Guest guest Posted October 13, 2003 Report Share Posted October 13, 2003 Dr. Freedman works at the MS Clinic at the Ottawa General. He did not recommend this for me because as he said " one of the possible side effects is death. " Autologous means they come from your own body; they are adult stem cells. If there is no problem with rejection then cord or embryonic cells will work better. Questions remaining: whether to kill off erroneous T cells first? If so, what method to use? Dr. Freedman is using intense chemotherapy to nonselectively kill off all of the cells of the immune system. He wants the new cells created by the stem cells not to have any immune memory. The ideal thing then would be to selectively kill off all the T4 helper cells that have learned the erroneous lesson about myelin, and then let the hypothalmus mature new ones with a repertoire that does not include the mistaken cells. This is more or less Campath-1h claims to do, without using chemo. It is a monoclonal antibody that acts specifically on leukocytes and kills them off. It kills off all of them, and the patient is expected to regrow them naturally. Why not boost this process using cord blood cells? The two protocols seem to be entirely complementary. In fact if Campath-1h therapy were openly available one could pursue both completely as a matter of choice. However the drug is available approved by the FDA for CLL. It would have to be a physician who actively pursues this, not her or his patient alone, and it would be on a similar experimental basis as in the non-conventional use of naltrexone. There are still questions: 1. Can't the same thing that caused the MS in the first place still happen again? As far as known, yes. The cord-blood people are covering the bases with metal chelation and lifestyle changes. 2. Campath-1h helps more in the early phases of the disease and does not seem to stop progression of SPMS despite absence of new MRI lesions. The only thing that might change that is if the age of the stem cells (neonatal vs. adult) makes them somehow more immune to the problems which cause progressive MS damage. Progression of symptoms must be halted, not just new lesion formation. Is LDN the only answer? 3. What about new autoimmune problems? People treated for MS with Campath-1h, in numbers from 25-30%, got thyroid disorders. These are much more treatable than MS. Most people would gladly trade one for the other. -Sullivan " Multiple Sclerosis as an autoimmune disease. Treatment of poor prognosis patients with multiple sclerosis using intensive immunoablative therapy followed by immune cell depleted autologous stem cell transplantation (ASCT). " Dr. Mark S. Freedman, 2000-2005, MS Society of Canada Quote Link to comment Share on other sites More sharing options...
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