‘Breakthrough’ in cell transplant research as paralysed man walks with frame


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LONDON // A paralysed Bulgarian man can walk again after revolutionary treatment in Poland which was hailed by one of the British scientists responsible as “more impressive than a man walking on the Moon”.

Darek Fidyka was paralysed from the chest down after a knife attack in 2010, but can walk again with a frame after nerve cells from his nose were transplanted into his severed spinal column, according to research published in the journal Cell Transplantation on Tuesday.

“When there’s nothing, you can’t feel almost half of your body. You’re helpless, lost,” Mr Fidyka, 40, who is now recovering at the Akron Neuro-Rehabilitation Centre in Wroclaw, told the BBC.

“When it begins to come back, you feel you’ve started your life all over again, as if you are reborn. It’s an incredible feeling, difficult to describe.”

Olfactory ensheathing cells (OECs), which form part of the sense of smell, were used in the treatment as they are pathway cells, enabling nearby nerve fibres to be continually regenerate.

Dr Pawel Tabakow, consultant neurosurgeon at Wroclaw University, led a team of surgeons in removing one of the patient’s olfactory bulbs before transplanting cultured cells into the spinal cord in the treatment’s two crucial operations.

The scientists involved believe that the cells, implanted above and below the injury enabled damaged fibres to reconnect, although other researchers are sceptical.

“What we’ve done is establish a principle, nerve fibres can grow back and restore function, provided we give them a bridge,” said Geoff Raisman, chairman of neural regeneration at University College London’s Institute of Neurology, who led the British research team working on the joint project.

“To me, this is more impressive than a man walking on the Moon. I believe this is the moment when paralysis can be reversed.”

Dr Tabakow said it was “amazing to see how regeneration of the spinal cord, something that was thought impossible for many years, is becoming a reality”.

But other scientists were more cautious, saying it was important to wait on the results of clinical testing with more cases.

“We have to be very prudent,” said Alain Privat from France’s health and medical research institute Inserm.

Dr Privat said it was not yet clear whether it was really the transplant itself that allowed the spinal cord to function again or whether this was a byproduct of the operations.

Only a clinical trial would show this, he said.

For two years after sustaining the injury, Mr Fidyka showed no sign of recovery despite intensive five-hour physiotherapy sessions.

The first signs of improvement came three months after the surgery, when his left thigh began putting on muscle.

Three months later, Mr Fidyka was able to take his first steps with the aid of parallel bars and leg braces. He can now walk outside using a frame and has also recovered some feeling in his bladder and bowel.

“I think it’s realistic that one day I will become independent,” he said.

“What I have learned is that you must never give up but keep fighting, because some door will open in life.”

The research was funded by the UK Stem Cell Foundation and the Nicholls Spinal Injury Foundation (NSIF), set up by chef David Nicholls after his son Daniel was paralysed in a 2003 swimming accident.

NSIF has given £1 million (Dh5.9m) to researchers in London and £240,000 to the team in Poland. Both camps say they will not seek to profit from the research.

“It would be my proudest boast if I could say that no patient had had to pay one penny for any of the information we have found,” said Dr Raisman.

The Nicholls foundation said it would acquire any patents and make them freely available.

“When Dan had his accident I made him a promise that, one day, he would walk again,” Mr Nicholls said.

“The results with Darek show we are making significant progress towards that goal.”

The UK Stem Cell Foundation said the team was now searching for the best source of olfactory ensheathing cells and developing prototype nanofibre biomaterials on which transplanted OECs could grow.

They hope to raise enough money to hold clinical trials on 10 patients in Britain and Poland.

* Agence France-Presse

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1970

October 26: Bahrain withdraws from a proposal to create a federation of nine with the seven Trucial States and Qatar. 

December: Ahmed Al Suwaidi visits New York to discuss potential UN membership.

1971

March 1:  Alex Douglas Hume, Conservative foreign secretary confirms that Britain will leave the Gulf and “strongly supports” the creation of a Union of Arab Emirates.

July 12: Historic meeting at which Sheikh Zayed and Sheikh Rashid make a binding agreement to create what will become the UAE.

July 18: It is announced that the UAE will be formed from six emirates, with a proposed constitution signed. RAK is not yet part of the agreement.

August 6:  The fifth anniversary of Sheikh Zayed becoming Ruler of Abu Dhabi, with official celebrations deferred until later in the year.

August 15: Bahrain becomes independent.

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November 23-25: Meeting with Sheikh Zayed and Sheikh Rashid and senior British officials to fix December 2 as date of creation of the UAE.

November 29:  At 5.30pm Iranian forces seize the Greater and Lesser Tunbs by force.

November 30: Despite  a power sharing agreement, Tehran takes full control of Abu Musa. 

November 31: UK officials visit all six participating Emirates to formally end the Trucial States treaties

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Moment of the day When Dilruwan Perera dismissed Yasir Shah to end Pakistan’s limp resistance, the Sri Lankans charged around the field with the fevered delirium of a side not used to winning. Trouble was, they had not. The delivery was deemed a no ball. Sri Lanka had a nervy wait, but it was merely a stay of execution for the beleaguered hosts.

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The verdict Test matches in the UAE are known for speeding up on the last two days, but this was extreme. The first two innings of this Test took 11 sessions to complete. The remaining two were done in less than four. The nature of Pakistan’s capitulation at the end showed just how difficult the transition is going to be in the post Misbah-ul-Haq era.

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Date started: 2013

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Profession: History teacher at Al Yasmina Academy, Abu Dhabi

Children: She has one son, Casey, 28

Hometown: Pontefract, West Yorkshire in the UK

Favourite book: The Alchemist by Paulo Coelho

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Favourite holiday destination: Bali

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