The Development of Umbilical Cord Blood Stem Cell Therapy

Therapies using stem cells have at least forty yearsundoubtedly allow soon, the development of new
since the first bone marrow transplant wastherapies with the ability to repair the dermis of
performed in 1969 by Edward Donnall Thomas, Nobelirradiated people and those with big burns.
Prize for medicine in 1990, based on a research heCurrent Therapies Related to Blood Diseases
carried out since the fifties. But we now know thatHematopoietic stem cells from cord blood can
bone marrow transplants are in fact hematopoieticfavorably replace bone marrow cells for several
stem cell grafts. 4239 transplants were performed inreasons. Firstly, the greater immaturity of cord blood
France, just in 2007.stem cells provides a more effective transplant. On
The idea of using umbilical cord blood stem cells is old,the other hand, the chances to find a sample of cord
an article published in one of the world's leadingblood compatible with a patient which has no parental
general medical journals, "The Lancet", wasrelationship with the donor, are significantly higher
considering this possibility since 1939 and the firstthan those of finding a bone marrow donor for an
attempt to treat a patient suffering from cancer byallogenic transplant.
transfusion dates from 1963. But only in 1988 theThe statistics given by Professor Gregory
team of Professor Eliane Gluckman at Saint-LouisKatz-Benichou for the United States show that a
hospital could establish the protocol followed now, inthird of patients waiting for bone marrow
operating the first successful transplant to treat atransplantation, have to find a donor outside their
child suffering from Franconi disease. Therapiesfamilies and less than a third of them (9% of total
derived from cord blood, either to treat bonepatients) found a compatible donor. Conversely, all
marrow diseases or reconstitute the dermis, requirethe investigations made in order to establish the
the involvement of the state which must act as anumber of cord blood transplants available worldwide
driving force, otherwise its liability could be one daywere successful. Thus all patients undergoing a cord
potentially involved due to the lack of informationblood transplant are finding compatible grafts.
provided.Over 20 000 people have been transplanted since
Existing Therapies1988 and it is not surprising that cord blood
The first successful therapeutic efforts based ontransplants are growing each year at the expense of
umbilical cord blood were focused on blood diseases.bone marrow. In 2007, cord blood transplants
In a second time, advances in knowledge of theaccounted for 27% of allogenic transplants
different types of stem cells and their function willperformed in France.