Indepth Unit 6- stem cell therapy

Regenerative Medicine

  • Definition: The use of cells and growth factors to improve the repair of damaged or poorly functioning tissues or organs.

  • Process:

    • Collecting the patient’s tissue.

    • Isolating the desired cells.

    • Administering the isolated products back to the patient.

  • Application in Veterinary Medicine: Most often used in the treatment of orthopedic disorders.

  • Efficacy: Still somewhat controversial due to the lack of extensive data from controlled studies.

  • Examples:

    • Platelet-Rich Plasma (PRP)

    • Interleukin-1 Antagonist Protein

Stem Cell Therapy

  • Renewal Process: All organisms continuously renew various tissues and organs.

  • Mechanism: Renewal occurs due to stem cells that can differentiate into appropriate tissue or organs.

  • Stem Cells:

    • Definition: Reserve cells with the potential to develop into many different cell types in the body during early life and growth.

    • Function: When stem cells divide, they can either remain a stem cell or become another type of cell with a more specialized function.

  • Types:

    • Embryonic Stem Cells:

      • Derived from the early embryo.

      • Called totipotent or pluripotent - Totipotent stem cells can differentiate into any type of cell. Pluripotent stem cells can differentiate into most, but not all, cell types.

    • Adult Stem Cells:

      • Less able for differentiation.

      • Called multipotent.

  • Potential: Stem cells offer new potential for treating certain diseases and conditions due to their unique regenerative abilities.

  • Research: Much work remains to be done in the area of stem cell research.

Nutraceuticals

  • Definition: Food components that have health benefits, including disease prevention and treatment.

  • FDA Scrutiny: Not subject to close Food and Drug Administration (FDA) scrutiny because they are defined as food components.

  • Testing: Nutraceuticals don’t undergo testing by the FDA for safety or efficacy.

  • Label Requirement: A label that says, “This statement has not been evaluated by the Food and Drug Administration. This product isn’t intended to diagnose, treat, cure, or prevent any disease.”

  • Evaluation: Veterinarians should evaluate each product on an individual basis.

  • Seals to Look For:

    • United States Pharmacopeia (USP): Verifies that the ingredients match the label.

    • National Animal Supplement Council (NASC): Sets standards for product quality and accurate labeling.

Glycosamines (GAGs or PSGAGs)

  • Function: Chondroprotective agents that help slow down the erosion of cartilage (tissue surrounding the bones) in animals.

  • Limitation: They don’t heal or regenerate cartilage.

  • Best Use: Before the onset of arthritis.

  • Controversy: Usefulness is debated, but some animals improve when placed on these products.

  • Oral Forms: Cosequin, Dasuquin, Glycoflex, and Synoflex.

  • Injectable Forms: Adequan, Legend, Hyalovet, and Hylartin.

Other Nutraceuticals

  • Omega-3 and Omega-6 Fatty Acids: Used to treat certain skin conditions.

  • Brewer’s Yeast: An excellent source of vitamin B.

  • Fiber: Used to treat constipation and diabetes mellitus.

Liver Support Supplements

  • Supplements to protect and heal the liver include:

    • Milk Thistle Plant

    • SAMe (S-adenosylmethionine)

  • Products: Denosyl, Denamarin, Vetri SAMe, Novifit, and Zentonil.

Coenzyme Q

  • Function: Improves energy metabolism in the heart.

  • Benefit: May be beneficial for animals with heart disease.

Herbal Medicines

  • Definition: The use of plants to treat diseases.

  • Forms: Available dried, powdered, in capsules or granules, formulated into an ointment, or as a liquid extract.

  • Purity and Safety: Varies greatly; plants can be contaminated with toxins, heavy metals, or added substances not listed on the label.

  • Safety Precaution: Look for herbal medicines from reputable manufacturers approved by the National Animal Supplement Council (NASC).

  • Discontinuation: All herbal medicines should be discontinued 2 to 3 weeks before surgery.

Commonly Used Herbal Medicines

  • Aloe Vera: To treat burns and wounds.

  • Boswellia (sometimes combined with curcumin): For arthritis pain and inflammation.

  • Echinacea: An immune stimulant for colds and flu.

  • Ginger: For anti-inflammatory effects.

  • Ginkgo Biloba: To improve memory.

  • Ginseng: To increase vitality.

  • Goldenseal: For gastrointestinal disorders and bacterial skin infections.

  • Milk Thistle: To support and heal the liver.

  • Yunnan Bai Yao: Commonly used in veterinary medicine for inoperable tumors that bleed, such as abdominal hemangiosarcomas and bladder cancers.

Lubricants

  • Use: Used for gynecologic and rectal exams.

  • Type: Should be water-soluble to help with the cleaning of instruments.