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Stem Cell Collection for Adult Volunteers



Stem Cell Collection for Adult Volunteers

For Condition: Healthy
Status: Recruiting
Sponsor(s): National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) ,
Synopsis: This study will examine the development of stem cells (very immature cells produced by the bone marrow) and their potential to change into cells of other organ types. These cells will be studied for their potential use in creating replacement tissue for diseases ranging from diabetes to Parkinson's. Healthy volunteers 18 years of age or older may be eligible for this study. Candidates will be screened with a medical history, physical examination, and blood tests. Participants will undergo a process called 'stem cell mobilization and apheresis' to collect bone marrow stem cells. For five days before the collection they will receive injections of a hormone called G-CSF, which stimulates release of stem cells from the bone marrow into the bloodstream. On the fifth day of the injections, stem cells will be collected through apheresis. For this procedure, blood is collected through a catheter (plastic tube) placed in an arm vein and directed into a cell separator machine. There, the white cells and stem cells are separated from the other blood components through a spinning process and collected in a bag inside the machine. The rest of the blood is returned to the donor through a catheter in the other arm.
Details: The concept that renewal of various tissues and organs at steady state or following damage relies upon a small population of locally residing tissue specific 'stem cells' has remained unchallenged for decades; however, recent work by several groups has demonstrated a remarkable capacity of cells from one tissue to participate in the repair or repopulation of disparate organs, a process termed 'transdifferentiation'. Stem cells from adult bone marrow represent an ideal stem cell source based on their ease of collection. In order to begin to explore the potential of adult bone marrow, we propose in vitro studies to examine the regulation of both normal differentiation and transdifferentiation of hematopoietic stem cells collected from adult volunteers. In order to obtain adult hematopoietic stem cells in large numbers for in vitro studies, volunteers will undergo mobilization with G-CSF for 5 consecutive days followed by large volume apheresis on the 5th day of G-CSF injection. The harvested product will be immunomagnetically purified for the primitive progenitor population and viably cryopreserved in multiple aliquots.
Eligibility:
Study Type:
  Interventional, Training
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: INCLUSION CRITERIA: Volunteer who are age 18 or greater are eligible for study entry. Mobilization of CD34+cells with daily G-CSF administration and leukapheresis will be performed in all subjects. Normal renal function: creatinine less than1.5 mg/dL, proteinuria less than1+. Normal liver function: bilirubin less than1.5 mg/dL, transaminases within normal limits. Normal blood counts: WBC 3,000-10,000/mm3, granulocytes greater than 1,500/mm3, platelets greater than150,000/mm3, hemoglobin greater than12.5g/dL, MCV within normal limits. Female volunteers of childbearing age should have a negative serum pregnancy test within one week of beginning G-CSF administration. Meets NIH Department of Transfusion Medicine (DTM) eligibility criteria for blood component donation for in vitro research use (negative serologic tests for syphilis, hepatitis B and C, HIV, and HTLV-1). Ability to give informed consent to participate in the protocol. EXCLUSION CRITERIA: Any underlying hematologic disorder including sickle cell disease. Active viral, bacterial, fungal, or parasitic infection. History of autoimmune disease, such as rheumatoid arthritis or systemic lupus erythematosus. History of cancer excluding squamous carcinoma of the skin and cervical carcinoma in situ. History of cardiovascular disease or related symptoms such as chest pain or shortness of breath. Any positive serum screening test as listed below. Allergy to G-CSF or bacterial E. coli products.
Total Enrollment: 999999

Location and Contact Information:

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) *Recruiting*
Bethesda,  Maryland,  20892
United States
Recruiting Patient  and Public Liaison Office 1-800-411-1222


Additional Information:
Study ID Numbers:
  020160;  02-DK-0160
Study Start Date: April 5, 2002
Record last reviewed: January 14, 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00033774

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