Turning on adult stem cells may help repair bone
 Potential new approach to treating osteoporosis, other degenerative 
 conditions
 The use of a drug to activate stem cells that differentiate into bone 
 appears to cause regeneration of bone tissue and be may be a 
 potential treatment strategy for osteoporosis, according to a report 
 in the February 2008 Journal of Clinical Investigation. The study  
 led by researchers from Massachusetts General Hospital (MGH) and the 
 Harvard Stem Cell Institute (HSCI)  found that treatment with a 
 medication used to treat bone marrow cancer improved bone density in 
 a mouse model of osteoporosis, apparently through its effect on the 
 mesenchymal stem cells (MSCs) that differentiate into several types 
 of tissues. 
 
 "Stem cell therapies are often thought of as putting new cells into 
 the body, but this study suggests that medications can turn on 
 existing stem cells that reside in the body's tissues, acting as 
 regenerative medicines to enhance the body's own repair mechanisms," 
 says David Scadden, MD, director of the MGH Center for Regenerative 
 Medicine and HSCI co-director. "Drugs that direct immature cells to 
 become a particular cell type, like in this study, could potentially 
 be very useful." 
 
 The study was designed to examine whether the drug bortezamib (Bzb), 
 which can alleviate bone destruction associated with the cancer 
 multiple myeloma, could also regenerate bone damaged by non-cancerous 
 conditions. In their first experiments, the researchers showed that 
 treating mice with Bzb increased several factors associated with bone 
 formation. Similar results were seen when cultured MSCs were treated 
 with Bzb, but not when the drug was applied to cells that were 
 committed to become particular cell types. Found in the bone marrow, 
 MSCs have the potential to develop into the bone-building osteoblasts 
 and several other types of cells  including cartilage, fat, skin and 
 muscle. 
 
 Subsequent experiments supported the hypothesis that Bzb increases 
 osteoblast activity and bone formation by acting on MSCs but not on 
 more differentiated osteoblast precursors. Use of Bzb to treat a 
 mouse model of menopausal osteoporosis produced significant 
 improvements in bone formation and density. Since current treatments 
 for osteoporosis  which target differentiated cells like osteoblasts 
 and the osteoclasts that break down bone  have limitations, the 
 ability to direct differentiation of MSCs could be a promising 
 approach to treating osteoporosis and cancer-associated bone loss, 
 the researchers note. 
 
 "If the paradigm displayed in this study holds true for other 
 tissues, we may have options for repairing and regenerating sites 
 affected by injury or disease with medications  that would be pretty 
 exciting." says Scadden, who is the Gerald and Darlene Jordan 
 Professor of Medicine at Harvard Medical School. 
 
 ###
 Siddhartha Mukherjee, MD, of the MGH Center for Regenerative Medicine 
 (CRM) and HSCI is lead author of the study, which was supported by 
 grants from the National Institutes of Health. Additional co-authors 
 are Jesse Schoonmaker, David Seo, Joshua Aronson, and Louise Purton, 
 PhD, MGH-CRM; Noopur Raje, MD, MB, MGH Cancer Center; Julie Liu, Jane 
 Lian, PhD, and Gary Stein, PhD, University of Massachusetts Medical 
 School; Teru Hideshima, MD, PhD, Sonia Vallet, MD, Samantha Pozzi, 
 Shweta Chhetry, Mariateresa Fulciniti and Kenneth Anderson, MD, Dana-
 Farber Cancer Institute; Marc Wein, Dallas Jone, PhD, and Laurie 
 Glimcher, MD, Harvard School of Public Health; and Mary Bouxsein, 
 PhD, Beth Israel Deaconess Medical Center. 
 
 Massachusetts General Hospital (www.massgeneral.
 1811, is the original and largest teaching hospital of Harvard 
 Medical School. The MGH conducts the largest hospital-based research 
 program in the United States, with an annual research budget of more 
 than $500 million and major research centers in AIDS, cardiovascular 
 research, cancer, computational and integrative biology, cutaneous 
 biology, human genetics, medical imaging, neurodegenerative 
 disorders, regenerative medicine, systems biology, transplantation 
 biology and photomedicine. 
 
 Public release date: 25-Jan-2008
 Contact: Sue McGreevey
 smcgreevey@partners
 617-724-2764
 Massachusetts General Hospital 
 
 http://www.eurekale
 
 More:
 http://uk.reuters.
 
 
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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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