Wednesday 8 January 2014

American Mom has Stem Cell Transplant and Wins War Against MS

 
Brooke Slick photographed nearly six months after her stem cell transplant and initial chemotherapy.
After being trapped in a body racked by multiple sclerosis (MS) for more than seven years, a 49-year-old Pennsylvanian woman has had stem cell treatment that has turned her life around.
Wife and mother of one, Brooke Slick had been suffering from severe symptoms, starting with diminished vision in one eye in 2001. Even though doctors picked up “enhancing” lesions in her brain, it wasn’t until 2005 that they diagnosed MS. Additional symptoms included:
  • Right foot drop that made her feel as if she had a concrete block or dead bear tied to her foot
  • Profound loss of hearing in her right ear
  • Loss of strength, feeling and dexterity in her right arm and both hands
  • Numb fingers, feet and toes, and numbness around her middle
  • Severe though sporadic spasticity in the form of muscle spasm in her rib cage
  • Constant lack of balance that resulted in numerous falls at home and in public
Her body was bombarded with numerous therapeutic drugs, but the symptoms continued to worsen. By July 2012 all her options had been exhausted. That was when she began to research possibilities and discovered people all over the world were having stem cell transplants to halt MS.
 
Brooke took the initiative and was accepted for treatment in Moscow, Russia. It is not yet available in the United States of America because it’s considered “experimental treatment” – and she didn’t qualify for any US trials. Her admission date was April 28, 2013.
 
Stem Cell Treatment for MS
Hematopoietec stem cell transplant (HSCT) for multiple sclerosis is a highly specialized treatment that is designed to stop the progression of the illness and re-establish the immune system.
 
Brooke’s own stem cells were collected and frozen in preparation for the treatment that was to be done after intense chemotherapy that would take place over four days. The plan was that the stem cells would be returned to her body intravenously after chemo, to re-establish her immune system that contained the t-cells where the MS was present, and that was deliberately destroyed during the chemotherapy process.
 
As Brooke explains on her web site, Hello, Russia! B-bye, MS, her “new” immune system would have no “memory” of MS once the old immune system was wiped out. “MS held me captive long enough. It’s my turn now.”
 
Explaining to me in a little more detail she said the re-injected stem cells were intended to act as “a rescue team” to help her recover from treatment more quickly. “The stem cells do not play a hand in halting the MS. The chemo is the true hero in this treatment, because it is what abates the t-cells.” But of course without her re-injected stem cells her immune system wouldn’t function.
 
Brooke knows that it will take between 12 and 18 months for the full benefits of treatment to be evident. Still while there is no certainty of the results of a stem cell transplant, generally results do show that the process is successful in halting both the progression and activity of MS. In addition up to 8o percent of patients have reported that 45 to 80 percent of their previous symptoms were reversed.
 
Results of HSCT for MS
When Brooke left for Russia she knew she had dangerous active lesions in her brain; but what neither she nor her doctors realized was that she had ten of them. So while her treatment went according to plan, back in the US she would need follow-up chemo: four doses every three months through May 2014. So at this time of writing, Brooke is still not certain what degree of success her HSCT will have. However by early November 2013 she wrote:
“I’ve fought the battle and I’ve won the war against MS!”
Having had a brain scan – the first since Moscow – she was relieved to find that all the lesions had decreased in size and only one (the largest of all) was continuing to “enhance” – and only very slightly. From being the size of a dime, it is now the size of a “shriveled pea”, and should, she believes, be destroyed by forthcoming chemo treatments.
 
In addition to the chemo, Brooke’s having intense physiotherapy several times a week that is helping her use muscles that she wasn’t able to use previously. Core strengthening, she says, has aided her posture and balance, which is helping her walk better, for longer - and without her stick.
 
Brooke Slick’s Followers
Meanwhile there are people from more than 70 countries who follow Brooke’s blog – many of them hopeful to be able to get the opportunity to have a stem cell transplant. And it is her mission “to tell as many people I can with MS, that there is hope”.
Certainly the more people who are aware of stem cell technology, the more likely it is that treatment will become available in this country.
 
To Your Health!
 
Steven Marshank
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

Hematopoietec Stem Cell Transplants to Fight MS

Neural stem cells. Photo: Dr Su Chun Zhang, The Waisman Center, University of Wisconsin - Madison.
Hematopoietec stem cell transplant (HSCT) is a process that uses blood-forming stem cells to treat patients who have cancer, blood disorders and serious problems with their immune systems.

HSCT is currently the only medical hope offered to people suffering from multiple sclerosis (MS) who want to stop the disease – that effectively shuts down the immune system - from progressing further. While there are some relatively new medications that are approved by the FDA, that reduce and slow down the development of MS, so far none of these is able to stop or reverse the condition.

HSCT has been proven to halt MS. Even though it is a grueling process that is tough on the body and soul, and certainly should not be taken lightly, there is considerable evidence that it works. The result is a growing body of patients willing to face the process in their desire to escape from the debilitating chains of MS.

Because it is considered experimental in the USA, and because there are other major technical “roadblocks” in this country that prevent most of the population from getting access to the treatment, most of those opting for HSCT for MS are forced to travel abroad, to countries like Russia and Israel for treatment.

Understanding Multiple SclerosisMultiple sclerosis is a chronic disease that involves an immune system attack against the vital central nervous system. It doesn’t follow any set pattern, and its onset is frequently accompanied by impaired vision and stumbling that is caused by a lack of balance. Over time a variety of symptoms and pathological lesions are disseminated anatomically.
The symptoms of MS are varied and its severity, as well as the speed at which it progresses, is unpredictable. Typical mild symptoms include numbness in the toes, fingers and limbs in general, while severe symptoms may include temporary blindness and even paralysis. Even though these are well known, doctors often have difficulty diagnosing the disease until it is deep-seated, and the patient is severely disabled.


Nevertheless, most people with MS are believed to have a reasonably normal life expectancy, based of course on other health factors as well as weight and environmental issues.


How HSCT Works to Halt MS
Blood cells give us immune protection; and the stem cells that are responsible for constantly renewing these blood cells (as well as the immune cells) are called hematopoietic stem cells (HSCs).  The two hallmarks of these cells are their ability to produce cells that generate different blood cell types, and their ability to renew themselves.
Basic steps in any HSCT process include:

  1. Stimulation of stem cell growth
  2. Collection of stem cells
  3. Chemotherapy
  4. The transplant itself
  5. Engraftment of the stem cells and new immune system
  6. Recovery
Mobilization of Stem Cells in the Patient’s Body Historically, hematopoietic stem cells were extracted from bone marrow that also contains other cell types. Today the medical profession harvests the stem cells from peripheral blood that is circulating in the body, stimulating (or mobilizing) the stem cells to migrate more quickly, and in greater numbers, into the blood stream. Since only a very small percentage of the cells in the blood will be HSCs, this improves the odds.

Apheresis After about four days of mobilization, apheresis (which is the collection of the stem cells) takes place. The process takes anything from two to four hours during which time it is withdrawn through a catheter and circulated through a machine that separates the different types of cells. Red blood cells are returned to the body and the stem cells are frozen and stored in readiness for the transplant.

Chemotherapy This is carried out over a period of days and is done to “shut down” and effectively destroy the existing immune system. Care must be taken that the patient is not exposed to infection.
HSCT The extracted stem cells are defrosted, and in a process that is very similar to a blood transfusion, returned to the patient’s body. Side effects often include nausea, coughing and chilling, fever and hot flushes, headaches, and stomach cramps.

Engraftment After a couple of weeks, the stem cells should be growing well and a new immune system that has no memory of the multiple sclerosis should be developing. One the blood count rises and the while blood cells are able to fight any infection, the patient is discharged.

Recovery This is gradual, and it often takes several years for patients to be able to evaluate the results of the transplant. While the results will vary – some patients having greater success than others – generally the progression and activity of the MS will be halted.

To Your Health!

Steven Marshank