Daily Mirror (Sri Lanka)

It's not pulp fiction

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Watching his five-year-old pull at his loose tooth, dad Shekar remembered something he had read in a dental clinic. Stem cells from teeth, called dental pulp stem cells (DPSCS) could be preserved and retrieved to treat his son if he had a major ailment in future. Stemade, a private company, would arrange to collect DPSCS through its Smile Clinics and store them in stateof-the-art labs in several cities across the country. His thought: Stem cell technology is the next big step in medical treatment. Banking SCS is medical bio-insurance for his kid.

Stem cell therapy didn't jump out of a box yesterday. We've heard of it being used in treating leukaemia. Patients with spinal cord injury have spent huge sums on it hoping to get up and walk. Some ask: If a house lizard can grow back its tail, why can't we get our systems to re-start with a million multiplyin­g stem cells? Kinds of cells The best cells for banking are embryonic cells which are programmed to develop and grow. But harvesting these is banned. Ethical issues, you know. Adult SCS - beyond the embryonic stage - are classified as haematopoi­etic (from umbilical cord blood and bone marrow) and mesenchyma­l (tissues and organs). While haematopoi­etic cells are used in the treatment of blood-related diseases such as haemophili­a, blood cancer and skin troubles, tissue cells are tried on all problems other than these. HSCS are collected only from the umbilical cord and bone marrow. Tissue cells are taken from many body sources such as bone marrow, placenta, menstrual blood, cornea, outer layer of the heart, liposuctio­n waste and teeth pulp.

Among these DPSCS are perhaps the best option, says Shailesh Gadre, MD, Stemade Biotech. We all lose our milk teeth and cell extraction here is almost painless. As for the permanent teeth, we can harvest the pulp when people have to lose them for orthodonti­c (cosmetic) reasons, as when braces are fixed or teeth are extracted because of poor positionin­g. Of course, they need to be free of caries and other dental infections.

But as we age, our cells age too, so DPSCS are best extracted and pre- served when we're very young, when the cells are virile and robust. "DPSCS have extraordin­ary doubling properties that give them a huge advantage over other stem cells," says Dr. Julian Deepak, Medical Advisor, Stemade. "They are derived from the same source as nerve cells, with the same capacity as neuron cells, making them a better option for treating Parkinson's, Alzheimer's and muscular dystrophy. Work is on to see their effectiven­ess in curing diabetes."

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