A Study Of Chondrosarcoma, Bone And Cartilage Derived Cancer

Me: This topic was something I realized I would have to look into at some point since the link between cancer and height is very clear. I got a message from Tyler recently for me to look into it as well. First, what does wikipedia say about it (HERE)?

“Chondrosarcoma is a cancer composed of cells derived from transformed cells that produce cartilage. Chondrosarcoma is a member of a category of tumors of bone and soft tissue known as sarcomas. About 30% of skeletal system cancers are chondrosarcomas. While the disease can affect people (or animals) of any age, unlike most other forms of skeletal system cancer, it is more common among older people than among children, and more often affects the axial skeleton than the appendicular skeleton.”

“The most common sites for chondrosarcoma to grow are the pelvis and shoulder, along with the superior metaphysial and diaphysial regions of the arms and legs. However, chondrosarcoma may occur in any bone, and are sometimes found in the skull, particularly at its base.”

What I think is really critical to explain right now is that I have had a certain guess for a long time now after reading enough papers on the natural growth process that certain ways we might try as adults to gain height might also lead to increase rates and levels of getting cancer.

From the website for The Liddy Shriver Sarcoma Initiative

What is chondrosarcoma?

Chondrosarcoma is a type of sarcoma that affects the bones and joints. It is a rare cancer that is diagnosed in 2,100 patients each year in the United States. Chondrosarcoma typically affects adults between the age of 20 and 60 years old, and it is more common in men. The disease usually starts in the bones of the arms, legs or pelvis, but it can be found in any part of the body that contains cartilage. Sometimes chondrosarcoma grows on an otherwise healthy bone, and sometimes it grows on a benign bone tumor (an enchondroma or osteochondroma).

There are several types of chondrosarcoma that are named based on the way that they appear under the microscope. These include:

  • Conventional chondrosarcoma
  • Clear cell chondrosarcoma
  • Myxoid chondrosarcoma
  • Mesenchymal chondrosarcoma
  • Dedifferentiated chondrosarcoma

What causes chondrosarcoma?

As with many cancers, the cause of chondrosarcoma is not clear. However, people with certain medical conditions have an increased risk for developing chondrosarcoma. These conditions include:

  • Ollier’s Disease
  • Maffucci Syndrome
  • Multiple Hereditary Exostoses (MHE, a.k.a., osteochondromatoses)
  • Wilms’ Tumor
  • Paget’s disease
  • Diseases in children that required previous treatment with chemotherapy or radiation therapy

As for the genetics and causes of the cancer, it has been rather hard to find sources which can determine the cause of it, from the website…

The genetic changes specific to chondrosarcoma continue to be investigated extensively. Although studies have not yet established a specific or recurrent karyotypic feature for any of these tumors, different chondrosarcomas have demonstrated anomalies in several tumor suppressor genes, oncogenes, and transcription factors, including TP53, RAS, EXT1, EXT2, and Sox9. Available cytogenetic and comparative genomic hybridization (CGH) studies reveal changes in some chondrosarcomas, but fail to do so in others. These studies are thus far difficult to interpret.

Based on the available studies, it is likely that chondrosarcomas are generated by a coordinated, multi-step process involving primarily tumor suppressor genes. In fact, the complexity and variety of genetic changes seen in chondrosarcomas may indicate several distinct genetic pathways. Some of the same genes may be involved in each, but the order and manner in which they are affected may differ among chondrosarcomas.

Final Words: The topic of cancer is a very complex, and large field of study. I once wanted to become a hematologist/oncologist at one point in my educational career but I realized that the field of cancer is too large and difficult for one person to understand even at a reasonable level. When I was given the task of studying on chondrosarcoma I forgot just how intensive the research would be. For right now, my understanding of chondrosarcoma is very limited and I also realize that many websites on the internet has said that the exact genetics or pathway mechanism on how chondrosarcoma develops is not well understood. This website is to find  way to gain height. Right now I can’t see or connect how learning more about chondrosarcoma will help lead to possible height increase since not even the medical professionals have figured even one pathway mechanism yet. My approach has always been to look at the pathway a mechanism occurs and try to take the theory and find ways to apply it in everyday life. If in a few years the pathways for how cancer of the cartilage is understood better, maybe we can use the genetic pathways and propose that it might be abel to stimulate that pathway to lead to adult onset cartilage cell proliferation while keeping the growth rate below what would lead to malignant tumors.

My Account On The GrowTaller Board Was Denied, Should I Create A Forum For This Website? (Need The Reader’s Advice)

[Update 3: So after careful consideration and thought I have decided not to activate the forum for this website. I have thought over the mistakes, problems, and issues that I have seen in previous discussion boards dealing with height increase and I think that if I allowed the forum to be activated, the discussion forum will inevitably end up in the same state. I can not dedicate that amount of time and energy to such a small section of the site. The sections will still be around but there will be a VERY CLEAR SIGN that says that the forum is NOT activated. Maybe some time long down the road when the website is more stable and has a larger community, and I can find good help, I’ll turn the forum on for use.]

[Update 2: I was just informed earlier today from a message on here and on the website email by my collaborator on this project Nicki that the GrowTaller forum/board was shut down. The cause has something to do with drama, politics, and it resulted in many account members being upset with the people who were running the place. Overall, it seems to suggest that the idea of having a forum/board may not be a very good idea. I have figured how to allow other people on the website to edit and post stuff now but I am hesitant to activate the feature since it would both change the graphical layout of the website and also lead to more message board human caused issues.]

[Update: I have decided to add the feature of a forum to this website. However since I am using the bbPress Plugin I seem to be the only person who can actually go in and edit things and post. It will take me a while before I can figure out how to turn that section into a real community discussion board and have other people stop by, login, and communicate with each other.]

So My application to join the GrowTaller forum or board was denied. I got a short and curt message in my inbox. I personally have never been ever denied in terms of application to ever join a board or forum before. This is a first for me.

I now know of maybe 7+ forums or boards on the internet that talks and deals with height increase (at least the ones in english, I would assume there are boards found in other languages). They are…

1. Impartial Height Increase Message Boards – Almost no activity on there anymore.

2. Giant Scientific – This website is still one of the most vast and intensive. The activity has dropped a lot since 2006.

3. GrowTallerForums.com – This seems to be where Hakker was a member

4. Make Me Taller – This website is focused mostly on using limb lengthening techniques and strategies to increase height.

5. GrowTaller – Where I got denied of an account.

6. LSJL forum – I posted 2 posts, one for the $10,000 challenge and another one which I don’t remember.

7. Maybe 3-4 other height increase forums and boards who used the old Forum54 platform, all of them also very dead of activity. I found out about these boards from the Short Support Website webpage link HERE.

So in my effort to join these boards, I have not really been successful. My application to get an account on Giant Scientific I either never got a message or I don’t remember that the email was sent but I do think (not sure since my memory is fuzzy on this one) I never posted anything on there. I don’t think I applied to get into Make Me Taller because the people on there are really xenophobic of outsiders and don’t want to believe that anything else besides limb lengthening is possible. They are not that accepting of alternative ideas. The Impartial Height Increase Message Board and the other boards on #7 have almost no activity so I never tried to join them. I think I tried to apply for a account on the GrowTallerForum but I never got a reply back on my application. There is a LSJL forum which I applied and got a membership in. That one was the only one that actually worked. And earlier today I get a message saying my account application for GrowTaller was denied. That makes it one application success out of 4. However this is the first time I ever got an email back stated blatantly that my application was rejected. Most forums and boards that have not accepted me before just never bothered to give a reply or message. I always just assumed that the admins and moderators chose never to hit the accept button or chose to ignore the email messages.

So this height increase forum or board is completely new to me and I didn’t even know it existed until my collaborator for the website told me that they and another frequent reader (and poster) of this website that they frequented this boards. Apparently this is where the person who goes by the username Alkoclar (spl?) is found and has been talking about a type of compound or “stuff” that can supposedly reverse the growth plate cartilage ossification process.

One thing I did learn and takeaway is that the GrowTaller Board is built on a platform called ProBoards. The link for the ProBoards website is right HERE. On the front page is a claim that says that using ProBoards I can create and build my own forum for FREE and that it takes less than 1 minute. I kind of sounds a attractive to me. However, I know and have been on many internet message boards and forums to know that sometimes these forums can build up and turn into place where there is A LOT OF DRAMA. People on them can private message (PM) the moderators and ask them to ban or suspend other people and stuff and drama just gets out of control. I am really hesitant about this idea first because the main panel on the website is already filled up with sections like “downloads” and “endocrinology”. I guess I could choose just to push the sections “orthopaedics” and “endocrinology” together under one main panel section header and leave the “gene database” by itself and create a section for a “forum” section to resolve the issue with website aesthetics. However, I also realize that moderating and dealing with a forum requires a lot of dedication, time, commitment, and stuff to do like forum maintenance, and operating resources.

If I get enough feedback from the other people/ readers of this website and the overall decision is a positive one, I’ll either try to get a forum to operate as a section of the main website or just put a link that is separate but with the same name in terms of association like “Natural Height Growth Boards” or something. However I would want at least a dozen responses from a dozen different regular website visitors for this post. I also don’t want to a start another internet forum only to have no one going to it and hearing the sound of crickets.

So my last question is “Should I create a forum for this website?”

Just check out the email I got from them below. I snipped it using the Mac OS6 hotkey Shift+Command+4.

 

 

 

 

Adjustable Heel Lift Height Increase Silicone Shoe Insole 7 Pads, Why I Think This Product Is Horrible

Heel Lift Height Increase Silicone Shoe Insole 7 Pads

From from Ebay link HERE

I remember seeing these height increase silicone shoe insoles on Ebay and I wanted to share it with the readers. From just an initial look at the insoles, I would say that this shoewear is a horrible product. The claim is that the stacked insole has 7 layers, which all combine together to give a person a 2.75 inch increase (or 7 cm). You also have the nice option of removing and adding the insoles depending on how high and tall you want the extra height.

Here is my problem with it. Obviously anyone who buys this product wants to look taller, and be discrete about it. They would want to be as much taller as possible so they would want to use all 7 layers. However, there are very few shoes in the world which has enough space to fit the entire 7 layers, which would probably take up 50% of all the space inside any shoe. If you put all 7 layers in, there is no room left for ones’s foot.

If you look at most sneakers, boots, or dress shoes, the level where the feet’s heel touch and were the surrounding material covers is only around 2-3 inches high. This insole would push the level of where the heel of the feet would go past even that surrounding material. There is not where the feet can go. In addition, even if you did buy larger sized shoes, with taller surrounding material, you can see that the insole is pushed up to a really slanted angle at almost a 45 angle. I don’t know any human feet that is structured to be able to fit comfortably in a shoe with this type of insole inside. The back heel bone (calcanus) would have to be grinded to half of it’s volume at a plane angle to get the feet to slide into the shoes. Of course then the hassle and difficulties would be too much for just a silicone insole.

So the 3 major problems are…

1. The 7 layer insole would take up so much room inside the shoes that the feet would not be able to go in or fit.

2. The 7 layer insole would be so high that it would be so close or even higher than the surrounding erect shoe material that one can not hold the feet in place without sliding out.

3. The 7 layer insole is designed so that it is at a steep angle. There is no human feet structured that can fit in a shoe with this type of insole inside since the back bone is protruding outwards and downwards.

To solve the three problems, one would have to obviously remove at least 4 of the insoles so that the feet can fit relatively comfortably and easily into the shoes. If that is the case, then why would anyone want to buy 7 layers in the first place when it would make the most practical sense to sell what would actually work, which is probably 3-4 layers.  

 

Buying Chondrogenesis Products StemXVivo Chondrogenic Supplement, StemPRO, And Poietics

Me: I have just become aware very recently that there is at least one company where you might be able to order and get chondrogenesis raw materials which is Invitrogen. They seem to sell pretty much everything that I would want to get if I had a real laboratory to work with to test different types of growth factors to see how they would affect limb growth and limb fractures. There are stem cells, progenitors cells, osteocyte/chondrocyte differentiation mediums, and a lot of other stuff. The stuff is not allowed for personal use of course but in maybe a few years we could be able to get them for human use if we can prove in the lab in its efficacy.

Let’s see what some of the products you can find are…

For the StemPRO Chondrogenesis Differentiation Kit, you can click HERE to get to  product catalog PDF for the company Invitrogen. This also includes the STEMPRO® MSC SFM or MesenPRO RSTM Medium

The STEMPRO® Chondrogenesis Differentiation Kit Contains…

  1. STEMPRO® Osteocyte/Chondrocyte Differentiation Basal Medium
  2. STEMPRO® Chondrogenesis Supplement

Note that the “Intended Use is only for For research use only (RUO). Caution: Not intended for human or animal diagnostic or therapeutic uses.

Until I and other researchers are absolutely sure and have tested these products for safety and efficacy, this product is not to be used yet.

Note: On the right side are other products that are recommended but not supplied in the kit.

From the Lonza Group website link HERE you can get the product called Poietics which is human ADSCs which is used for chondrogenesis lab experiments.

From the RND Systems website for a product catalog PDF located HERE

StemXVivoTM Chondrogenic Supplement (100X)

Media Supplement for Human and Mouse MSC Chondrogenesis Catalog Number: CCM006 Storage: ≤ -20° C Volume: 500 μL

Product Description

The StemXVivo Chondrogenic Supplement is a media supplement for the differentiation of mesenchymal stem cells (MSCs) into chrondrocytes. All the components have been selected and optimized for human and mouse MSCs chrondrogenesis. This product does not contain antibiotics.

Intended Use

StemXVivo Chondrogenic Supplement is designed to be used with StemXVivo Chondrogenic Base Media
(R&D Systems, Catalog # CCM005) for the desired differentiation application. It may be used with other base media to differentiate MSCs depending on the experimental design of each researcher.

From Cyagen website link HERE

You can get the Mesenchymal Stem Cell Chondrogenic Differentiation Medium for about $430.

Specifications

Highlights:
– Highly effective in inducing mesenchymal stem cells into cartilage.
– Can be used for mesenchymal stem cells from various tissues/organisms.
– Packaged as a kit with Alcian Blue included.
– Batch-to-batch consistency.

Kit Components:

 Mesenchymal Stem Cell Chondrogenic
Differentiation Basal Medium
 194 ml
 Dexamethasone  20 μl
 Ascorbate  600 μl
 ITS Cell Culture Supplement  2 ml
 Sodium Pyruvate  200 μl
 Proline  200 μl
 TGF-β3  2 ml

From ScienCellOnline.com

Mesenchymal Stem Cell Chondrogenic Differentiation Supplement

Description

Mesenchymal Stem Cell Chondrogenic Differentiation Supplement (MCDS) is a medium supplement designed for differentiation of primary mesenchymal stem cells (MSCs) to an chondrogenic lineage as determined by Safranin-O staining in vitro. It is a sterile, concentrated (100X) solution. The supplement is designed as an additive for mesenchymal stem cell chondrogenic differentiation medium (MCDM, Cat. No. 7551) and should be used in conjunction with that medium.

Product Use

MCDS is for research use only. It is not approved for human or animal use, or for application in in vitro diagnostic procedures.

Proposed Height Increase Method Legitimized For Efficacy And Safety Through Animals Studies And Testing

This is just my own personal opinion but if we should ever come up with a real method and technique to possibly increase long bone length we should have it be first tested on animals. This is always assuming that the method is invasive in any way. If it was non invasive we can all try out ideas in our own homes with store bought products.

I propose that at some point we should get into contact certain groups of medical researchers and scientists to perform our proposed method and get it written up in a real scientific journal and paper so that our cause and endeavor is taken seriously by the scientific and medical community. There is no way for us to make our cause to be heard unless we go through some red tape and beaurocracy. If we can raise a certain amount of funding, help pay for at least 1 round of researching, and get a team of university professors to test out our hypothesis, and validate it beyond statistical testing error then I believe it would be possible to really get recognition for what we are doing.

Professors throughout the world spend more than 10% of their professional lives writing up proposals for grants to get money and funding from government and corporate organizations for their interests and research. I should know since I have worked with graduate student and have done biotech and biomedical research before. The major corporations and companies like Genentech and Biogen have the equipment and resources and they also are trying to push the edge of biological science but they won’t be wiling to put their resources for a cause which is more likely to be a failure and a bad investment into this.

 

 

NeoCart Autologous Cartilage Tissue Implant For Cartilage Regrowth And Replacement

Me: I have recently found out about this product being sold called NeoCart, an autologous cartilage tissue implant, which seems to be using the technology of cartilage regrowth for eventual surgical implantation to heal fractures. What is nice about this product is that one can just buy it. To make the NeoCart product it is “produced by seeding a type-I collagen matrix scaffold with autogenous chondrocytes and bioreactor treatment“. The implications of this product and technology is that we can see that there are already places where we can buy these cartilage implants or get their services. What might be good is if we can figure out what type of growth factors were used in the bioreactor treatment along with the implanted chondrocytes. This might give us a bigger clue on how to cause induced or injected chondrocytes into bones to increase and create a cartilage layer. 

From Histogenics website HERE

Histogenics grows the NeoCart® implant ex vivo (outside the body) from the patient’s own cartilage cells in a patented, high-pressure tissue engineering processor. This processor mimics the natural conditions experienced in the knee while walking, producing more natural neocartilage than other techniques.

Phase I trials showed improvement in function and relief of pain, with 87.5 percent of subjects with good fill at 12 months, versus 50 percent of subjects with good fill who had undergone microfracture. The NeoCart Phase II trial is complete, with 6, 12 and 24-month data trends superior to the control arm microfracture.

Advantages
NeoCart implant promises an advanced solution for joint repair to help restore a patient’s active lifestyle.

  • Starts with a patient’s own cartilage cells from a simple biopsy
  • Incorporates patented 3D matrix to protect cells and encourage growth and development of cartilage tissue
  • Results in optimally produced tissue containing both multipying cells and substantial amount of true cartilage tissue
  • Is easy to handle and implant
  • Can treat large cartilage defects
  • Uses proprietary bioadhesive for strength and biocompatibility – no suturing
  • Integrates with surrounding native cartilage

Treatment
NeoCart treatment has three phases.

Cell collection.The process begins during a short, simple arthroscopic examination when an orthopedic surgeon takes a cartilage biopsy from a non-weight bearing area of the joint. The tissue biopsy is sent to the Histogenics manufacturing facility for culturing into the implant.

Tissue production. The cartilage cells, or chondrocytes, are isolated from the cartilage and multiplied using standard tissue culture techniques. The cells are harvested, seeded into a unique 3-dimensional collagen scaffold, and cultured under exacting conditions of high pressure, oxygen concentration and perfusion.

Implant. After a few weeks, a discrete three-dimensional piece of the patient’s own neocartilage, having characteristics of maturing native articular cartilage, is sent to the physician and implanted into the defect in a simple procedure that usually takes less than an hour. Within months, the matrix remodels, the cells mature, and the cartilage integrates with the host tissue.


From PubMed study link HERE

J Bone Joint Surg Am. 2012 Jun 6;94(11):979-89. doi: 10.2106/JBJS.K.00533.

NeoCart, an autologous cartilage tissue implant, compared with microfracture for treatment of distal femoral cartilage lesions: an FDA phase-II prospective, randomized clinical trial after two years.

Crawford DC, DeBerardino TM, Williams RJ 3rd.

Source

Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, Mail Code OP31, Portland, OR 97239, USA. crawfden@ohsu.edu

Abstract

BACKGROUND:

Despite introduction of autologous chondrocyte therapy for repair of hyaline articular cartilage injury in 1994, microfracture remains a primary standard of care. NeoCart, an autologous cartilage tissue implant, was compared with microfracture in a multisite prospective, randomized trial of a tissue-engineered bioimplant for treating articular cartilage injuries in the knee.

METHODS:

Thirty patients were randomized at a ratio of two to one (two were treated with an autologous cartilage tissue implant [NeoCart] for each patient treated with microfracture) at the time of arthroscopic confirmation of an International Cartilage Repair Society (ICRS) grade-III lesion(s). Microfracture or cartilage biopsy was performed. NeoCart, produced by seeding a type-I collagen matrix scaffold with autogenous chondrocytes and bioreactor treatment, was implanted six weeks following arthroscopic cartilage biopsy. Standard evaluations were performed with validated clinical outcomes measures.

RESULTS:

Three, six, twelve, and twenty-four-month data are reported. The mean duration of follow-up (and standard deviation) was 26 ± 2 months. There were twenty-one patients in the NeoCart group and nine in the microfracture group. The mean age (40 ± 9 years), body mass index (BMI) (28 ± 4 kg/m2), duration between the first symptoms and treatment (3 ± 5 years), and lesion size (287 ± 138 mm2 in the NeoCart group and 252 ± 135 mm2 in the microfracture group) were similar between the groups. Adverse event rates per procedure did not differ between the treatment arms. The scores on the Short Form-36 (SF-36), Knee Injury and Osteoarthritis Outcome Score (KOOS) activities of daily living (ADL) scale, and International Knee Documentation Committee (IKDC) form improved from baseline (p < 0.05) to two years postoperatively in both treatment groups. In the NeoCart group, improvement, compared with baseline, was significant (p < 0.05) for all measures at six, twelve, and twenty-four months. Improvement in the NeoCart group was significantly greater (p < 0.05) than that in the microfracture group for the KOOS pain score at six, twelve, and twenty-four months; the KOOS symptom score at six months; the IKDC, KOOS sports, and visual analog scale (VAS) pain scores at twelve and twenty-four months; and the KOOS quality of life (QOL) score at twenty-four months. Analysis of covariance (ANCOVA) at one year indicated that the change in the KOOS pain (p = 0.016) and IKDC (p = 0.028) scores from pretreatment levels favored the NeoCart group. Significantly more NeoCart-treated patients (p = 0.0125) had responded to therapy (were therapeutic responders) at six months (43% versus 25% in the microfracture group) and twelve months (76% versus 22% in the microfracture group). This trend continued, as the proportion of NeoCart-treated patients (fifteen of nineteen) who were therapeutic responders at twenty-four months was greater than the proportion of microfracture-treated participants (four of nine) who were therapeutic responders at that time.

CONCLUSIONS:

This randomized study suggests that the safety of autologous cartilage tissue implantation, with use of the NeoCart technique, is similar to that of microfracture surgery and is associated with greater clinical efficacy at two years after treatment.

PMID: 22637204    [PubMed – indexed for MEDLINE]