Saturday, November 19, 2011

a potential new treatment for emphysema

a potential new treatment for emphysema



AVIPERO Announces JB1a Reverses Tissue Damage and Induces Tissue Repair in Emphysema

Edinburgh, United Kingdom, November 18, 2011 --(PR.com)-- AVIPERO (Registered in Scotland SC353945) announced today the results of its first R&D therapeutic platform in non-stem cell tissue repair and regeneration.

The principal candidate, JB1a, is an antibody targeting the cell surface adhesion receptor beta1 integrin.

The preclinical study, funded by the Chief Scientist Office for Scotland, describes a novel therapeutic strategy which reverses tissue damage in emphysema. It was demonstrated that targeting beta1 integrin using JB1a shows potent reversal as well as protective effects in a number of in vitro and in vivo models of tissue damage. In an animal model of emphysema, JB1a reversed structural and functional features of emphysema. Emphysema is a major component of a progressive lung disease known as Chronic Obstructive Pulmonary Disease (COPD) characterised by the destruction of tissue around the smaller lung sacs, called alveoli, making these air sacs unable to hold their functional shape upon exhalation and leading to disabling shortness of breath.

The study results were published this month in the online edition of the international peer-reviewed journal Advances in Pharmacological Sciences under the title: “Allosteric modulation of beta1 integrin function induces lung tissue repair.” http://www.hindawi.com/journals/aps/aip/768720 .

Prof. Robert Naylor, AVIPERO’s Director, said this data provides a new paradigm for therapeutics in tissue repair and JB1a is an important early-stage compound. “AVIPERO’s technology platform of tissue repair biologicals show broad repair and protective effects in a variety of diseases and conditions,” explains Prof. Naylor. “JB1a has shown some interesting early-stage results in areas outside of emphysema, for example, arthritis, neurodegeneration and general age-related cellular decline. Such breadth will enable AVIPERO to expand its therapeutic platform and enhance its product pipeline. As the average life span is increasing, it is important to focus on addressing the unmet need of ageing-associated diseases.”

Rehab AlJamal-Naylor, AVIPERO’s Chief Scientific Officer, founder and inventor on the research project said JB1a was chosen for this research because of its broad and profound cellular protective and repair properties demonstrated previously in numerous models of diseases and tissue from human volunteers.

“The generic feature in all the models tested was the increase in mechanical stiffness of the cell that occurs during tissue damage leading to progressive cell death and degeneration. JB1a can reverse functional and structural outcomes through a mechanism involving the mechanical 're-tuning' and allowing normal repair to progress more efficiently,” AlJamal-Naylor said.

In the study, mice suffering from emphysema were treated with JB1a once or twice over a 2-week period. At the end of the treatment period, these mice and various control groups were tested for respiratory function, and structure. The JB1a treated mice showed almost complete reversal of loss of lung elasticity, a measure of lung function. The lung pathology was examined for physical evidence of emphysema. JB1a treatment resulted in a reduction in air space enlargement close to normal.

“We are delighted to see the effect of JB1a in these experiments,” Prof. Naylor said. “These promising results show that JB1a, albeit at a very early stage of development, can provide a potential treatment for emphysema.”

About AVIPERO Ltd.

AVIPERO Ltd (Registered in Scotland SC353945) is a private biopharmaceutical company established in 2009. Avipero is focused on the development of novel therapeutics for unmet clinical needs, characterised by a loss of cells and tissues. This includes conditions such as Parkinson’s disease (PD), chronic obstructive pulmonary disease (COPD), arthritis and age related cell decline. AVIPERO has a proprietary first-in-class therapeutic platform covered by a strong intellectual property portfolio.

About beta1 integrin
Integrins are membrane spanning proteins facilitating the two way communication between the inside and outside of a cell. Integrins have the capacity to bind a multitude of molecules both inside and outside of the cell. The binding of these molecules results in the transmission of information into and out of the cell, which can influence a host of different cellular functions, including the cells metabolic activity and energy.

Of the many types of integrin receptors, the beta1 integrin is by far the most ubiquitous allowing cells to detect a vast array of stimuli ranging from toxins, protein hormones, neurotransmitters and macromolecules. There have been numerous publications documenting a potential role of beta1 integrin in tissue development and repair in several tissue types. It is clear that beta1 integrin plays a crucial role during postnatal skin development and wound healing, with the loss of epithelial beta1 integrin causing extensive skin blistering and wound healing defects.

About COPD
COPD includes a spectrum of disease that encompasses chronic bronchitis and emphysema, a pair of commonly co-existing diseases of the lung in which the airways become narrowed. The narrowing leads to a limitation of the air flow to and from the lungs causing a shortness of breath. In contrast to asthma, the limitation of airflow is poorly reversible and usually gets progressively worse over time. In both bronchitis and emphysema there is localized lung tissue damage with inflammatory cell infiltration resulting in scarring an increasing thickness of the airway walls. COPD is a progressive illness and can lead to death. The incidence of COPD varies. In the UK there are an estimated 850,000 people with COPD or 1 person in 59 receiving a diagnosis of COPD in their lifetime. In the US the prevalence is higher with an estimated 1 in 20 people being diagnosed, or 5% of the population equating to around 13.5 million people. The WHO estimate that in 2005 around 5% (3 million) of all deaths globally where due to COPD, this is set to increase by around 30% over the next 10 years.

Treatment options are limited and address only the symptoms and not the underlying disease. The mainstay treatments are those primarily used to treat asthma and include the short and long acting bronchodilators and the inhaled anti-inflammatory steroids. More recently a number of anticholinergic drugs and PDE4 inhibitors have found favour in treatment of symptoms. However, their safety track record remains to be established.

For Further Information Please Contact:
Robert J. Naylor
AVIPERO Ltd
Director,
07919-621-733
info@avipero.com

Saturday, November 12, 2011

Trigger Discovered Inside Blood Vessels of the Lung for lung regeneration

Trigger Discovered Inside Blood Vessels of the Lung for lung regeneration



A molecular trigger involved in lung regeneration has been uncovered. Investigators--including Dr. Ronald G. Crystal (Chief of Pulmonary and Critical Care Medicine) and Dr. Shahin Rafii (Professor of Medicine/Medicine & Genetics)-- have published their findings in Cell. The discovery is part of a labyrinth of advances toward a fuller understanding of the process of lung regeneration.

Lead investigator, Dr. Rafii (Arthur B. Belfer Professor of Genetic Medicine & Co-Director of WCMC’s Ansary Stem Cell Institute), explains that the pathways involved in the regeneration of liver and of bone marrow can be monitored readily, but it is “much more cumbersome” to study the process in adult organs such as the lung or heart. Using a mouse model, the investigators uncovered growth factor signals that trigger – or “turn on”-the generation of new lung alveoli. Lung alveoli are the numerous, tiny sacs within the lung where oxygen exchange takes place during inhalation and exhalation. The regeneration process the researchers have defined in the journal Cell involves specialized cells (known as endothelial cells), which line the interior of blood vessels in the lung: These endothelial cells--by producing specific growth factors know as angiocrine factors--trigger and sustain the generation of new lung alveoli.

It has been long-known that when a mouse is missing one of its lungs, the remaining lung has the capacity to expand and regenerate. It is speculated that humans may have the same potential, unless, or until, prevented by smoking, cancer, or other extensive chronic damage. Dr. Crystal, co-author of the study, notes there is no effective therapy for patients with COPD. “Based on this study,” he says, “I envision a day when patients with COPD and other chronic lung disease may benefit from treatment with factors derived from lung blood vessels that induce lung regeneration.”


see the news release on on lung regeneration at Cornell University

Monday, November 7, 2011

Stem cells used for Lungs

Stem cells that are able to regenerate damaged lung tissue have been discovered by scientists. The brochioalveolar stem cells (BASCs), naturally present in the lungs of rodents and humans, are capable of rebuilding alveoli - the small air sacs in lungs.
Professor Frank McKeon, from the Genome Institute in Singapore and Harvard Medical School, hopes that the discovery of the stem cells will lead to new treatments for people with damaged lungs. 'We have found that the lungs do in fact have a robust potential for regeneration, and we've identified the specific stem cells responsible', he said.


The stem cells were isolated after researchers infected mice with a form of the H1N1 influenza virus - similar to the virus that caused the 1918 flu pandemic - to observe lung damage and regeneration. The virus initially damaged more than half of the lung alveolar tissue, but the alveoli had regenerated by three months after infection. There was no sign of lung fibrosis, a chronic scarring condition commonly seen after other forms of lung damage.

'We saw essentially pristine lungs at three months after a loss of 50 percent of lung tissue', said Professor McKeon, who led the team.
The cells multiply rapidly, migrate towards areas of damage in the lungs and assemble into 'pods' that go on to form new alveoli. Similar stem cells with the ability to multiply and form pod-like structures were also isolated in human lung tissue.
Researchers are now working to identify the signalling molecules and growth factors that promote lung regeneration at repair sites. Such work could result in improved therapies for acute and chronic lung damage caused by conditions such as asthma, chronic obstructive pulmonary disease and pulmonary fibrosis.

'These findings suggest new cell- and factor-based strategies for enhancing lung regeneration following acute damage from infection, and even in chronic conditions such as pulmonary fibrosis', said Professor McKeon. 'It's too early to say common lung diseases will be treatable, but it's a start, and there's a lot of potential'.
In another study, also published in the journal Cell, researchers at the Howard Hughes Medical Institute and Weill Cornell Medical College identified a key signalling molecule involved in regenerating alveoli and lung tissue.

The molecule - matrix metalloproteinase 14 (MMP14) - is required for the growth of new alveoli. When one lung is removed, new alveoli are known to grow in the other intact lung. But when the researchers blocked the activity of MMP14, the lung's regenerative capacity was impaired. Reintroducing MMP14 restored regeneration. The researchers found that cells in the blood vessels of the lungs produced MMP14.
'The key is that the blood vessels turn on the pathways for regeneration', said Dr Shahin Rafii, who led the research; 'the therapeutic potential is tremendous'.


Friday, November 4, 2011

November is Lung Cancer and COPD Awareness Month

November is Lung Cancer and COPD Awareness Month

It may be no coincidence that November is both Lung Cancer Awareness Month and COPD Awareness Month. Lung cancer and COPD (chronic obstructive pulmonary disease) are two of the leading causes of death in America – and also among the most underappreciated. This November, the American Lung Association is shining a spotlight on these two deadly diseases, and what’s being done to reduce their burden on American lives and that of their loved ones. Two new pages on the American Lung Association website are now dedicated to raising awareness about COPD and lung cancer year round.
 
couple02.jpgLung Cancer – The Top Cancer Killer
Lung cancer is a tragic disease that takes a terrible toll on patients, as well as their loved ones. Lung cancer is the leading cancer killer in both men and women in the United States. In fact, more people die from lung cancer than colon, breast and prostate cancer combined. The American Lung Association has long been the leader in the fight against lung cancer and is taking new steps to help both patients and their families. Learn more.

COPD – Overlooked Lung Threatconnection-living-disease-thumb.jpgDid you know that COPD is the third leading cause of death in the U.S.? Or that 12 million Americans have been diagnosed with COPD, while an estimated 12 million more have it, but have not been diagnosed? If you don’t, that’s part of the problem! Chronic obstructive pulmonary disease (COPD) – which includes emphysema and chronic bronchitis – can be prevented and is treatable, but only if people know about it. As part of our commitment to lung health, the American Lung Association is working to raise awareness of this overlooked lung health threat. We have also created useful tools for COPD patients and partnered with others to help people with COPD live healthier, more active lives. Learn more.


Register Today for the Yuma AZ Healthy Lung Expo

Register Today for the Yuma Healthy Lung Expo!
COPD ArizonaThere is still space available for the Yuma Healthy Lung Expo!  Join us to learn more about lung health issues from great speakers, enjoy a delicious breakfast, spirometry testing, continuing education credits for healthcare professionals, door prizes and more!
Wednesday, November 16th
Pivot Point Conference Center
310 North Madison Avenue
Yuma, AZ
Scott CeretaKeynote Speaker: Scott Cerreta, BS, RRT from the COPD Foundation will present  “COPD Co-morbidities and Optimal Care for Patient Self Management”
$5 for patients and caregivers 
$20 for healthcare professionals
Register online or register over the phone by calling 520-468-7458
 
For more information and the complete agenda visit www.breatheeasyaz.org
Questions?  Please call Amber at 520-468-7458

Wednesday, November 2, 2011

how to generate new replacement Alveoli ?

how to generate new replacement Alveoli  ?





The extent of lung regeneration following catastrophic damage and the potential role of adult stem cells in such a process remains obscure. Sublethal infection of mice with an H1N1 influenza virus related to that of the 1918 pandemic triggers massive airway damage followed by apparent regeneration. We show here that p63-expressing stem cells in the bronchiolar epithelium undergo rapid proliferation after infection and radiate to interbronchiolar regions of alveolar ablation.

 Once there, these cells assemble into discrete, Krt5+ pods and initiate expression of markers typical of alveoli. Gene expression profiles of these pods suggest that they are intermediates in the reconstitution of the alveolar-capillary network eradicated by viral infection. The dynamics of this p63-expressing stem cell in lung regeneration mirrors our parallel finding that defined pedigrees of human distal airway stem cells assemble alveoli-like structures in vitro and suggests new therapeutic avenues to acute and chronic airway disease.

 




sciencedirect.com lungs article




http://www.sciencedirect.com/science/article/pii/S0092867411011731

Tuesday, November 1, 2011

A Breath of Fresh Air in Lung Regeneration

 

  • Highlights
  • Pulmonary capillary endothelial cells (PCECs) support alveologenesis
  • Autocrine VEGFR2 and FGFR1 activation in PCECs induces MMP14 expression
  • MMP14 unmasks EGF receptor ligands, enhancing epithelial cell proliferation
  • Injection of activated PCECs or angiocrine factors accelerates lung regeneration

Summary

To identify pathways involved in adult lung regeneration, we employ a unilateral pneumonectomy (PNX) model that promotes regenerative alveolarization in the remaining intact lung. We show that PNX stimulates pulmonary capillary endothelial cells (PCECs) to produce angiocrine growth factors that induce proliferation of epithelial progenitor cells supporting alveologenesis. Endothelial cells trigger expansion of cocultured epithelial cells, forming three-dimensional angiospheres reminiscent of alveolar-capillary sacs. After PNX, endothelial-specific inducible genetic ablation of Vegfr2 and Fgfr1 in mice inhibits production of MMP14, impairing alveolarization. MMP14 promotes expansion of epithelial progenitor cells by unmasking cryptic EGF-like ectodomains that activate the EGF receptor (EGFR). Consistent with this, neutralization of MMP14 impairs EGFR-mediated alveolar regeneration, whereas administration of EGF or intravascular transplantation of MMP14+ PCECs into pneumonectomized Vegfr2/Fgfr1-deficient mice restores alveologenesis and lung inspiratory volume and compliance function. VEGFR2 and FGFR1 activation in PCECs therefore increases MMP14-dependent bioavailability of EGFR ligands to initiate and sustain alveologenesis.




 

Authors