daughter in a Russian flu 
 epidemic, 60-year-old Elena Revazova came to California in 1997 and 
 began looking for distant relatives. 
 She had been the chief scientist at Russia's national cancer 
 institute. But in the United States she lived in obscurity, taking a 
 volunteer research job at the University of California Los Angeles 
 veterans hospital because she figured no one would hire a 60-year-old 
 woman with poor English, despite two Ph.D.s and a medical degree. 
 
 A decade later, Revazova's work is back in the scientific spotlight. 
 An Oceanside company she helped start, International Stem Cells, 
 gained worldwide attention with the publication last summer of work 
 done by Revazova and her team of scientists, who coaxed unfertilized 
 human eggs to produce embryonic stem cells. 
 
 The company showed that the embryonic stem cells could be grown into 
 more human embryonic stem cells, as well as differentiated into some 
 of the 200 different cell types in the body. 
 
 That work, scientists said, could provide a source of human embryonic 
 stem cells that sidestep the moral ethical debate swirling around the 
 cells. It could also provide a source of stem cells that would not 
 provoke a negative immune response when injected into humans  at 
 least in women who provide the eggs. 
 
 "It's a big deal, it's a very nice advance," said Kent Vrana of 
 Pennsylvania State University, when the article was published online 
 in the journal Cloning and Stem Cells. Vrana had done similar work in 
 monkeys. 
 
 The company is the first to intentionally create these so-called 
 human parthenogenetic cells  though another article published last 
 summer suggested that Korean stem cell researcher Woo Suk Hwang may 
 have created parthenogenetic cells when he falsely claimed instead to 
 have cloned human embryonic stem cells. 
 
 International Stem Cell is hoping to create a bank of these 
 parthenogenetic stem cells that can be used by researchers around the 
 globe, and to use cells to create new therapies for diabetes and 
 diseases of the eye and liver. 
 
 This month, a scientific journal article by the company showed that 
 they turned the embryonic stem cells into cornea tissue. 
 
 The company, which went public in January through a reverse merger 
 with an inactive company, has been selling shares over the counter. 
 Shares closed yesterday at $1.15, up 5 cents. 
 
 The founding of the company goes back to Revazova volunteering at the 
 VA hospital. 
 
 Dr. Gregory Keller, a plastic surgeon and scientist in Los Angeles, 
 had spread word that he was looking for a good scientist to work in 
 his lab. He was contacted by the head of the lab at the UCLA 
 hospital. 
 
 "He said 'we have a volunteer from Russia working in our lab, and I 
 don't know much about her, but she's amazing,' " Keller recalled. 
 
 Apparently the lab had many difficult problems getting cells to grow 
 and suddenly this Russian woman was able to make everything work, 
 Keller said. 
 
 Advertisement When Keller met with Revazova, she seemed surprised 
 that he wanted to hire her. But like the other American scientists 
 who worked with her, Keller was wowed by Revazova's work. In his 
 small lab, they worked on growing fibroblast cells to repair vocal 
 chords. 
 Over time, Keller learned more about her personal story. 
 
 Both her husband and daughter had been diabetics. The disease caused 
 them to be immunologically impaired. When the Russian flu epidemic 
 hit and medical supplies were in short supply for even an elite 
 scientist's family, the two could not survive. 
 
 The loss fueled her interest in therapies for diabetes. 
 
 Keller brought Revazova together with William Adams, a financial 
 expert he'd done some work with before who also had a personal 
 interest in diabetes research. And they introduced her to Kenneth 
 Aldrich, a venture capital specialist. 
 
 Together they decided to use Revazova's scientific skills as a basis 
 for a company that would target therapies for diabetes. 
 
 And they recruited Jeffrey Janus, a scientist who was a member of the 
 team that founded Clonetics Corporation, a San Diego company that had 
 been a leader in manufacturing human cells for clinical and research 
 use. 
 
 Janus pulled together a scientific team that could work on two fronts 
 for the company. One was research and development, including 
 Revazova's work. The second was the creation of a cell growing 
 business that could earn revenue to support the research. 
 
 As Revazova researched diabetes, she became frustrated with the 
 limitations of adult stem cells. 
 
 Adult stem cells can be derived from many different places in the 
 human body. Unlike embryonic stem cells, adult stem cells do not 
 require the destruction of a human embryo. But they are limited in 
 what they can become, unlike embryonic stem cells, which evolve into 
 the 200-plus different cell types in the body. 
 
 Revazova began looking at human embryonic stem cells but realized 
 that even they, as a therapy, would have an inherent therapeutic 
 problem  people who received a therapy made from stem cells with a 
 foreign DNA would have immune rejection issues and be required to 
 take immune suppressing drugs that have side effects. 
 
 So she began researching the possibility of coaxing an unfertilized 
 human egg to create embryonic stem cells. These so-called 
 parthenogenetic cells already exist in nature, Revazova explained 
 recently. For instance, unfertilized bee eggs produce the male, 
 worker bees. The fertilized eggs produce the female, queen bee, she 
 said. 
 
 And scientists had simulated that process in animals. 
 
 She thought that by stimulating the human eggs chemically, and then 
 controlling the temperature and oxygen in the environment in which 
 they are incubated, they could be coaxed to live and mature for up to 
 seven days and become a blastocyst, a cluster of about 200 cells. 
 Within the blastocyst's inner cell mass are embryonic stem cells. 
 
 But any work Revazova wanted to do on human embryonic stem cells was 
 made problematic because of funding restrictions that President Bush 
 placed on the research, Janus said. 
 
 Revazova returned to Russia in March 2002, to work on the 
 controversial cells with funding from the company. In her homeland, 
 she could work unfettered by U.S. restrictions. And she knew many top-
 notch scientists who were hungry for work because they could not get 
 sufficient funding from the government since the dissolution of the 
 Soviet Union. 
 
 The researchers talked to hundreds of Russian women who had gone 
 through in-vitro fertilization to have children, and as a result had 
 leftover eggs, or oocytes, frozen in storage at IVF clinics. From the 
 women who sought to donate their unwanted eggs to research, the 
 researchers used 12 eggs, taking them only from people who had 
 already successfully had children, Revazova said. 
 
 From them, they successfully created six new embryonic cell lines. 
 
 "What Elena did that was so important was that she did this 
 repeatedly. It was not a one-time event," said Jeff Krstich, 
 International Stem Cell's chief executive. 
 
 The efficiency with which the lines were created is also notable, 
 scientists said. For an embryonic stem cell therapy to ultimately be 
 successful, the cell lines will have to be created with efficient use 
 of human eggs, which are not readily available. 
 
 Another possible advantage of the cell lines is that they may get 
 around federal funding restrictions in the United States because they 
 do not come from fertilized eggs, said Evan Snyder, who runs the 
 embryonic stem cell research program at the Burnham Institute in La 
 Jolla. 
 
 "Of course, we'd have to make sure these cells can do everything they 
 are supposed to do," Snyder said. 
 
 The company is now hoping to take advantage of its California 
 headquarters, which gives it access to a growing pool of talented 
 stem cell scientists and possible funding from the state's $3 billion 
 taxpayer-supported stem cell research fund, Krstich said. 
 
 It appears its work in eye diseases has the potential to become its 
 first product, since a third-party laboratory has certified that 
 International'
 corneal tissue used for implant is taken from cadavers, and 
 recipients have immunological rejection issues, Revazova said. 
 
 If the company's parthenogenetic cells can be used for a therapy, 
 theoretically a woman's oocyte could be used to produce cornea 
 tissue. Or, cornea tissue can be developed from a donor oocyte and 
 statistically, at least, it would pose fewer rejection issues than 
 tissue that comes from a fertilized egg and contains the DNA of two 
 people, Janus said. 
 
 Hans Keirstead, a stem cell scientist at UC Irvine, has been given 
 some of the company's cells to evaluate and work with as an 
 independent adviser. 
 
 While Krstich, the CEO, is optimistic the company's work in eye 
 disease could be in human clinical trials within a year and a half 
 with Keirstead's involvement, the UC Irvine doctor is more measured. 
 
 From his work on the cells so far, they appear to be parthenogenetic 
 stem cells that differentiate, but Keirstead said he has no hard data 
 yet. 
 
 Even without those results, the company's work is still a valuable 
 contribution to the field because it is a new stem cell line, these 
 are potentially autologous cells and there are not many people 
 working on developing parthenogenetic cells, Keirstead said. 
 
 The advantage to having a business work on these lines is that it has 
 financial backing to concentrate on them, so their chances of 
 succeeding are higher than others, he said. 
 
 Some local scientists who have read articles about Revazova's work 
 but have not seen the cells are excited by it. But they cautioned 
 that more work must be done to investigate whether these cells can 
 form tumors. 
 
 Snyder, from the Burnham Institute, also said there is still not 
 enough known about embryonic stem cells to predict whether the 
 absence of one set of parental genes is important. 
 
 "It could turn out to be important to have two sets of genes. With 
 real fertilization you get two copies of a gene and one is silenced 
 and one isn't. Sometimes you want the father's genes and sometimes 
 you want the mother's version. It could be a problem to be stuck with 
 one version," Snyder said. 
 
 Krstich said the real challenge for International now is securing 
 another $1 million to bring the cornea project to market. Originally 
 that project wasn't in the business plan, but developed as the 
 scientists studied retinal disease. 
 
 A grant from the California Institute for Regenerative Medicine could 
 be a possible funding source. 
 
 "The key for us is getting the money to get to trial," Krstich 
 said. "Once we get to trial, getting money will be easier. Not easy, 
 but easier." 
 
 Terri Somers: (619) 293-2028; terri.somers@
 
 http://www.signonsa
 1b28tech.html
 
 
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StemCells subscribers may also be interested in these sites:
Children's Neurobiological Solutions
http://www.CNSfoundation.org/
Cord Blood Registry
http://www.CordBlood.com/at.cgi?a=150123
The CNS Healing Group
http://groups.yahoo.com/group/CNS_Healing
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