The gamecock. (Columbia, S.C.) 1908-2006, October 21, 2005, Page 4, Image 4
FDA approves first brain stem cell transplant
Paul Clias
THE ASSOCIATED PRESS
1
SAN FRANCISCO — Federal
regulators on Thursday
approved what would be the
first transplant of fetal stem cells
into human brains, a procedure
that if successful could open the
door to treating a host of neural
disorders.
The transplant recipients will
be children who suffer from a
rare, fatal genetic disorder.
The Food and Drug
Administration said that
doctors at Stanford University
Medical Center can begin the
testing on six children afflicted
with Batten disease, a
degenerative malady that
renders its young victims blind,
speechless and paralyzed before
it kills them.
An internal Stanford review
board must still approve the
test, a process that could take
weeks.
The stem cells to be
transplanted in the brain aren’t
human embryonic stem cells,
which are derived from days-old
embryos. Instead, the cells are
immature neural cells that are
destined to turn into the mature
cells that makeup a fully formed
brain.
Parkinson’s disease patients
and stroke victims have received
transplants of fully formed
brain cells before, but the
malleable brain cells involved
here have never before been
implanted.
Batten disease is caused by a
defective gene that fails to create
an enzyme needed in the brain
to help dispose of brain cellular
waste.-The waste piles up and
kills healthy cells until the
patient dies. Most victims die
before they reach their teens.
The idea is to inject the sick
kids with healthy, immature
neural stem cells that will
“engraft” in a brain that will
direct them to turn into cells
able to produce the missing
enzyme.
Such an experiment showed
promise in Batten-afflicted
mice, but such an ethically
charged test has never been tried
before in humans.
' “I’m sure there is no threat to
anyone’s identity,” said Arthur
Caplan, director of the
University of Pennsylvania’s
Center for Bioethics. “But we
are starting down that road.”
What’s more, some of the
brain cells to be implanted will
be derived from aborted fetuses,
which Caplan also said raised
ethical concerns for some.
Stem Cells Inc., the Palo Alto,
Calif, biotechnology company
developing the Batten disease
treatment, said it receives it fetal
tissue from a nonprofit
California foundation that also
collects tissue from miscarriages
and other surgical processes.
Stem Cells chief executive
Martin McGlynn declined to
name the foundation.
Stem Cells Inc. first applied
for the human test last
December, but the FDA
demanded more information in
February and put the
application on hold. An FDA
spokeswoman didn’t return
telephone calls or an e-mail
inquiry.
McGlynn said the FDA
wanted more information on
where the transplanted brain
cells were expected to go in the
brain and other related health
issues such as the chances the
transplant might cause tumors.
McGlynn also said the agency
wanted more information on its
manufacturing process and
more details about the design of
the six-patient test.
He said the FDA’s concern
was expected.
“This endeavor is unique. It’s
pioneering and no one has ever
proposed to do what we are
attempting,” McGlynn said.
“Once you put those stem cells
in, you can’t get them back.”
Stanford University
neurosurgeon chief Dr. Stephen
Huhn will bore small holes
through each child’s skull and
inject the neural cells into the
patients’ brains. The children
will be given drugs to ensure the
patients immune system doesn’t
attack the new cells and they
will be closely monitored for a
year.
Huhn said the initial Batten
trial will primarily test whether
the millions of new cells each
child receives is safe for them.
Ultimately, more tests with
many more patients over several
years will be needed to
determine whether the
transplanted cells help Batten
patients.
’If there is success, people
afflicted by other brain
disorders could benefit from
such treatment.
“This may be what the future
may hold for regenerative
medicine,” Huhn said.
Stem Cells Inc. was founded
by Stanford University
researcher Irving Weissman.
The company’s stock closed up
11 cents to $4.96 in trading
Thursday on the Nasdaq Stock
Market.
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