NOTE: I get a LOT of comments on this post that are essentially "commercials" for stem cell treatments. THESE WILL NOT BE PUBLISHED! I have no desire to turn this into a commercial site. If you read what I have written, I do not believe stem cell treatment is appropriate or will help with MSA.
Everywhere you go on any MSA support or information site forum, you will find questions about stem cell treatment. I have done a LOT of research on stem cell treatment, especially as it relates to MSA and/or the cerebellum and medulla. Here is what I have found.
Stem cell treatment is not an approved therapy in the U.S. for most applications. It is still in the research stage in most areas that it has been approved for at this writing. There are some amazing results in very specific instances. The reasons for stem cell therapy not being approved are many, some of which are idiotic (in my opinion) protests for religious or moral reasons. That is another topic for later. Stem cell treatments are not approved for mainstream applications yet because they have not been proven safe or effective. I think some day stem cell treatment will be of great benefit, especially in certain diseases or traumatic injury. I do NOT think MSA will be one of them. Here is why.
Stem cell therapy works by inserting stem cells into a damaged area. Stem cells have the ability to recreate any cell in the body. Where cellular degeneration is involved, this can be a miracle just waiting to happen. MSA, and some other degenerative neurological diseases, involve a destruction of brain tissue especially in the medulla and cerebellum. The dopamine receptors are also specifically targeted by the disease. A bit of background (a disclaimer - I am not a doctor or trained in medicine. I read a LOT and have spoken at detail with a LOT of neurologists. This is not meant to be a scientific dissertation, just informative. I am sure there are mistakes, hopefully none of a major variety. Feel free to correct me.) - in Parkinson's the body's ability to produce dopamine and certain other neurogenic transmitters is compromised (or halted). The receptors and mechanisms to utilize the neuro-transmitters is still intact in most cases. That is why supplementation with L-Dopa is usually effective, especially in the early stages of the disease. In MSA the dopaminic receptors are damaged/destroyed. That is why a large number of MSA patients do not respond to dopamine supplementation. There is no system by which it can be utilized no matter how much is there.
Now the reason for stem cell treatment not working in MSA. The mechanism by which the dopamine receptors and brain tissue is being destroyed is not known. If (and it is a big IF) stem cell therapy were to regenerate the receptors and/or the brain tissue, it would be destroyed again. How about an example - you buy an old house. A few years in you start having electrical problems. You call an electrician and he says you have frayed wiring that is shorting out. You have him replace the wires. Months later you start having the problems again. The electrician comes out and says your wires are frayed again. You find there is something eating at the wires. You know the electrician can replace the wires again. However, even if you completely rewire the house the problem will continue until you find and eliminate whatever is eating at your wiring. (I know, call an exterminator. Easy - but try to find an exterminator that will work in the human brain on an unknown vermin!) MSA has unknown vermin eating at the wiring of the brain. All the replacing in the world will not solve the problem.
There are risks involved in stem cell therapy. There are immense costs involved, not the least of which travel to a foreign country is involved. In my opinion, after extensive research; there is no benefit to MSA patients that outweigh those risks and costs. It would appear the best you could hope for is a short reprieve from some of the symptoms.
Believe me I know first hand how frustrating this disease can be with it's relentless decline, clueless medical personnel, and lack of treatment. I just do not see stem cell treatment as any part of the answer, at least at this stage of development.
Sunday, May 1, 2011
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I agree with you whole heartedly. In the blogs I have read of actual patients, and reviewing data of the doctor's I see that it helps some people, not all, but only short term. Those who "benefited" still decline back to where they would have been if they had not had the procedure in the first place. This is due to what you were talking about, it does not fix the "why." So the families spend the money, time, and deals with the risks and recovery and emotions just to have the body take back control.
ReplyDeleteHello,
ReplyDeleteThanks for sharing your views about Stem cell. These are giving hope to patients and providing treatment for many diseases and disorders, stem cell treatments are a fairly new science, they can have life saving effects...
Not very hopeful for MSA victims.
ReplyDeleteBut your explanation was clear and informative. Thank you.
Remember, this is my opinion. I know I did a lot of research, it is an educated opinion, but it is an opinion. Also, the good thing about stem cell and other "cutting edge" therapies is they are so new the science and procedures are changing every day.
DeleteI went ahead and posted the above even though the relevance to the original post is limited (at least IMHO). I am no doubting the efficacy of stem cell therapy overall. My comments were specifically directed at MSA. I do not believe that stem cell treatments will contribute to any type of cure or remediation of MSA. I DO believe that stem cell therapy will contribute greatly to medical treatments as a whole, particularly in the future.
ReplyDeleteGreat Informative post.Thanks for sharing.
ReplyDeleteHello
ReplyDeleteThanks for sharing your point of view with us. Stem cell therapy is really a outstanding innovation. Though it is not work for all patient. But scientist are developing this and we hope that one day it will be very effective.
Michael,
ReplyDeleteI agree that stem cell therapy offers great promise as a treatment for many diseases and conditions in the future. I do have my doubts as to what it can do for patients with diseases like MSA as the body destroys the cells. It would be like putting air in a tire that has a hole in it. Until the hole is patched, adding air is a temporary fix at best.
I wish you well. Thanks for the comment.
This is my first time i visit here and I found so many interesting stuff in your blog especially it's discussion, thank you.
ReplyDeleteatiksu aritma tesis maketi