The early promise of stem cell
therapy is finally been realized. Most
folks do not realize that surviving a heart attack is only the first step. The real difficulty is limiting the actual
damage to the heart brought about be oxygen starvation. This is yet another reason that palpitation
of the heart needs to be sustained to keep blood moving. If heart function falls below a reasonable threshold,
then progressive heart failure sets in and eventually kills the victim. Thus heart restoration by replacing lost
cells is absolutely necessary and this protocol can certainly do this.
We also speak here of the
outright promise of organ restoration and that is certainly well in the works
and mostly far less critical than playing with the heart. Everything that I see in this field pretty
well establishes that full organ replacement including limbs and skeleton is pending
and not too far away in time.
Note that everyone is habitually
down playing delivery times, but unless something really rears its ugly head
and that appears well behind us already.
The fact is that stem cell therapy was successfully delivered this year
to select patients and the results were emphatic. It is now unethical to withhold this therapy
to any failing patient.
Stem Cell Therapy Could Regenerate Damaged Heart Muscle After Heart
Attacks
New research found that stem cell therapy using cells from a patient's
own heart shows promise in regenerating damaged heart muscle. (Getty
Images)
Feb. 14, 2012
A promising stem
cell therapy approach could soon provide a way to regenerate heart
muscle damaged by heart attacks.
Researchers at Cedars-Sinai Heart Institute and The Johns Hopkins
University harvested stem
cells from the hearts of 17 heart attack patients and after prepping the cells,
infused them back into the patients' hearts. Their study is published in the
current issue of The Lancet.
The patients received the stem cell infusions about three months after
their heart attacks.
Researchers found that six months after treatment, patients had
significantly less scarring of the heart muscle and also showed a considerable
increase the amount of healthy heart muscle, compared to eight post-heart
attack patients studied who did not receive the stem cell infusions. One
year after, scar size was reduced by about 50 percent.
"The damaged tissue of the heart was replaced by what looks like
healthy myocardium," said Dr. Peter Johnston, a study co-author and an
assistant professor of medicine at The Johns Hopkins
University School
of Medicine. "It's functioning better than the damaged myocardium in the
control subjects, and there's evidence it's starting to contract and generate
electrical signals the way healthy heart tissue does."
While this research is an early study designed to demonstrate that this
stem cell therapy is safe, cardiologists say it's an approach that could
potentially benefit millions of people who have suffered heart attacks. Damage
to the heart muscle is permanent and irreparable, and little can be done to
compensate for loss of heart function.
"In the U.S. ,
six million patients have heart failure, and the vast majority have it because
of a prior heart attack," said Johnston .
The damaged scar tissue that results from a heart attack diminishes
heart function, which can ultimately lead to enlargement of the heart.
At best, Johnston
said, there are measures doctors can try to reduce or compensate for the
damage, but in many cases, heart failure ultimately sets in, often requiring
mechanical support or a transplant.
"This type of therapy can save people's lives and reduce the
chances of developing heart failure," he said.
Cardiac Regeneration A Promising Field
Other researchers have also had positive early results in experiments
with stem cell therapy using different types of cells, including bone marrow
cells and a combination of bone marrow and heart cells.
"It's exciting that studies using a number of different cell types
are yielding similar results," said Dr. Joshua Hare, professor of cardiology
and director of the University of Miami Interdisciplinary Stem Cell Institute.
The next steps, he said, include determining what the optimal cell
types are and how much of the cells are needed to regenerate damaged tissue.
"We also need to move to larger clinical trials and measure
whether patients are improving clinically and exhibiting a better quality of
life after the therapy."
In an accompanying comment, Drs. Chung-Wah Siu amd Hung-Fat Tse of the University of Hong Kong wrote that given the promising
results of these studies, health care providers will hopefully recognize the
benefits that cardiac regeneration can offer.
And Hare added that someday, this type of regeneration can possibly
offer hope to others who suffered other types of organ damage.
"This stategy might work in other organs," he said.
"Maybe this can work in the brain, perhaps for people who had strokes."
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