Archives: 6/2008

57546es BioTime Begins First Complete Database of Human Stem Cell Differentiations
BioTime Inc of Emeryville, California, a daughter company of Embryome Sciences, has launched an online database that aims to document and map all the different cells that were lab created out of human embryonic stem cells.
From the announcement:

In a paper published today [June 27, 2008] titled “The International Embryome Initiative: A Collaborative Database for Navigating the Complexities of Human Embryonic Stem Cell Differentiation,” available online at www.futuremedicine.com/loi/rme, BioTime and Embryome Sciences describe the collaboration to map the “embryome” in a manner similar to the international initiatives to map the human DNA or genome in the 1990s. While the database launched today at Embryome.com is currently populated with nearly 2,000 distinct cell types, the complete map will require the collective efforts of hundreds of scientists over the coming months.
The California Institute for Regenerative Medicine, which is the funding arm of the $3 billion California stem cell initiative, has agreed to be the first subscriber to all features of the database on behalf of all researchers residing within the state of California.

Press release: BioTime, Inc. and Embryome Sciences, Inc. Launch Embryome.com and the International Embryome Initiative …
Embryome.com…

4354mps1 G Wire: Visually Positioned Guidewire for Faster, Safer Procedures Israel’s MediGuide and Japans’ Asahi Intecc have announced that the two companies are teaming up to develop a new surgical guide wire that can be visually monitored and controlled in real time using MediGuide’s Medical Positioning System (gMPS), a technology previously reported by us as “intrabody positioning system for medical devices, guide-wires, coronary catheterization devices, and such.”
From the announcement press release:

This innovative G-Wire™ will enable physicians to visually track the actual orientation as well as the 3D spatial tip position of the wire while manipulating it in real time. In addition, it will enable marking and 3D visualization capabilities also offered by the MediGuide technology. These capabilities are achieved using MediGuide’s Medical Positioning System (gMPS™) technology, incorporated within various Cath Labs which has been recently approved for use in Europe. This new functionality is expected to be extremely useful during procedures such as chronic total occlusion (CTO) as well as other complex operations which require accurate wire manipulation in the field of interventional cardiology.
Martin B. Leon, M.D., Professor of Medicine at Columbia University Medical Center and Founder of the Cardiovascular Research Foundation in New York City, said: “This collaboration brings together the most advanced guidewires and sophisticated imaging and guidance technology, providing an exciting opportunity to improve CTO therapy in the future.”
4354mps2 G Wire: Visually Positioned Guidewire for Faster, Safer ProceduresDr. Osamu Katoh, Director of Research Center at the Toyohashi Heart Center, said
"No matter how you look at it, Asahi’s guide wire technology produces one to one torque performance. The integration of Asahi’s one to one torque performance technology and MediGuide’s gMPS navigation technology, will create a tremendous synergy effect that could dramatically improve the treatment options for complex lesions, including CTO’s"

Press release: Asahi Intecc and MediGuide announced collaboration in development and sales of innovative gMPS™ Enabled Guide Wire (G-Wire™) …
More from Globes
ASAHI INTECC torque technology page…
Flashbacks: Medical Position System (MPS) from MediGuide: GPS for Cath

45345wer Nerve Cells Made from Stem Cells Successfully Transplanted
Researchers at the Burnham Institute for Medical Research in La Jolla, CA have for the first time converted stem cells to nerve cells, and implanted them into mice. The transplantation and accommodation of these cells was successful, and the scientists did not get into the common problems associated with transplanted cells, such as resulting formation of tumors.

Prior to this research, creating pure neuronal cells from ES cells had been problematic as the cells did not always differentiate into neurons. Sometimes they became glial cells, which lack many of the neurons’ desirable properties. Even when the neuronal cells were created successfully, they often died in the brain following transplant—a process called programmed cell death or apoptosis. In addition, the cells would sometimes become tumors.
Dr. Lipton solved these problems by inducing ES cells to express a protein, discovered in his laboratory called myocyte enhancer factor 2C (MEF2C). MEF2C is a transcription factor that turns on specific genes which then drive stem cells to become nerve cells. Using MEF2C, the researchers created colonies of pure neuronal progenitor cells, a stage of development that occurs before becoming a nerve cell, with no tumors. These cells were then transplanted into the brain and later became adult nerve cells. MEF2C also protected the cells from apoptosis once inside the brain.
“To move forward with stem cell-based therapies, we need to have a reliable source of nerve cells that can be easily grown, differentiate in the way that we want them to and remain viable after transplantation,” said Dr. Lipton. “MEF2C helps this process first by turning on the genes that, when expressed, make stem cells into nerve cells. It then turns on other genes that keep those new nerve cells from dying. As a result, we were able to produce neuronal progenitor cells that differentiate into a virtually pure population of neurons and survive inside the brain.”
The next step was to determine whether the transplanted neural progenitor cells became nerve cells that integrated into the existing network of nerve cells in the brain. Performing intricate electrical studies, Dr. Lipton’s investigative team showed that the new nerve cells, derived from the stem cells, could send and receive proper electrical signals to the rest of the brain. They then determined if the new cells could provide cognitive benefits to the stroke-afflicted mice. The team executed a battery of neurobehavioral tests and found that the mice that received the transplants showed significant behavioral improvements, although their performance did not reach that of the non-stroke control mice. These results suggest that MEF2C expression in the transplanted cells was a significant factor in reducing the stroke-induced deficits.

Press release: Nerve Cells Derived from Embryonic Stem Cells and Transplanted into Mice May Lead to Improved Brain Treatments …
Image credit: Wellcome images: Dorsal Root Ganglion neurones in culture…

Poliovirus Genome Synthesis Technique for Virus Vaccine DevelopmentA group at Stony Brook University has modified the polio virus to create a weakened version, which, when injected, went on to effectively immunize lab mice. The team of molecular biologists and computer scientists used a novel algorithm to sort through potential recordings of the genome that would produce the desired proteins. The technique may lead to practical, systematic methods of developing future viral vaccines.

Because of the redundancy of the genetic code, there are an unimaginably large number of ways to encode any given protein. For poliovirus proteins, there are more possible encodings (10 to the 442 power) than atoms in the universe. Using a powerful computer algorithm, the team found particular re-codings of the genome predicted to weaken the virus.
The researchers made hundreds of small mutations in the genome that perfectly preserved the viral proteins but changed the way those proteins were encoded by RNA (ribonucleic acid), so that pairs of amino acids were added by transfer RNAs (tRNAs) that rarely work together in normal proteins. They call the process “Synthetic Attenuated Virus Engineering,” or “SAVE.” The resulting virus contains completely authentic, wild-type poliovirus proteins. However, each of the hundreds of mutations causes a tiny defect by creating an obstacle – a genetic “speed bump” – in translating the genetic code into a protein.
“Translation of this unusual genome into viral proteins was inefficient, and the most highly re-coded virus was weakened to the point where it was unable to infect cells,” says J. Robert Coleman, Lead Author and a graduate student in Molecular Genetics and Microbiology.
The reduced translational efficiency of these chimeric viruses reduced their ability to cause disease. The team injected mice with the re-coded polioviruses. Most mice showed no signs of disease but did produce anti-polio antibodies. These mice were then immune against infection by the normal, fully virulent poliovirus.

Press release: SBU Team Designs Customized “Wimpy” Polioviruses, A Method That Could Be A New Path To Vaccines …
Abstract in Science: Virus Attenuation by Genome-Scale Changes in Codon Pair Bias
Image: The structural appearance of Poliovirus (type I, Mahoney strain) coating protein

zinczfm Zinc Finger DNA Binding Protein Technology Gives T Cells Shield Against HIVSangamo BioSciences, Inc., based in Richmond, California, is reporting positive news showing that CD4 T-cells can be made HIV resistant with the help of the company’s proprietary zinc finger DNA-binding protein nucleases (ZFN), specially developed transcription factors.
From Sangamo:

Sangamo’s ZFNs are designed to permanently modify the DNA sequence encoding CCR5, a co-receptor that enables HIV to enter and infect cells of the immune system. Individuals carrying a naturally occurring mutation of their CCR5 gene, a variant known as CCR5-delta32, have been shown to be resistant to HIV infection.
“The data described in this paper are an important demonstration of the potential therapeutic properties of our product,” commented Dale Ando, M.D., Sangamo’s vice president of therapeutic development and chief medical officer. “We have demonstrated that a single treatment with our CCR5-specific ZFNs generates a population of HIV-resistant human T-cells similar to the situation in individuals carrying the natural CCR5-delta32 mutation. ZFN-modification of these cells is permanent and makes them resistant to HIV. The modified cells preferentially survive and expand in an animal after HIV infection, providing a reservoir of healthy and uninfectable immune cells. Furthermore, we observed that animals given the ZFN-modified cells had increased numbers of CD4 cells and substantially lower levels of HIV in their blood compared to animals given non-modified cells demonstrating statistically significant protection from the virus. In an HIV-infected patient, such modified cells could be available as a protected reservoir within the immune system to fight both opportunistic infections and HIV itself.”
Several major pharmaceutical companies have initiated programs to develop small molecule or monoclonal antibody approaches to block the binding of HIV to CCR5. However, a small molecule or antibody approach requires the constant presence of a sufficiently high concentration of these drugs or antibody to block therapeutically relevant numbers of the CCR5 protein, which is present in thousands of copies on the surface of each T-cell and other tissues in the body. One such drug has been approved by the US Food and Drug Administration with a “black box” warning, the strongest for prescription drugs, concerning the risk of liver toxicity and the possibility of heart attacks.
Sangamo’s ZFN technology represents a means of potentially circumventing these limitations or risks by specifically modifying only CD4 T-cells, the principal target of HIV pathology, in a one-time exposure of the cells to ZFNs. This results in permanent modification of the CCR5 protein such that HIV cannot enter and infect the cells. This approach could potentially enable the generation of a reservoir of protected CD4 T-cells that are available to fight the opportunistic infections that are characteristic of AIDS as well as HIV itself. Sangamo expects to initiate a clinical trial to evaluate this approach by the end of the year.

Press release: Sangamo BioSciences Announces Nature Biotechnology Study Demonstrating the Use of Zinc Finger Nucleases to Generate HIV Resistant T Cells …
Sangamo ZFP technology page
Abstract in Nature: Establishment of HIV-1 resistance in CD4+ T cells by genome editing using zinc-finger nucleases

soft omniax First System for Treatment of Vertigo Wins Approval
According to Portland Business Journal, Vesticon Corp. out of Portland, Oregon just received FDA approval for the first device to diagnose and help treat people experiencing benign paroxysmal positional vertigo (BPPV). Here’s, in simple terms, how the system works. The Epley Omniax system uses glasses equipped with infrared sensors that track the eye of a patient sitting in a free-rotating chair that performs “canalith repositioning maneuvers”. circle the epley omniax 10 First System for Treatment of Vertigo Wins ApprovalThe problem is that in many people loose particles, called otoconia, are found in the semi-circular canals of the inner ear. The movement of otoconia disrupts normal sensing of one’s orientation, and the eye involuntarily responds, via reflex called nystagmus, to otoconia’s rumbling around the canals. By monitoring the eye one can detect the particles’ presence, and also shake them out of the sensitive areas by rotating the patient.
From the product page:

  • Quantified procedures with recording and report for Dx / Tx for all six canals and all conditions related to BPPV.
  • Repeatable, comparable, precise maneuvers for definitive patient management.
  • Facilitates best practices and standardization.
  • Facilitates detection and treatment to optimize outcomes for even the most difficult cases.
  • Company video describing the workings of the Omniax system:


    More at Portland Business Journal
    Product page: Epley Omniax …

    56435syz Battling Migraines From the Inside and OutTwo interesting studies are being reported at the ongoing annual scientific meeting of the American Headache Society (AHS) in Boston. The first study, dubbed Occipital Nerve Stimulation for the Treatment of Intractable Migraine (ONSTIM), has evaluated Medtronic‘s Synergy® neurostimulation device.
    Medtronic, predictably, is quite excited about the possibility that occipital nerve stimulation one day might become a treatment option for migraine sufferers who are resistant to all other therapies:

    The ONSTIM study, sponsored by Medtronic and conducted under an investigational device exemption (IDE), collected electronic diary data from 66 patients from nine centers who were followed for three months. The data to be reported at the AHS meeting include the average change in the number of headache days per month, overall pain intensity and the responder rate based on at least a 50 percent reduction in headache days per month or at least a three-point reduction in overall pain intensity.
    “The ONSTIM results suggest that occipital nerve stimulation, or ONS, may be a promising therapy option for individuals who have not had success in treating their chronic migraine and as a result are living with the painful and often debilitating symptoms,” said Dr. Joel R. Saper, M.D., founder and director of the Michigan Head Pain and Neurological Institute, Ann Arbor, Mich., and principal investigator for the ONSTIM study. “While ONS for chronic migraine requires additional clinical evaluation, our early experience in this study is encouraging and indicates that ONS could possibly help some chronic migraine patients who have exhausted other treatment options.”
    In the study, thin lead wires were placed under the skin near the occipital nerves, which arise from the spinal cord and branch out across the back of the head carrying sensory signals from that region to the brain. The leads were connected to an implanted Medtronic neurostimulator that delivered controlled electrical pulses to the occipital nerves. Patients were randomized to three groups to receive: either a neurostimulator and have the ability to control the level of stimulation; or a neurostimulator as part of a device control group; or only standard medical management instead of an ONS implant. A positive response was defined as at least a 50 percent reduction in the number of headache days in a month, or a reduction in the pain intensity of at least three points on a standard 0-10 pain scale. In addition to evaluating the efficacy of ONS therapy, the ONSTIM trial was designed to follow patients out to three years related to safety.

    67845134d Battling Migraines From the Inside and OutIn other news from the headache front, investigators from the Ohio State University Medical Center are continuing to test a noninvasive portable transcranial magnetic stimulator (TMS) from Sunnyvale, CA based Neuralieve Inc., as a potential treatment for migraines. First reported by us back in June 2006, the device seems to be effective in not only reducing the symptomatology of migraines, but actually in treating them.
    The press release from Ohio State explains:

    Results of the study, to be presented Friday (6/27) at the annual American Headache Society meeting in Boston, found that the experimental device is safe and effective in eliminating headaches when administered during the onset of the migraine…
    Of the 164 patients involved in the multi-center, randomized clinical trial receiving TMS treatment, 39 percent were pain free at the two-hour post-treatment point, compared to 22 percent in the group receiving “sham” pulses. There were no differences reported related to adverse reactions between the two groups.

    Medtronic press release: Medtronic Announces First Clinical Data on Occipital Nerve Stimulation for Chronic Migraine to be Presented at American Headache Society Meeting …
    Ohio State University Medical Center press release: Portable Device Effective in Zapping Away Migraine Pain …
    Neuralieve press release: New Technology Provides Drug-Free Approach to Treat Migraine…
    Medgadget archives: TMS

    524deb1 Insulin Nanopump Prototype From Debiotech
    Debiotech S.A of Lausanne, Switzerland has produced the first prototypes of the company’s tiny insulin pump, a device we’ve reported back in April 2007.
    4234nn1 Insulin Nanopump Prototype From Debiotech

    The working principle is a volumetric membrane pump, with a pair of check valves, integrated in a MEMS chip. The chip is a stack of 3 layers bonded together: a silicon on insulator (SOI) plate with micromachined pump-structures and two Pyrex cover plates with through-holes. This MEMS chip is assembled with a piezoelectric actuator that moves the membrane in a reciprocating movement to compress and decompress the fluid in the pumping chamber.
    The design and manufacturing process of the Nanopump™ starts with silicon on insulator (SOI) wafers. Such wafers are used as the starting material in the fabrication of the latest and fastest computer chips. For the Nanopump™ the SOI wafers allow to increase the precision while shrinking the size of the chip. At its small size, numerous chips can be manufactured at the same time on one wafer, minimizing the cost per chip.

    4234nn2 Insulin Nanopump Prototype From Debiotech

    Constant and accurate flow rate is guaranteed through the control of the displacement of the pumping membrane. The movement occurs between two mechanical stops defined by the construction of the chip. As a consequence, the flow rate is linear with actuation frequency and virtually insensitive to inlet and outlet pressure, actuation voltage, temperature, viscosity and aging.

    More from the Nanopump technology page
    Device page: Insulin Nanopump…
    Press release: STMicroelectronics and Debiotech Announce First Prototypes of Disposable Insulin Nanopump…
    More from DiabetesMine…

    76585rf Some Worrying News for Clinical RFID Industry
    A Dutch study published in the June 25 issue of JAMA assessed the effects of electromagnetic interference (EMI) from RFID (radio frequency identification) devices on hospital equipment. The authors report that they have discovered that critical care gadgets can undergo major malfunctions thanks to EMI.
    Here’s the nugget from the American Medical Association press release:
    6785oi Some Worrying News for Clinical RFID Industry

    Remko van der Togt, M.Sc., of Vrije University, Amsterdam, the Netherlands, and colleagues conducted a study in a controlled, non-clinical setting to assess and classify incidents of electromagnetic interference by RFID on critical care equipment. The tests were performed in a one-bed patient room in an intensive care unit (ICU) and with no patients present. Electromagnetic interference by two RFID systems (active [with batteries and ability to transmit information] and passive [without batteries, information retrieved by RFID reader] was assessed in the proximity of 41 medical devices (in 17 categories, 22 different manufacturers). The devices included items such as external pacemakers, mechanical ventilators, infusion/syringe pumps, dialysis devices, defibrillators, monitors and anesthesia devices. Incidents of EMI were classified according to a critical care adverse events scale as hazardous, significant, or light.
    All 41 medical devices were submitted to 3 EMI tests resulting in 123 EMI tests. A total of 34 EMI incidents were found; 22 were classified as hazardous, 2 as significant, and 10 as light. The passive signal induced a higher number of incidents (26 in 41 EMI tests; 63 percent), and hazardous incidents (17), compared with the active signal.
    Hazardous incidents included: total switch-off and change in set ventilation rate of mechanical ventilators; complete stoppage of syringe pumps; malfunction of external pacemakers; complete stoppage of renal replacement devices, and interference in the atrial and ventricular electrogram curve read by the pacemaker programmer.
    The median (midpoint) distance between reader and device at which all types of incidents occurred was 11.8 inches. Hazardous incidents occurred at a median distance of 9.8 inches.

    Press release: ELECTROMAGNETIC INTERFERENCE FROM SOME RADIO FREQUENCY IDENTIFICATION DEVICES MAY POSE HAZARDS TO MEDICAL EQUIPMENT …
    Abstract: Electromagnetic Interference From Radio Frequency Identification Inducing Potentially Hazardous Incidents in Critical Care Medical Equipment JAMA. 2008;299(24):2884-2890.
    Image credit: lyzadanger @ Flickr: Tags Before Surgery