Israeli researchers use stem cells to repair damaged tissue for the first time

Israeli researchers from Rambam Medical Center in Haifa and Technion’s medical school have managed for the first time to repair damaged tissue using components produced by embryonic stem cells.

The team was headed by the director of Rambam’s obstetrics and gynecology department, Dr. Joseph Itzkowitz-Eldor.

The experiment involved tissue regeneration in mice, but the researchers said the method might be usable in the future to repair human tissue and organs that were damaged due to insufficient blood supply. Insufficient blood flow can result from injury or disease and can cause damage to the limbs, heart, kidneys and brain.

The stem cell components used by the researchers play a key role in the growth of blood vessels. The team used fertilized human eggs that had been donated for research purposes, as well as skin and hair samples from older adult patients.

For the first time, the team succeeded in isolating the cells that are capable of repairing damaged tissue. The cells were from the outer layer of the capillaries. These cells, along with other cells in the interior of the capillaries, regulate the functioning of the blood vessels and play a key role in the generation of new blood vessels. They provide a kind of building block for the growth of cartilage, tendons and muscle.

The research team injected the cells with the regenerative properties into mice whose legs had been tied to restrict blood flow, causing damage. After the injection of the cells, the mice’s legs healed nearly completely. Within three weeks, both blood flow to the leg and muscle function were almost completely normal again.

“In the current research, we have already managed in the laboratory to substantially increase the number of healing cells, so they can serve as a future clinical model for research into diseases,” Itzkowitz-Eldor said. He noted that technology already exists that enables the duplication of various kinds of stem cells, and his team’s research is similar to current efforts to duplicate blood cells from the umbilical cord.

The development of methods to duplicate the cells with the healing properties could lead to the creation of a bank of components with a wide range of medical applications, he added. “The development of an unlimited quantity of the cells would hold wide potential for healing damaged tissue,” Itzkowitz-Eldor said. “It’s true that the research is currently focused on animals, but we already have methods to grow these cells so they would also be suitable later on for implantation into humans.”

The team’s findings were published in the November issue of “Circulation,” the journal of the American Heart Association. The journal also devoted an editorial to the findings, due to their medical significance. Itzkowitz-Eldor said his team’s research is additional evidence of the leading role Israel is playing in embryonic stem cell research.

Prof. Rafael Beyar, Director and CEO of Rambam and until 2005 dean of the medical faculty, said the research is a “breakthrough with many implications to a large number of fields. The path to implementation in patients is still protracted, but I see it as having huge potential that could be implemented in not too many years away.”

Upcoming Forum: The Business of Stem Cells and Regenerative Medicine

The Business of Stem Cells and Regenerative Medicine

Saturday, November 12, 2011

Location: Baxter Lecture Hall, Caltech, Pasadena

Registration and Continental Breakfast: 8:00 am

Program: 9:00 am to 11:00 am

Breakfast & Networking with Speakers: 11:00 am to 12:00 pm

Cost: $40 on-line registration; $50 at the door; $10 full-time students; free to Caltech students

Technologies for creating, modifying and using stem cells in the treatment of human diseases and disorders show great promise, but involve inexpensive high-risk development as well as high levels of political, legal and ethical sensitivity. In California, a state agency, the California Institute for Regenerative Medicine (CIRM), has been chartered to encourage and fund regenerative medicine, and has committed about half of its $3 billion allocation to more than 400 projects, mainly in R&D. This sizeable investment is underpinning the formation of medical start-ups in this promising area. However, federal rules remain hostile to research in a variety of promising areas. Given this landscape, how does one start and fund a new venture involving stem cells or other aspects of regenerative medicine?

The November 12 program will focus on the business opportunities and challenges and potential strategies for surmounting them. What categories of companies are currently commercially viable? How are they being funded now? What kind of strategic relationships are available with pharmaceutical, medical device, health care organizations?

Keynote Speaker:
Susan V. Bryant, Ph.D., Board Member, California Institute for Regenerative Medicine, Associative Executive Vice Chancellor for Research, University of California, Irvine

Speakers:
Kenneth Aldrich, Co-Chairman and Co-Founder, International Stem Cell

Robert Chow, M.D., Founder & Global Medical Director, Stemcyte, Inc.

Steven C. Cramer, M.D., Professor, Vice Chair for Research, UC Irvine, Clinical Director, Sue and Bill Gross Research Center

Moderator:
Ira D Moskatel, Arnold & Porter, LLP
Producers:
Ira D Moskatel, Arnold & Porter, LLP

Rogelio Nochebuena, President, Nochebuena R&D

Goran Matijasevic Executive Director, Chief Executive Roundtable, UC Irvine
Details and Registration at: http://www.entforum.caltech.edu or call 626-395-5759

Physician Practice Purchases Already Surpass 2010 Levels

The number of physician practices involved in mergers and acquisitions in 2011 already has beat the number consummated in all of 2010, according to an industry survey.

Sixty deals involving physician practices were reported for 2010. By the end of the third quarter of 2011, however, a total of 70 deals were made, according to quarterly reports by Irving Levin Associates, a health care finance market research firm in Norwalk, Conn.

A majority of the deals involved hospitals buying medical practices. Only large, publicly announced deals were included in the report.

Physician practice mergers and acquisitions fell slightly from 27 deals reported in the second quarter of 2011 to 25 in the third quarter.

However, the number of third-quarter deals are nearly double those made during the corresponding quarter of 2010.

Health system reform has been the driving force behind a lot of the merger-and-acquisition activity.

Irving Levin said physician practices were the third-most active segment of health care mergers and acquisitions in the third quarter of 2011. It did not report cash values for those deals.

The individual sector of medical devices posted the highest number of deals at 47. Long-term care took second, with 25 deals.

Biotech and pharmaceutical companies generally rank among the top three sectors, but were down in the third quarter of 2011.

Overall, health care was one of the few industries that hasn’t experienced a slip in merger and acquisition activity this year, said Sanford Steever, editor of Irving Levin Associates’ publication, The Health Care M&A Monthly.

“With an average of $62 billion committed to health care M&A each quarter, and only $19.4 billion needed to equal the $205.3 billion spent in 2010, 2011 is poised to surpass last year’s results by about 20%,” Steever wrote in his report.

Researchers Marry Old and New To Create Next Generation Superconductors

Wiring systems powered by highly-efficient superconductors have long been a dream of science, but researchers have faced such practical challenges such as finding pliable and cost-effective materials. Now researchers at Tel Aviv University have found a way to make an old idea new with the next generation of superconductors.

Dr. Boaz Almog and Mishael Azoulay working in the group of Prof. Guy Deutscher at TAU’s Raymond and Beverly Sackler School of Physics and Astronomy have developed superconducting wires using fibers made of single crystals of sapphire to be used in high powered cables. Factoring in temperature requirements, each tiny wire can carry approximately 40 times more electricity than a copper wire of the same size. They have the potential to revolutionize energy transfer, says Dr. Almog.

High power superconductor cables take up much less space and conduct energy more efficiently, making them ideal for deployment across grids of electricity throughout a city. They will also offer a more effective method for collecting energy from renewable sources, such as solar and wind energy. Superconducting wires can also be used for energy storage and enable devices which enhance grid stability.

The new superconductors were first presented at the Israel Vacuum Society Conference in June 2011, and will be shown at both the European Conference on Applied Superconductivity and the Association of Science Technology Centers Conference this fall.

Beating the heat

One of the things that make our copper wires inefficient is overheating, Dr. Almog explains. Due to electrical resistance found in the metal, some of the energy that flows through the cables is cast off and wasted, causing the wires to heat up. But with superconductors, there is no resistance. A self-contained cooling system, which requires a constant flow of liquid nitrogen, keeps the wire in its superconducting state. Readily available, non-toxic, and inexpensive — a gallon of the substance costs less than a gallon of milk — liquid nitrogen provides the perfect coolant.

Even with the benefit of liquid nitrogen, researchers were still hard pressed to find a material that would make the ideal superconductor. Superconductors coated on crystal wafers are effective but too brittle, says Dr. Almog, and although superconductors on metallic tapes had some success, the product is too expensive to manufacture in mass quantities.

To create their superconductors, the researchers turned to sapphire fibers, developed by Dr. Amit Goyal at the Oakridge National Lab in Tennessee and lent to the TAU team. Coated with a ceramic mixture using a special technique, these single-crystal fibers, slightly thicker than a human hair, have made innovative superconductors.

Going macro

Dr. Almog is currently working to produce better superconductors that could transport even larger amounts of electric current.

One area where such superconductors could lend a hand is in collecting renewable energy sources. “Sources such as wind turbines or solar panels are usually located in remote places such as deserts or offshore lines, and you need an efficient way to deliver the current,” explains Dr. Almog. These superconductors can traverse the long distances without losing any of the energy to heat due to electrical resistance.

Superconducting cables could also be an efficient way to bring large amounts of power to big cities “If you want to supply current for a section of a city like New York, you will need electric cables with a total cross-section of more than one meter by one meter. Superconductors have larger current capacities using a fraction of the space,” says Dr. Almog. Different parts of a city could be cross-wired, he adds, so that in the event of a blackout, power can be easily rerouted.

Inspiring young scientists


A demonstration of “quantum trapping” in Dr. Almog’s laboratory.

Developing a superior superconductor is only part of TAU’s mission. Dr. Almog is also dedicated to making this technology accessible and exciting as a way to capture the imagination of aspiring scientists. TAU has manufactured superconductor wafers which, filled with liquid nitrogen like their cable cousins, can be locked in place by strong magnets and levitate. Placed on a magnetic track, the wafer zooms through the air like George Jetson’s space-age car. It might look like magic, but it’s actually a phenomenon called “quantum trapping.” Kits that demonstrate this “magnetic levitation” have been distributed in science museums throughout Israel, and Dr. Almog hopes to expand their distribution internationally.

And when the day’s work is done? “We also make ice cream with the liquid nitrogen,” Dr. Almog grins.

Tel Aviv University Researcher Implants Robotic Cerebellum

With new cutting-edge technology aimed at providing amputees with robotic limbs, a Tel Aviv University researcher has successfully implanted a robotic cerebellum into the skull of a rodent with brain damage, restoring its capacity for movement.

The cerebellum is responsible for co-ordinating movement, explains Prof. Matti Mintz of TAU’s Department of Psychology. When wired to the brain, his “robo-cerebellum” receives, interprets, and transmits sensory information from the brain stem, facilitating communication between the brain and the body. To test this robotic interface between body and brain, the researchers taught a brain-damaged rat to blink whenever they sounded a particular tone. The rat could only perform the behavior when its robotic cerebellum was functional.

According to the researcher, the chip is designed to mimic natural neuronal activity. “It’s a proof of the concept that we can record information from the brain, analyze it in a way similar to the biological network, and then return it to the brain,” says Prof. Mintz, who recently presented his research at the Strategies for Engineered Negligible Senescence meeting in Cambridge, UK.

In the future, this robo-cerebellum could lead to electronic implants that replace damaged tissues in the human brain. For the full story about TAU’s cyborg cerebellum, see the ABCNews story:
http://abcnews.go.com/blogs/health/2011/09/27/roborat-israelis-create-rodent-with-robot-brain/

IL Care Launches With Concert

Come and be part of the biggest volunteerism project and a huge lunching concert of the Israeli-American and Jewish-American community

I am excited to share with you the recent initiative at the Israeli Leadership Council (ILC), and cordially invite you to join us in this inspiring mission.

With the aim to unite the spirit of care and generosity, we have inaugurated the I.L.Care, an inspired network of Israeli-American and Jewish-American volunteers.

The I.L.Care program empowers volunteers of all ages to work together on the common goal of a large Jewish community of giving, actively engaged with an array of humanitarian organizations in need of support, in our community and in Israel .

To celebrate the inauguration of I.L.Care we are producing an exciting Concert on November 20th, for 6,000 primarily Israeli and Jewish-American attendees.

We invite the participants to sign up for at least 4 hours of volunteer service during 2012. Each participant can select an organization of his\her choice to volunteer with.

Tickets for volunteers will be discounted from $90 down to only $18.

Register online ILCARE.NET or call 818-466-6454

Latest Rambam Monthly Journal

We are delighted to announce that the sixth issue of the new international peer reviewed open access Rambam Maimonides Medical Journal (RMMJ) has now been published online.

In the best interest of the medical and scientific community, RMMJ is freely accessible via the Internet for immediate worldwide, open access to the full text of articles. Authors who publish in the journal will retain the copyright to their article.

Thank you for sharing in the Maimonides tradition, by enjoying this high caliber journal. We also invite you to submit your own scholarly contributions for consideration. This journal links one of the world’s leading academic medical centers, with the international medical community through the shared values enunciated by the Rambam.

A 20-minute alternative to a tummy-tuck

Excess, sagging and loose skin: Anyone who has lost a significant amount of weight knows that after the fat is gone, extra skin remains. And while many in the aesthetics community will point to abdominoplasty (“tummy tuck”) procedures as the cure, surgery is not the only way to go. At least that’s what Viora, a leading medical aesthetics manufacturer, advocates.

The company recently introduced ReFit, a concept that provides a solution for the excess skin remaining after extreme weight loss. “The concept is a completely non-invasive treatment … no anesthesia and following the session, the customer may continue with his or her daily routine immediately,” Meital Ben-Tovim, general manager of Viora, tells ISRAEL21c. The ReFit procedure is performed using the company’s Reaction aesthetic system for body contouring. Viora is planning to introduce three more lines of technology in the coming year.

Meanwhile, ReFit is getting lots of media attention thanks to positive testimonials from practitioners and patients alike. “The Reaction treatment worked really well. Not only did the ‘blubbery’ look smooth out, my tummy looks sleek,” said Nadia, a 28-year-old patient. “Compared to competing RF [radio frequency] technology, results for skin tightening can be seen sooner over the treatment series, which on average is six to eight sessions,” Dr. Richard Smialek, a plastic surgeon in Ohio, told The Aesthetic Guide magazine. “Excellent results are usually attained at six months, but improvement continues up to 12 months following treatment.”

How it works “ReFit promises to be an exciting solution for anyone who has experienced the difficulties of weight loss, only to still be unhappy with a body that is less than ideal in their view, due to excess skin folds and stretch marks,” says Eliran Almog, CEO of Viora. During treatment, the patient lies on a bed and the practitioner puts glycerin oil or gel on the sagging skin area and then glides over it with a small handheld vacuum applicator. The patient will feel dual sensations of hot and cold on the surface of the skin. Technically what’s happening is the electrodes on the device are channeling radiofrequency energy at the dermal layer where fibroblasts and connective tissue are found. “These fibroblasts are the body’s factory for producing connective tissue known as collagen and elastin fibers. Encouraging the production of new and improved elastic tissue, while remodeling the old, pulls the skin together and restores the skin’s resilience, resulting in tighter skin,” explains Ben-Tovim.

There are other treatments in the aesthetics market that use focused ultrasound technology to reshape the body. But Ben-Tovim says that radiofrequency is a safer and more controlled energy to use. Company officials say the number of sessions needed before one sees results varies and depends on physical conditions at the beginning of the treatment, severity of symptoms and quality of skin. “This is not a permanent solution, but nothing on a cellular level is,” says Ben-Tovim. “A healthier lifestyle plays a big part in how to keep the skin tight. Customers will normally require a single maintenance session every three to six months.” The whole procedure takes about 20 minutes and there are no negative side effects, so a ReFit session can be fit into someone’s regular routine.

Global reach Viora’s product list goes beyond the ReFit concept. It also offers a wide range of applications including body contouring, cellulite reduction, phototherapy and anti-aging treatments. It’s a privately owned company that was founded in 2004 and has corporate headquarters in New Jersey and R&D and manufacturing facilities in Herzliya. Veteran engineers and medical specialists work in this area. “We put great emphasis on listening to our customers and adjusting our products accordingly, developing new solutions to answer growing market needs,” says Ben-Tovim. “Being a small and private company enables us that flexibility and close contact with our customers.” The company reports that tens of thousands of treatments already have been performed annually. The Reaction system is currently available in 55 countries. If Viora has its way, lunch break will no longer be about popping out for a quick bite but rather stopping by for a quick body tune-up at a ReFit specialist.

The scorned scientist who became a Nobel laureate

Nobel Prize winner, Daniel Shechtman explains his theory to Israeli Prime Minister Benjamin Netanyahu.

During paramilitary training at his Israeli high school, Danny Shechtman was usually the first to jump on the barbed wire blocking the students’ path as they ran through a field.

“Everybody steps on you and then you try to shake yourself loose and run after them,” the Technion-Israel Institute of Technology professor related to ISRAEL21c at a Jerusalem press conference on Sunday after the Royal Swedish Academy of Sciences announced he was to become the 10th Israeli to win a Nobel Prize.

Shechtman stated that his rigorous early training “definitely” influenced his ability to withstand the professional scorn that first greeted his groundbreaking discovery of quasicrystals, atoms made up of non-repeating structural patterns found in aluminum alloys.

“In my youth group, Hashomer Hatzair, we were educated to become physically and mentally independent. You threw us on a desert island and we would survive — and I’m not different than other Israelis of my time,” said Shechtman, now 70, who became one of the Israel Defense Forces’ best sharpshooters.

Without all that metaphorical barbed wire strengthening his resolve, Shechtman likely would have given up on his breakthrough discovery in April 1982 of non-repeating patterns in quasicrystals.

“When I saw my first results, I was on sabbatical at the [US] National Bureau of Standards, NBS, developing alloys for the aerospace industry,” he related. Scientists at the time thought crystals always had repeating patterns, and ridiculed Shechtman’s research.

“My colleagues did not accept my results and most did not think highly of me,” he said. The head of his group at NBS called him a disgrace and asked him to leave.

In 1983, back at the Technion, his materials engineering colleague Ilan Blech was the first person willing to cast his lot with Shechtman. They made a physical model to explain the structure, and submitted a paper in 1984 to a journal of applied physics. It was rejected, but published six months later in a metallurgical journal. An American and a French scientist collaborated with the two Israelis to write another paper on the topic, published in November 1984 in a Swiss scientific journal.

“And then all hell broke loose as scientists — mostly young scientists — around the world started replicating my experiment,” said Shechtman. “Within a week, I started to get telephone calls.”

Better steel and frying pans

Shechtman also won the Wolf Prize in Physics in 1999 and the Israel Prize for physics in 1998 for his quasicrystal research, which has changed the understanding of the basic structure of matter.

“As opposed to the greatness of the scientific achievement, the practical applications are few and far between,” he admitted at the press conference.

However, those few are significant. An extra-strong type of stainless steel made in Sweden for surgical tools and razor blades gets its resilience from little quasicrystalline particles. And a French company used quasicrystal material to make a non-stick frying pan.

“If you cook on quasicrystals, your omelet will not stick to it, like Teflon,” said Shechtman. “But unlike Teflon, if you use a knife in the [quasicrystral] skillet, you will ruin the knife. With Teflon, you’ll ruin the skillet. And that’s not healthy.”

Because quasicrystal materials have a low coefficient of friction and are extremely hard, they could potentially be used to make better gears in fan mechanisms.

It would not be surprising if some of Shechtman’s Technion students one day capitalize on their professor’s discovery in a big way. A quarter century ago, Shechtman innovated a practical course in technological entrepreneurship at the institute. “If Israel is a startup country, I hope I am a part of that,” he said.

‘Danny knows physics’

Describing himself as “a good student, but not at the top of the class,” Shechtman emphasized the importance of good educators. “Teachers must not only teach but encourage,” he said, relating that one time after he successfully solved a physics problem on the blackboard during high school, his physics teacher remarked, “Danny knows physics.”

“I’m 70 years old, and I remember that,” he said, revealing that he plans to dedicate much of his $1.45 million in Nobel Prize money toward the education of his grandchildren.

A second-generation Israeli whose grandfather became a prominent social Zionist after emigrating from Russia, Shechtman detects a slowing of the “brain drain” that has traditionally pulled Israel’s scientists to the United States.

“At one time, life in Israel wasn’t so good and life in America was wonderful. That’s no longer the case,” said Shechtman, who is an associate of the US Department of Energy’s Ames Laboratory at Iowa State University. “Life in America isn’t as wonderful and life in Israel is quite good, so people aren’t running away. When we have an opening at the Technion, we have so many applications from Israelis [working in the US] who want to come back to Israel.”

Shechtman said he maintains close professional and personal relationships with Turkish scientists and that religion never comes up in his work. “I see no reason why Jews should relate to science any differently than Christians, Muslims, Buddhist or atheists,” he said.

At the Technion, he researches solutions to energy-related problems through chemical, engineering, materials, mathematical and physical sciences.

“At scientific meetings, I always speak to students, and I tell them, ‘If you want to become a prominent scientist, be an expert in something,’ related Shechtman. “Usually, great discoveries come by serendipity, when you stumble upon something new, and you have to be able to realize it is something that wasn’t there before, and then try to explain what you see.

“Then, when you start to talk about it, you will face opposition. And here is the real test: If you believe in yourself, then listen to others but don’t let them discourage you as long as you are not convinced that they are right and you are wrong. In my case, I knew I was right.”

New monitor could revolutionize diagnosis of bladder cancer

The indignity and discomfort faced by bladder cancer patients may top the long and unpleasant list of cancer-related woes. Diagnosing and monitoring the disease is done via an optical device called a cystoscope inserted into the bladder through the urethra. Patients with transitional cell carcinoma (TCC), the most common form of the disease, are supposed to undergo cystoscopy every three months to detect recurrence — but the pain, potential urinary tract infections and bleeding keep many people from these crucial follow-up visits.

A novel answer to the problem is on the horizon. An imaging system developed by the Israeli company RealView, based in the northern town of Misgav, can be inserted into the urinary bladder in a one-time procedure, enabling long-term monitoring of TCC without the pain and indignity.

The device contains an image sensor, transmitter, energy source and orientation actuator that allows the sensor to be shifted from the outside — all packed inside a miniature capsule with a soft silicon shell, which protects the equipment and the patient.

“This is not like ultrasound,” says Dr. Amos Neheman, co-founder and medical director of RealView. “The images produced by our device are full-color, high-resolution photos that let doctors see exactly what the status of the bladder area is. The physician can guide and navigate the capsule’s position for accurate visualization of the bladder’s interior. RealView’s proprietary image processing algorithms ‘stitch’ the images together for a 360-degree view.”

The advantages go way beyond patient comfort. “Doctors get a significantly more accurate and comprehensive visual inspection of the interior bladder wall and can implement a more rigorous and effective monitoring regime, with more patient compliance, as patients are less likely to avoid follow-up treatments,” Neheman tells ISRAEL21c.

Testing in humans to begin soon

Once inside the body, the capsule may remain in place for up to two years, a critical time period because of the high chances of recurrence. In order to view the images, the doctor places a navigation and detection system next to the patient. The capsule transmits high-quality images to an external recording device for viewing, processing and storing for future comparison purposes. The procedure is completely non-invasive.

RealView’s technology is patented in the United States and Europe, and first-stage tests have already been successfully conducted on sheep. “We kept that test going for about five months, to ensure that there were no adverse effects in relation to the device, or other complications,” says Neheman. “Now we will move on to the next stage — testing the system on people — and after that we will begin seeking approval from authorities in the EU and US.”

Neheman, a urologist with extensive surgical experience, began RealView about three years ago along with CEO Gershon Goldenberg and co-founder Uri Neeman. The company is a recent graduate of the Trendlines Group’s Misgav Innovation Accelerator, from which it receives a majority of its funding.

There’s a great need for this technology, says Neheman. “An estimated 500,000 people in the United States alone have a history of bladder cancer,” he says. “Upwards of 69,000 new cases are reported in the US each year. The annual direct costs of bladder cancer management in the United States alone are estimated at $4 billion, making bladder cancer one of the most expensive cancers to manage. And TCC accounts for over 90% of all bladder cancer patients in developed countries.”

The high rate of recurrence among TCC patients (40 to 70 percent) and the risk for disease progression and metastasis necessitate regular monitoring, Neheman adds. All this — plus the indignity of the whole thing — makes RealView’s technology “a solution we expect to be much in demand.”