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NEW FINDINGS

FOR  THE    first  time scientist    led  by  an  Indian  -origin  researcher have  successfully   replaced   a  major   blood  vessel   in  a 10  year  old  girl  with  a  vein  grown  in   a  lab using  her  own  stem  cells.
The  pioneering   transplant  publish  in   The  Lancet,  marks   a  further   advance  in  growing  body  parts  in  laboratory.  and  offer  hopes  for  patients   who  lack  suitable   veins    for  dialysis  or  by pass  surgery.In  the landmark     research,a  team  from  the  University of  the  Gothenburg  in   sweden   took  a  vein  from  a dead   man ,stripped   of  its  own  cells  and  then  bathed   in  stem  cell  from the  girl,who  was  suffering  from   portal  vein  obstruction.
There  was a " striking "   improvement  in  her quality  of  life after the   transplantation,Professor Suchitra
The   hepatic  portal  vein   drains  the  blood  from      the  intestines  and  spleen    to  the  lever.The blockage  can  cause  serious  complications like  lethal   variceal  bleeding ,enlarge spleen ,developmental   retardation,and  even  death.To date   attempts  to  restore   portal  blood flow  using  umbilical  veins  and  artificial  grafts  to  build  a  bridge   around  the   blockage(called  meso Rex bypass) have  had  mixed  success.
The Sweden   team   took  a 9cm stem  segment   of iliac(groin)  from  the  dead  donar  and  removed  all  living  cells ,leaving  a  tube  consisting  of   just  the   protein   scaffolding  .This  scaffolding   was  injected   with stem  cells  obtain  from   the  girl's  bone marrow.Two   weeks  after  seeding ,the graft  was re -implanted  during a  meso-Rex  by pass  procedure.
The  girl  had  no  complications    from  the   operation   and  normal  blood flow  was immediately  restore.In  the  year  after  the  operation  the  girl  gained  good  height  and  weight .But  a  year  after  the procedure ,decreased   portal  blood  flow  was  noted   and  narrowing  of  the  graft  required  second  stem  cell -based  graft  to  be done .Since  she  has   remained  well  and  can  walk  long  distances  she  has  not  developed anti donor  anti bodies  despite  not  talking   immuno suppressive drugs".The  new  stem cell  drived   graft  resulted  not  only  in  good blood flow  rates   and normal   laboratory   tests    values  but also, in strikingly  improved   quality  of  life  for  the  patient"  the  reasearches  concluded.
The   work  also   establishes   the  feasibility   and  safety   of  a  novel  paradigm  for  treatment .In  cases  of  venous  insuffieciency  obstructed  veins or  inadequate   autologous  veins .Further  it  opens  new  areas  of   research ,including  trying  to   reproduce   artries   for  surgical   use  in  patients    with  arteriovenous  fistuals  for dialysis  (a  type  of vascular access   for  dialysis)  or" coronary  bypass  surgery".
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