Tag Archives: umbilical cord blood

Cord Blood: Saving For The Future

For an expectant mother, there are a million details to worry about and a lot of important decisions to be made.

Cord Blood: Saving For The Future

One of those decisions to be made is whether to bank your baby’s umbilical cord blood. Cord blood is valuable because it’s full of stem cells scientists and doctors can use in research and regenerative medicine.

Cord blood stem cells are the ones that are obtained from the newborn. They’re closest in age to being an embryonic stem cell without being an embryonic stem cell,” said David Harris, PhD with Cord Blood Registry.

When they’re stored properly in a bank, like one in Arizona, the stem cells can be used to replace other cells in our bodies that may be damaged or missing due to disease. But, you only have one chance to harvest them.

“At the time of delivery, before the placenta is delivered, we have a little bag with a needle and a tube, like an IV tubing, and we actually draw the blood out of the placenta into a prepared bag and that’s what you send in to the cord blood banking people,” said Dr. Lynn Frame.

But, Dr. Frame says very few of his patients actually do it because of the cost.

Most private cord blood banks charge more than $1,000 up front. Then, for every year you store the blood in one of their cryogenic tanks, it costs about $100. For 18 years of storage, it can add up to about $3,000.

Via EPR Network
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Will Intra-Osseous Injection of Umbilical Cord Blood Reduce Graft Failures?

Researchers from Italy have reported that the injection of umbilical cord blood directly into the pelvic bones of patients with leukemia appears promising. These results were recently published in an early online publication of the Lancet Oncology on August 9, 2008.

Transplantation of bone marrow, peripheral blood stem cells, and umbilical cord blood is accomplished by intravenous infusion. The original studies of human bone marrow transplantation were carried out by direct infusion into bone marrow spaces. However, this approach was abandoned as there was no advantage in speed or rate of engraftment over intravenous infusion. Since these early days of transplantation, there have been sporadic attempts to evaluate intra-osseous infusion of stem cells, but no advantage over intravenous infusion was ever found. The reason for this is thought to be that direct infusion of stem cells into the marrow cavity is in fact identical to intra-arterial or intra-venous infusion, and most stem cells enter the general circulation before homing into marrow spaces throughout the body.

Umbilical cord blood transplantation is associated with relatively high graft failure rates thought to be due to the relatively low dose of stem cells in each collection. Researchers have suggested that the infusion of stem cells from two separate cord blood collections alleviates the graft failure problem. However, Italian researches have posed the question of whether or not intra-osseous infusion would be better.

The current trial evaluated direct infusion of umbilical cord blood into the pelvic bones. This trial included 32 patients with acute myeloid leukemia (AML) and 12 with acute lymphoblastic leukemia (ALL); median age was 36 years. Overall, 14 patients had advanced-stage disease that did not respond to standard therapies, and no patient had a suitable donor for the stem cell transplant.

Via EPR Network
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