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June 19, 2013
ScienCentral

Heart Rehab


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Stem Cell Source (1.06.04) - Scientists may have found what they hope is a less controversial way of getting special human cells that can turn into any part of the body and potentially cure many diseases. This new source doesn't use embryos.

Heart Disease Gene (9.30.03) - Scientists are finding that a genetic disorder that damages the central nervous system is providing clues into the much more common problems of heart attacks and stroke.

Mending Broken Hearts (3.30.01) - Scientists say experiments in mice show that a special sort of cell that we all carry around in our blood and bone marrow can rebuild damaged hearts, and probably other organs as well.

 

Can Stem Cells Repair a Damaged Heart? - NIH

NIH Stem Cell Information home page

Learn to recognize a heart attack - American Heart Association



   09.09.04
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Patients like Bill Clinton still require a scalpel and the sure hands of surgeons to mend their broken hearts. But as this ScienCentral News video reports, in the near future patients might have their hearts treated with a simple injection.

Heart repair without a knife

One point that was often made during the media frenzy surrounding Bill Clinton's heart surgery was that open-heart surgeries happen so often, they're now considered routine. But anyone who is going to have their chest cavity sliced open and the four major arteries to their heart cut in two might beg to differ.

Research into adult stem cells, however, might make heart surgeries like President Clinton's a thing of the past.

Cardiovascular researcher Piero Anversa surprised the science world when his research suggested that hidden in our hearts are stem cells that have the ability to regenerate heart muscle, or create new muscle tissue and blood vessels to replace damaged or old ones. He's spent the past several years working at New York Medical College on how to isolate these stem cells and use them to treat heart disease.





"What was considered impossible…may become possible in the forthcoming future," says Anversa. "Meaning, we may be able to treat patients with heart attacks and be able to rebuild their heart to normal conditions."

cardiac stem cells
Cardiac stem cells (surrounded by green).
image: Piero Anversa
Anversa isolated these rare cells in the hearts of rats, grew more of them in the lab, and then injected them into the hearts of other rats that had suffered a heart attack. He reported in the journal Cell that seventy percent of the damaged heart muscle was repaired. After reporting in the Proceedings of the American Academy of Sciences that human hearts have similar stem cells in them, Anversa and his colleague Roberto Bolli of the University of Kentucky-Louisville are planning human trials of a therapy that could change the way the heart is treated.








"It would be relatively easy to have a catheter in the ventricle, and inject stem cells in the region which is damaged and try to repair the tissue," he says. "A patient with coronary artery disease could have his stem cells stored in the hospital, and they could use them at the time they are needed."

Anversa has received some resistance because certain groups of researchers reported that they could not duplicate his findings, an important part of the scientific process, for some earlier work in which he injected stem cells from bone marrow into mice with damaged hearts. An editorial in the journal Nature urged caution in the face of these discrepancies, and stated that "those working in the field need to adopt more robust experimental approaches."

live heart on monitor
image: ABC News
But Anversa stands by his work, and says he has already duplicated those findings on his own, and will submit the results soon. "The issue is still open," he says, "and we strongly stand for our data. The [negative] results are the result of artifacts or incompetence by the other researchers."

That issue aside, human trials with bone marrow stem cells are underway, with some early signs of success. Similar human trials with heart stem cells will start as well. Meanwhile Anversa will receive a lifetime Research Achievement Award from the American Heart Association in November, at which time he says he'll release the results of several more studies that further his cause. He and Bolli think that, if they're right, stem cell therapy for heart disease could be available in three to five years.

Anversa's major papers appeared in Nature, April 2001; Cell, Sept 19, 2003; and the Proceedings of the National Academy of Sciences, Sept 2, 2003; all of them were funded by the National Institutes of Health.


 
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