CHICAGO
- Meet Zoey Walsh, a teenage stem-cell recipient who
is pushing the frontier of medical science.
He's a
dog.
Unable
to alleviate his pain with drugs and unwilling to risk
another hip surgery on a dog so old, Zoey's owners
turned to a treatment that involved injecting stem
cells, which had been extracted from Zoey's fat, back
into the animal. The stem cells stimulate repairs.
The
therapy is gaining momentum as a treatment option for
pets. But it also holds promise for humans,
researchers and companies involved say.
"It
did wonders," Zoey's owner, Raymond Walsh of
Palos Heights, Ill., said of his 14-year-old American
Eskimo's first injection six months ago. "He is
having another round. But had we not given the first
shot back in August, we might have had to put him
under."
Although
still early in its use with more than 1,500 dogs and
cats since marketing began last year, the technology
developed by California-based Vet-Stem Inc. is being
embraced by pet owners.
Take
Daisy Benik, a 7-year-old golden retriever who had
stem cells injected into both hind legs last summer
after being unable to walk on her left hind leg.
"She
is back to what she was. Before she had been holding
her foot up, favoring it," said Daisy's owner,
Mary Benik of Crest Hill, Ill. Such treatments aren't
cheap. An injection and anesthesia to sedate a dog
before and after stem-cell extraction and injection
can cost between $2,500 and $3,500. A follow-up
treatment usually costs less than half that because
stem cells from the original extraction often are left
over.
The
cost is worth it to Daisy's and Zoey's owners.
Zoey
had been urinating in the house because he couldn't go
outside. Zoey soon will get a second injection in both
hind legs because he has trouble climbing stairs.
"If it prolongs his life, it was worth it,"
Walsh said.
Here's
how Vet-Stem's product works: A small amount of the
animal's fat, the equivalent of two or three
tablespoons, is surgically removed and shipped
overnight to Vet-Stem's labs in Southern California,
where the stem cells are isolated. The cells are
returned to the veterinarian two days later in the
form of concentrated regenerative stem cells.
The
stem cells are injected back into the animal, where
they home in on the injury and stimulate
"resident" cells to become more active in
making repairs. Stem cells are derived from
building-block cells and are able to develop into many
different types of specialized cells, serving as a
sort of repair system for the body. Theoretically,
they divide without limit to replenish other cells as
long as the person or animal is alive.
Just
how long a repair lasts is unclear, however, and that
can mean additional injections may be necessary.
"So
far, we have been pretty lucky with the
treatment," said Dr. Andrea Hayes of Animal
Surgical Services in Western Springs, who treated Zoey
and other pets. "Because it's so new, we don't
know how long it is going to last."
Similar
technologies using stem cells derived from fat are
being studied in experimental stages in humans. The
goal is to go beyond alleviating pain to restoring
joint cartilage as a way to avoid hip, knee or other
joint surgeries.
"When
you look at a Labrador retriever with arthritis in his
hips, that is the same disease you and I have,"
said Dr. Bob Harman, chief executive of Vet-Stem.
"Fractures are similar too, even though they are
four-legged."
Vet-Stem's
data and work with pets is helping other companies
progress toward human clinical trials.
San
Diego-based Cytori Therapeutics Inc., for example, has
worked with Vet-Stem and uses a machine to harvest
stem cells from fat tissue for use in breast
reconstructive surgery. In Europe, Cytori's machine
has been approved to help breast cancer patients.
"Our
first application is taking the cells out and
combining them with fat to allow fat to be used as a
natural filler in breast reconstruction," said
Tom Baker, Cytori director of investor relations.
Cytori
executives say the company is working with the Food
and Drug Administration in hopes of beginning clinical
trials in humans later this year. "The question
is how much clinical work is going to be
required," Baker said.
Most
products on the market are derived from cells from
cadavers that stimulate bone growth. They do not
require clinical trials and FDA approval for marketing
because they are essentially cells that are harvested,
processed and stored for a later use, much like organs
used for transplant.
One
person with a keen interest in stem-cell research and
their applications for humans is Daisy's owner, Mary
Benik. "I hope it continues to work (on the dog)
because I have bad knees and I would do it if it could
help."