44 | JANUARY 30 • 2020 Israeli Health | News A groundbreaking study has shown that it is possible to rejuvenate damaged kidneys and improve their function, a proce- dure that could reverse chronic kidney disease, offsetting the need for dialysis. This is the first breakthrough in decades to combat this disease, often precipi- tated by hypertension and diabetes, and which affects a whopping 10 percent of the population worldwide. The study was conducted by Professor Benjamin Dekel, head of Pediatric Nephrology and the Pediatric Stem Cell Research Institute in the Edmond and Lily Safra Children’ s hospital at Sheba Medical Center. It was published in the Cell Reports medical journal. In past studies, researchers discovered that the adult kidney constantly renews itself over time through the activity of colonies of cells that replace lost and degenerated cells in the kidney. Dekel and his team have developed technology that involves the extraction of such healthy kidney cells from diseased kidneys. These cells are then expanded into large numbers within a laboratory environment. By generation of three- dimensional cultures called “kidney spheres, ” the cells show improved function to generate new kidney tissue and replace lost cells. The new cells are then reintroduced into the kidney where they rebuild it, positively influencing neighboring cells and improving its function. The technology uses the patient’ s own cells, thereby cir- cumventing the need for immu- nosuppression as well as prob- lems associated with immune rejection. The method has been test- ed on mice, which displayed improved renal function. By focusing on improving and stabilizing renal function, this treatment has the potential to help millions of patients with chronic kidney disease and who have yet to require dialysis treatment. Clinical trials on patients with renal failure will be con- ducted by the KidneyCure Bio firm, which commercialized this technology. “This is important news for patients with chronic kidney disease, who hopefully will ben- efit from these discoveries in the coming years, ” Dekel said. “The ability to generate new kidney tissue (to replace the damaged tissue) could help mil- lions of patients worldwide who suffer from kidney disease. ” ROLAND METZGER Professor Benjamin Dekel F ollowing a successful clinical trial conducted by Israel’ s Sheba Medical Center, Tel HaShomer, United States hospitals are now attempting to replicate the results of a groundbreaking treatment that has shown to alleviate pain dramatically in some patients suffering from pancreatic cancer. Developed by Dr. Yaacov Lawrence, director of Sheba Medical Center’ s Center for Translational Radiation Oncology, and Director of the Radiation Oncology Department Professsor Zvi Symon, the treatment uses radiation beams to target and accurately deliver a single highly concentrated dose of radiation to the celiac plexus — a bundle of nerve systems located behind the pancreas. The effect of the noninvasive radiation treatment is a reduc- tion in the extensive discom- fort and pain that pancreatic cancer patients often experi- ence, giving them a far better quality of life. It usually takes about two to three weeks for the treatment to start working. In the Sheba preliminary trial involving 21 patients, which was funded by the Israel Cancer Association, pain decreased dramatically in all but one individual, with a third of patients claiming a complete elimination of all pain entirely. The technique is now being replicated at Ohio State University Wexner Medical Center, where they treated the first U.S. patient early this year. With help and funding provid- ed by the nonprofit Gateway for Cancer Research, addition- al trials are also being conduct- ed at Mount Sinai Hospital in New York, the Institute of Oncology Francisco Gentil in Portugal, the Princess Margaret Cancer Centre in Canada as well as several Israeli locations. “The excruciating pain associated with pancre- atic cancer has long been described as a great unsolved challenge in oncology, so it is very rewarding to have finally discovered a promising solution for patients suffer- ing from the illness,” stated Lawrence of Sheba Medical Center. “With the continued testing and development of this method at partnering hospitals in the United States and other countries, we are on the path to providing critical relief for countless patients across the globe.” Israeli Nephrologist: Kidneys Can Be Rejuvenated Clinical Trials Promise Pain Relief for Pancreatic Cancer Patients FROM SHEBA MEDICAL CENTER FROM SHEBA MEDICAL CENTER