Archive for February, 2009

Can you believe this??? I can’t…
Friday, February 27, 2009 | No Comments

I wrote this to my group of friends on Facebook, that is where the 68 came from!!! Imagine how amazing this could be!!! Imagine how many lives YOU can chencge with ONE DOLLAR!!!

If you all donate $1 that is $68 then if 2 people you know donate:
$136 ($204 Total) and then the same for them… 2 people they know
$272 ($476)
$544 ($1020)
$1088 ($2108)
$2176 ($4284)
$4352 ($8636)
$8704 ($17,340)
$17,408 ($34,748)
$34,816 ($69,564)
$69,632 ($139,196)
$139,264 ($278,460)
$278,528 ($556,988)
$557,056 ($1,114,044)… CAN YOU BELIEVE IT!!! and it all starts with YOU!!! and you getting 2 people (That’s it!!! Just 2 people donating $1)
So please pass this on and go donate your dollar!!!
xoxo
Sarah Jean

I love you guys…
Saturday, February 21, 2009 | 1 Comment

Last night I had gotten off a “chat” with one of my favorite CFers, Somer, and as I was lying down to go to sleep I realized how blessed I am and how thankful I am that in the last year or two I have gotten to meet some really AMAZING people… Some are CFers and some are parents of CFers… some have lost someone they love to Cystic Fibrosis… and some didn’t know what Cystic Fibrosis was before stumbling upon us…

There is a very tiny part of me that is a little scared… I have never gotten close to anyone with Cystic Fibrosis… I have known people with CF, but have always been “afraid”… I hate to even say that… but it true… I have been blessed with my health and having these people that I have grown to love in my life is sometimes a cruel reminder of me having CF… I have come to the conclusion though, that the majority of these people have added so much to my life in ways I can’t even put into words… Most I haven’t even met… some I never will, but I feel like a better person for simply knowing them… No one is guaranteed tomorrow, CF or not… so there is no way I am going to give up the chance at being friends with these amazing people… I truly have a love for all of you that I cannot explain, I am not going try… I think you know the love I have for you through the bond we all share…

Thank you all so much

xoxo~ Sarah

GREAT news for the CF community! Did someone say “cure”?
Thursday, February 19, 2009 | 3 Comments

‘Evolved’ virus may improve gene therapy for cystic fibrosis

| 17 February 2009

Researchers from the University of California, Berkeley, and the University of Iowa have turned a relatively benign virus into a highly infectious form that is ideal as a carrier for gene therapy.

In its first gene therapy test, it completely cured human cystic fibrosis lung tissue in culture.

 

UC Berkeley researchers forced the adeno-associated virus to evolve so as to bind to sialic acid on the surface of lung cells, making it easier for the virus to infect them. The forced mutaion (red) surrounds the mouth (green) of the receptor that binds sialic acid. (Schaffer lab/UC Berkeley)

This success with the benign adeno-associated virus (AAV), published this week in the online early edition of the journal Proceedings of the National Academy of Sciences, overcomes a major problem of earlier virus-based gene therapy for cystic fibrosis, and sets the stage for tests in advanced animal models of the disease.

 

“I think it is worthwhile thinking about clinical therapy at the levels of infection we are achieving,” said coauthor David Schaffer, professor of chemical engineering at UC Berkeley.

A new pig model of cystic fibrosis developed last year by Schaffer’s colleague, pulmonologist Joseph Zabner of the University of Iowa Hospitals and Clinics in Iowa City, will provide a key test of the virus as a carrier of a gene to replace the mutated gene responsible for the disease.

“If we are able to show that efficient gene transfer can result in gene therapy, if we can cure the lung disease of pigs that have been genetically engineered to have cystic fibrosis lung disease, we should have a real chance of curing cystic fibrosis in humans,” Zabner said in an e-mail.

Schaffer’s lab is collaborating with groups elsewhere to adapt the virus to gene therapy for other diseases, including Alzheimer’s disease and amyotrophic lateral sclerosis (Lou Gehrig’s disease).

“Both of those are situations where improvements in the properties of the vehicle can have a significant impact on the success of the therapy,”
Schaffer said.

 

Cystic fibrosis (CF) is a common hereditary disease that affects the body’s mucus membranes, in particular the lungs, resulting in difficulty breathing and typically in death before the age of 40 from lung or organ failure. One in 4,000 children in the United States is born with CF.

 

Schaffer and his UC Berkeley colleagues collaborated with Zabner’s laboratory to test a technique developed by Schaffer to force the evolution of a virus in ways that make it more effective in gene therapy.

Two years ago, Schaffer and colleagues used the technique to create a variant of AAV that more easily avoids the immune system, allowing the virus to remain in the body long enough to deliver a gene to its intended target.

Using the same technique, the team produced a variant of AAV that is several hundred times more effective at entering lung cells than the natural virus.

Schaffer’s technique involves making many mutations in AAV, culturing these variants with cells, and then taking those with specific improved properties
- in this case, the ability to infect lung cells – and repeating the process.

“We probably conducted about six rounds of evolution in which we infected the lung epithelial cultures in Iowa, they sent it back to us, we recovered the viral sequences, made new viruses and sent them back again,” Schaffer said. “It was iterative rounds of infection and selection for improved infection that finally led to this enhancement of function.”

The main problem in CF is a mutation in the CFTR (cystic fibrosis transmembrane conductance regulator) gene that results in a defective chloride ion channel in the body’s cells. This, in turn, creates a chloride ion imbalance in the cell, which interferes with water transport in and out of the cell. In the lungs, this causes the mucus that lines the lung surface to become thick and sticky. Breathing becomes difficult if the mucus is not loosened, often by vigorous pounding on the chest, and coughed out.
Respiratory infections are common, and lung failure often results. The ion channel defect also affects digestion, leading to nutritional deficiency.

According to Schaffer, previous attempts to deliver a normal CFTR gene to lung cells by means of a virus failed either because the immune system mopped up the virus before it had a chance to deliver its cargo, as was the case with adenovirus; or because the virus was inefficient at delivering the gene to cells, the case with adeno-associated virus. Most respiratory viruses tend to have low infection rates, apparently because they would otherwise quickly wipe out their host, Schaffer said.

Schaffer’s technique forced the normally benign AAV, which has already infected over 90 percent of people without any harmful side effects, through rounds of directed evolution to increase its infectivity several hundred-fold.

“We devised a way to evolve viruses that are released from the natural constraints of evolution and have the freedom or ability to evolve toward properties that are more useful for medical application,” he said. “In human lung tissue, it completely rescued the chloride ion transport properties of the cells after delivering the correct copy of the CFTR gene to replace the mutated copy of the gene that is present in cystic fibrosis patients.”

In this case, the infectious AAV strain developed two major changes: Thanks to a mutation on the viral surface, it was able to bind to different receptors or bind to a more plentiful receptor on the cell surface; and it also acquired a mutation that gave the virus an enhanced ability to make it past the cell surface membrane, slip past the lipid bilayer and reach the inside the cell.

“Neither change alone was enough; it had to be the combination of the two that resulted in the improved properties,” said Schaffer. “If we decided to use rational design, we wouldn’t have known this. So, we left it up to evolution to discover the answer.”

Coauthors with Schaffer and Zabner were James T. Koerber, a graduate student with UC Berkeley’s chemical engineering and bioengineering departments and with the Helen Wills Neuroscience Institute; research scientist Katherine J. D. A. Excoffon and David D. Dickey of the University of Iowa; Matthew Murtha and Brian K. Kaspar of The Research Institute at Nationwide Children’s Hospital in Columbus, Ohio; and Saf Keshavjee of Toronto General Hospital and the University of Toronto.

The weirdest (dumbest) Question I have ever heard…
Wednesday, February 18, 2009 | 9 Comments

I know they say the only “dumb” question is one that you don’t ask… I have to disagree after recieving one of the RUDEST emails I have ever read this afternoon. I opened my inbox to see a message titled “I just have to tell you my opinion”. Which is great, I love that, as most of you know we have some typos on our website (which I hope I fixed), and we are ALWAYS looking for opinions to make us better. As I read I could hardly believe what I was reading. “Don’t you want CF cured?” ” Your Foundation is taking away from the possibilities of finding a cure” “You are selfish”… These are just SOME of the things I was reading. My eyes welled up with tears and I didn’t understand. To answer those questions, YES, of course I want a cure! I want a cure for all my little CFers out there… Would a cure help me? Not really, because the damage is already done to my 32 year old lungs… I want a cure more than I want anything else in this world and I cannot even believe someone would ask me that question! Our Foundation is not even in the same realm of the CFF, we are out there to help families who need financial help, which the CFF doesn’t do. Our goal is that at the end of the year any money we have left over, we want to donate to FINDING A CURE!!! I am in the process of researching where to start. I have a different point of view when it comes to finding a cure. I want to put money toward an actual cure. Not be invested in pharmaceuticals. My own opinion is that Pharm companies are not going to be looking for a cure the way I would like someone to be looking for a cure. Why would they CURE CF when they make BILLIONS off the meds they sell us… Now, don’t get me wrong, I am SO THANKFUL for all the meds they have come up with that help us, though not so much the price I have had to pay for them… I have been here for 32 years waiting for a cure and I pray in my lifetime a cure is found. I am writing this and I am still a little hurt… To be called “selfish” was like someone kicked me in the gut. I devote all my time to this Foundation and it’s success is so important to me I can’t even begin to tell you… I am not a paid employee, I don’t do this for any other reason than the feeling I get from all of my CF community. It makes me sad that there are people out there that would turn something so beautiful and awesome into something else…

As I was kicking around what she had written to me, I stopped at the Post Office and like a letter from an Angel, I received from a CF momma that we had helped out last year, Mandy. I wish you all could have felt what I felt as I read her card… THAT IS WHY I DO THIS!!! I smiled to myself and decided my response to her would be this blog and any comments that you want to leave… LOL… I will take the high road and just know what we do and why we do it and once again remind you all how much you mean to me…

Thank you all~ xoxo

I forgot what it feels like…
Monday, February 16, 2009 | No Comments

I forgot what it feels like to weeze and not be able to take a deep breath!!! It is all I want right now is to be comfortable and not cough… It is a reminder of the care I have to take care of myself. I sometimes feel like I don’t have time, but I need to make it more of a priority… Out of it though, I sure am thankful for the health I usually have… I am thankful for so much and at times like this I reminded of them all… Including the fact of how wonderful my support system is… Thank you all so much!!!

A special CF love Story…
Tuesday, February 10, 2009 | 2 Comments

This story touched my heart in so many ways and we have decided that the week of 2-9-09 thru 2-17-09 100% ofour donations will go to the Peterson family… please feel free to email me if you have ANY QUESTIONS!!!

xoxo

Sarah Jean

***Click the donate button in the upper left corner to donate to the Peterson family***

*********************************************************************************

 

Samantha Peterson never had a boyfriend. Relationships don’t come easy when you’re always in the hospital.

Brian Jenkins knows the feeling. Girls liked him, but they always treated him like a pet because he was so tiny.

One day, they found each other — in cyberspace. They typed messages and laughed and learned they had a lot in common, including the disease that brought them to this Web site. Samantha and Brian and all the others were members of a club nobody would ever want to join. They could relate to violent coughing attacks and what it feels like to be drowning. They had spent more time in children’s hospitals than in school. Brian shared his good fortune: Eight years after a double lung transplant, he was doing fine.

But like anybody with cystic fibrosis, he knew you can’t take anything for granted.

It didn’t take long for these computer sessions to grow into much more for Samantha and Brian. Each found their first love. Their families were thrilled. It didn’t matter that Brian, at 25, was seven years older.

The joy was short-lived. In November, Brian’s lungs failed and he landed in the emergency room at a hospital near his home in West Palm Beach. A few weeks later, Samantha suffered a similar attack and ended up in Tampa General Hospital. Her kidneys and liver shut down and she fell into a coma.

Today, Samantha and Brian are a thousand miles apart, waiting for calls that could save them.

• • •

Just a few months ago, life was so good.

“I had never seen Brian so happy,” said his mother, Julie, a data processor for the Palm Beach County school district. “He kept talking about this Samantha. When he was on the phone with her, you knew it because his voice just soared. I had never seen him connect with anybody like that.”

Chelsea Peterson, 19, saw a similar spark in her sister.

“My older sister (Meaghan, 22) and I were like, ‘You’re how old? And he’s how old?’ We were kind of iffy about it all. But they have a unique connection. They talked on the phone and computer for 12 hours a day. I said, ‘How in the world can you possibly talk all day like that?’ She told me, only CF kids know how each other feels.”

After five months of chatting online and by phone, they finally met. Eileen drove Samantha across the state to West Palm Beach. Like Samantha, Brian has two older sisters, Kathleen and Jamie, who are both healthy. Says Brian: “I was the lucky one.”

Brian and Samantha took in a movie, Eagle Eye. Mainly, they just spent every minute together until it was time for her to leave.

The two mothers compared notes and gave their stamp of approval. “The minute we met Samantha,” said Julie, “we just fell in love. She is just so sweet.”

At Halloween, Brian drove over to see Samantha in St. Petersburg. He didn’t feel well but tried to stay upbeat. In the eight years since his transplant, Brian had rarely even seen the inside of a hospital. “Still,” he said last week, “I always knew it would happen. I always knew these lungs wouldn’t last forever.”

By the time he got home, Brian was wheezing. His condition deteriorated rapidly and he went by ambulance to Palms West Hospital. It’s still not clear why, but his body was rejecting his lungs. On Nov. 8, his family flew him to St. Louis and Barnes Jewish Hospital, where surgeons had saved him once before at age 17.

Cystic fibrosis restricts growth in its victims, and Brian is only 5-feet-2 and 100 pounds. But while Samantha fretted, he fought with the strength of a much larger man. He recovered enough to accept visitors, and two weeks before Thanksgiving, Sam and Samantha drove the thousand miles with only a few stops. Samantha sat with her boyfriend in his hospital bed while Dad snapped the photograph that accompanies this story. It is the only picture of Samantha and Brian together.

On Nov. 30, it was Samantha’s turn. “She coded,” her father said. “We didn’t think she would make it.”

• • •

When it seemed the news could get no worse for the Petersons, it did. On Jan. 2, after an exhausting vigil at Tampa General Hospital, Samantha’s mother, Eileen Peterson, went to her home in St. Petersburg, stretched out on the couch — and died. Her heart disease had gone undetected. She was 52.

Samantha — Sammie to her family — woke from her coma days later. She couldn’t understand why her mother wasn’t there. Eileen was always there when Sammie was in the hospital, usually at All Children’s in St. Petersburg. She had become an authority on cystic fibrosis after Sammie, the youngest of three daughters, was diagnosed eight months after birth. Eileen had even gone back to school and become a nurse.

Now Sam Peterson had to tell Sammie her mother was gone. He isn’t especially religious, but on Jan. 9, the day before Eileen’s funeral, he slipped into the chapel at Tampa General and prayed. Then he went to see Sammie.

Sam is a bear of a man, 6-feet-2 and 285 pounds. He bent down to Sammie and brushed her dark hair back with a huge hand hardened by years of fixing turbines, boilers and other heavy machinery. He whispered there was another angel in heaven watching over her, and Sammie figured her grandmother must have died.

Her father told her the news.

Sammie’s eyes widened and filled with tears. Sam looked around the room.

All the doctors and nurses were crying.

• • •

In the past four years, Dr. Mark Rolfe, Samantha’s pulmonologist, has treated 28 cystic fibrosis patients who received double lung transplants. Twenty-seven survived. The other, a woman in her mid-20s, contracted an infection — “bad bugs” — and died six months later.

He has high hopes for Samantha. She’s working hard to get stronger. LifeLink is on alert for the perfect match, which depends on size and blood type. The other night, the doctor’s beeper went off. He rolled over and saw 8353 flashing. That code means an organ has been secured.

“God, I hope it’s for Sammie,” Rolfe said to himself.

He calls her his “little munchkin.”

The average wait for healthy lungs is four months. One recent patient waited 18 months but another waited only 72 hours. “It can happen,” Rolfe said.

A transplant patient has a 68 percent chance of surviving at least five years, he said. Even when lungs are replaced, patients still must deal with cystic fibrosis in the sinuses, sweat glands, pancreas, intestines and elsewhere. There is always the chance that the “bad bugs” will infect the new lungs. Antirejection drugs compromise the immune system, and patients must always be on guard against germs.

“This is what we call the CF handshake,” Rolfe said, bumping elbows.

Rolfe has patients who have gone a dozen years with new lungs. Every day, he says, doctors learn more about the inherited disease that affects 30,000 children and adults in the United States, according to the Cystic Fibrosis Foundation.

“We’re getting smarter,” he said. “The therapies we have now, when I was a fellow (in 1992), nobody knew about them except some scientists in a rat lab.”

• • •

Sam Peterson sleeps in a chair outside Samantha’s room, no easy trick for a man his size. He rests only a little better in the back seat of his 1998 GMC Yukon, which has logged 248,000 miles. Occasionally he travels to Homosassa in Citrus County to check on his house, where the family lived more than 10 years, near the Progress Energy power plant at Crystal River where he worked on turbines. He slumps with fatigue. He stares into space.

Since all this happened, he hasn’t been able to work. Money is tight. He says he still must come up with payment for Eileen’s funeral.

But he’s there for his baby. He holds the phone by her ear so Brian can talk to her. He makes her promise to get better.

On Jan. 18, Sam mentioned to Sammie that he was going to the park in Gulfport where he married Eileen on the same day 23 years ago. A trach tube kept her from speaking, but Sammie reached for her whiteboard and marker.

“Can you get a rose for my mom and leave it at the park?”

Sam’s dream is that his daughter will be able to place the rose herself next year. And in a hospital in Missouri, a young man has dreams of his own. By all accounts, they are what they need.

A perfect match.