{"id":8123,"date":"2019-12-05T19:45:25","date_gmt":"2019-12-05T19:45:25","guid":{"rendered":"https:\/\/ambrosecelltherapy.com\/?page_id=8123"},"modified":"2019-12-05T20:02:29","modified_gmt":"2019-12-05T20:02:29","slug":"protocoldraft","status":"publish","type":"page","link":"https:\/\/ambrosecelltherapy.com\/ru\/protocoldraft\/","title":{"rendered":"\u041f\u0440\u043e\u0442\u043e\u043a\u043e\u043b \u043f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u044b \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438"},"content":{"rendered":"

[et_pb_section fb_built=”1″ admin_label=”Hero” _builder_version=”3.22.3″ background_image=”https:\/\/ambrosecelltherapy.com\/wp-content\/uploads\/2018\/12\/Cover-Revision-e1544054347204.jpg” background_blend=”multiply” custom_padding=”|||” animation_style=”zoom” animation_intensity_zoom=”4%” fb_built=”1″ _i=”0″ _address=”0″][et_pb_row _builder_version=”3.25″ background_blend=”multiply” max_width=”80%” custom_padding=”40px|||” animation_style=”slide” animation_direction=”top” animation_intensity_slide=”3%” use_custom_width=”on” width_unit=”off” _i=”0″ _address=”0.0″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” _i=”0″ _address=”0.0.0″ custom_padding__hover=”|||”][et_pb_post_title meta=”off” featured_image=”off” text_color=”light” _builder_version=”3.18.4″ title_font=”|700||on|||||” title_font_size=”40px” text_shadow_style=”preset2″ _i=”0″ _address=”0.0.0.0″][\/et_pb_post_title][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Case Study Text” _builder_version=”3.22.3″ custom_margin=”|||” custom_padding=”50px||30px|” fb_built=”1″ _i=”1″ _address=”1″][et_pb_row _builder_version=”3.25″ animation_style=”fade” _i=”0″ _address=”1.0″][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” _i=”0″ _address=”1.0.0″ custom_padding__hover=”|||”][et_pb_text _builder_version=”3.29.3″ hover_enabled=”0″ _i=”0″ _address=”1.0.0.0″]<\/p>\n

AMBROSE takes a personalized approach to your cycle of care – beginning with your initial consultation with our MD patient consultant, through the cell therapy procedure itself, and suggested after-care plans.<\/p>\n

Individualized treatment plans are uniquely developed with each patient’s goals in mind. AMBROSE procedure protocols each consist of:<\/p>\n

    \n
  1. Tissue harvesting, <\/strong><\/li>\n
  2. Direct injections (when called for), and <\/strong><\/li>\n
  3. ADRC preparation and cell delivery.\u00a0\u00a0<\/strong><\/li>\n<\/ol>\n

    Intravenous (IV) infusion of ADRCs is the approach used to target the chronic systemic inflammation (inflammaging), which underlies the conditions AMBROSE protocols\u00a0address. Additionally, biodistribution studies have documented that adult stem cells delivered IV migrate through the lungs to all of the organs\u00a0of the body. AMBROSE’s comprehensive treatment plans, most often but not always, include direct injections into inflamed tissues affected by or accompanying the underlying the inflammaging.<\/p>\n

    By way of example, certain conditions including but not limited to those related to the lungs, kidney, liver, or brain, are best addressed with IV administration only. In comparison, a number of autoimmune diseases, such as RA, lupus, and psoriatic arthritis, as well as neuropathies, will include localized injections.<\/p>\n

    Our physicians are board-certified in the specialties required to harvest the fat safely and deliver ADRCs effectively to the needed targets.<\/p>\n

    This is a same-day, out-patient procedure that takes approximately 4 hours including 2.5 hours to process the ADRCs in the Celution cell processing system.<\/p>\n

    Phase 1: Tissue Harvesting<\/strong><\/h3>\n

    All AMBROSE care plans begin with a fat harvesting procedure, performed by a board-certified plastic surgeon, utilizing body-jet\u00ae EVO water-assisted liposuction (WAL) technology. Using this innovative system ensures minimal trauma for the patient and is also documented to be a tissue and cell-friendly fat harvesting method.\u00a0Water-assisted liposuction differs greatly from conventional liposuction methods. A tissue harvest done using the body-jet\u00ae system gently detaches fat from the tissue structure with the help of a pulsating water jet. The result is a minimized risk of bruising and swelling, shorter recovery time and heightened patient satisfaction with the secondary cosmetic outcome. \"\"<\/a>Most importantly, surrounding tissue, nerves and vascular structures sustain much less damage with the EVO system. Sparing tissue and avoiding extensive trauma is highly relevant to achieving and even enhancing the therapeutic outcome of cell therapy.<\/p>\n

    Unique to the EVO system, further cleaning and preparation of the harvested tissue (lipoaspirate) for cell processing or direct injection, is not necessary. The lipoaspirate is already optimized for both liberating the ADRCs from it (using the Celution System) for the IV delivery as well as being prepared for small volume injections of the tissue (with the ADRCs remaining resident within it) for musculoskeletal injection.<\/p>\n

    Phase 2: Cell Processing and Separation<\/strong><\/h3>\n

    All AMBROSE care plans include the delivery of adipose-derived stem and regenerative cells (ADRCs) via IV infusion, a step which calls for the use of the closed, sterile Celution\u00ae System for cell processing. Integrated into the Celution\u00ae process and protocol is the use of a non-mammalian based enzyme which digests the adipose tissue and liberates the ADRCs. A second enzyme is also used\u00a0that separates the cells from one another and prevents clumping. Finally, the resultant cell product is triple-washed to remove any residual enzyme or other debris. With the above completed, the ADRC preparation is ready for IV infusion or direct injection if called for in the treatment plan.\u00a0\"\"<\/a><\/strong><\/p>\n

    Phase 3a:<\/strong> Ultrasound or Fluoroscopy-Guided Direct Injections<\/strong><\/h3>\n

    For those patients whose treatment plans call for direct injections, the adipose tissue is enriched with platelet-rich plasma (PRP) prior to injection. PRP releases growth factors – various proteins that promote the growth, organization, and maintenance of cells and tissues. <\/span>[1]<\/span><\/a>\u00a0PRP has a stimulating effect on the stem cells in fat and improves their retention, so they work harder and longer.\u00a0<\/span>[2]<\/span><\/a><\/p>\n

    Using ultrasound or fluoroscopy guidance at the point of care, direct injection sites are mapped out. <\/span>The PRP-enriched fat is then delivered to the target sites according to the individualized care plan. AMBROSE injection protocols target the inflamed joints, muscles, ligaments, tendons and nerve bundles of the musculoskeletal system.<\/span>\u00a0[3]<\/a><\/span><\/p>\n

    Phase 3b: Permeating the Blood-Brain Barrier<\/strong><\/h3>\n

    In certain cases, a low dose of mannitol is delivered intravenously prior to the stem cell infusion. Mannitol is a sugar alcohol that temporarily opens up the blood-brain barrier so that a significantly higher percentage of cells can safely migrate into the brain. [4]<\/a><\/p>\n

    Phase 3c: IV Infusion <\/strong><\/h3>\n

    Because adult stem cells \u201chome\u201d to sites of inflammation, chronic conditions that involve low-level chronic systemic inflammation can be safely addressed with intravenous (IV) administration. An infusion of ADRCs in this manner is intended to address the the inflammation and resultant degeneration underlying many diseases of aging and reinforce the process of repair. The ADRC preparation is diluted in 100 CCs of Ringers Lactate (RL). RL is PH neutral and so preserves the viability of the diluted cells. \u00a0The final cell prep is released through the vein in an arm over a 20 minute period. Patients can rest comfortably in a recovery room while this final step takes place.<\/p>\n

    Aftercare and Follow-up <\/strong><\/h3>\n

    Following a period of observation and recovery, patients return home to rest with a caregiver or family member. In the weeks and months that follow, the AMBROSE cycle of care continues with regular follow-up and health coaching geared towards helping our patients optimize lifestyle habits that support maximum benefit from cell therapy.<\/p>\n

    [\/et_pb_text][et_pb_text _builder_version=”3.22.7″ custom_padding=”0px|||||” global_module=”7842″ _i=”1″ _address=”1.0.0.1″]<\/p>\n

    References:<\/strong><\/p>\n

    [\/et_pb_text][et_pb_text _builder_version=”3.29.3″ text_font_size=”80%” text_line_height=”1.5em” hover_enabled=”0″ _i=”2″ _address=”1.0.0.2″]<\/p>\n

    [1]<\/a>\u00a0M Tobita et al Adipose tissue-derived mesenchymal stem cells and platelet-rich plasma: stem cell transplantation methods that enhance stemness Stem Cell Research & Therapy (2015) 6:215<\/p>\n

    [2]<\/a> V Cervelli, P Gentile, B De Angelis, et al Application of enhanced stromal vascular fraction and fat grafting mixed with PRP in post\u2013traumatic lower extremity ulcers. StemCells 20116:103\u201311.<\/p>\n

    [3]<\/a> A Caplan et al ADIPOSE MESENCHYMAL STEM CELLS AND \u201cREGENERATIVE ADIPOSE TISSUE GRAFT\u201d (LIPOGEMS\u2122) FOR MUSCULOSKELETAL REGENERATION European Journal of Musculoskeletal Diseases Vol 2, No 2, 0-0 (2014)<\/p>\n

    [4]<\/a> C.V. Borlongan et al Permeating the Blood Brain Barrier and Abrogating the Inflammation in Stroke: Implications for Stroke Therapy Curr Pharm Des. 2012; 18(25): 3670\u20133676<\/p>\n

    [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”Footer CTA” _builder_version=”3.22.4″ background_image=”https:\/\/ambrosecelltherapy.com\/wp-content\/uploads\/2018\/12\/Cover-Revision-e1544054347204.jpg” background_blend=”multiply” custom_padding=”25px|0px|25px|0px|true|false” animation_style=”zoom” animation_intensity_zoom=”4%” global_module=”317″ fb_built=”1″ _i=”2″ _address=”2″][et_pb_row column_structure=”1_2,1_2″ _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_blend=”multiply” max_width=”80%” custom_padding=”|||” animation_style=”slide” animation_direction=”top” animation_intensity_slide=”3%” use_custom_width=”on” width_unit=”off” _i=”0″ _address=”2.0″][et_pb_column type=”1_2″ _builder_version=”3.25″ custom_padding=”|||” _i=”0″ _address=”2.0.0″ custom_padding__hover=”|||”][et_pb_text _builder_version=”3.27.4″ text_font=”Montserrat|700||on|||||” text_text_color=”#ffffff” text_letter_spacing=”3px” header_font=”|700|||||||” header_font_size=”36px” background_layout=”dark” custom_margin=”|||” animation_style=”slide” animation_direction=”bottom” locked=”off” _i=”0″ _address=”2.0.0.0″]<\/p>\n

    AMBROSE Cell Therapy<\/strong><\/h2>\n

    The power of science, technology and your own biology.<\/p>\n

    [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”3.25″ parallax=”on” custom_padding=”|||” _i=”1″ _address=”2.0.1″ custom_padding__hover=”|||”][et_pb_button button_url=”https:\/\/ambrosecelltherapy.com\/contact\/” button_text=”Learn More” _builder_version=”3.19″ custom_button=”on” button_text_color=”#ffffff” button_border_width=”3px” button_border_color=”#ffffff” button_border_radius=”9px” button_letter_spacing=”2px” button_font=”Montserrat|on||on|” button_icon=”%%36%%” animation_style=”slide” button_text_color_hover=”#ffffff” button_border_color_hover=”#ffffff” button_letter_spacing_hover=”2px” button_bg_color_hover=”rgba(0,0,0,0)” saved_tabs=”all” locked=”off” button_text_size__hover_enabled=”off” button_text_size__hover=”null” button_one_text_size__hover_enabled=”off” button_one_text_size__hover=”null” button_two_text_size__hover_enabled=”off” button_two_text_size__hover=”null” button_text_color__hover_enabled=”on” button_text_color__hover=”#ffffff” button_one_text_color__hover_enabled=”off” button_one_text_color__hover=”null” button_two_text_color__hover_enabled=”off” button_two_text_color__hover=”null” button_border_width__hover_enabled=”off” button_border_width__hover=”null” button_one_border_width__hover_enabled=”off” button_one_border_width__hover=”null” button_two_border_width__hover_enabled=”off” button_two_border_width__hover=”null” button_border_color__hover_enabled=”on” button_border_color__hover=”#ffffff” button_one_border_color__hover_enabled=”off” button_one_border_color__hover=”null” button_two_border_color__hover_enabled=”off” button_two_border_color__hover=”null” button_border_radius__hover_enabled=”off” button_border_radius__hover=”null” button_one_border_radius__hover_enabled=”off” button_one_border_radius__hover=”null” button_two_border_radius__hover_enabled=”off” button_two_border_radius__hover=”null” button_letter_spacing__hover_enabled=”on” button_letter_spacing__hover=”2px” button_one_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover=”null” button_two_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover=”null” button_bg_color__hover_enabled=”on” button_bg_color__hover=”rgba(0,0,0,0.21)” button_one_bg_color__hover_enabled=”off” button_one_bg_color__hover=”null” button_two_bg_color__hover_enabled=”off” button_two_bg_color__hover=”null” _i=”0″ _address=”2.0.1.0″][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

    AMBROSE takes a personalized approach to your cycle of care – beginning with your initial consultation with our MD patient consultant, through the cell therapy procedure itself, and suggested after-care plans. Individualized treatment plans are uniquely developed with each patient’s goals in mind. AMBROSE procedure protocols each consist of: Tissue harvesting, Direct injections (when called […]<\/p>\n","protected":false},"author":6,"featured_media":8003,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"

    [mk_page_section bg_image=\"https:\/\/ambrosecelltherapy.com\/wp-content\/uploads\/2018\/10\/contact-bg.jpg\" bg_position=\"center bottom\" bg_repeat=\"no-repeat\" bg_stretch=\"true\" enable_3d=\"true\" min_height=\"200\" js_vertical_centered=\"true\" sidebar=\"sidebar-1\"][vc_column css=\".vc_custom_1539721096205{padding-left: 80px !important;}\"][vc_empty_space][mk_fancy_title color=\"#ffffff\" size=\"28\" force_font_size=\"true\" size_phone=\"20\" line_height=\"50\" font_weight=\"400\" txt_transform=\"capitalize\" letter_spacing=\"1\" margin_bottom=\"0\" font_family=\"none\"]<\/p>

    Why Adipose?<\/span><\/h2>

    \u00a0<\/span><\/h2>

    [\/mk_fancy_title][\/vc_column][\/mk_page_section][vc_row][vc_column width=\"1\/6\"][\/vc_column][vc_column width=\"2\/3\"][mk_padding_divider][vc_column_text css=\".vc_custom_1543591787500{margin-bottom: 0px !important;}\"]<\/p>

    The Skinny on Fat<\/h2>

    For thousands of years, people who would now be considered \u201coverweight\u201d were admired. To be large was a sign of prosperity and was associated with fertility as well as beauty, as demonstrated by the heavy set women featured in important works of art over many centuries. It is only in contemporary times that thin became in. This cultural shift may have occurred, in part, when medical research implicated obesity in a broad spectrum of inflammatory diseases.<\/p>

    \"\"<\/a>That doesn\u2019t mean all fat (medically known as adipose tissue<\/em>) is bad by any stretch. In fact, it is now well-appreciated that adipose is an important organ of a complex network, possessing regenerative capabilities[1]<\/a> [2]<\/a> and participating in the regulation of a variety of diverse biological functions.[3]<\/a><\/p>

    What<\/strong> is Fat Composed Of?<\/strong><\/h3>

    The word \u201cadipose\u201d comes from Latin from\u00a0adeps<\/em>,\u00a0adip-<\/em>\u00a0\u2018fat.\u2019 Adipose\u00a0is a loose connective tissue composed of fat cells (adipocytes). Connective tissue does just what its name implies\u2014it connects things in our body together.<\/p>

    \"\"<\/a>Although fat is the main component found in the tissue, there are nerves as well as capillaries <\/strong>intermingled in that tissue. The cells <\/strong>that reside on the outer lining of those capillaries (endothelium) are most relevant to cell therapy and are known as adipose-derived stem and regenerative cells (ADRCs).<\/p>

    The Breakdown: Adipose Stem and Regenerative Cells <\/strong><\/h3>

    The regenerative cells in fat were first discovered in 1964 by Martin Rodbell, using an enzyme and a centrifuge. Research on adult stem cells took a quantum leap forward in 2001 when Patricia Zuk PhD, Dr. Marc Hedrick and others working in the labs of UCLA, published a paper in Tissue Engineering<\/em> discussing their discovery of mesenchymal stem cells (MSCs) and other regenerative cells in our fat.[4]<\/a> With that, a new era in medicine had begun. Since that seminal paper first appeared in the literature, over 11,000 scientific papers on adipose-derived stem cells have been published.<\/p>

    \"\"<\/a>Whereas many stem cell researchers isolate and grow (in culture) the mesenchymal stem cells (MSCs) from bone marrow, umbilical cord and other tissues, it has been found that freshly prepared autologous (from self) contains a mixed population of both stem cells and other regenerative cells. It is this mixed population which we believe has the greatest potential to improve symptoms, function and quality of life for patients suffering from a broad range of chronic degenerative diseases. [5]<\/a> [6]<\/a> [7]<\/a> We call this rich, diverse mixture adipose-derived stem and regenerative cells (ADRCs<\/strong>).<\/p>

    There are many different regenerative cell types found in ADRCs, including:
    \"\"<\/a><\/p>