{"id":25845,"date":"2017-03-12T10:00:00","date_gmt":"2017-03-12T09:00:00","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25845"},"modified":"2017-03-12T10:00:00","modified_gmt":"2017-03-12T09:00:00","slug":"kanada-hlasi-uspesny-experiment-proti-roztrousene-skleroze","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25845","title":{"rendered":"Kanada hl\u00e1s\u00ed \u00fasp\u011b\u0161n\u00fd experiment proti roztrou\u0161en\u00e9 skler\u00f3ze"},"content":{"rendered":"<p><strong>Novou l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy (RSK) ozn\u00e1mili kanad\u0161t\u00ed v\u011bdci. Odvol\u00e1vaj\u00ed se na v\u00fdsledky terapie vyzkou\u0161en\u00e9 na 24 pacientech ve v\u011bku 18 a\u017e 50 let, u nich\u017e se o\u010dek\u00e1valo, \u017ee budou do deseti let odk\u00e1z\u00e1ni jen na voz\u00edk. Pro 23 z nich ale byla l\u00e9\u010dba natolik \u00fasp\u011b\u0161n\u00e1, \u017ee nebrali cel\u00e1 l\u00e9ta \u017e\u00e1dn\u00e9 l\u00e9ky a nemoc se nijak d\u00e1l nezhor\u0161ovala. <\/strong><!--more--><\/p>\n<p>V\u011bdci nejd\u0159\u00edve nasadili chemoterapii. S pomoc\u00ed t\u0159\u00ed r\u016fzn\u00fdch chemik\u00e1li\u00ed fakticky zni\u010dili vadn\u00fd imunitn\u00ed syst\u00e9m v t\u011ble pacient\u016f. Pak provedli jeho &#8222;restart&#8220; s pomoc\u00ed kmenov\u00fdch bun\u011bk, z\u00edskan\u00fdch z kostn\u00ed d\u0159en\u011b pacient\u016f. Jeden z pacient\u016f agresivn\u00ed l\u00e9\u010dbu nevydr\u017eel a zem\u0159el. Do\u0161lo u n\u011bj k t\u011b\u017ek\u00e9mu naru\u0161en\u00ed funkce jater a pot\u00e9 k otrav\u011b krve.<br \/>\nU ostatn\u00edch se v\u0161ak poda\u0159ilo zabr\u00e1nit jak\u00e9mukoli zhor\u0161en\u00ed nemoci na celou \u0159adu let. D\u00e9lka sledov\u00e1n\u00ed zdravotn\u00edho stavu pacient\u016f se li\u0161ila, a to od \u010dty\u0159 do t\u0159in\u00e1cti let. Po celou tu dobu nebrali posti\u017een\u00ed \u017e\u00e1dn\u00e9 l\u00e9ky.<\/p>\n<p>&#8222;Op\u011bt chod\u00edm a pracuji&#8220;<\/p>\n<p>K \u00fadivu l\u00e9ka\u0159\u016f se b\u011bhem l\u00e9\u010dby v\u00fdrazn\u011b zlep\u0161il stav t\u0159etiny pacient\u016f, jak uv\u00e1d\u00ed studie publikovan\u00e1 odborn\u00fdm \u010dasopisem Lancet. N\u011bkter\u00fdm se vr\u00e1til i ztracen\u00fd zrak, jin\u00ed za\u010dali chodit \u010di sportovat. \u0160est pacient\u016f se dok\u00e1zalo vr\u00e1tit do pr\u00e1ce.<br \/>\nJedn\u00edm z nich byla Jennifer Molsonov\u00e1, j\u00ed\u017e byla nemoc zji\u0161t\u011bna v roce 2002, kdy j\u00ed bylo 21 let.<br \/>\n&#8222;P\u0159ed transplantac\u00ed (kmenov\u00fdch bun\u011bk) jsem nebyla s to mluvit ani n\u011bco d\u011blat a z\u00e1visela jsem na asistovan\u00e9 p\u00e9\u010di. Nyn\u00ed sama chod\u00edm, \u017eiji ve vlastn\u00edm byt\u011b a pracuji na pln\u00fd \u00favazek. Vdala jsem se, tan\u010d\u00edm se sv\u00fdm man\u017eelem, a dokonce jezd\u00edm na ly\u017e\u00edch,&#8220; \u0159ekla listu The Daily Mail. Dva vyl\u00e9\u010den\u00ed maj\u00ed i d\u011bti.<br \/>\nK jejich zrozen\u00ed v\u0161ak bylo nutn\u00e9 pou\u017e\u00edt sperma \u010di vaj\u00ed\u010dka z bank, proto\u017ee po l\u00e9\u010db\u011b pomoc\u00ed kmenov\u00fdch bun\u011bk jsou pacienti neplodn\u00ed. Mark Freeman z kanadsk\u00e9 University of Ottawa, kter\u00fd se na v\u00fdzkumu pod\u00edlel, proto varoval:<br \/>\n&#8222;Proto\u017ee jde o agresivn\u00ed l\u00e9\u010dbu, jej\u00ed potenci\u00e1ln\u00ed p\u0159\u00ednosy by m\u011bly b\u00fdt posuzov\u00e1ny ve vztahu k riziku v\u00e1\u017en\u00fdch komplikac\u00ed. Budouc\u00ed v\u00fdzkum se zam\u011b\u0159\u00ed na omezen\u00ed rizik t\u00e9to l\u00e9\u010dby i na zji\u0161t\u011bn\u00ed, kter\u00fdm pacient\u016fm m\u016f\u017ee nejv\u00edce prosp\u011bt.&#8220;<br \/>\nProto bude z\u0159ejm\u011b trvat del\u0161\u00ed dobu, ne\u017e se l\u00e9\u010dba za\u010dne pou\u017e\u00edvat klinicky. I pak pr\u00fd bude vyhrazena sp\u00ed\u0161e pro extr\u00e9mn\u00ed p\u0159\u00edpady.<\/p>\n<p>Deset tis\u00edc jen v \u010cR<\/p>\n<p>Freeman tak\u00e9 p\u0159ipomn\u011bl, \u017ee &#8222;u n\u011bkter\u00fdch pacient\u016f do\u0161lo k podstatn\u00e9mu zlep\u0161en\u00ed funkc\u00ed, co\u017e jim umo\u017e\u0148uje d\u011blat v\u011bci, kter\u00e9 cel\u00e1 l\u00e9ta d\u011blat nemohli, ale u jin\u00fdch k tomu nedo\u0161lo&#8220;. U \u010d\u00e1sti t\u011bch m\u00e9n\u011b \u0161\u0165astn\u00fdch se nemoc dokonce je\u0161t\u011b n\u011bkolik let po z\u00e1sahu zhor\u0161ovala &#8222;jako rozjet\u00fd vlak&#8220;, ne\u017e se jejich zdravotn\u00ed stav stabilizoval.<br \/>\nRSK je chronick\u00e9 z\u00e1n\u011btliv\u00e9 onemocn\u011bn\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, kter\u00e9 vede k \u00fapadku a ztr\u00e1t\u011b nervov\u00fdch vl\u00e1ken. Jde o tzv. autoimunitn\u00ed onemocn\u011bn\u00ed. Nemoc, jej\u00ed\u017e p\u0159\u00ed\u010diny nejsou zat\u00edm zn\u00e1my, je toti\u017e vyvol\u00e1v\u00e1na vadn\u00fdmi reakcemi imunitn\u00edho syst\u00e9mu. Odhaduje se, \u017ee ve sv\u011bt\u011b j\u00ed trp\u00ed na 2,5 mili\u00f3nu lid\u00ed.<br \/>\nOnemocn\u011bn\u00ed postihuje dvakr\u00e1t \u010dast\u011bji \u017eeny ne\u017e mu\u017ee. Zp\u016fsobuje ztr\u00e1tu schopnosti pohybu, pot\u00ed\u017ee se zrakem a tr\u00fdzniv\u00e9 bolesti. Jeho v\u00fdskyt nen\u00ed v\u0161ude stejn\u00fd, pohybuje se v rozmez\u00ed od dvou do 150 pacient\u016f na 100 000 obyvatel. V \u010cesk\u00e9 republice se podle webu multiplesclerosis.cz po\u010det nemocn\u00fdch odhaduje na deset tis\u00edc.<\/p>\n<p>Pr\u00e1vo<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Novou l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy (RSK) ozn\u00e1mili kanad\u0161t\u00ed v\u011bdci. Odvol\u00e1vaj\u00ed se na v\u00fdsledky terapie vyzkou\u0161en\u00e9 na 24 pacientech ve v\u011bku 18 a\u017e 50 let, u nich\u017e <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=25845\" title=\"Kanada hl\u00e1s\u00ed \u00fasp\u011b\u0161n\u00fd experiment proti roztrou\u0161en\u00e9 skler\u00f3ze\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":17309,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-25845","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25845","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25845"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25845\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/17309"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}