“Latest Stem Cells News”

Dean Third used to look forward to weekends spent refereeing local football matches, and outings with his young family. But now even walking to the end of the road can leave him breathless and exhausted.

For the past four years, the father of four has suffered from dilated cardiomyopathy (DCM), a disease of the heart muscle which causes it to enlarge, affecting its ability to pump blood to the arteries.
The condition afflicts 12,000 people in the UK, and for most sufferers the cause is unknown. If uncontrolled it can be fatal, and patients must adhere strictly to a regime of medication.

For Dean, a mature student from Brightlingsea, Essex, the only chance of a normal life is a heart transplant. But he says: ‘I am way down the list because there are so few. I may die before one becomes available.’
Dean, 39, also has to live with the knowledge that he may have given the disease to his children. Although his wife, Cathy, 40, does not have it, there is a 50 per cent chance he could have given it to Nadine, 16, William, 14, Ross, 12, and Charlotte Rose, nine.

They will have to be monitored for the rest of their lives.
However, Dean has just taken part in a BBC Horizon TV programme where he discovered that medics are on the brink of a major breakthrough, meaning conditions such as his could be cured by making new hearts from the patient’s own stem cells.

Often referred to as the body’s ‘building blocks’, stem cells have the remarkable potential to develop into many different cell types in the body during early life and growth. In addition, in many tissues they serve as a sort of internal repair system, dividing without limit to replenish other cells as they die out.

When a stem cell divides, each new cell has the ability either to remain a stem cell or become another type of cell with a more specialised function, such as a brain cell, a red blood cell or, as Dean learnt, healthy heart cells.
The documentary team examined the cases of three patients with chronic conditions to discover whether, within their lifetimes, they might be cured.

Dean visited Dr Anthony Mathur, from University College London, to witness the world’s first trial using stem cells taken from bone marrow. The cells are injected into the muscles of the heart to regenerate damaged tissue.
He also travelled to Minnesota in America to visit laboratories carrying out research to produce new hearts using stem cells (…)

But the prospect of creating new functioning hearts from a patient’s own tissue is now a real possibility. While researchers have yet to get results in human subjects, scientists at the University of Minnesota have produced new working hearts using rats’ and pigs’ stem cells.

Dr Doris Taylor, of the Centre for Cardiovascular Repair, has taken a heart from a dead rat and drained it of all its stem cells so that it is nothing more than a lump of protein, a process called whole-organ decellularisation.
She then took stem cells from a live rat and injected them into the inert heart. The stem cells are able to recognise it is a heart and begin working to form new cells, producing a new organ (…)

Read more: http://www.dailymail.co.uk/health/article-1222671/Well-soon-building-new-hearts-order-just-24-hours-say-stem-cell-scientists.html

Incoming search terms:

From left to right: A normal pig heart, a pig heart after being decellularised, the pig heart prepared for recellularisation. Photos courtesy of the University of Minnesota.

In a medical first, University researchers have created a beating heart in the laboratory. Using detergents, they stripped away the cells from rat hearts until only the nonliving matrix, or “skeleton,” was left; they then repopulated the matrix with fresh heart cells.

If perfected, the technique may be used someday to generate new hearts for patients. In the United States alone, about 5 million people live with heart failure, 550,000 new cases are diagnosed every year, and 50,000 die waiting for a donor heart.

“The results were a home run,” says Doris Taylor, director of the University’s Center for Cardiovascular Repair and a principal investigator on the study. “We knew that cell therapy–that is, transplanting cells into [a patient's damaged] heart–is not a panacea. So we started thinking, ‘Is there a way to use cells to engineer heart tissue?’”

The idea, she says, is to create whole new blood vessels or organs by implanting a patient’s own cells into a matrix derived from a donor organ. This approach ought to bypass the problem of organ rejection because the matrix, being devoid of cells, shouldn’t provoke an immune response. Even if it did, the new cells would create a fresh matrix of their own, which would turn off the immune response and free patients from the need to take immunosuppressive drugs.

The process, called whole organ recellularization, can be done “with virtually any organ,” Taylor says.

A simple plan

The main hurdle in creating new hearts wasn’t finding the right cells but recreating the vastly complex architecture of the heart, Taylor explains. In puzzling it over, she and Harald Ott, a research associate in the center (now a surgical resident at Harvard Medical School and first author of the study), hit on a way to get nature to solve the problem for them.

To remove cells from fresh rat hearts, the researchers pumped solutions of detergents through the network of blood vessels that normally nourish the organ. The treatment popped all the cells like balloons and washed away the debris, leaving the matrix of protein fibers that form the backbone of a living heart’s connective tissue. It’s called the extracellular matrix, or ECM.

Incoming search terms: