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New approach to expand

cord blood stem cells

Nature Medicine 16, 232 - 236 (2010)

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Why is umbilical cord blood of any value for medicine?

Cord blood is a rich source of stem cells that can be used to treat patients with leukemia, lymphoma and inherited metabolic and hematopoetic diseases.

 
What is an umbilical cord blood unit?
 
A cord blood unit is the term used for the blood collected from the umbilical cord and placenta after a baby is born.
 
How is cord blood used in transplants?
 
Cord blood is one of three sources of cells used in transplant; the other two are bone marrow and peripheral, circulating blood, also called peripheral blood stem cell or PBSC transplants.
What is the difference between private cord blood banking and public cord blood banking?
Private cord blood banking is storing the baby's cord blood for his/her own future use or use for a family member should the need arise. Alternatively, public cord blood banking, or donating, means that the baby's cord blood is stored in a cord blood bank and is available to anyone in need of a transplant or may be used research purposes.
 
Are umbilical cord blood cells the same as embryonic stem cells?
 
No, umbilical cord blood cells are taken from the baby's umbilical cord and placenta after the baby is born, and not from an embryo. In contrast to embryonic stem cells, cord blood stem cells can be clinically applied and have proven to be effective an save for patients. Embryonic stem cells have not yet found their way from the laboratory to clinical application.
 
 
On what occasion is cord blood used instead of bone marrow derived stem cells?
 
When a patient needs a transplant for a life-threatening disease, the treatment center needs to consider many factors.
 
Cord blood is especially useful for:
Patients who need a transplant quickly, because cord blood units are stored and ready to use.
Patients who cannot find a matched bone marrow donor. Cord blood does not have to match a patient's tissue type as closely as donated bone marrow does.
Patients from racially or ethnically diverse communities who often have uncommon tissue types. Because cord blood does not have to match the patient as closely as bone marrow does, it may offer more people from diverse racial and ethnic communities the only chance for survival.


Should I store my baby's cord blood in a private family bank or donate it for public use?
 
Donating cord blood for public use or storing it for your family's private use is a very personal decision. Detailed informations about arguments for storing cord blood you can find in our information broschure.
 
How long will umbilical cord blood be stored?
 
If you donate cord blood to Vivocell´s public banking program it will be stored for as long as it is necessary before it is released to treat someone in need.
If you reserve cord blood for your own baby it will be stored as long as you retain the services of Vivocell.
In general, cord blood can only be stored if it meets the standards for transplantation. These are for example:
  1. The cord blood unit must be large enough and contain enough blood-forming cells for a transplant. If there are too few cells, it may be discarded.
  2. . The cord blood unit and the mother's blood sample must show no signs of infection or other medical concerns.
  3. Approximately 30% of the cord blood units that are collected are not stored for transplantation. The most common reason a cord blood unit cannot be stored is because the cord blood unit does not contain enough blood-forming cells.
 
If someone in my family needed a transplant, when would this cord blood unit be used versus unrelated cord blood donated to a public bank?
 
This decision needs to be made by the treatment center and doctors would consider a number of factors.
For some diseases, a transplant using cells donated from a relative, especially a sibling, is the best choice. The doctor would first test to see if the sibling matches the brother or sister who needs the transplant. Because tissue types are inherited from parents, there is a 25% chance that siblings will match each other. If the siblings match, the doctor will decide between the cord blood stored in the private bank or a bone marrow donation from the sibling; each has advantages and disadvantages.
If your child's cord blood stored in the private bank is the best choice, the doctor would check to be sure that the cord blood unit is large enough (has enough blood-forming cells) and is free from disease and infection. If these standards are not met, then the doctor will consider the other options above.
Where can cord blood be donated?
 
 Check our list of participating hospitals to see if your hospital collects cord blood for public donation.
 
Can I donate if my hospital is not on the list?
 
Vivocell Biosolutions can only accept donations from hospitals anywhere in Austria and Germany not to be listed in our cooperation list .
Does it cost me anything to donate cord blood?
 
There is no cost to you when you donate cord blood to the Vivocell public cord blood bank program. We cover the costs of collecting, processing and storing cord blood units.
 
Will donating my baby's umbilical cord blood change my delivery experience?
 
Donating cord blood will not change your labor or delivery in any way. During delivery, all the focus is on you and your baby. The cord blood is collected after the baby is born and the umbilical cord is clamped and cut, it does not affect the baby or the birth experience. No blood is taken from your baby, only from the cord and placenta after the baby is born and the baby is no longer connected to the placenta and remaining umbilical cord.Cord blood collection should not be performed in complicated deliveries. The cord blood stem cell-collection program should not alter routine practice for the timing of umbilical cord clamping.
Can I donate if I'm having twins?
 
We cannot accept donations for the Vivocell public bank if you are having twins. However, private banking is possible.
Wow is my privacy protected after I have donated to the public cord blood bank?
Vivocell cord blood bank keeps the mother's name confidential, and it protects the privacy of the family. Names are not shared with any patient or transplant center. The baby's cord blood is identified by a number, never by name.
Are cord blood transplant patients ever given information about their donor?
 
No. Identifying information is never exchanged between a cord blood donor and a cord blood transplant recipient.
What will happen to my child's cord blood if I donate it?
Once a baby's cord blood is collected, it is typed, screened for infectious diseases and for hereditary hematologic diseases. If the donation is large enough and meets all of the required standards, it will be cryogenically stored for potential transplantation if a match is found or it might be used for quality improvement and research.
 
If it turns out my child does need the cord blood, can I retrieve his/her's cord blood from the bank I donated to?
 
Cord blood banked in the Vivocell public program might not be available for future private use. It could be, that at the given time, the cord blood unit had been already released for treatment of another person or it has not been stored at all, because it did not meet the requirements for transplantation at the time of collection.
  Was geschieht mit der Nabelschnur?
  Wo und wie werden die Stammzellen gelagert?
  Wie lange können Stammzellen gelagert werden?
  Braucht man eine Herstellungserlaubnis?
  Ist die Lagerung des Zellmaterials auch im Insolvenzfall gewährleistet?
  Was ist vor der Geburt zu tun, wenn ich mich für ein Stammzell-Depot entscheide?
  Was ist bei der Geburt notwendig?
  Was geschieht bei einem Stromausfall mit den Kühlbehältern?
  Was passiert, wenn die Stammzellen benötigt werden?
  Gibt es eine Ermäßigung für weitere Kinder?
  Was ist das Besondere an Stammzellen?
  Empfehlen Gesundheitsbehörden die Lagerung von Nabelschnurblut und dessen Stammzellen?
  Was bedeutet totipotent?
  Was bedeutet pluripotent?
  Was bedeutet multipotent?
  Können Blutbeutel oder Stammzellen verwechselt werden?
  Warum wird die Vorsorge von Nabelschnurblut nicht vom Gesundheitssystem bezahlt, obwohl die medizinische Sinnhaftigkeit im Falle einer Krebserkrankung von ministerieller Seite anerkannt wird?
  Warum ist Nabelschnurblut ein Medikament und warum ist es so bedeutend?
  Wie werden Stammzellen aus der Nabelschnur gewonnen?
  Werde ich nach der Geburt informiert, wenn das Nabelschnurblut verarbeitet ist?
  Wann können keine Stammzellen eingelagert werden?
  Wer hat Zugriff auf die eingelagerten Blutstammzellen?
  Was kann man heute mit körpereigenen Stammzellen behandeln, wo liegen die wissenschaftlich absehbare
  Wahrscheinlichkeit einer Anwendung
  Ist es auch sinnvoll Nabelschnurblut einzulagern, wenn keine erhöhte familiäre Krebsrisikobelastung
  Können die konservierten Stammzellen auch für Geschwister oder andere Familienangehörige eingesetzt
  Wie wurde bewiesen, dass sich beim Menschen Nabelschnurblut in alle Organe und Gewebe umwandeln kann
  Gibt es einen Rabatt bei Mehrlingsgeburten?
  Sind im Nabelschnurblut genügend Stammzellen für eine Knochenmarktransplantation?
  Können Stammzellen vermehrt werden?
  Manche meinen, die Kosten für die Eigenvorsorge seien zu teuer? Fremdes Nabelschnurblut sei im Bedarfsfall gratis.
  Ist es richtig, dass für die Transplantation von Erwachsenen sechs bis acht Nabelschnurbluteinheiten notwendig sind?