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    Neural Stem Cells:

    Developmental Insights with Potential Therapeutic Lessons

    Evan Snyder

    Harvard Medical School

    Incoming Director and Professor, Program for Developmental

    & Regenerative Cell Biology

    Burnham Institute

    Incoming Director Basic Science Research, Division ofNewborn Medicine, Department of Pediatrics

    University of California, San Diego

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    A series of reciprocal molecular communications between exogenous neural

    stem cells (NSCs) and their host environments -- in addition to cross-talk

    between NSCs -- have provided a basis for some appealing possibilities for CNS

    therapy in certain situations as well as providing a better understanding of the

    fundamental role of NSCs in development. First, abnormal hosts seem to alter

    the fate and behavior of immature, uncommitted NSCs. For example, duringphases of active neurodegeneration, factors seem to be transiently elaborated to

    which NSCs may respond by migrating (even long distances) to degenerating

    regions & differentiating specifically towards replacement of dying neural cells.

    NSCs may "attempt" to emulate in the brain what hematopoietic stem cells do inthe periphery: repopulation & reconstitution of ablated regions. These "repair

    mechanism" may reflect the re-expression of basic developmental principles

    (particularly during particular temporal "windows" following injury) that may be

    harnessed for therapeutic ends. In addition, NSCs in their native state (even

    without specific genetic engineering) appear to alter host tissue such that a more

    favorable milieu is established for the protection of imperiled host cells and/or

    the activation of intrinsic regenerative processes.

    Gene Therapy (2002) 9, 613-624

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    Some of these process may derive from cues that NSCs provide to each other as

    one cell in a clone interacts with, "instructs" the fate of, or "chaperones" its sister

    cells through molecular cues; host cells may be bystanders who benefit from this

    interaction. Many of these factors are expressed in a regulated fashion, quite

    different from the mode by which they might be expressed via a viral vector, non-biological system, or even an alternative non-neural cell type. Interestingly,

    attempting to augment one "intrinsic" factor within the neural stem cell may

    actually alter an apparent delicate intra-cellular "balance" in unanticipated and

    sometimes undesirable ways. Therefore, a better understanding of how neural

    stem cells regulate their expression of various "therapeutic" molecules is alsopivotal to understanding both development and repair. Taken together, and based

    on observations in various animal models of CNS injury & degeneration, NSCs

    may theoretically serve both as mediators of cell replacement and as vehicles for

    protein delivery (e.g., including the expression of factors that might enhance

    differentiation, neurite outgrowth, connectivity, & neuroprotection). Whencombined with certain synthetic biomaterials, NSCs may be even more effective in

    "engineering" the damaged CNS towards reconstitution by, once again, "tapping"

    into fundamental developmental processes.

    Gene Therapy (2002) 9, 613-624

    Continued:

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    Progenitor Cells in the Adult Substantia Nigra

    The Salk Institute

    Dieter Chichung Lie

    Fred. H. Gage

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    In Parkinson's disease, progressive loss of dopaminergic neurons in the substantia

    nigra pars compacta (SN) leads to debilitating motor dysfunction. One currenttherapy aims at exogenous cellular replacement of dopaminergic function by

    transplanting dopamine producing cells into the striatum, the main projection area

    of the SN. However, results utilizing this approach have shown variable success.

    It has been proposed that cellular replacement by endogenous stem/progenitorcells may be useful for therapeutic interventions in neurodegenerative diseases,

    including Parkinson's Disease. Although it is widely accepted that progenitor cells

    are present in different areas of the adult central nervous system, it is unclear

    whether such cells reside in the adult SN and whether they have the potential to

    replace degenerating neurons. We have identified a population of actively

    dividing progenitor cells in the adult SN, which in situ give rise to new mature

    glial cells but not to neurons. However, when removed from the SN, progenitor

    cells display a broader neural potential and differentiate into all three major CNS

    lineages, including neurons.Transplantation of freshly isolated SN progenitorcells into the adult hippocampus showed that these cells also have a neuronal

    potential under in vivo conditions.

    Science 287:1433-1438

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    In summary, these results indicate that:

    Neural progenitor cells reside in the adult SN;Neural progenitor cells have an intrinsic potential to

    give rise to new neurons;

    The environment of the adult SN is not permissive for

    neuronal differentiation of intrinsic neural progenitor

    cells;

    This developmental potential of SN progenitor cells

    might be useful for future endogenous cell replacementstrategies in Parkinson's disease.

    Science 287:1433-1438

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    Selective Amplification of Stem Cells for

    Clinical Application

    Jan W. M. VisserVice President Stem Cell Research

    Viacell, Inc.

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    The widespread clinical use of stem cells will depend on theability to access and manufacture stem cells in large numbers

    with high quality. A selective amplification protocol was

    developed, which efficiently expands the hematopoietic stem

    cellcompartment for transplantation while minimizing thecontent of differentiating and maturing cells.Using cord

    blood as a source of stem cells the average expansion of

    CD34+/CD38- is 40-fold in a 2 week period of selection and

    culture. This product is being tested in a clinical trial.

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    We are also exploring the plasticity of stem cells from cord blood in a rat strokemodel. In this case the selectively amplified cord blood derived producthad an

    effect when i.v. injected into a rat model for brain stroke, where it significantly

    enhanced functional recovery of rats which had received an infarct relative to

    control animals having received the same debilitating procedure. Manufacturedstem cells from cord blood using selective amplification may provide a source

    of immunologically stem cells for use in this and other neural diseases.

    Additionally, in our hands stem and progenitor cells for pancreatic isletsand

    beta-cellscan also be cultured and expanded ex vivo for several months in anundifferentiated state. They produce islet-like structures when induced to

    differentiate. These cells are tested in animal models of type 1 diabetes.

    Although the frequency of expanded pancreatic stem cells is low (

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    Plasticity of Circulating Adult

    Bone Marrow Stem Cells

    Tim Brazelton, Ph.D.,

    Research Scientist

    Stanford University School of Medicine

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    Generally, it has been thought that only embryonic stem

    cells (ES) are pluripotent (capable of generating all or most

    cell types) while stem cells in the adult were considered to

    be restricted in their regenerative potential to the tissues in

    which they reside. However, observations from our

    laboratory and others have found that when adult bonemarrow cellsare administered intravascularly into adult

    recipients, that these cells home to various organs where

    they give rise to cells typical of that tissue, such as neurons,

    skeletal myofibers, liver hepatocytes, and intestinal andrespiratory epithelium.

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    Since our experimental methods take great care to reproduce physiological

    conditions (i.e., no intervening tissue culture, no tissue injury or disease in

    recipient, intravascular delivery) our results suggest that these

    "transdifferentiation" events are likely to occur in healthy adults from cells

    that normally circulate. While most reports have found that under

    physiological conditions (i.e., no overt injury) that "transdifferentiation" is a

    rare event, we've found that in some cases that bone marrow appears to be a

    robust source of tissue stem cells. For example, one year after bone marrowtransplant and in the absence of injury, up to 10% of the myofibers in one

    skeletal muscle contain bone marrow derived nuclei. Our current efforts

    involve the establishment of novel in vivo and in vitro screens to identify the

    circulating progenitor cells and factors involved in these

    "transdifferentiation" events. Such knowledge will likely have enormous

    potential for the development of novel therapeutics which take advantage of

    the dramatic and inherent plasticity of circulating adult stem cells.

    Continued:

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    What is a stem cell? Classic definition is based on function and is still agreed

    upon by essentially all investigators:

    - Stem cells are cells capable of:

    proliferationself renewal

    production of a large number of differentiated progency

    regeneration of tissue after injury

    flexibility in the use of these options

    Additional characteristics classically associated with stem

    cells that may need to be re-evaluated given recent data:

    Tissue specificUndifferentiated (unspecialized)

    Linear, irreversible differentiation pathways

    A stem cell is a cell ( i.e., a discrete, identifiable entity)

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    What is a stem cell? (Revisited)

    Tissue specific?

    -- No: Not limited to specific tissue

    Undifferentiated / unspecialized / primitive? -- Yes: Hard to identify; not many markers

    -- No:

    Some stem cells are differentiated:

    -Bulge stem cells (skin) express keratin 5 and 11 - Multipotent neuronal stem cells ciliated cells, GFAP and nestins

    They seem pretty specialized:

    - Monitor environment & dynamic response to diverse signals

    * Plasticity requires active maintenance * NSC exist throughout brain generate progeny in only specific locations

    - Migrate throughout body

    - Generate diverse cell types

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    Linear, irreversible differentiation pathway?

    --No: * Cloning; Forced cell fusion

    * Dedifferentiation

    Stem cells are heterogeneous

    -- Stem cells are different to isolate * Purification protocols typically enrich;

    * Degree of enrichment balanced with the capture of stem cell capacity

    A stem cell is a cell ( i.e., a discrete, identifiable entity)?

    -- Since many types of cells from distinct tissues can be recruited to hehave asstem cells:

    -- We suggest that the concept of a stem cell most accurately refers to acellular function that is recruitable in many cell types ( i.e., a cellular program like

    apoptosis)

    -- Cells classically identified as stem cells likely have the greatest propensity to

    act as stem cells but other cells may be recruited to function as stem cells if theneed arises.

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    Conclusions:

    Dramatic plasticity exists within adult bone marrow-derived

    cells

    Cell fate transitions are physiological events

    Cell fate transitions are often rate but can be increased

    -- inhibition of local regeneration populations

    -- increased need for tissue regeneration

    Stem cell function may not be limited to stem cells

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    Cell Expansion in the AastromReplicell(tm) Cell

    Production System: Automated Single PassPerfusion for Cell Expansion

    Steven N. Wolff, M.D.

    Vice President Medical Research

    Aastrom Biosciences, Inc.

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    Cell therapy is currently used for hematologic restoration,immunologic vaccination and tissue regeneration with further

    promise due to broad transdifferentiation of adult marrow derived

    stem cells. Aastrom has developed a fully automated, GMP

    compliant, computer directed, closed system for the growth of thesehuman cells.The presentation will highlight the production, cell

    characterization, pre-clinical and clinical studies of various cells

    grown in the ARS/CPS platformby addressing these specific goals:

    1. To demonstrate the ARS/CPS platform and single pass perfusion

    2. To show laboratory and clinical studies of hematopoietic cell expansion

    3. To show substantial expansion of mesenchymal stem cells

    4. To demonstrate the automated production of antigen loaded dendritic cells5. To demonstrate the automated production of antigen specific T-cells

    6. To discuss the capability of the ARS/CPS to grow and expand other cell types

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    An "Identity Crisis" For Stem Cells

    Naohiro Terada, M.D., Ph.DAssociate Professor

    University of Florida

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    Over the past few years, a traditional cell lineage dogma has been challengedby a group of studies showing plasticity in various types of adult-derived stem

    cells. Traditionally, stem cells in the adult body were thought to be limited in

    potential,such that a hematopoietic stem cell in the bone marrow, for instance,

    could only become a blood cell. However, recent reports have demonstrated

    that transplantation of hematopoietic stem cells, for example, can lead to

    production of muscle cells, liver cell types, cells of the brain, and other cell

    types. This research has caused much excitement over what is called

    'transdifferentiation,' or the ability to acquire broadened differentiation potential.

    Work focusing on the ability of adult stem cells to become a variety of othercell types has been a hot topic, making implications for plasticity in tissue-

    specific adult stem cells. Decidedly, this work has inferred that these various

    adult cells could have the same multi-potency as embryonic stem (ES) cells.

    The ability to avoid using ES cells for clinical use is attractive, as it would avertmuch of the current political and ethical controversy over use of fertilized

    human eggs in research.

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    In article recently published, however, we demonstrated that

    cell fusion could be an alternative explanation for apparently

    "transdifferentiated" cells. A major question remains to be

    answered: does transdifferentiation truly occur in committed

    adult cells in our body? Continued work is necessary for acomplete understanding of the exciting but unclear process of

    transdifferentiation.

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    First Products of Stem Cells from Stem

    Cell Technology: A Progress Report

    Allan Robins, Ph.D.

    Chief Scientific Officer

    Bresagen

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    Prospective cell types for treatment ofneurlogical disease in including Parkinson's

    have reached the rodent testing stage.

    We take a forward look at the challenges

    concerned with moving products into clinic.

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    PANEL: STEM CELLS: PATENTS, LICENSING

    AND INTELLECTUAL PROPERTY

    Elizabeth R. Donley

    Legal Counsel

    WARF/WiCellDavid Earp, J.D., Ph.D.

    Vice President, Intellectual Property

    Geron CorporationKurt G. Briscoe, J.D.Partner

    Norris McLaughlin & Marcus, P.AKevin Noonan, Ph.D.,Partner

    McDonnell Boehnen Hulbert & BerghoffBill WarrenPartner

    Sutherland Asbill & Brennan LLP

    MODERATOR:

    PANELISTS:

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    As interest in adult and embryonic stem cellshas grown, issues of intellectual property in,

    and licensing of rights to, the cells have been

    at the forefront of many discussions. Thepanelists addressed these issues and the

    audiences have opportunities to put questions

    to the panel for discussion.

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    Regenerative Medicine for Brain and

    Spinal Cord Repair

    Annemarie Moseley, Ph.D., M.D.Acting CEO

    Layton BioScience, Inc.

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    Mission Statement

    To develop and commercialize cell

    therapy products for repair of

    disorders of the central nervoussystem, such as stroke, Parkinsons

    disease, Huntingtons disease and

    spinal cord injury

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    Large Unmet Need

    As the population ages, diseases of the central nervous

    system have an increasing impact on society Incidence of stroke increasing and one third of all strokes

    are left with debilitating effects which require assisted

    living

    There are no medical products available which can repair

    the nervous system and it cant repair itslef

    Challenge: decrease functional loss and introduce repair of

    the brain and spinal cord

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    LBS-NeuronsTM: Proprietary Cell Product

    Differentiated, human neural progenitors Highly characterized:

    * Form functional synapses

    * Secrete neurotransmitters

    Non-tumorigenic

    Reproducible manufacturing process, produced

    under GMP on-site at Layton

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    Long-term engraftment of LBS-Neurons in ratsand primates

    No abnormal growth or differentiation

    No migration from site of implantation Functional improvement in animals receiving

    LBS-Neuron implants compared to controls

    No tumorigenicity

    LBS-NeuronsTM: Preclinical Studies in Stroke

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    Safty and feasibility confirmed in 12 patients with

    chronic stroke

    Seven of twelve patients had clinically significantimprovement in motor function

    Positive PET scans correlated with improved

    motor function

    LBS-NeuronsTM: Phase 1 Trail in Stroke

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    Dose escalation safety study

    * 18 patients

    * 5 and 10 million cell dose and control groups

    Two clinical centers:

    * University of Pittsburgh

    * Stanford University

    Enrollment completed

    Early data suggests that potential cognitive and sensorychanges as well as motor changes

    LBS-NeuronsTM: Phase 2 Trail in Stroke

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    Summary

    The promise of neural cell therapy lies in the reestablishment of

    neural connections or of the replacement of the milieu needed

    by regenerating neurons. Layton has led the field of neuronal

    cell implantation by providing a reproducible GMP neuronal

    cell product as an alternative to fetal cell transplants. Layton

    has patented the process for producing large quantities of purecultures of LBS-Neurons from NT2/D1 cells. Early data

    demonstrated that LBS-Neurons could polarize, form functional

    synapses and undergo site-specific differentiation. Layton has

    now completed more than 2 year followup in the Phase 1 trialof implantation of LBS-Neurons into the basal ganglia region

    of the brain of chronic stroke patients.

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    The company has recently completed treatment of all

    patients in a Phase 2 clinical trial in chronic stroke patients

    with higher doses of the cells. In addition to PET scans,

    and motor function testing, cognitive studies have been

    performed in these chronic stroke patients. Recent datahave additionally suggested an impact of the neurons in

    acute cortical stroke. The company anticipates entering

    clinical studies to further evaluate the implantation of

    LBS-Neurons in Huntington's disease patients and chronicspinal cord injury patients.

    Summary (Cont.)

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    Overcoming the Supply Issue:

    Cell and Organ-Based Therapeutics

    David Ayares, Ph.D.

    VP, Technology

    PPL Therapeutics

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    The primary bottleneck in the development of lifesaving

    therapies for such diseases as diabetes, parkinson's, alzheimers,and whole organ failure (heart, kidney, lung, pancreas), is the

    limited supply of appropriate donor cells and organs for

    transplantation. Xenografts from alpha 1,3 gal knockout pigs, in

    combination with tolerance regimes, provide the promise of anunlimited supply of cells and organs, which can be applied to

    humans without risk of rejection.Cloned pigs with knockout of

    alpha 1,3 galactosyl transferase gene are now available to begin

    the pivotal pig-to-primate preclinical experiments. In addition,significant progress has been made in the differentiation of

    embryonic stem cells into a varietyof therapeutic cell types,

    which brings the promise of cures (not just therapies) for a

    number of debilitating diseases. This presentation addressedrecent progress in xenotransplantation, as well as, new methods

    of generating and differentiating pluripotent stem cells.

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    Tissue Engineering Using Stem Cells:

    Current Applications and Future Potential

    Andreas Kern, Ph.D.Principal Scientist

    Advanced Tissue Sciences, Inc.

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    Tissue Engineering has the potential to become a major

    source for Regenerative Medicine. The combination of

    stem cells and scaffold technology may allow for the

    generation of transplantable materials for, among others,

    cardiovascular and musculoskeletal applications.However, several obstacles remain for the acceptance of

    such transplants. These challenges include the use of

    embryonic versus adult stem cells, an understanding of

    pathways to direct differentiation into specialized tissues,and the issue of alloreactivity.

    Introduction

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    Pluripotent Cells for Tissue Engineering

    Adult origin

    -Bone marrow derived (Pittenger et al., 1999) * chondrocytic differentiation

    * osteocytic differentiation

    * adipocytic differentiation

    - Adipose tissue derived (Zuk et al., 2001)

    - Brain derived (Uchida et al., 2000)

    - Skin derived (Toma et al., 2001)

    Embryonic stem (ES) cells

    - Derivatives of three germinal layers (Thompson et al., 1998)

    - Cardiomyocytes (L. Field, A. Wobus, Kehat et al., 2001)

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    Cardiomyocyte Summary

    ES cells as potential source for large quantities ofcardiomyocytes

    Challenges: 1) Yield of cardiomyocytes

    2) Source of precursor cells

    3) Novel perfusion bioreactor technology for tissue survival

    4) Synchronized beating

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    Summary Allogeneic Rejection

    Expression of rejection-related molecules may bemodulated by ECM and differentiation

    Human fibroblasts with similar expression patterndo not exhibit acute rejection

    ES-derived tissues may have a similar potential

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    Tissue Engineering and Pluripotent Cells

    Examples

    -Embryonic cardiomyocytes within polymeric sheets (Shimizu et al.,2002) - Osteocytic development in rat (Gao et al., 2001)

    Opportunities of cell-scaffold technology

    - In vitro growth, matrix deposition and tissue formation - Cryopreservation

    - Off-the-shelf availability

    Challenges:

    - Adult vs embryonic cells

    - Immunology

    - Perfusion

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    The Road to Longevity: The Synergy of

    Centenarians and Stem Cells in

    Regenerative Medicine

    Doros Platika, M.D., Ph.D.

    President and CEO

    Centagenetix

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    Longevity is a heritable human trait, much like height, weight,and susceptibility to diseases such as breast cancer. This was

    the conclusion of the New England Centenarian Study which,

    when looking at the characteristics of individuals surviving to

    very old age, noted that centenarians:

    tend to cluster in families (both horizontally within a

    generation as siblings and vertically through generations); delay the onset of the effects of ageing (i.e. are markedly

    more youthful than their same-age cohorts throughout

    their lives);

    escape catastrophic disease throughout their life; and, delay the onset of or escape the diseases associated with

    ageing (e.g. Alzheimers Disease)

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    Our primary research and development goal for the next five yearsis to

    gain an understanding of the genetic basis for longevity, whether in the

    negative as the absence of genes conferring susceptibility to particular

    diseases, or in the positive as beneficial or protective genes directly related

    to longevity. There is accumulating evidence that not all gene variants

    (alleles) are created equally the specific gene variant an individualinherits affects susceptibility to a wide range of ailments including

    diabetes, vascular disease, and dementia. Because the ability to survive to

    an extremely old age requires evading such calamities, it is expected that

    centenarians have a relative paucity of these disease alleles. Wehypothesizes that a second class of genetic variants affects health and

    longevity more broadly, and conceptually these may be thought of as

    disease resistance or longevity promoting genes. For example, genetic

    differences among enzymes responsible for DNA and cellular repair may

    account for some of the heritable component of longevity. An individualfortunate enough to possess an extremely effective repair facility may be

    able to partially negate the detrimental effects of both nature (the

    environment) and nurture (detrimental genes they may inherit).

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    Centagenetix plans to gain understanding of the genetic basis for

    longevity using association studies comparing centenarians to

    various control and disease populations. Such population genetics

    studies are an extremely powerful approach to drug target discovery.

    The reason is simple: association studies seek the genetic basis ofdisease susceptibility and therefore tend to identify causes over

    effects. In contrast, other target screens, such as gene expression

    analysis, confound cause and effect its difficult or impossible to

    determine whether a change in mRNA expression is an effect, a

    cause, or coincident with a process being studied. The Holy Grail for

    investigators doing gene expression analysis would be computational

    methods which could reconstruct pathways from the massive amount

    of data these studies generate. This has proven hopeless, and the

    same will be true for the coming wave of proteomics platforms. Withgenetic variation this is not an issue: disease alleles promote disease

    not the converse.

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    The critical pointis that, contrary to industry

    experience to date, gene targets generated throughthese types of association studies will be of very high

    quality, dramatically reducing the number of false

    positive targets carried through for further study.

    This will have profound effect in reducing the time

    and cost associated with target validation, a significant

    current bottleneck in the drug development process.

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    Therapeutic Cloning and Alternative

    Strategies for the Production of Autologous

    Totipotent Stem Cells

    Michael D. West, Ph.D.

    President and CEO

    Advanced Cell Technologies

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    Advanced Cell Technologys (ACT) cell therapy

    programs are built upon a new class of cells able to form

    virtually every cell type in the body.

    This technologyplatform therefore has unusually broad applications in

    medicine. These primordial stem cells includeEmbryonic Stem (ES) cells and other cells from the

    Inner Cell Mass (ICM) of preimplantation embryos.The biotechnology industry hopes to produce many new

    therapies from these cells, for instance, neurons for the

    treatment of Parkinsons disease and spinal cord injury,

    heart muscle cells for heart failure, cartilage for arthritis,

    pancreatic cells for diabetes, as well as many others.

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    As promising as ES cell technology may seem, it does

    not solve the critical problem of histocompatibility.Human ES cells obtained from embryos derived during

    in vitrofertilization procedures, or from fetal sources,

    are essentially cells from another individual

    (allogeneic). This means that they, or any cells madefrom them, would be at risk of being rejected iftransplanted into a human being. To solve this problem,ACT is performing research on three means to

    manufacture embryonic cells identical to a human adult,

    this is to say, autologousembryonic cells.

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    Somatic Cell Nuclear Transfer: In this technique, commonlydesignated Human Therapeutic Cloning a patients body cell iscombined with an egg cell that has its DNA removed. As a resultthe body cells DNA is reprogrammed back to an embryonic state,

    and totipotent stem cells are produced identical to the patient.

    Parthenogenesis: In this technique a womans oocyte isdirectly activated without the removal of its DNA to begin

    development on its own, forming a preimplantation embryo fromwhich totipotent stem cells are isolated.

    Ooplasmic Transfer: In the reverse of nuclear transfer,ooplasmic transfer involves the removal of the cytoplasm of anoocyte and transferring it into the body cell of a patient thereby

    transforming the patients cell into a primitive stem cell.

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    StudiesonOrgan(1)Regeneration in situor in vitro

    Xu, Rong-xiang, M.D.

    President of MEBO International

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    Introduction

    This is a tremendous research project in series

    which started 14 years ago. Our purpose is toinitiate and maintain the potential regenerative

    cells in tissues to proliferate and regenerate new

    cells to take places the flawed, worn-out,destroyed, or apoptosis cells in vivoand in situ,

    which assures the well-working structure and

    function of the tissues or organs. Based on this

    theory and the successful progresses we made in it,

    we established Regenerative Medicine.

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    Purpose and Method

    Based on the classifications in Anatomy of Human

    Function, we divide the whole living human body into

    206 functional tissue units. We set up different

    experiment models by culturing each of these units in

    vitro. Using these well-established modelswe are

    doing the research of seeking life regenerativesubstances(3)which are able to initiate, maintain cells to

    be alive, to proliferate and to regenerate. And then, we

    put these life substances back into organism to fulfill the

    organ regeneration or physiologically repair in vivoandin situ, which reaches our goals to cure the diseases and

    ensure organ healthiness.

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    Project Procedures1Studies on seeking the tissue cells in situof organ which have

    the potential to regenerate.

    2

    Taking out these potential regenerative cells to culture invitro, initiate the proliferation and differentiation of these cells in

    order to form tissues or organs as same as the ones in situ.

    3Studies on seeking the Life Regenerative Substances which

    are able to initiate, maintain cells to be alive, to proliferate, to

    different, and to regenerate using the successful procedures and

    models in vitro.

    4

    Putting these life substances back into organism to fulfill theorgan regeneration or physiologically repair in vivoand in situ.

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    Key Words1Tissue Organ: The tissue unit which has the ability

    to carry out organism functions.

    2Potential Regenerative Cell: The cells which have thepotential ability of regeneration similar as stem cell but

    regularly exist in tissue/organ as normal cells.

    3Life Regenerative substance: The substances whichare able to initiate and maintain cell proliferation,

    differentiation, regeneration and to form tissue or

    organs eventually.

    4In situThe positions where the cells, tissues or

    organs exist in organism.

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    Main contents of this report

    1The dynamic study on Potential Regenerative Cell;

    2The process of mouse gastrointestinal mucosa

    regeneration in situor in vitro;

    3Cultivation of mouse pancreas in vitro;

    4Hair follicle regeneration in vitro;

    5Human skin organ regeneration in situ;

    6Clinical studies on tumor cells affected by liferegenerative substances.

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    1) Establish the technology of normal tissue cell culturein vitro;

    2) Fulfilled the human skin organ regeneration in vivo

    and in situ;

    3) Achievements on clinical application of skin organ

    regeneration for 15 years;

    3) Set up some functional tissue organ (such as

    gastrointestinal mucosa) regeneration models in vitro.

    4) Successfully finished 21 life regenerative substances

    which can fulfill 21 types of functional organ

    regenerations.

    Results:

    PANEL: COMMERCIAL IMPLICATIONS OF STEM

    CELL RESEARCH FOR THE PHARMACEUTICAL

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    CELL RESEARCH FOR THE PHARMACEUTICAL

    AND BIOTECH INDUSTRIES

    Linda Powers

    Managing Director

    TOUCAN CAPITAL

    MODERATOR:

    PANELISTS:

    Sami Hamade

    V.P., Compass GroupGuidant CorporationRodney Altman

    Principal

    Piper Jaffray Ventures

    Joel F. Martin

    Partner

    Forward Ventures

    Robert Caffarata

    Director, Emerging VenturesMedtronic VascularMiles Greenberg

    Principal

    A.M. Pappas and Associates

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    As the pharmaceutical industry prepares

    for potential involvement in medicalbreakthroughs afforded by stem cell

    research and regenerative medicine,

    venture capital and investment managerson this panel convened to discuss the

    commercial and financial aspects; both

    present and future.