Banking bone marrow (years in advance of detecting cancer or receiving TBI) 
Author Message
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)

Is it possible as of today or conceivably possible in the near future
to bank your own bone marrow?


Fri, 30 Dec 2005 03:16:53 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)
Yes, but it is fairly expensive.  What is not usually realize is there is
considerable pain in removing bone marrow, a cost associated with the
procedure and the storage preparation and temperatures over time run into
big bucks.

--
"Magnificent! Compared to war all other
forms of human endeavor shrink to
 insignificance. Gold help me, I do love it
 so!"   - General George Patton Jr

Quote:
> Is it possible as of today or conceivably possible in the near future
> to bank your own bone marrow?



Fri, 30 Dec 2005 08:10:01 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)
If someone were to do this and eventually had a need to transplant his
own bone marrow back in, wouldn't there be a risk that he would just
get the disease again, since his marrow may have been prone to getting
that disease in the first place?

Russ



Quote:
>Yes, but it is fairly expensive.  What is not usually realize is there is
>considerable pain in removing bone marrow, a cost associated with the
>procedure and the storage preparation and temperatures over time run into
>big bucks.



Sat, 31 Dec 2005 00:02:54 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)
"If", "eventually", "risk" nebulous terminology, but your point is seems
reasonable.
 ...youse play the lottery (provided you got the $$$) and takes your
chances.   You  want to be an immortal?

--
There can be only one
This rage that lasts a thousand years
Will soon be done
This flame that burns inside of me
I'm hearing secret harmonies
It's a kind of magic


Quote:
> If someone were to do this and eventually had a need to transplant his
> own bone marrow back in, wouldn't there be a risk that he would just
> get the disease again, since his marrow may have been prone to getting
> that disease in the first place?

> Russ



> >Yes, but it is fairly expensive.  What is not usually realize is there is
> >considerable pain in removing bone marrow, a cost associated with the
> >procedure and the storage preparation and temperatures over time run into
> >big bucks.



Sat, 31 Dec 2005 06:42:45 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)

Quote:

> If someone were to do this and eventually had a need to transplant his
> own bone marrow back in, wouldn't there be a risk that he would just
> get the disease again, since his marrow may have been prone to getting
> that disease in the first place?

> Russ



> >Yes, but it is fairly expensive.  What is not usually realize is there is
> >considerable pain in removing bone marrow, a cost associated with the
> >procedure and the storage preparation and temperatures over time run into
> >big bucks.

Let us assume for the moment that the possible disease risk factor is
a non issue (healthy soul), also that the cost for accommodating this
procedure is equally a non issue (the extraction pain being a given),
where I'm thinking along the lines of a serious backup plan for
extended space travel, where the primary craft would be shielded
effectively against those solar maximum events, however, it's the
majority of other extended time spent traveling while being thoroughly
(TBI) radiated by the solar minimum, that which is creating by far the
greater accumulative risk factor, whereas by some fairly recent and
quite official NASA records is indicating as much as 2.5 times a solar
maximum event being created by just the solar minimum as secondary
radiation, all of this while situated within the sort of shield that
would be necessary for fending off those occasional solar maximum
events.

Say 2+years worth, much of which the spacecraft is receiving a rather
serious sunburn and, of the occupants getting the benefit of all of
that secondary TBI, possibly to death unless there's a happy ending
that'll make things all better. For this to go well, or as well as can
be expected, there may even be a need of in-route injections, where
small amounts of your own bone marrow could be safely kept with the
benefit of greatly improved shielding (possibly including a small
electro-magnetic containment shield), as otherwise you'll need to
holdout on medications until returning home.

The overall mission dosage (2+ year accumulative) being 200 rem (2 Sv)
places the half way point at 100 rem (1 Sv), thus there's not all that
much room if any for error. Since this is a slow build and assuming
there's being medication continually taken along the way, chances are
that such an extended 200 mrem TBI might not be nearly as potent as
receiving a short term 100 mrem dosage, thus survival without a bone
marrow backup plan is probably at best 95% to the good.

If there were 20 folks onboard, knowingly allowing one of them to die
off before reaching home and/or obtaining their banked bone barrow is
not a satisfactory outcome.

Some of your input on such an extended TBI dosage timeline may need to
be taken into further consideration, as well as the prospect of
creating a sufficiently extra-shielded containment for the onboard
bone marrow. Of course, I can think of any number of entirely Earthly
benefits for this procedure as well.

Brad Guth / IEIS



Sat, 31 Dec 2005 07:31:31 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)
Neat, note that I was an old "L5er".  Had attended lectures by O'Neal.
As you present such radiation is a much larger problem than most people
realize.
In theory, sequestering BM may help with radiation depressed BM, but
radiation generated malignancies
(both hematological and solid tissue) are, to me, a larger concern .
There is even secondary radiation given off by any shield you care to use.
The last time I read anything on this, there was no practical way to avoid
such damage ( magnetic shielding
too heavy, unless there is something new). Even then the damage caused high
energy iron nuclei will probably
have to be one of the accepted risks on any long term flight.  I suspect
that if we every
"break out" that those first explorers / colonist are on the average going
to have a shorter life span.
Quote:
> Let us assume for the moment that the possible disease risk factor is
> a non issue (healthy soul), also that the cost for accommodating this
> procedure is equally a non issue (the extraction pain being a given),
> where I'm thinking along the lines of a serious backup plan for
> extended space travel, where the primary craft would be shielded
> effectively against those solar maximum events, however, it's the
> majority of other extended time spent traveling while being thoroughly
> (TBI) radiated by the solar minimum, that which is creating by far the
> greater accumulative risk factor, whereas by some fairly recent and
> quite official NASA records is indicating as much as 2.5 times a solar
> maximum event being created by just the solar minimum as secondary
> radiation, all of this while situated within the sort of shield that
> would be necessary for fending off those occasional solar maximum
> events.

> Say 2+years worth, much of which the spacecraft is receiving a rather
> serious sunburn and, of the occupants getting the benefit of all of
> that secondary TBI, possibly to death unless there's a happy ending
> that'll make things all better. For this to go well, or as well as can
> be expected, there may even be a need of in-route injections, where
> small amounts of your own bone marrow could be safely kept with the
> benefit of greatly improved shielding (possibly including a small
> electro-magnetic containment shield), as otherwise you'll need to
> holdout on medications until returning home.

> The overall mission dosage (2+ year accumulative) being 200 rem (2 Sv)
> places the half way point at 100 rem (1 Sv), thus there's not all that
> much room if any for error. Since this is a slow build and assuming
> there's being medication continually taken along the way, chances are
> that such an extended 200 mrem TBI might not be nearly as potent as
> receiving a short term 100 mrem dosage, thus survival without a bone
> marrow backup plan is probably at best 95% to the good.

> If there were 20 folks onboard, knowingly allowing one of them to die
> off before reaching home and/or obtaining their banked bone barrow is
> not a satisfactory outcome.

> Some of your input on such an extended TBI dosage timeline may need to
> be taken into further consideration, as well as the prospect of
> creating a sufficiently extra-shielded containment for the onboard
> bone marrow. Of course, I can think of any number of entirely Earthly
> benefits for this procedure as well.

> Brad Guth / IEIS



Sat, 31 Dec 2005 10:13:16 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)


Quote:
>If someone were to do this and eventually had a need to transplant his
>own bone marrow back in, wouldn't there be a risk that he would just
>get the disease again, since his marrow may have been prone to getting
>that disease in the first place?

Yes, but if you're sick enough to need a bone marrow transplant, you're
pretty sick.  And the advantages of an autologous transplant over an
allogenous one, since there's no risk of either rejection or graft-vs-host
disease, are considerable, although a little bit of graft-vs-host, called
graft-vs-leukemia in this context, is regarded as a good thing.

Unfortunately I don't have the reference, but there was a case reported
maybe ten years ago in which a leukemia patient received a BMT from her
brother.  She did well, but a few years later developed a *different*
leukemia, derived from the transplanted marrow -- the leukemic cells were
XY.  A few years after that, her brother developed that form of leukemia.
I don't know what the outcome was for these two people, but it showed
that malignant cells can exist for many years without developing into a
cancer, something which is widely suspected, but very difficult to
demonstrate.



Sat, 31 Dec 2005 21:50:57 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)

Quote:

> Yes, but it is fairly expensive.  What is not usually realize is there is
> considerable pain in removing bone marrow, a cost associated with the
> procedure and the storage preparation and temperatures over time run into
> big bucks.

What causes the pain during bone marrow extraction?  How do they extract
it?
--
Kevin Michael Vail | Dogbert: That's circular reasoning.

http://www.vaildc.net/kevin/


Sun, 01 Jan 2006 09:51:21 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)


Quote:


>>If someone were to do this and eventually had a need to transplant his
>>own bone marrow back in, wouldn't there be a risk that he would just
>>get the disease again, since his marrow may have been prone to getting
>>that disease in the first place?

>Unfortunately I don't have the reference, but there was a case reported
>maybe ten years ago in which a leukemia patient received a BMT from her
>brother.  She did well, but a few years later developed a *different*
>leukemia, derived from the transplanted marrow -- the leukemic cells were
>XY.  A few years after that, her brother developed that form of leukemia.
>I don't know what the outcome was for these two people, but it showed
>that malignant cells can exist for many years without developing into a
>cancer, something which is widely suspected, but very difficult to
>demonstrate.

Perhaps someone will discover a method someday to determine which
cells will cause future disease and also find a method to separate
them.  Then banking your own marrow will be more feasible.  Once a
disease sets in, your banked marrow could be stripped of the type of
cells that caused the disease, before it is transplanted back in.  By
the time that happens, they may find a cure that would obviate the
need for the BMT altogether!

Russ



Sun, 01 Jan 2006 11:29:18 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)

Quote:





> >>If someone were to do this and eventually had a need to transplant his
> >>own bone marrow back in, wouldn't there be a risk that he would just
> >>get the disease again, since his marrow may have been prone to getting
> >>that disease in the first place?

> >Unfortunately I don't have the reference, but there was a case reported
> >maybe ten years ago in which a leukemia patient received a BMT from her
> >brother.  She did well, but a few years later developed a *different*
> >leukemia, derived from the transplanted marrow -- the leukemic cells were
> >XY.  A few years after that, her brother developed that form of leukemia.
> >I don't know what the outcome was for these two people, but it showed
> >that malignant cells can exist for many years without developing into a
> >cancer, something which is widely suspected, but very difficult to
> >demonstrate.

> Perhaps someone will discover a method someday to determine which
> cells will cause future disease and also find a method to separate
> them.  Then banking your own marrow will be more feasible.  Once a
> disease sets in, your banked marrow could be stripped of the type of
> cells that caused the disease, before it is transplanted back in.  By
> the time that happens, they may find a cure that would obviate the
> need for the BMT altogether!

Lets assume you plan ahead and store your BM at 25 years of age.
At 60 you get leukemia or whatever and need a transplant.
Even if you have leukemic precessors in your young stored marrow,
(unlikely) they may need 35 years to develop again, by which time you
are 95 and ready to die.

--
madiba



Sun, 01 Jan 2006 12:58:39 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)

Quote:






>> >>If someone were to do this and eventually had a need to transplant his
>> >>own bone marrow back in, wouldn't there be a risk that he would just
>> >>get the disease again, since his marrow may have been prone to getting
>> >>that disease in the first place?

>> >Unfortunately I don't have the reference, but there was a case reported
>> >maybe ten years ago in which a leukemia patient received a BMT from her
>> >brother.  She did well, but a few years later developed a *different*
>> >leukemia, derived from the transplanted marrow -- the leukemic cells were
>> >XY.  A few years after that, her brother developed that form of leukemia.
>> >I don't know what the outcome was for these two people, but it showed
>> >that malignant cells can exist for many years without developing into a
>> >cancer, something which is widely suspected, but very difficult to
>> >demonstrate.

>> Perhaps someone will discover a method someday to determine which
>> cells will cause future disease and also find a method to separate
>> them.  Then banking your own marrow will be more feasible.  Once a
>> disease sets in, your banked marrow could be stripped of the type of
>> cells that caused the disease, before it is transplanted back in.  By
>> the time that happens, they may find a cure that would obviate the
>> need for the BMT altogether!

>Lets assume you plan ahead and store your BM at 25 years of age.
>At 60 you get leukemia or whatever and need a transplant.
>Even if you have leukemic precessors in your young stored marrow,
>(unlikely) they may need 35 years to develop again, by which time you
>are 95 and ready to die.

The cancerous cells are/were always there, but something triggers them
to become active and malignant.  Chances are the triggers will still
be present in your system when the bone marrow is reintroduced.  You
will probably get it again within 5 years if that is the case.

Russ



Mon, 02 Jan 2006 00:53:33 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)
On Wed, 16 Jul 2003 09:53:33 -0700, Russell Patterson

Quote:

>The cancerous cells are/were always there,

there is no reason to assume that.

bob



Mon, 02 Jan 2006 10:20:46 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)

Quote:

> On Wed, 16 Jul 2003 09:53:33 -0700, Russell Patterson

> >The cancerous cells are/were always there,

> there is no reason to assume that.

There is a school of thought that assumes these things are genetically
predetermined. I think some form of precursor is there and is activated
by an environmental trigger.

--
madiba



Mon, 02 Jan 2006 15:43:05 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)
On Wed, 16 Jul 2003 19:20:46 -0700, Bob

Quote:

>On Wed, 16 Jul 2003 09:53:33 -0700, Russell Patterson

>>The cancerous cells are/were always there,

>there is no reason to assume that.

>bob

As well, there is no reason to totally discount it either, at least
not at this time.

Russ



Mon, 02 Jan 2006 21:13:54 GMT
 Banking bone marrow (years in advance of detecting cancer or receiving TBI)
Just for keeping this topic somewhat on track;

First off; those going on any such mission are hopefully volunteers,
perhaps either already old duffers or perchance terminally ill, in
which case a little ration could even provide a much needed treatment,
thus extending their lives.

How about otherwise suggesting that the crew and/or passengers
intended for this extended space travel (duration 2 years) has tested
absolutely negative for the likes of any form of lukemia or of other
known cancer. Thus their own bone marrow is about as good as it's ever
going to get.

Of the other adnormalities to be expected from long term but
relatively low daily dosages of 275 mrem, there seems to be a number
of medications or suppliments that'll re-boot the body's repair
sequencing of damaged DNA, possibly even as fast as those cells losing
ground due to the onslot of such radiation.

I do have a plan of introducing a 100 g/cm2 worth of
multi-alloy/composits as another shield supplement, that'll be created
as sort of of your own personal coffin/pod, sort of a survival bed and
perhaps even acting as a relatively compact workstation, thus
potentially cuttling your losses by at least half if not considerably
more so of what's pertaining to secondary radiation.

Obviously this is not going to become any routene commute, as those
going to/from a location like Venus L2, staying on site for 18 months
and then returning home are most likely going to be using up their
"once in a lifetime" space adventure pass, unless the idea of banking
bone marrow kicks in at just the right moment and in the right
quanities to save the day, or at least making certain of whatever
remaining years are of good quality.

So, the quest is still pertaining to our better understanding of
"banking bone marrow", as in how much of the stuff and, of how better
shielded are we going to have to accommodate such tissue and/or
cells??

I believe it is possible to significantly reduce upon pprimary as well
as for the secondary radiation factors, especially of relatively small
items that can be stored within a cubic foot (0.1 m3), thus achieving
a 2.75 mrem/day is a reasonably obtainable goal.

My village idiot knowledge base of not knowing how much bone marrow (X
kg) might be needed per crew member is something other that I'd like
to understand, as to determine if the 0.1 m3 or of some other storage
volume would be necessary. Also, pertaining to the necessary
environment (cryogenic I assume) that'll need to be supported for two
years is representing how much??

Brad Guth / IEIS



Tue, 03 Jan 2006 05:49:17 GMT
 
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